Search Results for: Test Center
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 […]
https://createvalue.org/blog/healthcare-value-network-members-cost-and-quality-results/
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/
CMS announces “Partnership for patients to improve care and lower costs for Americans” CMS announced this initiative yesterday which is funded by CMS and the Center for Medicare and Medicaid Innovation. The announcement follows these comments. It’s very clear to me there are a few hospitals really doing this work across the nation many of […]
https://createvalue.org/blog/another-cms-initiative-unveiled/
Another peer reviewed journal has recognized the value of tying transparency, delivery reform and payment reform together. The following article co-authored by John Toussaint, Chris Queram and Jo Musser describes the groundbreaking work in Wisconsin on changing American Healthcare. At the Center we have three themes. Change the way care is delivered in transformational ways […]
https://createvalue.org/blog/american-journal-of-managed-care-features-wisconsin-work/
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 […]
https://createvalue.org/blog/berwick-nomination-nonsense/
Today at the Institute of Medicine I listened to Douglas Elmendorf from the Congressional Budget Office(CBO) followed by Nancy-Ann Deparle the health reform director at the Whitehouse and came away thinking we really have a bigger problem than we think.To Mr Elmendorf’s credit, he admits there is so much uncertainty in most aspects of American […]
https://createvalue.org/blog/we-really-need-to-fix-healthcare-costs/
Walt Rugland the chairman of both the ThedaCare board and the ThedaCare Center board, testified recently in a House hearing on transparency of prices in healthcare Transparency is one of the three fundamental reforms the Center has been espousing for many months.The other two are delivery system redesign to improve value to patients using lean and […]
https://createvalue.org/blog/more-on-transparency/
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/
It’s been a while since I have written on this blog because we have been waiting for the democrats to sort out their differences. The passage of the Senate finance health bill is the first step in convergence on what we can expect to see from health legislation. What do we need to prepare for? […]
https://createvalue.org/blog/what-do-providers-need-to-start-preparing-for/
Sen. Baucus released a draft bill yesterday which we summarize in the key areas related to delivery reform. The full bill is included – Health Care Reform Mark Document FINAL This bill outlines the huge increase in federal bureaucracy, which will be required to administer this plan. I have lifted specific language around the […]
https://createvalue.org/blog/baucus-bill-and-delivery-reform/