Tag Archives: health care system

Burning Toast: American Health System Style

Posted on October 4, 2016 by John Hunter

Democrats and Republicans have created a health care system in the USA over the last 40 years that “burns toast” at an alarming rate. As the symptoms of their health care system are displayed they call in people to blame for burning toast. Their participation in the “you burn, I’ll scrape” system is even worse than the normal burning then scraping process. They create a bad system over decades and ignore the burnt toast just telling people to put up … Continue reading →

Posted in Economics, Health care, Management, Public Sector | Tagged , , , , ,

Visual Management and Mistake-Proofing for Prescription Pills

Posted on May 5, 2015 by John Hunter

Good ideas often just require some sensible thought to think of an improved approach. Management concepts can help guide such thinking, such as mistake-proofing and visual management. To apply visual management requires giving a bit of thought to how to make visually obvious what is important for people to know. Mistake proofing is often really mistake-making-more-difficult (for some reason this term of mine hasn’t caught on). I believe mistake-proofing should put barriers in the process that make a mistake hard. … Continue reading →

Posted in Management | Tagged , , , , , , , , , , , , , | 4 Comments

USA Spent $2.6 Trillion, $8,402 per person,17.9% of GDP on Medical Expenses in 2010

Posted on January 19, 2012 by John Hunter

The federal government financed 29% of total health spending in 2010, a substantial increase from its share of 23% in 2007. Meanwhile, the shares of the total health care bill financed by state and local governments (16%), private businesses (21%), and households (28%) declined during the same time period. Continue reading →

Posted in Economics, Health care, Systems thinking | Tagged , , , , , , | 2 Comments

More Reasons to Avoid Layoffs

Posted on February 11, 2010 by John Hunter

Lay Off the Layoffs by Jeffrey Pfeffer As its former head of human resources once told me: “If people are your most important assets, why would you get rid of them?” … In fact, there is a growing body of academic research suggesting that firms incur big costs when they cut workers. Some of these costs are obvious, such as the direct costs of severance and outplacement, and some are intuitive, such as the toll on morale and productivity as … Continue reading →

Posted in Deming, Health care, Lean thinking, Management, Management Articles, Psychology, Respect | Tagged , , , , , , , | 1 Comment

Systemic Health Care Failure: Small Business Coverage

Posted on December 27, 2009 by John Hunter

There are many significant problems with the medical care system in the USA. It makes sense that a system that costs over 50% more than other countries and has no better outcomes, from all that extra spending, suffers from many failures. Coverage for small business is one of the problems we face now – When Health Insurers Dump Small Companies: In June testimony before the Senate Commerce Committee, Potter said insurers “dump small businesses whose employees’ medical claims exceed what … Continue reading →

Posted in Economics, Health care, Innovation, Systems thinking | Tagged , | 2 Comments

Blame the Road – Not the Person

Posted on August 19, 2009 by John Hunter

The system is responsible for 90, 92, 94, 97% of problems – W. Edwards Deming. Fix the system, don’t blame the people. When you seek system fixes you approach situations differently than if you search for people to blame. By the way, I am often asked about the data supporting Deming’s contention that the system was responsible for 97% of the problems. This statement was not based on a set of data but on Dr. Deming’s decades of experience. And … Continue reading →

Posted in Creativity, Data, Deming, Economics, Health care, Management, Systems thinking | Tagged , , , , , , | 5 Comments

Community Medical Care Successes

Posted on June 18, 2009 by John Hunter

The Cost Conundrum by Atul Gawande, New Yorker (The Power of a Checklist was published there in 2007 by the same author) For example, Rochester, Minnesota, where the Mayo Clinic dominates the scene, has fantastically high levels of technological capability and quality, but its Medicare spending is in the lowest fifteen per cent of the country—$6,688 per enrollee in 2006, which is eight thousand dollars less than the figure for McAllen. Two economists working at Dartmouth, Katherine Baicker and Amitabh … Continue reading →

Posted in Customer focus, Deming, Economics, Health care, Systems thinking | Tagged , , , | 1 Comment

CEOs Want Health-Care Reform

Posted on May 28, 2009 by John Hunter

Decades ago Dr. Deming emphasized the deadly disease of excessive health care costs in the USA. Since then, year after year, the situation has become worse (reaching $2.2 trillion in spending in 2007 – 16.2% of GDP). During that time senior executives has put forth very little serious effort (in comparison to the huge cost) to fix this problem. Finally, in the last few years, more and more senior executives are actively moving to address the ever worsening crisis (including, … Continue reading →

Posted in Deming, Economics, Health care | Tagged , , , , , | 6 Comments

ER Checklist

Posted on March 13, 2009 by John Hunter

The popular ER TV show highlighted the importance of using checklists in surgery yesterday. Such powerful quality tools, like the checklist, are just waiting to be used. But far too many fail to use these simple improvement tools. And in health care those failures are potentially critical. Related: Checklists Save Lives – The Power of a Checklist – management improvement dictionary – Articles on Improving the Health Care System

Posted in Health care, Quality tools, webcast | Tagged , , , , | 1 Comment

Applying Disruptive Thinking to the Healthcare Crisis

Posted on February 19, 2009 by John Hunter

Update: Sadly MIT delete the video. It is a shame educational institutions lose interest in knowledge just a couple years later. Thankfully we didn’t have to rely on the people deleting web content at universities to keep all the historical content we have in books from hundreds of years ago. I think it is a huge lose to what the mission of these schools should be but that attitude doesn’t seem to be shared by the schools. The Innovator’s Prescription: … Continue reading →

Posted in Health care, Innovation, Management, Management Articles, webcast | Tagged , , , , , | 3 Comments

Checklists Save Lives

Posted on January 17, 2009 by John Hunter

Checklists are a simple quality tool that have been used widely for decades. Pilots use them, without fail, to save lives. Some surgeons have been using them and the evidence is mounting that checklists can save many more lives if more in health care use them. Studies Show Surgeons Could Save Lives, $20B by Using Checklists Eight hospitals reduced the number of deaths from surgery by more than 40% by using a checklist that helps doctors and nurses avoid errors, … Continue reading →

Posted in Deming, Health care, Management, Process improvement, Psychology, Quality tools, Systems thinking | Tagged , , , , , , , | 3 Comments

Our Failed Health-care System

Posted on September 10, 2008 by John Hunter

The bad idea behind our failed health-care system by Malcolm Gladwell One of the great mysteries of political life in the United States is why Americans are so devoted to their health-care system. … Americans spend $5,267 per capita on health care every year, almost two and half times the industrialized world’s median of $2,193; the extra spending comes to hundreds of billions of dollars a year. What does that extra spending buy us? Americans have fewer doctors per capita … Continue reading →

Posted in Deming, Economics, Health care | Tagged , , , | 1 Comment

Overview of 5 Nations Health Care Systems

Posted on April 16, 2008 by John Hunter

PBS presents a very nice overview of the heath care systems in Japan, United Kingdom, Germany, Taiwan and Switzerland in: Sick Around the World. It is a just a surface view of the overall system but even so does a good job of providing more understanding of the options available to fix the failed system in the USA. The US system costs over 50% more than others and has worse outcome measures than the alternatives (and leaves many without any … Continue reading →

Posted in Economics, Health care, UK | Tagged , , , , , | 7 Comments

Data Visualization Example

Posted on March 28, 2007 by John Hunter

[I replaced the embedded video, since Google broke the original link with the way they shut down Google Video after buying YouTube] In Myths About the Developing World, Hans Rosling shows some great graphics to display data on health care outcomes. This is one of the talks from the great TED conference that we have mentioned before. They really have some great webcasts available on their site. The presentation also gives a concrete example of faulty knowledge (people thinking things … Continue reading →

Posted in Data, Economics, Health care, Management, webcast | Tagged , , , | 3 Comments

USA Healthcare Costs Now 16% of GDP

Posted on January 10, 2007 by John Hunter

U.S. Health Spending Estimates [the broken link was removed]: Health care spending growth in the United States slowed for the third consecutive year in 2005, increasing 6.9 percent compared to 7.2 percent growth in 2004 and 8.1 percent in 2003, the Centers for Medicare & Medicaid services (CMS) reported today. The 6.9 percent growth in 2005 marks the slowest rate of growth in health spending since 1999, when growth was 6.2 percent. Health care spending reached almost $2.0 trillion in … Continue reading →

Posted in Economics, Health care | Tagged , , | 8 Comments

Starbucks: Respect for Workers and Health Care

Posted on December 16, 2006 by John Hunter

Starbucks Corp. CEO Howard Schultz interview on Marketplace [the broken link was removed] I grew up in Brooklyn, New York. I guess it’s been well documented, many times, in federally subsidized housing known as the projects. My dad never made more than $20,000 a year and I saw first-hand what it was like to kind of live on the other side of the tracks … the company is deeply-rooted in a sensibility and trying to build the company with a … Continue reading →

Posted in Deming, Economics, Health care, Management, Respect | Tagged , , | 2 Comments