Lexicon of Value “Bad Fit” A situation where the employee cannot or will not generate the value required by their boss—usually arising out of an incomplete understanding by the employee of the true nature and role of their employment. e.g. “Dr. Smith was a bad fit. She couldn’t see the number of patients every day that she needed to.” e.g. “Dr. Jones was a bad fit. he...
Read MoreThe Lexicon of Value The Law of the ATOM* An immutable and all-powerful truth. Whenever anything becomes too expensive relative to the value provided, particularly if the inflated price is the result of artificial government intervention in markets, a technological solution invariably replaces the expensive, cumbersome incumbent, no matter what the incumbent’s advantages in money and influence. And the incumbent invariably meets the technologic solution with the same series of defensive...
Read MoreGotcha Guidelines noun. Clinical guidelines developed by part-time and non-clinicians that are unworkable in a practical environment. Created out of bureaucratic processes rather than outright malice, they ostensibly address an “urgent problem” or drifting metric identified at a higher level, usually far removed from actual clinical practice, and are often crafted with the “help” of “clinical committees,” lending an imprimatur of clinical respectability. In the advent of an adverse clinical, business or regulatory outcome, they enable the...
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