Doing More With Less – America Admires NHS Thrift

American healthcare reform continues apace in Washington, however the debate does seem to have become unnecessarily polarised by Capitol Hill’s lawmakers, who are presenting a stark choice between raising taxes or cutting care.  There is a third way, however, based around the idea of service re-design, and of improving existing service delivery to realise efficiencies in order to do more with less.

America’s Institute for Healthcare Improvement, together with health experts from Harvard and the Brookings Institution, have demonstrated that lower spend does not mean lower quality of care or outcomes.  Quite the contrary.  In 10 communities around the U.S. where health spending is lower than average, healthcare outcomes are actually better than average.

While the debate rumbles on in Washington, here in the UK such reform and redesign is already well underway, with NHS organisations looking to do more with less, making existing resources go further and ensuring the best possible use of healthcare resource.

Business intelligence is playing a crucial role in supporting this NHS economy drive – Patient Level Costing solutions such as ours are being used by NHS finance managers to accurately calculate treatment costs and get a clear indication of whether care is being delivered within income.

Controlled financial management is the key to making the best use of available resources, and encourages a more coordinated approach to healthcare delivery, involving finance managers in the clinical process more actively – and vice versa – to ensure the most bang for their buck, without impacting on quality of care.

NPfIT An Inspiration To Governments Around The Globe

In a shock turn of events within the world of politics, the government has heaped praise upon its flagship National Programme for IT. According to health minister Ben Bradshaw, NPfIT has inspired other nations to consider similar programmes.

Bradshaw said: “Countries all over the world are considering this, including Barack Obama’s America, where people are looking to introduce a similar sort of national computer system into the American health care system as the one we have here.”

Equally surprising was the opposition promptly taking aim to shoot down such claims of success, accusing the government of failing to deliver, low take-up rates on Choose and Book, and moving the goalposts on national targets.

NPfIT has the potential to transform healthcare management, improving access to data and the sharing and exchanging of data, to help streamline healthcare delivery, and deliver cost and efficiency savings.

However, the self congratulatory tone of the government is somewhat premature. Progress is being made, but the one-size-fits-all approach does seem to be causing issues, with some Trusts opting to leave the national programme and adopt more flexible solutions from smaller, often more innovative suppliers.

NPfIT is undoubtedly bringing improvements to clinicians and to patients, through continued evolution and development – it will be interesting to see how and where it’s adopted overseas, as the government predicts.

NPfIT… Revolution in Healthcare or Expensive Failure: America Takes Stock

Onlookers and interested parties from around the world have long been following the progress of the UK’s landmark National Programme for IT. More recently, American doctor and researcher Dr Richard Cook has developed a short analysis of NPfIT and the implications for the US government’s investment in clinical healthcare IT, accessible here.

Apparently, the much-publicised delays and failings are giving US observers nightmares, with patient safety, suitability of technology and value for money key concerns, concerns shared by many onlookers and indeed MPs in the UK.

Such concerns are a far cry from the praiseworthy goals of the programme, to connect GPs and hospitals to ensure NHS staff have access to the patient data they need to make timely and informed clinical decisions, and improving the quality of care delivered.

Those in favour argue the new IT systems are delivering better, safer and faster care, that costs are being controlled, and that NPfIT will play a key role in helping to deliver truly world-class care.

With the USA making committed steps towards following the UK in offering universal healthcare, the lessons being learnt here will no doubt prove invaluable to US policy makers, in helping them to shape healthcare for future generations and to reduce the healthcare inequalities that exist.