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Part case study, part manifesto, this
groundbreaking new book by a doctor and a healthcare executive uses
real-life anecdotes and the logic of lean thinking to make a
convincing argument that a revolutionary new kind of healthcare —
lean healthcare — is urgently needed and eminently doable.
In On the Mend: Revolutionizing Healthcare
to Save Lives and Transform the Industry John Toussaint, MD,
former CEO of ThedaCare, and Roger A. Gerard, PhD, its chief
learning officer, candidly describe the triumphs and stumbles of a
seven-year journey to lean healthcare, an effort that continues
today and that has slashed medical errors, improved patient
outcomes, raised staff morale, and saved $27 million dollars in
costs without layoffs. Find out:
- How lean techniques of value-stream-mapping and rapid
improvement events cut the average “door-to-balloon” time for heart
attack patients at two hospitals from 90 minutes to 37.
- What ThedaCare leaders did to replace medicine’s “shame and
blame” culture with a lean culture based on continuous improvement
and respect for people.How the lean principle of “building in
quality at the source” broke down divisions among medical
specialties allowing teams to develop patient care plans
faster.
- Why traditional modern management is the single biggest
impediment to lean healthcare.
- How the plan-do-study-act cycle coupled with rapid improvement
events cut the wait time at a robotic radiosurgery unit from 26
days to six.
- How the lean concept of “one piece flow” saved time in treating
ischemic stroke patients, increasing the number of patients
receiving a CT scan within 25 minutes from 51% to 89%.
- How senior leaders at other healthcare organizations can begin
their own lean transformations using a nine-step action plan based
on what ThedaCare did — and what it would do differently.
Toussaint and
Gerard prove that lean healthcare does not mean less care. On
the Mend shows that when care is truly re-designed around
patients, waste and errors are eliminated, quality improves, costs
come down, and healthcare professionals have more time to spend
with patients, who get even better care. Order your copy of this
important new book today.
What the Experts are Saying About This Book?
"Everyone interested in medical care should read this book.
It describes a way to markedly improve outcomes from medical care
interventions, while simultaneously reducing costs."
"The ideas practiced at ThedaCare in Wisconsin should be
adopted across the country. If they are, it will be easy to afford
financial access for every citizen, because we will reduce national
medical care spending by hundreds of billions of dollars per year,
while improving outcomes."
- Paul H. O’Neill, former Alcoa CEO
and U.S. Treasury Secretary, and co-founder of the Pittsburgh
Regional Health Initiative
"I avoid reading business improvement
books. I made an exception because this one came from ThedaCare,
one of the 2 or 3 US health care organizations that consistently
score at the top of national and regional rankings on BOTH quality
and affordability."
"In On the Mend, John Toussaint and Roger
Gerard explain simply, clearly and briefly how it was done. They
use story-based prose. It can be read in a single day by a high
school graduate. Its sweet logic and instant digestibility resonate
with the book's topic - how to deliver more patient benefit with
less time and fewer resources."
"Worried that reaching the top of national
rankings on quality and affordability is unattainable by ordinary
mortals? Read this book in one day. Then ask your organization's
most senior physicians, most junior clerks and everyone in between
to read it. Your journey will have begun."
- Arnold Milstein, MD, Professor of
Medicine and Director of the Clinical Excellence Research Center at
Stanford University
"We need health care that is sustainable and excellent –
both. That will require rethinking our work and redesigning our
systems of care boldly and guided by proper theory. These authors
are masters of the change we need; under their guidance, ThedaCare
has become a bright spot in the landscape of American health care.
Their work and this book show that lean thinking and true
patient-centeredness are not just compatible; they are, at heart,
the very same thing."
- Donald Berwick, MD, MPP, FRCP,
President and CEO of the Institute for Healthcare
Improvement
"The USA is twisted in knots debating health care payment
reform, afflicted as it is with a system that is compromised in
quality, affordability, and access. But for all the talk, changing
payment schemes promise nothing but zero sum tradeoffs. The real
potential for win win improvement is at the provider
level--adoption of more sophisticated approaches to managing the
delivery of care so far more value is created while requiring fewer
resources and less effort."
"John Toussaint, as former CEO of ThedaCare, has demonstrated
how this is done, and if his organization's approach and results
were replicated nationally, we would be having health care surplus,
not crisis."
- Steven J. Spear, Author of The
High-Velocity Edge: How Market Leaders Leverage Operational
Excellence to Beat the Competition, Sr. Lecturer at
Massachusetts Institute of Technology, and Sr. Fellow at the
Institute for Healthcare Improvement
"ThedaCare has become a national leader at delivering
measurably better value to its patients. This book is a practical
tool for any health care leader to create better patient value in
health care, and begin the real process of health care
reform."
- Michael Porter, Author of
Redefining Health Care
List Price: A$40.00
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To purchase as an e-book for Kindle click the
following link: On
the Mend: Revolutionizing Healthcare to Save Lives and Transform
the Industry | 