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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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The Valley of Death – Low Variation, Low Cost Healthcare

In twenty years of taking care of patients, I never once had a patient say to me, “Hey, Doc, I want you to treat me just the same as the last person you took care of.” Nobody, ever. This week in our...

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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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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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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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Five Lessons for Healthcare Alliances

“I meant no harm. I most truly did not. But I had to grow bigger. So bigger I got.”  – The Lorax by Dr. Seuss In the United States, strategic alliances are presently the most common form of achieving...

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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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Leakage Rather than Loyalty: Only in Healthcare

Leakage is a bad thing everywhere. In health care, we have created this term to describe patients who seek care from physicians “out-of-network.” They are seen someplace other than within the company...

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