Skip to main content

"We Could Do It Better For Less. Much Better, For Much Less."

"The Dartmouth Center studies repeatedly show that efficiency and effectiveness go together in health care. There is no clinical advantage to making the process more clunky, difficult and expensive. And more is not better in health care—doing more tests and more procedures actually correlates not just with added cost, but with worse outcomes. Efficiency, convenience and low cost are therapeutically effective.

"This is the giant prize at the center of the labyrinth of changing health care: We could do it better for less. Much better, for much less. And more and more companies are heading straight for that prize."

(From Joe Flower writing in H&HN Magazine)

I was nearly evicted from a hospital COO's office last week for suggesting that what he counts as "success" - more filled beds, more procedures, higher intensity - should be seen as process defects elsewhere in the health care system.  A new generation of entrepreneurs (along with their venture capital ecosystem) view health care as ripe for a complete makeover.  They're hellbent on targeting those process defects, along the way turning much of what that COO believes he knows into yesterday's news, all by simply asking "What if...?  Why not...?" (Sound familiar?) 

I'd love to hear your thoughts and ideas on the "process defect" thesis.  E-mail me at healthcarestrategist@gmail.com if you're a brave soul with a few moments to talk.  Thanks!

Comments

Popular posts from this blog

Michael Porter On Health Care Reform

Michael Porter, writing in the New England Journal of Medicine, proposes "A Strategy For Health Care Reform - Toward A Value-Based System." His proposals are fundamental, lucid and right-on, meaning they're sure to be opposed by some parties to the debate, the so-called "Yes, but..." crowd. Most important, in my opinion, is this: "... electronic medical records will enable value improvement, but only if they support integrated care and outcome measurement. Simply automating current delivery practices will be a hugely expensive exercise in futility. Among our highest near-term priorities is to finalize and then continuously update health information technology (HIT) standards that include precise data definitions (for diagnoses and treatments, for example), an architecture for aggregating data for each patient over time and across providers, and protocols for seamless communication among systems. "Finally, consumers must become much mor...

Simplicity From Complexity

Health care planners typically juggle many different services and businesses, each with unique customers, competitors and prospects.  The complexity can be overwhelming.  So-called portfolio models for assessing industry attractiveness and competitive strength can be a good analytical jumping-off point, including the McKinsey-GE 9-box matrix . (Click on the "Launch Interactive" link.)

5 Marketing Megatrends

Coming to a brand near you, from Adam Kleinberg at iMedia Connection, here are " 5 marketing megatrends you can't ignore ." Mass collaboration... Constant connectivity... Globalization... Pervasive distrust in big corporations... A global sense of urgency... #4 is, I think, under-appreciated in health care. Doctors and hospitals like to think of themselves as the last of the white hat-wearing good guys, and maybe they are. But trust is a funny thing - built over decades and lost overnight. Screw it up and watch the laser beam of populist rage move from Wall Street to Medical Avenue.