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I prefer to talk about events before they take place, not after. I don’t know if that makes me a futurist or merely someone not bright enough to understand them as they now are. I like to have a think about things that don’t seem right. This helps me understand what I may be missing, or if I may [.....

I was reporting to the board—or bored—sometimes it is the same. The mission: figure out what was wrong, and then fix it. I spent weeks talking to everyone from the executives to the receptionist. I interviewed patients and physicians. The doctors were not happy, the patients less so. Costs were up, charges...

Did the large provider healthcare model go from making all the ducks better to only making some of the ducks better? Please let me know if the concept depicted below makes sense. Thanks Read More...

When you think about it, companies begin to die the day they are born. Some last longer than others, and some are reborn after they die–think GM. Others may be caught in a death by stagnation spiral. Microsoft may be a good example–has their lack of innovation caught up to them, or is Windows...

Here is the presentation on whether one should meet Meaningful Use I am giving in May at New England’s HFMA conference. Please let me know what you think. http://ow.ly/4Joet Read More...

(reposted from this week’s healthsystemcio.com) I have spent time over the past few weeks speaking with healthcare executives to get their perspective on ACOs, also known as Attorneys and Consultants Opportunities. For the most part, people are in general agreement when it comes to describing the...

With all the efforts underway with EHR, it’s only natural that some efforts will have problems, and those leading the efforts may be replaced. If you’re the new EHR lead, how do you know what to do tomorrow? You walk in to your new office; a withered Ficus tree is leaning awkwardly against the far [...