Browsing All Posts published on »January, 2012«

HC Fraud Real Relief Valve for U.S.

January 30, 2012


Waste is a personal pet peeve of mine, so when I recently read Fast Company’s article “The $70 Billion Scam” my jaw hit the floor. Then I fumed. In light of the upcoming primary election (Florida’s is tomorrow), I reflected on the past few years of politics. So much energy has been put into healthcare reform, even before […]

The Cost of Delay

January 27, 2012


With his $22 million in loans in hand, an administrator I know was preparing for a major capital project.  I introduced his somewhat recent situation in a previous post.  His hospital project was approved and ready to take off.  Fifteen months later, things are still waiting to break ground. This delay may not seem like a big deal. Or worse […]

Benefits of a Design-Build Veteran

January 26, 2012


Healthcare administrators often require significant experience in the project type of their upcoming project before considering a design and construction team. For instance, if a health system is doing a cancer center, it may insist on a team having five completed cancer centers in its portfolio. Such a requirement helps confirm a team will be less […]

Spheres of Influence

January 23, 2012


Architects have complained over the past thirty years that their significance in society—influence, status, importance—has diminished. This is largely true. I believe it has happened because of one concern: architects continue to push away risk. As architects began off-loading risk from their standard contracts decades ago and limiting services, (for instance, not accepting responsiblities and […]

Info Sharing Leads to Progress

January 20, 2012


Every once in a while I read something that really makes me think about my stance on a core belief, and then totally change my own outlook. It is not often. I read a smart piece on healthcare in the Wall Street Journal this week on the future of personalized healthcare called “A Doctor in […]

Adjusting Expectations

January 18, 2012


Communication between two ordinary, random people can be difficult. Communication between two intelligent individuals who share a similar lexicon of industry language (jargon), background, are culturally similar, and who are also well-educated, can still be a big challenge. This is so primarily because the definition of words do not mean the same to everyone, and thus expectations from […]

Portrait of an Integrated Team

January 16, 2012


Eight weeks ago I had the good fortune of attending a presentation on Accountable Care Organizations (ACOs) and the future of healthcare as envisioned by The Advisory Board, a healthcare consultancy and think tank. In an effort to show hospital administrators what an ideally-organized and high-performing healthcare team looked like, the presenter outlined some top attributes of […]