Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.
Issue link: http://outpatientsurgery.uberflip.com/i/685863
2 6 S U P P L E M E N T T O O U T P A T I E N T S U R G E R Y M A G A Z I N E J U N E 2 0 1 6 ing the way people interact and the way they feel about their work. • Leadership needed. We need to switch from a craft model in which doctors are completely autonomous to having doctors understand that they're part of a team, and that what other people do is just as important as what they do. I always say that the person taking out the trash is just as important as the person taking out the gallbladder. But that's not the kind of social construct our hospitals have developed. • Sea change for physicians. For a lot of doctors, quality and safety are some- one else's job. Doctors are raised on a steady diet of autonomy, hierarchy and competition. It's a sea change to be told to think of yourself as a member of a team, and that you should implement best practices that have been developed by other people, especially when what you're doing seems to be working just fine. But it won't be until we get to that level of standardization that we're going to make a difference. Every other industry has figured out that variation yields terri- ble results. • Learning how to lead. To turn the tide with patient safety, we need physi- cians to get more training and learn how to be effective leaders. We're inclined to put them in leadership positions, but the reality is that leadership usually isn't something you're born with. Its something you learn. It's being able to share that vision and get people to come along willingly. It's not about using authority to compel people to do things. • Full responsibility. The tipping point will be when healthcare organizations take full risk for their outcomes — when outcomes determine what they get paid. That's happening now in a small way around the CMS penalties for out- comes, but it won't be until every penny is at risk for safety and quality that organizations will get 100% behind making quality job one. OSM