Lily BarronGuestNadia GaberGuestShakti VisaganGuestGarrettPanelistAna TorresGuest
Richard EspinozaGuestJordan MullingsGuestLintonPanelistVerneece PerezPanelistLorenzPanelistMossPanelistBaxterPanelistJames JacksonPanelistKaluriGuestAnnetteGuestWuPanelistNogoGuestMark FratzkyPanelistMeeting FacilitatorHostOkay, so I've included, um, an article in the packet.
[clears throat]
Um, so I know we didn't get a chance to discuss it last month, so I did want to bring it back again for today's discussion.
Um, the reason why I chose this article was I know that there's just been a lot of discussion in our system at the county level, just around the idea of consultants.
And, um, you know, Jama just recently had published this article, and I thought it was really interesting because I think, um, the assumption that consultants can possibly provide, you know, improvement in throughput, quality, decreased costs, or improve patient experience.
This very large empirical evaluation article basically showed that there was little evidence of measurable improvement for these nonprofit organizational systems.
So I thought that was just a really interesting piece of information that I thought that, you know, we could bring and discuss and just, you know, just holistically, strategically, especially from a patient safety and quality standpoint, discuss on how maybe we should be approaching this.
So I'm gonna leave that open for comments.
[laughs]
[laughs]
I found the article to be very interesting as well, and I was rather stunned that the measurable improvement was so small.
You know, I would have thought that there was greater value.
Um, I do agree that within organizations, there's often the knowledge, the history, the, uh, thought about how to improve, but sometimes that doesn't always come out.
Sometimes you need to perhaps be prodded or, um, um, probed to, to dig a little deeper rather than, um, you know, a term that I've heard used in the past has been paving over the cow path.
So you don't want to pave the, the path that you've been trotting on if that's not the right way.
Right.
Now, how organizations can, uh, break out of practices that may not be fully serving them and understand about other ways of doing things, I'm not so sure.
But I was really surprised at how minimal the improvement was given the dollars that are spent.
I-I always like it when people, like, try to answer questions like, "Does this really do anything?" "Let's do a study." You know?
Yeah.
[laughs]
It's a lot more-- It has a lot more value than just sort of providing opinion, right? So I really appreciate it from that standpoint.
You know, I think it's tough, and I-- and the authors sort of acknowledge there's some limitations, you know.
And although the methodology tries to account for, you know, tries to sort of create a quasi-experimental, um, uh, analysis, the-there are probably differences between these, the hospitals that use consultants and didn't.
And you have to, even, even when there's sort of methodological approaches to try to address that, you know, that's floating in the background.
Okay, so I've included, um, an article in the packet.
[clears throat]
Um, so I know we didn't get a chance to discuss it last month, so I did want to bring it back again for today's discussion.
Um, the reason why I chose this article was I know that there's just been a lot of discussion in our system at the county level, just around the idea of consultants.
And, um, you know, Jama just recently had published this article, and I thought it was really interesting because I think, um, the assumption that consultants can possibly provide, you know, improvement in throughput, quality, decreased costs, or improve patient experience.
This very large empirical evaluation article basically showed that there was little evidence of measurable improvement for these nonprofit organizational systems.
So I thought that was just a really interesting piece of information that I thought that, you know, we could bring and discuss and just, you know, just holistically, strategically, especially from a patient safety and quality standpoint, discuss on how maybe we should be approaching this.
So I'm gonna leave that open for comments.
[laughs]
[laughs]
I found the article to be very interesting as well, and I was rather stunned that the measurable improvement was so small.
You know, I would have thought that there was greater value.
Um, I do agree that within organizations, there's often the knowledge, the history, the, uh, thought about how to improve, but sometimes that doesn't always come out.
Sometimes you need to perhaps be prodded or, um, um, probed to, to dig a little deeper rather than, um, you know, a term that I've heard used in the past has been paving over the cow path.
So you don't want to pave the, the path that you've been trotting on if that's not the right way.
Right.
Now, how organizations can, uh, break out of practices that may not be fully serving them and understand about other ways of doing things, I'm not so sure.
But I was really surprised at how minimal the improvement was given the dollars that are spent.
I-I always like it when people, like, try to answer questions like, "Does this really do anything?" "Let's do a study." You know?
Yeah.
[laughs]
It's a lot more-- It has a lot more value than just sort of providing opinion, right? So I really appreciate it from that standpoint.
You know, I think it's tough, and I-- and the authors sort of acknowledge there's some limitations, you know.
And although the methodology tries to account for, you know, tries to sort of create a quasi-experimental, um, uh, analysis, the-there are probably differences between these, the hospitals that use consultants and didn't.
And you have to, even, even when there's sort of methodological approaches to try to address that, you know, that's floating in the background.
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