Operations

  • 05/23/18
    In 1960, the Harvard Business Review published a landmark article by Theodore Levitt entitled, “Marketing Myopia,” in which Dr. Levitt posed a defining question to American executives: What business are you really in? The article cited the failure by the railroads to recognize themselves as being in the transportation business, thereby enabling competitors from outside of the railroad industry to meet consumer needs with automobiles and airplanes.more...
  • 05/09/18
    I was walking on a bluff overlooking Lake Michigan just before sunset when the peaceful lapping of the waves was interrupted by what sounded like a swarm of angry bees. The hum alternately grew louder then faded. Glancing up, I saw not a swarm of bees but a hovering camera, held aloft by four vertical propellers, with blinking red and green lights. A drone. It was my first close encounter with one of the tiny airships and it prompted me to do a little reading about the phenomenon of private...more...
  • 04/30/18
    Many clinicians, myself included, recall CMS’ Sustainable Growth Rate (SGR) formula and Congress’ two decades of intervention to stop reimbursement decreases. In 2015, the Medicare Access and CHIP Reauthorization Act (MACRA) replaced the SGR formula with two tracks to choose from in CMS’ Quality Payment Program: the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs).more...
  • 04/10/18
    Is there anything more frightening than the image of a young toddler running while holding a pair of scissors? From the time we were old enough to pull ourselves up on the edge of the couch and take our first staggering steps, our mothers warned us to never run with scissors. Some health care providers are determined to take on incidence risk in the form of global spending targets for defined populations, often in the form of accountable care organizations (ACOs), a concept that emerged from...more...
  • 03/06/18
    I recently had an occasion to climb into the attic above my garage, where I encountered a technological relic. Bolted to the rafters was our old television antenna, its slender arms folded back against itself like an aluminum lobster. Analog television signals have not been broadcast over the air since 2009, and most households converted to digital transmission long before that.more...
  • 01/24/18
    At 11:40 p.m. on April 14, 1912, the largest ship in the world collided with an iceberg in the North Atlantic. Two hours and 40 minutes later, the Titanic was gone. Because ice has nine-tenths of water’s density, 90 percent of an iceberg lies below the ocean’s surface, hidden from view. The 220 foot-long gash that the iceberg cut into the hull of the Titanic occurred below the surface. Above the water line there was little evidence of the collision. The most famous maritime...more...
  • 01/10/18
    Although the end of 2017 was a race to the finish that narrowly avoided a government shutdown and threatened to keep Congress, staffers and lobbyists in D.C. until Christmas day, there are no signs that 2018 will be any less … eventful.more...
  • 12/12/17
    In the summer of 1783, two brothers from a French family of paper manufacturers, after noticing ash rising in paper fires, gave their first public demonstration of a balloon using hot air for buoyancy. On August 27 of the same year, in a Paris field where the Eiffel Tower now stands, a crowd of onlookers that included Benjamin Franklin cheered the release of the world’s first hydrogen balloon. The unmanned balloon drifted north for 45 minutes before descending in a nearby village where...more...
  • 10/11/17
    The 2017 Atlantic hurricane season has been anything but merciful to the U.S. mainland and Puerto Rico with the recent devastation caused by Hurricanes Harvey, Irma and Maria. While we had warning they were coming, other natural disasters such as earthquakes, tornadoes and wildfires can strike with little or no warning. Obviously, we can’t avoid natural disasters completely, but hospital leaders and staff must prepare for them.more...
  • 09/12/17
    Do you remember the first time that you ever saw a mirage? For most of us, it was the illusion of a sheet of water on blisteringly hot pavement as we gazed toward the horizon. Now we know that it was the product of refraction, of light bending in the heated air, but the first time we saw it we were sure there was a lake up ahead. From time to time, what may appear to be obvious is really our eyes playing tricks on us.more...