Real Health Care Reform: Will Jim Champy
with Moe AbdouPhysicians Change? (Unplugged)
As you know this is typically one of my favorite half hours. To have theopportunity to speak with you because not only do you get my mind stimulated and inspired but more importantly, I love your writing style. I love the way that you not only give practical advice but give really greatexamples.This particular topic Jim, I have to just start by asking you what inspired you to tackle this issue?
I had been thinking about tackling this issue for a long while, certainly, all of the political debate. The debate that was going on around healthcare reformcaused me to want to really address the issue from what I think is a differentperspective and a different lens than our government. At least our politicalforces were thinking about it. I really felt in all of the debate and discussionaround healthcare reform, there is not enough reality being paid to and enoughattention being paid. To what was really going to get the cost of healthcaredown and to get the quality and safety of healthcare improved although peopledebating healthcare would always mention cost and safety.Nobody was really paying attention to how it was going to get done. Actually, Iconsider that a pretty dangerous condition because we put in place in ourlegislation which I think we would had to put in place in order to cover all of the uninsured. We've done it I think with some degree of naiveté about whatit's going to take to really get the job done. It's a long answer to your questionbut that's what inspired to me to what to write this book, answering the hardquestions.
You did tackle it from a completely different perspective. I know that evento the naked eye, the problems in healthcare are countless. How did youand Dr. Greenspun start to break down the problems to boil it down to thefinal product that you guys put out?
Harry has been a practitioner in healthcare for many years; very thoughtful andvery engaged in the application of information technology to healthcare,particularly the adoption of the electronic healthcare record. Harry and I juststepped back and said, alright what is it going to take to fundamentally rethinkthe delivery of care?That's what this book is about. This is about how to change the deliveryprocesses of care. But I've known from my past work that you just can't changethe processes. That is, you just can't change the work that people do, the work