Listening to Meg Hutchinson radio this morning on Pandora, sipping coffee, and enjoying the start to the long weekend, I contemplate life after my stint as CEO at Hilltown Community Health Center. In my years at the health center, I focussed on improving the infrastructure to support a more efficient operation and one that would improve patient safety. Hence, the introduction of an EMR, for example. I also worked hard to be as transparent as possible in corporate decision making, budgeting, and strategic planning. And although I made some progress on these issues, largely, I am leaving the health center pretty much the way I found it–a sleepy, backwater of a place reluctantly finding itself in the 21st century–dressed in 19th century clothing. You get the feel in the place that the technology, the transparency, the patient-centered medical home systems put in to place are simply skin grafts that will ultimately be rejected by the host organism. I am disappointed.