A mashup of curated and original thinking that crosses medicine, technology and culture
The scribe industry sold hospital systems software that massages every patient visit into a high complexity encounter. And hospitals bought it thinking the insurers wouldn’t notice. Well, they noticed. Now payors and auditors are circling. The hawk-and-rabbit game of robo-coding and bot-denial is on. When every healthcare encounter is complex, nothing is complex. And when... Continue Reading about…
I’ve been thinking about AI-generated writing and how it s changing things. One thing that swims in my head: How do you define yourself in an age of AI-generated material? Let s do a thought experiment involving doctors on LinkedIn. Consider a scenario where each one of the tens of thousands of doctors here begin creating posts... Continue Reading about AI and LinkedIn Writing as a Commodity The…
At that point, the defining opportunity for health systems will be with what’s scarce — connection and experience shaped by presence, empathy, and trust. These are unique offerings that are hard to measure and more difficult to operationalize. The experience of the transaction will determine how patients perceive and contextualize their diagnosis. The post The Opportunity of Scarcity in Healthcare…
Physician burnout is a sign that needs attention. But not as much as the things causing it. The post Burnout is a sign appeared first on 33 Charts .
Optimization has become a defining feature of modern healthcare. We optimize, review, tweak, and measure our systems and ourselves against a super-optimized standard. Better, faster, safer, more productive, efficient and effective. We’re always looking for improvement. And for good reason. 21st century healthcare has worked to prioritize safety and quality improvement, and the results have...…
The angry email is a timeless problem among young leaders and managers. Something gets us upset and we impulsively take to the keyboard to try to fix it. What comes out is typically edgy and direct. Usually there’s frustration buried between the lines. I ve had the chance to work with several young physician leaders over... Continue Reading about The Angry Email The post The Angry Email appeared…
In the caverns of our bellies, a tempest brews, A fiery storm, a fierce cascade, acid reflux ensues. With burning rage, it surges forth, a churning tide, A searing pain, a bitter plight, we cannot hide. The tender walls of esophagus, its armor frail, Beneath the onslaught of the beast, it quakes and flails. A... Continue Reading about The Fierce Reflux Cascade by GPT4 The post The Fierce Reflux…
Peter Drucker, the father of modern day management, inspired a generation of leaders with his quote, One cannot manage change. One can only be ahead of it. This needs to be reconsidered. Because there s the fantasy of staying ahead of change and then there s the modern reality. Early in this century technological progress exceeded the... Continue Reading about Drucker on How to Manage Change The…
I love this concept of the people margin. It comes from Automattic engineer Mike Shelton in 2018. Data can be precise, specific, absolute and is meant to represent the actions and behaviors of people and things. Yet, people themselves can be imprecise, abstract, non-linear, and unpredictable. I call this the people margin – data’s margin of error... Continue Reading about The People Margin The…
In his book, Leaders Eat Last — Why Some Teams Pull Together and Others Don’t, Simon Sinek discusses the importance of a safe work environment for innovation, productivity and survival. He calls this leader-driven space the Circle of Safety. It is easy to know when we are in the Circle of Safety because we can... Continue Reading about The Circle of Safety and Physician Burnout The post The Circle…