A Report on the National Demonstration Project on Quality Improvement in Health Care
This book is recommAnded for managers wanting to enhance service quality and productivity. By avoiding mistakes and useless units of activity, gains in productivity occur as quality improves. -- Healthcare Financial Management
Learn how health care organizations can use the quality improvement process to help regain control and hope in a time of frustration and skyrocketing costs. In ten key lessons, the authors demonstrate what works and does not work in actual practice. They present case examples of specific health care improvement projects ranging from transport of critically ill infants to quick turnaround of emergency lab specimens and to the generation of accurate Medicare bills.
Berwick has some very good ideas about how to improve quality in the health care sector of the economy. He takes the science of Quality Improvement and suggests ways to apply that to the provision of medical care. Where he errors, and this is indeed a very serious error, is that he advocates a large and intrusive role for government in implementing and overseeing these processes.
Berwick recognizes the need for innovation and flexibility in the area of quality improvement. What he fails to see is that when those characteristics are employed by government, it means giving arbitrary power to bureaucrats and the abandonment of rule by law. If a private health care company applied his ideas internally, it could create a large step forward in the delivery of health care. The same ideas applied through the coercive mechanism of the state will not accomplish what he hopes and will further undermine our system of limited government.