Strategy Healthcare

Sharing “Deep Stories” to Use Empathy in the Quest for the Triple Aim

by Dr. Gene Lindsey | Jun 27, 2017 | ACA, AHCA, Featured Post, Improving the health of the poor, Politics, the healthcare debate, the power of stories, The Senate's turn at healthcare reform, The Triple Aim

A couple of weeks ago when I gave you Dr. Patty Gabow’s letter to Senator Alexander I reported that I was reading Arlie Russell Hochschild’s recent book, Strangers In Their Own Land: Anger and Mourning on the American Right. In that book Russell seeks to be...

Creating Healthcare Success Using Lean and Redefining the Relationship Between Managers and Clinicians

by Dr. Gene Lindsey | Jun 19, 2017 | Featured Post, Healthcare Policy, Healthcare Transformation, Leadership, Lean, Process Improvement, The Triple Aim

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...

Senator Alexander, Please Play the Right Tune

by Dr. Gene Lindsey | Jun 13, 2017 | ACA, AHCA, Featured Post, Quadruple Aim, the healthcare debate, The Senate's turn at healthcare reform, The Triple Aim

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...

Dr. Gabow Writes a Letter to Senator Alexander

by Dr. Gene Lindsey | Jun 6, 2017 | ACA, AHCA, Featured Post, Healthcare Transformation, the healthcare debate, The Triple Aim

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,...

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

by Dr. Gene Lindsey | May 30, 2017 | ACA, AHCA, Featured Post, Presidential Politics, Repeal and Replace, 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...

Mr. President, Please Read Chapter 6, “The Affordable Care Act in Hindsight”

by Dr. Gene Lindsey | May 23, 2017 | ACA, AHCA, Costs, Delivery, Featured Post, Presidential Politics, Repeal and Replace

In August 2015 I gave a talk on the history of the evolution of health insurance that was part of a seminar entitled “Practicing in the Era of Healthcare Reform.” I concluded my talk with a slide labeled “Persistent Problems.” I recently reviewed the presentation and...

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

by Dr. Gene Lindsey | May 16, 2017 | Artificial Intelligence (AI), Burnout, Featured Post, Healthcare Quality, Healthcare Transformation, Lean, Siri, The Triple Aim, Watson

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...

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

by Dr. Gene Lindsey | May 9, 2017 | ACA, AHCA, Featured Post, Presidential Politics, Repeal and Replace, the healthcare debate, the power of stories, The Triple Aim

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...

Let’s Keep Trying to Save the Gains of the ACA

by Dr. Gene Lindsey | May 2, 2017 | ACA, AHCA, Featured Post, Healthcare Policy, Repeal and Replace, The Triple Aim

It may seem strange to you, but each time I hear that the president and the Republican leadership are making an effort to resuscitate their attempt at repealing and replacing the ACA, I immediately think of the surprising last scene from “Fatal Attraction,” the...

Perhaps an Explosion Would Be the Most Efficient Route to the Triple Aim

by Dr. Gene Lindsey | Apr 25, 2017 | ACA, AHCA, Featured Post, Healthcare Policy, Payment Models, Repeal and Replace, the healthcare debate, The Triple Aim

After the failure of Paul Ryan’s American Health Care Act to get passed over the internal squabbling of House Republicans despite their forty four vote majority, David Brooks wrote an interesting tongue in cheek column entitled “The Coming Incompetence Crisis.” He...