by Dr. Gene Lindsey | Apr 26, 2024 | 2024 elections, A personal history, Atrius Health, Consolidation in healthcare, Costs, Crossing the Quality Chasm, Culture, Dr. Walter Murphy, Earth Day, Featured Post, Global Warming, Harvard Community Health Plan, Harvard Pilgrim Health Care, Healthcare in Rural America, Healthcare Mergers, Inequality in Healthcare, Moral Injury, Pilgrim Health Care, The moral sensibilities of medical practice, The Triple Aim, UnitedHealtcare
April 26, 2024 Dear Interested Readers, Consolidations, Affiliations, Mergers and Culture I have taken several weeks off from recounting the story of my journey toward what I have been calling my “medical moral sensibilities.” As you may remember, the...
by Dr. Gene Lindsey | Apr 19, 2024 | A personal history, ACA, Atrius Health, Bill Rodgers, Boston Marathon, Build Back Better Bill, Crossing the Quality Chasm, Dr. Paul Batalden, Featured Post, Global Warming, healthcare disparities, Inequality in Healthcare, Joe Manchin, LEAD, MAGA, Moral sensibilities in healthcare, Politics and Healthcare, Social Determinants of Health, The 2024 Presidential Election, The conflict in Gaza, The Inflation Reduction Act of 2022, The Public Option, The Supreme Court and Healthcare, The Triple Aim, Trump's Trial In New York, Workforce Shortages in Healthcare
April 19, 2024 Dear interested Readers, What Can We Do? I should give you a warning that what follows is just personal opinion and speculation based on many years of observation and substantial frustration. As I think back over what I have observed in...
by Dr. Gene Lindsey | Apr 12, 2024 | 2024 elections, A personal history, ACA, Atrius Health, Bipartisan Healthcare Process, Continuous Improvement, Costs, Dartmouth Health, eclipse of the sun, Featured Post, Inequality in Healthcare, Path of Totality, Politics and Healthcare, Public Option, Social Determinants of Health, The Triple Aim
April 12, 2024 Dear Interested Readers, I Don’t Understand Why Healthcare Isn’t A Top Political Issue My adventures in healthcare continued this week with my much-anticipated first post-op appointment with my surgeon at Dartmouth which was three weeks...
by Dr. Gene Lindsey | Apr 5, 2024 | 2024 elections, Activism in Healthcare, Equity, Featured Post, Future of Heathcare, Global Warming, Martin Luther King Jr, Social Determinants of Health, The Triple Aim, Universal Basic Income, Where Do We Go From Here?
April 5, 2024 Dear Interested Readers, What Dr. King’s Experience Might Suggest About Improving Healthcare April 4, 1968, seems a lifetime ago, and yet I remember it more clearly than most days of the last year. If you had asked me where Dr. King was, I...
by Dr. Gene Lindsey | Mar 29, 2024 | "Joy in Medicine?", A story from my life, Burnout, Eve Shapiro, Featured Post, Moral Injury, Moral sensibilities in healthcare, rural healthcare, Staffing issues in rural healthcare, The Triple Aim, Travel Nurses, Workforce Shortages in Healthcare
March 29, 2024 Dear Interested Readers, Reflections On Nursing This week’s letter is shorter even than last week’s letter. I am making progress, but sitting in a comfortable position for the time required to do work is a challenge. I have appreciated the...
by Dr. Gene Lindsey | Mar 22, 2024 | A personal history, Access, America's dependence on foreign medical graduates, Atrius Health, Burnout, Dartmouth Health, denials of payments, Dr.Kevin McGuire, Featured Post, Moral Injury, Nursing Shortages, Workforce Shortages in Healthcare
March 22, 2024 Dear Interested Readers, The Shortest Friday Letter Ever As directed, my wife and I arrived at 9:15 at the Dartmouth same-day surgical unit last Monday. The process was very smooth. I was given a hospital gown, little booties, and a paper...
by Dr. Gene Lindsey | Mar 15, 2024 | A personal history, Alternative Quality Contract, Atrius Health, Blue Cross Blue Shield of Massachusetts, Chapter 224, Charles Kenney, Crossing the Quality Chasm, Featured Post, Harvard Community Health Plan, Harvard Pilgrim Health Care, LEAD, Mike Dukakis, Moral Injury, Opioid Epidemic, Pioneer ACO, Six Domains of Quality, The Best Practice: How The New Quality Movement Is Transforming Medicine, The Triple Aim, Value Based Reimbursement, Waste in healthcare
March 15, 2024 Dear Interested Readers, Income From Quality In the early years of this century after the near failure of Harvard Pilgrim Healthcare, there were very active conversations in Massachusetts about the cost, quality, and access to healthcare...
by Dr. Gene Lindsey | Mar 8, 2024 | A personal history, Alternative Quality Contract, Atrius Health, Burnout, Dartmouth Health, Dr. Lisa Rosenbaum, Eyal Press, Featured Post, Global Warming, Joy in Practice, Medical-Moral Sensibilities, Moral Injury, patient centered care, professional fulfillment, Social Determinants of Health, The Triple Aim, Workforce Shortages in Healthcare
March 8, 2024 Dear Interested Readers, A Better Understanding of Moral Injury My long journey this year exploring the origins of my medical-moral sensibilities was inspired by an article that first appeared in the Sunday New York Times Magazine last June...
by Dr. Gene Lindsey | Mar 1, 2024 | A personal history, ACOs, Atrius Health, Beth Israel Deconess Medcal Center, Brigham and Women's, CMMI, Co-opetition, Competition, Continuous Improvement, Dartmouth Health, Dr. Anita Ung, Dr. Joe Kimura, Dr. Kate Koplan, Dr. Rick Lopez, Dr. Robert Ebert, Featured Post, Fee for service payment, Harvard Community Health Plan, Harvard Vanguard Medical Associates, Innovation in Healthcare, Medical-Moral Sensibilities, Pioneer ACO, Quality, The Care Experience, The Triple Aim, Value Based Reimbursement, Waste in healthcare
March 1, 2024 Dear Interested Readers, Quality Defined Us I have gained a new perspective on how to structure what remains of the story of the development of my medical-moral sensibilities. The story up till now has been mostly delivered in chronological...
by Dr. Gene Lindsey | Feb 23, 2024 | A personal history, ACA, ACOs, Atrius Health, capitation, CMMI, Dartmouth Health, Don Berwick, Dr. Glenn Steele, Dr. Rick Gilfillan, Emily Brower, Featured Post, Harvard Vanguard Medical Associates, Health Care Transformation Task Force, Innovation in Healthcare, Kearsarge Neighborhood Partners, Medical-Moral Sensibilities, Pioneer ACO, Social Determinants of Health, Steve Allenby, Trinity Health
February 23, 2024 Dear Interested Readers, Old Connections For Current Progress When I look back on the almost six years that I was leading Harvard Vanguard and Atrius Health it is probably impossible for me to give each activity and each contributor...