the groundwork strategy

the groundwork strategy system improvement from the inside out

Are you involved in leading or facilitating teams? Do you struggle with how to not just manage but leverage conflict? Th...
10/12/2018

Are you involved in leading or facilitating teams? Do you struggle with how to not just manage but leverage conflict? This workshop is for you! 8 spots left - contact me if you have questions.

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Fail mindfully
08/25/2018

Fail mindfully

We celebrate bold entrepreneurs whose ingenuity led them to success, but what happens to those who fail? Far too often, they bury their stories out of shame or humiliation -- and miss out on a valuable opportunity for growth, says author and entrepreneur Leticia Gasca. In this thoughtful talk, Gasca...

Excellent piece on an amazing hospital that reached outside its walls. We happen to have personal experience at Nationwi...
08/17/2018

Excellent piece on an amazing hospital that reached outside its walls. We happen to have personal experience at Nationwide and can say that the quality inside the walls is stellar as well!

The doctors at Nationwide Children’s Hospital in Columbus, Ohio, realized that they couldn’t make progress with their patients’ health until they improved their lives outside the hospital, as well.

Every number has a story; every story has a number
08/13/2018

Every number has a story; every story has a number

“"Medicine is not an exact science. In this era of big data, there is danger of forgetting that each datapoint is an individual. The data need to co-exist w/ the narrative, w/ the individual..." https://t.co/wqU17vJ7px re: heart exhibit I wish I could see”

This is amazingly disturbing
08/10/2018

This is amazingly disturbing

“Tokyo Medical University admits rigging entrance exams against women: it automatically reduced the scores of female applicants by 20% for at least 12 years https://t.co/fv1fKUG1va”

I need to reread this. It seems very interesting and also very important
08/04/2018

I need to reread this. It seems very interesting and also very important

“Optimum decision making in presence of uncertainty comes from probabilistic thinking. The relevant probs. are of a predictive nature: P(the unknown | the known). Thresholds are not helpful and are completely dependent on the utility/cost/loss function. https://t.co/Z4UNlyWZPx”

Excellent innovation! Very reminiscent of South Central Foundation and their goal of specialty access in 5 min (via phon...
08/02/2018

Excellent innovation! Very reminiscent of South Central Foundation and their goal of specialty access in 5 min (via phone consult) - nice pursuit of 2nd order vs 1st order change. One question that wasn't addressed is that of remuneration of the physician time for those in a FFS model. Anyone in Ontario know how that is addressed?

About a decade ago, two Ottawa doctors were puzzling over a common problem for family physicians trying to get answers for their patients: long waits for consultations with a specialist.Patients so…

Dealing w bias
07/29/2018

Dealing w bias

“Very good article from the USA on the issue of unconscious bias at work. Tackling this kind of bias not only helps improve diversity, it elevates our leadership practices and improves outcomes https://t.co/34mvX4DX0l Via Graphic by ”

Indeed
07/16/2018

Indeed

“Why won't people change? There can be no sustainable organisational or system change without individual change. Change happens one person at a time & there are no shortcuts to this: https://t.co/ZDmRhvxrtQ By ”

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07/11/2018

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“What got the out of the cave? 1. Nuanced understanding of local ecology. 2. Surfacing uncertainties and interdependencies. 3. Solution-focused multidisciplinary teamwork. 4. Just-in-time learning. 5. Relationship-based care.”

This. Is. My. Life. We don’t have hearing loss hoops, but we have plenty of other hoops. The health system and governmen...
07/06/2018

This. Is. My. Life. We don’t have hearing loss hoops, but we have plenty of other hoops. The health system and government need to seriously reckon with the burden of care, i.e. the burden placed on people to receive care or service.

“Special needs disability parenting BLOOM: How 'there's a new rule' broke me https://t.co/PpFgjpDiNT Just a tiny taste of what people with disabilities and their parents must go through to qualify for things that are supposed to be provided.”

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