Author Archives: John Toussaint

Commonwealth Article Describes State Administrative Data Sets

The Commonwealth Organization has focused recently on important transparency initiatives going on throughout the country. This article compares all the state administrative data sets and the details of their development. The fundamental difference between WHIO and the other administrative data bases is that WHIO is a publicly available. Although the data access is not free it is […]

JAMA publishes article on Bellin ThedaCare Pioneer ACO

As reported by CMS in July, the Bellin ThedaCare Pioneer ACO achieved a 4.6% reduction in the total cost of care for 20,000 Medicare beneficiaries from 2011-2012. What the report didn’t cover was the fact that total revenue actually went down as care was delivered more efficiently. This is a fundamental flaw of the existing […]

Food banks do not make cars but lean works there, too.

The argument that “we do not make cars” just does not hold water anymore. The lean methodology has been shown to work in almost every industry. Food banks? Of course. Food banks have processes to deliver products and services just like car manufacturers or hospitals. Most of the time these services are delivered in an […]

2013 Healthcare Transformation Summit a Success

What do Paul O’Neill, James Womack PhD, Francois de Brantes, Alan Gleghorn, Don Shilton, Henry Hawthorne, Alan Aviles, and John Toussaint MD have in common? They were all keynote speakers last week at what attendees have said was the best Lean Healthcare Transformation Summit yet. But that’s not all. They also are CEOs or former […]

JAMA publishes Toussaint Berwick Commentary

Today, The Journal of the American Medical Association (JAMA) published an article by John Toussaint, M.D. and Donald Berwick, M.D. which describes several important changes that must happen legislatively and from a policy standpoint to lower cost and improve quality for Medicare beneficiaries. The Affordable Care Act (ACA) allowed for fee-for-service Medicare data to be […]