James Holly's archive

In the February 2013 issue of Health Affairs, an article appeared titled, “Patient and Family Engagement: A Framework For Understanding The Elements And Developing Interventions and Policies.” This article provides significant insight into changing roles of patients and providers in the “new structures” of healthcare delivery, such as patient-centered medical home, accountable care organizations and others.

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Contained within Abraham Lincoln’s famous “House Divided Speech,” delivered to the Republican Convention on April 16, 1856, is the imperative for data analytics and performance auditing by healthcare providers today. Lincoln said, “If we could first know where we are, and whither we are tending, we could better judge what to do, and how to do it.” 

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From Jan. 27 through Feb. 1, 2013, I participated in an executive education program titled “Shaping Healthcare Delivery Policy” at the Harvard Kennedy School of Government in Boston, Mass. In more than 54 hours of case studies, presentations and dialogue, we examined creative approaches to solving complex healthcare problems, including ways of fulfilling the Institute of Healthcare Improvement’s Triple Aim: improving care, improving health and decreasing cost.

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While Kent Keith has not said such to me, it seems obvious that at the root of The Paradoxical Commandments are the virtues of personal passion, trust and hope. It seems that the leadership required for the transformation of healthcare will embrace those commandments and will exhibit the Personal Mastery describe by Peter Senge. 

 

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(Author’s Note: Following a hospital survey, several questions were raised about how physicians and nurses share their work. The survey team was alarmed that some physicians were allowing registered nurses with associate degrees (two-year diplomas) to complete patient evaluations.

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