How a Navigation Channel Contributed to Most of the Flooding of New Orleans During Hurricane Katrina

Levee failures during Hurricane Katrina left 85% of New Orleans flooded, 1,500 dead, and about 400,000 homeless. Three separate investigations into the levee failures have been concluded, yet none of these studies conclusively determined why the St Bernard polder flooded so deeply, despite Team Louisiana’s conclusion regarding early failure of the Mississippi River Gulf Outlet (MRGO) levees. Detailed wave and hydrodynamic modeling reported here reveals the cause of extensive breaching of the MRGO levees and how that created a very efficient conduit of surge water into the heart of the city.     

Physician practice management companies: a failed concept

Is there a lesson? Famed investor Warren Buffet claims he never buys a company unless he personally understands the business. He admits he has missed a few real opportunities in the high technology sector. However, he is pleased to have avoided many disasters. Many physicians entered into PPMC deals without completely understanding the concept. Perhaps the lesson is to simply avoid a deal that does not make sense. Understand the market. Understand the business. If you, as a buyer, seller or partner cannot clearly understand how a transaction creates value that you can capture, walk away.     

Moving mountains together: strategic community leadership and systems change

Traditional leadership practice frameworks to guide systems change often fall short in today's practice environment. Reclaiming Futures is a national initiative to create an integrated, comprehensive, seamless system of care for teens with substance abuse problems involved in juvenile justice. It uses leadership and systems reform strategies to improve public health institutions. The premise is that interruption of the destructive cycle of drugs and delinquency can only be attained through the cultivation of shared strategic leadership. This article presents the limitations of traditional practice frameworks of leadership, describes the theory of this new approach to leadership development, and clarifies collaborative leadership and system change. The article includes an example of the framework in action, a discussion of lessons learned, and recommendations for community leadership development initiatives.