The famous system thinker theorist Russell Ackoff once wrote: “The more efficient you are at doing the wrong thing, the wronger you become. It is much better to do the right thing wronger than the wrong thing righter. If you do the right thing wrong and correct it, you get better.” It seems to me […]
Author Archives: John Toussaint
Paul O’Neill Sr. passed April 18th, 2020. There are a few people in a lifetime that help you define what is important for you. For me that has been my family and a few others. The people I consider the critical few. Paul was one of the critical few.
All the hype around the release of Medicare billing data clearly points out what little understanding there is when it comes to real problem regarding healthcare data. How many patients a doctor sees, and how many Medicare bills she racks up is not helpful when it comes to improving care. It may identify certain issues […]
Congress kicked the can down the road for another year this week in a disappointing end to a bipartisan bicameral bill that would have permanently fixed the flawed doctor payment legislation. More importantly the permanent fix bill had important provisions that could have saved billions of dollars, and improved care for Americans. Link to full article […]
Harold Miller provides great insights as to how Congress should think about paying for the SGR fix. “A bipartisan, bicameral bill was announced earlier this month as the result of a joint effort by the U.S. House Energy and Commerce Committee, House Ways and Means Committee, and Senate Finance Committee to repeal and replace the […]
Recently, Melissa Mannon, a former intern at the ThedaCare Center for Healthcare Value, authored this article regarding the role of a Quality Manager in a lean organization. What you will find is that the role changes from that of being a “checker” to that of being a team member in operations. When quality is built […]
On Thursday, three committees of Congress agreed on language that would permanently fix the flawed SGR bill. The bill has sweeping changes associated with it including moving physician payment away from fee-for-sevice to “alternative payment models” such as Accountable Care Organizations and Medical Homes. It also suggests a pay-for-value instead of volume program, although the […]
An article in the New York Times recently criticized Medicare’s Innovation Center for not using placebo controlled double blind study design. According to the article: “But now that the Center has gotten started, many researchers and economists are disturbed that it is not using randomized clinical trials, the rigorous method that is widely considered the […]
Consumer Reports has rated most clinics in California in the February 2014 issue. Sutter Gould Medical Foundation and Palo Alto Medical Foundation were the two top rated physician groups in their respective geographies.
In July I published an article in JAMA, co-authored by Don Berwick, regarding the critical need for Medicare data to be available for physicians to use it to improve healthcare outcomes for Medicare beneficiaries. http://www.createvalue.org/blog/post/?bid=321 The crux of the article is based on real experience with massive data sets at the Wisconsin Health Information Organization (WHIO). […]