How to succeed in value-based care without really trying

In 1952, Shepherd Mead wrote How to Succeed in Business Without Really Trying, a tongue-in-cheek “instruction manual” based on his experiences climbing the corporate ladder. Sample chapter titles included “Stab the Right Backs,” “The Look of Suffering,” and don’t forget “Be a Meeting-Leaver.” The book was soon turned into a Broadway musical and then a […]
Getting to grips with chronic disease management

The COVID-19 pandemic has acted like a lens, concentrating and intensifying difficulties in the healthcare industry. Supply chains are backed up and labor costs are rising, while the rippling effect of revenue losses and the increased cost of borrowing are forcing health systems to tighten their belts. But the Big Squeeze isn’t just on the […]
Doctor, do you mind the interruption?

Many physicians equate clinical decision support (CDS) with pop-up alerts. They seem like one and the same to doctors who have been dealing with them for years, or at least since electronic health records (EHRs) came on the scene. Pop-up alerts take over the screen, forcing the user to stop whatever they were doing and […]
Before implementation, think about prehabilitation

Most of us are familiar with the concept of rehabilitation. After a surgery or an injury, a patient typically works with a physical or occupational therapist to try to regain previous functionality or, at the very least, learn to minimize deficits. By definition, rehab occurs after some sort of insult has already happened to us. […]
Burnout’s triple threat: Compromising care, clinicians, and cash flow

Since well before the pandemic, healthcare system leaders and hospital executives have been focused on clinician burnout, and for good reason. In 2017, the National Academy of Medicine published a call to explore and address the problem, highlighting burnout as an “underrecognized threat to safe, high-quality care.” They noted that more than half of U.S. […]
Alleviating financial pressures with revenue cycle improvements [Infographic]

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Human-centered design for Canadian healthcare technology

There’s been a lot of chatter lately about human-centered design, inspired by the launch of my colleague’s book, Designing for Health: The Human-Centered Approach. In it, the authors, Craig Joseph, MD, and Jerome Pagani, PhD, identify four pivotal forces that are reshaping the U.S. healthcare landscape: technological evolution, the ubiquity of platform health information systems […]
We need to think differently about EPR deployments and redefine the pre-implementation approach

In recent weeks there have been a number of announcements in the UK from NHS trusts and Integrated Care Systems (ICSs) about their digital transformation plans. Most notably, Norfolk and Waveney ICS, is rolling out the MEDITECH EPR solution across its three acute trusts, with plans for a March 2025 go-live. Having been dubbed a […]
Securing healthcare data: The critical need for cyber resilience

Healthcare providers are in the midst of a tech-driven evolution. Technologies that were new to healthcare are making the leap from test cases to maturity, including regular telehealth visits and remote patient monitoring/therapeutics. Next-wave equipment is being enabled by 5G connectivity, like the deployment of augmented reality technology in various clinical care settings. As viable […]
The importance of land acknowledgment

As I write this reflection, I respectfully acknowledge that I am living and working on the traditional territory of many indigenous nations. This land has been cared for by the Anishinabek, Haudenosaunee, Huron-Wendat, and Mississaugas of the Credit First Nation as well as many other peoples who have come before us. This territory is subject […]