By John Toussaint, MD as posted in Harvard Business Review In all of the loud and necessary debates over how to reform health care in the United States before it bankrupts the country, there is one element that has been continually overlooked: the management systems employed by hospitals. Leaders at good hospitals around the country […]
The Wisconsin Health Information Organization (WHIO) is celebrating it’s 10th anniversary. WHIO is Wisconsin’s all payer claims data base (apcd) which was founded as a private-public partnership. Most states have state run apcds but Wisconsin was able to bring many stakeholders to the table to create something very unique. Dr. John Toussaint acted as the […]
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 […]
