Yaneer Bar Yam and colleagues at the New England
Complex Systems Institute have proposed eight steps they believe will improve
the quality of healthcare and at the same time reduce healthcare costs. They
say their proposals will make the best use of resources by matching people and organizations
to the tasks they do best and providing the right incentive structure.
The steps include separating simple from complex
care, enabling "workgroup competition,”
creating "superdoctor teams” and using
electronic patient records anonymously for research to supplement clinical studies.
Their recommendations on infection
prevention include recognition that transmission of pathogens happens within
hospitals and between care facilities. The authors envision disinfection
protocols that would decontaminate people and the objects they carry as they
cross the boundaries between healthcare domains. Read the report,
System Science Approach to Healthcare Costs and Quality.”