Dr. Jake Taylor Jacobs
speaker
1,094 appearances
2 recordings
1 series
first heard Jan 2026
last heard 24 Feb
Dr. Jake Taylor Jacobs’s voice in public audio — every appearance, attributed to the second.
Trend
recordings per month · last 12 monthsRecordings per month over the last 12 months — 2 in all, peaking in Feb 2026 with 1.
Appearances
The measurement system determines what you track, what you measure shapes, what you see, what you see shapes, what you manage.
And if you if you measure turnaround time, but you're but not readiness, you're optimized for turnaround time, even if faster processing of the wrong things makes readiness worse.
If you measure output per labor hour but not downstream impact, you're optimizing for speed even if speed creates quality problems that cost more than efficiency gains.
If you measure cost per transaction but not value enabled,
You cut costs, you'll cut costs even if those costs reduce value that exceed the savings.
The measurement system creates the frame.
Everything outside of the frame now becomes invisible.
That's why we have to be careful even what we measure.
When we talk about reporting structures,
The reporting structure determines what information flows where, who sees what, what gets elevated and what gets buried.
And if SPD reports through operations while surgical service reports through clinical, there is no structural connection.
The information doesn't flow between them.
The upstream can't even see the downstream and the downstream can't see the upstream.
If the IT reports through finance while product reports through the CEO, there's a structural gap.
IT becomes a cost to be minimized rather than an enabler to be optimized because the CEO is not seeing both sides.
The reporting structure creates information silos and what happens in one silo, it stays invisible to the other.
Unless the other wants to interpret or want to include.
Now, if you talk about the feedback mechanisms, feedback mechanisms determine whether systems learn.
Does surgical services have a way to provide systemic feedback to SPD about their experience?
Not complaints when things go wrong.
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