Don Berwick has been working his entire career to improve health care. Now, he may have his best chance yet. Yesterday, several news sources announced that President Obama would nominate Don Berwick to be the next CMS director. This follows almost 4 years of the agency’s lead position being vacant. With the recent passage of the health […]
https://createvalue.org/blog/obama-may-nominate-dr-don-berwick-to-head-cms/
The House passed its version of the Senate Health Bill and it now goes back to the Senate. We still have a big cost problem that hasn’t been addressed though. Assuming the senate uses the reconciliation procedure, the house version of healthcare insurance reform is on its way for signature by President Obama. This is […]
St. Mary’s in Madison has undergone a massive nursing training program related to the tragic death of a teenage OB patient.Will what they have done make a difference to prevent other accidents? I know the leaders and doctors at St. Marys in Madison.They are dedicated,competent,caring people and belong to a great overarching organization lead […]
https://createvalue.org/blog/wsj-article-targets-mistakes-in-healthcare/
It’s been very encouraging to see results in U.K. and Sweden confirming lean in healthcare works all over the world. I have spent the last few days in Sweden and visited St. Gorans hospital in Stockholm and the Lund University Hospital Lean Healthcare conference where I gave an address. I can say that there are committed […]
https://createvalue.org/blog/washington-could-take-a-lesson-from-the-swedes/
This 7th blog on organizational transformation again is under the rubric of process, standard work, and it is a key part of the Methodology of lean. Standard work is the codified work sequence that comes about as a result of improvement activity. When a care process is changed the staff and physicians delivering that care act differently […]
https://createvalue.org/blog/organization-transformation-blog-7-processstandard-work/
This paper titled, Unmet Needs, outlines a number of fundamental flaws in the present medical education system. I have commented in presentations,in articles,and now in a book the Lean enterprise Institute will publish in June that the shame and blame culture instilled in our medical schools is our biggest barrier to patient care improvement. This paper by […]
https://createvalue.org/blog/lucian-leape-challenges-medical-educators/
This is the 6th blog in my series on organizational transformation. We have organized these blogs into three categories based on the important components of Purpose, Process, and People. We are still exploring the category of process and this week are focused on kaizen. Kaizen is from the Japanese symbols meaning “change” and “good.” It […]
https://createvalue.org/blog/blog-6-organizational-transformation/
The TV cameras captured the Acute Heart Attack Value Stream designed by ThedaCare doctors and nurses. This is an interesting look at how lean has collapsed time for an acute heart attack patient. The remarkable thing is as the time has collapsed state of the art therapy is now available for patients that wasn’t before […]
https://createvalue.org/blog/heart-attack-value-stream-captured-by-fox-news/
In the end after the T.V. cameras had been turned off have we gotten any closer to real healthcare reform with President Obama’s health care summit? Our politicians were cordial with each other and the Thursday summit was civil.But did it do anything to change fundamental flaws of the original discussions on health reform? The […]
This is the 8th in a series of blogs devoted to organizational transformation. We have covered Purpose, Process and now are going to cover the hardest part, People. In a system wide transformation the most challenging part is transforming the way people think. Coming from a top down autocratic environment (which is the current […]
https://createvalue.org/blog/blog-8-organizational-transformation-people-leadership/
