Problem Identification
Value Based Healthcare
Massed based care is driven through compliance, in part it involves unnecessary tests being performed because it 'ticks the boxes'. Unfortunately there can be patient harm attached when using this approach.
Watch the video to learn about the potential implications of massed based care.
Defining a problem
Implementation exercises are not exclusively initiated as the result of research. Identified issues at a local level can be the trigger for implementing change.
Problem identification in clinical areas should not be solely made by teams looking at the latest data sets. Effective problem identification is about understanding 'work as done'. Conducting sense making exercises can help create a shared understand for all stakeholders of the true problems that exist within healthcare.
Over the last 40 years quality and safety programs have focused on high reliability compliance (safety I) to help tackle the wicked problems within healthcare. These programs are often produced by teams who have little understanding of the real problems that exist for frontline healthcare workers. Staff working in this ‘compliant culture’, view safety as a tick box exercise and something separate to work as it is actually done. This compliance culture often forces staff to create 'work arounds' to ensure policies and procedures can be ticked off.
The application of a value based healthcare lens rather than high reliability compliance based focus is needed to truely understand the wicked problems within healthcare.
