by Dr. Gene Lindsey | Oct 24, 2017 | ACA, Benefits of the ACA, Bipartisan Healthcare Process, History of Healthcare Reform, Politics, Presidential Politics, the healthcare debate, The Triple Aim
Congressional Republicans and the president can’t seem to coordinate their activities to “repeal and replace” the ACA, or get much of anything done. Their inability to deliver on their promise to give the public something better than the ACA is a surprise, since they...
by Dr. Gene Lindsey | Oct 17, 2017 | Featured Post, Leadership, Lean, Process Improvement, The Triple Aim
“Being Lean” is rare among the many healthcare institutions that have tried “doing Lean.” There are many steps along the way from the initial introduction of Lean into an enterprise to the day when Lean becomes its operating system and the foundation of its new...
by Dr. Gene Lindsey | Oct 10, 2017 | 2nd Amendment Rights, Bipartisan Healthcare Process, Featured Post, Healthcare as a Right, Improving the health of the poor, Non Zero
“Keep Your Eyes on the Prize” evolved from a Southern gospel song to become an anthem of the Civil Rights movement of the fifties and sixties. It’s a phrase that frequently pops into my head when I am frustrated with my progress against a goal. It comes to mind now...
by Dr. Gene Lindsey | Oct 3, 2017 | Delivery, Lean, patient centered care, Process Improvement, shadowing, The Triple Aim, Time-Determined Activity-Based Costing
The Patient Centered Value System: Transforming Healthcare through Co-Design by Anthony M. DiGioia, MD and Eve Shapiro was recently published. The forward was written by Don Berwick. I had the honor of authoring the preface. It was fun to have a really good...
by Dr. Gene Lindsey | Sep 26, 2017 | Access, Burnout, Consolidation in healthcare, Innovation, Leadership, Process Improvement, Quadruple Aim, The Triple Aim
The Triple Aim will never be realized without increasing our ability to engage patients in their own care, and nothing is more critical to patient engagement than the access patients have to their care providers. I recently attended the fourth Annual Thought...
by Dr. Gene Lindsey | Sep 19, 2017 | Burnout, Lean, Never Events, Non Zero, Patient Engagement, Shared Medical Appointments, The Triple Aim, Watson
I believe that we must become more effective practitioners of patient patient engagement if we are ever going to have any hope of achieving the Triple Aim. Dr. Ebert told us what would not work in that quest. He said that more money, more personnel, and more...
by Dr. Gene Lindsey | Sep 12, 2017 | Competition, Costs, Era 3: the moral era, Lean, The Triple Aim
Is vigorous competition between providers of healthcare likely to be an effective part of our collective efforts to lower the cost of medical care? It would seem likely because there is nothing more fundamental to our American culture than our belief in the benefits...
by Dr. Gene Lindsey | Sep 5, 2017 | ACA, Consolidation in healthcare, Costs, Featured Post, Healthcare Quality, Healthcare Transformation, Lean, Mergers and Acquisitions, The Triple Aim
Consolidations, affiliations, acquisitions and mergers in healthcare are announced every week. The picture associated with this posting reveals that an affiliation occurred a few years ago between the critical access hospital in my little town and the Dartmouth...
by Dr. Gene Lindsey | Aug 29, 2017 | Burnout, Competition, Costs, Featured Post, Healthcare Transformation, Innovation, Leadership, Lean, The Triple Aim
“Consolidation, competition, and innovation are the answer to what?”, you might ask. Keeping it simple, I mean the high cost of care and the Triple Aim. To keep it short I could just say, all three will help, but even maximized to the nth degree they will never in and...
by Dr. Gene Lindsey | Aug 22, 2017 | ACA, Bipartisan Healthcare Process, Competition, History of Healthcare Reform, Innovation, System Consolidation, The Senate's turn at healthcare reform, The Triple Aim
Are systems consolidation, competition and innovation the triple play that will deliver quality care for everyone at a sustainable cost? Perhaps before we try to answer that question we should avail ourselves of the lessons learned over the efforts of the last fifty...