Equilibrium Does Not Foster Reform

  Public services, like all other areas of human behaviour, develop local equilibria in order to function.  Equilibrium specifics will favor powerful participants, which in health care ar...   [more >]

Fitting Innovation into Health Care Culture

  Innovation means active experimentation to find better ways to produce valued outcomes. Health care innovation at the laboratory level is well understood, supported and very productive. Th...   [more >]

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Specificity Click-bait
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    3 Things Great Leaders Never Do. 5 Keys to Organizational Change. 7 Days to C-Suite Nirvana. Does anyone really believe this clickbait? This meme of false s...

FITBIT Your Strategy
June 8, 2017

We are going to assume that you do HAVE a strategy that is guiding decisions towards some well-defined goals. You aren't just reacting from one crisis to the next, right? OK then,...

Get the Little Things Right
April 19, 2017

You must be good at the little things to be an effective consultant or change agent. Any good cook knows that. And you have to take the time. Scratch made puff pastry is a wondrous thing, not a...

Align Behavior with Goals
April 4, 2017

The last two posts took up the problems of getting all organizational work aligned to real goals for that organization.  The point of this effort, and it does take focused effort, is ...

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