Family physician, author, blogger, speaker, physician leader.

Recent Articles

Why Future Accountable Care Organizations Will Come from Start-ups

With Obamacare and creation of health insurance exchanges, many believed that health insurers would compete for patients much the same way hotels, rental cars companies, and airlines compete for customers. By comparing identical benefits packages from different insurers, patients could select their insurer based on the monthly premium and the extent of the hospital and physician network. In a recent Vox article, Erza Klein urged insurers do ”something like Southwest Airlines: low prices, narrow networks, exceptional customer service, and not much else”.  Klein believes insurers don’t have the tools necessary to meaningfully impacting a patient’s long-term health and avoidance of costly medical complications that would justify the upfront costs of prevention and treatment if a patient simply switched to a different insurer the following year. To Succeed in Health Care Own Every Touch Point The problem with Klein’s premise is that unlike insurers, Southwest Airlines can ensure an exceptional customer experience because […] Read More »

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Why Captain Chesley “Sully” Sullenberger Would Have Been a Great TPMG doctor

One of my roles as an Elected Representative for the Roseville Medical Center was to write monthly newsletters to inform and update colleagues about changes both internal and external to Kaiser Permanente. I’d also pen original pieces which highlighted themes I felt were critical for our organizational success in becoming the model for health care in the nation. This one is from the August 2010 Elected Rep Newsletter. It is still one of my favorites. I recently read Highest Duty: My Search for What Really Matters by Captain Chesley “Sully” Sullenberger, the pilot of US Airways Flight 1549, forever known as the Miracle on the Hudson, to learn more about aviation safety and see if there were parallels to patient safety. What I learned was far greater. Doctors and the healthcare industry have opportunities to do much better beyond just patient safety. The reason he and his flight crew were […] Read More »

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ICYMI – In Case You Missed It – June 2016 – for Physicians and Physician Leaders

“Rather than going into all of this thinking, I can be anything I want to be, the approach you’re taking is I don’t know yet what I can become. You don’t know where any of this might take you; it’s not possible to know that now. But what you learn about yourself and what excites you won’t be abstract; it will be very concrete knowledge born of practical experience. Over time, you open up paths that you could not have imagined, out of which emerge options that you never would have seen before. Although we think that taking a rejuvenating weekend walk in the woods is how we reconnect with the world and with ourselves, this attitude leads us to greater disconnection from both. We need to think of our weekday life differently. The Way isn’t something we reach while walking in the woods on the weekend. It’s something we bring about actively through […] Read More »

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ICYMI – In Case You Missed It – May 2016 – for Physicians and Physician Leaders

“Rather than going into all of this thinking, I can be anything I want to be, the approach you’re taking is I don’t know yet what I can become. You don’t know where any of this might take you; it’s not possible to know that now. But what you learn about yourself and what excites you won’t be abstract; it will be very concrete knowledge born of practical experience. Over time, you open up paths that you could not have imagined, out of which emerge options that you never would have seen before. Although we think that taking a rejuvenating weekend walk in the woods is how we reconnect with the world and with ourselves, this attitude leads us to greater disconnection from both. We need to think of our weekday life differently. The Way isn’t something we reach while walking in the woods on the weekend. It’s something we […] Read More »

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Davis Liu, MD – Final Presentation to TPMG Board of Directors – May 15, 2014.

Here is my final presentation to the Board of Directors as at the brand new Kaiser Permanente San Leandro medical center – Thursday, May 15th, 2014. Like everything on this blog, the presentation is a reflection of my thoughts and I am solely responsible for the content. LIU-Final-Board-Presentation-5-2014-1 Introductory Remarks from Chairman of the Board, Chris Palkowski As many of you know, Davis will be exiting today as Roseville’s elected representative. Davis is leaving as the longest serving Roseville short-term director – three terms over nine years. I’d like to take this opportunity to not only as board chair but also a Roseville shareholder to thank Davis for a job well done. The directors here are very familiar with Davis’ presence in the board room. He is well prepared, he is on topic, his comments are insightful. This thoughts are often probing and thought provoking. He has consistently improved the […] Read More »

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