Marc Harrison, M.D., CEO of Salt Lake City-based Intermountain Healthcare, based in Salt Lake City, writes in the Harvard Business Review about his system’s intense use of “15-minute huddles” to maximize care and efficiency.
“At Intermountain, the 15-minute huddle is the key. It enables knowledge from activities throughout the organization in the previous 24 hours to escalate up to executive leadership — Tier VI in our model — and be addressed.
“Using that 15 minutes effectively requires structure: Each huddle has a leader; the participants are designated, as is the recorder of the data; the huddle is scheduled; and the categories of reported information are captured on a prepared chart. We have four fundamentals of extraordinary care that are covered in our daily huddles: safety, quality, access, and stewardship of resources so they are used to provide the best possible care. Across those fundamentals, eight key topics are reported every day. They include potential serious safety events that could have harmed a patient, caregiver injuries, and reported downtimes (of equipment, elevators, systems or processes, for example).”
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Fed up with astronomical drug prices, some of America’s largest hospital systems plan to enter the drug business themselves. Many patients would cheer them on.
“This is a shot across the bow of the bad guys,” Marc Harrison, M.D., the chief executive of Intermountain Healthcare, the nonprofit Salt Lake City hospital group that is spearheading the effort, told The New York Times. “We are not going to lay down. We are going to go ahead and try and fix it.”
The newspaper reported that “while Intermountain executives would not name the drugs they intend to make, hospitals have long experienced shortages of drugs like morphine or encountered sudden price increases for old, off-patent products like the heart medicine Nitropress. Hospitals have also come under criticism for overcharging for their services, including for some drugs.
“Several major hospital systems, including Ascension, a Catholic system that is the nation’s largest nonprofit hospital group, plan to form a new nonprofit company, that will provide a number of generic drugs to the hospitals. The Department of Veterans Affairs is also expressing interest in participating.
“In all, about 300 hospitals are now included in the group. Other hospitals are expected to join.”
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