Transcript The Challenge: To Create More Value in All Negotiations

Welcome to Tom Peters “PowerPoint World”! Beyond the set of slides here,
you will find at tompeters.com the last eight years of presentations, a
basketful of “Special Presentations,” and, above all, Tom’s constantly
updated Master Presentation—from which most of the slides in this
presentation are drawn. There are about 3,500 slides in the 7-part “Master
Presentation.” The first five “chapters” constitute the main argument:
Part I is context. Part II is devoted entirely to innovation—the sine qua
non, as perhaps never before, of survival. In earlier incarnations of the
“master,” “innovation” “stuff” was scattered throughout the presentation—
now it is front and center and a stand-alone. Part III is a variation on the
innovation theme—but it is organized to examine the imperative (for most
everyone in the developed-emerging world) of an ultra high value-added
strategy. A “value-added ladder” (the “ladder” configuration lifted with
gratitude from Joe Pine and Jim Gilmore’s Experience Economy) lays out a
specific logic for necessarily leaving commodity-like goods and services in
the dust. Part IV argues that in this age of “micro-marketing” there are
two macro-markets of astounding size that are dramatically underattended by all but a few; namely women and boomers-geezers. Part V
underpins the overall argument with the necessary bedrock—Talent, with
brief consideration of Education & Healthcare. Part VI examines
Leadership for turbulent times from several angles. Part VII is a
collection of a dozen Lists—such as Tom’s “Irreducible 209,” 209 “things
I’ve learned along the way.”
Enjoy! Download! “Steal”—that’s the whole point!
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Tom Peters’
EXCELLENCE.
ALWAYS.
Kindred Healthcare
Las Vegas/25 March 2008
Part 1 of 2
Slides at …
tompeters.com
Sticking my
neck out:
Reflecting on
healthcare
Tom Peters/03.25.2008
U.S. Life
Expectancy
45. *
*Rank of U.S. life expectancy, <Bosnia, Cuba
1900-1960, life
expectancy grew 0.64 %
per year; 1960-2002,
0.24% per year, half from
airbags, gun locks,
service employment …
“Bottom line” :
Source: Best Care Anywhere: Why VA Healthcare Is Better Than Yours/Phillip Longman
“America’s elites are very good at
attracting money and prestige, and
they have a huge technology
arsenal with which they attack
death and disease. But they have
no positive medical results to show
for it in the aggregate and many
indications that they are providing
lower-quality care than the muchmaligned HMOs and assorted St.
Elsewheres.”
Source: Best Care Anywhere: Why VA Healthcare Is Better Than Yours/Phillip Longman
KIA &
Wounded
90,000 killed
and 2,000,000
CDC 1998:
injured from
hospital-caused drug
errors & infections
HealthGrades/Denver:
195,000
hospital deaths per
year in the U.S., 2000-2002 = 390 full
jumbos/747s in the drink per year.
Comments: “This should give you pause
when you go to the hospital.”
National Quality Forum
—Dr. Kenneth Kizer,
“There is little evidence
that patient safety has improved in
the last five years.” —Dr. Samantha Collier
Source: Boston Globe/07.27.04
1,000,000
“serious medication errors per
year” … “illegible handwriting,
misplaced decimal points, and
missed drug interactions and
allergies.”
Source: Wall Street Journal /Institute of Medicine
“Hospital infections kill an
estimated 103,000 people
in the United States a year,
as many as AIDS, breast
cancer and auto accidents
combined.
… Today, experts estimate that more than 60 percent of
staph infections are M.R.S.A. [up from 2 percent in 1974]. Hospitals in Denmark,
Finland and the Netherlands once faced similar rates, but brought them down to below
1 percent. How? Through the rigorous enforcement of rules on hand washing, the
meticulous cleaning of equipment and hospital rooms, the use of gowns and
disposable aprons to prevent doctors and nurses from spreading germs on clothing
and the testing of incoming patients to identify and isolate those carrying the germ. …
Many hospital administrators say they can’t afford to take the necessary precautions.”
—Betsy McCaughey, founder of the Committee to Reduce Infection Deaths (New York Times/06.06.2005)
“When I climb Mount
Rainier I face less
risk of death than
I’ll face on the
operating table.”
—Don Berwick
“The results are deadly. In addition
to the 98,000 killed by medical
errors in hospitals and the 90,000
deaths caused by hospital
infections, another 126,000 die
from their doctor’s failure to
observe evidence-based protocols
for just four common conditions:
hypertension, heart attack,
pneumonia, and colorectal cancer.”
[TP: total 314,000]
Source: Best Care Anywhere: Why VA Healthcare Is Better Than Yours/Phillip Longman
1 42
m
s
“Plus God knows
how many in
doctors’ offices,
Tom”
—Thom Mayer
***2003, New England Journal of Medicine publishes
quality study results: 11 measures of quality compare
VA and fee-for-service plans. VA “significantly better”
on
11 out of 11 …
***2004, Annals of Internal Medicine, RAND study: VA
vs commercial managed care; VA “outperforms all
other sectors of American healthcare in
294
measures of quality” …
***National Committee for Quality Assurance toprated, JHU, Mayo, Mass General; “In
single category
every
the veterans
healthcare system outperforms the highest-rated nonVA hospitals”
Source: Best Care Anywhere: Why VA Healthcare Is Better Than Yours/Phillip Longman
k.i.s.s.
Wrong
site surgery: “The most
effective part of the drill is
simply asking the patient, in
language he can understand,
to state (not confirm) who he
is, his birth date or social
security number, and what
he’s in for.”
K.I.S.S./Keep It Simple, Stupid:
Source: Best Care Anywhere: Why VA Healthcare Is Better Than Yours/Phillip Longman
The
Checklist!
90K in ICU on any given day
178 steps/day
50%
“serious
complication”
Source: Atul Gawande, “The Checklist” (New Yorker, 1210.07)
**Peter Provonost, Johns Hopkins, 2001
**Checklist, line infections
**1/3rd at least one error
**Nurses/permission to stop procedure
**1 year/10-day line-infection rate:
11% to
0%
(43 infections, 8 deaths,
$2M saved)
Source: Atul Gawande, “The Checklist” (New Yorker, 1210.07)
**Docs, nurses make own
checklists on whatever
process-procedure they choose
**Within weeks, average stay in
ICU down
50%
Source: Atul Gawande, “The Checklist” (New Yorker, 1210.07)
**Replicate in Inner City Detroit
(resource strapped—$$$, staff cut 1/3rd, poorest patients in USA)
**Nurses QB
**Project manager
**Exec involvement (help with “little things”—it’s all “little things”)
**Blues, small bonuses for participating
**6 months,
66% decrease in infection rate; USA:
bottom 25% to
top 10%
Source: Atul Gawande, “The Checklist” (New Yorker, 1210.07)
“[Pronovost] is focused on work that is not normally
considered a significant contribution in academic
medicine. As a result, few others are venturing to extend
Yet his work has
already saved more lives
than that of any
laboratory scientist in
the last decade.”
his achievements.
—Atul Gawande,
“The Checklist” (New Yorker, 1210.07)
“Beware of the
tyranny of making
Small Changes to Small
Things. Rather, make
Big
Changes to
Things.”
Big
—Roger Enrico, former Chairman, PepsiCo
“Beware of the tyranny of making
Small
Things.
Small
Changes to
Rather, make Big
Big Things …
using Small, Almost
Invisible Levers with
Big Systemic
Impact.”
Changes to
—TP
And “they”
call it
“science”
“stunning lack of
scientific knowledge
about which
treatments and
procedures actually
work.”
Source: Best Care Anywhere: Why VA Healthcare Is Better Than Yours/Phillip Longman
“As unsettling as the prevalence of inappropriate care is
the enormous amount of what can only be called
A surprising 85% of
everyday medical
treatments have never
been scientifically
validated. … For instance, when family
ignorant care.
practitioners in Washington were queried about treating
a simple urinary tract infection, 82 physicians came up
with an extraordinary 137 strategies.”
Source: Demanding Medical Excellence: Doctors and
Accountability in the Information Age, Michael Millenson
400,000 heart bypass surgeries,
1,000,000 angioplasties per
year: “Yet recent studies show
that only about
three
percent of the patients
who receive such operations
benefit from them; most would be
better served just taking aspirin or
low-cost beta blockers.”
Source: Best Care Anywhere: Why VA Healthcare Is Better Than Yours/Phillip Longman
See no
evil ....
“culture of
cover-up that
pervades
healthcare”
Source: Best Care Anywhere: Why VA Healthcare Is Better Than Yours/Phillip Longman
Pick of the
litter????
“Generally, the more
prestigious the hospital you
check into, and the more
eminent and numerous the
physicians who attend you,
the more likely you are to
receive low-quality or even
dangerous and
unnecessary care.”
Source: Best Care Anywhere: Why VA Healthcare Is Better Than Yours/Phillip Longman
“The more doctors and specialists
around, the more tests and procedures
performed. And the results of all these
tests and procedures? Lots more medical
bills, exposure to medical errors, and a
loss of life expectancy.
“It was this last conclusion that was truly shocking, but it
became unavoidable when [Dartmouth’s Dr. Jack]
They
found it’s not just that renowned
hospitals and their specialists tend to
engage in massive overtreatment. They
also tend to be poor at providing critical
but routine care.”
Wennberg and others broadened their studies.
Source: Best Care Anywhere: Why VA Healthcare Is Better Than Yours/Phillip Longman
“The more doctors and specialists around, the more tests
and procedures performed. And the results of all these
tests and procedures? Lots more medical bills, exposure
loss of
life
expectancy.”
to medical errors, and a
Source: Best Care Anywhere: Why VA Healthcare Is Better Than Yours/Phillip Longman
“[Dartmouth Professor Elliott]
Fisher and his colleagues
discovered that patients who went
to hospitals that spent the most—
and did the most procedures—
were 2 to 6 percent more
likely to die than patients
that went to hospitals that
spent the least.”
Source: Overtreated: Why Too Much Medicine Is Making Us Sicker and Poorer —Shannon Brownlee
“My most memorable brushes have
been with an eminent surgeon,”
Marjorie wrote in her next-to-last
column for the Washington Post,
“whose method is to stride into the
examining room two hours late, pat
your hand, pronounce your certain
death if he can’t perform an operation
on you, and then snap at your husband
to stop taking notes, since he can’t
possibly follow the complexity of the
doctor’s thinking.”
Source: Best Care Anywhere: Why VA Healthcare Is Better Than Yours/Phillip Longman
VA costs up
0.8% in 10
years, Medicare
up 40.4%
(Note: VA patients “older, sicker, poorer and more prone to
mental illness, homelessness, and substance abuse;” ½ > 65,
1/3 smoke, 1/5 diabetes vs 1/14 overall; chronic diseases,
frailty—especially vulnerable to medical errors )
Source: Best Care Anywhere: Why VA Healthcare Is Better Than Yours/Phillip Longman
VA/Strengths
*Safety
*Evidence-based medicine
*Health promotion and wellness
programs
*“Unparalleled adoption of
electronic medical records
and other information
technologies”
Source: Best Care Anywhere: Why VA Healthcare Is Better Than Yours/Phillip Longman
IS/IT
“Some grocery
stores have better
technology than
our hospitals
and clinics.”
—Tommy Thompson, former HHS Secretary
Source: Special Report on technology in healthcare, U.S. News & World Report
Information technology:
group of off-theradar experiments, performed surreptitiously by
“the Hard Hats.”
Dr Kenneth Dickie, 1979, brought together, as
VistA, 20,000 software protocols “originally
written by individual doctors and other professionals
working secretly in VA facilities all around the country”
“This unique, integrated information system has
dramatically reduced medical errors at the VA while
also vastly improving diagnoses, quality of care,
scientific understanding of the human body, and the
development of medical protocols based on hard data
about what drugs and procedures work best.”
Source: Best Care Anywhere: Why VA Healthcare Is Better Than Yours/Phillip Longman
Scanner:
“Skunkworks” project started in Kansas, 1992,
hand-held scanner, idea from nurse Sue Kinnick when she
“It wound up
eliminating some 549,000 errors by
2001; there was a 75% decrease in
errors involving the wrong medication,
a 62% decrease in errors involving the
wrong dosage, a 93% reduction in the
wrong patients receiving medicine, and
a 70% decrease in the number of times
nurses simply forgot or didn’t get
around to giving patients their meds.”
observed usage in rental-car return area.
Source: Best Care Anywhere: Why VA Healthcare Is Better Than Yours/Phillip Longman
“Our entire facility is
digital.
No paper, no film, no medical records.
Nothing. And it’s all integrated—from the lab to X-ray to records
to physician order entry. Patients don’t have to wait for
anything. The information from the physician’s office is in
registration and vice versa. The referring physician is
immediately sent an email telling him his patient has shown up.
… It’s wireless in-house. We have 800 notebook computers that
are wireless. Physicians can walk around with a computer that’s
pre-programmed. If the physician wants, we’ll go out and wire
their house so they can sit on the couch and connect to the
network. They can review a chart from 100 miles away.”
—David Veillette, CEO, Indiana Heart Hospital
No good
deed goes
unpunished
“Every
$1.00 spent
on its wellness program
ended up saving [Citigroup]
$4.70, according to an
academic study.”
—WSJ/0329.07
“Quality doesn’t pay”: 1995, Duke Medical Center,
“Nurses regularly called patients [with congestive heart
failure] at home to monitor their well-being and to make
sure they took their medications. Nutritionists offered
heart-healthy diets. Doctors shared data about their
patients and developed evidence for what treatments
and dosages had the best results. And it worked—at least
in the sense that patients became healthier. The number
of hospital admissions declined and patients spent less
time in the hospital.
Problem: “By 2000, the hospital was taking a 37% hit
in its revenue due to the decline in admissions and the
absence of complications. Ten hospitals in Utah had a
similar experience after implementing integrated care
for pneumonia.” “No investment in quality goes
unpunished.” “But there is a problem: Who will
pay for it? … An idealistic commitment to best
practices doesn’t pay the bills.”
Source: Best Care Anywhere: Why VA Healthcare Is Better Than Yours/Phillip Longman
Planetree:
A Radical Model for New
Healthcare/Healing/
Wellness Excellence
Tom Peters
“It was the goal of
the Planetree Unit to
help patients not only
get well faster but
also to stay well
longer.”
—Putting Patients First,
Susan Frampton, Laura Gilpin, Patrick Charmel
“Much of our current
healthcare is about curing .
Curing is good. But healing
is spiritual, and healing is
better, because we can heal
many people we cannot
cure.” —Leland Kaiser,
“Holistic Hospitals”
“The most basic
question we need to
pose in caring for
others is this: Is this
a loving act?”
—Leland Kaiser,
“Holistic Hospitals”
Source: Putting Patients First, Susan Frampton, Laura Gilpin, Patrick Charmel
Determinants of Health
Access to care: 10%
Genetics: 20%
Environment: 20%
Health Behaviors: 50%
Source: Institute for the Future
The 9 Planetree Practices
1. The Importance of Human Interaction
2. Informing and Empowering Diverse Populations: Consumer
Health Libraries and Patient Information
3. Healing Partnerships: The importance of Including Friends
and Family
4. Nutrition: The Nurturing Aspect of Food
5. Spirituality: Inner Resources for Healing
6. Human Touch: The Essentials of Communicating
Caring Through Massage
7. Healing Arts: Nutrition for the Soul
8. Integrating Complementary and Alternative Practices
into Conventional Care
9. Healing Environments: Architecture and Design Conducive
to Health
Source: Putting Patients First, Susan Frampton, Laura Gilpin, Patrick Charmel
1. The Importance
of Human
Interaction
139,380 former
patients from 225 hospitals:
Press Ganey Assoc:
none
of THE top 15 factors
determining Patient Satisfaction
referred to patient’s health outcome
PS directly related to Staff Interaction
PS directly correlated with Employee
Satisfaction
Source: Putting Patients First, Susan Frampton, Laura Gilpin, Patrick Charmel
“There is a misconception that supportive interactions require
more staff or more time and are therefore more costly. Although
labor costs are a substantial part of any hospital budget, the
interactions themselves add nothing to the budget.
Kindness is
free.
Listening to patients or answering their
questions costs nothing. It can be argued that negative
interactions—alienating patients, being non-responsive to their
needs or limiting their sense of control—can be very costly. …
Angry, frustrated or frightened patients may be combative,
withdrawn and less cooperative—requiring far more time
than it would have taken to interact with them initially in a
positive way.” —Putting Patients First, Susan Frampton,
Laura Gilpin, Patrick Charmel
“Perhaps the simplest and most
profound of all human interactions
is KINDNESS. … But if it is so
simple, it is surprising how
frequently it is absent from our
healthcare environments. … Many
staff members report verbal
‘abuse’
by physicians, managers
and coworkers.” —Putting Patients First, Susan
Frampton, Laura Gilpin, Patrick Charmel
“Planetree is about
human beings
caring for other
human beings.”
—Putting Patients First, Susan Frampton, Laura Gilpin,
Patrick Charmel (“Ladies and gentlemen serving ladies
and gentlemen”—4S credo)
2. Informing and
Empowering Diverse
Populations: Consumer
Health Libraries and
Patient Information
Planetree Health Resources Center/1981
Planetree Classification System
Consumer Health Librarians
Volunteers
Classes, lectures
Health Fairs
Griffin’s Mobile Health Resource Center
Open Chart Policy
Patient Progress Notes
Care Coordination Conferences (Est.
goals, timetable, etc.)
Source: Putting Patients First, Susan Frampton, Laura Gilpin, Patrick Charmel
3. Healing
Partnerships: The
Importance of
Including
Friends and Family
“When hospital staff members are
asked to list the attributes of the
‘perfect patient and family,’ their
response is usually a passive patient
with no family.”
—Putting Patients First, Susan
Frampton, Laura Gilpin, Patrick Charmel
The Patient-Family Experience
“Patients are stripped of control, their clothes are
taken away, they have little say over their schedule,
and they are deliberately separated from their family
and friends. Healthcare professionals control all of the
information about their patients’ bodies and access to
the people who can answer questions and connect them
with helpful resources. Families are treated more as
intruders than loved ones.” Putting Patients First
—
Susan Frampton, Laura Gilpin, Patrick Charmel
,
“Family members, close friends
and ‘significant others’ can
have a far greater impact on
patients’ experience of illness,
and on their long-term health
and happiness, than any
healthcare professional.”
—Through the Patient’s Eyes
“A 7-year follow-up of women
diagnosed with breast cancer
showed that those who confided in
at least one person in the 3 months
after surgery had a 7-year survival
72.4%
rate of
, as compared
to 56.3% for those who didn’t have
a confidant.” —Institute for the Future
Care Partner Programs
(IDs, discount meals, etc.)
Unrestricted visits (“Most Planetree hospitals
have eliminated visiting restrictions altogether.”) (ER at one
hospital “has a policy of never separating the patient from the
family, and there is no limitation on how many family members
may be present.”)
Collaborative Care Conferences
Clinical Guidelines Discussions
Family Spaces
Pet Visits (POP: Patients’ Own Pets)
Source: Putting Patients First, Susan Frampton, Laura Gilpin, Patrick Charmel
4. Nutrition:
The Nurturing
Aspect of Food
Meals are central events
vs
“There, you’re fed.” *
*Irony: Focus on “nutrition” has reduced
focus on “food” and “service”
Source: Putting Patients First, Susan Frampton, Laura Gilpin, Patrick Charmel
Kitchen
Beautiful cutlery,
plates, etc
Chef reputation
Source: Putting Patients First, Susan Frampton, Laura Gilpin, Patrick Charmel
Aroma therapy
(e.g., “smell of baking cookies”)
Source: Putting Patients First, Susan Frampton, Laura Gilpin, Patrick Charmel
5. Spirituality:
Inner Resources
for Healing
Spirituality: Meaning and Connectedness in Life
1. Connected to supportive and
caring group
2. Sense of mastery and control
3. Make meaning out of disease/
find meaning in suffering
Source: Putting Patients First, Susan Frampton, Laura Gilpin, Patrick Charmel
Griffin:
redesign chapel (waterfall,
quiet music, open prayer book)
Other:
music, flowers, portable
labyrinth
Source: Putting Patients First, Susan Frampton, Laura Gilpin, Patrick Charmel
6. Human Touch:
The Essentials of
Communicating
Caring Through
Massage
“Massage is a
powerful way to
communicate
caring.”
—Putting Patients First,
Susan Frampton, Laura Gilpin, Patrick Charmel
Mid-Columbia Medical Center/Center for Mind and Body
Massage for every patient scheduled for
ambulatory surgery (“Go into surgery with
a good attitude”)
Infant massage
Staff massage (“caring for the caregivers”)
Healing environments: chemo!
Source: Putting Patients First, Susan Frampton, Laura Gilpin, Patrick Charmel
7. Healing Arts:
Nutrition for
the Soul
Planetree: “Environment conducive to healing”
Color!
Light!
Brilliance!
Form!
Art!
Music!
Source: Putting Patients First, Susan Frampton, Laura Gilpin, Patrick Charmel
Florence Nightingale/Notes on
Nursing/patient’s need for beauty,
“People say
the effect is only on
the mind. It is no
such thing. The effect
is on the body, too.”
windows, flowers:
Source: Putting Patients First, Susan Frampton, Laura Gilpin, Patrick Charmel
Griffin:
Music in the parking
lot; professional musicians in
the lobby (7/week, 3-4hrs/day) ;
5 pianos ;
volunteers (120-140 hrs arts &
entertainment per month).
Source: Putting Patients First, Susan Frampton, Laura Gilpin, Patrick Charmel
8. Integrating
Complementary and
Alternative Practices
into Conventional Care
Griffin IMC/Integrative Medicine Center
Massage
Acupuncture
Meditation
Chiropractic
Nutritional supplements
Aroma therapy
Source: Putting Patients First, Susan Frampton, Laura Gilpin, Patrick Charmel
CAM (Complementary & Alternative Medicine):
83M in US (42%)
CAM visits 243M, greater than to PCP (Primary
Care Physician) (With min insurance coverage)
W-Educated-Hi inc
Don’t tell PCP (40%)
OTA: <30% procedures used in
conventional medicine have undergone
RCTs (randomized clinical trials)
Source: Putting Patients First, Susan Frampton, Laura Gilpin, Patrick Charmel
9. Healing
Environments:
Architecture and
Design Conducive
to Health
“Planetree Look”
Woods and natural materials
Indirect lighting
Homelike settings
Goals: Welcome patients, friends and
family … Value humans over technology ..
Enable patients to participate in their care
… Provide flexibility to personalize the
care of each patient … Encourage
caregivers to be responsive to patients …
Foster a connection to nature and beauty
Source: Putting Patients First, Susan Frampton, Laura Gilpin, Patrick Charmel
Sound
Texture
Lighting
Color
Smell
Taste
Sacred space
Source: Putting Patients First, Susan Frampton, Laura Gilpin, Patrick Charmel
Access to nurses station:
“Happen to”
vs
“Happen with”
Source: Putting Patients First, Susan Frampton, Laura Gilpin, Patrick Charmel
The Eden
Alternative*
*ElderCare
The Ten Principals of the Eden Alternative
1. The three plagues of loneliness, helplessness, and boredom
account for the bulk of suffering among Elders.
2. Life in an Elder-centered community revolves around close and
continuing contact with children, plants, and animals. These
ancient relationships provide young and old alike with a pathway
to a life worth living.
3. Companionship is the antidote to loneliness. In an Eldercentered community we must provide easy access to human and
animal companionship.
4. A healthy Elder-centered community seeks to balance the care
that is being given with the care that is being received. Elders need
opportunities to give care and caregivers need opportunities to
receive care.
Source: Putting Patients First, Susan Frampton, Laura Gilpin, Patrick Charmel
“The Eden paradigm
allows elders to care for
animals, birds, and
children as well as each
other.” —Susan Eaton, Harvard/JFK school
Source: Putting Patients First, Susan Frampton,
Laura Gilpin, Patrick Charmel
The Ten Principals of the Eden Alternative
5. Variety and Spontaneity are the antidotes to boredom.
The Elder-centered community is rich in opportunities to
sample these ancient pleasures.
6. An Elder-centered community understands that passive
entertainment cannot fill a human life.
7. The Elder-centered community takes medical treatment
down from its pedestal and and places it into the service
of genuine human caring.
Source: Putting Patients First, Susan Frampton,
Laura Gilpin, Patrick Charmel
The Ten Principals of the Eden Alternative
8. In an Elder-centered community, decisions should be
made by the Elders or those as close to the Elders as
possible.
9. An Elder-centered community understands human
growth cannot be separated from human life.
10. Wise leadership is the lifeblood of any struggle
against the Three Plagues. For it, there can be no
substitute.
Source: Putting Patients First, Susan Frampton, Laura Gilpin, Patrick Charmel
Conclusion:
Caring/Growth
“Experience”
Care!/Love!/Spirit!
Self-Control!
Connect!/learn!/
involve!/Engage!
Understanding!/Growth!
De-stress!/heal!
Whole patient & family
& friends!
be well!/stay well!
F.Y.I.
Griffin Hospital/Derby CT (Planetree Alliance “HQ”) Results:
Financially successful.
Expanding programsphysically. Growing market
share. Only hospital in “100
Best Cos to Work for”—
7 consecutive years,
currently #6.
—“Five-Star Hospitals,” Joe Flower,
strategy+business (#42)
Learn more about Planetree/
The Planetree Alliance:
www.planetree.org
resources
***Best Care Anywhere: Why VA Healthcare
Is Better Than Yours —Phillip Longman
***Medicine
& Culture
—Lynn Payer
***Our
Daily Meds: How the Pharmaceutical
Companies Transformed Themselves into
Slick Marketing Machines and Hooked the
Nation on Prescription Drugs —Melody Petersen
***Overtreated:
Why Too Much Medicine
Is Making Us Sicker and Poorer
—Shannon Brownlee
***Demanding Medical Excellence: Doctors
and Accountability in the Information Age
—Michael Millenson
***Putting Patients First —Susan Frampton,
Laura Gilpin, Patrick Charmel [The Planetree story]