I have something to add to James Mongan's list of ways to improve the performance of our healthcare system (" Stop the underachieving ," March 5). Chief executives such as Mongan could accept responsibility for what goes on in their own institutions. If the potential of information technology is not being captured sufficiently at Partners HealthCare System in Boston; if heart-failure patients in his hospitals are not being properly instructed; if diabetics, asthmatics and heart-attack patients in the institution he heads are not receiving recommended treatment, as CEO he needs to be doing something about it. As he says, healthcare providers cannot change the system by themselves, but individual institutions can clean up their own acts. It would be interesting to hear how he is doing that at Partners.
Richard WittrupScituate, Mass.