ruralhealth
7 entries
The pharmacy fraud case teaches a leadership lesson
A Queens pharmacist took $24.4M from Medicare. The system that let it run this long had a widening problem, not a fraud problem.
PHI that stays put is a product, not a policy
When raw health data never leaves the local node, compliance becomes the least interesting thing about it. The business case is bigger than the regulation.
Congress wants AI chatbot safety. Safety for whom?
Psychological safety is not a destination inside a team. It is the channel every other leadership construct travels through, and blocking it blocks everything.
Five hospitals got the AI. The question is who was in the room.
West Virginia just wired five rural hospitals for AI. Whether that technology adapts to the community depends on who shaped it first.
Safety is not the room. It is the door everyone uses.
Psychological safety is not a leadership goal. It is the channel every other construct travels through, and blocking it blocks everything else.
The circle you skipped is why the system stalled
Inclusive Adaptive Capacity explains why the fastest-adapting organizations are the ones that widened the circle before the crisis hit.
The patient record that never crossed a wire
PHI that stays on the local node is not just a compliance posture. It is the architecture of a durable business model.