With few
exceptions, healthcare organizations are the most complex
enterprises on the face of this earth. They are composed of
interconnected and interdependent parts making up the whole. In the
modern business vernacular, we call these parts processes.
Processes are a systematic series of methods and practices directed
to some end. In our healthcare environment, the end is “wellness” of
the patients we are treating, but how many of these processes
(admissions to discharge) are really of value in our customer’s
eyes? The best measure we have found for determining best value is
the value equation shown in figure 1 (function/cost = value). It has
been our clients’ experience, utilizing THE VALUE EQUATION as their
“best value
test”, that any and all processes can
be reduced by 30% to 40% in complexity. 10% of what is being done
can be eliminated entirely, because it has been found to have NO
VALUE.
To bring this
point across to you succinctly, a client of ours that had been
utilizing our “process” value analysis methodology found that they
could shave off 10 minutes on their mammogram diagnostic tests by: (i)
having their patients fill out the required documentation
themselves, (ii) not having their patients wait to see if they
required a retake, since only one in three hundred patients required
retakes and (iii) adding more change lockers for patients to quickly
disrobe and dress without bottlenecks. This enabled our client to do
eight more mammograms a day, which increased their revenue seven
fold.
Louis J.
DeRose said it best when he defined value as,
“Value means satisfying customer requirements reliably and
consistently. It means satisfying them cost-effectively.”
This is based on their acknowledged perceptions, NOT OURS. It is
therefore our job as value practitioners to root out all waste and
inefficiency in our processes’ value chains if we want to truly
serve our internal and external customers reliably, consistently and
cost-effectively.
TRADITION Is Our Biggest Enemy In Our Search For Value
TRADITION
(or “we have always done it that way”) plays a crucial role in why
we do what we do and is the #1 reason that is holding back needed
process changes.
Tradition, in the
classic sense, means handing down from generation to generation
beliefs, customs, doctrines, methods and practices that worked for a
long time. The drawback is, they might not be of value today.