Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Where is the waste in health care?

Alexandra S. Brown, MD
Policy
March 5, 2015
Share
Tweet
Share

More and more hospitals are realizing that the 30 to 50 percent of waste occurring within their organizations is not only real, but a tremendous opportunity.  This is good news for both our patients and our health care system.  The bad news is that many hospital executives believe that this waste is largely limited to processes like materials management, ER wait times and operating room first-starts.

The next step in our health care cultural awakening is to recognize the tremendous amount of waste that occurs every day when we actually take care of patients.  This is much more difficult to grasp for both hospital executives and physicians.

For many executives, a big challenge lies in their lack of understanding of clinical processes.  It has been a gradual evolution to go from top-down cost reduction strategies like sweeping layoffs and reorganizing support services to concentrating more on inefficient processes like streamlining operating room turnover time.  Focusing on improving clinical care processes is far more difficult for them to comprehend.

First of all, many of today’s hospital executives have no clinical background.  Secondly, any practicing physician knows that the decades-old divide between the craft of medicine and the craft of administration is very real.  This divide makes true collaboration difficult.

Challenges in managing clinical care also exist for physicians.  These challenges start with a lack of understanding that there is even an issue to be managed.  Let’s face it, we weren’t taught to think like that in medical school.  The vast majority of us were trained in the crafts-style method of health care delivery where we each practice autonomously, creating the perfect care plan for each patient.  Our care plan may differ from our peers nationally, regionally, or even within our own practice group.  Moreover, the way we personally manage the same disease may vary unnecessarily from day to day.

One physician may order significantly more diagnostic tests than another, or prescribe a more expensive drug that has no added clinical benefit.  Another may have longer lengths of stay or higher complication rates.  All of these factors contribute to significant variation in cost and quality of patient care.

If everyone in your group manages a given disease differently, it’s simply not possible that you’re all doing it the best way.

That doesn’t mean you’re doing something wrong, you’re just maybe not providing the best care possible.  Isn’t it to everyone’s advantage (yours and your patients’) to start a dialog about how to refine clinical care processes for the better?  How do you know where to start when everyone is doing things differently, and you can’t track actual patient outcomes?

Taking control of the waste in clinical care processes puts physicians back in control of spiraling health care costs and less than ideal clinical outcomes.  Only we hold the expertise to determine what the best care is for our patients.

Alexandra S. Brown is associate director, Healthcare Delivery Institute, HORNE LLP.

Prev

Consult experts in sports medicine when discussing players’ injuries

March 5, 2015 Kevin 1
…
Next

A domperidone dilemma: A patient's perspective on ordering from Canada

March 5, 2015 Kevin 5
…

Tagged as: Public Health & Policy

Post navigation

< Previous Post
Consult experts in sports medicine when discussing players’ injuries
Next Post >
A domperidone dilemma: A patient's perspective on ordering from Canada

ADVERTISEMENT

More by Alexandra S. Brown, MD

  • a desk with keyboard and ipad with the kevinmd logo

    Co-management agreements have risks. Beware.

    Alexandra S. Brown, MD
  • a desk with keyboard and ipad with the kevinmd logo

    The siloes of academic medical centers

    Alexandra S. Brown, MD
  • a desk with keyboard and ipad with the kevinmd logo

    4 things we should be teaching in medical school, but aren’t

    Alexandra S. Brown, MD

More in Policy

  • Bundled payments in Medicare: Will fixed pricing reshape surgery costs?

    AMA Committee on Economics and Quality in Medicine, Medical Student Section
  • Who gets to be well in America: Immigrant health is on the line

    Joshua Vasquez, MD
  • Online eye exams spark legal battle over health care access

    Joshua Windham, JD and Daryl James
  • The One Big Beautiful Bill and the fragile heart of rural health care

    Holland Haynie, MD
  • Why health care leaders fail at execution—and how to fix it

    Dave Cummings, RN
  • Healing the doctor-patient relationship by attacking administrative inefficiencies

    Allen Fredrickson
  • Most Popular

  • Past Week

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • Why specialist pain clinics and addiction treatment services require strong primary care

      Olumuyiwa Bamgbade, MD | Conditions
    • Who gets to be well in America: Immigrant health is on the line

      Joshua Vasquez, MD | Policy
    • When a medical office sublease turns into a legal nightmare

      Ralph Messo, DO | Physician
    • America’s ER crisis: Why the system is collapsing from within

      Kristen Cline, BSN, RN | Conditions
    • FDA delays could end vital treatment for rare disease patients

      GJ van Londen, MD | Meds
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
  • Recent Posts

    • Life’s detours may be blessings in disguise

      Osmund Agbo, MD | Physician
    • Inside the heart of internal medicine: Why we stay

      Ryan Nadelson, MD | Physician
    • The quiet grief behind hospital walls

      Aaron Grubner, MD | Physician
    • Why peer support can save lives in high-pressure medical careers

      Maire Daugharty, MD | Conditions
    • Bundled payments in Medicare: Will fixed pricing reshape surgery costs?

      AMA Committee on Economics and Quality in Medicine, Medical Student Section | Policy
    • How Project ECHO is fighting physician isolation and transforming medical education [PODCAST]

      The Podcast by KevinMD | Podcast

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 17 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • Why specialist pain clinics and addiction treatment services require strong primary care

      Olumuyiwa Bamgbade, MD | Conditions
    • Who gets to be well in America: Immigrant health is on the line

      Joshua Vasquez, MD | Policy
    • When a medical office sublease turns into a legal nightmare

      Ralph Messo, DO | Physician
    • America’s ER crisis: Why the system is collapsing from within

      Kristen Cline, BSN, RN | Conditions
    • FDA delays could end vital treatment for rare disease patients

      GJ van Londen, MD | Meds
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
  • Recent Posts

    • Life’s detours may be blessings in disguise

      Osmund Agbo, MD | Physician
    • Inside the heart of internal medicine: Why we stay

      Ryan Nadelson, MD | Physician
    • The quiet grief behind hospital walls

      Aaron Grubner, MD | Physician
    • Why peer support can save lives in high-pressure medical careers

      Maire Daugharty, MD | Conditions
    • Bundled payments in Medicare: Will fixed pricing reshape surgery costs?

      AMA Committee on Economics and Quality in Medicine, Medical Student Section | Policy
    • How Project ECHO is fighting physician isolation and transforming medical education [PODCAST]

      The Podcast by KevinMD | Podcast

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Where is the waste in health care?
17 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...