04

Dec

Don Berwick on Healthcare Waste

posted by admin at 1:06 pm

From the New York Times,

” 20 percent to 30 percent of health spending is “waste” that yields no benefit to patients…”
“The official, Dr. Donald M. Berwick, listed five reasons for what he described as the “extremely high level of waste.” They are overtreatment of patients, the failure to coordinate care, the administrative complexity of the health care system, burdensome rules and fraud.”

There’s other great stuff in there as well.  Here’s the link.

02

Dec

Standard Work for Managers

posted by admin at 2:02 pm

A client of ours recently completed our Managerial Quality program. We worked with them up front and connected a few times during the year. They had great results. Here’s the link to an article about their achievements from Nurse.com.

Our clients tend to get results like this, but that’s not the point of this entry.

The point of this post is that most of what we have been able to do to create sustainable improvement at the frontline is to create a systematic way for managers to learn how to lead their units. Achievement and accountability are much easier to attain when managers have simple principles and tools they can employ to become effective leaders.

This is a no-brainer, I know. But I’m continually surprised at how seldom organizations have a systematic way of creating ways for new managers to learn on the job. (I often hear dreams for big educational programs, but we’ve found that they’re both impractical and ineffective.)

Managers must, of course, use good judgement. To make best use of that judgement, though, we’ve found that simple, standard work for managers is essential.