What You Earn and How Long You Live
Apr25

What You Earn and How Long You Live

I was recently surprised when I received the free publication online from JAMA of the “The Association Between Income and Life Expectancy in the United States, 2001-2014” by Chetty, et. al.  An added bonus to the JAMA paper was the discovery that the New York Times had used it to produce two articles with interactive graphics that let the reader easily explore the impressive wealth of information that was published in the article....

Pull
Money and Health; Relationships We Must Understand and Fix
Apr18

Money and Health; Relationships We Must Understand and Fix

Doctors and hospitals worry a lot about what they get paid. It surprised me several years ago to discover that a majority of the doctors and managers in our organization did not have an in depth understanding of the mechanisms and issues that really determined how we were paid. As I have traveled around the country I have discovered that our organization was not an exception. Misunderstandings about where the money comes from and the...

Pull
Imagine a World Without Healthcare Disparities
Apr12

Imagine a World Without Healthcare Disparities

It is easy to talk about the disparities in healthcare, but making progress against the current of complex social issues that are at the root of the differences in care experience and outcomes between populations has proven to be very hard. We have preferred “military language” as we have divided the problem into smaller issues that contribute to the disparities in experience into various “wars”, “struggles”, “fights” and campaigns”....

Pull
Leadership: More Than A Position, An Activity
Apr05

Leadership: More Than A Position, An Activity

“Standard work” for leaders includes being involved and practicing a style of management that includes coaching, mentoring and teaching rather than just commanding, expecting, and holding accountable the people who do the work. John Toussaint has postulated that sustained success with Lean requires organizational transformation. He believes that the movement from “doing Lean” to “being Lean” cannot occur without the transformation of...

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