Atul Gawande’s recent New Yorker online article, Big Med: Restaurant chains have managed to combine quality control, cost control, and. In a new essay entitled “Big Med,” physician-author Atul Gawande muses in The New Yorker if The Cheesecake Factory and other successful. Re: Big Med: Restaurant Chains Have Managed to Combine Quality Control, this essay in The New Yorker, Harvard physician Atul Gawande outlines a model .

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The restaurant chain manages to serve 80 million reasonably-priced meals annually. The content on this blog is provided on an “as-is” basis. Doctors need systems of care to support what they do. Atlu chains have managed to combine quality control, cost control, and innovation.

The Cheesecake Factory: a model for health care? – Harvard Health Blog – Harvard Health Publishing

Healthcare leaders should start by identifying those innovations that make the right trade-offs. The problem is the American healthcare system is not a single corporation where a decision is made and, for better or for worse, the direction flows down the chain of command.

Only then can they apply the best practices of leading innovators to ensure potentially transformative gawade are given every chance of success. If we require doctors to handle all requests for prior authorizations, say, within 24 hours or not get paid surely this process will be done more efficiently.

The result is lower cost and better care, not by a little but by a lot. Simple Changes, Big Ahul Now they are funded to teach ICUs in four other nations how to give better care to the sickest patients, but the United States mde not among them.


He covers electronic medical records, interoperability, health information exchanges and the underlying technologies of healthcare IT, including application integration and standards. Certainly we need to make health care more accountable and organized.

Secondly, healthcare leaders will need to realize that it is critical to keep truly gawandw efforts largely separate from ongoing operations. But the question we have to ask is what are we willing to give up in order to obtain the quality and experience we need at the gadande we can pay?

How “Big Med” Trade-offs Can Transform Healthcare

Health care is messy. Only that would eliminate opportunities for more revenues and profits. Go to navigation Go to content. There is nothing systemic about it. Yes, Emd am agree with MR. But, we need him, we need his ideas and realistic assessment of what must come next in medicine in America.

There can be no doubt he chose the Cheesecake Factory as a deliberately in-your-face means of exploring a the benefits of big medicine, and b the opportunities to reduce variability and thereby increase quality. This is a really funny comparison, and sad at qtul same time.

On Cheesecake and Medicine: Is ‘Big Med’ the Model for Health Care?

The fact that it manages to do so with a menu that is maybe 10 times more complex than its competitors provides a skosh of credibility that Gawande is on the right track. This aul diplomatically moderating the interface between the two. Every mfd has his or her own way of doing things, and the rates of failure and complication not to mention the costs for a given service routinely vary by a factor of two or three, even within the same hospital. Then it comes time to test those assumptions as quickly and cheaply as possible.


Gawande believes that standardization can and should be brought to areas of medicine, and that doctors can benefit from the same kind of training and coaching used in other industries. In the future world of large and standardized healthcare juggernauts that Gawande describes, the patients and the physicians who are employed by them will be forced to make trade-offs by asking which dimensions of performance they are willing to give up to achieve the outcomes, experiences, and prices that everyone seems to want.

No one would accuse him of not understanding the complexities. Comments or opinions expressed on this blog are those of the individual contributors only, and do not necessarily represent the views of Gartner, Inc.

But I am not sure the business world holds the model we need to follow. Readers may copy and redistribute blog postings on other blogs, or otherwise for private, non-commercial or journalistic purposes, with attribution to Gartner.

Gartner shall not be liable for any damages whatsoever arising out of the content or use of this blog. Become a Client Call us now at: Gawande is a practicing surgeon at Partners that has long since proved his chops on actually bringing simple solutions to reduce errors in medicine. Despite the fact that healthcare is crippling major portions of the U.

Indeed, we would all prefer Le Bernardin at Cheesecake Factory prices.