Dr. Berwick’s Pink Slip
By JOE NOCERA
NYT
Dr. Donald Berwick was already in Massachusetts when I spoke to him Sunday afternoon. He was back in the Newton home where he’d lived for 30 years, being pleasantly interrupted during our conversation by his 2-year-old grandson. His last day in Washington as the administrator of the Centers for Medicare and Medicaid Services had been Thursday. Friday was packing day. Saturday was moving day. And, by Sunday, he was already talking about his too-short, 17-month tenure as the nation’s top Medicare official in the past tense. Which, alas, it was.
Dr. Berwick, I’m here to tell you, was the most qualified person in the country to run Medicare at this critical juncture, and the fact that he is no longer in the job is the country’s loss. Berwick started out as a pediatrician and health care researcher at the Harvard School of Public Health and eventually became vice president of the Harvard Community Health Plan (now known as Harvard Pilgrim Health Care). There, he became enamored with the ideas being promulgated by management gurus like W. Edwards Deming and companies like Toyota, which believed that companies could create processes — and a mind-set — that would allow for both continuous improvement and continuous cost reduction. Indeed, they believed that the two went hand in hand.
Latching onto these ideas, Berwick helped start — and, for the next 19 years, run — the Institute for Healthcare Improvement, which was devoted to applying them to health care. The result would be healthier patients who spent less time in hospitals — and a culture that wasted less money on things that didn’t lead directly to a healthier population.
(More here.)
NYT
Dr. Donald Berwick was already in Massachusetts when I spoke to him Sunday afternoon. He was back in the Newton home where he’d lived for 30 years, being pleasantly interrupted during our conversation by his 2-year-old grandson. His last day in Washington as the administrator of the Centers for Medicare and Medicaid Services had been Thursday. Friday was packing day. Saturday was moving day. And, by Sunday, he was already talking about his too-short, 17-month tenure as the nation’s top Medicare official in the past tense. Which, alas, it was.
Dr. Berwick, I’m here to tell you, was the most qualified person in the country to run Medicare at this critical juncture, and the fact that he is no longer in the job is the country’s loss. Berwick started out as a pediatrician and health care researcher at the Harvard School of Public Health and eventually became vice president of the Harvard Community Health Plan (now known as Harvard Pilgrim Health Care). There, he became enamored with the ideas being promulgated by management gurus like W. Edwards Deming and companies like Toyota, which believed that companies could create processes — and a mind-set — that would allow for both continuous improvement and continuous cost reduction. Indeed, they believed that the two went hand in hand.
Latching onto these ideas, Berwick helped start — and, for the next 19 years, run — the Institute for Healthcare Improvement, which was devoted to applying them to health care. The result would be healthier patients who spent less time in hospitals — and a culture that wasted less money on things that didn’t lead directly to a healthier population.
(More here.)
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