Early and effective stakeholder outreach is a key part of a successful project. Getty Images

Often times we think of technology as innovation. But innovation and the success derived from it is not always about technological advances.

Technological advances have driven innovation in all sectors of our economy. Technology and social media have driven social change and changed how stakeholders— the public and outside influencers — impact infrastructure and construction projects, and how they advocate with policy leaders. This includes the energy, utilities, infrastructure, real estate projects, and manufacturing industries.

Often times the innovation from technology is about a new way of thinking and how one adapts to, works with, and embraces technology and how it impacts a business or an industry. It is about a willingness to do things differently because technology now drives us to think creatively and differently than in the past. It is taking a new approach to how one manages risk, solves problems and meets the challenges facing a business or an industry.

Technology has changed how we communicate as a culture. It has changed how the public communicates with business and how business has to communicate with the public. Because of the growth and influence of social media in our culture, business must now mange a new kind of risk in the risk register of a project. It has to change how it interacts and communicates with stakeholders. It has to be more attentive and listen actively compared to how it operated in the past. Gone are the days when a project manager, private equity firm/investor or company developing a project can "keep their head down so they don't get shot at."

I listed the many industries that are impacted by social media. There is no better example of an industry that has had to change and use innovative and new ways of communicating due to technology. Regardless of the energy project, the development of oil & gas, building a pipeline, new utility lines, a refinery or chemical facility the industry now has to assess who their stakeholders are, listen to them attentively, and develop a strategic plan for outreach. If a company changes how they interact with stakeholders the associated risks will be minimized, mitigated and/or reduced.

There are a plethora of energy projects I can list that highlight how a business failed to innovate in response to how they failed to adapt to, work with and embrace the technology of social media and how it impacts them. One project sums it up, Keystone.

Effective stakeholder outreach has four parts: identification, analysis, prioritization and engagement.

Identification
The first step is to identify the stakeholders. This includes those who will be directly or indirectly impacted such as local, state and federal political leaders, NGOs, media, faith-based groups, landowners, civic leaders, nearby businesses and advocacy groups.

Analysis
The analysis is an evaluation of possible risks related to the stakeholders and the community where the project is planned such as stakeholders who might be opposed to the project, have concerns or be able to influence the process in any way. Have there been issues in the community or legislative bodies that might have a negative impact?

Prioritization
Prioritization is the process of taking the results from the analysis of stakeholders and determining what risks or issues exist. These risks are ranked. Strategies and tactics are developed to address and mitigate them. Finally, a determination is made regarding how and when to communicate with stakeholders.

Engagement
Engagement is the final part of stakeholder outreach. This is the process of communicating with stakeholders to explain the project and how they will be impacted. It will also serve as an opportunity to solicit feedback and insight as well as to continue analyzing risks from stakeholders.

Early and effective stakeholder outreach is a key part of a successful project. It is a new and innovative way of thinking about how to understand and mitigate project risk. It is a willingness to change because technology has shifted how our culture communicates, advocates and engages with business, policy leaders and one another.

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Andrew Biar is founder and president of Strategic Public Affairs, a government relations and PR/communications firm based in Houston.
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Rice University lands $18M to revolutionize lymphatic disease detection

fresh funding

An arm of the U.S. Department of Health and Human Services has awarded $18 million to scientists at Rice University for research that has the potential to revolutionize how lymphatic diseases are detected and help increase survivability.

The lymphatic system is the network of vessels all over the body that help eliminate waste, absorb fat and maintain fluid balance. Diseases in this system are often difficult to detect early due to the small size of the vessels and the invasiveness of biopsy testing. Though survival rates of lymph disease have skyrocketed in the United States over the last five years, it still claims around 200,000 people in the country annually.

Early detection of complex lymphatic anomalies (CLAs) and lymphedema is essential in increasing successful treatment rates. That’s where Rice University’s SynthX Center, directed by Han Xiao and Lei Li, an assistant professor of electrical and computer engineering, comes in.

Aided by researchers from Texas Children’s Hospital, Baylor College of Medicine, the University of Texas at Dallas and the University of Texas Southwestern Medical Center, the center is pioneering two technologies: the Visual Imaging System for Tracing and Analyzing Lymphatics with Photoacoustics (VISTA-LYMPH) and Digital Plasmonic Nanobubble Detection for Protein (DIAMOND-P).

Simply put, VISTA-LYMPH uses photoacoustic tomography (PAT), a combination of light and sound, to more accurately map the tiny vessels of the lymphatic system. The process is more effective than diagnostic tools that use only light or sound, independent of one another. The research award is through the Advanced Research Projects Agency for Health (ARPA-H) Lymphatic Imaging, Genomics and pHenotyping Technologies (LIGHT) program, part of the U.S. HHS, which saw the potential of VISTA-LYMPH in animal tests that produced finely detailed diagnostic maps.

“Thanks to ARPA-H’s award, we will build the most advanced PAT system to image the body’s lymphatic network with unprecedented resolution and speed, enabling earlier and more accurate diagnosis,” Li said in a news release.

Meanwhile, DIAMOND-P could replace the older, less exact immunoassay. It uses laser-heated vapors of plasmonic nanoparticles to detect viruses without having to separate or amplify, and at room temperature, greatly simplifying the process. This is an important part of greater diagnosis because even with VISTA-LYMPH’s greater imaging accuracy, many lymphatic diseases still do not appear. Detecting biological markers is still necessary.

According to Rice, the efforts will help address lymphatic disorders, including Gorham-Stout disease, kaposiform lymphangiomatosis and generalized lymphatic anomaly. They also could help manage conditions associated with lymphatic dysfunction, including cancer metastasis, cardiovascular disease and neurodegeneration.

“By validating VISTA-LYMPH and DIAMOND-P in both preclinical and clinical settings, the team aims to establish a comprehensive diagnostic pipeline for lymphatic diseases and potentially beyond,” Xiao added in the release.

The ARPA-H award funds the project for up to five years.

Houston doctor wins NIH grant to test virtual reality for ICU delirium

Virtual healing

Think of it like a reverse version of The Matrix. A person wakes up in a hospital bed and gets plugged into a virtual reality game world in order to heal.

While it may sound far-fetched, Dr. Hina Faisal, a Houston Methodist critical care specialist in the Department of Surgery, was recently awarded a $242,000 grant from the National Institute of Health to test the effects of VR games on patients coming out of major surgery in the intensive care unit (ICU).

The five-year study will focus on older patients using mental stimulation techniques to reduce incidences of delirium. The award comes courtesy of the National Institute on Aging K76 Paul B. Beeson Emerging Leaders Career Development Award in Aging.

“As the population of older adults continues to grow, the need for effective, scalable interventions to prevent postoperative complications like delirium is more important than ever,” Faisal said in a news release.

ICU delirium is a serious condition that can lead to major complications and even death. Roughly 87 percent of patients who undergo major surgery involving intubation will experience some form of delirium coming out of anesthesia. Causes can range from infection to drug reactions. While many cases are mild, prolonged ICU delirium may prevent a patient from following medical advice or even cause them to hurt themselves.

Using VR games to treat delirium is a rapidly emerging and exciting branch of medicine. Studies show that VR games can help promote mental activity, memory and cognitive function. However, the full benefits are currently unknown as studies have been hampered by small patient populations.

Faisal believes that half of all ICU delirium cases are preventable through VR treatment. Currently, a general lack of knowledge and resources has been holding back the advancement of the treatment.

Hopefully, the work of Faisal in one of the busiest medical cities in the world can alleviate that problem as she spends the next half-decade plugging patients into games to aid in their healing.