August 30, 2005

non profit body shops of horror


  read this and be scared 

Americas thousands
of goo goo
       non profit 
  human body factories
             are 
              hideous  death traps ....


  Cambridge, Mass. —

 "Today, going to
 an American non profit hospital
is  about 
as safe as parachuting off a bridge"

" An estimated 
98,000 Americans 
die each year 
as a result of non profit
                  medical error"

" and a nearly equal number
 succumb to infections 
they acquire in  non profit hospitals"

 

"within the non profit hospitals themselves
          lies
 a  big opportunity to reduce 
the rate of catastrophic medical error
 if the hospitals would just follow 
the example of the world's most successful 
chains
and go profiteer "



"Typically, health care workers
in non profit hospitals 
like employees 
in many other non profit institutions
 tend to work around problems 
when they encounter them"

" meeting patients' immediate needs
 but not resolving costly  problems' 
                            root causes"

" non profits  confront 
the same problem
 every day, for years," 
 
"These persistent difficulties
 manifest themselves
  as regular inefficiencies 
within the system 
and they occasionally lead to
 catastrophic mistakes" 

" whats the key
 characteristic 
 setting health care 
non profit managers  
apart
 from their 
profiteer co evals ?

simple :

non prof managers  
 do not
   constantly 
  strive  
        to do 'it all ' 
                  better".


----------------------------------------

"in a profit driven system
management  Work
 is designed 
to reveal even little problems 
that cost money 
 right as they occur
 well before they cause
   costly errors
 or near misses "

" and
  profit oriented 
  hospital  Managers
 respond to these 
   cost creating problems immediately"

" with rapid experiments
 aimed at generating sustainable fixes
 rather than with workarounds
 that are constantly repeated"

-------- implicit why?
cause 
prof outfits comp their managers 
                   
    for reducing costs that aid ....
              the bottom line --------------
------------------------
more  non prof horrors 

"  each year
about a quarter-million patients 
 nationwide 
  receive  
 central line  iv's
at non profit hospitals 
and 
suffer bloodstream infections ...
                      15 percent die"

" At one Pittsburgh area 
non profit 
 mortality was a staggering 
  40 percent
 of those infected"


---------------------------------------  


    ------------ what can be done??
  hey check thru
the pitt hos  experience ...---------------

"By quickly identifying 
         and resolving 
 small procedural problems
 this  Pittsburgh hospital
(after  profiteers took over)
  cut their central line 
        infection rates 
                  in half"

-----------
      why ?
cause 
  each  infection prevention
saved 
the hospital an average 
  30k
in  added  expenses
                 -----------------
 


 "If the rest 
of the country's hospitals
turned profiteers
 the national savings 
would be  measured
  in   
tens of thousands of lives 
and 
billions of dollars
  every year" 


source:

Steven J. Shakespeare

  senior fellow 
at 
  the Institute for hospitalcare Improvement


-------------------------
actually
thats hog wash

mostly

cost
of "complications"
 far from being costly 
may increase
profit 

if experience is unpublicized

a death trap may also be a nice profit trap


  

 costly errors

that can be 
passed  thru 

ie  billable to the carriers 

  making "mistakes"
                  may  cause 
not only revenue but profits to rise

so wish for ...good health 


Posted by pinky at August 30, 2005 03:36 AM

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