Our aim is to become the catalyst for applying Polarity Thinking™ throughout the healthcare industry
— Tracy & Michelle

What exactly is the “missing logic”?  This hidden insight is revealed when problem-solving strategies are combined with the complementary skill of polarity management. Since polarities are pairs of values that appear to be opposite, but are actually interdependent, having a perspective that encompasses the entire dynamic becomes critical for sustainable outcomes. When chronic problems exist, it is an indication that polarities are present and that they are not being managed.  Applying a polarity mindset to these challenges enables individuals and leaders to identify, assess and manage the tension on both sides of a polarity.  Our goal is to stop the insanity of attempting to solve chronic problems by only addressing one side of the issue, or seeing only half of the picture.   

We partner with healthcare organizations to achieve and sustain the Quadruple Aim by managing the polarities that exist within all four quadrants.

The Triple Aim cannot be fully realized without focusing on the well-being of clinicians, as well as patients.  The Triple Aim – enhancing patient experience, improving population health, and reducing costs - has been the foundation of the U.S. Affordable Care Act (ACA), and adopted as a framework by many healthcare organizations.  What has emerged, as a result of the focus on these three aims, is how important it is to balance the needs and experiences of patients with those of the clinicians to reduce burnout and to improve clinician well-being. (From Triple to Quadruple Aim: Care of the Patient Require Care of the Provider by Bodenheimer & Sinskey, 2014).

Each quadrant of the Quadruple Aim has multiple polarities that must be intentionally managed in order to achieve the overall goal to transform healthcare.  Below are some examples of Quadruple Aim polarities:

Improving Clinician Well-Being

Work & Home

Activity & Rest

Self & Others

Conditional & Unconditional Respect

Reducing healthcare    Cost

Mission & Margin

Tradition & Innovation

Payer & Provider

Individual & Organizational Accountability

Improving Population Health

Local & Global

Competition & Collaboration

Onsite & Continuum of Care

Individual & Population-Based Care

Enhancing the Patient Experience

Standardized & Individualized Care

Collaborative Practice & Interprofessional Education

Practice & Technology

Direct & Shared Decision-Making


If polarities are present but not identified and managed over time, it is 100% predictable that the time, resources and money invested will result in unsustainable outcomes.  

We are passionate about the health and well-being of clinicians.  

Patients will not receive the best care possible without clinicians being balanced and resilient (the 4th Aim of the Quadruple Aim). MissingLogic has committed to reverse clinician burnout and promote clinician well-being by joining the National Academy of Medicine’s (NAM) Action Collaborative on Clinician Well-Being and Resilience.  Dynamically balancing work and life is core to clinician well-being. In early 2018, we will launch a very unique on-line program for clinicians to achieve work-life balance (yes, it can be done!).