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Category Archives: Articles by Dr. Toussaint

Is Quality a Strategy or an Operation?

Traditional healthcare management needs an overhaul. Medical errors have become a norm and costs continue to escalate. A new management philosophy is emerging at a few NHS Trusts. Recent research has shown that operational excellence, the management approach described in this article, leads to improved patient cost and quality outcomes. However, it requires healthcare leaders […]

Improving Reliability in Healthcare

Abstract: It is well known that health-care performance is highly variable and not reliable. To address this issue, a number of health-care leaders have been experimenting with operational methods derived from non–health-care industries. Leaders at Stanford Hospital and Clinics, Stanford Children’s Hospital at Stanford, and ThedaCare have been studying and applying principles from consistently high-performing […]

Creating a Culture of Continuous Improvement

A number of health systems have scored impressive gains in improving outcomes and patient satisfaction and lower costs by applying the Toyota Production System (TPS) to redesign “lean” clinical and administrative processes, eliminating waste and boosting quality. But in all too many cases, when the leader who championed TPS left his or her organization, these efforts began […]

Changing Leadership Behavior Gets Real Results

The behavior of senior executives, and especially the CEO, is known to be directly related to an organization’s performance. In 2017, we reported on five behavioral dimensions required to build a culture of continuous improvement: willingness, humility, curiosity, perseverance, and self-discipline. Does changing leader behavior to embody these qualities lead to better patient outcomes? The leadership team at […]

Improving Governance Through Principles

Posted on by CATALYSIS

Published in Healthcare Executive JULY/AUG 2018, authored by Don Shilton, Joseph Sluka, and John S. Toussaint, MD The value imperative is challenging boards to apply Lean principles to governance processes. Many boards are composed of community leaders who are accomplished executives from other industries. Often, these well-meaning board members want to apply their business acumen to the operations of the hospital or […]

The Principles, Behaviors, and Systems Necessary to Build a Culture of Excellence

Originally posted by hfma at: https://www.hfma.org/Content.aspx?id=60395 by JOHN TOUSSAINT John Toussaint will be presenting at HFMA’s 2018 Annual Conference, taking place June 24-27 in Las Vegas. This blog post touches on the theme of his presentation, Developing the Principles, Behaviors, and Systems to Build a Culture of Excellence. For more information or to register, go to annual.hfma.org. Healthcare […]

Why Process Is U.S. Health Care’s Biggest Problem

by John S. Toussaint & Kathryn Correia MARCH 19, 2018   Executive Summary A lot of money has been spent on information technology in health care with little to show for it. When it comes to change, the technology is the easiest part. Most health systems in America have or are implementing the EHR. And the vendor processes for […]

One Proven Way to Improve U.S. Health Care: Expand Medicare Advantage

In order to transform the healthcare industry, it is imperative that we focus on three interdependent components: care delivery, payment models, and transparency. Payment transformation is a key component of healthcare improvement. The present payment system, which rewards providers for over-utilization, is seriously flawed. The more procedures we do or patients we see, the more […]

What the CVS-Aetna Deal Means for the Delivery of U.S. Health Care

by John Toussaint, MD December 5, 2017 The landscape for the delivery of health care in the United States is changing, but the traditional care-delivery players are not the change agents. The recent announcement of CVS’s $69 billion deal to acquire Aetna brings an insurer together with a large network of primary care providers: CVS has built […]

Dr. John Toussaint: On Developing Healthcare Leaders

Posted on by CATALYSIS

CEO at Catalysis, Dr John Toussaint, talks about the move towards value-based care and the defining traits of an effective healthcare leader. In the lead up to the Lean Healthcare Summit 2017: Empowering Healthcare Professionals Through Continuous Improvement taking place  in Johannesburg on 7th September, keynote speaker and CEO at Catalysis (formerly ThedaCare Center for Healthcare Value), Dr John Toussaint, talks about the move […]