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Blog Archives

Creating The Next Generation: The Payment Model We Need From Medicare

Four years of nation-wide testing by The Centers for Medicare and Medicaid Services (CMS) has now proven that the current shared savings payment models do not work effectively for low-cost Accountable Care Organizations (ACOs). High-cost ACOs have more room to improve and therefore more opportunity for savings. In this Health Affairs blog, David Krueger, M.D., […]

Learning to be Lean

  A hospital’s staff discovers improving efficiency isn’t easy by Sabriya Rice CHICAGO ON A WEDNESDAY MORNING early last month, a dozen nurses, housekeepers, surgical technicians and surgical assistants at Presence Health’s Sts. Mary and Elizabeth Medical Center are running behind in their hunt for ways to save time on the hospital’s busy surgical floor. […]

The Model Cell

While researching healthcare organizations worldwide, John Toussaint, MD has observed that the most successful transformations occur when model cells are used to experiment with ideas and embrace failure as a path for learning.  In a recent article in Becker’s Hospital Review, Dr. Toussaint  identified five guidelines to follow that will also help to define the […]

A Remembrance of Dr. Michel Tétreault

We lost a giant this week. A pioneer, a true leader, a patient advocate, a dear friend. Michel was a unique man. An emergency physician who decided he could make an even bigger difference by leading a hospital. Then also deciding that being a CEO wasn’t quite enough, he pioneered the transformation of St. Boniface. […]

New Podcast on Lean Management Systems with Kim Barnas, Author of Beyond Heroes

In this new podcast, Kim Barnas, author of Beyond Heroes: A Lean Management System for Healthcare, discusses how lean management systems and are having a positive effect on the patient experience at hospitals around the world. Kim shares the powerful impact that daily management systems are having on patient safety and focusing improvement work on […]

ACO Model Should Encourage Efficient Care Delivery

This article by John Toussaint, David Krueger, Stephen M. Shortell, Arnold Milstein, and David M. Cutler, is available at Abstract The independent Office of the Actuary for CMS certified that the Pioneer ACO model has met the stringent criteria for expansion to a larger population. Significant savings have accrued and quality targets have been met, so the […]

Lean: A Comprehensive Approach To The Transformation Our Health Care System Needs

By Patricia Gabow and Patrick H. Conway August 13, 2015 Many approaches to improving value in our health system focus on specific issues involving care delivery models such as optimizing primary care, coordinating care transitions, facilitating the care of the high need/high use patients, or reducing unnecessary readmissions. While improvement in specific areas will yield benefits […]

Lean Leadership Series in Stuart, Florida

… TO TRANSFORM HABITS AND BEHAVIORS OF HEALTHCARE LEADERS Appleton, Wis. (Aug. 12, 2015) – The ThedaCare Center for Healthcare Value is hosting a multi-day, multi-workshop Lean Leadership Series at Martin Medical Center in Stuart, Florida, Oct. 13-16, designed to develop healthcare professionals into lean leaders who drive higher value in their organizations. “This is a […]

A Watershed Moment That Will Turn Around VA Operations

John Toussaint, MD shares his thoughts on this topic at the Huffington Post: On July 16th 2015, Robert McDonald, Secretary of the VA released this memorandum to the VA: “To better serve our customers, the VA must synchronize and better leverage our performance improvement efforts. Improved service to our nation’s veterans requires a cultural of […]