Insights

Latest Insights

Thoughtful essays and practical guidance for hospital leaders navigating complex decisions.

AI-facilitated constraint resolution for healthcare systems

How AI can dissolve complex multi-stakeholder conflicts by surfacing hidden assumptions, not by replacing human judgment.

February 9, 2026

Decision-ready beats presentation-ready

A framework for turning complex inputs into choices stakeholders can act on.

January 15, 2026

How to align teams on the minimum dataset

Practical steps for establishing shared facts before debating solutions.

January 8, 2026

Short cycles, real outcomes

Why small, measurable releases outperform big-bang delivery.

December 20, 2025

The post-acute care plan: a proactive approach to discharge readiness

A concept for addressing the complex discharge problem at its source—by capturing discharge-relevant information during routine primary care, before any hospitalization occurs.

December 15, 2025

Is non-value-added work really neutral? Rethinking value in Lean

A reflection on Lean's definition of value, arguing that no work is neutral—activities either create value, enable it through necessary conditions, or subtract it as waste.

October 1, 2025

Six chronic healthcare frustrations — long wait times, expensive insurance, claim denials, hiring difficulties, tax levies, and burnout — traced to a single root cause using Theory of Constraints analysis.

September 17, 2025

Why burnout persists

Healthcare protects staff from radiation but expects unlimited psychological trauma absorption. This four-part series maps the structural conflict behind provider burnout using Theory of Constraints and proposes systemic solutions beyond resilience training.

September 14, 2025

Speed as a strategy

Why moving fast is an undervalued strategic advantage for community hospitals.

September 9, 2025

The discharge trap

Hospital discharge planning fails because it treats a complex logistics problem as a last-minute task. This three-part series introduces the Post-Acute Care Directive — moving planning from the hospital bed to the primary care clinic.

September 4, 2025

Hidden conflicts in healthcare

Give me any healthcare policy document and I will show you embedded structural conflicts. A real hospital financial assistance policy analyzed using Theory of Constraints to reveal three critical dilemmas and paths to resolution.

August 31, 2025

Stop blaming people

Why blame cultures destroy healthcare organizations and how to build accountability instead.

August 21, 2025

The burnout antidote: voice agents transform healthcare's most painful conversations

Discover how voice agents transform healthcare's most painful conversations by removing emotional friction from insurance claims, patient billing, and administrative battles that burn out staff and traumatize patients.

August 17, 2025

Meet Ann: the voice agent transforming property management

Discover how Ann, an intelligent voice agent, revolutionized property management by shielding managers from tenant hostility while improving service quality and tenant satisfaction.

August 15, 2025

Voice agents: the business phone you've been waiting for

Discover why investing in a voice agent makes as much sense as your cell phone plan. Same familiar investment model, same monthly costs, but with 24/7 AI assistance that transforms your business operations.

August 15, 2025

Architecting hospital care

Why an outsider's perspective is a healthcare system architect's greatest asset — how decades in embedded systems engineering, Theory of Constraints, and AI provide a different lens on hospital operational challenges.

August 9, 2025

Transform your website with AI voice agents: 24/7 engagement for small businesses

Discover how AI voice agents can transform your small business website by providing 24/7 customer engagement, multilingual support, and improved conversion rates.

April 29, 2025

Improve your online meetings with Fathom note taking software

Discover how Fathom AI Note Taker transforms virtual meetings by automating transcription, highlighting key points, and generating instant summaries.