Talk:Quality and productivity

From HMCwiki

Have a comment or would like to coordinate with others on the content of this article? Please comment below by using the "+" tab (next to the edit tab). To organize content please remember to use a "Subject/headline" option and please sign your name on discussion and talk pages using four tildes (~~~~); this will automatically produce your user name and date. To be automatically notified by email of additions to the discussion about this article, please click here. Your comments and input are very much appreciated!

Productivity

Steve, I have a possible answer to the question you end with. As long as healthcare providers can continue to raise their rates by 5% + per year, they will continue to do what ever they wish. My feeling is that there is really no price competition in healthcare and this leads to many of the problems. I’ve read many articles that say that healthcare like education is better placed in a national imperative. Britain, Italy, France, and Canada (etc) may be imperfect, but at least everyone has healthcare and they are making progress. By contrast, the situation of healthcare in the U.S. continues to worsen every year as far as I can see. A few days ago I met with an administration of a huge and well known clinic in the U.S. and both of us separately stated that it is just a matter of time before the U.S. system just collapses under its own complexity and cost (and excessive wasteful practices).

Best of luck to you….. sorry that I don’t sound very optimistic about this whole thing. Maybe you have a solution to it all….

Thank You, Bob Chalice

Reader's Digest

[SAI] The latest issue of Readers Digest "I cannot afford to fall sick?" is a really good read. Lean and Six Sigma may be leading us away from the root causes, and making us fault the wrong end of the caregiving value stream! shahrukhirani1023 [irani.4@osu.edu]

Continuum of Care

Justin, Physicians set the stage for the continuum of care, and therefore drive the entire cost structure on each patient stay. However, physicians believe that technology will deliver increased productivity, and hospitals, as a means of satisfying their customers, generally oblige.

Without alignment between Board Members, Senior Management, Nursing and Physicians, the current course will continue. Any investment downstream (CPOE, Lean, TQM, TPS, etc.) will be pushing on a rope, yielding relatively little ROI.

Hurting IT is the least of our worries.

Steve