Do We Stand In The Doorway Of A Better World?

Do We Stand In The Doorway Of A Better World?

by | Mar 31, 2020 | Continuous Improvement, coronavirus, Covid-19, David Brooks, David Leonhardt, Donald Trump's management of COVID-19, Dr. Anthony Fauci, Featured Post, Future of Heathcare, healthcare finance, Inequality in Healthcare, Lean, Polarization in America, Social Determinants of Health, The World After COVID-19, Zeev Neuwirth

  I have been trying unsuccessfully to give some attention to something other than the rising number of victims of the coronavirus. I analyze the progression of my intellectual and emotional responses to COVID-19 along a timeline that runs along the same track of...
Fifty Years of Care Improvement

Fifty Years of Care Improvement

by | Oct 8, 2019 | Atrius Health, Colleagues, Continuous Improvement, Dean Robert Ebert, Dr. Joe Dorsey, Harvard Community Health Plan, Harvard Pilgrim Health Care, Harvard Vanguard Medical, Innovation in Healthcare

On October 1, 1969, against substantial opposition from many of the faculty members at Harvard Medical School and others in the Boston medical community, Dr. Robert Ebert succeeded in launching the Harvard Community Health Plan. Forty years later, in 2009, several of...
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...