Introduction

Despite decades of advancement in medicine, a troubling truth persists at the heart of healthcare systems globally:

  • 60% of care is delivered in alignment with evidence or guidelines.
  • 30% of health expenditure is wasted or delivers low value.
  • 10% of patients experience adverse events, including medication errors and avoidable harm.

This is not a new finding. It has remained largely unchanged for over three decades (Braithwaite 2020).  While medical technologies have leapt forward and policy frameworks have evolved, our approach to managing and leading healthcare delivery has remained stagnant.

At the same time, healthcare professionals are burning out (Heart 2020), patients are increasingly overwhelmed, and leaders are struggling to navigate rising complexity(Braithwaite 2018). Clearly, it is not a lack of knowledge. It is a lack of systems thinking and effective transformation.

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Why Traditional Improvements Fall Short

Despite having mountains of guidelines, best practices, and clinical protocols, transformation is rare. We continue to:

  • Manage people in silos.
  • Focus on short-term fixes over long-term system design.
  • Rely on overworked individuals instead of designing better processes.

That is why I am launching a movement to improve these numbers by focusing not just on what we do, but how we think about healthcare systems.

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A Call to Align for Excellence

We believe transformation begins when we align for excellence—reframing healthcare delivery through a systems lens. That means:

  • Reducing burnout for healthcare providers
  • Empowering patients to participate in their care
  • Ensuring care is equitable, efficient, and accessible

This vision is not something one person or organization can achieve alone. We need a movement. A community. A collective commitment to lead differently.

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The System Synergy Series

To support this mission, we are launching five sets of book and practical tools designed to rethink and redesign healthcare. Each set of books will help healthcare practitioners and leaders move toward better systems, one layer at a time.

The Five Series for Transformation are:

  1. Catalysts – Explores today’s healthcare challenges and the forces shaping the future.
  2. The New Frontier – Offers methods and step-by-step playbooks for driving systemic change.
  3. Thrive – Addresses burnout and well-being, helping providers flourish in pursuit of excellence.
  4. System Synergy – Focuses on improving the effectiveness and business model of care delivery.
  5. New Horizons – Encourages visionary thinking about what healthcare delivery can become.

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Join the Movement

If you are a healthcare professional, innovator, leader—or simply someone who cares deeply about making healthcare better then this is your invitation.
We believe that by thinking systemically, we can design services that deliver more quality, less waste, and less harm. And we can do it with greater humanity.

Join the Co-Create Care movement.

→ Facebook Group: Aligning for Excellence
→ Community Link – Meetup Discussions @ AI in Practice  (Our Fortnightly Online forum for live discussions)

Together, we can shape a future where healthcare isn’t just sustainable—it’s remarkable.

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Reference list

Braithwaite, J. (2018). Changing How We Think about Healthcare Improvement. BMJ, [online] 361(361). doi:https://doi.org/10.1136/bmj.k2014.

Braithwaite, J., Glasziou, P. and Westbrook, J. (2020). The Three Numbers You Need to Know about healthcare: the 60-30-10 Challenge. BMC Medicine, [online] 18(1). doi:https://doi.org/10.1186/s12916-020-01563-4.

Hert, S.D. (2020). Burnout in healthcare workers: Prevalence, impact and preventative strategies. Local and Regional Anesthesia, [online] 13(13), pp.171–183. doi:https://doi.org/10.2147/lra.s240564.

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