RTCrawford's Weblog

I don't make this stuff up. I'm not that smart.

Archive for the ‘Quality Improvement in Health Care’ Category

Investing and Healthcare — The Quality and Learning Link

leave a comment »

A couple of years ago, my colleague Jim Porto at UNC Chapel Hill asked me to teach a two-day seminar on performance psychology, and I loved it. My students, on the other hand, initially evidenced a normal distribution, with agnosticism as the mean. In other words, a small number loved it, a small number hated it, and most figured it was a necessary block to check before moving on to more productive things. As I continued to teach it and my skills presenting the materials became better, the response improved, and, because the materials were taken from research rather than the self-help section at Borders, the impact has been rewarding (and the student evaluations would make my mother proud).

Well, I no longer teach the seminar (having handed it to others who are every bit as capable), but I’ve retained interest in the topic. Over the winter holidays, I read Malcolm Gladwell’s Outliers and Geoff Colvin’s Talent is Overrated. While both are interesting (Colvin’s is better, despite Gladwell’s higher standing on the New York Times Best Seller list), I decided to apply Jacobi and invert – looking at the causes of failure.

Read the rest of this entry »

Advertisements

Healthcare Camouflage

leave a comment »

Open the New York Times last weekend and there were two articles concerning healthcare quality in the United States.  The first recounts the efforts by New York State government to close or consolidate hospitals with high patient-harm rates.  The first indication that such closures are exceedingly difficult is the necessity of creating a special, independent commission.  When elected representatives lack the spine or the consensus to do that for which they were elected, an independent commission is often the solution of choice.

Read the rest of this entry »

Written by rcrawford

December 12, 2008 at 6:24 am

Clinical Pathways and The Story of O

leave a comment »

Newton wrote the Principia (the most influential, non-religious text in human history) in 1684.  His three laws of physics and theory of gravitation are contained within it.  Almost immediately there was controversy, when Leibnitz published his text creating calculus, and Newton off-handedly claimed he had invented calculus in order to perform his research for the Principia.  The issue is not resolved until Newton produced his working papers – with credit ultimately given to both for this monumental advance.

Read the rest of this entry »

Written by rcrawford

November 30, 2008 at 12:39 am

The Google Model of Healthcare Quality and Advertising

leave a comment »

The Google model — trading advertising for quality:

http://www.nytimes.com/2008/11/24/business/media/24carr.html?em

The article notes that Google rarely advertises its new functionality, but, having built a better mouse trap, users seek and adopt it — because, by reputation and past exposure, it consistently delivers on three fronts … simplicity, utility, and price … the constituent attributes of its character and persona.  With each new addition, a web of use and reliance follows, creating a barrier to exit for the consumer and more strongly establishing customer loyalty.

Read the rest of this entry »

Written by rcrawford

November 25, 2008 at 8:46 pm

Tiered Healthcare System?

leave a comment »

In my Quality Controls class, a number of students have been debating the merits and detraction of a tiered healthcare system, where the wealthy have the option of buying high-end services and the poor get the quality of services their wallets and government support can afford.  Here is my take on the question.

Read the rest of this entry »

Written by rcrawford

September 21, 2008 at 10:02 pm

Healthcare Quality Thoughts from Recent Work

with 5 comments


(Painting of Magnolias in a Bowl referenced later)

It is during the summer that I take a break from teaching and focus on consulting projects that keep me current in the field of management and prevent me from feeling sequestered from the competitive healthcare market. This posting is devoted to some common healthcare management themes identified during recent consulting projects and conference presentations.

Read the rest of this entry »

CQI In Complex Industries

leave a comment »

The distinction between Total Quality Management and Continuous Quality Improvement is that CQI has been modified for healthcare environments. While earlier postings discuss the success of TQM on the factory floor and in production operations, it may be helpful to contrast that side of industry with something more akin to healthcare, such as information technology (especially, software design and development).

Read the rest of this entry »

Written by rcrawford

June 1, 2008 at 6:15 pm