http://www.ted.com/talks/stefan_larsson_what_doctors_can_learn_from_each_other.html
- 17-fold difference in outcomes for prostate surgery in Germany (5% vs 50%)
- Continuous improvement not only improves quality of care over time, but also improves the quality of care for all who participate in it
- Agents of change are the clinicians
- Physicians are always very competitive – “always best in class”
- They are extremely motivated to improve if they are shown not to be the best.
- Physicians also thrive from peer recognition – “if one cardiologist calls another cardiologist at a competing [lagging] hospital and asks how they can improve, the leading cardiologist will share”
- These qualities and dynamics establish an environment supportive of continuous cycle improvement
- BCG have formed the International Consortium for Health Outcomes Measurement (ICHOM) with Michael Porter (Harvard Business School) and Karolinska Institute (Sweden) but reps from UK, USA, HK, BEL, SWE, NO, DK, DE, NL, AU, SG, Switzerland
- They will establish data sets providing international outcome comparisons: 4 (2013), 8 (2014), 16 (2015) – 40% of disease burden in 4 years.
- measuring value (vs costs) in healthcare – the things that matter to patients – will make clinicians part of the solution, not the problem
