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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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The Patient Died, but I Followed the Protocol

The standardization evangelists are thriving. They are on a crusade to eliminate variation. We need to understand, not eliminate, variation. When we understand it, we can improve the underpinning...

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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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Autonomy, Liberty and Physicians

“Doctors just don’t like being told what to do.” This was my friend and administrative colleague’s explanation in response to our frequent conversations about the gut-wrenching angst I hear about what...

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The Biggest Mistake a Health Care Leader Can Make

Be the same. Moreover, make sure that your organization is too. Follow the standard playbook.  Lead by doing whatever is in Modern Healthcare.  Benchmark and shamelessly steal, then replicate every...

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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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