Systems Focus for Strength
Healthcare is full of diagnosticians and clinicians who have been trained to look for the “right” answer for the patient. This is what we do. We have all been brought up in a strong right/wrong paradigm, and we bring this to our management of staff as well.
If we get an outcome we don’t want, it’s easy to look for who “did it wrong.” Why didn’t the front desk register the patient correctly? Now the claim has been denied, and the billing office is looking for someone to blame.
Why didn’t the patient get a call back before the weekend? Now the on-call physician is getting to talk to a very sick patient on Saturday, and they’re looking for someone to blame in the Medical Assistant ranks.
We can observe multiple situations like these, and our recommendation is to look at this as a system and ask: “What broke down inside of the system?” If we have a system to register patients and a system to relay messages and prioritize return calls, where did the system break down?
Reframing problems into “system breakdowns” allows you to focus NOT on an individual to blame, but on the whole system, which needs an upgrade. Perhaps the front office training documents need to be updated or a newer employee needs a bit more 1:1 training to get the importance of registration accuracy. Have we given them any feedback? Maybe the patient triage needs a review and an update so sick patients are handled quickly and efficiently.
Talking about it this way with the whole team, and involving everyone in problem-solving gets us out of the need to make someone wrong, and instead, has everyone focus on how to make things better.