Born Too Soon for Lean
Lean arrived a little late for me. Even now, the Triple Aim is still more of a goal than a reality. When I think back over the system of waste in which I practiced medicine, I am left with the regret of the lost time spent licking envelopes, making calls for...
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...
Lean Can Address Burnout?
Why is it that the discussion of Lean so rarely becomes a discussion of how Lean can address the issues of burnout while reducing waste and improving value for patients? If Lean were presented with a more robust description and elucidation of its mechanisms that...
Burnout: Enemy of the Triple Aim
Burnout is the enemy of the Triple Aim. Some deny that it exists. Most press on with their work ignoring its symptoms in themselves and others. At times the impact can be disastrous for individuals and for practices. Burnout in clinicians often has an impact on...Case Study – Elizabeth Mcarthy
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