What Better Requires
Better requires measurement you are willing to be wrong about
Most improvement programs measure what is easy to defend. The useful metric is usually the one that could embarrass you.
July 29, 20266 min readDemo content
Column topic
Leadership
What decision-making, accountability, and standard-setting actually look like when the stakes are clinical.
2 essays · page 1 of 1
What Better Requires
Better requires an owner, not a committee
Shared accountability is usually a polite way of saying no one is accountable. Naming an owner is the cheapest improvement available.
July 17, 20265 min readDemo content
Technology
Tools, automation, and AI — judged by whether they make the work better, not faster to sell.
1 essay
Systems
The structures, workflows, and incentives that quietly decide the quality of care.
1 essay
Culture
How teams talk about mistakes, measurement, and progress when nobody is watching.
1 essay
People
Careers, supervision, and the human cost of models built on optimistic assumptions.
1 essay
ABA
Essays anchored specifically in the practice and profession of applied behavior analysis.
1 essay