by Dr. Gene Lindsey | Jun 4, 2021 | Adaptive Change, burnout and professional fulfillment, capitation, Continuous Improvement, Crossing the Quality Chasm, Dr. Robert Pearl, Featured Post, Fee for service payment, Healthcare Transformation, physician culture, Physician/Management "Compacts", The Triple Aim, This Is Water by David Foster Wallace, Uncaring:How the Culture of Medicine Kills Doctors & Patients
June 4, 2021 Dear Interested Readers, , Our Culture Is Everybody’s Problem I am sure that you have heard the expression that “culture eats strategy for lunch.” I can’t recall when I first heard the expression, but there is...
by Dr. Gene Lindsey | Apr 23, 2021 | Activism in Healthcare, anti-racism, Biases, Black Lives Matter, Children in poverty, Continuous Improvement, Crossing the Quality Chasm, equal justice, Equity, Featured Post, healthcare disparities, Healthcare Transformation, Poverty and healthcare, Racism in America, The 1619 Project, The Triple Aim
April 23, 2021 Dear Interested Readers, The Challenge: Recognize What We Have Been. Ask What We Are Willing To Become It would be a mistake to think that the only important or even most important issue of the last fourteen months was the COVID-19...
by Dr. Gene Lindsey | Apr 16, 2021 | Adaptive Change, Build Back Better, Continuous Improvement, Dr. Marshall Wolf, Dr. Robert Ebert, Featured Post, Fee for service payment, Harvard Community Health Plan, Harvard Medical School, Harvard Pilgrim Health Care, Harvard Vanguard Medical, Health in America, Healthcare Transformation, Inequality in Healthcare, The Triple Aim, transformational change, Universal Access, Waste in healthcare
April 16, 2021 Dear Interested Readers, How We Get Paid Makes A Difference In What We Do Over the years I have probably used one quote from Dr. Robert Ebert in these notes more than any other idea, quote, or concept from any other source. Even if...
by Dr. Gene Lindsey | Feb 12, 2021 | “The Commonwealth Fund Task Force on Payment and Delivery System Reform:, ACA, ACO, Adaptive Change, Bipartisan Healthcare Process, capitation, Continuous Improvement, Dean Robert Ebert, Don Berwick, Featured Post, Fee for service payment, Harvard Community Health Plan, Harvard Pilgrim Health Care, healthcare finance, Inequality in Healthcare, Process Improvement, Six Domains of Quality, Social Determinants of Health, The 1619 Project, The Challenges to Be Met If We to Have Universal Coverage, The President's Trial in The Senate, The Triple Aim, Value Based Reimbursement
February 12, 2021 Dear Interested Readers, Health System Accountability for Heath Care, Quality, Equity, and Cost It’s been a remarkable week in Washington. One of the benefits of retirement is that every day is Saturday. I have spent most of...
by Dr. Gene Lindsey | Dec 25, 2020 | Atrius Health, Civility, Continuous Improvement, Don Berwick, Economic Implications of COVID-19, Economic inequality, Empathy, Era 3: the moral era, Featured Post, food Insecurity, Hope, Polarization in America, Poverty and healthcare, Racial Inequality, Social Determinants of Health, Surprise Medical Bills, The Triple Aim
December 25, 2020 Dear Interested Readers, Peace, Hope, Love, Joy? Christmas has been on a Friday only twice since I began writing these notes back in February 2008. I decided to dust off “Volume I,” letters that were written between February 22,...
by Dr. Gene Lindsey | Aug 11, 2020 | Continuous Improvement, Don Berwick, Donald Trump's management of COVID-19, Economic Implications of COVID-19, Essential Workers, Featured Post, Global Warming, Health and Healthcare, Interdependence, Lewis Thomas, Sister Joan Chittister, Social Determinants of Health, Systemness, The Green New Deal, the president's lies, Zoonosis
In each of the last two posts I have mentioned Paul Batladen’s famous observation about the output of “systems.” Last Tuesday I wrote: The great physician and advocate for continuous improvement, Paul Batalden of Dartmouth, has reminded us frequently...