Medical Practice & the 8 Wastes
As I reflect in early retirement on my years of practice, I am a little surprised that I am losing the names of many of my patients. I saw thousands of patients in more than a hundred thousand office visits and stood at the bedsides of thousands more in hundreds of...
Healthcare Innovation in Vermont
I am now involved in a small way with the Vermont Healthcare Innovation Project that is the latest of several efforts in Vermont to move away from healthcare that is fragmented, inefficient and expensive. Despite efforts to move toward value-based reimbursement and...
Healthcare’s Future and Its Past
Perhaps healthcare’s future is the place where we fix the past. I got to thinking about the role of the past in understanding the present and the future earlier this last week after listening to a segment of “This American Life.” If you are interested you can...
What if Healthcare Could Become Lean?
I spend a lot of time dreaming about what a wonderful thing it would be if more and more healthcare could “become Lean”. The wisdom of Lean as a philosophy, an operating system and a corporate culture or “corporate way of being” appeals to me because of its universal...
Lean Leaders, Emergence & Healthcare
In a very interesting TED talk entitled “Where Do Good Ideas Come From,” Steven Johnson gives example after example of how individual moments of epiphany are more likely to be the product of group discussion and process than the sudden “eureka” moment of an isolated...Case Study – Elizabeth Mcarthy
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