Dr Jason I Broch — GP, Clinical Leader, Systems Thinker

Latest Essays

• Beyond the Silo - Introducing Adaptive Organisational Boundary Theory — Organisational silos are not caused by boundaries themselves, but by boundaries that have lost their capacity to adapt. Drawing on complex adaptive systems, Dr Jason I. Broch shows how functional, informational, social, and fiduciary boundaries can be transformed into intelligent interfaces that preserve capability while enabling higher-order collaboration and system-wide resilience.
• Reimagining Commissioning for Next-Generation Health Systems — Traditional commissioning was built to purchase services from discrete organisations, but modern health outcomes emerge from the interactions of people, providers, communities and infrastructure. This article argues for a capability-driven model of distributed commissioning that enables health systems to sense population need, share risk and continually redesign themselves for better outcomes.
• What Is Value-Based Healthcare Anyway? — Internationally, healthcare has operated by similar rules for decades — a payer, a provider, and an ever-increasing cycle of activity and cost. Value-based healthcare offers a fundamentally different model. But what does it actually mean?
• A Future Role of General Practice as a Population Risk Manager in Value-Based Healthcare — As the government ponders the NHS 10-year plan, developing a neighbourhood-based health and care system would be strengthened by understanding the principles behind Value-based healthcare. General Practice must be considered beyond traditional reactive service delivery.
• Understanding Population Health Risk — Effective population health management begins with a clear understanding of risk — who is at risk, of what, and why. This essay sets out a framework for understanding, measuring, and acting on population health risk in a value-based care context.
• The Hidden Mathematics Shaping Health and Care Leadership — Beneath every healthcare management decision lies mathematics — often invisible, frequently misunderstood, and consistently underused. Understanding the quantitative frameworks that drive system behaviour is not optional for modern health leaders.