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Important Comments

By Russell Gonnering  ·  January 27, 2010  ·  Health Care

I have asked some of my colleagues to read this blog and offer their comments. The following comes from one of the brightest thinkers in medical education I know. He is the Dean of a medical school, and I have always respected his judgement. His comments have some important implications. I ask you to read them, and try to answer the questions he poses. They will form the basis of what we will discuss tomorrow.

Russ,   I'm not sure what you might be seeking, but here are some thoughts. They are largely posed in economic...

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It’s Tribal

By Russell Gonnering  ·  January 26, 2010  ·  Health Care

Yesterday we explored how recognition of the importance of attractors allowed the Plexus Institute to produce nonlinear positive results in the reduction of MRSA in health care settings. Complexity Theory really works! How can organizations amplify attractors and increase their productivity, effectiveness and have enjoyment in the process? No, you're not dreaming. It's a "tribal" thing. Read on.....

One of the most useful and rewarding aspects of my own studies at the Marshall School of Business of USC was exposure to the...

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Being Smarter-The Plexus Institute Story

By Russell Gonnering  ·  January 25, 2010  ·  Health Care

Marian Zeitlin, Jerry Sternin and his wife, Monique are, without a doubt, true geniuses. I would urge all of you to read their stories: http://www.fastcompany.com/magazine/41/sternin.html They are stories of simple realizations that, once implemented, had massive nonlinear results. To anyone interested in understanding an "attractor" and how amplification of a positive attractor can have immense significance, read on.

A Tufts University nutritionist, Dr. Zeitlin used the term "positive deviant" in the book, "Positive...

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“Health” Care or “Medical” Care

By Russell Gonnering  ·  January 24, 2010  ·  Health Care

In the last blog post, we took a look at the results obtained by Safeway: an effective 40% reduction in cost and high patient satisfaction. Smoking and obesity in their employees is 70% the national average. All the more remarkable, this was done without any direct intervention in the delivery of "medical" care. No mandates on hospitals, no physician incentives for "performance", no imposition of order. What is this telling us??

Many people tend to use "health care" and "medical care" interchangeably. In the Introduction...

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Reality by Decree

By Russell Gonnering  ·  January 23, 2010  ·  Health Care

The health care debate has occupied much of our energies this past year in the United States. We have seen multiple plans, arcane exceptions and a whole lot of opinion on what should, and what should not, be done to remedy what has been termed an intolerable situation by any number of talking heads. In even the somewhat "soft" science of medicine, opinion should be tempered by reality. If someone has a plan, has used it for years with 30,000+ patients, 80% of them like it and it has reduced cost by 40%, shouldn't it be explored...

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