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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Building Trust, by Flores and Solomon is a really good book. I rank it with The Wisdom of Insecurity, by Alan Watts as two of the most mind altering books I have read. Watts turned the conventional wisdom of insecurity on it's head, essentially showing that security or fixedness is closer to death and that insecurity [...]
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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 this book, I [...]
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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 in [...]
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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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The Bureau of Primary Health Care has successfully jump started the 100% Access 0 Disparity movement in America. Spokane, WA area is implementing a similar approch.
There is a summary of the BPHC experience that is very enlightening, if you wish to switch from projects and programs to “movements”. I highly recommend reading it if you need [...]
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Several doctors at the WA State Medical Society meeting ask for more information on what Advanced Access is. So I put a web page together with some good references. Just click on “web page”.
I am skeptical that rapid improvement can occur until most physicians have taken this step. It is a happy circumstance that [...]
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