Chemistry and action;
Second law of thermal dynamics, Law of Entropy
Order to chaos
Complexity builds
with discovery
Discovery in this sense meaning a new and perhaps
unrecognized requirement or variable that when understood and applied creates
conditions necessary for a positive outcome be it clinically, experientially,
regulatory or financially.
Healthcare delivery in the aggregate has historically dealt
with ever increasing complexity in a variety of ways in the search for “goldilocks” conditions, not hot not cold,
just right.
One can posit that every healthcare “discovery” created
essential elements or necessary conditions which described those factors, there
interdependencies and relationships; a periodic table for Healthcare.
Lets check out the elements;
1) Co
Positive clinical outcomes, starting with “first do no harm”
is the key element in the healthcare periodic table. This is the element to
which all others must “interrelate” and without it, no other sustainable
structure can be created. It incorporates; safety, human factors and high
reliability
2) Pe
Patient Experience
Patient
> and = Customer
3) Fp
Financial Performance
Positive
margins
4) Ee
Employee Engagement
A
staff that derives meaning from there work and translates that into the patient
experience
5) G
Growth
Ease
of access,
a
sub element; maturity as an organization
6) Msh
Market Share
A
strategic approach to serving more
7) Ca
Competitive Advantage
Differentiated
“destination” programs
8) Ca2
Clinical Alignment
Medical
Staff, & Clinical Enterprise, strategically and economically
9) Pm
Payor Mix
An
understanding of the delicate balance of this “catabolic” element in your market
is essential
10) L
Location
If
you can choose it you can influence G,
Msh & Pm
11) R
Research
Essential
component of Ca not found in most
cases without AcM
12) GL
Governance & Leadership
The
wrong group of alchemist can turn lead to gold or gold to ash
13) AcM
Academic Medical Center
A
critical component for many of the elemental structures noted if you are fortunate
enough to have it as part of your Periodic Table
If the elements come together in just the right order you
may have those
Goldilocks Conditions previously noted:
Integrated healthcare delivery platform
Safe, positive clinical outcomes
Clinical staff; quality providers
Academics, medical school, research & pipeline of
clinicians
Market relevancy
Differentiated services & indispensability
Aligned clinicians & clinical enterprise
No silos, synergy throughout
Low cost structure, low debt, low age of plant, net assets
&reserves
Positive margins
Richard Gannotta NP, DHA, FACHE
