A Lean Tour: Step 1, Management’s Willingness to Be Transformed
Lean is my favorite flavor of continuous improvement. I see Lean to be a term like “jazz” that defines an evolving philosophy that thrives on innovation. Lean is to continuous improvement as jazz is to music. Jazz is a continuously evolving art form that allows...
Concierge Medicine: Still Not a Good Idea
A few physicians in my community began to try concierge medicine in the mid nineties. My first reaction was, “Harley Street has come to Beacon Street”. If you watch Downton Abbey, Lady Mary Crawley probably took her maid, Anna Bates, to Harley Street when they went to...
Looking Forward with the Triple Aim
It is surprising that we have no good metrics to track our progress toward the Triple Aim. We have lagging numbers on what we spend as a nation and debatable public health indicators of gross population metrics. No one knows how many healthcare organizations have...
Leaping Barriers to the Triple Aim
In “The Triple Aim: Care, Health, And Costs” Berwick, Nolan and Whittington describe American healthcare as the most fragmented, most expensive and least effective care delivery system among all of the advanced economies of the world, and they identify the barriers...
Lean Supports Healthcare Service and Leadership
It is paradoxical that despite all of the opportunities for professional satisfaction in healthcare, one of the issues of greatest concern that challenges the Triple Aim is the emotional health and happiness of healthcare professionals. Healthcare is populated by...Case Study – Elizabeth Mcarthy
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