A hearty congratulations to Mark Graban of the Lean Blog for
winning a Shingo Prize for his book Lean Hospitals - Improving Quality, Patient Safety, and Employee Satisfaction! In the book Mark shows that applying lean to healthcare can reduce costs... a third alternative to the traditional "more cost or less care" debate.
Coincidentally an op-ed weighed in on this debate yesterday.
In Massachusetts's latest crisis, Governor Deval Patrick and his Democratic colleagues are starting to move down the path that government health plans always follow when spending collides with reality -- i.e., price controls. As costs continue to rise, the inevitable results are coverage restrictions and waiting periods. It was only a matter of time.
The state's overall costs on health programs have increased by 42% (!) since 2006.
Yep, I'm really looking forward to that going nationwide. Here we have a Republican implementing a traditionally Democrat plan. Both screw it up, as usual. Pushing on the balloon always ends up doing something else... but in this case it affects real people.
But there is a third option, the option that Mark describes. Focus internally on the 70% or so of processes that are waste. Focus on patient outcomes, improving the process, employee satisfaction, and obviously the customer. Follow the lead of healthcare organizations like Thedacare that create radical improvement and stunning results... at a much lower cost.