It Will Be a Challenging Future For Nonprofit Healthcare Boards
Jun28

It Will Be a Challenging Future For Nonprofit Healthcare Boards

When I joined the Harvard Community Health Plan board in1990, the Chairman was a very wise and experienced executive from Federated Department Stores, Maurice Lazarus. “Moogie” as he preferred to be called,  projected a throwback image to another day when wise and experienced people went unnoticed as they devoted enormous amounts of their personal time and resources to leading eleemosynary institutions that were trying to provide a...

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Finding Strategy After Tragedy
Jun22

Finding Strategy After Tragedy

Before Orlando I had not thought about gun violence in the same way I think of other public health hazards. My response to such an outrageous and seemingly avoidable disaster was to advocate that the only appropriate response would be to remove guns from our society to prevent more events like the mass killings in Columbine, Aurora, Virginia Tech, Newtown or San Bernardino. That strategy and more moderate versions have been repeatedly...

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Comments on the Future of Practice
Jun15

Comments on the Future of Practice

As we peer into the future and ponder what lies ahead for the practice of medicine we can be sure that the answer will vary across the spectrum of practice. To examine the potential changes for every type of practice would require a very extensive effort. If we focus on some of the high level issues that will be shared by all medical professionals then there is something to be learned. I recently attended a performance of Cirque Du...

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Envisioning Tomorrow’s Better Patient Experience
Jun07

Envisioning Tomorrow’s Better Patient Experience

It is always difficult to think about the future. Will it be more of the same, a great leap forward, or a big step backward? Can we see something inevitable on the horizon? Is there something that will be totally unexpected like 9/11 that leads to big surprises? As is true in Cormac McCarthy’s novel, The Road, many of the visions of the future in literature and film are post apocalyptic or “dystopian”. We seem to have had a hard time...

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Long-Term Care Costs
Jun03

Long-Term Care Costs

I like to believe that I’m too young to think about who will take care of me when I’m old and frail and can no longer prepare my own meals, bathe myself, or even tie my own shoes. But my father’s personal narrative has taught me to plan ahead: I now have an advance directive, and hope to have enough money set aside for long-term care, like an assisted living, or, do I dare say it? Nursing home. A place that most of us hope to avoid....

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Foundational Principles for the Future of Care Delivery
Jun01

Foundational Principles for the Future of Care Delivery

How will the way we deliver care in ten years be similar to the way deliver care today and how will the future be different? One thing that is already in transition is the expectation of patients. Patients want a more “horizontal” and collaborative connection with their doctors and care team. That many patients receive care from a team of providers is itself a future oriented change. Are we ready for the the real digitalization of...

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