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Is the Healthcare Industry Paralyzing Patient Care with Numbers?

For some time now, the mindset in the healthcare industry has been that the economies of scale created by the mergers of healthcare systems have resulted in superior patient care. Financial analysts have argued that since consolidation has worked for airlines, restaurant chains and insurance companies, then why not for the medical community?

Consolidation has been presumed to reduce costs and expand services and treatment options, especially in competitive markets. The raw numbers might seem to support this contention; certainly, there are budgetary advantages of lowering unit costs of medical devices, buying pharmaceuticals in greater quantities or eliminating redundant administrators.  But experts are now warning that in the rush to consolidate, one critical factor is being overlooked: patient care.

New Findings on the Patient Experience

A recent New York Times article entitled “Hospital Mergers Improve Health? Evidence Shows the Opposite,” suggests that tragically, the results of merging have led to an increase in patient mortality and a decline in care.

Martin Gaynor, a Carnegie Mellon University economist and one of the authorities cited in the article says “evidence from three decades of hospital mergers does not support the claim that consolidation improves quality (care).”

To back that up, the Federal Trade Commission recently reviewed the cases of about two million Medicare beneficiaries who had been treated for heart disease over an eight-year period. According to the article, in areas of the country where there is less competition “(Cardiac) patients are more likely to have heart attacks, visit the emergency department, be readmitted to the hospital or die.” In fact, in areas where there is one dominant cardiology clinic and the elimination of competition, cardiac patients may stand a 5-7% chance of having a repeat heart attack.

When competition is allowed in a market, healthcare staffs have no choice but to turn their mindset to the patient. They have to care about patient satisfaction, and in turn patients respond to that care. This is just as true in countries where there is strong government regulation, such as England, as it is in the United States.

According to the New York Times piece, “family doctors in England found that quality (care) and patient satisfaction increased with competition.”

More Than Numbers, It’s Mindset

In many areas of the country, consolidation has also created long patient wait times to make appointments and then once in the facility to be seen in a timely manner. Some healthcare specialists believe that if wait times are streamlined then patient satisfaction will dramatically improve. This is the case of another “number” being applied to a complex issue as though patients are pieces on a conveyor line.

Press Ganey Associates is the leading market research firm for the healthcare industry known for its patient satisfaction surveys. In other words, they talk to patients. Joe Greskoviak, president and CEO at Press Ganey concluded:

“The immediate reaction is that patient loyalty is based off things like wait time. That’s not necessarily the case. There are drivers of patient loyalty that are very actionable (such as) improving communication and then, empathy. Patients want to understand that we actually care for them.

Chasing the numbers is paralyzing patient care rather than curing it. Healthcare providers need to re-examine the mindset that consolidation, automation and computerization can improve patient satisfaction simply by reducing budgets, improving wait times and other analytics. There needs to be a renewed and shared vision that the focus of healthcare must return to the patient.

 

Contact Scott Burrows, Healthcare Industry Motivational Speaker through this website or call us today at: (520) 548-1169

 

 

Scott Burrows: Motivational Workplace Safety Speaker

 

Most of us say that we believe in safety. We try to remember to wear our seat belts, take care when climbing ladders, or prompt our kids to pick up the toys they left on the floor!

In companies, we put up safety posters, provide training, and maintain the VISION to commit ourselves to safety by following safety protocols to keep accidents from occurring on the job.

While our MINDSET may be safety first, we experience accidents on the factory floor, warehouse, on the roads and when we make deliveries. Why does this happen? It comes down to a lack of GRIT, the focus to make safety the highest priority, each day, every day.

Scott Burrows: Keynote Speaker on Workplace Safety

I always worked hard. In my late teens, as a golf course supervisor, I drove trucks, tractors and worked around hazardous chemicals. I thought I had a safety mindset. One night, while the passenger in a friend’s car, I made a poor decision to not wear a seat belt. That night my friend lost control of the car and we hit a sand pile. The car overturned end over end, several times, and I was badly injured.

Prior to the accident I was a Division-I football player and a martial artist. After the accident, the doctors said I would be a quadriplegic. As I recovered, I developed the philosophy of VISION-MINDSET-GRIT. Vision and mindset are important, but without grit, we can never reach our safety goals.

Workplace Safety and GRIT

Workplace safety is a full-time job. We need the daily determination to see the job through. We must be interconnected by safety awareness no matter how familiar we are with the equipment and established protocols.

If GRIT weakens, it leads to indifference. When “just good enough” is enough, it guarantees an accident is waiting to happen. It takes everyone’s focus to have a safe work environment.

In 2019, American companies will pay out more than $65 billion in employee injury insurance claims. Many of those workplaces will lack the GRIT to instill a safety MINDSET and VISION. This year, let me help your company to have the GRIT to make your workplace a safe workplace.

 Want your workplace to have the VISION, MINDSET and GRIT to embrace safety? Contact Scott Burrows, Keynote Motivational Speaker on Workplace Safety today through this website or call us at: (520) 548-1169

 

 

Scott Burrows: Change Management Speaker

Not long ago, I was in my office working on a keynote presentation when a meeting planner called me rather late at night. I picked up the phone and I know I surprised her.

“Oh, I thought you would be voicemail,” she stammered. She looked for the right words. “Are you Scott Burrows, the overcoming adversity speaker?”

I assured her I was, that I had overcome a lot of adversity in my life but that it didn’t define me. She gave me the name of her organization. She was in the healthcare industry and was considering a keynote motivational speaker to talk on corporate change and the management of change.

“I have done many keynotes on change for the healthcare and pharmaceutical industries.”

She confided that her industry was facing several major challenges. There was much concern throughout her association as to whether executives could adapt to some of the uncomfortable adjustments coming that would include initiating sweeping rules, being mindful of pricing and insurance regulations and the increased need for transparency. There were already a number of disagreements and foot-dragging among the association members and the companies they represented. They needed to understand the importance of change or get swept away.

She asked me if I had experience motivating executives to change their mindset. I asked her if she had a few minutes. She was stuck in the airport and she laughed that she had plenty of time!

Scott Burrows: Speaker on Corporate Change

I told her that I developed my life’s philosophy of VISION, MINDSET and GRIT out of my personal challenge and ultimately triumph. I wondered if she knew my story and she said she was only vaguely familiar with it.

I quickly summarized that when I was in my late teens, I was already playing Division I collegiate football and I was a kickboxing champion. I thought I was invulnerable and that I would be a champion kickboxer forever. A few weeks after ESPN broadcast one of my fights, I went out celebrating my victory with friends. Even though I was trained to engage a safety mindset working with hazardous materials and heavy equipment at a former job, I made a poor split-second decision to not put on my seatbelt. My friend lost control of his car. He ran off the road and crashed. I broke my neck and I was paralyzed from the chest down. They told me I would be quadriplegic. I could hear her gasp.

“I had no choice but to accept change,” I said. She told me she could understand that.

My challenge was a lot like what her organization was facing. Unless the members of her organization were willing to overcome their obstacles, unless they were motivated to find a new vision for themselves, to develop a mindset that was more powerful than any of their challenges, they would not get off the mat.

I added that as a speaker I knew that corporate change can’t occur without a daily dose of GRIT, the ability to grind things out every single day to achieve success. Commitment to really change is an extremely powerful weapon, but if it is haphazard little will be accomplished.

Keynote Speaker on Organizational Change

My own story is a story of rising above adversity through VISION and MINDSET to overcome paralysis and to rewire my brain and body. It led to a transformation in my physical and emotional status. I went far beyond what any of my physicians ever thought I could.  It did not and could not happen without GRIT, my forcing myself to literally rise out of my chair and to not accept the easy road but to be the best I could be. Modern day medical science tells us that we can go far beyond our initial prognosis if we put our minds and bodies to doing so.

“Using my own true-life story as an example,” I reassured her, “I can teach the members of your organization to prevail over their resistance to change and to empower themselves to be better and to be more successful than they ever believed.”

I am no longer a kickboxing champion, but I have been blessed to be able to show organizations to change their mindset from “Can’t do,” to “Can do!”  That is, to rise above their situations.

The meeting planner and I decided then and there to work together and I am happy to say my keynote address got through to the members of her organization. They rose above their fears, individually and collectively, and put plans into place to elevate their industry. They are better prepared for the years ahead and for whatever challenges will come. As a speaker it is impossible to say how proud it made me feel.

Want to be inspired to change?

To learn more about Scott Burrows, Keynote Motivational Speaker on Corporate and Organizational change, contact us today through this website or call our office at: (520) 548-1169

 

How many times have you heard the phrases “Don’t be a quitter!” or “Never give up”?

Truth is, it’s easy to tell someone to hang in there, but nobody ever truly assesses the situation or the impact it has on our lives.

As Americans, we’re taught about the American Dream and how we should work till we achieve our own. We’ve built a culture where overworking has become the norm. Continue reading

When it comes to getting the job done, we always seem to have an excuse.

“I’ll do it later. It’s due after the weekend anyway.”

“There’s no way I can do that—don’t have the time for it.”

“This is not part of my job description.”

Time and time again, we make up excuses for things we don’t want to put an effort into. There’s always an excuse for something and everything. And somewhere along the line, we start believing ourselves. Continue reading