The quagmire in providing adequate and affordable healthcare for everyone is a wicked problem. Any proposed solution to a wicked problem is imperfect and has unintended consequences (positive or negative).
By becoming mindful about this complexity we can seek to improve our shared understanding and, in the process, improve our cohesion to work together and achieve cooperative consensus in diffusing the healthcare imbroglio. Can we create a Cheesecake Factory style model for delivering affordable healthcare?
A dash of Howard Schultz’s (CEO, Starbucks) sentiment is instructive in this context:
“Any business today that embraces the status quo as an operating principle is going to be on a death march.”
Health care transformation is a hard hat area under construction and a plethora of work remains to be done after the health care law becomes operational.
The logic trees sketched below show the current state and the desired future state of the healthcare transformation agenda.
Current Reality Tree
Below is the evaporating cloud (conflict) that we have to explode so that all the eligible parties — patients, providers, employers and insurers — can win together in finding a sustainable solution to the healthcare crisis.
Future Reality Tree
Busting the status quo also requires being an Artistic Turnaround Manager. This provides a groundbreaking opportunity to think differently, shape the path forward, widen the sphere of moral inclusion and reduce our “empathy deficit.”
We have a moral obligation to (1) avert post traumatic stress of healthcare institutions and (2) prevent the needle of the Z-score of any healthcare institution from moving towards the bankruptcy zone.
- Patrick Pilch, David Friend. 4Rs of Health Care Reform: Right Care, Right Place, Right Time, Right Cost. Journal of Corporate Renewal, Jul/Aug 2013.
- Atul Gawande. Restaurant chains have managed to combine quality control, cost control, and innovation. Can health care?, The New Yorker, Aug 2012.
- Gary D. Ahlquist, Minoo Javanmardian, and Sanjay B. Saxena. Healthcare Shifts from à la Carte to Prix Fixe, Strategy+Business, Issue 73, 2013
- Ramu Iyer. Turnaround Management of America’s Economy
Documented by Last Mile Resource