วันศุกร์ที่ 19 กุมภาพันธ์ พ.ศ. 2553

The Emperor's New Clothes - What Does This Have To Do With U.S. Health Care Classic in 2007?


Not so many years ago in a land far too close for comfort, the kingdom was in crisis! Only a mythical hero could save the day. That? S right, not just any savior would do. It would take a Superman-like hero willing to risk personal security and to sacrifice self interests to save the kingdom. A hero willing to lie across the broken railroad tracks of life with no regard for personal safety or harm. The kingdom? S hero People need this soon, before the locomotive reaches the proverbial doomed impassable break in the tracks and all is lost.

Is there anything more important than our health? We Rely on our health care system with its highly educated, experienced, and compassionate professionals, its world-class technologies, and institutions to care for our most fragile and valuable of human possessions? Irreplaceable our health. We respect those who honorably Rise to accept this responsibility. At times, they are real-life, not just mythological heroes to say the least. Nothing can ever distract you from the moments of miracles they created, but isolated miracles give way to far too many moments of inconsistent and poor quality care, Which has led to the out-of-control rise in health care costs as we are presently experiencing a nation.

Despite the large amounts of time, energy, and money invested in improving the U.S. health care system each year, the Emperor still has no clothes. That is to say that the system? S participants, like the Emperor, could, by Admitting what is actually there to see, put an end to the cycle of poor quality worse inconsistent & health care along with the unacceptably high prices that characterize That Care. They can do this by having the courage to admit to their part in bringing us to this point, and taking well-conceived and executed quality-improvement and price-reducing actions to end the cycle.

Should there not be a point at each Which stakeholders in the system opens their eyes to see how their practices are contributing to the problem? "I admit as a practical matter it is impossible to be completely objective, but this exercise would still be immeasurably insightful and useful for those willing to do it. Further, and maybe more importantly, ineffective if they act to correct behaviors on their own, It may also help them avoid losing profits or by way of governmental autonomy or others? unilateral actions.

The lens system through Which participants should exam their activities is this,? Do these activities create value? In this sense, value is Increased quality in the process by Which the care is delivered and Increased quality in risk-adjusted outcomes resulting in lowered costs throughout the entire cycle of care. If the action creates this value, then it should be embraced and relentlessly improved. If the action adds cost without increasing value then it should be modified until it does, or quite simply, it should be abandoned.

Hospitals, physicians, patients, trial attorneys, insurance companies, managed care organizations, employee benefit brokers & consultants, employers who sponsor health plans, and all other suppliers within the system are equally responsible for Pursuing positive-sum value. Giving up old beliefs and practices does not have to be difficult emotionally or psychically damaging to anyone. By finding new methods of improving value-creating processes and outcomes throughout the entire cycle of care participants will actually make more money. Improving operational effectiveness of the processes by Which care is delivered saves time, energy and money thereby improving the bottom line. Improving clinical outcomes at each step in the care cycle also saves time, energy, and money, thereby also improving the bottom line.

The U.S. health care system is at a critical crossroads. System participants will finally be willing to admit that the system is naked with inefficiencies and low or inconsistent quality of care that result in unnecessarily high prices? If they can admit that much, system participants will then be Able to admit what role they play in creating that reality? Or will it take a child-like casual observer to finally point out the fact that? The Emperor has no clothes?, For its stakeholders to positive-sum finally take action?

There are many tools and resources available to any of them willing to take it upon themselves to change. These include accessing quality health care specialists, embracing an attitude of constant improvement for each process by Which they operate their business, avoiding ineffective cost-shifting techniques, and opening their mind to the opportunities that exists for those willing to create the kind of quality that improves clinical outcomes and thereby lowers the overall cost of health care one patient at a time.

As Americans we all have far too much at stake here not to act. I personally hope each and very expert who occupies the U.S. health care system is courageous enough to accept responsibility and to take immediate positive-sum action. To be bold enough to step to the front of the crowd and yell out,? The Emperor hasn? T got anything on!? In so doing they would become the kind of hero we all so desperately need right now? our Superman. Who will be brave enough to see the truth and act accordingly? We? 'Ll all know in not so many years from now who was willing to take that chance

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