Unexpected in Healthcare.

Fundamental System Failures in Leading Expect

·        Holding people SUSPECT instead of holding non-human components SUSPECT

·        Ambiguity of whether it is a Process or Cycle or Topology

·        Ambiguity of technology or system interface

Fundamental Science Errors

·        There are false negative errors (missed patient with a disease)

·        There are false positive errors (doesn’t have disease)

·        Contaminated instruments or equipment

·        Sound-a-like medications

·        There are wrong turns such as anesthesia dose – delivery.

·        There are the active driver mistakes like being recorded on a patient’s smart phone joking in surgery about things they shouldn’t say.

Fundamental Brand Errors

·        Opportunity for leadership to articulate Brand Learning Topology

·        Opportunity of Chief Expectations Officer in Recognition for Work or Brand Learning Topology

·        Miscommunication along the BET or Brand Emotional Topology such as handing off the urgency of a patient’s problems at the shift turn.

Fundamental Operational Failures

·        Unarticulated operation-specific Green lights

·        Unarticulated operation-specific Red rules

·        Lack of framing resulting in delay of care

·        Lack of functioning care traffic control

·        Lack of acuity-adjustment to forecasting

·        Lack of roster plan

Fundamental Department Errors

·        Outside training or scope of practice

·        Opportunity for addressing individual Blindspots based on Brand Learning Topology

·        Opportunity for elevating on Practicing disposition

·        Lack of empathy

·        Lack of listening watching

·        Lack of caring

·        Lack of promising

·        Lack of living up to promise

Fundamental Revenue Failures

·        Lack of Pricing Strategy to BET and MET

Fundamental Asset Topology Failures

·        Lack of Supervisor on Duty with Asset Topology

·        There are forecastable facility events such as humidity on a summer day that overloads the facility HVAC.

Fundamental Net Asset Topology Failures

·        Lack of capital investment

·        Poorly deployed capital

·        Poor structure of ownership

·        Poor governance-ownership structure