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Archive for the 'Transformation' 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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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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  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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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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A Poem by John Stone

A friend sent me a link to this poem. I pass it on to you. It is good and it rings true. It is by a doctor and more or less for doctors. But all may appreciate the sentiments. A few lines: “For the head will explain      but the final common pathway is the heart      whatever kingdom […]

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Narrative in Medicine

My invaluable assistant, Jill Hickok, told me about an NPR presentation on the use of story telling in medicine. We are trying to do something similar in Whatcom County to heighten the awareness and understanding of the relational aspects of medicine, especially chronic conditions. We are coming to believe that among all the change and stresses […]

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From Programs to Movements

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 […]

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Advanced Access–a Key to System Improvement

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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