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Archive for the 'Cooperation in Health Care' Category

Governing the Commons: an important idea for communities and the management of the limited resources for health and wellness along with illness. Here are Elinor Ostrom list of rules for successful governance of a common pool resource: 1. Clearly defined boundaries Individuals or households who have rights to withdraw resource units from the CPR must […]

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Upon what can the parts of health care come together into a coherent whole. No metaphor works well if extended very far; certainly not inorganic crystals. But let’s play with this for a moment to get some use from it. There are a lot of parts of health care swirling in the community. How can […]

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I commit to review all of these articles. In addition to expertise on the diagnosis and treatment of specific diseases, we must understand and act upon the dynamics that cause the diseases. These articles and the broad overview “Hygeia’s Constellation” give insights and impetus to an community based approach to health. Syndemic Prevention Network: Other […]

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Systems and Maps, Actions and Theories

  Well I have been silent for quite a long time. I have been trying to find my way forward for months. The groups working on Pursuing Perfection in Whatcom County have accomplished much: Direct involvement of patients in the design of chronic care system and processes, Shared Care Plan, Clinical Care Specialist role, Groups […]

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A Patient Responds

Shared Care Plan. This is a very exciting program. Shared Care Plan is clearly a major step forward in improving the communication between… [:: Chemo Chronicles '04 ::] Craig Miles writes, “As a cancer patient, I deal with my cancer as a chronic illness and I found this document to be better than anything I […]

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The Surprising Shared Care Plan, and what patients and families are doing with it

A few days ago a group of patients and their families talked to Ed Wagner about their experiences in Pursuing Perfection in Whatcom county.  Each of these patients had a clinical care specialists and a shared care plan. What I heard changed my thinking. They described the role of the shared care plan differently than […]

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Are Betrayal of Trust and Insecurity ever Good Things?

Building Trust: In Business, Politics, Relationships, and Life, by Flores and Solomon is a really good book. I rank it with The Wisdom of Insecurity, by Alan Watts as two of the┬ámost mind altering books I have read. Watts turned the conventional wisdom of insecurity on it’s head, essentially showing that security or fixedness is […]

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Clear Leadership

A friend of mine, Gervase Bushe, wrote a very useful book: Clear Leadership. The insights and framework are based upon his career as a professor and business consultant Clear Leadership is full of practical and immediately useful mental models and advice. Organizations are beginning to use it as a framework for leadership training at all levels. After reading […]

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Which side of the bed?

  I have gradually come to realize that I unconsciously make a binary choice each time I think or act. I get out of my bed either on the defensive side or the learning side. I either start my day holding on to… you name it. Or, I start my day open, willing and interested […]

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QualityHealthcare.org, take a look around

The Institute for Healthcare Improvement and  the British Medical Journal with support from Robert Wood Johnson Foundation and others have developed a very useful site, QualityHealthcare.org, for anyone working on healthcare improvement. If you have not seen this, log-in and take a look around. It is free.  

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