What do the primaries mean for health care’s future?
From the get go the pundits have been puzzled by this year’s Presidential primaries season. The confusion goes back to last June when Donald Trump announced his candidacy for the office of President. At first, the predictions were that Trump’s candidacy was a...
Concierge Medicine: Still Not a Good Idea
A few physicians in my community began to try concierge medicine in the mid nineties. My first reaction was, “Harley Street has come to Beacon Street”. If you watch Downton Abbey, Lady Mary Crawley probably took her maid, Anna Bates, to Harley Street when they went to...
Looking Forward with the Triple Aim
It is surprising that we have no good metrics to track our progress toward the Triple Aim. We have lagging numbers on what we spend as a nation and debatable public health indicators of gross population metrics. No one knows how many healthcare organizations have...
Leaping Barriers to the Triple Aim
In  “The Triple Aim: Care, Health, And Costs” Berwick, Nolan and Whittington describe American healthcare as the most fragmented, most expensive and least effective care delivery system among all of the advanced economies of the world, and they identify the barriers...
Making the Triple Aim a Common Vision
The core ideas of what the IHI calls the Triple Aim were articulated by Robert Ebert, Dean of Harvard Medical School in 1965. Our understanding of the Triple Aim was accelerated by two important books, To Err is Human (1999) and Crossing the Quality Chasm (2001),...Case Study – Elizabeth Mcarthy
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