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THE PROBLEM.
1
The biggest driver of rising costs is
medical progress
Insensitive to changes doctors
Health care today needs
a fundamentally different approach and a new breed of leaders.
New drugs, new tests,
new devices, and new ways of
using them.
It leads to redundant care and
errors that raise costs and threaten quality.
The explosion of knowledge is
going off within a system
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Tough Medicine.
1
We need a new kind of leadership at every level of the health care system.
臾명솕�깮�솢�쓣 �썝�븯�뒗 泥��냼遺��썝
To understand what they are, leaders must first absorb three painful messages.
Performance
Matters.
1
��쏺alue��� is not
a bad word.
2
Require
teamwork.
3
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Tough Medicine.
1
Performance
Matters.
1
Performance matte���(�깮�왂)
1. medicine is organized around what
2. hospitals relationships between
|
izing for Performance.
3
1. medicine is organized around what
doctors do rather than what
patients need.
2. hospitals relationships between
doctors and administrators are
downright antagonistic, and
financial interests are poorly
aligned or even in direct conflict
patient
cardiology
cardiac
surgery
cardiac
anesthesiology
radiology
Increased costs
Patients confused
Revers effect
- Inefficient structures
doctor
Admini
strator
difference
of opinion
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3
1. Organizing to deliver high
performance can help break down
all these barriers.
First step is colocation putting the
various types of physicians who provide
most of the care for a patient population
in one place.
2) But colocation alone can��셳 guarantee a
well coordinated effort to improve
patient outcomes.
- Efficient structures
Organizing for Performance.
Co
location
unit
unit
unit
unit
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