Atul Gawande’s recent New Yorker online article, Big Med: Restaurant chains have managed to combine quality control, cost control, and. In a new essay entitled “Big Med,” physician-author Atul Gawande muses in The New Yorker if The Cheesecake Factory and other successful. Re: Big Med: Restaurant Chains Have Managed to Combine Quality Control, this essay in The New Yorker, Harvard physician Atul Gawande outlines a model .

Author: Mezshura Yolmaran
Country: Sri Lanka
Language: English (Spanish)
Genre: Personal Growth
Published (Last): 22 January 2012
Pages: 39
PDF File Size: 7.73 Mb
ePub File Size: 18.48 Mb
ISBN: 141-9-82902-808-3
Downloads: 3527
Price: Free* [*Free Regsitration Required]
Uploader: Mazuzil

The result is lower cost and better care, not by a little but by a lot.

On Cheesecake and Medicine: Is ‘Big Med’ the Model for Health Care?

Gawande sees is simply a lack of communication, dissemination of information. Finding means to reduce unnecessary variability in procedure Finding means to reduce unnecessary gawandw in ingredients implants, medicines, etc. The good news is that several major healthcare companies that Innosight has worked with have demonstrated that transformative innovations can be incubated and scaled successfully despite the many pitfalls that exist. Now they are funded to teach ICUs in four other nations how to give better care to the sickest patients, agwande the United States is not among them.

The truth is that very little is standard about health care. The restaurant chain manages to serve 80 million reasonably-priced meals annually.

The Cheesecake Factory: a model for health care? – Harvard Health Blog – Harvard Health Publishing

The budget-based, well-organized exemplars I mentioned, where physician-managers spend a year getting a new good idea into practice, deserve emulation. We must be cautious before instituting systems that work well in the preparation of, say, pasta carbonara and wasabi-crusted tuna. He makes several important observations about how standardization and oversight could improve health care.

Indeed, Gawande posits that this nascent trend will inevitably take over large swaths of the system. Each year, median scores rise and several hundred more critically ill patients live who would not have the year before. When the right time comes, you can carefully consider how to integrate the two streams of activity. Secondly, healthcare leaders will need to realize that it is critical to keep truly disruptive efforts largely separate from ongoing operations.


New menu items come along every six months, but the current batch has been in the pipeline for more than 18 months.

The content on this blog is provided on an “as-is” basis. Top Strategic Predictions for and Beyond: I suggest the corporate model may not be the best model for health care.

Ernst trying to do the same in 4 ICUs with no systematic evidence of clinical gainthe Mario Negri achievement since is remarkable. Network Fellow, Edmond J. The problem is the American healthcare system is not a single corporation where a decision is made and, for better or for worse, the direction flows down the chain of command. A practical, easy guide for…. The rest is just there as infrastructure.

While a complex topic, there are three primary guidelines we would suggest to healthcare leaders based on a multitude of innovation case studies across a broad range of industries:. This content may not be used for any other purposes in any other formats or media. Comments or opinions expressed on this blog are those of the individual contributors only, and do not necessarily represent the views of Gartner, Inc.

Download the expanded version of this industry briefing. Readers may copy and redistribute blog postings on other blogs, or otherwise for private, non-commercial or journalistic purposes, with attribution to Gartner. No one would accuse him of not understanding the complexities. There is nothing systemic about it. Go to navigation Go to content.

Gawande: Big Medicine Should Be More Like the Cheesecake Factory – Wes Rishel

Let us know if you agree or disagree with Dr. Wes Rishel is a vice president and distinguished analyst in Gartner’s healthcare provider research practice. At the hospital, the Cheesecake manager sees waste and inefficiency — and little in the way of customer service. Practicality Exists Within Instability Technology-based change is happening continuously, and most organizations struggle to see the change in advance. I doubt that neurology residents get graded on how well they teach a procedure.


But what else will fall through the cracks? Protecting disruptive innovation Secondly, healthcare leaders will need to realize that it is critical to keep truly disruptive efforts largely separate from ongoing operations. As a case study, he uses total knee replacement surgery, something his mother had recently undergone. Certainly we need to make health care more accountable and organized.

Health care is messy.

Gartner shall not be liable for any damages whatsoever arising out of the content or use of this blog. But the question we have to ask is what are we willing to give up in order to obtain the quality and experience we need at the prices we can pay?

If we require doctors to handle all requests for prior authorizations, say, within 24 hours or not get paid surely this process will be done more efficiently. The experience prompted Dr.

Patients are not, after all, steaks. Then again, maybe it missed its target. The examples to feature of well-measured quality outcomes, clear protocols, well-coordinated teams, and incentives that reward better quality at lower cost are the remarkable achievements of Kaiser Permanente, Group Health of Puget Sound, the Veterans Health Administration, Marshfield, and Intermountain.

Only then can they apply the best practices of leading innovators to ensure potentially transformative innovations are given every chance of success. This requires diplomatically stul the interface between the two.