The Checklist Manifesto

The Checklist Manifesto

Summary
  This post summarizes a wonderful book that is celebrating its ten-year anniversary. Atul Gawande wrote the best-seller The Checklist Manifesto: How to Get Things Right in 2009. It was the third book by the author and has become influential in healthcare and beyond. Gawande is a general surgeon at the Brigham and Women's Hospital in Boston, a staff writer for The New Yorker, and an assistant professor at Harvard Medical School and the Harvard School of Public Health. In June of 2018 he was named CEO of the recently formed healthcare venture Haven, owned by Amazon, Berkshire Hathaway, and JP Morgan Chase.   I’ll let Gawande summarize the core idea from his book: “Avoidable failures are common and persistent, not to mention demoralizing and frustrating, across many fields –…
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Allowing For Trial & Error

Allowing For Trial & Error

Lesson
  We are pleased to offer our monthly lesson as a video post! You can read the lesson below, which is a formatted transcript of the presentation, or watch the 5-minute video embedded at the end.   Allowing For Trial & Error: A Better Way To Grow & Compete Have you ever worked in a place where the goal is to be unnoticed and the boss visits your area only if you are about to hear bad news? I have seen too many organizations where employees just go through the motions, doing what they are told. Raises and advancements at these workplaces are based primarily on not making mistakes. Employees are told what to do and managers make the decisions. There is no incentive to take on a challenge, learn new…
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An American Sickness

An American Sickness

Lesson
An American Sickness: How Healthcare Became Big Business and How You Can Take It Back is a 2017 book by Dr. Elisabeth Rosenthal about the US business of healthcare. Dr. Rosenthal identifies the motives of the profit-takers in the US healthcare market and learned behaviors of the marketplace. Many of her real-life stories and examples leave the reader frustrated in the system. I found most of the book focused on the problems that have developed in the US healthcare market. The book did not have many new answers for fixing the system, but Dr. Rosenthal did offer several great actions one should take as an informed consumer. Ten economic rules are referenced throughout the book:   Dr. Rosenthal shares many shocking examples for these rules throughout the book. She breaks…
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Simplify the Customer

Simplify the Customer

Summary
To improve health care delivery in the United States, simplify the customer Lean Six Sigma focuses on maximizing value for the customer by removing waste from processes. The customer is usually easy to identify; they purchase a product or service and expect that product or service to have the features they want, at the time they want it, with perfect quality at the lowest possible price. In a free market system, companies that provide customers the most value at the lowest cost are rewarded. US-based health care is not a free market system, making the customers in health care harder to identify and understand. Our Lean Healthcare East team has identified customers for our (United States based) client organizations as: Client organization Customer Hospital and physician practice The admitted patient…
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