1 / 25

Assignment: Who is the Jack Welch of Health Care?

Remarks to the National Association of State Veterans Homes March 1, 2010 Phillip Longman Senior Fellow New America Foundation 1899 L Street, N.W. Washington, D.C., 20036 (202) 986-2700 Longman@NewAmerica.net. Assignment: Who is the Jack Welch of Health Care?.

jorden-bowen
Download Presentation

Assignment: Who is the Jack Welch of Health Care?

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Remarks to the National Association of State Veterans HomesMarch 1, 2010Phillip LongmanSenior FellowNew America Foundation1899 L Street, N.W.Washington, D.C., 20036(202) 986-2700Longman@NewAmerica.net

  2. Assignment: Who is the Jack Welch of Health Care? General Electric CEO and “Manager of the Century” according Fortune magazine.

  3. “The U.S. News & World Report list began in 1990 and Georgetown has claimed top honors since its inception for 11 consecutive years.” Georgetown University Hospital Press Release, 2001.

  4. Where’s the Science? Utilization Rates During the Last Six Months of Life Among Patients with At Least One of Nine Chronic Conditions Receiving Most of Their Inpatient Care from Selected Academic Medical Centers (Deaths Occurring 2001–05) Dartmouth Atlas of Health Care, 2008

  5. 000-50-5000 000-50-5000

  6. The VA: Conceived in Scandal Warren G. Harding “Colonel” Charles R. Forbes, 1924 World War I deserter, embezzler, imposter, and first director of the Veterans Bureau.

  7. Tom Cruise’s depiction of life in a Bronx VA Hospital, 1989 Sample dialogue: This place is a f***ing slum!

  8. “ . . . Overall, VHA patients receive better care than patients in other settings” Articles About VA’s Quality

  9. What is Quality in Health Care?

  10. The More Things Change… 1911 2004 [Not until some-where around 1911 was it true that] “a random patient with a random disease consulting a physician at random stood better than a 50-50 chance of benefiting from the encounter.” Professor L.J. Henderson (1879-1942) Harvard University

  11. The History of the Hard Hats • Deviant • Secretive • Insubordinate • Persecuted • Persevering • Triumphant • Unsung

  12. “There is no reason for any person to have a computer in their home” ~Ken Olson, President, Digital Equipment Corporation, at the Convention of the World Future Society, 1977.

  13. Wally Fort

  14. George Timson - 1980

  15. “Hard Hat” Greg Kreis

  16. Out of the Garage

  17. Dr. Kenneth Kizer, Change Agent Dr. Kenneth Kizer, accepting 2006 "Leadership in Innovation" award for “the transformational work accomplished while he was at the helm of the Veterans Health System”

  18. Take Home Lessons • The VA’s long-term relationship with its patients provides incentives lacking elsewhere in the health care system for investment in prevention, effective disease management, and other metrics of quality. • The VA’s collaborative “open source” culture points the way for getting medical professional “buy in” for health IT and its integration into medical practice. • The VA’s use of its digitalized records to perform population-level outcomes research illustrates how true, “evidence-based medicine” depends on a large and integrated IT infrastructure. • The VA’s quality revolution shows that when it comes to health care, more market competition isn’t necessarily the answer. The VA’s structural liabilities as a government bureaucracy are more than overcome by its ability to integrate care and perform as a true, scientifically-managed system.

  19. Phillip LongmanSenior FellowNew America Foundation1630 Connecticut Ave., N.W.Washington, D.C., 20009(202) 986-2700Longman@NewAmerica.net

More Related