By John Toussaint, MD as posted in Harvard Business Review In all of the loud and necessary debates over how to reform health care in the United States before it bankrupts the country, there is one element that has been continually overlooked: the management systems employed by hospitals. Leaders at good hospitals around the country […]
In this article published in the September/October 2015 issue of the Journal of Healthcare Management Dr. Toussaint outlines the core elements of a management system which equips organizations for the future. In this roller coaster ride of environmental change in healthcare the one requirement is flexibility. Most healthcare management is autocratic and inflexible. It’s time […]
Four years of nation-wide testing by The Centers for Medicare and Medicaid Services (CMS) has now proven that the current shared savings payment models do not work effectively for low-cost Accountable Care Organizations (ACOs). High-cost ACOs have more room to improve and therefore more opportunity for savings. In this Health Affairs blog, David Krueger, M.D., […]
While researching healthcare organizations worldwide, John Toussaint, MD has observed that the most successful transformations occur when model cells are used to experiment with ideas and embrace failure as a path for learning. In a recent article in Becker’s Hospital Review, Dr. Toussaint identified five guidelines to follow that will also help to define the […]
This article by John Toussaint, David Krueger, Stephen M. Shortell, Arnold Milstein, and David M. Cutler, is available at http://authors.elsevier.com/a/1RhPA7tCW1aw~q Abstract The independent Office of the Actuary for CMS certified that the Pioneer ACO model has met the stringent criteria for expansion to a larger population. Significant savings have accrued and quality targets have been met, so the […]
Healthcare management is in need of an overhaul. The typical top down management approach isn’t working. In this article, published in Health Affairs, John Toussaint, MD describes the important elements of this transformational change. It includes the need for leaders to fundamentally change behavior. Read the article here.
John Toussaint, MD shares his thoughts on this topic at the Huffington Post: On July 16th 2015, Robert McDonald, Secretary of the VA released this memorandum to the VA: “To better serve our customers, the VA must synchronize and better leverage our performance improvement efforts. Improved service to our nation’s veterans requires a cultural of […]
No healthcare transformation can succeed without a system-wide approach to change. In this article, Dr. John Toussaint, offers his take on the issue, providing a guide for healthcare executives. Read full article at Planet Lean: http://bit.ly/1H3u1Xj
By Dr. John Toussaint | May 2, 2015 With President Barack Obama’s recent signing of legislation repealing the sustainable growth-rate formula for physician compensation and revising the Medicare qualified entity program, doctors will be paying more attention than ever to value. The impact will be profound. Here in Wisconsin, we’ve been privileged to watch it develop from the ground up. […]
In Innovation and Best Practices in Health Care Scheduling, CEOs with experience leading change in five of the nation’s prominent health systems-Denver Health, Geisinger Health System, Kaiser Permanente, ThedaCare Center for Healthcare Value, and Seattle Children’s Hospital-describe how they tackled the complex issues surrounding wait times throughout the continuum of care. They review the important forces […]
