Learning

Unconscious Competence: Viviendo la vida locums

I apologize for the delay in posting.  Although I looked forward to taking a holiday vacation, I have come to the aid of a surgical colleague at a critical access hospital in New England who had no backup. I enjoy being of service and being thought of as a solution rather than the problem. Last [...]

International Healthcare Collaboration: Stockholm Memories

Greetings from Stockholm, where I returned to visit people with whom I collaborated during residency and to promote international healthcare collaboration.  As I wrote in a previous post, despite working in a country that has a socialized medical system, practitioners in Sweden enjoy local autonomy in clinical decision-making. The government assigns a budget for healthcare [...]

What I learned at the Community Hospital 100 Conference

I had a wonderful time delivering the closing keynote, “Moving from Me to We: A Practicing Surgeon’s Journey to Collaboration,” at the Community Hospital 100 Conference, October 23-25, 2011.  For those who would like to learn more about the highlights of this conference by watching a four-minute video, please click here. Leading the Health of [...]

Collaborative Blessing

When nurses tell me to do something, I try to follow their advice. So, when I was seeing patients in the ED yesterday, and nurses said to me, “You’ve got to check out the covered bridge,” I paid a visit on a beautiful, 75o sunny day. Originally built in 1830, it is a national historic [...]

Displaying Collaborative Cultural Sensitivity

Last week, I spent a wonderful two days with over 25 healthcare executives in New York, teaching my ACHE seminar, Practical Strategies for Engaging Physicians. Day one, we discussed differences between physicians and hospital leaders, implications of healthcare reform, and advanced strategies, tactics, and tools to engage physicians.  But, the discussion on day two taught [...]

Transforming Clinical Integration

Last month, I presented at the Governance Institute on Engaging Physicians: Moving from Me to We. For more information on how to help independent and employed physicians at the same time, please see my blog post. It has taken me longer than usual to summarize the proceedings of this conference because of considerable activity to prepare for [...]

Collaborative DNA

“I suggest that we fire the Medical Executive Committee President to send a strong message after their vote of ‘no confidence’ in our CEO,” said one of the Board members. “You have to cut off the head of the snake,” said another Board member “What if the snake turns out to be a salamander or [...]

Collaborative Language: Hot-Button Words to Avoid with Healthcare Professionals

In a recent post, I recounted what I had learned from visiting a hospital where physicians issued a vote of no-confidence in their CEO.  Communication was the problem and hopefully will prove also to be the solution. Therefore, I return to an old favorite subject, hot-button words to avoid in healthcare.  A previous post covered [...]

Collaborative Healthcare Reform Issues: Highlights of Becker’s Hospital Review Annual Meeting

I had the pleasure of attending and presenting at  Becker’s Hospital Review Annual Meeting May 19-20.  I was impressed that even though very few of the attendees planned to file an accountable care organization (ACO) application  by January 1, 2012, all understood the importance and urgency of providing more coordinated, cost-effective care. I. In “ACOs- A Panel [...]

Three Painful Collaborative Learning Experiences

I. “The Department Chairs Need to Be Panelists” At 3:55 PM, there was time in my seminar for one more interchange. A woman said, “I have been in healthcare for 30 years, and I can tell you that a physician advisory panel will not work unless the department chairs serve as panelists.” Feeling under attack, [...]

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