Joining me again for Episode #288 is Dean Gruner, MD, the recently retired CEO of ThedaCare, a health system in Wisconsin that has long been considered a worldwide leader in the practice of Lean in healthcare. Recently, in Episode #286, Dean shared his reflections on his work and ThedaCare's "Lean journey." Today, the topic is Accountable Care Organizations and other bigger-picture healthcare reform topics. Dean was also previously my guest in Episodes 119 and 144. I'm including a full transcript along with a three-page PDF summary, as I've been doing recently.