Donna Harvin‑Graham, MBA
Is this your author page?
Make it work for you. Your KevinMD author page is one of the highest-ranking results for your name. An enhanced author page turns this page into a premium profile with your photo, biography, affiliations, publications, and links, publishes your accepted articles in 1 to 3 days, includes a listing in Experts by KevinMD, and comes with a guaranteed interview on The Podcast by KevinMD. See an example · See the enhanced author page → Cancel anytime.
Latest articles
Patient voices
In most medical practices, daily operations rely on a familiar routine. Information moves between teams as appointments begin, and direct care continues alongside the administrative tasks that support it. These processes were designed years ago, built around historical demands and…
In most medical practices, daily operations rely on a familiar routine. Information moves between teams as appointments begin, and direct care continues alongside the administrative tasks that support it. These processes were designed years ago, built around historical demands and earlier models of care delivery. As patient needs change and clinical pressures grow more complex, the supporting systems beneath them do not always keep pace. Gaps begin to appear in …
Read more…
Improving patient access starts with board governance
Conditions and diseases
Waiting rooms reveal more than we often acknowledge. The clock can feel louder than the conversation, and patients quietly rehearse their symptoms after weeks of waiting, hoping they will not forget something important. Clinicians enter exam rooms carrying not just…
Waiting rooms reveal more than we often acknowledge.
The clock can feel louder than the conversation, and patients quietly rehearse their symptoms after weeks of waiting, hoping they will not forget something important. Clinicians enter exam rooms carrying not just the backlog of delays but the accumulated strain of navigating a system that rarely moves in step with the care they are trying to deliver.
These moments are not rare; they are …
Read more…
Why patient access breaks before staffing does
Conditions and diseases
In every operational environment I have worked in, labor is visible. It is assigned, measured, and supported. Health care is the only sector where the system routinely generates work it does not staff, does not track, and does not claim.…
In every operational environment I have worked in, labor is visible. It is assigned, measured, and supported. Health care is the only sector where the system routinely generates work it does not staff, does not track, and does not claim. Instead, that work is absorbed by patients, clinicians, and caregivers who carry it because the alternative is delay or failure. This quiet transfer of labor is what I call the …
Read more…
The silent burden in health care and administrative waste
Conditions and diseases
As health systems move into the 2026 fiscal year, CFOs and hospital boards have already approved their operating budgets. Capital is set aside for oncology expansions, MRI upgrades, and EHR enhancements. Revenue projections are built on patient volume, reimbursement assumptions,…
As health systems move into the 2026 fiscal year, CFOs and hospital boards have already approved their operating budgets. Capital is set aside for oncology expansions, MRI upgrades, and EHR enhancements. Revenue projections are built on patient volume, reimbursement assumptions, and clinical trial enrollment targets.
On paper, the math works. The P&L looks stable.
After more than 20 years in enterprise operations and financial systems, I know budgets fail long before the …
Read more…
The Silent Variance: How patient friction destroys health care revenue
Real physician voices, twice a week
Free, and one click to unsubscribe.
