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We are all Sick and We Want to Be
Is there a single healthy person left? Everyone these days has something. And all these ‘somethings’ require a pill, a potion, and a physician. This ubiquitous illness-mongering has not escaped even...
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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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A Preoccupation with Failure
Recently we learned that there are two-hundred to four-hundred thousand preventable deaths a year in US hospitals (1% of all US hospital admissions). This means that healthcare is the third leading...
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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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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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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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Local is Where Health Care Transformation Lives
“You’ll go two blocks for primary care, twelve blocks for specialty care, and a hundred miles for a total head transplant.” – Ian Morrison We must transform health care in the United States. It’s too...
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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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Create Health: The Singular Goal that Matters
We’re 10th. Where are you? I have the privilege of building a new company. We are sharpening our vision statement and are creating our mission statement. Mission statements are supposed to state...
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