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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Senator Alexander, Please Play the Right Tune
Jun13

Senator Alexander, Please Play the Right Tune

Hours before James Comey appeared before the Senate Intelligence Committee, David Leonhardt issued a warning in an editorial in the New York Times entitled “Uh oh, Health Care Edition.”   James Comey’s testimony today will reveal President Trump’s blatant disregard for the rule of law…I realize it will be hard to pay attention to any other political story this week, but I urge you to find the extra attention span, because...

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Dr. Gabow Writes a Letter to Senator Alexander
Jun06

Dr. Gabow Writes a Letter to Senator Alexander

Dr. Patty Gabow shared a letter with me that she is sending to Senator Lamar Alexander, the chairman of the Senate’s Health, Education, Labor and Pensions Committee. I think several of her points deserve extra emphasis and I have bolded them. Dear Senator Alexander,   I am a physician who was the CEO of a large, integrated public safety net health care system for 20 years, so I am deeply committed to the care of all the...

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Respecting What Justin Has to Say While Overcoming the Barriers to The Triple Aim
May30

Respecting What Justin Has to Say While Overcoming the Barriers to The Triple Aim

While walking I often listen to podcasts from Tom Ashbrook’s weekday morning shows on NPR. The first hour on most Friday mornings is usually the “week in review.” A recent Friday broadcast provided food for thought. Tom Gjelton, veteran NPR reporter was sitting in for Ashbrook. I have transcribed what I heard at about 25 minutes into the conversation.   Tom Gjelton: Let’s go now to Justin who is on the line from Texas. Justin, I...

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If I had Three Wishes From the A.I. Genie
May16

If I had Three Wishes From the A.I. Genie

I do not stake my hopes for the future of healthcare on new legislation or changes in payment methodologies. Those are necessary but insufficient if we are ever going to respond effectively to the challenge to achieve   …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 caregiver wellness. I believe that the challenge of the Triple Aim...

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Puerile High Fives in the Rose Garden After the House Votes to Repeal and Replace the ACA
May09

Puerile High Fives in the Rose Garden After the House Votes to Repeal and Replace the ACA

I have watched my favorite teams lose championship games. I remember the sinking feeling that I experienced when Richard Nixon was elected for the second time, even after it was really pretty clear that he was a crook. I suffered when Jimmy Carter, one of the most honest and earnest men ever to enter politics, lost to Ronald Reagan who was the champion of making America feel good about its defects. I read Bush One’s lips and was...

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