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Medical Homes: Not a Cure for What Ails Us
If you’re a patient, and we all are, it’s likely that you’ve heard your primary care provider tell you that you now belong to a Medical Home. You have no clue what that means. That’s ok, most of us in...
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Physicians and the Future of Healthcare
We are living on the cusp of the most dramatic transformation of US healthcare in a hundred years. These changes are coming at us quickly, driven by forces beyond our control, delivered to us through...
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Death in the Hands of the Healers
There is an implicit social contract between Society and Medicine wherein Society presumes the quality and safety of healthcare. Physicians are expected to assure competence and be devoted to the...
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Healthcare: We’re Building a McDonald’s Hamburger
Patty&Bun – Liverpool Street, London The best hamburger in the world is created in a small pub in the United Kingdom, not at McDonald’s. There’s a lesson there for healthcare. McDonald’s is a vast...
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Kiss the Pig – Embrace Variation
Comon’, just go ahead n’ kiss the pig. Variation in health care can’t be eliminated. Let’s understand and embrace it! In the last blog, we offered three reasons for why variation cannot be eliminated:...
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Forming A More Perfect Union in Healthcare
We humans are a notoriously unwieldy lot. However, to accomplish the requisite tasks of building a civil society we must organize ourselves. These organizations, myriad in form and function, become...
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What Health Care can Learn from Education
We try to solve our problems “in-house.” Maybe because many in healthcare believe that our industry is so complicated that anyone outside of healthcare just wouldn’t understand. That is probably not...
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How to Fail at Moving from Volume to Value
Leave physicians out. Approach physicians as if they are a group to be managed, and not partners. Don’t invest in and develop leaders who are physicians. Neglect a culture of physician engagement....
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Herding Cats, A Good Marriage, and Real Leadership
Words matter. We should wield them like a scalpel in the hand of a seasoned surgeon – precisely and with skill. In the dialogue about physician leadership even more so. We find clarity about what we...
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How Can We Engage Physicians in Our Value Agenda?
That is the wrong question. The better question is, “Physician, what is the value agenda and how can we help you achieve it?” Question A and Question B separate organizations between those who have, or...
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