An expensive watch isn’t purchased to tell time. We already know what time it is. The food at a wedding isn’t really there to keep guests from going hungry. A cookie could do that. Our focus, energy and money are often spent on transactions that are disguised as something else. What we’re really doing is […]

A great intern brings positive energy, a relentless work ethic and doesn’t cost very much. They ask a lot of questions, and the most useful questions will help you see an existing situation with fresh eyes. Of course, you’ll expect them to make mistakes, and a professional needs to double-check all of their work. If […]

The tenured philosophy professor at Princeton might not even be half as effective a teacher as the adjunct at the community college. The head of surgery might be relatively better at meetings and politics than they are at actually helping patients. Having a lot of social media followers doesn’t mean you’re really good at making […]

We take stability for granted, until it’s no longer there. Some art forms and enterprises benefit from an unstable environment, where systems are in flux and the changes are unpredictable. Others are nearly impossible. How much priority do your investors, clients and employees put on building processes that do well in chaos? Or are you […]

Some facts and assertions about healthcare (particularly in the US) and then an outline of a change agent that could improve health, perhaps dramatically. And so, a system that’s organized around treatments and status, that misallocates time and effort, causing stress for practitioners and patients. Historical bias in training leaves more than half of the […]