We Are Leaderless in the Midst of a Systems Failure

We Are Leaderless in the Midst of a Systems Failure

  In each of the last two posts I have mentioned Paul Batladen’s famous observation about the output of “systems.” Last Tuesday I wrote:   The great physician and advocate for continuous improvement, Paul Batalden of Dartmouth, has reminded us frequently...
Do We Stand In The Doorway Of A Better World?

Do We Stand In The Doorway Of A Better World?

  I have been trying unsuccessfully to give some attention to something other than the rising number of victims of the coronavirus. I analyze the progression of my intellectual and emotional responses to COVID-19 along a timeline that runs along the same track of...
Fifty Years of Care Improvement

Fifty Years of Care Improvement

On October 1, 1969, against substantial opposition from many of the faculty members at Harvard Medical School and others in the Boston medical community, Dr. Robert Ebert succeeded in launching the Harvard Community Health Plan. Forty years later, in 2009, several of...
Healthcare Musings For 4 October 2019

Healthcare Musings For 4 October 2019

4 October 2019 Dear Interested Readers, A Closer Look At Strategy and Culture   I really appreciate getting comments from my readers. Most of the comments do not come through the comment function of the letter. Most “interested readers” who have something to say...
Lies, Damned Lies, and Statistics About Poverty:  A Personal Perspective From Recent Experience

Lies, Damned Lies, and Statistics About Poverty: A Personal Perspective From Recent Experience

Samuel Langhorne Clemons, a.k.a. MarkTwain, is famous for his ability to express a profound truth in a few pithy words. I frequently am reminded of his wisdom when I try to write. He is famous for saying “I apologize for such a long letter – I didn’t have...
The Challenge of Finding Time

The Challenge of Finding Time

I recently read Dr. Jerome Groopman’s marvelous 2007 book, How Doctors Think. His book caused me to refocus on the importance of “time” as we consider the complexities of healthcare, and look for solutions that will promote our quest for the Triple Aim. The book came...