A Discussion with Group Health Leaders on Lean & Medical Home – Dr. Claire Trascott and Alicia Eng

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Clare Trescott MD

This episode is a discussion with two leaders from Group Health Cooperative, a consumer-governed, nonprofit health care system based in Seattle, Washington. My guests are  Claire Trescott, MD, Primary Care Medical Director, and Alicia Eng, Vice President of Primary Care. We will be talking about their use of Lean principles in the design and management of their “Medical Home” approach to primary care and wellness. You can read a PDF of a Health Affairs article that describes the benefits to patients and caregivers.

This podcast was produced in conjunction with the Healthcare Value Network  as a continuation of their previous podcast series.

For a link to this episode, refer people to  www.leanblog.org/123. For a 2007 interview with Group Health leaders, visit www.leanblog.org/23.

About Medical Home (from Group Health):

The Group Health Research Institute conducted a two-year study of the Factoria Medical Home Pilot. Results of that study were published in the May 2010 issue of the journal Health Affairs.

The study compared the medical home prototype at Factoria to care at Group Health's other medical centers, and found that:

  • The quality of care was higher at Factoria; patients reported better experiences and clinicians said they felt less “burned out.”
  • Patients had 29 percent fewer visits to the emergency room and 6 percent fewer hospitalizations, resulting in a net savings of $10 per patient per month.
  • Patients with chronic conditions managed them more successfully, and followed medical orders better with the aid of everyone on the medical home team.
  • For every dollar Group Health invested, mostly to boost staffing, it recouped $1.50.

For earlier episodes, visit the  main Podcast page, which includes information on how to subscribe via RSS or via Apple Podcasts.

If you have feedback on the podcast, or any questions for me or my guests, you can email me at leanpodcast@gmail.com or you can call and leave a voicemail by calling the “Lean Line” at (817) 993-0630 or contact me via Skype id “mgraban”. Please give your location and your first name. Any comments (email or voicemail) might be used in follow ups to the podcast.


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Mark Graban
Mark Graban is an internationally-recognized consultant, author, and professional speaker, and podcaster with experience in healthcare, manufacturing, and startups. Mark's new book is The Mistakes That Make Us: Cultivating a Culture of Learning and Innovation. He is also the author of Measures of Success: React Less, Lead Better, Improve More, the Shingo Award-winning books Lean Hospitals and Healthcare Kaizen, and the anthology Practicing Lean. Mark is also a Senior Advisor to the technology company KaiNexus.

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