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  • Could Segmented Health Care Be Part of the Solution?

    It is clear to all associated with healthcare that the redesign of the industry is high on the national strategic agenda. We all know that many parts of the health delivery system in the US are broken: overall consistent quality is mediocre; service metrics reported through HCAHPS are poor; business literacy is in jeopardy as evidenced by predictions that over 1000 hospitals will be bankrupt by ...
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  • Boards Need to Share the Seed Corn

    Take a good look at the list of governance roles and responsibilities in my previous blog. Think about boards on which you may have served. Is it possible that boards today spend an inordinate amount of time thinking only about themselves and the specific mission of their organization? Boards like to think that they shape the organization and, indeed, they do. However, what is often overlooked, ...
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  • Can Today's Healthcare Boards Become More Like a Rancher?

    Health care organizations are on the edge of major change. Recent legislation, changes in insurance and government payment policies and advances in technology ensure that change is here now. For health care organizations, especially those which have been around a long time and which are culturally ingrained with image, processes and a proud history, the major change going forward is the new ...
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  • The Toxic Side Effects of Change: A Case Study

    As we have indicated in some previous blogs, significant change in the U.S. health care system will be required to correct the quality inefficiencies and rising costs that we are experiencing today. The redesign must be part of any successful health system’s future in order to address the three major voices demanding change. They are 1. Government, 2. Business owners/employers, and now 3. ...
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  • Part III- Will the Healthcare Bubble Burst?

    Whether or not I’ve convinced you of the existence of a healthcare bubble, I’m going to use my last segment along with history and my own speculation about consequences, triggers, preparedness and responses. As I indicated earlier, the financial crisis of 2007 and the related housing bubble burst had a great impact on me. This illuminated the tremendous interconnection and complexity ...
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