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When efforts to enhance health care fall brief, the failures are typically blamed on management and culture. But the primary issue frequently is the underlying systems. To create muchbetter results, boost security, and enhance performance, health care companies must shift their focus to developing systems that assistin shipment of the first-rate care.
Over the past 3 years, numerous health systems have pursued enhancements in care shipment to make it moresecure, more reliable, and more effective. Many banners haveactually flown over this work: quality enhancement, systems modification, lean everyday management, efficiency enhancement, to name a coupleof. When these activities stopworking to provide on anticipated objectives, 2 typical and