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Category Archives: Articles by Dr. Toussaint

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 […]

How Atrius Health Is Making the Shift from Volume to Value

From Harvard Business Review by Ted Toussaint, Karen DaSilva, John S. Toussaint December 13, 2016 Republican control of the White House and Congress won’t change the U.S. health care’s movement away from the traditional fee-for-service system to one that is based on value, paying providers on the basis of the quality of outcomes achieved for the money […]

Improve the Affordable Care Act, Don’t Repeal It

Dr. Toussaint, in this Harvard Business Review article, outlines the important features of the Affordable Care Act and what should be kept. He discusses the root cause of the cost problem in American healthcare and options to deal with it. Finally, there is a call to action to redesign care around the patient, change the […]

Healthcare Improvement Can’t Happen Without Better Management

  Originally published at Science Direct. To obtain a copy of this article, click here: http://www.sciencedirect.com/science/article/pii/S221307641530097X By John Toussaint, MD Healthcare is steeped in the scientific method tradition. Placebo controlled double blinded studies are front and center of evidenced based medicine. But research has lagged far behind in management science. Very little evidence exists for the […]

How Health Care Systems Can Effectively Manage Process

John Toussaint, MD, published this article in the NEJM online journal Catalyst describing the lean management system. The article explains how the management system supports front line workers, including physicians, to identify and solve problems every day. This management system is in contrast to an opinion piece in the NEJM in January that described the Toyota Production […]

Paying For Value: Perspective From The Front Lines

By: Denis Cortese, John Toussaint, David Krueger, and Robert Smoldt as posted at the Health Affairs Blog. May 24, 2016 The concept of value-based health care is rapidly gaining traction in the U.S., yet implementation remains a significant challenge. For example, the current Medicare “shared savings” payment approach penalizes high-value providers, while rewarding historical inefficiency. Read the full article […]