The need for better value in U.S. healthcare is widely recognized. Existing evidence suggests that improvement in the productivity of American hospitals—that is, the output that hospitals produce from inputs such as labor and capital—has lagged behind that of other industries. NY Times article | Health Affairs article
There are eight main "wastes" to consider when studying lean hospitals: defects, overproduction, waiting, non-utilized talent, transportation, inventory, motion and extra processing. By studying and including these elements during the schematic design phase of a hospital build, healthcare workers can be assured that their environment will help them provide efficient care to their patients.
Health Systems Engineer: An Emerging Field
Date and Time: Aug. 11 | 2 p.m. Eastern time
Presenter: Heather Woodward-Hagg, Ph.D., director, VA Center - Applied Systems Engineering
The Veterans Health Administration funded the Veterans Engineering Resource Center Program to support the integration and translation of Systems Engineering methods within healthcare delivery systems. This presentation will review the evolution of the VERC programs as well as the emergence of a new field of health systems engineering. More information and registration
Innovative mobile applications including Heal, Pager, and Go2Nurse are emerging similar to Uber for healthcare. However instead of a car arriving, a doctor shows up at your door. Simply type in a few details such as address and reason for the visit and they will be there shortly with fixed costs for various services.
Abstract: Previous observational research confirms abundant variation in primary care practice. While variation is sometimes viewed as problematic, its presence may also be highly informative in uncovering ways to enhance healthcare delivery when it represents unique adaptations to the values and needs of people within the practice and interactions with the local community and health care system. We describe a theoretical perspective for use in developing interventions to improve care that acknowledges the uniqueness of primary care practices and encourages flexibility in the form of intervention implementation, while maintaining fidelity to its essential functions.
This article from The Joint Commission Journal on Quality and Patient Safety describes how the Mayo Clinic is diffusing best practices across more than 70 sites in the organization.
Physician and popular healthcare writer Atul Gawande writes in the New Yorker on the current state of overutilization in healthcare and its negative effects on individual health and wealth. He specifically addresses one of the greatest slices of the overutilization pie; overdiagnosing medical conditions.
One thousand days since the Choosing Wisely Campaign launched they report the impact that it
has had. Choosing Wisely aims to promote conversations between clinicians and patients by helping patients choose care that is: supported by evidence, not duplicative of other tests or procedures already received, free from harm, and truly necessary.
SHS, along with Susan Haas, M.D., presented a webinar on Choosing Wisely on Feb. 10. The presentation and recording can be viewed here.