In our last post of 2015, PCP president and founder Andrew Morris-Singer sends us off with a call for leaders that focus on the "who" not the "what" of change in the health care system.
By Andrew Morris-Singer, M.D.
Saul Alinsky, a founder of modern community organizing, once wrote of his activist contemporaries, “They have no illusions about [the problems of] the system, but plenty of illusions about how to change [the system].” It pains me to say this, but one could argue this is also true in contemporary efforts to transform health care. We’re all quite aware of the challenges of physician-centric, fee-for-service delivery models that lack transparency or accountability. Yet research shows that collective efforts to shift from this system through changes in policy, reimbursement, procedure and education are failing up to 75 percent of the time. What’s more, our profession seems to be running out of steam, likely a product of both the inherent dysfunction of the system and the unintentional consequences of sub-optimally planned quality improvement strategies. Bottom line: our change-making mojo seems to be missing something. Specifically, a focus on the who
of change; the people whose individual and collective behavior will need to shift to achieve our grand health care visions.