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...
View ArticlePhysicians 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...
View ArticleThe 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...
View ArticleKiss 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:...
View ArticleForming 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...
View ArticleAutonomy, 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...
View ArticleThe 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...
View ArticleHow 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....
View ArticleHerding 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...
View ArticleHow 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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