Posted in Uncategorized on May 13th, 2010 No Comments »
This post is a little summary of my reading of Stephan H. Haeckel’s book, Adaptive Enterprise.
In adaptive enterprises, strategy emerges from sensing and responding to customers’ requests and needs. The competitive winners will both sense and respond faster than competitors. Slower paced organizations (or parts of large organizations) in stable environments can still rely on [...]
Posted in Uncategorized on Apr 5th, 2010 No Comments »
Here are notes from a talk on a simply powerful way for those working at the front line to solve problems.
A3 Problem Solving
Below is a link to a PDF that can be printed on 11 X 17 paper (A3). Do your work in pencil. Make lots of changes. With an eraser in hand, shop it [...]
Posted in Cooperation in Health Care, Critical Junctures Institute, Systems, CAS, Transparency, Uncategorized, Whatcom County Health, patient centered on Apr 3rd, 2010 3 Comments »
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 [...]
Posted in Uncategorized on Apr 1st, 2010 No Comments »
Inserted photo–By the way this is my second daughter, Sofia.
Posted in Uncategorized on Nov 18th, 2009 No Comments »
Here is a simple presentation on a few transformational ideas. Judith Hibbard and I gave on-line presentations to a group of hospital quality improvement folks. I have included my presentation notes below. I claim that these ideas in the notes will be implemented. The only question is whether they will be implemented by hospitals and [...]
Posted in Uncategorized on Oct 18th, 2009 No Comments »
Steven Spear has done a nice job of exposing the four core competencies of Toyata in Chasing the Rabbit. I can imagine how to do three of the four. It is the First one that stumps me: “Highly specificed work with error signals build into the process”–more or less. The question for me is how [...]
Posted in Uncategorized on Dec 11th, 2008 No Comments »
A video podcast of Goran.
Posted in Uncategorized on Aug 19th, 2008 No Comments »
For about three years the State of WA has been exploring, with local and national healthcare IT leaders, the feasibility of helping Washingtonians use their own health information securely online. One can review some of the details of the journy at http://www.hca.wa.gov/hit/.
Also one can see the current thinking at http://www.accessmyhealth.org/.
Posted in Uncategorized on Jul 16th, 2008 No Comments »
We in Whatcom County, Washington have been collaborating for years to improve the health of this community. Now we are setting a new course to join together in action research collaboratives We will create innovative socio-technical programs to focus on life style, prevention and chronic medical conditions.
The programs will focus on ”Six Aims” proposed by the Institute of [...]
Posted in Uncategorized on Jul 5th, 2008 No Comments »
We, in Whatcom County, WA, are poised to create the functionality envisioned here.
This can be viewed as a patients’ manifesto (a la the Clue Train Manifesto), a request for an ideal experience of care:
I ask you, at each step, in each phase of the acute healthcare process, while attending to my body, to please:
Personalize, [...]