In 1966, just as management and systems were growing prominent in business thinking, a doctor named Avedis Donabedian introduced a radically new concept in medical care delivery that was founded upon what we could call …
Continue readingCategory: NtC Video Podcasts
NtC 35: Systems Thinking to Identify Opportunities
In this episode of Navigating the Code podcasts, I want to share a pivotal concept from my book that resonates deeply with the healthcare profession: the systems approach to management and its potential for a …
Continue readingNtC 34: Become a Change Manager
Transforming healthcare requires effective change managers. While each organization is unique and filled with its policies, procedures, and politics, effecting change lies in leveraging our knowledge, insights, and decision-making skills. I put together a few …
Continue readingNtC 33: Remove the Kinks in the Hose
We can all agree that there is much that we can do to improve healthcare quality, safety, and access to care while better managing its cost. Achieving these goals requires transforming what we do and …
Continue readingNtC 32: Chaiken Revolutionary Methodology as Math Equations
Having presented my methodology in graphical form, I want to share the concepts as mathematical equations to clarify my approach further. Here is the first equation: Work in a Process is equal to the amount …
Continue readingNtC 31: The Chaiken Methodology
Navigating the Code – A Foreword by John Halamka, MD, MS Dr. Halamka is the President of the Mayo Clinic Platform and former CIO at Beth Israel Deaconess Medical Center and the Harvard Medical School …
Continue readingNtC 30: Why We Need Both Evolutionary and Revolutionary Change
Evolutionary change is what happens to each of us all the time. Evolutionary change is gradual, often subtle, but essential to our growth. Revolutionary change is rarer, sometimes unexpected, and often results in a quick …
Continue readingNtC 29: Overcoming the Resistance to Change
Warren Buffet, the famous investor, once said, “In a chronically leaking boat, energy devoted to changing vessels is more productive than energy devoted to patching leaks.” Mr. Buffet’s success is due to his ability to …
Continue readingNtC 28: How to Get Things Done
In 1997, Clayton Christensen published a book titled The Innovator’s Dilemma in which he introduced the concept of disruptive technologies. He posited that big companies fail because they did not implement new ideas and accompanying …
Continue readingNtC 27: Working Groups vs. Skunk Works
In NtC 23, I explained the concept of skunk works, which grew out of work that started during World War II at Lockheed during the development of the first fighter jets. Skunk works teams are …
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