Thursday, June 28, 2007

Quality Healthcare

A recent survey completed by The American College of Physician Executives polled 1,155 physician-leaders about patient-safety and quality initiatives at their organizations.

The survey showed that physician-leaders are passionate about improving the care that patients receive but many physician-executives are finding the implementation of safety and quality initiatives to be a major challenge.

Comments from these individuals in the survey were generally ones like “Hospitals are still chasing revenue and are not serious about improving quality and efficiency” and “Society does not allocate sufficient payments to hospitals in areas serving the poor to allow implementation of needed improvements—this is a disgrace to the U.S. healthcare system.”

Most of the respondents reported they have struggled to find an appropriate balance between what they believe is best for patients and what is best for their healthcare organizations when it comes to implementing these initiatives.

A little over one-third of respondents identified a lack of resources (including staffing) as a major barrier to improving patient safety and quality within their institutions and another third felt that the desire to maintain the status quo was a major obstacle.

When compared to most other organizations, healthcare entities have historically had very few people working on quality, comparatively speaking. Hospitals haven’t made a serious investment in this aspect compared with the GE’s, Ford’s etc. but it is improving

Healthcare executives hide behind the excuse that lack of physician engagement makes systematic improvement impossible but according to the survey, physician-leaders are committed to the journey ahead but stymied by obstructions in the road (usually administrations)

Collectively, we as physicians and healthcare leaders need to hold our profession accountable for acquiring the knowledge and skills necessary to effectively lead our medical staff and organizations into the future.

Complacency and proatecting the "sacred cows" cannot continue to be the modus operadum!

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5 Comments:

Anonymous Anonymous said...

"Healthcare executives hide behind the excuse that lack of physician engagement makes systematic improvement impossible but according to the survey, physician-leaders are committed to the journey ahead but stymied by obstructions in the road (usually administrations"

They needed a survey to figure out that?

Their next survey should be to see if there is any industry more surveyed than healthcare.

6/28/2007 01:44:00 PM  
Anonymous Anonymous said...

Maybe someone needs to look into how to improve the quality of the surveys.

6/28/2007 01:47:00 PM  
Anonymous Anonymous said...

HB may not believe: "that lack of physician engagement makes systematic improvement impossible". However, he should try to get doctors interested in new technology or get them to attend training in the use of new technology that doesn't immediately and directly affect their incomes.

I know HB always thinks that "someone" has to be to blame for everything that isn't perfect. But the fact is that most people are very busy and pulled in multiple directions at once. Doctor's who don't show an interest or willingness to engage with new technology aren't evil or incompetent--they are just making decisions about how to prioritize their time. But the fact is that the lack of engagement is an obstacle.

6/28/2007 01:49:00 PM  
Anonymous Anonymous said...

So, clinging to the status quo is seen as hampering progress. Interesting.

6/28/2007 01:58:00 PM  
Anonymous Anonymous said...

What?

6/28/2007 11:34:00 PM  

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