At General Electric, Jack Welch pioneered the cultural breakthrough that was the Work-Out.
Small groups of employees on or just behind the front lines met without bosses to discuss common concerns.
When the bosses were allowed in at the end of the session, they had to make up-or-down decisions on the spot in response to the recommendations that had been created.
The technique changed GE, and through the legions of managers who went through it, it changed the world.
Most HCOs are not changing the world. With disengaged widget workers joylessly turning the crank on their EHR to generate their RBV food pellets, the technique simply devolves into yet another show the flag . . . a mandatory dog and pony show of head nodders that generates no real value.
Healthcare is no different than GE. Once your clinicians are empowered with aligned incentives and unburdened from crushing overhead and soul-sucking metrics, small integrated groups meeting this way will multiply value a thousand-fold.
I have personally witnessed it.
No exaggeration. Your clinicians are clinicians because of grit, creativity and devotion to service. Anyone without these characteristics would have quit their training long before. Unless your organization is exceptional, those gifts are mostly directed elsewhere, or worse, not used at all.
Tap that potential.
Align incentives.
Empower your clinicians.
Change the world.