Ripple Of Change

Our Quadruple Aim

Rebuild Trust in Healthcare and Discover Your Wellness Journey

"Too often, issues in healthcare are assumed to be black and white…medicine is a world of gray."

Ready to disrupt the status quo? Dive into the pages of 'Ripple of Change' and be part of transforming our healthcare system!


Unveiling Our Quadruple Aim: A Prescription for Healthcare Revolution

Discover the transformative journey of Dr. Todd R. Otten and Joshua J. Judy as they navigate the pitfalls of a dysfunctional healthcare system and propose actionable solutions for lasting change. Their groundbreaking book, “Ripple of Change,” became the #1 new release on Amazon in the Doctors & Medicine Humor category. Learn more and join the movement towards a healthier future.

Why Our Quadruple Aim?

The American healthcare landscape is fraught with dysfunction. Our Quadruple Aim provides the vision and determination to enact substantial, enduring change.

Addressing Provider Burnout and Patient Frustration:

Healthcare providers are facing burnout, while patients are increasingly frustrated with the system.

For the American Healthcare Consumer:

Join us on our journey toward holistic wellness.

Join the Movement:

Together, let’s transform healthcare with a ripple of change.

Our Aim: Ripple of Change

In today’s healthcare landscape, we believe in the transformative power of the Quadruple Aim: enhancing Patient Experience, delivering Quality Care, reducing Costs, and improving Provider Wellness. Embedding these principles into healthcare culture is crucial to alleviating burnout, enhancing patient outcomes, and fostering a healthier society. Through our book, “Ripple of Change,” we merge evidence-based medicine with personal narratives, aiming to inspire dialogue and catalyze a movement towards meaningful healthcare reform.

About us


Todd R. Otten, M.D.

I've dedicated over two decades to family medicine, serving as a Naval Flight Surgeon, former ACO Medical Director, and Chief of Staff. My journey includes leadership in Clinically Integrated Networks, advocating passionately for the Quadruple Aim in healthcare. Beyond medicine, I cherish family time with my wife and four children, uphold a strong faith, and enjoy soccer, collecting comics, and exploring investments in cryptocurrency. As an Arsenal fan and avid golfer, I bring my multifaceted experiences to co-authoring "Ripple of Change," aiming to disrupt and innovate healthcare.

Joshua J. Judy

With over a decade in the energy industry, I hold a Master of Science in Finance from the University of Michigan and a Bachelor of Science in Engineering from Michigan State University. My educational journey continued with a focus on Electric Markets at the University of Wisconsin-Madison. Beyond professional endeavors, I am passionate about music, cooking, and have played guitar for over two decades. Genealogy, videography, and content creation are among my hobbies, alongside entrepreneurship and authorship.

Ripple of Change Podcast

Transparency is fundamental to Our Quadruple Aim and central to Ripple of Change. This podcast offers an unfiltered exploration of our journey, sharing insights, historical perspectives, and personal anecdotes that shape our mission in healthcare.

Join us as we navigate the complexities of the healthcare landscape, uncovering challenges, triumphs, and the evolution of our ideas. Stay tuned for new episodes that inspire and inform, reflecting the transparency and authenticity of Ripple of Change.

Feedback from clients and customers

Feedback from clients and customers

A Critical Resource for Enhancing Clinician Well-being and Driving Transformation in Healthcare In the end, “Ripple of Change” is not just a book – it’s a call to action. It challenges us to reassess and reform our approaches for the well-being of our clinicians, who are the backbone of healthcare. Let’s not forget: when we take care of our clinicians, we are taking care of our patients too.

Dr Jennie Byrne, MD, PhD

Beautifully written!! These unlikely coauthors weave jokes and anecdotes through the story of how our healthcare system became so murky, and what it will take to find clarity.

Maryann Wilbur, MD

Ripple of Change emphasizes the quadruple aim, with physician satisfaction as an aspect that is integral to health care but is typically ignored. As a fellow author of a book on health care, much of what has been written here strikingly and sadly rings so true to me. This book provides a well written personal view from both a physician and a patient with humor and humanity, without losing its more serious message. I highly recommend it.

Mark Lopatin, MD

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