Aged Care – reflection and hope

With the commencement of hearings this week at the Royal Commission into Aged Care Quality & Safety we have been following proceedings here at Metrixcare with interest but also great sadness. Although our focus in recent years has been making a difference through...

My light just went out

[ See part 1 of I Have a Little Light. ] Last time we finished with a little light for an idea that begins with “V” and has something to do with managing cost… “Yes” “Does it go up”? “It can” “Do things get joined”? “They can” “The more you do the better it is”...

Finding the right place to start healthcare improvement

Finding the right place to start a healthcare improvement initiative can be like trying to find the end of a ball of string. The best place to start is not immediately obvious until you start looking. At Metrixcare we look for certain characteristics or conditions that help to guide us and our clients in finding the best places to start.

I have a little light

This is the name of a game I played as a child with my great aunts at Christmas. Someone would start the game by saying “I have a little light” and then would describe the object or place or idea in deliberately oblique terms that appeared to be meaningless using...

New moves for the game of clinical governance

One more time. Does anyone else feel it’s ground hog day? In my last post I said that in regard to the marked variations in cost and quality we are at fault, we caused them, essentially it’s our collective fault. But who is “we”? Did “we” all make it so? Maybe we are...

Patient Centric Care – managing what matters

How is it that we have 15% waste in our health services, expose many patients to “low value” procedures and have marked differences in cost and outcomes yet we seem incapable of improving this? Is this patient centred care or provider driven care?