All Posts Tagged With: "patients"
A Unique Healthcare Delivery System
For the 55,000 Alaska Native and American Indian people it serves, Southcentral Foundation (SCF) has cut costly emergency room and urgent care visits by 50% and reduced specialty care by 65%, primary care visits by 36%, and hospital admissions by 53%. Such impressive results helped SCF win the 2011 Baldrige Award.
Of those SCF serves, 45,000 live in the Anchorage, Alaska, area and 10,000 live in 55 remote villages accessible only by plane. SCF serves them through a unique health care delivery system, the Nuka System of Care, that focuses strategies and processes on wellness. The system is owned, managed, directed, designed, and driven by Alaska Native people, which SCF calls “customer-owners.”
These unique ownership and health care delivery systems are producing impressive results:
- Customer-owners can see their primary care providers on the same day if they call by 4 p.m. and arrive by 4:30. Seventy to 80% of appointment slots are open at the start of each day.
- Alaska Natives and American Indian people experience diabetes at twice the national rate. Since 2009, SCF’s performance levels for diabetes care have exceeded the 90th percentile of the Healthcare Effectiveness Data and Information set.
- SFC manages key performance data through DataMall where it is collected, aggregated, trended, segmented, and available to managers, clinicians, customer-owners, and employees.
- SCF’s overall customer satisfaction rating in 2010 was 91%. Its overall satisfaction rating on Consumer Assessment of Healthcare Providers and Systems (CAHPS) was 73.3%, significantly higher than the CAHPS TopBox benchmark of 46%.
- Staff turnover decreased from 37% in 2008 to 17% in…
Dangerous Assumptions about Your Customers
One of the fundamental weaknesses I’ve seen in the dozens of organizations I’ve worked with is their assumption that they know what their customers require. I understand why they assume they know. They hear the compliments and complaints. Their customers buy what they are selling. Their patients receive services. Their students learn. Their constituents keep coming back. They interact with these customers, patients, students, or constituents daily. Of course they know what their customers require.
I remember helping a manufacturer early in its Baldrige application process. It was its industry’s worldwide leader and had been for several years. It worked closely with its distributors and had ongoing customer contact. It assumed it knew what each customer group required even though it had never formally determined those requirements or tested them with customers to make sure the lists were right.
When I presented my evaluation of its application to senior leadership, my first point was that it did not have a rock-solid understanding of customer requirements. I thought they were going to tear my throat out until the president interrupted and said he thought I had a point. As a result, the company hired a market research firm to close this gap. Two years later, it received the Baldrige Award.
The Baldrige model is a process model. The starting point for any effective process is knowing what the customers of that process require. That’s true at the macro level — profound knowledge of what your customers require of your organization — and at the…
1Mar2011 | Steve George | 0 comments | Continued
