Last week the NEJM published Don Berwick’s perspective on the ACO proposed rules just released two weeks ago. There are concerns with these proposed rules some of which are documented below. The following is a quote from the NEJM article: “A critical foundation of the proposed rule is its unwavering focus on patients. We envision […]
https://createvalue.org/blog/nejm-publishes-aco-perspectve-from-dr-berwick/
This will take some deciphering. It’s over 400 pages of proposed rules so I haven’t had a chance to digest it yet. Following blogs will be assessing the ramifications. The Center will also be commenting on the rules and that also will appear on the blog. 2011-07880_PI. 03.31.11
It’s becoming more and more important that organizations reporting provider performance have access to the Medicare data. The Center for Medicare Services is working on this and the following is an update on where they are at. CMS data experts are working feverishly to comply with Section 10332 of the affordable care act. This requires […]
https://createvalue.org/blog/medicare-data-and-measuring-provider-performance/
John Shook the former Toyota sensei and deeply knowledgeable teacher of the Toyota Production System published the following blog which describes what happened and the lessons we all need to take away from Toyota’s misfortunes. Curious that politicians had little comment regarding the study that was published last week on Toyota, this according to John […]
https://createvalue.org/blog/nasa-toyota-problem-not-rocket-science/
The Medicare data files have been locked in a box for 30 years. Now News Corp. the owner of the WSJ wants to break the box open. The Center has proven that transparency of healthcare performance data is necessary to improve the way doctors and hospitals deliver care. This interesting twist from a newspaper may be the […]
https://createvalue.org/blog/wall-street-journal-sues-medicare-for-data/
For the most part business has taken a back seat in the health reform debate. Now they are making decisions that may have more impact on what really happens with healthcare reform than anything the federal government can or will do. I had the privilege of spending the day with a number of high profile […]
https://createvalue.org/blog/business-gets-serious-about-healthcare-value/
This newspaper article has actually focused on the American healthcare problem. Healthcare is full of errors and mistakes, and no one is admitting it. The article from the Hearst syndicate of papers describes why we aren’t getting anywhere on this issue.”It’s too expensive” said Senator Patty Murray D-Wash., and the issue is a “hornet’s nest that might create backlash from doctors” according to […]
https://createvalue.org/blog/hearst-newspaper-article-confirms-importance-of-transparency/
St. Mary’s Hospital in Apple Valley has been working on a very important problem for the community. Emergency room visits have more than doubled from 30,000 per year to near 80,000 per year in only 5 years. Utilizing the tools and principles of the lean journey for the last 3 years they have been able to free […]
https://createvalue.org/blog/st-josephs-health-system-and-respect-for-people/
I have blogged on many occasions regarding the fact that Congress solved for the wrong problem enacting health reform. The problem is the exponential rate of cost increases of American Healthcare. This is the same problem plaguing other countries such as France Germany and the U.K. So it is not just an American but a universal problem which […]
https://createvalue.org/blog/health-affairs-article-claims-health-reform-widens-budget-deficit/
This article in the New York Times shows that politicians can make anyone,even Don Berwick into a villain. This article casts Don Berwick as an inhumane healthcare rationing freak.We all know this is just political wrangling having nothing to do with the truth.Despite all the letters we have written in support of Don Berwick […]
