Good Strategy in a Fog of Uncertainty
There is no challenge like the challenge of creating a strategic plan in uncertain times. What do you do when you do not know what to do? That is a question that frequently challenges leaders. Over eight years ago, after Lehman Brothers had failed and the value of the...
An Amazing Interview and Display of Narcissism
One of the most remarkable events of the first week of the Trump presidency was his interview with David Muir from ABC. Â Muir asked questions that allowed the President to reveal both his focus on the trivial and his lack of understanding of the subtleties of the...
Information for Responsible Resistance
A few weeks ago those of us who had experienced a few moments of unfounded hope based on positive comments that President Trump had made about the ACA had our hopes dashed when he announced that Representative Dr. Tom Price of the 6th Congressional District of Georgia...
Repeal and Replace and the Angst of “The Loyal Opposition”
Readers of these postings are familiar with my use of the term VUCA, an acronym that is derived from the realization that we live in a world that is volatile, uncertain, complex and ambiguous. I have asserted before that our state of uncertainty about the future of...
Thinking About ACOs Again For the First Time
I am proud to be a member of Whittier Street Health Centers Foundation Board and was delighted when our very able CEO, Frederica Williams, recently asked me to talk to the organization about ACOs at their Grand Rounds. Whittier Street is an exceptional example of a...
What To Do When You Don’t Know What To Do
Are you wondering what you and your practice or hospital should be doing while living in the ambiguity of “repeal and replace?” Focus on getting better. That is the short answer. With or without the ACA the challenge to create  Care better than we’ve seen, health...
Must the AMA Always Be On the Wrong Side of History?
I was not at all surprised to read the AMA’s strong statement of support for the appointment of Representative Tom Price to be the Secretary of Health and Human Services. I was also not surprised to read articles of outrage from more progressive physicians about the...
Where Do We Go From Here?
Dan Burns, is a former colleague who served on the Harvard Vanguard and Atrius boards with me, my dermatologist, and the person who became CEO of Harvard Vanguard after I retired three years ago. I most recently saw Dan, and we had a brief conversation during a visit...
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...Case Study – Elizabeth Mcarthy
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