Factory Efficiency Comes to the Hospital

July 11, 2010 at 7:56 pm Leave a comment

New York Times, By JULIE WEED

Published: July 9, 2010

Here is a must read for those of you who have actually figured out that CME is in the improvement business.

………………… “On a busy day last month in the I.C.U., it took Ms. Matthews just a few seconds to find the specialized tubing she needed to deliver medicine to an infant recovering from heart surgery. The tubing was nearby, in a fully stocked rack, thanks to a new supply system instituted by the hospital early last year following practices typically used in manufacturing or retailing, not health care……….

…….“It turns out the highest-quality care also is the most cost-effective because we make fewer mistakes and create better outcomes,” says Patrick Hagan, the hospital’s president.

The program, called “continuous performance improvement,” or C.P.I., examines every aspect of patients’ stays at the hospital, from the time they arrive in the parking lot until they are discharged, to see what could work better for them and their families. ……”

I especially find this part of the article interesting.

“…..At Seattle Children’s Hospital, Dr. John Waldhausen, the division chief of pediatric general and thoracic surgery, acknowledges that he and other doctors weren’t initially very enthusiastic about C.P.I. because they thought it would take some decisions about patient care out of their hands.

Over time, he changed his mind, and he is now a vocal advocate of C.P.I. “When you look closely, C.P.I. is the same scientific method we learned in medical school, including hypotheses, data collection and analysis,” he says. “It is not opinion and conjecture — it is data-driven.”

Folks, this is where the action is in health care. This is where the action is in CME. There are literally hundreds of things CME could be doing in this process. One of our first responsibilities is to become proficient in the approach to improvement being used in our settings. And if there is not a systematic, repeatable, sustainable approach to improvement in your setting you can start to make it happen.

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Entry filed under: CME Issues, Continuing Medical Education, Improvement, PI CME. Tags: , , , , , .

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