In my pursuit to help others I only had time for myself. In my desire to do something wonderful I created a mess. In my confidence I built a fortress of facades.

What does it mean to have quality healthcare? In the 1990s the Institute of Medicine (IOM) defined six elements of quality care. 1. Safe—avoiding injuries to patients from the care that is intended to help them. 2. Effective—providing services based on scientific knowledge to all who could benefit and refraining from providing services to those…

He doesn’t live in a garbage can on Sesame Street, he lives in our accounts receivable and accounts payable office. Let’s set the stage. Cookies have been selling like MAD. We are buying more from our suppliers than ever before. And since we’ve worked with a few of them for a while we don’t start…

Remember that cookie manufacturer we started a while ago? Good news, business has taken off and people can’t get enough of the cookies! We’re thinking of expanding into retail stores. But there are a million retail stores, which we have no existing relationship with, and the transportation and storing of our cookies that we have…

Divots, bumps, collisions. All signs of friction. All opportunities for growth.