What You Earn and How Long You Live
I was recently surprised when I received the free publication online from JAMA of the “The Association Between Income and Life Expectancy in the United States, 2001-2014” by Chetty, et. al. An added bonus to the JAMA paper was the discovery that the New York Times...
Imagine a World Without Healthcare Disparities
It is easy to talk about the disparities in healthcare, but making progress against the current of complex social issues that are at the root of the differences in care experience and outcomes between populations has proven to be very hard. We have preferred “military...
“Speak Truth To Power”: Engaging Leadership in Lean Transformation
Lean gets started in different ways, but for it to survive and thrive and move from being used as a set of tools to being the core of a culture and operating system that is the source of sustained excellence, eventually the CEO and senior management must lead. One...
A Lean Tour: Step 1, Management’s Willingness to Be Transformed
Lean is my favorite flavor of continuous improvement. I see Lean to be a term like “jazz” that defines an evolving philosophy that thrives on innovation. Lean is to continuous improvement as jazz is to music. Jazz is a continuously evolving art form that allows...
Concierge Medicine: Still Not a Good Idea
A few physicians in my community began to try concierge medicine in the mid nineties. My first reaction was, “Harley Street has come to Beacon Street”. If you watch Downton Abbey, Lady Mary Crawley probably took her maid, Anna Bates, to Harley Street when they went to...Case Study – Elizabeth Mcarthy
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