In this article published in the September/October 2015 issue of the Journal of Healthcare Management Dr. Toussaint outlines the core elements of a management system which equips organizations for the future. In this roller coaster ride of environmental change in healthcare the one requirement is flexibility. Most healthcare management is autocratic and inflexible. It’s time […]
Pejsa named director of HVN and Hartman, executive coach Appleton, Wis. (Oct. 8, 2015) – The ThedaCare Center for Healthcare Value welcomes Paul Pejsa and Thomas Hartman to its growing team. Pejsa is the new director for the Center’s Healthcare Value Network, a peer-to-peer learning group which helps member organizations across North America learn, […]
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., […]
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. […]
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 […]
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. […]
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 […]
This article by John Toussaint, David Krueger, Stephen M. Shortell, Arnold Milstein, and David M. Cutler, is available at http://authors.elsevier.com/a/1RhPA7tCW1aw~q 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 […]
Healthcare management is in need of an overhaul. The typical top down management approach isn’t working. In this article, published in Health Affairs, John Toussaint, MD describes the important elements of this transformational change. It includes the need for leaders to fundamentally change behavior. Read the article here.
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 […]