Tag: continuous improvement

  • Sticks in the Sky

    Sticks in the Sky

    When the last of Michigan’s autumn leaves fall, the trees become sticks in the sky. This year, I’m seeing something different in their bare branches: structure, growth, and a reminder that knowledge means little until we put it into practice.

  • My Medical Chart Has a Noncompete Clause

    My Medical Chart Has a Noncompete Clause

    Two appointments. Three years ago. Apparently, we’re exclusive. A patient’s account of healthcare bureaucracy, invisible paperwork, and a care team that actually picks up a paddle.

  • Steel Toes & Plaid: Visibility

    Steel Toes & Plaid: Visibility

    Most organizations don’t have a talent shortage. They have a visibility problem. When leaders stop seeing the people closest to the work, ideas stop moving, trust erodes, and improvement stalls.