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    "Packaging" Healthcare Services Together

    October 13th, 2008

    by Tony Chen

    I've always heard people say that we in the hospital industry tend to have a "product-centric orientation, instead of a customer-centric one." Often times, that comment references the fact that we are typically structured organizationally by service line or by specialty, not by customer segment. For example, typical hospitals don't have a "Director of Services for Men in Their 30s and 40s." Sure, we offer screenings for prostate cancer, heart disease, and can deal with tennis elbow. We have primary care physicians, and we might even have fitness coaches. But a guy would literally have to bend the rules of the universe to get access to all of these services on the same day, in the same place. Yes, we have "women's services", but aren't these services primarily about OB/GYN services?

    [More:]

    Imagine a place where a woman could come in for a yoga class, get a pap smear, get a manicure, pick up some diapers, pick up her child from childcare, and then go to a potty training class - all at the same place. There is in fact a place like that - the Antares Institute of Integrative Medicine in Illinois (featured here in the Chicago Tribune health blog). This strategy seems to be a niche strategy with a laser focus on the new mom.

    You can start to imagine both the possibilities as well as the real difficulties in extending this model to hospital care. Some specialty hospitals seem to succeed in this for one particular patient (most commonly, pediatric, heart, or cancer), but beyond that, it's hard to point to good examples. The primary challenge is the need to spread out highly specialized resources across a lot of different facilities - it would just be a logistical and scheduling nightmare.

    Does anyone know of good examples of this? Any opinions of whether this is even a worthy strategy to consider?

    Comments:

    Comment from: Ian Furst [Visitor] · http://www.waittimes.blogspot.com
    When I hear the mantra of "product-centric organization" I think of schedules not service pools. So many services in hospital and clinics are optimized for the provider not the patient. From the patient's perspective it's obvious. Go here to register, here for blood work, there for the doctor, wait, wait, wait. No other service industry can get away with it. Rather than asking for ways to combine waxing and vasectomies we should concentrate on ways to deliver service from the patients' perspective rather than the providers.
    waittimes.blogspot.com
    Permalink 10/13/08 @ 21:33
    Comment from: Liz Jones [Visitor]
    As a patient, I don't necessarily want a manicure in the same place I get my pap smear. What I want from my healthcare providers is better communication--I want them to communicate with me and with eachother so that my care is coordinated. If my care is coordinated and I feel "taken care of," then I don't mind a little extra driving.
    Permalink 10/16/08 @ 13:56
    Comment from: Michael Stephens [Visitor] · http://actionforbetterhealthcare.com
    Packaging health services into an integrated package as described in this article seems more appropriate for what might be called the elite patients. Given the growing shortage of primary care physicians, particularly general internal medicine, is a national crisis. If we could get a sufficient number practicing basic medicine within a medical home model. an important priority would be addressed. We could then focus on the eclectic models for health care delivery.
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    Safety Tip

    Hospital facilities built today do not include asbestos, but many older buildings still have asbestos components in them. Steam pipes, boilers and furnace ducts were often insulated with an asbestos blanket or asbestos paper tape because of their fireproof and insulating properties. Resilient floor tiles were made from vinyl asbestos. Asbestos cement was employed in roofing, shingles and siding materials. The hazard of this carcinogen increases when the fibers become airborne, and untrained contractors can inadvertently increase risks by cutting, tearing, sawing, scraping, or sanding asbestos materials. Elevated asbestos levels can occur in hospitals where old materials are damaged or disturbed. It is best to leave undamaged asbestos material alone if it is not likely to be disturbed. Inhaling asbestos fibers is known to cause mesothelioma and other diseases. Be sure to use an experienced asbestos removal contractor when you need to get rid of old materials that might contain asbestos.