Simplifying healthcare: It’s about time

By Brian Paradis, Senior Partner

Former Healthcare executive, Brian Paradis, hopes to inspire imaginative leadership amongst his colleagues and peers at the helm of America’s health systems in his new role as Senior Partner with CSuite Solutions.

The healthcare industry has been described as “the most complex endeavor on the planet.”

It is hard to say this definitively, but there is certainly an element of truth to the sentiment. As professionals who work in the industry – and as patients who consume its services – we have all come to understand the complexities of healthcare. One of our most important roles as leaders is to simplify it, both for our staff and caregivers, as well as for the benefit and understanding of our customers, patients and their families.

We can begin to simplify healthcare by treating it as we do most problems that need solving – instead of treating the symptoms, go deeper with a root cause analysis. At the center of that analysis, you will find that much of our industry’s decision-making revolves around the concept of time. Henry David Thoreau said, “The price of anything is the amount of time you exchange for it.” Time is the universal value, so it demands our attention. It demands it in two perspectives within our operational healthcare processes; time spent waiting and time spent with.

A decade ago, while serving as chief operating officer for a health system, I inherited a deeply dysfunctional emergency department (ED). After several failed attempts to fix it, we began internally asking the question, “why do patients come to the ED?” The initial responses were complicated and very clinical in their articulation. Finally, one of the front-line managers hesitantly offered, “to see a doctor.” A simple, but ultimately correct assessment. We then organized everything – from our approach to our ultimate decision-making – around that one objective. Gone were the multiple priorities and performance metrics. Gone were the ambiguous and anecdotal quality goals. I asked no question for almost eighteen months except, “what is our ‘door to doctor’ time today?” Soon after, the entire process, both inside and outside of the ED, had been mapped out with previously unparalleled clarity.

Source: This article was first published in Becker’s Hospital Review on August 22, 2018 and can be read in its entirety here:

Author: Brian Paradis
Brian Paradis’ practice specialties include strategic planning, operations and financial performance. Brian has over 25 years of healthcare delivery experience and brings a broad spectrum of best practices to help our clients meet their goals. Brian is known as a creative idea generator and consensus builder who uses thought leadership to foster innovation within healthcare delivery teams. By using the concept of systems theory, he inspires and coaches executive and physician leaders to build cultures that execute strategy and achieve sustainable performance excellence. Prior to his role as President of West Florida Health, Brian served as President and Chief Operating Officer of Florida Hospital’s Central Region, a $4 billion enterprise with more than 25,000 employees and 2,000 physicians. Under his leadership, Florida Hospital was ranked as the #1 Hospital in Florida by U.S. News & World Report for three consecutive years, and was a 2014 finalist for the prestigious Malcolm Baldrige National Quality Award. Florida Hospital was also the largest hospital in the United States to achieve the ISO 9001 certification for quality. Previously, Brian was the Chief Financial Officer for the Florida Division of Adventist Health Systems. He was instrumental in the successful launch of Celebration Health, a state-of-the-future healthcare facility in Walt Disney’s Celebration community. Brian earned a Bachelor’s degree in Business Administration from Southern College in Chattanooga, Tennessee. He further developed his financial acumen by earning a Public Accountant and a Management Accountant certification. Brian is also the author of “Lead with Imagination – Regaining the Power to Lead and Live in a Changing World” — See the book on Amazon or Barnes and Noble For more information about Brian please go to: Brian Paradis LinkedIn Profile.

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