tag:blogger.com,1999:blog-927144950027443310.post6639648554055062232..comments2024-02-28T02:50:59.067-05:00Comments on MISSION: Improvement: Hospitals Reduce Bloodstream Infections: Performance Improvement in ActionApurv Gupta, MD, MPHhttp://www.blogger.com/profile/02378953184448661957noreply@blogger.comBlogger2125tag:blogger.com,1999:blog-927144950027443310.post-53916059484088096302011-11-15T08:33:02.624-05:002011-11-15T08:33:02.624-05:00Thanks Pat, I agree with you on the need for inter...Thanks Pat, I agree with you on the need for internal commitment - which is at a low at many institutions because of the complexity of the climate and challenges with leadership. However, what I've experienced is that once the frontline staff are trained to make the right changes, connect them together, and see the results starting to flow, commitment starts to build. One of the outcomes of "performance improvement systems" is improved results, but the other outcomes are increased confidence in "the system" and as a result increased commitment from the staff. Its a culture of improvement that gets created, and we need to figure out how to seed this effectively in our healthcare institutions.Apurv Gupta, MD, MPHhttps://www.blogger.com/profile/02378953184448661957noreply@blogger.comtag:blogger.com,1999:blog-927144950027443310.post-41665042053198297732011-11-15T08:14:21.588-05:002011-11-15T08:14:21.588-05:00The secret sauce that fuels these inroads is inter...The secret sauce that fuels these inroads is internal commitment. Many institutions simply go through the motions of process improvement without the passion or "permission" to do what it takes, or lacking the skills to effectively manage the process. If you study the most resonant successes, you see that achieving success takes hard work, every day...and sustaining these gains is even harder. As new economic realities drive more institutions to seek solutions, the hope is that a greater body of replicable templates and strategies for success will emerge. Commitment may become more commonplace when the road to improvement comes with better mapping. Everyone wins - especially the patient.Pat Mastorshttps://www.blogger.com/profile/12572742020333587763noreply@blogger.com