Research
Spinoza gets entangled with severance: A call for verbification
The premise is that work life balance is a false construct and like increased compensation a non sequitur in the quest to reduce or resolve physician burnout. An actionable solution is for medical group leadership to transition from their quests to enforce policies and procedures and to activate to support the personal and professional success of its physician partners.
Quantum Theory: A Metaphor for Healthcare Transformation
The current national healthcare delivery model is devoid of efficiency, empathy, or—for that matter—care. With silos for the sake of silos and a transactional system in nature, focus, and orientation, the contemporary practice of healthcare consignment is defined by reimbursement and compensation methodologies and perpetuated by legacy processes.
Memory
Memory is a weird thing. We can’t find our keys and yet obscure triggers have us recall things ofttimes better left unremembered/forgotten/lost. Attending a recent ceremony at my alma mater, I noticed the flagpole – rusted and minus the flag – and recalled standing in the back of a classroom decades earlier, as Principal Lintz looked out at the structure.
The road to achieving physician engagement
There are many aggregators of physicians and their practices. In fact, a 2021 study found that “70% of U.S. physicians are employed by hospital systems or other corporate entities.”1 The survey revealed that about 49% of physicians are employed by hospital-based health systems, while 20% of physicians are now employed by private equity and health insurers. Different types of organizations have different goals, but they have a common challenge of earning the physician loyalty necessary to help all parties work to develop and achieve mutually aligned and beneficial goals.
Leverage humanity: How the deepest learning is when technology is a tool, not a panacea
Upon graduating from high school, without any particular honors or distinctions, my general practitioner, Almeda Decker, DO, assured me that I did not want to make a living sweeping floors in my dad’s stores. Subsequently, she got me a job at the Chicago College of Osteopathy. Albert Kelso, PhD, my new boss, was an esteemed academic, the institution’s director of research and chair of the school’s Departments of Physiology and Pharmacology.
MUSHIN: Clinical Care Team
MUSHIN: “absence of discursive thought and judgment, so the person is totally free to act and react towards an opponent without hesitation and without disturbance from such thoughts. At this point, a person relies not on what they think should be the next move, but what is their trained natural reaction, or what is felt intuitively. It is not a state of relaxed, near-sleepfulness, however. The mind could be said to be working at a very high speed, but with no intention, plan, or direction.”
In Sickness and for Health
Much is said, written, and published about accountable care organizations (ACOs), roadmaps, and how to effectively navigate the field: the importance of best practice protocols, Lean principles, standard work, and analytics. However, not much is discussed about the fundamentals of developing the requisite models for access and primary care, not to mention the landscape design of the functioning provider network.
At Your service line
“Service lines” are all the rage in healthcare. Almost every system has a litany of them, but the term is relatively new to the health care delivery environment. Service lines permeate almost every cutting-edge system in the country, but what does the term really mean? What, exactly, is a “service line?” What are the functions, etymologies, meanings, syntactical, and idiomatic uses of the term? As hospitals saw the need to become comprehensive healthcare systems, and MBAs began to permeate administrative roles.
Waiting by the Phone
Not so long ago, other than actual face-to-face conversation, the telephone was our primary verbal communication resource. It still is, of course, but it’s evolution as a communication device is both staggering and unprecedented—texting, instant messaging, and countless social media platforms are now inherent to phones. The devices themselves have long since been pried off the wall and computerized to fit into our pockets. Personal conversation—true, orally based exchanges—have almost gone the way of the house call—almost.
Execution by Swarm
We all know it. Patient outcomes are greatly affected by patient experience. Even if technology should evolve to the point that make physicians obsolete, the patient experience will live on—and make or break the day. The undeniable fact of the matter is that patient health care experiences really do reflect quality of care. However, as technology evolves (and as it will undoubtedly continue to do), we must resist the urge to view the evolution of healthcare delivery as inherently dependent upon technology’s maturation.
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