A Request That Got Me Thinking About How We Practice

A Request That Got Me Thinking About How We Practice

Recently my 97 year old father was readmitted to his local hospital in North Carolina with another episode of CHF and aspiration pneumonia. He was discharged to the rehab facility at his life care community on a Monday. My sister from Birmingham drove over and spent...
It’s Getting Harder Faster Than You Realize

It’s Getting Harder Faster Than You Realize

In last week’s post, I tried to reconstruct the thinking of the Atrius Health management team in early 2008.  At that time we were writing a new strategic plan to respond to the uncertain future of healthcare. Over the previous decade publications like To Err is Human...
Are Consolidation, Competition, and Innovation the Answer? Part 3: A Closer Look at Consolidation

Are Consolidation, Competition, and Innovation the Answer? Part 3: A Closer Look at Consolidation

Consolidations, affiliations, acquisitions and mergers in healthcare are announced every week. The picture associated with this posting reveals that an affiliation occurred a few years ago between the critical access hospital in my little town and the Dartmouth...
Contemplation and Action on the Road to the Triple Aim

Contemplation and Action on the Road to the Triple Aim

A few years ago Patty Gabow, the retired CEO of Denver Health and a master of using Lean to benefit the underserved, and I were enjoying a dinner together while we were attending a meeting. Our conversation had gotten to the level of sharing and openness where we were...