Canary in the Coal Mine

The State of Maryland has been on a unique journey for the last two years as the only state in the nation where healthcare is currently delivered under a population-based budget.  Maryland “promised” the federal government that by the end of 2018, 80% of hospital revenue in the state, for state residents, would shift away more »


Lucky Thirteen

I started off the New Year with one of my favorite events…no, not the Mummers parade…but a unique program on our center city campus. This past Monday I got to meet with over 260 third year medical students for a special annual ritual we call “Interclerkship Day.” 2016 marks the 13th time that my colleagues more »


Leaders at the Lake

Have you ever been to Madden’s on Gull Lake in Brainerd, MN?  I first went there in 2005 and last week I made a return visit to give the closing plenary address at the annual meeting of the Minnesota Hospital Association.    I was asked to speak to the hundreds of leaders in attendance about the more »


Celebrating NCQA #25

Margaret (Peggy) O’Kane is a force to be reckoned with!  As the founding CEO of National Committee for Quality Assurance (NCQA), Peggy hosted a 25th Anniversary Gala in the National Portrait Gallery in Washington, DC.  I was pleased to serve as host for a table filled with a team of Jefferson leaders responsible for the more »


Mentoring for Quality and Safety

Can you believe this tabletop sign? This photo was taken at the 7th Annual AAMC-Integrating Quality (IQ) Meeting in Chicago, IL, which is the top inter-professional development conference for clinical leaders, educators, and trainees across the entire medical education spectrum.   It’s the official AAMC “get together” for students, teachers, and house officers, focused on improving more »


Carolina in My Mind

What a great James Taylor song.  When the second largest, not-for-profit, integrated delivery system in the nation decides to commit an entire day to celebrating their progress in the quality and safety arena, this gets North Carolina on my mind!  I had the privilege of being the lunchtime plenary speaker at this 5th annual event more »


Nash on the Road: Seventh Annual Cohenca Safety Lecture

It’s not enough to be the top-ranked orthopedic hospital in the entire country every year and to recently celebrate your 150th birthday, but the Hospital for Special Surgery has gone one step further by hosting the seventh consecutive Cohenca Safety Day, a special day set aside to celebrate quality and safety. Real leaders understand just more »


Nash on the Road: Back to the Future

Having spent my entire childhood in Merrick, Long Island, it was a real pleasure for me to return very recently to neighboring Plainview to address the South Nassau Communities Hospital Strategic Planning Board Retreat. Not only did I have the opportunity to enjoy a real New York bagel, but I also met some wonderful, hardworking more »


Discussing the Key to Quality with The Governance Institute

The venerable Greenbrier Hotel is often referred to as America’s Hotel. Nestled in the mountains in White Sulphur Springs, West Virginia, it is famous on several levels. First, it is a hotel visited by virtually every U.S. President since Truman.In the early 1990s, the existence of an underground bunker suitable to accommodate both houses both more »


A National Quality Strategy—FINALLY

For persons like me, the recent debut of the National Strategy for Quality Improvement in Health Care, and the subsequent release of the Partnership for Patients, is an amazing confluence of events with roots deep in the quality and safety movement. The National Strategy, released in late March 2011 calls for sweeping changes in the more »

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