Some time ago, I acquired the url for "notrunningahospital" in case there was confusion about the name of this blog. That way I could refer people over here if they ended up at the wrong place.
But then I realized that a blog address is a terrible thing to waste and wondered if I could do something useful with the other one. Here's what I came up with: I have been gradually copying posts related to transparency and Lean process improvement from this blog to the other serve as an archive and resource to people in hospitals who might want to review the experience at Beth Israel Deaconess Medical Center and other hospitals and apply lessons to their own institutions.
What you see documented on that blog is a consistent and decided institutional commitment to transformational change at BIDMC and several other places. It takes a long time and with constant reinforcement from the top folks to fight inertia and entropy and build sustained momentum for this kind of change. Personal involvement and interest of the CEO and clinical leaders is essential.
I hope you find the new site to be a useful resource. (You can also continue to search "Lean" and "transparency" on this blog and find many posts on those topics, but the search engine is not always comprehensive, so you might find the other site to be a more useful place to review those posts.)
I also continue to search for success stories in these arenas from around the world. If you have some to share, please let me know.
Nice idea. Thanks, Paul.
ReplyDeleteThis is a great idea, since I have tried to search your original blog before for Lean posts, and it is a slog to do it that way.
ReplyDeleteI wonder if any of these materials would be amenable for use by those poor isolated souls or groups of souls in hospitals who are trying forge their own way toward Lean process improvement, or to gather enough evidence to convince a skeptical senior management to embark on such a process. As we are both aware, too often the middle management or front lines are more interested in such a program than the clinical or administrative leadership; a very sad situation.
nonlocal MD
From Twitter:
ReplyDeleteLook forward to reading. Had a recent discussion about how people pass the buck and say "that's not my job" in hospital.
Time we admit it's all our jobs to commit to inoroving safety, efficiency and quality improvement.
Paul Jones
Great idea Paul! Happy New Year and thanks for your ongoing sharing!
ReplyDelete