Insights

The committee has a charge. The initiative has a chair. The leadership team agrees the work matters. There is even a timeline, a list of deliverables, and a standing meeting on everyone’s calendar. Then comes a seemingly straightforward question: Who can approve the...

Most of us have been part of an initiative that sounded exactly right in the meeting, but became much harder once it reached the real world.

There was a time when leading change felt different. It was never easy. Most meaningful change isn’t. But there was energy around it. You had supporters. Colleagues were asking good questions. New partnerships were forming. People from quality, patient experience,...

Picture it: early August, and a surgeon is leaving for two weeks. The clinical sign-out takes fifteen minutes and covers everything: the post-op patient with the drainage she’s watching, the pending cultures, which partner is covering, and which number to call at 2...

Picture it: the quarterly quality review for a joint replacement service line. Ninety-day readmissions are at 4.2%, ahead of the benchmark. Patient-reported outcome collection is above target. Length of stay is at the goal. The slides are “green” from edge to edge,...

    Earlier this month, thousands of brand-new physicians walked into teaching hospitals across the country and began caring for actual patients. Many had never written orders that counted. Some got lost on the way to the unit. And the system held. It held...