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Patient Health in the 21st Century

The healthymagination summit on hospital efficiency in New York City featured a range of speakers and panel discussions on everything from the role of technology to how to foster cultural shifts in hospitals.

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[[Hospital Performance and Patient Health in the 21st Century:Delivering Better Care, To More People]]

[[June 10, 2010]]

[We sort of highlighted that--that we're going to need to change. ]

[[John Dineen President & CEO, GE Healtcare] We've got challenge systems again]

[with quality problems and cost problems and they're facing into a bow wave of demand--]

[newly insured--just a small piece.]

[Chronic diseases,]

[if you look at obesity rates, cardiovascular diseases,]

[metabolic diseases, oncology,]

[this system is going]

[to face a bow wave of demand. ]

[There is a need for change, and when you spend time with the people in this room, ]

[the people that you're going to see today, you understand]

[that there's an opportunity to change. ]

[[Dr. Mark Chassin President, The Joint Commission] This is a global challenge.]

[The Joint Commission now credits about 350 hospitals in 41 countries,]

[and I can tell you that every developed healthcare system is facing]

[exactly the same challenges. ]

[We need to do three things in order to meet this challenge. ]

[We need to eliminate the overuse of health services.]

[We need to eliminate the waste that is inherent in]

[needlessly complicated processes that exist]

[in almost every care delivery process]

[in every care delivery site, preventable complications. ]

[But right now, I believe, every hospital,]

[every healthcare organization, can pursue a strategy]

[that will improve on all of these ]

[parameters without having to sacrifice revenue]

[or add on a whole lot of extra cost. ]

[[Mark Vachon President&CEO GE Healthcare Americas]The purpose of the panel really is to]

[explore both trends in patient safety, and also examine]

[how patient safety plays a role in overall healthcare delivery. ]

[One of the barriers that we recognize]

[in impeding our progress]

[in patient safety is the difficulty of having]

[fixed resources and allocating those resources. ]

[[Dr. Hal Kaplan Professor, Mt.Sinai School of Medicine] So one of the things we've got to]

[recognize is the need to realign the resources with the fact]

[that patient safety is not a zero-sum game. ]

[[Diana C. Pinakiewicz President, National Patient Safety Foundation] You can't practice ]

[safety science and use root-cause tools and get effective]

[error and near-miss reporting in place]

[if you don't have a culture that's receptive to that. ]

[There are no quick fixes here.]

[Checklists work in some isolated instances, but they are not a panacea.]

[Technology, writ large, is not a panacea.]

[It needs to be employed carefully with]

[careful attention to process redesign so you don't]

[introduce as many new problems as old ones that you solve. ]

[This is a subject we all need to make progress on. ]

[[Tim Brown President & CEO IDEO] And the root cause of all this is not some nasty new bug,]

[it's in our own behavior. ]

[Changing health behavior just like some of these examples in financial ]

[services can be achieved through design, but it's complex. ]

[We're talking about complex problems, large numbers ]

[of people, and often incumbent ]

[players that sometimes obstruct progress. ]

[[Asif Ahmad CIO, Duke University Health System] Use the information you have]

[to improve this whole problem. ]

[I think better care is also]

[the most effective care. ]

[Better quality is not necessarily more money thrown to it. ]

[It's actually how tightly you link the process. ]

[We need to go towards business intelligence and]

[decision support that's action-oriented.]

[[Mike Barber Vice President, GE healthymagination] We're going to talk about ]

[and explore improvements in hospital systems in the face of the changing landscape. ]

[As we have to embrace things like]

[looking at Six Sigma and looking at ways to reduce]

[air in our services, ]

[reduce unnecessary waste. ]

[Just as we've embraced quality, now we have to]

[embrace cost reduction.]

[[Richard Miller President & CEO, Virtua] Organizations around the country have to take]

[ownership of the economic model and reach out to ]

[the business community and partner with the business ]

[community and find that process]

[that we keep people--]

[that we bring them into the wellness process before they hit the sick care process]

[and build this continuum of care with an economic]

[model around it. ]

[[Warner Thomas President & COO, Ochsner Health System] I think you're going to see]

[transparency is better today than it was 5 years ago. ]

[I think it's driven better quality, it's driven better access and service.]

[I think as we become even more transparent, ]

[you're going to see outcomes improve. ]

[You're going to see patient safety improve. ]

[We have to create a norm that is a good thing to live a healthy ]

[lifestyle in our country, and I think as we change that we'll see]

[improvements in healthcare in general. ]

[When there's a crisis there's always opportunity, and I think there's ]

[a lot of opportunity during this time of change during healthcare reform.]

[The healthcare system is staring into a big choice. ]

[You either continue down the current road and]

[walk into a very big problem,]

[or change itself. ]

[We've made a tremendous commitment called healthymagination]

[to be in that top 10 percent with you, to really change]

[how we approach healthcare. ]

[We're on our way. ]

[It's how we run the business. ]

[It is really a re-engineering of our business]

[and our strategy so that we're focused on ]

[really improving the healtcare system,]

[in addition to the practice of medicine. ]

[[healthymagination]]