Pondering Choices That Might Put Out The Fire

Pondering Choices That Might Put Out The Fire

by | Mar 3, 2020 | A Brief History of the Last One Hundred Years Of Healthcare, Burnout, compassion fatigue, Dr. Robert Coes and the Call of Service, Dr. Robert Ebert, Featured Post, The evolution of chronic disease management, the power of stories

  The character of medical practice has changed over the past fifty years. The changes go far beyond our technological and scientific advances. Many reflect on the change in the experience of providing care. Others focus on how the experience of receiving care...
Healthcare Musings For 27 December 2019

Healthcare Musings For 27 December 2019

by | Dec 27, 2019 | ACA, Benefits of the ACA, Big Five Tech Companies Invade Healthcare, Costs, Employer Provided Health Insurance, Featured Post, Healthcare as a Right, Medicare For All, Strategy Formation, The 2020 elections, The Public Option, Universal Access

  27 December 2019 Dear Interested Readers,   Looking Back At 2019 As We Think About 2020   I am a maker of New Year’s resolutions. It’s that time of year again. Looking back on 2019 I did a pretty good job. I had some partial successes, and some of my...
Healthcare Musings For 4 October 2019

Healthcare Musings For 4 October 2019

by | Oct 4, 2019 | 2020 Presidential Debates, Atrius Health, Continuous Improvement, Costs, Culture, Featured Post, Future of Heathcare, healthcare finance, Medicare For All, Medicare For All Who Want It, the difficulties of change, The Quality Chasm, The Triple Aim

4 October 2019 Dear Interested Readers, A Closer Look At Strategy and Culture   I really appreciate getting comments from my readers. Most of the comments do not come through the comment function of the letter. Most “interested readers” who have something to say...
Lies, Damned Lies, and Statistics About Poverty: A Personal Perspective From Recent Experience

Lies, Damned Lies, and Statistics About Poverty: A Personal Perspective From Recent Experience

by | Sep 17, 2019 | Continuous Improvement, Economic inequality, Featured Post, Improving the health of the poor, Kearsage Regional Ecumenical Ministries, Mark Twain's wisdom, Opioid Epidemic, Poverty and healthcare, The potential fallibility of statistics, The Triple Aim

Samuel Langhorne Clemons, a.k.a. MarkTwain, is famous for his ability to express a profound truth in a few pithy words. I frequently am reminded of his wisdom when I try to write. He is famous for saying “I apologize for such a long letter – I didn’t have...
The Challenge of Finding Time

The Challenge of Finding Time

by | Sep 10, 2019 | "Medical Taylorism", burnout and professional fulfillment, Continuous Improvement, Critical thinking, Featured Post, Future of Heathcare, Healthcare Quality, Healthcare Transformation, Population Health, Process Improvement, Six Domains of Quality, The Triple Aim, Time as a commodity in healthcare

I recently read Dr. Jerome Groopman’s marvelous 2007 book, How Doctors Think. His book caused me to refocus on the importance of “time” as we consider the complexities of healthcare, and look for solutions that will promote our quest for the Triple Aim. The book came...