tag:blogger.com,1999:blog-6725336294050023887.post468420144471810738..comments2023-07-19T05:48:15.283-05:00Comments on Healthcare Propeller Heads: The "In" CrowdDan Miershttp://www.blogger.com/profile/13353561587618535324noreply@blogger.comBlogger4125tag:blogger.com,1999:blog-6725336294050023887.post-60155717737419885112009-06-06T09:49:00.340-05:002009-06-06T09:49:00.340-05:00In our Quality class we just discussed the reform ...In our Quality class we just discussed the reform efforts in China and basically that the political leaders may push "reform" through, almost regardless of whether it is an actual improvement to the system...Anonymoushttps://www.blogger.com/profile/00232892065328880539noreply@blogger.comtag:blogger.com,1999:blog-6725336294050023887.post-20292911149649450062009-06-06T07:16:26.909-05:002009-06-06T07:16:26.909-05:00At times, I think that the pro-reform and anti-ref...At times, I think that the pro-reform and anti-reform advocates are more focused on prevailing on their respective polar positions ("no" to reform vs. "yes" to reform) than reaching an effective compromise (by definition some common, middle ground). Why? I think the issue is political pragmatism born of the Clinton failure to reform health care. The Clinton plan failed and it took more than a decade for the issue of health care reform to float back to the top of political consciousness. From the pro-reform perspective, the thinking is "let's force reform through now while we have the mandate and we can clean it up later." From the anti-reform camp the thinking is "if we can stop the train now, we won't have to deal with this for another decade." This issue is symbolic of politics at the federal level -- it is difficult to make change in a reasoned and step-wise way if there is little agreement on the long-term endpoint. It's either "all" or "nothing at all."Paulhttps://www.blogger.com/profile/11748777784787888585noreply@blogger.comtag:blogger.com,1999:blog-6725336294050023887.post-85844258276367074322009-06-05T22:29:55.827-05:002009-06-05T22:29:55.827-05:00I found the "...Operators, Not Innovators&quo...I found the "...Operators, Not Innovators" section a complete contradiction to the insights from Kotter's HBR article "What Leaders Really Do." Perhaps instead of trying to change leaders into "operators," there should be a shift in organizational direction for the time being. Or at the very least, leaders should ensure that the proper people are in place to "operate" the organization so that they can continue to understand the big picture of health care and anticipate the next change on the horizon.Anonymoushttps://www.blogger.com/profile/00232892065328880539noreply@blogger.comtag:blogger.com,1999:blog-6725336294050023887.post-15012824411442429212009-06-05T12:42:47.037-05:002009-06-05T12:42:47.037-05:00I like the bit about unnovation as it seems we oft...I like the bit about unnovation as it seems we often respond to customer needs and values in the short term without ‘doing stuff that matters’ (i.e. Band-Aid). Personnel shortages are affecting a bunch of healthcare disciplines and at the same time many patients are experiencing inadequate outcomes. Without effective case management to appropriately direct patients to our resources how can we advance care AND shrink costs? It feels like many patients get lost while trying to find their way about this uncoordinated system, which in turn burns up a lot of potential value for the provider and payer as well as the patient. Patients need and deserve advocates who are healthcare ‘insiders’. Those of us on this blog probably serve as this role for friends and relatives in suggesting physicians, facilities, etc, but shouldn’t/couldn’t the system be easier to navigate?Mike Whttps://www.blogger.com/profile/09457269227516965210noreply@blogger.com