Hospitalist. Pediatrician. Healthcare improvement practitioner. Advocate for better health, less spending. Star Trek fan. My tweets don’t represent my employer.

Joined September 2016
So excited that the 10th Lean Healthcare Academic Conference has begun! #leanhealthcare #LHAC25
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I’m so excited to learn more about the 70 incredible posters at the Lean Healthcare Academic Conference at Stanford describing improvement work across three continents. We have made so much progress in the last 20 years. 📸 credit Karri Benjamin #LeanHealthcare @LeanAcademic
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Thanks so much Dr. Patel for starting off the 9th Lean Healthcare Academic Conference at Stanford on such an engaging note! It was thought provoking to consider so many diverse views on what the next generation of improvement in healthcare has in store for us? #LeanHealthcare
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Terry Platchek retweeted
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Pay close attention. This is a high school in San Francisco. Imagine being a Jewish child in this school.
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Elsevier is losing editors
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Cigna uses an automated system that allows “medical directors” (doctors employed by @Cigna) to deny a claim in 1.2 seconds without opening the patient’s file. Please read this, share it, and help us (metaphorically) burn these companies to the ground.
Doctors at a major US insurance company deny tens of thousands of claims a month without even looking at patients’ files. “We literally click & submit,” a former Cigna doctor told @ProPublica & @Capitol_Forum. “It takes all of 10 seconds to do 50 at a time.” The inside story 🧵
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KOSHERSOUL by Michael W Twitty @KosherSoul is awarded Jewish Book of the Year by the Jewish Book Council @JewishBook !!!
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At NYCC in October I said on a panel that artists were getting more and more nervous about AI art. It’s only been two months and it feels like we’ve see insane/scary advancements in the tech. This “comic” doesn’t survive closer inspection, but what about in a year?
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Dr. Lauren Destino facilitating a star studded session on integrating the social and technical aspects of improvement. Thanks John Shook, Skip Stewart, Edgar Schein and Peter Schein. #LeanHealth
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Thank you Leilani Schweitzer (Patient Liaison @StanfordMed) for opening the #LeanHealth conference with your inspirational and moving keynote
Seán Paul Teeling from University College Dublin showing that we can improve together for all using patient and #FamilyCenteredCare at the Stanford Lean Healthcare Academic Conference (leanhealthatstanford.org)
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Delighted to be back at Stanford for the Lean Healthcare Academic Conference, and excited to learn from 200+ colleagues across 5 countries with my @UCSDHealth colleagues! leanhealthatstanford.org/
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A great start to the #Lean Healthcare Academic Conference at Stanford with multiple presentations on #HealthcareQuality and #HealthEquity – at Stanford, CA
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I forced myself to watch the police who could have interrupted the massacre of 19 young children and two teachers so I could see what a squad of heavily armed and well outfitted “good guys with guns” looks like - in reality. 1/3 statesman.com/story/news/202…
If there is a weapon so dangerous that a group of police officers, whose responsibility is saving children from being murdered, are too afraid to go up against a single person wielding it, that weapon should not be legal.
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After watching, how can anyone think there is any hope of improving our uniquely American problem - the use of weapons of war to regularly and repeatedly massacre children and others - without limiting access to weapons that can kill so many people so incredibly quickly? 2/3
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A platoon’s worth of police were paralyzed with fear for an hour because of one gun wielder while he used the gun to slaughter school children. They stood there with ballistic shields - listening to it happen! How is such a terrifying gun legal for civilian use? 3/3
So the Republican solution to children being massacred in schools is what? School based police squads didn’t work. Are we going for Army battalions next? I wish this weren’t partisan, but it is. Laws regulating guns have made a difference in other countries. They can here too!
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Can we look these data and have any question that assault weapons are the cause?
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