Lean in Healthcare
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Lean in Healthcare
Improving the process of care to transform the patient experience
Curated by Jim Murphy
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Artificial Intelligence vs. Healthcare

1:56 minute video. Will doctors be replaced with computers? In a digital age where technology like IBM’s computer Watson is creating uncertainty abou
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and he says we still need empathy "at least for now" - why Watson may not be ready to take over for doctors
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How early should patient voices be heard in the research process? « e-Patient Dave

How early should patient voices be heard in the research process? « e-Patient Dave | Lean in Healthcare | Scoop.it
Jim Murphy's insight:

There should be a #person #user #n #sample #subject involved early and often #Leandesign

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Calgary's Mayor Nenshi shines amid flood crisis - Canada - CBC News

Calgary's Mayor Nenshi shines amid flood crisis - Canada - CBC News | Lean in Healthcare | Scoop.it
CBCNews.ca's John Rieti spends a day with Calgary Mayor Naheed Nenshi, who has been leading in the public eye in a blur of press briefings, interviews, damage tours and also private moments with Calgarians since flood waters struck the city.
Jim Murphy's insight:

Our culture rewards reactive, crisis management often creating heros of those who step into the breach.  Could any of this have been prevented? What about the recovery where a long patient steady hand will be needed? 

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The Promise of Lean in Health Care

The Promise of Lean in Health Care | Lean in Healthcare | Scoop.it
Mayo Clinic Proceedings, Volume 88, Issue 1, Pages 74-82, January 2013, Authors:John S. Toussaint, MD; Leonard L. Berry, PhD
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A great review of the principles of Lean in Healthcare

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Noemi's curator insight, October 30, 2013 10:12 PM

interesting application and summary of lean 

 

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Google Fined for Intercepting Health Data, Other Information

Google Fined for Intercepting Health Data, Other Information | Lean in Healthcare | Scoop.it

On Tuesday, Google agreed to a multistate settlement acknowledging that it violated individuals' privacy by collecting electronic medical data and other information during its Street View mapping project, the New York Times reports.


Via Philippe Marchal
Jim Murphy's insight:

In some places this could mean jail time, why just the fine?  

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Global mHealth app services market to reach $26 billion by 2017

Global mHealth app services market to reach $26 billion by 2017 | Lean in Healthcare | Scoop.it
Jim Murphy's insight:

97,000 mHealth apps currently available. Reminds me of the Springsteen song , 57 channels and nothings on. 

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A Healthy Kids Strategy :: Longwoods.com

Ontario's Healthy Kids Panel has a plan to reduce childhood obesity by twenty percent over five years.
Jim Murphy's insight:

It takes a village, perhaps one without a Timmy's on every corner

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Break Your Addiction to Meetings

Break Your Addiction to Meetings | Lean in Healthcare | Scoop.it
Retrain your brain, and your team, to work more efficiently.
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Meetings are important do not waste them

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Mobile Exercise Trackers Do Help You Lose Weight | MIT Technology Review

Mobile Exercise Trackers Do Help You Lose Weight | MIT Technology Review | Lean in Healthcare | Scoop.it
A weight loss program’s biggest losers used a PDA to record their nutrition and exercise habits.
Jim Murphy's insight:

This study found that the group that was assigned them mobile device worked off 8.6 pounds on average, and kept it off for a whole year. Mobile device users who’d attended the optional health education health classes with an attendance rate of 80 percent or more lost 15 pounds. In comparison, the group that recorded their habits on paper did not lose weight.

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in 2014 up to 30% of a hospital’s Medicare quality score, which influences a hospital’s payments, will be based on patient satisfaction; Kaiser Health News

in 2014 up to 30% of a hospital’s Medicare quality score, which influences a hospital’s payments, will be based on patient satisfaction; Kaiser Health News | Lean in Healthcare | Scoop.it

The last couple of decades, however, have produced a large body of research into the environmental and architectural effects on patient health,

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‘Before we make product, we make people.’ Double-Lean focus on coaching

‘Before we make product, we make people.’  Double-Lean focus on coaching | Lean in Healthcare | Scoop.it

Build people before cars;
Establish mutual trust;
Lead as if you have no power;
No problem is problem.

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Google now includes medications directly in search results, including brand names and side effects

Google now includes medications directly in search results, including brand names and side effects | Lean in Healthcare | Scoop.it

"Google on Friday announced a useful update to its search product: the addition of medications. If you search for a drug, the company will now display information about it on the right-hand side, including key facts such as drug class, related medications, brand names, side effects, pregnancy risk, what the drug may treat, and so on.

 

Google will also include a list of other drugs that users who searched for this drug ended up searching for. (...)

 

"Google says it is surfacing the data from the US FDA, the National Library of Medicine, and the Department of Veterans Affairs, among others. Nevertheless, Google warns: “We hope you find this useful, but remember that these results do not act as medical advice.” (...)

 

"While Google has included medication-specific features in its search product before, the addition of drugs to the Knowledge Graph is interesting because it means the company is okay with surfacing information about the touchy subject. Google has a strict policy when it comes to advertising for healthcare and medicines, so I’m sure it has taken special care to keep things strict when it comes to this new feature as well. That’s probably why it was launched separately, and so late after the Knowledge Graph first rolled out a few months ago."

 

CE: I wonder what drug marketers will have to say about this... Considering doctors are probably using Google to search for prescription medications, rival brands might attempt to outbid each other on those "other" drugs... Will doctors and their patients receive the same info when searching for drugs in Google? How will that affect communications among each other when discussing treatment options?


Via Alex Butler, Olivier Delannoy, Lionel Reichardt / le Pharmageek, Dean Berg, Camilo Erazo
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Obama administration moves forward to implement health care law, ban discrimination against people with pre-existing conditions

The Obama administration moved forward today to implement provisions in the health care law that would make it illegal for insurance companies to discriminate against people with pre-existing conditions.
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Return on Investment in Electronic Health Records in Primary Care Practices: A Mixed-Methods Study

Return on Investment in Electronic Health Records in Primary Care Practices: A Mixed-Methods Study | Lean in Healthcare | Scoop.it
Return on Investment in Electronic Health Records in Primary Care Practices: A Mixed-Methods Study
Jim Murphy's insight:

I have not had a chance to dig into the data yet, however, it looks like that when supported by change management  an EMR can reach a break even point  at 10 months. 

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Medicare Hospital Readmissions Reduction Program

Medicare Hospital Readmissions Reduction Program | Lean in Healthcare | Scoop.it
Health Affairs is the leading peer-reviewed journal at the intersection of health, health care, and policy.
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Flawed Barrels 2: Indifference | Engage!

Flawed Barrels 2: Indifference | Engage! | Lean in Healthcare | Scoop.it
Michael Leiter & Associates is an international consulting firm specializing in employee burnout and work engagement research, training, and support.
Jim Murphy's insight:

Indifference can be  just as "disengaging" as agression. Remove "why bother" from your culture... 

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Not Running a Hospital: Fool me once, shame on you; fool me twice, shame on me

Not Running a Hospital: Fool me once, shame on you; fool me twice, shame on me | Lean in Healthcare | Scoop.it
Jim Murphy's insight:

Someone has agreed to pay for this..who? If the buck stops there... it will stop

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“Empathy”: new video from Cleveland Clinic « e-Patient Dave

“Empathy”: new video from Cleveland Clinic « e-Patient Dave | Lean in Healthcare | Scoop.it
Jim Murphy's insight:

Empathy and Compassion.. statistically significant improvement in QALYs vs placebo ... just kidding but a little dose of this plus client engagement would go a long way

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Chronic conditions guidelines - Canada

It should be used as an educational resource to learn principles that you may have forgotten or discover new principles based on the most recent literature. After this knowledge is obtained FROM THE GUIDELINE, the physician can incorporate his own values, patient preferences and any other factor before using it in practice. Does that sound reasonable?

Via Deirdre Bonnycastle
Jim Murphy's insight:

A good step to create standardization in the process of care

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Canadian Paediatric Adverse Events Study

Canadian Paediatric Adverse Events Study | Lean in Healthcare | Scoop.it
Jim Murphy's insight:

If we believe in the rule of halves (half the people are not diagnosed, half are incorrectly treated , and half of those treated do not adhere to treatment) does this study show that in children we do more harm than good? Almost... 

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Show Instead of Tell – Lean Design for Factories or Hospitals

Show Instead of Tell – Lean Design for Factories or Hospitals | Lean in Healthcare | Scoop.it
Blog post at Lean Blog : Last week, the New York Times published a piece called
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A Survey Of Primary Care Doctors In Ten Countries Shows Progress In Use Of Health Information Technology

A Survey Of Primary Care Doctors In Ten Countries Shows Progress In Use Of Health Information Technology | Lean in Healthcare | Scoop.it

Abstract

 

"Health reforms in high-income countries increasingly aim to redesign primary care to improve the health of the population and the quality of health care services, and to address rising costs. Primary care improvements aim to provide patients with better access to care and develop more-integrated care systems through better communication and teamwork across sites of care, supported by health information technology and feedback to physicians on their performance. Our international survey of primary care doctors in Australia, Canada, France, Germany, the Netherlands, New Zealand, Norway, Switzerland, the United Kingdom, and the United States found progress in the use of health information technology in health care practices, particularly in the United States. Yet a high percentage of primary care physicians in all ten countries reported that they did not routinely receive timely information from specialists or hospitals. Countries also varied notably in the extent to which physicians received information on their own performance. In terms of access, US doctors were the most likely to report that they spent substantial time grappling with insurance restrictions and that their patients often went without care because of costs. Signaling the need for reforms, the vast majority of US doctors surveyed said that the health care system needs fundamental change."


Via Camilo Erazo
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Amazon Rainforest: The Birth of a Birthing Center

Amazon Rainforest: The Birth of a Birthing Center | Lean in Healthcare | Scoop.it
Contribute to creating the first birthing center in the heart of the Amazon rainforest by & for the caretakers of the lungs of the world...
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Always Connected: The new digital media habits of young children

Always Connected: The new digital media habits of young children | Lean in Healthcare | Scoop.it

Today’s parents, academics, policymakers and practitioners are scrambling to keep up with the rapid expansion of media use by children and youth for ever-larger portions of their waking hours. This report by Sesame Workshop and the Joan Ganz Cooney Center takes a fresh look at data emerging from studies undertaken by Sesame Workshop, independent scholars, foundations, and market researchers on the media habits of young children, who are often overlooked in the public discourse that focuses on tweens and tweens. The report reviews seven recent studies about young children and their ownership and use of media. By focusing on very young children and analyzing multiple studies over time, the report arrives at a new, balanced portrait of children’s media habits.


Via Nat Bourre
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Trends in mHealth and Connected Health - Accenture

Trends in mHealth and Connected Health - Accenture | Lean in Healthcare | Scoop.it

Watch video about trends in mHealth and connected health and learn more about transforming mobile health to healthcare. (RT @Accenture: What are the current mobile trends in the #healthcare industry?


Via Gilles Jourquin
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