tag:blogger.com,1999:blog-32053362.post4685232065122813428..comments2024-03-29T06:37:18.029-04:00Comments on Not Running a Hospital: Bridging the Gap Between Planning and RealityPaul Levyhttp://www.blogger.com/profile/17065446378970179507noreply@blogger.comBlogger1125tag:blogger.com,1999:blog-32053362.post-4093187806828034222015-08-17T12:10:18.200-04:002015-08-17T12:10:18.200-04:00In most industries, an organization that uses lean...In most industries, an organization that uses lean techniques to improve quality and efficiency while lowering costs is rewarded with more business. I don’t think that happens with hospitals because (1) the lack of price and quality transparency to help patients evaluate hospitals d (2) the huge influence that doctors have in determining which hospital patients are sent to, at least for non-emergency care, and (3) health insurance insulates patients from the cost of their care, at least for the most part. <br /><br />The fact that most doctors who practice in hospitals are not hospital employees makes it even more challenging for hospital management to attempt to implement lean techniques. I think we need a better alignment of incentives across the board for this concept to take hold more broadly in hospitals.<br /><br /> <br />Barry Carolnoreply@blogger.com