And they are the questions I’ve been asking myself as I prepare for a talk before the Association of American Physicians and Surgeons (AAPS).
In short, in the words of Edward Deming (1900-1993), American statistician and quality control guru, “In God we trust, all others use data.”
“Nurse practitioners, general practitioners, and even patients can do things in less-expensive, decentralized settings that could once be performed only by expensive specialists in centralized, inconvenient locations. If the natural process of disruption is allowed to proceed, the result will be higher quality, lower cost, more convenient health care for everyone.”
and a high percent of quality goals met. He built his unorthodox practiceon these four basic principles:
1) Access. Patients have unlimited access to the care
and information they need when they need it.
2) Interaction. Interaction between the patient and care team is deep and personal.
3) Reliability. The system exhibits high reliability in that it provides all and only the care known to be effective.
4) Vitality. The practice has vitality: happy employees, a spirit of innovation, and financial viability.
Along the way as he practiced these principles, he developed and articulated these philosophical axioms.
“Interaction is not the price we pay to submit a claim.It is the essence of what we do.”