Nope, Not Like Microsoft

Posted March 16, 2021 by meisen
Categories: Uncategorized

I found this interesting in researching the Epic story: That people get it wrong when they talk about Epic as Madison’s Microsoft in terms of its economic impact. As substantial as it is (think of all the upscale rental housing built downtown for well-paid Epic employees), Epic has come nowhere near to minting the number of local millionaires that Microsoft has in Seattle.

Why? Because Microsoft is publicly traded and Epic isn’t. Read this sidebar for the explanation

The Epic Epoch, Cont’d

Posted March 10, 2021 by meisen
Categories: Uncategorized

Ya got me. I haven’t updated my story archive in the longest time. But a Wisconsin State Journal story detailing Epic employee unrest related to equity and diversity got me off my keister.

For the October 2020 issue of Madison Magazine, I examined the staff unrest at the Verona-based Electronic Health Record behemoth and considered what the future might hold for Dane County’s largest private employer. You can read the story here. Here’ what I concluded:

I did not speak to a single health care source who felt Epic’s EHR dominance was in danger now or in the immediate future or even 10 years from now.

Epic’s bond with its clients is just too strong. And even if there are unhappy campers, dumping Epic would mean repudiating a huge investment. The Kaiser Permanente consortium spent a reported $4 billion implementing Epic’s software. The Mayo Clinic got in for $1.5 billion. The Duke University Health System for $700 million. Eight- and nine-figure acquisition fees are common for Epic clients.

How do you walk away from that? Especially when no other EHR vendor offers a major hospital “50 different modules for 50 different departments” as good as Epic’s, as Bluetree’s Schwach told me.

Well, it could happen if you follow John Neis’ worried thinking: Failure is an option.

Neis, who has been doing early-stage health care investing since the mid-1980s, quietly argues that Epic is not invulnerable. He says the core problem remains: EHRs are an imperfect solution. Doctors find them “soul crushing.” This dysfunction haunts health care.

“The cost of leaving Epic for something else is enormous,” Neis acknowledges. But “switching does happen.” And sometimes outright revolutions happen in technology, too. Seared in Neis’ memory is a long-ago conversation in Rochester, New York, with a clueless Kodak executive who confidently told him that digital photography would never replace film.

Neis argues that a tech company with unlimited resources could blow up the existing EHR model and build a far better one. He feels “the Three As” — Amazon, Apple and Alphabet’s Google, all well practiced in disrupting entrenched industries — are the most likely Epic challengers.

Could they afford to spend a billion or two devising a “leapfrog” EHR that both pleases doctors and improves their diagnostic skills with data-crunched insights? We both laugh at the absurdity of the question; $2 billion is coffee money for the tech giants.

“The challengers would need to spend serious money,” he says. “It can’t be just for some incremental improvement. It has to be a huge leap forward in both data analysis to help guide the physician to the right decisions and secondly to greatly improve the software’s interface with the physician.”

At this point, Neis offers — practically in a stage whisper over the phone — an unexpected fourth candidate for disrupting the existing EHR hegemony: the Epic team itself. No one is better situated to lead the transformation, he says. They know the customer better than anybody. They understand what the problems are. They get how complex the solution needs to be. And because Epic is private, it doesn’t have to worry about Wall Street freaking out over a bad quarter or two.

Neis’ advice: “Epic should figure out the transformation before someone else does.”

Will the post-Faulkner Epic be agile enough to reimagine its business?

That’s the cosmic question. Northwestern’s Jennifer Pendergast, who directs the John L. Ward Center for Family Enterprises at Kellogg School of Management, knows little about Epic’s operation but is very familiar with strong-willed founders like Faulkner.

“Are they kidding themselves to think they can control the future from the grave? Yes. Often to great detriment,” she says. “The goal is to be flexible, resilient, to be able to pivot given the current environment. What you want is an organization that has the capacity to think and adjust on its own.”

As for an organization that is tightly fit to its market, Pendergast says it “will be really successful until the business environment changes. And then you’ve got a problem.”

 

Tommy’s Time…Again

Posted June 22, 2020 by meisen
Categories: Education, TheDailyPage.com/Isthmus

Tags: ,

Four years ago I wrote a cover story for Isthmus detailing how former four-term Gov. Tommy Thompson’s strong support of the UW System grew out of his own experience as a small-town  kid whose life had been transformed by attending UW-Madison.

Now that Thompson has been named the interim UW System president, the story has new resonance. Here’s a chunk of what I wrote in 2016:

Down On The Farm

Posted June 10, 2020 by meisen
Categories: Local Food, Organic Farming/Local Food, The Milkweed

Tags: , , , ,

I’ve always admired the farm journalist Pete Hardin. (See my profile here.) He’s sort of the I.F. Stone of the barnyard. A detailed-oriented reporter with a controlled sense of outrage.

I felt honored when he asked me to write a couple of short news pieces for the May issue of The Milkweed, his iconoclastic monthly dairy report. One was an update of  my Wisconsin Examiner story on the travails and recent success of the Organic Valley farmers’ co-operative. The other was an “inside baseball” piece on how the co-op did business with the faultering Dean Foods’ milk operation.

Pete isn’t big on posting ungated Milkweed stories online. So, if you’re interested, check out the PDF.

Organic Valley Surges After More Red Ink

Posted April 28, 2020 by meisen
Categories: Organic Farming/Local Food, Wisconsin Examiner

Tags: , , , , ,

I continue to follow the ups and downs in the organic food movement for the Wisconsin Examiner. This update on the Organic Valley farmers co-op came after the coronavirus pandemic prompted the dairy farmers to schedule an unusual “virtual” annual meeting.

Here’s how the story starts:

 Here’s more evidence of the hard times — but also of new hope — in farm country.

Organic Valley, the nationally known organic farmers co-op headquartered in LaFarge, lost money for the third straight year in 2019, but observers say its economic performance has improved and more importantly organic milk sales are unexpectedly zooming in 2020.

“Organic milk is just flying off the grocery shelves,”  says Joel McNair, who publishes a Wisconsin-based farm magazine called GrazeHe says the co-op is “experiencing if not record sales, near-record sales” based on the comments he hears from Organic Valley farmers.

An unexpected rise in sales in January 2020 turned into a flood in February and March when the coronavirus swept across the country, according to observers. As Americans retreated to the safety of their homes, they began stocking their refrigerators with organic milk.

“People are eating more at home, and that is driving more in-store retail organic dairy purchases,” confirms Elizabeth McMullen, Organic Valley’s public relations coordinator, in a written statement.

She describes the growth in retail sales as “unprecedented”.

Note the 2019 financial results were not yet audited.

To read more, please go here.

How Best To Protect Organic Integrity?

Posted March 10, 2020 by meisen
Categories: Local Food, Organic Farming/Local Food, Wisconsin Examiner

Tags: , , , , , ,

Big question. No clear answer.

And that’s a huge problem with the ongoing crisis in organic farming.

How best to protect organic integrity — fight to enforce the original (and now degraded) federal  standards or push for new voluntary standards as a supplementary label?

Opinions are divided.

This is part II of my Wisconsin Examiner series.

Mark Kastel, a passionate organic farming watchdog, lays out the crisis that is chipping away at the moral high ground occupied by organic food.

Consumers pay a premium price for federally certified organic farm goods, he says, not just for the selfish reason of protecting their own health from chemical additives, but also because “they believe they’re doing something good for society.”

Mark A. Kastel OrganicEye (via Kastel)
Mark A. Kastel
OrganicEye (via Kastel)

“They believe they’re supporting a more environmentally responsible way of farming. A more humane animal husbandry,” he says. “And they believe economic justice for the farmers and for the farm workers is built right into that higher price.”

All that is jeopardized, Kastel warns, when consumers learn things, like, a single milk-processing plant in Colorado, supplied by 5,000- to 15,000- cow factory farms, is shipping certified organic milk all across the country. That milk is faux organiche argues, and “undercuts real organic farms” in Wisconsin by cheating on the federal organic rules.

“When consumers find out that these cows have short, stressful lives just like cows in factory farms — that doesn’t sound like they’re paying for more humane animal husbandry,” he says. “And when they find out the people milking these cows are mostly hard-working, exploited immigrants living in trailers, they don’t feel good about that either.”

The crux of the problem as Kastel and other critics see it: “The factory-farm milk from the 15,000 cow dairy shares the same green and white organic label as milk coming from a 50-cow family farm in Wisconsin.”

To read more, please go here.

Organic Farming Beset With Problems

Posted February 25, 2020 by meisen
Categories: Organic Farming/Local Food, Wisconsin Examiner

Tags: , , , , , , , , , , ,

I spent considerable time in 2019 looking into the crisis in organic farming. What I found was disturbing: A profitable niche agricultural industry producing high-quality dairy products had seen its standards undermined, its output cheapened and commodified, and many of its farmers squeezed to the point of ruin.

The Wisconsin Examiner ran the two stories.

I wrote in part 1:

The crisis in organic dairy comes at a moment of paradox. The federally governed organic program and its “USDA ORGANIC” label have flat-out triumphed in the marketplace. (USDA is the U.S. Department of Agriculture.)

You find the green-and-white organic label on milk cartons, vegetables, fruit and packaged products. You find it in big box stores like Woodman’s, Kroger, and Wal-Mart, membership warehouses like Costco, and, of course, righteous grocery co-ops like Willy Street in Madison and Middleton, Outpost in the Milwaukee area, and all the grocery co-operatives brightening Viroqua, Ashland and other smaller Wisconsin towns.

Nationwide, organic food sales hit a record $47.9 billion in 2018, up almost 6% from the year before, according to the Organic Trade Association. In Wisconsin, the powerhouse Organic Valley farmers’ co-op, headquartered in little LaFarge (pop. 763), saw its national sales top $1 billion for the third straight year in 2018.

But dig deeper and you find turmoil far and wide.

It’s not just the imbalance between the supply and demand for organic milk or an apparent double standard on enforcing organic rules either.

Everything from shifting consumer preferences to plant-based substitutes for dairy and beef, to the rise of soil-less hydroponic farming competing with organic dirt farmers, to the importation of fraudulent organic grain driving down the prices paid legit organic growers for their corn and soybeans have all soured organic’s financial sweet spot.

“(Up until) five or six years ago, it really looked like organic was going to be the salvation of farming,” says Dave Chapman, a Vermont farmer who runs the Real Organic Project advocacy group.

“Great! We had a label that recognizes that,” says Chapman. “The tragedy is that industrial food producers took over the label. They had the influence to twist the rules to their advantage.”

 

To read more, please go here.

A Fan’s Notes: Concerts 2019

Posted January 28, 2020 by meisen
Categories: Music, TheDailyPage.com/Isthmus

Tags: , , , , , , , , , , , ,

This is the 14th year I’ve written an annual roundup of my favorite concerts for the online edition of the Madison weekly Isthmus. I’m guessing I’ve seen close to 900 shows over the years. Yeah, I do love live music.

My 2019 faves lean to jazz and Americana. They range from rising jazz stars Makaya McCraven and Isaiah Collier to icons John Prine, Kris Kristofferson and Alejandro Escovedo.

Here’s a sample of how I saw things:

Forgotten history no more

Rhiannon Giddens with Francesco Turrisi, Stoughton Opera House, Nov. 3, 2019

I was never a fan of the Carolina Chocolate Drops and its take on old-time string-band music. I dislike revivalism. I don’t want to hear how the music was played in the old days. I flee from Dixieland bands. I shudder at musicians wearing period clothes while recreating Finnish logging songs from northern Wisconsin. I want to hear fresh takes on old music, or the real McCoys making it.

But now I’ve changed my tune, to a degree. Increasingly I think recovering historical memory is essential for identifying the good and bad of our shared cultural legacy. Rhiannon Giddens, the ex-Chocolate Drops singer and banjo player, is not just blessed with a gorgeously rich voice, but she’s engaged in a necessary campaign to reconnect the rich history of country music with its purposely obscured African American roots.

And, yeah, that means giving an honest nod to demeaning minstrelsy and how white musicians in blackface began to bring African American music into the broader Southern vernacular, while mostly forgotten black musicians were simultaneously remaking the Scots-Irish tunes for their own purposes,

All this sounds much more pedantic than Giddens’ performance. Good music is good music. Giddens is great because she can break your heart singing Patsy Cline as well as Nina Simone ballads, not to mention the sad old Scots-Irish laments that became foundational to the “high lonesome” sound of country music

Hey, it probably helps that Giddens, this quintessential American musician, lives in Ireland.

You must remember this

Chicago Symphony Orchestra and Chorus, Symphony Center (Chicago), Feb. 23, 2019

I heard lots of symphonic music in Madison, Milwaukee and Chicago. None better in 2019 than the august Riccardo Muti at the helm of the world class Chicago Symphony performing Mozart’s Requiem. Certain pieces just blow me away. I might as well be strapped in my seat for safety reasons. We’re talking sensory overload. A huge chorus. Massive orchestra. Opera soloists (led by soprano Benedetta Torre) who shook the walls. This was the music of transcendence, a meditation on death and God.

But Muti, shaped by his Italian upbringing, had something else in mind for the concert opener: a requiem of another sort marked by raw anger and pain. This was not Mozart’s calming acceptance of fate. Muti wanted to honor the victims of the Le Fosse Ardeatine massacre outside of Rome on the 75th anniversary of the event..

He chose little-known American composer William Schuman’s 9th Symphony. This somber, dissonant and sometimes clamorous piece was inspired by the memory of 335 Italian civilians summarily shot, killed and buried unmarked in an Italian quarry by the retreating German SS in 1944.

At Muti’s direction, Symphony Center’s rotunda was filled with artifacts and photos documenting the Nazi outrage. When I wrote the first draft of this concert review, it dawned upon me how much Muti has in common with Rhiannon Giddens. They are two artists — though different in their talents — who deeply believe music is a vessel of cultural memory.

To read the full story please go here.

My older roundups are here, assuming the links remain true: 2018, 2017, 2016, 2015, 201420132012201120102009200820072006.

Silence at WARF

Posted September 2, 2019 by meisen
Categories: TheDailyPage.com/Isthmus, UW-Madison Research Series

Tags: , ,

What’s Wisconsin greatest public asset for doing good in the world? I’ll put a double-sawbuck on UW-Madison. Our world-class university is a standout for teaching, research and innovation. That’s why the performance of the Wisconsin Alumni Research Foundation — the campus’s designated handler of intellectual property since  1925 — is so important to the state.

Getting a clear picture of WARF’s operation isn’t always easy. Here’s how I began a recent Isthmus story:

A preternatural silence has surrounded the departure of one of the highest paid executives on the UW-Madison campus. It’s one more sign of the big changes rocking the Wisconsin Alumni Research Foundation, UW’s independent patenting and licensing operation.

Carrie Thome, WARF’s award-winning chief investment officer who rose to power under WARF’s previous managing director Carl Gulbrandsen, left her post in June after 18 years with the foundation. Her compensation package topped $1.2 million in 2017, the last year such data is publicly available.

Briefly noted in the niche financial media, Thome’s low-key exit has gone unmentioned by Wisconsin news outlets. On July 1, Chief Investment Officer magazine quoted a WARF publicist as saying that Thome’s “transition” was a personnel matter and that WARF would not comment beyond that.

Thome did not return my messages. (Her LinkedIn page describes her as self-employed and a consultant since July.) Erik Iverson, who replaced the retired Gulbrandsen in 2016, was not available for comment. WARF’s board chairman James Berbee did not respond to an interview request.

Thome, who joined WARF in 2001 after a stint with the Wisconsin Investment Board, presided over a huge investment portfolio — $2.78 billion as of 2017. Established in 1925, the WARF endowment supports various UW-Madison and Morgridge Institute for Research programs with sizable yearly grants. According to the 2017 federal disclosure form, the portfolio included $1.72 billion in hedge fund investments, $659.4 million in money market funds, $346.7 million in private-equity limited partnerships, $29.8 million in fixed-income vehicles, and $19.7 million invested in WARF startup companies.

Keep that $19.7 million figure in mind.

To read more, please go here.

The Dairy Crisis, cont’d

Posted July 23, 2019 by meisen
Categories: Development, Wisconsin Examiner

Tags: , , ,

Sometimes you can’t shovel everything into a story.

I found myself in that position when I profiled investigative  farm journalist Pete Hardin for Isthmus. He’s an invaluable chronicler of the crisis in dairy farming. I just didn’t have the room to discuss his reporting on the cost overruns and construction delays in UW-Madison’s much-needed expansion of its Center for Dairy Research.

But as luck had it, I wrote what amounts to Part II of the Hardin story for the newly launched Wisconsin Examiner,  an online news bureau focused on covering state politics and government. Friends and former colleagues are running it.

I wrote a commentary on how Wisconsin politicians (as well as UW-Madison) have failed dairy farmers.

Imagine if Gov. Evers, Speaker Robin Vos and state Senate Majority Leader Scott Fitzgerald had gathered at the onset of the January legislative session to say that Job One would be working out a rescue plan for Wisconsin dairy farmers before turning to the new state budget.

Not everything has to be draped in extreme partisanship. Our leaders could have rallied around family farmers. Right?

Chances are the pols would have found a common ground. Goodwill would have followed. The budget deliberations would have been less smash-face. Can’t you imagine a rousing chorus of “Kumbaya” breaking out as Evers signed the budget bill surrounded by the beaming Vos and Fitzgerald?

Okay, I am a fool.

These people have warring agendas and a preference for disingenuous arguments. That’s what they do. A few years ago, Republicans gave manufacturers a huge and costly income tax cut under the cover it would also help farmers. Democrats, meanwhile, are intensely committed to issues that appeal to Milwaukee County and Dane County activists. Yes, expanding Medicaid will help struggling Wisconsin farm families, but citing it as a cornerstone to the Democrats’ farm policy is such a clumsy sleight of hand.

Wisconsin farmers need more than lip service from the pols. They need smart policies broadly supported. Otherwise we ought to change the tagline on our license plates. “America’s Dairyland”? Not anymore.

To read more, please go here.


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