tag:blogger.com,1999:blog-32053362.post5408807667277229542..comments2024-03-26T00:25:34.026-04:00Comments on Not Running a Hospital: Dartmouth 1 - Harvard 0Paul Levyhttp://www.blogger.com/profile/17065446378970179507noreply@blogger.comBlogger6125tag:blogger.com,1999:blog-32053362.post-17588946959611810372010-09-20T11:20:11.821-04:002010-09-20T11:20:11.821-04:00As a future graduate student with a lean healthcar...As a future graduate student with a lean healthcare background, this degree is intriguing. But my question to all of the healthcare leaders out there is what kind of job does this qualify someone for? Where would an individual with this degree fit you your organization?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-36397210169943363612010-09-20T03:02:45.612-04:002010-09-20T03:02:45.612-04:00I believe both Dartmouth and Harvard-- in fact all...I believe both Dartmouth and Harvard-- in fact all who are part of the discussion need to talk beyond the delivery of medical care. Certainly a lot of money is spent and it is important, however, we need to define the context of health care delivery. What are the pre-conditions in society, in community, and by individuals in which medical care will work? To only approach the health delivery components dismisses where people learn most of what they know about health, do most of what makes them sick or well, and can support (or not) the actions of medical system. To be responsible planners -- you/we need to speak for the entire system. The whole system needs to be defined and envisioned. For example, what is in the community? What are the parts of the system that promote health, that educate, the structures or organizations that maintain health and assure people are assimilated in their communities. Less that that is simply about medicine and not about health.Anonymoushttps://www.blogger.com/profile/12094580828936365551noreply@blogger.comtag:blogger.com,1999:blog-32053362.post-24280553642525904592010-09-14T03:50:58.827-04:002010-09-14T03:50:58.827-04:00It is interesting to note that except for "me...It is interesting to note that except for "medical educators", the degree program does not seem to be aimed at M.D.'s, who are critical participants in, or potential obstacles to, this endeavor. And it is fine to 're-educate' people in mid-career, but it is really the medical students who need training in this area, as noted in the recent Lucian Leape Institute report on medical education. <br /><br />One of the problems noted in the Leape report is the lack of physician faculty educated in these principles, so perhaps this degree program is at least a first step toward providing them.<br /><br />nonlocal MDAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-59190575139260789452010-09-13T15:28:27.378-04:002010-09-13T15:28:27.378-04:00On a similar vein, see NYTimes today:
Researchers ...On a similar vein, see NYTimes today:<br />Researchers in Asian Countries Raise Their Scientific Profiles Worldwide<br />By LIZ GOOCH<br />Published: September 12, 2010<br /><br />New knowledge-intensive economies could fuel construction of hospitals that are LEAN and patient-centered from the ground floor up.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-36781028889090999732010-09-13T15:19:44.281-04:002010-09-13T15:19:44.281-04:00Leading quality improvement institutions have emer...Leading quality improvement institutions have emerged across the country and internationally for a decade, but HMS seems oblivious to such game-changing rules. We pat ourselves on the back a lot, but we don't look much over our shoulders, do we?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-32746083973817692092010-09-13T13:59:34.912-04:002010-09-13T13:59:34.912-04:00Business guys only react to the almighty dollar. ...Business guys only react to the almighty dollar. That is their measure and guiding goal. That is why administration often clashes with the clinical side.<br /><br />Until the incentives are changed, the drive to lower costs (except where they can increase profit)and improve quality will not be embraced. This is what the Obama health care plan attempts to do, but we will see how the intent of the law gets twisted as the details of implementation get put in place.Keithnoreply@blogger.com