More on Harvard Innovation Forum

Yesterday we worked through two quotes from the Harvard health care innovation forum.  But, I am sure you will be delighted to hear, there is more!  The first one today is truly key, in my view:

A Kano 2 improvement (referencing the 3 types of process improvement identified by Noriaki Kano) is quite different and not at all understood in healthcare. That is, reduce the cost of production without hurting the customer… by making production simpler, taking a step out, doing something with different materials … figuring out a way to do the same thing — or even something better — for the customer, while reducing your cost of production. Don Berwick, MD President Emeritus and Senior Fellow, Institute for Healthcare Improvement and Gubernatorial Candidate

To me, this easily transfers to health care innovation.  Make “production” simpler by making substantive changes to the ingredients and / or steps in the process.  We have to change the formula!

Change the Formula!

Change the Formula!

That fits beautifully with my on-going tantrum about integrating non-clinical caregivers into the clinical health care team.  The result will be better outcomes – caregivers can be with the patient more often at much lower cost than clinicians, while serving as the trained eyes and ears (and sometimes hands) of the clinicians.

I like the next one almost as much:

Somebody on the Orient Express gets killed (referring to Agatha Christie’s mystery – Murder on the Orient Express), and the question is, who killed him? The answer is, everybody on the train killed him. And the answer about who killed healthcare is: the status quo. Regina E. Herzlinger – Nancy R. McPherson Professor of Business Administration at Harvard Business School

That is a brilliant metaphor, in my book.  There are many great things in the current health care status quo.  However, the mold must be broken, as the current reference model simply does not work well enough.  We cannot simply play musical chairs with the current players.  We have to add new players – non-clinical home care, in my estimation – in order to make the game “playable” for the future.

Still more to come, but best wishes for now.  Bert


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