John Kane-Berman in Politicsweb (October 6, 2019) objects to Health Market Inquiry (HMI) recommendations that there be mandatory outcomes reporting in the private health sector, quoting an (un-named) general practitioner who says reporting outcomes is “spurious”. A second un-named health professional, a “specialist”, puts forward a number of specific objections: Specialists (i.e. roughly 50% of doctors), would be prejudiced, having the worst outcomes only because of the need to “rectify” everyone else’s “failed care” . A “rich demanding patient [...]
SA health care is in the throes of fierce debate about massive proposed structural and payment changes. Don Berwick, founder of the Institute for Healthcare Improvement, knows a thing or two about funding it. During the Obama administration, he presided for a time over the biggest health care payer in the world – the Center for Medicare and Medicaid Services (CMS) – 2018 spend $582 billion. Value-based compensation (VBC) and the provider-payer split are health care reform essentials in many [...]
The US-based Association for Vascular Access (AVIA) started a campaign in 2006 to bring principles of vascular access device management to the bedside. The campaign used the acronym ISAVE: I Implement insertion care and maintenance bundles S Scrupulous hand hygiene A Always disinfect every needle-less connector V Vein Preservation E Ensure Patency AVIA now have a 1-page, freely downloadable guide for patients and families, using the same acronym: The Association encourages sharing and distribution of this resource in facilities, on social media platforms, with patients and families, provided it is not amended without their [...]
A review in NEJM Catalyst of 4 of the best known US hospital quality rating systems, published by a group of experts in health care quality measurement, gives no system better than a B grade. Disappointing, given how established these reports are and the attention they get from the US media, providers, and public.
The NHS East London Foundation Trust has published an outstanding Illustrated Guide to Quality Improvement. Don’t let the cuteness of the hand-drawn graphics fool you. This is for grown-ups serious about improvement, based on the experience of this Trust in multiple successful QI projects. (more…)
South Africans sometimes imagine our country’s development to be far ahead of other African states but the truth is we have much to learn from our neighbours. (more…)
In their joint keynote session titled “I have changed my mind” at the IHI International Forum in Glasgow, both Don Berwick and Maureen Bisognano focused on compassion as an issue they have changed their way of thinking about. (more…)
“If you can’t measure it you can’t manage it.” How many times have we heard this said – and accepted it as a truism? At last week’s IHI International Forum in Glasgow, Don Berwick asserted, with his characteristic mix of eloquence, humility, humor, and passion, that “all measurements are wrong”. (more…)