Thank you Seaborgium.
No probs.
So you are saying the bottleneck in the health system is just with RNs?
Where did I say that?
The key problem in hospitals with Union power is twofold:
1) Simple tasks are governed by archaic restrictive work practices. Get rid of those and you get an immediate 12% benefit
2) The Unions are so dominant in the sector that there are entire floors of bureaucracy devoted to dealing with them. Unions out = administrators greatly reduced.
Then you get into scheduling using AGVs (automatic guided vehicles). That takes out about 150 low skilled jobs in a large hospital and delivers a further 8.25% efficiency as a minimum, they work 24/7, no break etc and with proper maintenance practices are now virtually breakdown free for teh first 5 years of service life.
What are your indicators of performance?
You take best of breed KPIs from the sector and apply these. You takebest of breed costs from teh sector and apply these as the cost that the state will pay to private enterprise. It will have to be private because the public service is full of fuckwits who actually benefit from excessive Union power (refer bureaucrats above).
That then means the private sector is responsible for making a profit whilst delivering services as effectively (in terms of cost which we all know drives private enterprise) as the very best provider in the public system. i.e. what used to be the best is now the minimum acceptable level.
Is it duration of stay?
To make a profit private will make the stay as short as possible. Any recurrence will be treated at the providers cost ergo they will want no recurrences so they will ensure full healing to best of their ability. I envisage that after a couple of days in a full ward when patients are just in need of bed rest they will be transferred to what is effectively a hotel wing with greatly reduced costs.
Is it warm and fuzzy feelings? Is it uptake of services to prevent readmission?
Nope. It's about defining the problem, determining the current most cost effetive way to treat it and paying that and no more whilst allowing private enterprise to determine how they will make a profit free from restrictive work practices.
Is this all heading into a special rant where you propose add on services like 'full release nursing'?
I have no problem with that, it's a valid commercial transaction. Wasn't on my list but feel free to add it.
No seriously, what have you got?
Plenty.
Plus I have a radical funding model that will get the public investing in health care but that remains commercial in confidence.
SG
