Choices: Understanding Risk, Loss, Persuasion and Compulsion in Healthcare
My wife had a simple mantra that she repeated each time our boys left the house to go out with their friends. She would say, “Make good choices!”. Her inference was that there was loss associated with bad choices. Never before have patients, families, doctors, other...
Money and Health; Relationships We Must Understand and Fix
Doctors and hospitals worry a lot about what they get paid. It surprised me several years ago to discover that a majority of the doctors and managers in our organization did not have an in depth understanding of the mechanisms and issues that really determined how we...
Making the Triple Aim a Common Vision
The core ideas of what the IHI calls the Triple Aim were articulated by Robert Ebert, Dean of Harvard Medical School in 1965. Our understanding of the Triple Aim was accelerated by two important books, To Err is Human (1999) and Crossing the Quality Chasm (2001),...
The ACA, Five Years In
A recent article in the New England Journal of Medicine offers us food for thought as we contemplate the Affordable Care Act (ACA) at five years and look forward to its next challenges in 2016. If you have not read it, the article is entitled “Health Care Reform’s...
Looking to Vermont’s Future
Last week I attended a unique healthcare meeting in Stowe, Vermont. I was there to get a better feel for the mind of clinical leadership at a moment of great transition in the state. The subject that was at the core of the conference was the future of care in Vermont....Case Study – Elizabeth Mcarthy
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