Everything Has to Change

Everything Has to Change

“If you want things to stay the same around here, everything has to change.” Richard Carr, an HR expert and Simpler colleague, shared this quote from The Leopard, written by Giuseppe Tomasi di Lampedusa. As described in this Wikipedia post, as the mid-19th Century Italian historical novel progresses, a prince is forced to choose between… Continue Reading

The Last Straw

The Last Straw

We are all familiar with the saying, The Last Straw. It refers to the fable of the camel who could carry heavy loads.  The camel is a beast of burden. Its owner, in an effort to transport as much straw as possible, keeps piling more and more on the camel’s back. Camels are strong and… Continue Reading

Single Payer Solution to Burnout?

Single Payer Solution to Burnout?

Is Single Payer the solution to burnout? I received an email from a good friend this week, Dr. Patty Gabow, who is CEO-emerita of Denver Health.  As CEO, Patty led a Lean transformation of Denver Health that achieved great physician and staff engagement while saving the State of Colorado over 200 million dollars.  She is… Continue Reading

The Physician Suicide Pandemic

The Physician Suicide Pandemic

In case you had any doubt that there is a physician suicide pandemic, read Dr. Eric Levi’s latest blog post, The Dark Side of Doctoring. Eric is an ENT surgeon in Australia.  This post starts with a letter from the wife of a gastroenterologist in Brisbane who took his life last week. This eloquent letter… Continue Reading

Go to Gemba to Show You Care

Go to Gemba to Show You Care

As a health care leader, you need to Go to Gemba!  Why? Because 82% of your physicians think that their leaders don’t care about their problems.  (It’s not just healthcare, in pretty much every industry 80-85% of front line workers think that those in the C-suite don’t care enough to offer help to the people… Continue Reading

Physician Leaders Need to Get Angry

Physician Leaders Need to Get Angry

I’m on my way home from the Annual Meeting of the American Association for Physician Leadership in New York.  Three hundred physician leaders came together from across the nation to share their challenges and learn from great keynote speakers and from each other. Among the 35 breakout sessions were five on physician burnout, including a… Continue Reading

Start Your Lean Journey With a Sprint!

Start Your Lean Journey With a Sprint!

“A Lean journey is a marathon, not a sprint.” That’s what our Simpler Sensei reminded us of more than once back in 2010 when we embarked on our Lean journey with the 300 physicians of the Sutter Gould Medical Foundation. (Actually, done right, it’s more like a multi-year trek into the wilderness searching for enlightenment. … Continue Reading

Servant Leadership – Asking Questions, Not Giving Answers

Servant Leadership – Asking Questions, Not Giving Answers

Servant Leadership is alive and well among effective Lean leaders in Europe. This past week I had the good fortune to give a presentation on “Preventing Physician Burnout” at the 3rd Annual Lean Healthcare Transformation Summit Europe in Brussels.  It was a great meeting with 300+ attendees from 17 countries all committed to transforming health… Continue Reading