This weeks’s photographs come from San Francisco’s Legion of Honor, which is currently hosting and exhibition of Annie Leibovitz’s photographs. I came here because this was the suggested venue for a walking meeting with Sophia Chang, MD, MPH, one of my advisors at California Healthcare Foundation.

Besides the beautiful scenery, there was significant relevance to health care in the exhibit itself, which included photographs of Ms. Leibovitz’ father and her partner Susan Sontag’s last days. These included a haunting image of her parent’s living room, almost completely taken over by a hospital bed, and photographs that relayed the different ways they died, from the intensity of Susan’s fight to that of her father, who died at home, in the arms of his wife.

I am in California this week, and spending some time in the bay area following my visit to San Diego for Health 2.0. This photo celebrates another community that celebrates diversity, my favorite kind. You can see Sutro Tower in the background. Enjoy.

A few more interesting ideas in Health 2.0: Jay Parkinson, MD, in a video about his practice, invoked the work of Toyota Motor Company (smiley face) as a company that works to remove errors from processes.

The On Call Medical Group, like Jay, go to where the patients are - home or work, their true Gemba. I liked the comment about the fact that going patients’ homes allows physicians to assess patients’ capabilities and work with them collaboratively.

The patient filmed was judged not to have a high likelihood of strep infection, yet a culture was still drawn and antibiotics prescribed.

Panel moderated by David Kibbe, MD, from the American Academy of Family Physicians. Overall, it is great to see physicians interested in the art of medicine and able to equip themselves to do something different.

PCHIT links for November 15th through November 21st:

• Healthy San Francisco: - San Francisco starts a Medical Home program
• Nurture by Steelcase > Home - Work by Steelcase for a supportive health care environment
• EHRs Lack Features To Boost Patient Care, New York City Official Says -