Building on Success

Collaborative Fairness

If we have established that life is not fair, what do we do about it? The best advice that I can offer, after traveling through over 40 states, is to reframe, changing perspective to see life as a learning journey rather than a conspiracy. Dr. Abigail Zuger pointed out that the golden age, that lasted approximately two decades after the passage of Medicare in 1965, was an anomaly.

Collaborative Language

Following up on my last post, Collaborative Control, I realized that a source of conflict between physicians and hospital leaders may involve different meanings of the same word.  Just as collaborate may mean to work together for some people,  it may connote partnering with the enemy, being coopted, or going to the dark side for others. [...]

Collaborative Competition

 Anybody who has worked with physicians has heard the comment, “Organizing doctors is like herding cats; you just get scratched.” When I finished business school a decade ago, a physician asked me, “What is the difference between business school and medical school?” I replied, “There was a lot more memorization in medical school than business school. [...]

Collaborative Flow

I want to bring readers’ attention to a well-written book that has implications for all of us who are passionate about collaboration, Leadership for Smooth Patient Flow, by Jensen, Mayer, Welch, and Haraden; Health Administration Press, (http://www.ache.org/pubs/redesign/productcatalog.cfm?pc=WWW1-2073. Also available at  http://www.amazon.com/Leadership-Smooth-Patient-Flow-Jensen/dp/1567932657/ref=pd_bbs_sr_1?ie=UTF8&s=books&qid=1203717356&sr=8-1.) The authors discuss six dimensions of flow: Efficiency: it is not just the quantity of [...]

Collaborative Navigation

Mauteen Bisognano and James Conway have written a great book, 10 Powerful Ideas for Improving Patient Care: Book 4. Chicago . Health Administration Press. 2008. The chapter that I particularly enjoyed was “Use Patient Navigation,” where they cited the work of an oncologic surgeon, Dr. Harold Freeman, with patient navigators at Harlem Hospital.  Patient navigators [...]

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