Skip to main content

Do Best Practices Suck?

They're great says Ted Coine IF your practices are sub-par and IF you assume everybody else is standing still.

"Best practices are great and all – if your current practices are sub-par. After all, you have to start somewhere. But catching up with the Joneses is a fool’s errand. The best you can ever hope for is to catch up, but that would assume that the Joneses, and all your other neighbors, don’t improve. And I think we should all be quite comfortable by now with the notion that standing still is falling behind. After all, isn’t that what the firing squad asks prisoners to do? Stand still against that wall, so they can have a clear shot?"
And I love this recommendation, a little 'secret' to innovation:
"Hire people from outside the world of big business – teachers, actors, small business owners, bartenders, history majors just out of school – to work on your staff. Don’t just teach them how you do things. Much more importantly, ask them to tell you what their fresh eyes think of your systems. Every time they ask Why (as in “Why do we do it like this?”), give them a sign of your thanks – a crisp $100 bill, an afternoon off, a long lunch with you someplace special."
[Read more...]

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...

gapingvoid cartoon #378

Buy your own, here.

"An Affordable Fix For Modernizing Medical Records"

...from the Veterans Health Administration and Midland (TX) Memorial Hospital. I know enough about my own strengths and weaknesses to know that I'm no IT expert. But I am acutely interested in examples of people and teams thinking differently to solve long-standing, intractable problems and, for better or worse, there are lots of those to be found in the IT realm. Yesterday, it was a story about a team adding iPhone portability to MEDITECH functionality, delivering to harried physicians better access to clinical data and more productive hours in every work day. (Wow. Apple in the boardroom AND the physician lounge. Has to be an IT traditionalist's worst nightmare. But I digress...) Today, the Wall Street Journal features a story about Midland (TX) Memorial Hospital finding an affordable, open-source alternative to proprietary EMR systems : "In the push to digitize America's hospitals, Midland Memorial faced an all-too-common dilemma: a crying need for information ...