Opening this week

Film review: Vin Diesel's XXX: Return of Xander Cage has superb stunts and an agile Deepika Padukone

Plot be damned: DJ Caruso’s ‘XXX’ movie is all about extreme action and the multi-national cast.

The opening sequence of XXX: Return of Xander Cage makes it clear that DJ Caruso’s movie will stop short of nothing less than world domination.

Brazilian football star Neymar sits across the table from secret agent Gibbons (Samuel L Jackson) and hears a recruitment pitch that will be familiar to fans of the franchise. In short order, people of many other nations raise their hands and flags to lend the hectically paced action movie the air of a United Nations convention. Donnie Yen (Hong Kong) smashes through glass, Tony Jaa (Thailand) outruns bullets, and our very own Deepika Padukone provides stern-faced back-up.

A thingummyjig that is blowing up communication satellites that survey the earth is stolen, and it’s time for Xander Cage (Vin Diesel), the American working class outlier and occasional patriot, to emerge out of hiding in the Dominican Republic and assemble a team of mavericks from Scotland, Canada, China and Australia. Cage’s global outlook ensures that wherever in the world you may be, you will feel the joy of watching a movie star from your country saving the planet from annihilation.

Deepika Padukone in XXX: Return of Xander Cage.
Deepika Padukone in XXX: Return of Xander Cage.

Extending the multi-racial mix that made the original 2002 film popular, Return of Xander Cage acknowledges that at the very least, Hollywood has to change its insular thinking if it wants to make the kind of films that rake in enough money to feed a small country. The superbly choreographed stunts and jaw-dropping action give every major cast member something to showcase for his or her nation of origin.

Yen, the Hong Kong martial arts star, gets his share of fistfights; Jaa has his Muay Thai moments; Canadian-Chinese actor Kris Wu takes care of two markets in one package; openly lesbian Australian actor Ruby Rose is a shout out to queer audiences as well as women with her ace marksmanship; getaway driver Rory McCann (Sandor Clegane from the Games of Thrones show) reels in television and Scottish fans with the same hook.

Padukone also does India proud by displaying deftness with weapons and catching the eye of Xander while aiming a gun at his hip-bone. After Diesel and Yen, Padukone has the meatiest of roles in the ensemble cast. She isn’t as agile or cool as Rose’s sniper Adele or as funny as technical support operative Becky (Canadian import Nina Dobrev), but she has enough screen time and close-ups to hold her own in a movie that is about the stunts above everything else.

Play
XXX: Return of Xander Cage.

The serviceable and lazily written plot is a rehash of the 2002 film. The fearless extreme sports fanatic Xander Cage is still putting his neck on the line without provocation, using skis on rocky surfaces, riding bikes underwater, and leaping off planes without a parachute. Helpful information cards pop up, as though in a cartoon strip, to introduce each of the key characters to viewers who might be new to the franchise, but Diesel’s antics and insouciance will be familiar to fans of the Fast and Furious films, the most recent of which was a massive hit in India.

The parade of stunts, one more eye-popping than the next, emphasises the ability of the human body to undergo all manner of punishment. A visual joke about Hollywood superhero films, which rely on gadgetry and visual effects to achieve the same effect, is present in the mean-looking pneumatic gloves that an American Army soldier wears to try and punch some sense into Xander. For Xander, his naked fists and wits are all he needs.

Adrenaline junkies with Red Bull in their veins have plenty to chew on in Return of Xander Cage, which never lets logic get in the way of spectacle. As the thingummyjig is located in the industrially depressed town Detroit and the action shifts into the American Red Belt, there is enough time to stop and wonder about just what XXX: Return of Xander Cage is trying to say.

Is this movie aimed at thrill-seekers also taking digs at Donald Trump, secret government surveillance, and anti-immigrant sentiment? Is Toni Collete’s manipulative National Security Agency chief the dour face of all that is wrong with American domestic policy? Are the remarks about true patriots versus government stooges and the statement that “the Central Intelligence Agency will destroy the world” more than just white noise inserted in between the endless stunts?

As pitches for conquering world markets and disgruntled domestic audiences go, Return of Xander Cage does one better than Gibbons’s glib and always successful sales talk.

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What hospitals can do to drive entrepreneurship and enhance patient experience

Hospitals can perform better by partnering with entrepreneurs and encouraging a culture of intrapreneurship focused on customer centricity.

At the Emory University Hospital in Atlanta, visitors don’t have to worry about navigating their way across the complex hospital premises. All they need to do is download wayfinding tools from the installed digital signage onto their smartphone and get step by step directions. Other hospitals have digital signage in surgical waiting rooms that share surgery updates with the anxious families waiting outside, or offer general information to visitors in waiting rooms. Many others use digital registration tools to reduce check-in time or have Smart TVs in patient rooms that serve educational and anxiety alleviating content.

Most of these tech enabled solutions have emerged as hospitals look for better ways to enhance patient experience – one of the top criteria in evaluating hospital performance. Patient experience accounts for 25% of a hospital’s Value-Based Purchasing (VBP) score as per the US government’s Centres for Medicare and Mediaid Services (CMS) programme. As a Mckinsey report says, hospitals need to break down a patient’s journey into various aspects, clinical and non-clinical, and seek ways of improving every touch point in the journey. As hospitals also need to focus on delivering quality healthcare, they are increasingly collaborating with entrepreneurs who offer such patient centric solutions or encouraging innovative intrapreneurship within the organization.

At the Hospital Leadership Summit hosted by Abbott, some of the speakers from diverse industry backgrounds brought up the role of entrepreneurship in order to deliver on patient experience.

Getting the best from collaborations

Speakers such as Dr Naresh Trehan, Chairman and Managing Director - Medanta Hospitals, and Meena Ganesh, CEO and MD - Portea Medical, who spoke at the panel discussion on “Are we fit for the world of new consumers?”, highlighted the importance of collaborating with entrepreneurs to fill the gaps in the patient experience eco system. As Dr Trehan says, “As healthcare service providers we are too steeped in our own work. So even though we may realize there are gaps in customer experience delivery, we don’t want to get distracted from our core job, which is healthcare delivery. We would rather leave the job of filling those gaps to an outsider who can do it well.”

Meena Ganesh shares a similar view when she says that entrepreneurs offer an outsider’s fresh perspective on the existing gaps in healthcare. They are therefore better equipped to offer disruptive technology solutions that put the customer right at the center. Her own venture, Portea Medical, was born out of a need in the hitherto unaddressed area of patient experience – quality home care.

There are enough examples of hospitals that have gained significantly by partnering with or investing in such ventures. For example, the Children’s Medical Centre in Dallas actively invests in tech startups to offer better care to its patients. One such startup produces sensors smaller than a grain of sand, that can be embedded in pills to alert caregivers if a medication has been taken or not. Another app delivers care givers at customers’ door step for check-ups. Providence St Joseph’s Health, that has medical centres across the U.S., has invested in a range of startups that address different patient needs – from patient feedback and wearable monitoring devices to remote video interpretation and surgical blood loss monitoring. UNC Hospital in North Carolina uses a change management platform developed by a startup in order to improve patient experience at its Emergency and Dermatology departments. The platform essentially comes with a friendly and non-intrusive way to gather patient feedback.

When intrapreneurship can lead to patient centric innovation

Hospitals can also encourage a culture of intrapreneurship within the organization. According to Meena Ganesh, this would mean building a ‘listening organization’ because as she says, listening and being open to new ideas leads to innovation. Santosh Desai, MD& CEO - Future Brands Ltd, who was also part of the panel discussion, feels that most innovations are a result of looking at “large cultural shifts, outside the frame of narrow business”. So hospitals will need to encourage enterprising professionals in the organization to observe behavior trends as part of the ideation process. Also, as Dr Ram Narain, Executive Director, Kokilaben Dhirubhai Ambani Hospital, points out, they will need to tell the employees who have the potential to drive innovative initiatives, “Do not fail, but if you fail, we still back you.” Innovative companies such as Google actively follow this practice, allowing employees to pick projects they are passionate about and work on them to deliver fresh solutions.

Realizing the need to encourage new ideas among employees to enhance patient experience, many healthcare enterprises are instituting innovative strategies. Henry Ford System, for example, began a system of rewarding great employee ideas. One internal contest was around clinical applications for wearable technology. The incentive was particularly attractive – a cash prize of $ 10,000 to the winners. Not surprisingly, the employees came up with some very innovative ideas that included: a system to record mobility of acute care patients through wearable trackers, health reminder system for elderly patients and mobile game interface with activity trackers to encourage children towards exercising. The employees admitted later that the exercise was so interesting that they would have participated in it even without a cash prize incentive.

Another example is Penn Medicine in Philadelphia which launched an ‘innovation tournament’ across the organization as part of its efforts to improve patient care. Participants worked with professors from Wharton Business School to prepare for the ideas challenge. More than 1,750 ideas were submitted by 1,400 participants, out of which 10 were selected. The focus was on getting ideas around the front end and some of the submitted ideas included:

  • Check-out management: Exclusive waiting rooms with TV, Internet and other facilities for patients waiting to be discharged so as to reduce space congestion and make their waiting time more comfortable.
  • Space for emotional privacy: An exclusive and friendly space for individuals and families to mourn the loss of dear ones in private.
  • Online patient organizer: A web based app that helps first time patients prepare better for their appointment by providing check lists for documents, medicines, etc to be carried and giving information regarding the hospital navigation, the consulting doctor etc.
  • Help for non-English speakers: Iconography cards to help non-English speaking patients express themselves and seek help in case of emergencies or other situations.

As Arlen Meyers, MD, President and CEO of the Society of Physician Entrepreneurs, says in a report, although many good ideas come from the front line, physicians must also be encouraged to think innovatively about patient experience. An academic study also builds a strong case to encourage intrapreneurship among nurses. Given they comprise a large part of the front-line staff for healthcare delivery, nurses should also be given the freedom to create and design innovative systems for improving patient experience.

According to a Harvard Business Review article quoted in a university study, employees who have the potential to be intrapreneurs, show some marked characteristics. These include a sense of ownership, perseverance, emotional intelligence and the ability to look at the big picture along with the desire, and ideas, to improve it. But trust and support of the management is essential to bringing out and taking the ideas forward.

Creating an environment conducive to innovation is the first step to bringing about innovation-driven outcomes. These were just some of the insights on healthcare management gleaned from the Hospital Leadership Summit hosted by Abbott. In over 150 countries, Abbott, which is among the top 100 global innovator companies, is working with hospitals and healthcare professionals to improve the quality of health services.

To read more content on best practices for hospital leaders, visit Abbott’s Bringing Health to Life portal here.

This article was produced on behalf of Abbott by the Scroll.in marketing team and not by the Scroll.in editorial staff.