For the New World of Healthcare, A Declaration of Independence Is Only the Beginning

healthcare declarationOn April 28, 2014, Dr. Daniel Craviotto, Jr. published an editorial in the Wall Street Journal, “A Doctor’s Declaration of Independence,” in which he argued that it is time to “defy healthcare mandates issued by bureaucrats not in the healing profession.” Many providers share his frustration. I once did, until I saw a way out of the cynicism and frustration – a way that can improve the quality and lower the cost of care for all Americans.

  • No matter how misguided we think the federal government is in its electronic health record mandate or other requirements, simply defying mandates as Dr. Craviotto proposes is not  likely to accomplish much.
  • The medical profession needs to move beyond cynicism to create a vision for a better, more effective healthcare system.
  • Modern healthcare enjoys one of the most intelligent, educated, and committed work forces of any industry in the world. However, they are trying to deliver care using a system that was developed over 100 years ago.
  • We need to leverage clinicians’ skills and expertise to implement care processes that are efficient, reliable and waste free.
  • Organizations can use information systems and analytics to track the cost and quality of care against specific procedures, measure their effectiveness, and inform improvements.
  • What I’m describing is akin to the application of the Lean process improvement methodology that Toyota and hundreds of other businesses have used to eliminate waste and drive value.

So, how will we get there? Read the full response on The Health Care Blog, where I give some real-world examples of success. Let me know what you think.


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