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Today's show
it's arguable that healthcare has made little progress in error proofing and quality improvement over the last 20 years. I interviewed Paul O'Neill this week, former Treasury Secretary, former CEO of Alcoa, and former chair of the Pittsburgh Regional Health Initiative, and he bemoaned how little improvement there's been:
“The tragedy is, as straightforward as these ideas are, leadership in health and medical care institutions around the country have not grabbed these ideas and implemented them, which is, frankly, unbelievable when it’s so clear that the benefits are not only to significantly better outcomes for health and medical care, but significant cost reductions at the same time.”
http://www.leanblog.org/2011/07/text-and-quotes-from-the-paul-oneill-podcast-interview/
O'Neill points to a lack of leadership as a root cause of this problem. Healthcare quality is largely not a technical issue, it's a people issue.