How To Think About ACOs
Elliott Fisher first described the concept of the ACO in an article in Health Affairs in December 2006. As of January 2016 there were over 800 ACOs, but there is huge variation in form and execution of an idea that looked simple at the start. Since 2011 the number of...
Is It Time For ACA 2.0?
Back in April when we were not absolutely sure who the nominees for president would be. Michael Cohen wrote “Obamacare: an unheralded success” in the Boston Globe. He  commented then that healthcare was not getting much discussion by Republicans beyond a flat out...
Old Fashioned Values Applied to Complex Times in Healthcare
An “Interested Reader “ and friend recently sent me a eulogy that he delivered at his father-in-law’s funeral. Let me give it to you to read, and then invite you to think with me about Don Berwick’s recent call for Era 3, the “Moral Era” of healthcare. I...
Patient and Family Centered Care and Lean in Healthcare Transformation
Patient and Family Centered Care and Lean in Healthcare Transformation Lately, I have been thinking a lot about the power of combining patient centeredness and Lean in healthcare transformation. These ideas became more focused after a recent call that worried me from...
Dartmouth and Iora Health, Partners in Innovation
I recently accompanied Dr. Rushika Fernandopulle on a visit to the Iora practice site in Hanover, New Hampshire which was created in partnership with Dartmouth College, King Arthur Flour (an employee owned company) , and the New England Carpenters Health Benefits...Case Study – Elizabeth Mcarthy
A .pdf reader is required to read this document. You can obtain the latest version of Adobe Reader at: Get Adobe Reader