I have been fortunate to be a part of several healthcare organizations across the US. I have also had the privilege of working on such projects as the NCCCP-NCI (website) to focus on bringing Academic Medical Center expertise in oncology care to the community practice.
In many of my conversations with healthcare professionals, one of the first questions I am always asked is: Do you have any best practices to share? Can you point me to a best practice that I can adopt?
Last night I had a conversation with one of my colleagues and friends and the topic of productivity came up. We happened to be discussing how current departments of the hospital use RVU’s (relative value units) to establish productivity goals and metrics. Many hospitals use RVU’s to justify the staffing levels for departments.
My colleague brought up the point that as more and more billable events (CPT codes) are bundled together, that it impacts the RVU’s assigned. Thus, the same procedure which may have shown that it takes 3 people to perform the task, may now be put together, and in calculating the math, may indicate that it only takes 1 person to accomplish the task. (This may be a slight stretch, but it indicates the point)
Which made me think of the wonderful conversation during #HCLDR this week, and my exchange with Gonzalo (@bacigalupe)
We need to realize that healthcare may want to drive to standardization, decrease variability, and a one size fits most—humans do not act in that manner.
So even though a “best practice” may work well in Boston doesn’t not mean that it can be adopted in Billings. A model that works in Florida doesn’t mean that it translates and will work in Oklahoma. We can take frameworks from programs, key insights from users, and understand what challenges were incurred, but we can not simply plug and play from one community to another.
Healthcare isn’t a hard drive. It’s not an iPhone.
Healthcare is human. Humans are individuals.
As always, you can feel free to contact me at: CANCERGEEK@GMAIL.COM or follow me on twitter @cancergeek
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