Beyond burnout scores: The hidden risk in clinician engagement surveys

Every year, health system leaders review clinician engagement and burnout survey results with a familiar mix of hope and resignation. The numbers are rarely great, but they’re often “not terrible,” which can feel like a small win in an environment defined by constant pressure. A few slides later, leadership moves on, comforted by the sense […]

Breaking the cycle: reducing costs in NHS re-procurement

The NHS is under immense pressure to deliver more for less. With budgets stretched and demand rising, procurement has become a frontline issue for sustainability. Yet despite best intentions, repeated re-procurement exercises often inflate costs rather than reduce them. Fragmented approaches, short-term fixes and lack of alignment between clinical, operational and commercial teams can lead […]

We measure everything in healthcare… except what matters

In a recent article in BMJ Digital Health & AI, Graham Walker, MD makes an appeal that feels obvious only in hindsight: before we can seriously talk about “what good looks like” in healthcare, we need more context. Not better slogans. Not more dashboards. Context. The kind of context that captures nuance, environment, and the […]

If you want AI to think like a clinician, show it what clinicians see

When Mitesh Patel, MD, argued that self-driving cars didn’t truly accelerate (pun intended) until Tesla began feeding its algorithms massive volumes of real-world video, he wasn’t just offering a clever analogy; he was diagnosing healthcare’s AI problem. Dr. Patel’s central point is that transformative AI doesn’t emerge from better slogans or shinier interfaces; it emerges […]

Better care, lower costs: The advance care planning solution hospitals ignore

Healthcare executives continue to grapple with a longstanding problem: despite pouring billions of dollars into end-of-life care, patient satisfaction remains mediocre at best. The American healthcare system defaults to aggressive interventions—ICU admissions, mechanical ventilation, emergency surgeries—that often do little to improve a patient’s quality of life. The irony is that most patients, when asked, say […]

What shopping carts can teach us about fixing broken workflows

Recently, I came across a quirky little behavioral science investigation that looked into a surprisingly contentious issue: why people don’t return their shopping carts. The researcher spent months observing parking lots in the same way an ecologist might observe a watering hole, cataloguing the excuses, social cues, and micro-calculations behind a behavior that most of […]