How Proposed Tax Reforms Could Affect Healthcare

How Proposed Tax Reforms Could Affect Healthcare

I know very little about taxes. I pay them. I have always assumed that everyone can build a case for why they should pay less. I also figure that some people cheat and don’t pay theirs, and that others use their influence within the political process to have the laws...
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...
Are Consolidation, Competition, and Innovation the Answer? Part 2: A Closer Look at Innovation

Are Consolidation, Competition, and Innovation the Answer? Part 2: A Closer Look at Innovation

“Consolidation, competition, and innovation are the answer to what?”, you might ask. Keeping it simple, I mean the high cost of care and the Triple Aim. To keep it short I could just say, all three will help, but even maximized to the nth degree they will never in and...
What’s Next in the Healthcare Debate?

What’s Next in the Healthcare Debate?

I was delightfully dazed and confused the morning after Susan Collins, Lisa Murkowski and John McCain launched us into the next phase of the healthcare debate by giving the ACA a last minute reprieve. In a mix of ecstasy and disbelief I watched the video of John...
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...
Creating Healthcare Success Using Lean and Redefining the Relationship Between Managers and Clinicians

Creating Healthcare Success Using Lean and Redefining the Relationship Between Managers and Clinicians

As I look back over my experience both as a practitioner and as a medical leader, I am reminded of the joke that the life of an anesthesiologist is composed of long periods of boredom punctuated by moments of terror. Nothing describes a moment of terror for me more...