web analytics

Even with “ObamaCare” Upheld, Much Hard Work Remains to Protect Patients and Make Care Affordable

by Mark Graban on June 28, 2012 · 4 comments

The Supreme Court has mainly upheld the Patient Protection and Affordable Care Act, including the individual mandate and other controversial provisions. The court did not throw out the entire law. Congress can no longer penalize states for not expanding Medicaid eligibility.

Putting personal political preferences aside… as Lean professionals or quality improvement people, should our reaction be “so what?”

The intro to an op-ed I’ve written and submitted begins like this:

Even with this week’s Supreme Court ruling that upheld most provisions of the 2010 law, hospitals and health systems around the country will have to continue, if not accelerate, their improvement efforts that started well before the passage of the Patient Protection and Affordable Care Act. ┬áThese practical changes, driven by proven systems engineering and management principles, often referred to as “Lean thinking,” will continue making care safer and less expensive, regardless of what happens in our nation’s capital.

View or download the full op-ed as a PDF.

We can continue watching the news… or we can roll up our sleeves and get back to work.

What actions are you and your organization taking this week to make patient care safer and less harmful? What are you doing to make care affordable?

There’s a lots of work to do… I don’t think we can legislate real efficiency and quality.

Does this decision change the future course for your hospital? What are you hearing from your senior leaders?

Mark Graban 2011 Smaller Even with ObamaCare Upheld, Much Hard Work Remains to Protect Patients and Make Care Affordable leanAbout LeanBlog.org: Mark Graban is a consultant, author, and speaker in the “lean healthcare” methodology. Mark is author of the Shingo Award-winning books Lean Hospitals and Healthcare Kaizen, as well as the new Executive Guide to Healthcare Kaizen. Mark is also the VP of Innovation and Improvement Services for KaiNexus.

pixel Even with ObamaCare Upheld, Much Hard Work Remains to Protect Patients and Make Care Affordable lean
pinit fg en rect gray 28 Even with ObamaCare Upheld, Much Hard Work Remains to Protect Patients and Make Care Affordable lean
Please consider leaving a comment or sharing this post via social media.

{ 4 comments… read them below or add one }

1 Mark Graban
June 28, 2012 at 11:41 am

Henry Ford Health System CEO reacts:


“Henry Ford has been a national leader by demonstrating a strong and continued commitment to improving care and reducing costs. Its No Harm Campaign, which started before passage of the Affordable Care Act, has resulted in a 31 percent reduction in harm events and 12 percent reduction in mortality over a three-year period. By comparison, the average reduction in harm events is roughly 1 percent to 2 percent per year in most U.S. hospitals.”


2 Mark Graban
June 28, 2012 at 3:12 pm

From the American Hospital Association head:

“But transforming the delivery of healthcare will take much more than the strike of a gavel or stroke of a pen,” American Hospital Association President and CEO Richard Umbdenstock said in written statement. “It calls for the entire healthcare community to continue to work together, along with patients and purchasers, to implement better coordinated, high-quality care.”



3 Mark Graban
June 28, 2012 at 10:55 pm

Another CEO perspective:


“As a health care leader I obviously support every American having access to health care insurance,” said Carroll Hospital Center President and CEO John Sernulka. “The way I view it, the original law and now reaffirmation by the Supreme Court is a major catalyst towards recognizing that the health care system in America is too costly and is too fragmented and is not working.”


4 Mark Graban
June 28, 2012 at 11:44 pm

A more skeptical CEO view:

Some executives also remain skeptical that the influx of paying patients will materialize. “The tax for not having health insurance is so small” that many may choose to go uninsured, said Barry Arbuckle, chief executive of MemorialCare Health System, which runs six Southern California nonprofit hospitals.



Leave a Comment

You can use these HTML tags and attributes: <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <strike> <strong>

CommentLuv badge

Previous post:

Next post: