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Potent Medicine: The Collaborative Cure for Healthcare Hardcover – April 16, 2012

5 out of 5 stars 7 customer reviews

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Editorial Reviews

Review

Dr. Toussaint is an action-taking revolutionary. As a real leader, not a theorist, he has proven it is possible to vastly improve medical care outcomes while reducing cost. Read about it in Potent Medicine. --Paul H. O'Neill, 72nd U.S Treasury Secretary and former CEO of Alcoa

Healthcare has never needed a lifeline more than it does today. Toussaint's prescription--increased transparency, reliable application of evidenced-based medicine, and changes to our payment system--is precisely what we need to transform our strained system to the one all patients deserve. --Maureen Bisognano, President and CEO of the Institue for Healthcare Improvement

With On the Mend, Toussaint delivered the most readily readable book on making lean work in healthcare. Now he addresses a topic as important- how to create an external environment that accelerates the U.S. health system's uptake of lean and other badly needed trend-bending tools. John's uncanny sense of wisdom and clarity of thought make his second book as wonderfully engaging as his first. --Arnold Milstein, MD, Professor of Medicine and Director of the Clinical Excellence Research Center at Stanford University

About the Author

John Toussaint, MD, is the CEO emeritus of ThedaCare, a five-hospital system in Wisconsin, and the CEO of the ThedaCare Center for Healthcare Value. He was founding Chair of the Wisconsin Collaborative for Healthcare Quality and of the Wisconsin Health Information Organization, as well as the non-executive leader of the Partnership for Healthcare Payment Reform in Wisconsin. He has participated in many Institute of Medicine subcommittees, including most recently the Value Incentives Learning Collaborative and the CEO Checklist for High Value Healthcare.

Dr. Toussaint's healthcare improvement work using Toyota Production System principles has been well documented in articles published in Health Affairs, the Harvard Business Review Blog, and Frontiers in Health Management. His work on payment reform and the transparency of provider performance data has been featured in The American Journal of Managed Care and the Commonwealth Fund publications, as well as news publications like The Wall Street Journal, the Milwaukee Journal Sentinel, and Healthcare Finance News. He also has a regular column in the Huffington Post.

He has been a featured speaker at the Association for Manufacturing Excellence, The Agency for Healthcare Research and Quality, the Center for Medicare and Medicaid Services, The Shingo Prize, The Lean Enterprise Institute, the Institute for Healthcare Improvement and many international conferences. His groundbreaking first book, On the Mend, Revolutionizing Healthcare to Save Lives and Transform the Industry, was recently awarded the 2012 Shingo Research and Publication award. It shows how healthcare can be fundamentally improved at the point of delivery to patients using the proven principles of lean management. His just released second book, Potent Medicine, The Collaborative Cure for Healthcare, describes the three core elements necessary to transform healthcare and deliver better value: delivery of care designed around the patient; transparency of treatment quality and cost; and payment for outcomes.

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Product Details

  • Hardcover: 173 pages
  • Publisher: ThedaCare Center for Healthcare Value; 1st edition (April 16, 2012)
  • Language: English
  • ISBN-10: 0984884807
  • ISBN-13: 978-0984884803
  • Product Dimensions: 0.8 x 6.2 x 9.2 inches
  • Shipping Weight: 1.6 pounds (View shipping rates and policies)
  • Average Customer Review: 5.0 out of 5 stars  See all reviews (7 customer reviews)
  • Amazon Best Sellers Rank: #455,193 in Books (See Top 100 in Books)

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Top Customer Reviews

Format: Kindle Edition
Dr. Toussaint follows up nicely. "Potent Medicine" and "On The Mend" are two must-haves for anyone serious about health care process improvement. I bought the hardcover immediately when its release was announced, and I will also buy the Kindle edition when I get home tonight (more convenient to carry around and easier to grab things to cite on my blog).

I found his guardedness over the potential of the nascent ACO model (and large national federal initiative more broadly) quite interesting. Many critics deride ACO as "HMO revisited" (a concern I share). But, a Lean approach to care process delivery coupled with the true "patient centered focus" Dr. Toussaint advocates might make things different this time. Medical economist J.D. Kleinke asserts that the viable future lies in "managing the disease instead of managing the money (i.e., HMOs)," and, paraphrasing Dr. Toussaint (page 142), "the money will be in the margins" (i.e., maximizing the margins by excising waste wherever it is found).

Another valuable and timely contribution to the process improvement literature.
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Format: Hardcover
Potent Medicine is a clarion call. I couldn't put it down. I thought I was knowledgeable about the issues involved in healthcare reform, but Potent Medicine is an epiphany. Dr. Toussaint's first book, On the Mend, was illuminating. Potent Medicine is revolutionary. And it is as pragmatic and moral as it is revolutionary. Dr. Toussaint is one of our country's leading experts on high quality, less wasteful healthcare, and he continues to put his thinking into effective collaborative action; moving from tremendous local and state level success up to national scale. If you care about where we are headed with healthcare--- whether as a patient, provider, insurer, policy maker or activist--this is a must-read!
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Format: Kindle Edition Verified Purchase
Dr. Toussaint distills his experience in lmproving health care quality and value at the hospital and state levels for other leaders to use. Public information on the performance of that system from the individual physician to competing organizations is a key element in his potent prescription for reform.
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Format: Hardcover
Potent Medicine provides a thoughtful review of the evolution of health care reform efforts in Wisconsin. The reader walks away with both a historical context and a strong appreciation for the difficult cultural transformation that lies ahead.

There is one line from the book that sums up the payment reform struggle perfectly. Toussaint relays a discussion with a provider about Medicare requirements pertaining to advance directives, which the physician describes as "another 20-minute conversation I don't get paid for." Indeed.
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