Written for people who run departments.
No thought leadership, no vendor content, no reprinted press releases. Short pieces on the operating problems we keep being called about — and where the conventional answer is wrong.
Failure to rescue is a communication problem wearing a clinical costume
The escalation pathway on paper and the escalation pathway at 3 a.m. are rarely the same pathway.
ReadHow to exit agency without falling off a coverage cliff
Agency reduction fails when it is run as a budget decision rather than a sequencing problem.
ReadDischarge before noon is the wrong target
Chasing a discharge-by-11 metric produces gaming, not capacity.
ReadYour denials problem started three departments upstream
Building appeal capacity treats the symptom. Prevention has to be owned where the denial originates.
ReadSpan of control is the retention intervention nobody budgets for
A manager responsible for eighty employees cannot know eighty employees.
ReadAmbient documentation: the questions to ask before the pilot
Most pilots measure clinician satisfaction and skip the questions that determine whether it scales.
ReadThe mock survey is not the readiness program
Six weeks of preparation produces a passing result that decays within a quarter.
ReadWhat a staffing schedule proves in a negligence claim
Ratios, acuity and assignment records become evidence long before anyone calls them that.
ReadA monthly note, and nothing else.
One email a month on healthcare operations, workforce and risk. No product marketing, no event invitations, no list sharing. Unsubscribe in one click.
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Tell us what is happening. If we are the right help we will say so, and if we are not we will tell you that too — usually in the first call.