• Will the week of 21 September foretell the future or be a blip in time?

     In a few years, the concurrence of events for the week of   20 September 2010 potentially will highlight the rationale for reform and change within the healthcare system. The news feeds were bustling with the turf battles between the City of Hope National Medical Center and City of Hope Medical Group.  A proposed reorganization of…

  • ACOs — Be prepared

    I recently attended the Society for Healthcare Strategy and Market Development in Chicago.  As with many national meetings whose target markets are broad, the current hot topics are easily identifiable by their preponderance and domination of the presentation line-up.  This year the winner was Accountable Care Organizations (ACOs).   ACOs have hit the streets with a…

  • If you dont want to think out of the box, tell me!

    People that tell you how they are “out of the box” thinkers are typically the people who think inside the box more than anyone. Many years ago I had a position with the American Heart Association.  In those days, staff’s were consistently arranged with an executive director, senior leader for community programs and education, senior…

  • Adulthood isn’t all that it’s cracked up to be.

    Back in the day you were an infant, a child, or an adult. The pre-teen, teen, young adult, senior adult definitions are relatively new. In the early 1900’s you were a child or an adult. The 1950’s debuted the notion of teens years and early adulthood. Baby Boomers are well aware of the characterization of…

  • Starting over again is hard to do: The Newbie

    Starting over again is hard to do. Appropriate homage to the songwriter aside, staring over is hard to do.  I have read, attended seminars, facilitated discussion, and experienced new and change countless times.  There have been more occasions then I can describe where my words were filled with platitudes and definition of being an agent…

  • McWOW! Consistent innovation is the secret sauce of strategic growth

    Have you been in McDonald’s recently?  McWOW!  I was in high school when McD’s opened a few blocks away.  The drive through was a morning ritual and when we could leave campus for lunch; it was the closest food venue.  Years later, this is the McD’s that my youngest son had a birthday party at. …

  • A fan letter to Uwe Reinhardt

    Dear Dr. Reinhardt: This is a fan letter to Uwe E. Reinhardt.  Its 4:30 am on a snowy Saturday morning and my daily read led me to your most recent post to Economix .  It has been almost a year since I heard you speak at a national conference and was able to share breakfast…

  • The Wrestler and the CEO: Can history not repeat itself?

    The young man was a wrestler on his high school team.  He was a middle weight and considered one of the best high school wrestlers in the state. Beginning about a month before practice began each year he would begin drinking protein shakes, water, and limiting anything that could cause him to gain weight. Each…

  • What will the healthcare safety net catch??

    The faces – more importantly the zip codes, in the waiting room have not changed…The health status of the economy is improving; the health status of the community is still in a tenuous position.

  • Haitian Earthquake, Global Community, and me — It’s not the time for learning’s

    I have spent the last several days glued to the television or satellite radio.  The earthquake in Haiti is frightening, maddening, and above all the definition of human crises.  The first announcement of the earthquake in Port-au-Prince occurred while I was on the treadmill.  That night after several failed attempts at sleep, I turned over…