Why Best Practices Fail to Spread

By John S. Toussaint, MD, and Montgomery “Monk” Elmer, MD The spread of “best practices” is important in today’s rapidly evolving health care landscape where quality and outcomes matter more than ever. However, spread can be incredibly difficult to achieve. One of us (Dr. Toussaint) has visited and observed 174 health care systems in 17 countries. Almost every one of these organizations has undergone significant innovative care redesign in recent years and has attempted to spread that redesign. Most have failed. The other of us (Dr. Elmer) was a physician leader at ThedaCare Physicians in Kimberly, Wis., when the clinic was chosen to create an ambulatory care redesign, which encompassed the entire outpatient experience. It improved patients’ access to care by... Click here to download full article. RELATED: Designing the Plan to Engage Physicians in the Lean Transformation Catalysis is bringing you an innovative program that addresses the root cause of poor physician engagement in improvement efforts and drives you toward a plan customized for your organization. Facilitated by James D. Marks, MD, PhD and Monk Elmer, MD, the session will be highly interactive, including gemba visits to where physicians are participating in daily improvement, plus active guidance on your plan. Click here for more information.    

One Response to Why Best Practices Fail to Spread

Jack Bowhan says: 10/17/2017 at 3:43 pm

Great short but poignant article. I shared with leaders at several organizations in Madison


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