A Time to Renew and Expand Our Sense of Professionalism
Mar21

A Time to Renew and Expand Our Sense of Professionalism

Retirement is a time of reflection. Most of one’s agency lies in the past. I must organize opportunities to transfer bits of experience, insight and wisdom to those who still do the work if I am to have the joy of continuing to contribute to the dream of a future where we enjoy   …Care better than we’ve seen, health better than we’ve ever known, cost we can afford,…for every person, every time…in settings that support...

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It’s Still The Truth, Ten Years Later
Feb14

It’s Still The Truth, Ten Years Later

In the January 29th New England Journal of Medicine Foller, et. al. published an interesting article, “Population Health–A Bipartisan Agenda for the Incoming Administration from State Leaders.” The first paragraph said a lot.   The common goal of health policy leaders at the level of state government in the United States is promoting the health and well-being of all populations to the greatest extent possible within fixed...

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Population Health, Sustainability and The Triple Aim
Dec13

Population Health, Sustainability and The Triple Aim

Since the early nineties nothing has challenged physicians grounded in the traditional culture and practice of medicine more than the introduction of the “radical” concept of population health. One could argue that the Affordable Care Act is the legislative expression of the tenets of population health. The reduction of healthcare costs that will lead to sustainability of expanded coverage and the Triple Aim can not be achieved...

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IBM’s Watson and the Triple AIM
Oct27

IBM’s Watson and the Triple AIM

I recently attended Simpler Consulting’s 11th Annual North America CEO Symposium. Like much of healthcare, Simpler has been a player in a serial process of mergers and acquisitions. Two years ago, Simpler and JWA, another Lean consultancy were acquired by Truven Health Analytics, not very long after Truven had spun off of Thomson Reuters. Within the last year IBM Watson Heath, a new company created by IBM over the last two years,...

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Foundational Principles for the Future of Care Delivery
Jun01

Foundational Principles for the Future of Care Delivery

How will the way we deliver care in ten years be similar to the way deliver care today and how will the future be different? One thing that is already in transition is the expectation of patients. Patients want a more “horizontal” and collaborative connection with their doctors and care team. That many patients receive care from a team of providers is itself a future oriented change. Are we ready for the the real digitalization of...

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Choices: Understanding Risk, Loss, Persuasion and Compulsion in Healthcare
May24

Choices: Understanding Risk, Loss, Persuasion and Compulsion in Healthcare

My wife had a simple mantra that she repeated each time our boys left the house to go out with their friends. She would say, “Make good choices!”. Her inference was that there was loss associated with bad choices. Never before have patients, families, doctors, other healthcare professionals and medical organizations had more important choices to make than now. Like the circumstances that potentially surrounded the choices that our...

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