Healthcare Delivery

  • Why Healthcare System Value Analysis Programs Underperform

    Why Healthcare System Value Analysis Programs Underperform

    Value analysis is finally getting some traction in healthcare.  According to the Association of Healthcare Value Analysis Professionals (AHVAP), value analysis is “A systematic process to review clinical products, equipment and technologies and to evaluate their clinical efficacy, safety and impact on organizational resources”.  Historically this process occurred within supply […]

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  • Testimonials

    Testimonials

    Testimonials from our readers about our books. “Excellent treatise on program building.” “I just finished reading your book – Strong Work!”  “I will be ordering copies for our team.” “Congrats Terry! Seven Pillars are just perfect.” ” I will use all the tips you give for leadership …. It was […]

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  • Why Hospitals Need Structured Robotics Programs*

    Why Hospitals Need Structured Robotics Programs*

    Since 2000 the annual growth in robotic assisted surgery has increased tremendously.  Between 2009 – 2014 the number of procedures performed on the da Vinci platform from Intuitive Surgical has tripled from approximately 40,000 to 120,000[1].  It is not just the number of procedures that is growing, but also the […]

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  • The Two Key Drivers Of A Physician’s Practice

    The Two Key Drivers Of A Physician’s Practice

    It’s an oversimplification to suggest that a physician’s practice could come down to two key drivers, and yet without focusing on these key drivers all of them would struggle to keep their doors open. The key drivers are work-flow and cash-flow. They impact everything, and just about every physician is aware […]

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  • How to Accelerate the Adoption of an Innovation

    How to Accelerate the Adoption of an Innovation

    The cheers from our hotel room were apparently heard down the hall.  We were on vacation when the results were first available.  My wife was checking on the boys in the room next door when she heard me jumping up and down, hooting and hollering in our room.  She ran […]

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  • Aligning Physicians and Healthcare Systems Through Choice Architecture

    Aligning Physicians and Healthcare Systems Through Choice Architecture

    The clinical practice change we implemented was supposed to be easy.  It was a simplified version of an Enhanced Recovery After Surgery (ERAS) program for patients undergoing bowel surgery. It was implemented in 18 hospitals and involved over 100 surgeons. Two key process steps were identified and tracked. They were early ambulation (patients […]

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