The drivers of health care that also drive education, economic, and societal outcomes are a SOCIETAL concern. More focus on what is popular or the usual bandwagon assumptions, will only distract from what is essential for true reform in America.
What Inequities Must We Address as Health Care Leaders...
1. Inequities in health care payments, access, and workforce for most Americans most behind and where Americans are increasing fastest in numbers, demand, and complexity with worsening practice environments for what remains of their health care delivery team members.
2. Worst quality health care insurance worst among developed nations and failing for 62% of Americans, and not helped by expansions of the worst quality health insurance plans. Where we have concentrations of elderly, poor, disabled, and worst employers - we kill access, practices, and Americans by designs that concentrated the worse paying most abusive health plans
3. Toxic practice environments are concerns for all health professionals and delivery team members and those who hope to represent them or lead them. This pandemic has been caused by designs such as DRG worsened by profit focus that was first seen in nurses in the 1980s but has spread across basic health access and up the pecking order of specialties and subspecialties.
DRG, RBRVS, and all the way to value based has been about more for delivery team members to do in less time despite team members who are fewer and lesser (particularly in experience) with little real hope for improvement.
Replacing the health care leadership is essential to end the reign of bandwagon assumptions that have so harmed health care delivery.
The sad state of affairs in health care has been shaped by the financial design, abusive simplistic spread sheet cost cutting, the failure to cut the costs of those biggest doing best and in bed with the designers, profit focus, and meaningless micromanagement. There will be more to come unless our thought leaders, advocates, associations, and foundations change how health care leaders are influenced, trained, developed, and selected.
Harm caused to those delivering the care must be addressed. Medicare and Medicaid was supportive for the care of most Americans most behind for the first decade. This brief initial time period and Hill Burton are the only time that that most Americans have had investments in their workforce, team members, hospitals, and practices. Since then hundreds of their hospitals and even more carnage to their practices hurt this majority of Americans. Forty years of wrong assumptions must end.
If you value leadership in health care, witness the termination of locally focused health care leadership due to 400 hospital closures plus more practice closures and compromises taking out those who used to lead - hospital administrators, nurses, social workers, pharmacists, clinicians, AND THEIR SPOUSES who also were leaders in health care and in communities most behind.
Are you an early-career #physician who's passionate about addressing drivers of health and looking to enhance your leadership skills? Today, The Physicians Foundation launched a call for applicants for the 2024 Fellowship Program. Apply by Sept. 19: https://lnkd.in/ehzhFn7c #SDOH
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