Hope is on its way

As we consider the imperatives for a health care system that Gene Lindsey espouses, we have to wonder who will get us there.  Clearly it will not be the government, for the government is paralyzed by the conflicting interests of those who seek to extract their share (or more) from the 18% of GDP represented by the health care system.  Legislators and presidents are not very good at resolving what they view as zero sum game.  In that world view, any changes are viewed as what we negotiators call value claiming:  "If I get more you get less." It's hard to build a coalition for change if you view the world in that manner.While value claiming is part of any set of transactions, the more satisfying part of negotiation is value creation.  Here, we focus on the underlying interests of the parties and satisfy them by engaging in packages of trades that are of low cost to one party and high value to another.  Instead of zero sum, both parties gain.  A coalition for change is created, and blocking coalitions are held off.Gene's marvelous list is rife with opportunities for value creation.  Look at it again:1) Care based on continuous healing relationships: Care should be given in many forms not just face-to-face encounters. The system should be responsive 24 hours a day. 2) Customization based on patient’s needs and values. 3) The patient as the source of control. Encourage shared decision-making. 4) Shared knowledge and the free...
Source: Running a hospital - Category: Health Managers Source Type: blogs