Jack Cochran MD - The Doctor Crisis: How Physicians Can, and Must, Lead the Way to Better Health Care

Praise for The Doctor Crisis:

With a unique combination of poetic storytelling, technical mastery, and executive savvy, Dr. Jack Cochran and Charles Kenney offer a design and a call for the learning and leadership we urgently need in health care. In a terrain of political debate too often marked by confusion and reductionist claims, this book brings real wisdom and compassion. It is a must-read for those searching for a route to a new care system. Donald M. Berwick, MD, President Emeritus and Senior Fellow, Institute for Healthcare Improvement

The core of this compelling book is the true story of how a dedicated, passionate surgeon took on a leadership role to help turn around a struggling health care organization. Both practical and wise, The Doctor Crisis is a must-read for health care leaders everywhere. Cochran and Kenney have managed to capture the discipline and ordinariness of the many small actions and encounters that together produce dramatic organizational change. Amy C. Edmondson, Novartis Professor of Leadership and Management, Harvard Business School, and author of Teaming

In this time of tumultuous change, physicians have great challenges and wonderful opportunities. Cochran and Kenney effectively make the case for physicians to lead delivery system change, and clearly and persuasively show how physician leadership will be a critical success factor as we build a better health care system for our patients and our communities. Gary S. Kaplan, MD, Chairman and CEO, Virginia Mason Health System

The evidence is overwhelming that the American medical system is broken, yet few people have offered the wisdom, grit, and optimism to see a better future and reach for it. Cochran and Kenney have done just that. With extraordinary humanity and solid data, they remind all of us that status should not be confused with leadership. Each of us must learn from other disciplines, live with purpose and transparency, and make sure the joy in medicine is sustained for the next generation. Nancy L. Snyderman, MD, FACS, NBC News Chief Medical Editor, and Associate Clinical Professor, Head and Neck Surgery, University of Pennsylvania

Jack Cochran uses his personal experiences to draw important lessons for fundamentally transforming the US health care system. Because failure is truly not an option and the issues transcend mere money to encompass human life and well-being, everyone should read and heed Cochrans profound wisdom. Jeffrey Pfeffer, Professor of Organizational Behavior, Graduate School of Business, Stanford University

A compelling portrayal of why physicians must lead and show the way to transformative change in health care. This book should be read by every physician who has lost hopeor is losing hopein achieving professional fulfillment. Dennis S. OLeary, MD, former President, The Joint Commission

Jack and Charles have written an inspiring piece that illustrates the personal and professional attributes that physicians and health care workers today must embody in order to improve the quality of patient care and to lead innovation within an all-too-fragmented health care service. Textured with moving vignettes from patients and the clinical community, The Doctor Crisis challenges physicians to stand up and lead, to take action, and to prioritize learning and evidence-based medicine. Professor the Lord Ara Darzi, PC, KBE, FRS, Paul Hamlyn Chair of Surgery and Chair of The Institute of Global Health Innovation, Imperial College London

The vision is compelling and provocative, that physicians and other clinicians should work together to be healers-leaders-partners. The authors compel us with the new work, and also enable us with a rich array of stories, examples, and tools to guide our own personal journeys of growth. Maureen Bisognano, President and CEO, Institute For Healthcare Improvement

I have often been inspired by seeing firsthand in Colorado and other places how Dr. Jack Cochran and a great team of physician leaders transformed health careand I am inspired by the many examples and stories which illustrate how they got started and how they ended up transforming care in a fundamental way. Like many others, I often asked Jack whether he could write these powerful examples down. With Charles Kenny, Jack Cochran has done a fantastic job at preserving the narrative of captivating events as they occurred, while at the same time drawing helpful lessons for system leaders and policy makers alike. A great read for anyone involved in making healthcare better! Nicolaus Henke, Global Leader of McKinseys Healthcare Practice, London

Copyright 2014 by The Kaiser Permanente Foundation.

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Library of Congress Cataloging-in-Publication Data

Cochran, Jack, author.

The doctor crisis / Jack Cochran, Charles C. Kenney.First edition.

p. cm.

Includes index.

ISBN 978-1-61039-444-4 (electronic)

I. Kenney, Charles, author. II. Title.

[DNLM: 1. Delivery of Health Careorganization & administrationUnited States. 2. Burnout, ProfessionalUnited States. 3. Health Care Reformorganization & administrationUnited States. 4. Patient-Centered Careorganization & administrationUnited States. 5. Physicians RoleUnited States. 6. Practice Management, Medicalorganization & administrationUnited States. W 84 AA1]

RA971

362.1068dc23

2013049312

First Edition

10 9 8 7 6 5 4 3 2 1

Dedication from Jack Cochran, MD

To the Cochran Boys,

Ryan and Taylor

the Lights of my Life...

Recognizing the beauty and grace of father and son

relationships with heartfelt gratitude

for the time this life grants us together

Dedication from Charles Kenney

This book is dedicated to the memory of my beloved son

Charles F. Kenney

19872012

Belmont Hill School, 2006

Brown University, 2010; Captain, Brown Lacrosse, 2010