Grow, Innovate, FunTumblr (3.0; @jmradventure)http://www.jmradventure.com/Winding down from the trip to Ecuador. Very impressed with the family docs there .. and with the...<p>Winding down from the trip to Ecuador. Very impressed with the family docs there .. and with the many opportunities for collaboration</p>http://www.jmradventure.com/post/86729307http://www.jmradventure.com/post/86729307Sun, 15 Mar 2009 16:31:52 -0400Leaving cleveland for Washington DC<p>Leaving cleveland for Washington DC</p>http://www.jmradventure.com/post/86277812http://www.jmradventure.com/post/86277812Fri, 13 Mar 2009 19:37:37 -0400Making our way home today. Lost my Ipod somewhere in Houston :-( … Quito airport was quiet @...<p>Making our way home today. Lost my Ipod somewhere in Houston :-( … Quito airport was quiet @ 0345 when we arrived there this AM.</p>http://www.jmradventure.com/post/86260310http://www.jmradventure.com/post/86260310Fri, 13 Mar 2009 18:37:14 -0400Innovation, Prioritization<p>Yesterday’s meetings with the physicians brought up a common there that we see in the US as well. One person’s top priority may not the same as another’s. For example - the dysfunctional computer system in the hospital requires the residents to enter the same data in no fewer than three places (paper or computer) during the patient’s hospital stay. But the residents are salaried physicians whose time has already been paid for. There is no incentive for the institution to make their days more efficient.</p> <p>Is patient safety a priority? Big question. So far - it seems like it’s secondary to physician efficiency and compensation issues. Sad commentary - eh?</p> <p>We talked about the simple method I sometimes use for prioritization: P = V/W where Priority = Value / Work.</p> <p>The key question is .. Whose VALUE? (clinic, hospital, doctor, patient) and Whose WORK ($)? (doctor, hospital, nurse, patient).</p> <p>Are comments broken or are all of you just afraid to say anything?</p>http://www.jmradventure.com/post/85859260http://www.jmradventure.com/post/85859260Thu, 12 Mar 2009 12:45:49 -0400Waterfall<img src="http://25.media.tumblr.com/symwIq7cCkyo6y01Yn3yox1co1_250.jpg"/><br/><br/><p><b>Waterfall</b></p>http://www.jmradventure.com/post/85767991http://www.jmradventure.com/post/85767991Thu, 12 Mar 2009 03:35:32 -0400Zambiza baby<img src="http://26.media.tumblr.com/symwIq7cCkyo6x56mtkvbMTmo1_250.jpg"/><br/><br/><p><b>Zambiza baby</b></p>http://www.jmradventure.com/post/85767988http://www.jmradventure.com/post/85767988Thu, 12 Mar 2009 03:35:31 -0400Waterfall - Ruth<img src="http://26.media.tumblr.com/symwIq7cCkymd7b8UpJyWI77o1_250.jpg"/><br/><br/><p><b>Waterfall - Ruth</b></p>http://www.jmradventure.com/post/85760041http://www.jmradventure.com/post/85760041Thu, 12 Mar 2009 02:44:25 -0400DSCN1918<img src="http://25.media.tumblr.com/symwIq7cCkymd6jjDWgpqSUjo1_250.jpg"/><br/><br/><p><b>DSCN1918</b></p>http://www.jmradventure.com/post/85760040http://www.jmradventure.com/post/85760040Thu, 12 Mar 2009 02:44:23 -0400Waterfall<img src="http://26.media.tumblr.com/symwIq7cCkymd5nd40kSj4Jdo1_250.jpg"/><br/><br/><p><b>Waterfall</b></p>http://www.jmradventure.com/post/85760035http://www.jmradventure.com/post/85760035Thu, 12 Mar 2009 02:44:22 -0400Banos<img src="http://27.media.tumblr.com/symwIq7cCkymd4vaOJt89kd1o1_250.jpg"/><br/><br/><p><b>Banos</b></p>http://www.jmradventure.com/post/85760031http://www.jmradventure.com/post/85760031Thu, 12 Mar 2009 02:44:21 -0400Banos<img src="http://27.media.tumblr.com/symwIq7cCkymd40tzWVVWUM2o1_250.jpg"/><br/><br/><p><b>Banos</b></p>http://www.jmradventure.com/post/85760030http://www.jmradventure.com/post/85760030Thu, 12 Mar 2009 02:44:20 -0400Jacob near fake equator<img src="http://29.media.tumblr.com/symwIq7cCkymd39mQm0mYTPDo1_250.jpg"/><br/><br/><p><b>Jacob near fake equator</b></p>http://www.jmradventure.com/post/85760028http://www.jmradventure.com/post/85760028Thu, 12 Mar 2009 02:44:19 -0400Jacob @ fake equator<img src="http://24.media.tumblr.com/symwIq7cCkymd2grVWNtDPf3o1_250.jpg"/><br/><br/><p><b>Jacob @ fake equator</b></p>http://www.jmradventure.com/post/85760027http://www.jmradventure.com/post/85760027Thu, 12 Mar 2009 02:44:18 -0400Jacob @ fake equator<img src="http://27.media.tumblr.com/symwIq7cCkymd1r0w2999Jq5o1_250.jpg"/><br/><br/><p><b>Jacob @ fake equator</b></p>http://www.jmradventure.com/post/85760024http://www.jmradventure.com/post/85760024Thu, 12 Mar 2009 02:44:17 -0400Molly @ fake equator<img src="http://24.media.tumblr.com/symwIq7cCkymd0zwFDfLVbOEo1_250.jpg"/><br/><br/><p><b>Molly @ fake equator</b></p>http://www.jmradventure.com/post/85760022http://www.jmradventure.com/post/85760022Thu, 12 Mar 2009 02:44:16 -0400Molly @ fake equator<img src="http://26.media.tumblr.com/symwIq7cCkymd0a3m7Wc2cOKo1_250.jpg"/><br/><br/><p><b>Molly @ fake equator</b></p>http://www.jmradventure.com/post/85760019http://www.jmradventure.com/post/85760019Thu, 12 Mar 2009 02:44:15 -0400Molly @ fake equator<img src="http://28.media.tumblr.com/symwIq7cCkymcyy8dqoyatqLo1_250.jpg"/><br/><br/><p><b>Molly @ fake equator</b></p>http://www.jmradventure.com/post/85760015http://www.jmradventure.com/post/85760015Thu, 12 Mar 2009 02:44:14 -0400Molly @ fake equator<img src="http://28.media.tumblr.com/symwIq7cCkymczluCgO6drj1o1_250.jpg"/><br/><br/><p><b>Molly @ fake equator</b></p>http://www.jmradventure.com/post/85760018http://www.jmradventure.com/post/85760018Thu, 12 Mar 2009 02:44:14 -0400Touristic Train<img src="http://28.media.tumblr.com/symwIq7cCkymcy5qWlh81VaDo1_250.jpg"/><br/><br/><p><b>Touristic Train</b></p>http://www.jmradventure.com/post/85760013http://www.jmradventure.com/post/85760013Thu, 12 Mar 2009 02:44:13 -0400Let’s go to the REAl Equator!<img src="http://30.media.tumblr.com/symwIq7cCkymcxbkH0feUH5Lo1_250.jpg"/><br/><br/><p><b>Let’s go to the REAl Equator!</b></p>http://www.jmradventure.com/post/85760009http://www.jmradventure.com/post/85760009Thu, 12 Mar 2009 02:44:12 -0400