Community Engagement and Prevention
We all agree on the need for “physician engagement.” I rarely attend a meeting of physicians where someone doesn’t say that the problem with healthcare is that patients are passive, non-compliant and demanding and that a more effective form of “patient engagement” is...
Joys and Sorrows of Healthcare Professionals
Healthcare professionals find both joy and sorrow in their work. Many of us carry scars. I think it helps to tell the stories we carry with us from our experiences in the present system, even when they are not feel-good stories. It gives us ways to think about...
Born Too Soon for Lean
Lean arrived a little late for me. Even now, the Triple Aim is still more of a goal than a reality. When I think back over the system of waste in which I practiced medicine, I am left with the regret of the lost time spent licking envelopes, making calls for...
What if Healthcare Could Become Lean?
I spend a lot of time dreaming about what a wonderful thing it would be if more and more healthcare could “become Lean”. The wisdom of Lean as a philosophy, an operating system and a corporate culture or “corporate way of being” appeals to me because of its universal...
Lean Leaders, Emergence & Healthcare
In a very interesting TED talk entitled “Where Do Good Ideas Come From,” Steven Johnson gives example after example of how individual moments of epiphany are more likely to be the product of group discussion and process than the sudden “eureka” moment of an isolated...Case Study – Elizabeth Mcarthy
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