• Changing Leaves, Changing Names

    Changing Leaves, Changing Names

    Posted Tuesday, October 28, 2014 by Kate Guare

    Pumpkin spiced lattés, warm apple crisp, the return of sweater weather… these are just three of the reasons why fall is my favorite season.

    There are lots of things about this time of year that signify transition to me. When September rolls around, it’s back-to-school time. Even though ...

  • Beyond the Dust of This Planet

    Beyond the Dust of This Planet

    Posted Tuesday, October 7, 2014 by Jim Kupel

    A recent trip to Tokyo reminded me that getting outside of one’s country is one of the best ways to improve our understanding of it. 

    With the backdrop of being in a densely populated city, on an island, amid global climate change with a volcano erupting, I could have ...

  • The Industrial Maginot Line and Lessons from Gordon Gekko

    The Industrial Maginot Line and Lessons from Gordon Gekko

    Posted Tuesday, September 16, 2014 by Scott Good

    I have been on a plane an inordinate amount of time this summer. Typically I don’t travel too much, but the past six to eight months, I think I’ve spent more time in a jet seat than my living room sofa. It has been a mixed blessing in ...

  • Is It Time to Reboot Your System?

    Is It Time to Reboot Your System?

    Posted Tuesday, September 2, 2014 by Beth Austin

    I recently had dinner with a friend that I hadn’t seen in a while. During the conversation he asked me what I had done over the summer. I had to think about it for a moment.  I finally replied, “I ran.”

    I was a little surprised at my response ...

  • Why I'm Breaking Up With My Desk Chair

    Why I'm Breaking Up With My Desk Chair

    Posted Thursday, August 21, 2014 by Kate Guare

    One of the perks of working in downtown Portland is having lots of great places to walk and explore. Unfortunately – despite my best intentions – I’ve spent the majority of my time this summer getting acquainted with my desk chair.

    My job (like many of others out there) requires me ...

  • Bread upon the Waters

    Bread upon the Waters

    Posted Tuesday, August 12, 2014 by Scott Good

    A friend of mine is a community development emissary and his wife is a nurse in Liberia - not the best place in the world to be right now given the Ebola virus outbreak. When I talked with him recently he described in detail the widespread death and how everything is ...

  • Replacing Mr. Information

    Replacing Mr. Information

    Posted Tuesday, August 5, 2014 by Jim Kupel

    There’s a guy I know whose friends used to call him Mr. Information. Naturally curious, an intellectual omnivore and some would say a storehouse of factoids. Great to have on trivia team, Mr. Information could be called for a quick answer to most any question.

    I thought of Mr ...

  • Not Quite Anywhere

    Not Quite Anywhere

    Posted Tuesday, July 29, 2014 by Beth Austin

    My grandmother recently went into hospice care. At 94, she has lived a longer, richer life than probably most of us will ever hope to. Given the nature of our work, end of life care is not a topic I’m unfamiliar with. Initially, I spent a lot of time ...

  • Putting the “Social” Back in Social Media

    Putting the “Social” Back in Social Media

    Posted Wednesday, July 23, 2014 by Kate Guare

    The average smartphone user checks Facebook 14 times a day. That boils down to a half hour spent scrolling the Newsfeed for your friends’ status updates. And that’s just Facebook. What about the time we spend Instagramming, tweeting, and pinning? As we spend more and more time in front ...

  • Event Horizon, Healthcare Wikis and Long Term Care in America

    Event Horizon, Healthcare Wikis and Long Term Care in America

    Posted Tuesday, May 6, 2014 by Jim Kupel

    Before we struggle with aging and the event horizon, it is important to have a talk about wikis and acknowledging other's great ideas. It is plagiarism to draw extensively from another's work without giving proper credit. This ethic is increasingly important in the digital age when it is ...

  • Beyond The Zero Sum Game

    Posted Tuesday, April 22, 2014 by Jim Kupel

    Competitive advantage came up in a call last week with a colleague who has been building large successful software projects. I agreed that we want our approach to "win" in the marketplace, but pointed out that in this segment there is room for more than one approach.  He seemed taken ...

  • When Rules Get in the Way of Good Time

    Posted Tuesday, April 8, 2014 by Scott Good

    The healthcare environment is changing rapidly and compelling good people at great community service and healthcare organizations to collaborate. For instance, the Institute for Healthcare Improvement (IHI) is working with several programs across the U.S. to develop and implement Triple Aim goals to improve community health, enhance patient experiences ...

  • How to Get Started with Instagram: Lessons Learned from the Maine State Ballet

    Posted Tuesday, April 1, 2014 by Kate Guare

    For my very first Crescendo blog post, I'm excited to write about two things that are very close to my heart: ballet and Instagram. It might sound like an odd combination... but trust me, they're more alike than you think.

    I started dancing with the Maine State Ballet ...

  • Being Barbra Streisand

    Posted Tuesday, March 25, 2014 by Beth Austin

    Here's a secret about me: I love to sing. As a kid I sang in pageants and things, but for the last 30-plus years, my efforts have been limited to shower engagements and - much to the dismay of my family members and neighbors - singing along with my iPod at ...

  • Mission and the Triple Bottom Line

    Posted Wednesday, March 19, 2014 by Jim Kupel

    When I helped John Eldredge, Drew Cheney and others start the Maine Chapter of Businesses for Social Responsibility (now known as Maine Businesses for Sustainability) we spoke a lot at the time of the “dual bottom line” – the idea that your business can “do well by doing good.”

    Michael Porter ...

  • "Covering" Winter Sports

    Posted Thursday, January 30, 2014 by Scott Good

    There are some similarities between choosing which Olympics events to watch and selecting healthcare coverage.  The XXII Winter Olympic Games open February 7. Probably like the middle-of-the-bell-curve viewer, I will eagerly watch a few select general interest sports like ice hockey and the Nordic events and watch a few out ...

  • Patients & the New World of Healthcare, Part 1: PCOR

    Posted Thursday, August 15, 2013 by Beth Austin

    Today's turbulent healthcare environment has brought a great deal of scrutiny on insurers, provider/delivery systems, and the general business of healthcare. In a system poised for major change, America's healthcare consumers will have important new choices and an evolving need for education. In this first of a ...

  • Doubling Down

    Posted Monday, August 5, 2013 by Scott Good

    In previous blogs, I have written about Community Health Needs Assessments (CHNAs) and the challenges of meeting regulatory demands in a way that uses resources wisely – offering some methodological details and keys to success. The implementation planning mandate (and the linkage to the IRS Schedule 990H) is an opportunity to ...

  • Human Rights Issues: Under-reported, Unseen, Unresolved

    Posted Thursday, June 20, 2013 by Beth Austin

    by Jordan Rowe


    As a society, the United States has come a long way. Many civil and human rights issues have been advanced in recent history, but in some areas, we have a long way to go.

    My lack of awareness of an important human rights issue came to my ...

  • Health, Personal Change and My Blockbuster Drug

    Posted Monday, April 8, 2013 by Jim Kupel

    Health coaches or navigators are a great idea – and one that has demonstrated results.  But implicit in Scott’s recent blog is the idea of personal change.  A navigator may get to know the patient’s personal and health goals, help identify barriers (e.g., childcare, transportation, family issues, and ...