We keep hearing it: budgets are tight; wait lists are long; and providers are burning out. The bureaucrats and politicians keep talking and talking, but what is it they're actually saying? How do we see through the fog of political language to learn what's really going on in a struggling health care system? As a public service to you, my loyal audience, I'm pleased to offer this glossary to take with you the next time you meet with a health care leader near you.
Accountability: Do as we say, it's our money
All hands on deck: You fix the problem, and you guessed it, there's no new money
Duplication of service: A waste of money that's too expensive and too onerous to stop doing
Falling through the cracks: Nobody really cares, but we need to make it look like we do
Finding efficiencies: Do more with less, or else
Framed through a determinants-of-health lens: A mixed metaphor that's a fancy way of saying being poor sucks
Front-line concern: Go bitch to your supervisor, not me
Game-changing potential: It's cool, I'll grant you, but how much will it cost?
Highlighting an important issue: That's a good thought, but we don't care
Accountability: Do as we say, it's our money
All hands on deck: You fix the problem, and you guessed it, there's no new money
Capacity building: (Reluctantly) spending money in a tangible way
Clearly defined roles: We decide, you do
Clearly defined roles: We decide, you do
Community-based: Complain to the local office, not us
Consultation: We're interested in hearing your opinion. We won't act on it, but you'll have to admit that we heard it
Continuity of care: What happens out of hospital stays out of hospital
Continuous Quality Improvement: Pick some numbers you think you can improve upon, then go ahead and improve upon them
Consultation: We're interested in hearing your opinion. We won't act on it, but you'll have to admit that we heard it
Continuity of care: What happens out of hospital stays out of hospital
Continuous Quality Improvement: Pick some numbers you think you can improve upon, then go ahead and improve upon them
Create synergies: You work for different departments and/or organizations...you figure it out
Deliverable: What we demand of you; an arbitrary and probably unrealistic sasaran metric
Disruptive innovation: Half-baked ideas
Disruptive innovation: Half-baked ideas
Duplication of service: A waste of money that's too expensive and too onerous to stop doing
Falling through the cracks: Nobody really cares, but we need to make it look like we do
Finding efficiencies: Do more with less, or else
Framed through a determinants-of-health lens: A mixed metaphor that's a fancy way of saying being poor sucks
Front-line concern: Go bitch to your supervisor, not me
Game-changing potential: It's cool, I'll grant you, but how much will it cost?
Grass-roots effort: You did good. Next time use the proper channels
Highlighting an important issue: That's a good thought, but we don't care
Holistic: The plan includes stuff we have no control over, and therefore screw-ups are someone else's fault
In the current fiscal climate: There's no new money, so don't bother to ask
Inclusiveness; Respectful of diversity: We invite people from all walks of life - women, LGBT, visible minorities - to think and act as we do
Integrated: The departments in question eat lunch together once a month
Leverage core competencies: Keep reminding everyone of what we still get right
Local decision-making: ...for which we're not responsible
Local decision-making: ...for which we're not responsible
Local partners: Whoever we sit on committees with that have their own money
Low-hanging fruit: A cheap-to-solve problem. Let's do it and milk the credit forever
Low-hanging fruit: A cheap-to-solve problem. Let's do it and milk the credit forever
Opportunities for excellence: What we suck at
Patient-centered: ??? A phrase that has no substantive meaning
Priority areas: Where the ugliest headlines have come from
Patient-centered: ??? A phrase that has no substantive meaning
Priority areas: Where the ugliest headlines have come from
Restructuring: Putting a bunch of non-union people out to pasture
Shifting care to the community: Cutting hospital budgets
Silos: Our bosses aren't on speaking terms. Also, our software systems are totally incompatible
Stakeholder engagement: Hear us out for an hour and we'll feed you from Subway
Targeted investments: Spending where the swing voters live
Transparency: The auditors need to be able to follow the money, but don't say anything to the press
Unwavering mendasar commitment: It's already in this year's and next year's budgets, so stop badgering
Value for money: Do more with less, and we'll acknowledge it in our report
We'll take it under advisement: Thanks for the input. Now go fuck yourself
Shifting care to the community: Cutting hospital budgets
Silos: Our bosses aren't on speaking terms. Also, our software systems are totally incompatible
Stakeholder engagement: Hear us out for an hour and we'll feed you from Subway
Targeted investments: Spending where the swing voters live
Transparency: The auditors need to be able to follow the money, but don't say anything to the press
Unwavering mendasar commitment: It's already in this year's and next year's budgets, so stop badgering
Value for money: Do more with less, and we'll acknowledge it in our report
We'll take it under advisement: Thanks for the input. Now go fuck yourself
Ditulis
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Saturday, August 26, 2017
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