Dr. Ron Walls
speaker
191 appearances
1 recordings
1 series
first heard Nov 2019
last heard Nov 2019
Dr. Ron Walls’s voice in public audio — every appearance, attributed to the second.
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Appearances
And as they grow up and we look at them and they're pretty inefficient, we throw resources at them.
We don't fundamentally change how they work.
And going back to the beginning of the design of that and saying, how do we make this actually do what it's intended to do, rather than make it 5% better at doing what it already is doing?
How do we make it do what it's intended to do, and what kind of design features do you need to be able to do that?
That's the work that we have to do to balance the labor force and the demand and the need for value in the system.
I think students and residents and faculty have to learn the right way to do things, the right way to work together, the right way to communicate, the right way to be members of a team, the right way to put the patient first.
I don't think there's any point in sitting down and having sessions on operational efficiency or effectiveness and then sending them off to work in a very inefficient system where they're just seeing that what they learned around the table and what they're seeing in practice are completely different.
In 2010, we redesigned how the emergency department worked because we had an overwhelming demand for services and we didn't have the space to deliver it.
But by redesigning the system, we were able to drop our median door-to-doctor time from 74 minutes to 14 to 16 minutes.
and improved our Brescaini scores from the 30s and sometimes down into single digits, depending on the question, to the 99th percentile for our peer organizations, and then kept it there for 11 months in a row.
And that wasn't because we added resources.
We just redeployed and redesigned.
And I think our residents really saw in that an opportunity to learn themselves as well, that you can take something that you've worked in and know really well, and you just completely redesign it.
But you have to be willing to sort of tear the whole thing up and start over.
Residents are very different now than when I was a resident, even when I was a chair.
And I think they're more engaged on all levels.
There was an almost blinders-on focus to what do I need to know, what's medical content.
And now it's much more about what is my role in the world.
And my role in the world is the social conscience piece of it and the activism piece.
And it's also how do I become part of an effective delivery system and how do I contribute to that?
Showing 161–180 of 191 · page 9 of 10
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