The following editorial written by a nurse describes perfectly what we documented in our book “On the Mend”. The shame and blame existing in healthcare today must be rooted out before improvement will happen. Lucian Leap has recently written recommendations for medical education which explicitly lay out that the behavior exhibited by the physician in […]
Organizations participating in the Physician Group Demonstration Program from CMS outline why they won’t participate in the ACO as structured. And the Center for Medicare and Medicaid Innovation introduces a potentially different approach to ACOs. CMS is trying to calm the raging waters of the proposed ACO rules by writing editorials in national newspapers and, […]
The Everett Clinic has done outstanding lean work over the years showing reductions in cost of care and improved quality. Why aren’t they pursuing the ACO model? This according to Politico a Washington D.C. based electronic policy publication: The Everett Clinic, which has been participating in Medicare’s accountable care organization demonstration project since 2005, doesn’t plan […]
Last week the NEJM published Don Berwick’s perspective on the ACO proposed rules just released two weeks ago. There are concerns with these proposed rules some of which are documented below. The following is a quote from the NEJM article: “A critical foundation of the proposed rule is its unwavering focus on patients. We envision […]
Mercy Hospital North Iowa is not a household name but when it comes to a health system that is committed to really improving across the board Mercy is one of the best. 50 members of the Third Healthcare Value Leaders Network visited Mercy of North Iowa this month and found a lean jewel in Mason […]
CMS announces “Partnership for patients to improve care and lower costs for Americans” CMS announced this initiative yesterday which is funded by CMS and the Center for Medicare and Medicaid Innovation. The announcement follows these comments. It’s very clear to me there are a few hospitals really doing this work across the nation many of […]
This will take some deciphering. It’s over 400 pages of proposed rules so I haven’t had a chance to digest it yet. Following blogs will be assessing the ramifications. The Center will also be commenting on the rules and that also will appear on the blog. 2011-07880_PI. 03.31.11
It’s becoming more and more important that organizations reporting provider performance have access to the Medicare data. The Center for Medicare Services is working on this and the following is an update on where they are at. CMS data experts are working feverishly to comply with Section 10332 of the affordable care act. This requires […]
Another peer reviewed journal has recognized the value of tying transparency, delivery reform and payment reform together. The following article co-authored by John Toussaint, Chris Queram and Jo Musser describes the groundbreaking work in Wisconsin on changing American Healthcare. At the Center we have three themes. Change the way care is delivered in transformational ways […]
Collaborative Care is the inpatient redesign which has been going on at ThedaCare for the last four years. Using lean principles and tools ThedaCare has been able to sustain zero medication reconciliation errors, 98% 5 out of 5 patient satisfaction scores and an over 20% reduction in total cost of care. This inpatient redesign effort […]
