Features  |   January 2018
THRIVE, Don’t Just SURVIVE: Essential Skills for the Perioperative Physician Using Lean Methodology to Achieve Operational Excellence
Author Affiliations
  • Shubjeet Kaur, M.D., M.Sc.HCM
    Committee on Practice Management
Article Information
Central and Peripheral Nervous Systems / Education / CPD / Obstetric Anesthesia / Patient Safety / Practice Management / Quality Improvement / Features
Features   |   January 2018
THRIVE, Don’t Just SURVIVE: Essential Skills for the Perioperative Physician Using Lean Methodology to Achieve Operational Excellence
ASA Monitor 01 2018, Vol.82, 14-17.
ASA Monitor 01 2018, Vol.82, 14-17.
The current trajectory of health care spending in the United States, as a percent of the GDP, is not sustainable. Over the last decade there has been a movement toward value-based purchasing in health care. Two landmark reports published by the Institute of Medicine (IOM) set the direction for quality improvement in the health care field. To Err Is Human, published in 1999, highlighted that as many as 98,000 patients die each year because of preventable medical error. In March 2001, with its report Crossing the Quality Chasm: A New Health System for the 21st Century, the IOM called for a fundamental change to close the quality gap in health care. This set the direction toward a focus on quality and value by policymakers, regulators, payers and purchasers of health care. Value, as defined by Michael Porter, is quality divided by the cost of creating a quality product. When the Porter paradigm is applied to health care, value is added when quality outcomes are achieved at low cost.
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