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. These 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.
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?
About 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 Chief Improvement Officer for the technology company KaiNexus.