Even Cowboys Work in Teams
The title and inspiration for this presentation are taken from an address by Dr. Atul Gawande at the Harvard Medical School Graduation, 2011. Dr. Gawande stated, “The core structure of medicine emerged in an era when doctors could hold all the key information patients needed in their heads and manage everything required themselves. One needed only an ethic of hard work, a prescription pad, a secretary, and a hospital willing to serve as one's workshop…………But you can't hold all the information in your head any longer, and you can't master all the skills.” He goes on to say that in our current healthcare environment, “places that function most like a system (diverse people working together to direct their specialized capabilities toward common goals for patients) are most successful.” That defines a high functioning team or group of teams. Underpinning the success of a team are three skills described by Dr. Gawande: use of data to understand performance, self reflection and finding solutions to system problems based on data, and implementing the systems and team approach at scale. Optimal stroke care requires a diverse group of people working together as a highly functional team or group of teams. This presentation will discuss both the system and teams that have organized in the region around Kansas City to assure the best possible outcome for each stroke patient by getting as many patients as possible to the right place at the right time.
- © 2011 by American Heart Association, Inc.