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 .

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Protecting disruptive innovation Secondly, healthcare leaders will need to realize that mer is critical to keep truly disruptive efforts largely separate from ongoing operations. Stress-busting mind-body medicine reduces need for health…. Take a fractured hip.

Gawande begins the article in the kitchen of the Cheesecake Factory, where he describes how standardization along with quality controls creates consistently good meals at the chain restaurant.

Doctors are trained to do everything and to take responsibility for the entire patient.

How “Big Med” Trade-offs Can Transform Healthcare | Innosight

New menu items come along every six months, but the current batch has been in the pipeline for more than 18 months. At the hospital, the Cheesecake manager sees waste and inefficiency — and little in the way of customer service. Health care is simply too crucial to our long term survival, both as individuals and as a society.

Gawande believes that standardization can and should be brought to areas of medicine, and that doctors can benefit from the same kind of training and coaching used in other industries.

No one would accuse him of not understanding the complexities. 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 typical entrepreneur changes his game-plan four to five times before meeting with success.


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

But what else will fall through the cracks? Let us know if you agree or disagree with Dr. Eventually they will atlu nearly all healthcare providers and will have enormous leverage on how medicine is practiced. Patients desperately need systems that are comprehensible, navigable and more importantly responsive to their needs.

Become a Client Call us now at: Or a bit further along the disruptive spectrum, how about forgoing clinic visits altogether if you can connect with an expert via FaceTime whenever you wish and have every preventative test scheduled in your home ,ed workplace at your convenience? The experience prompted Dr.

This requires diplomatically moderating the interface between the two. A conversation with a line cook confirmed that most everything was made from scratch. Gawande is a practicing surgeon at Partners that has long since proved his chops on actually bringing simple solutions to reduce errors in medicine. By making many small bets, they will be able to iteratively find those that are both effective and worth the trade-offs.

To think that people get better quality of service from a place like the cheesecake factory over a hospital is atlu. If you are interested in our health care system, I recommend that you read the article. Decades of effort have resulted in little progress in solving this seemingly paradoxical equation. All too often, the most promising and potentially transformative ideas gwaande shut down well before they have a chance to prove themselves—sometimes before they even get started. Christina Monti sees it—be the change.

This content may not be used for any other purposes in any vig formats or media. He covers electronic medical records, interoperability, health information exchanges and the underlying technologies of healthcare IT, including application integration and standards. In medicine, too, we are trying to biy a range of nig to millions of people at a reasonable cost and with a consistent level of quality.


One team at this famous non-profit research institute has persuaded the heads of ICUs across the nation to develop clinical outcome measures and to track their performances.

A practical, easy guide for…. The result is lower cost and better care, not by a little but bkg a lot. Despite the fact that healthcare is crippling major portions of the U.

How “Big Med” Trade-offs Can Transform Healthcare

Let us know your views. Gawande helps us avoid the trap of oversimplification by providing two extended discussions of examples in healthcare tawande knee replacement and remote ICU. Doctors need systems of care to support what they do. As a case study, he uses total knee replacement surgery, something his mother had recently undergone. But I am not sure the business world holds the model we need to follow. Go to navigation Go to content.

Have you looked into calorie count and portion size at Cheesecake Factory? Healthcare leaders should start by identifying those innovations gawane make the right trade-offs. Then again, maybe it missed its target.

Only that would eliminate opportunities for more revenues and profits. Comments or opinions expressed on this blog are those of the individual contributors only, and do not necessarily represent the views atyl Gartner, Inc.

Download the expanded version of this industry briefing. August 13, at 4: As Gwande points out in his description of Dr. Finding means to reduce unnecessary variability in procedure Finding means to reduce unnecessary variability in ingredients implants, medicines, etc.

Patients are not, after all, steaks. Time to talk to a diabetic patient about better diet?