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CMS releases rules regarding Medicare data release

Posted on by John Toussaint

CMS has changed a number of rules regarding data release.There are still many problems and concerns from the perspective of the leadership of the Wisconsin Health Information organization which is the All Payer Claims Data Base created for Wisconsin. These problems,unless corrected, may not allow for significant intergration of the Medicare data with other claims […]

Commonwealth Fund article finds U.S. healthcare underperforming

Posted on by John Toussaint

An article released November 9th compared the U.S. to 10 other countries and found that care is more costly and not as good as most of the comparison countries The United States ranks near the bottom of many measures in caring for the sickest patients compared to other nations, according to a study of 11 […]

Comprehensive Primary Care Initiative Unveiled at CMS

Posted on by John Toussaint

The Center for Medicaid and Medicare Innovation released the following initiative which appears promising as a way to further payment reform. CMS, through its Center for Medicare and Medicaid Innovation, has announced its next opportunity for partnership between private payers, Medicaid, and Medicare.  Known as the Comprehensive Primary Care Initiative, this solicitation has some exciting […]

La Crosse cited as a positive example by CMS adminstrator

Posted on by John Toussaint

Don Berwick, CMS director, visited western Wisconsin on Thursday August 18th touting the low cost high quality care La Crosse, Black River Falls and the Eau Claire communities have achieved. Coming off the heels of Dr. Richard Gilfillan’s visit to Appleton last month Wisconsin is getting a lot of attention for leadership in clinical care […]

University of Michigan is doing medical education right

Posted on by John Toussaint

The Healthcare Value Network members visited the University of Michigan Medical Center the end of July. We saw good evidence of the application of the lean methodology in patient care. We also learned how they are changing medical education to instill continuous improvement principles and practices. A chief resident who is trained as a lean […]

We need more than “checklists” to guarantee patient safety

Posted on by John Toussaint

A number of famous writers have been touting the use of checklists as a way to create patient safety. Here’s the problem with this thinking told in the form of a real life story. Years ago when I was still CEO I was alerted by the president of the hospital that a wrong sided surgery had occurred. She assured […]

Healthcare Value Network Members Cost and Quality Results

Posted on by John Toussaint

Recently the Center received a call from Dr. Berwick to send results from Healthcare Value Network members that show what he  called double wins, both cost and quality improvements together. In 24 hours network members came up with this remarkable series of improvements derived from their lean work. Does Lean work in healthcare? The following […]

Employers can slash huge cost by paying attention

Posted on by John Toussaint

In this blog piece John Torinus describes how Serigraph continues to reduce utilization and costs keep going down,now one third the average cost for the nation. Torinus has been a real pioneer in what employers should do to control healthcare costs. This report again shows what can happen when employers get engaged and have a […]

Great editorial in the New York Times on physician culture

Posted on by John Toussaint

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 […]

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