Express View Costing: Using Advanced Cost Modeling to Change Your Management Culture

In his thought provoking article “The Cost Conundrum” (The New Yorker, June 2009), author Atul Gawande reminds readers of our lawmakers’ aim to “bring (health care) costs under control.” Later on, the author concludes that few hospital executives have anything more than a vague notion of whether their organizations and providers are more or less efficient than their counterparts elsewhere.

Many hospitals, especially in recent years, have focused on transforming patient care processes to improve the individual patient’s safety and satisfaction (Transformational phase) while targeting greater overall quality. Typically, these efforts have focused both on culture change and on process improvement, ultimately crossing functional department boundaries to focus on improving customer and quality processes throughout the entire episode of care. 

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