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For Care Design 2016 to be successful healthcare institutions need to balance three pillars: 1. Efficient and effective operating system 2. Supportive management infrastructure 3. Deep-rooted learning organization Operating System The operating system is the nuts and bolts of the organization’s processes. During a transformational journey, the operating system is commonly improved by applying “improvements” techniques. Areas of focus include: reducing variation in...

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A smooth and integrtated Care Design 2016 is not the product of a series of isolated actions – but from orchestrating the right combination of interactions. However, “alignment” is not a concept that is particularly well understood in healthcare. Rather than aligning the components of culture, skills, structure and strategy – the actual requirements for alignment – we tend to focus almost exclusively on the component of “structure.” This is what Peter Senge referred to as a “mental...

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A smooth and integrtated Care Design 2016 is not the product of a series of isolated actions – but from orchestrating the right combination of interactions. However, “alignment” is not a concept that is particularly well understood in healthcare. Rather than aligning the components of culture, skills, structure and strategy – the actual requirements for alignment – we tend to focus almost exclusively on the component of “structure.” This is what Peter Senge referred to as a “mental...

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A smooth and integrtated Care Design 2016 is not the product of a series of isolated actions – but from orchestrating the right combination of interactions. However, “alignment” is not a concept that is particularly well understood in healthcare. Rather than aligning the components of culture, skills, structure and strategy – the actual requirements for alignment – we tend to focus almost exclusively on the component of “structure.” This is what Peter Senge referred to as a “mental...

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A smooth and integrtated Care Design 2016 is not the product of a series of isolated actions – but from orchestrating the right combination of interactions. However, “alignment” is not a concept that is particularly well understood in healthcare. Rather than aligning the components of culture, skills, structure and strategy – the actual requirements for alignment – we tend to focus almost exclusively on the component of “structure.” This is what Peter Senge referred to as a “mental...

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An important path to advance the Care Design 2016 principles will be the asking of the wicked questions that will lead to a deep exploration of assumptions held. Without exploring  assumptions, you will continue to be hostage to your indifference to failure and be unable to reach your improvement potential. Questions to the main protagonists. The Role of All Health System Players  Do we play it safe by setting easily attainable goals? If so, why? Do we treat vision   and mission as noble...

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Networks are best facilitated rather than "administered". Trust and reciprocity are the twin pillars for sustaining any network.   Imagine the healthcare system to be a multi-storey building. We have stairs, halls, ladders and balconies. We call them networks, institutes, agencies, foundations, et cetera. In addition, we have independent stairs and ladders called the delivery system. Too often, leaders are more concerned with the drama in the upper floors than the relationship flaws...

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I travel hallways, cafeterias, meeting rooms and hierarchical power-based ladders. When I listen to the stories and experiences from citizens who have lost loved ones due to preventable system failure, I hear a common theme, "They did not listen to us." When I listen to a coroner, I hear a common theme, "The family was not listened to." When I listen to front-line care providers, I hear things like constantly being over census, short-staffing, casual and constant churn of staff, new...

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  Patient Safety and Quality Improvement is stalled.   For this redesign principle to take hold (become un-stalled) your comments/views on the following statements will help produce a new narrative.    First , a 2014 quote by Ashish K. Jha, M.D., a professor at the Harvard School of Public Health... "Unsafe care is not on the top priority list for CEOs. It's not what keeps CEOs awake at night. And until we get CEOs losing sleep about unsafe care, we're not going to make a big...

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This design principle reminds me of an important learning moment.   ..As I settled into my seat, and took out a pen to mark things up, I quickly realized that a young boy (maybe 6 years old) was watching me (he must have been about eye level with my paper) and asked me what I was reading. I told him it was my homework, and then he proceeded to tell me that he was going into grade one, and how excited he was about it. I then said to him that it was, indeed, exciting, and that he too...

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Hugh MacLeod
 

Hugh MacLeod

Vancouver, Canada

Joined this community on Nov 14, 2015

Bio 35 years of Healthcare experience

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Senior Associate

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INSource

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