Creating Healthcare Success Using Lean and Redefining the Relationship Between Managers and Clinicians
Jun19

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 than knowing that the situation demands a decision, and in the moment I do not know what to do! The need to make a decision in the context of uncertainty is an apt...

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From Cleveland to Philadelphia
Aug03

From Cleveland to Philadelphia

A note to readers: Different points of view must be respected. Vilification of those who see the world differently does not enable progress toward shared objectives: a vibrant economy, improved safety, and opportunity and health for everyone or as Thomas Jefferson wrote for all of us in the Declaration of Independence, “life, liberty, and the pursuit of happiness”. Respectful conversations are the basis of progress toward a more...

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What Can I Do Today?
Jul21

What Can I Do Today?

In most of my writing and speaking I am talking about what we can do working together at all levels within organizations to achieve the Triple Aim. Opportunities exist at every level of healthcare for the innovation, improvement and transformation that will be required if we are ever going to experience… Care better than we have ever seen, health better than we have ever known, cost we can all afford, …for every person, every...

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Exploring the Top Five Challenges Healthcare Executives Are Facing
Jul07

Exploring the Top Five Challenges Healthcare Executives Are Facing

Recently I gave an overview of the issues that would face nonprofit boards with a tongue in cheek concept or prediction that I called the “Quadruple Challenge Plus One”. I introduced the idea by saying: Looking into the future for all boards and management teams I can predict that we can count on for sure what I facetiously label as the Quadruple Challenge Plus One: There will be continuing downward pressure on revenues. Increasing...

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Persuasion or Compulsion as Drivers for Value Over Volume
May17

Persuasion or Compulsion as Drivers for Value Over Volume

Following the recent “Healthcare Musings” weekly letter where I described my experience participating in “healthcare war games” a very faithful “Interested Reader” wrote to me: An uncharacteristically downbeat letter, Gene, but interesting and challenging. I sent you a response a while ago about the usually very powerful forces behind any status quo, and this is an excellent, though not in a good way, example of that point. The 19th C...

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“Games” about Volume to Value
May10

“Games” about Volume to Value

Recently I attended a meeting in suburban Washington that was designed as a “war games” exercise to examine strategic moves in the finance of Medicare. The introductory comments to the exercise excited me when I heard that the objective was to understand what CMS could do to promote the Triple Aim. My excitement was diminished a little when I interpreted comments made by some of the attendees during the opening conversation to...

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