6 Comments
Feb 29Liked by Ben Miller

Ben - I had to to chuckle reading this. But I promise you, it was sardonic not in amusement. It is actually fairly straightforward to establish an integrated service line in terms of workflows, finances and other pertinent factors. But IT HAS TO BE ESTABLISHED IN ADVANCE. To assume that it will happen ad hoc is like hoping flowers will grow where not seed has been planted. Thank you for continuing to be a voice of reason and insight in this arena.

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True - "I've just begun to default to reminding people that the system is giving us exactly what the system is designed to give us." So what is the model that is designed to give us what we need and how do we get there?

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i love this. it's as though we've given up on taking meaningful curious steps at times. A throw your hands up and say that's the way it is, without curiosity, creativity, or care. That's a struggle with the specialization aspect of health care as well. Rarely, do I come across people who imagine tangible connections outside their areas of specialization.

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