It’s Getting Harder Faster Than You Realize

It’s Getting Harder Faster Than You Realize

In last week’s post, I tried to reconstruct the thinking of the Atrius Health management team in early 2008.  At that time we were writing a new strategic plan to respond to the uncertain future of healthcare. Over the previous decade publications like To Err is Human...
Are Consolidation, Competition, and Innovation the Answer? Part 1

Are Consolidation, Competition, and Innovation the Answer? Part 1

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...
Contemplation and Action on the Road to the Triple Aim

Contemplation and Action on the Road to the Triple Aim

A few years ago Patty Gabow, the retired CEO of Denver Health and a master of using Lean to benefit the underserved, and I were enjoying a dinner together while we were attending a meeting. Our conversation had gotten to the level of sharing and openness where we were...
Good Strategy in a Fog of Uncertainty

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...