FIX

FIX can mean repair – change something from not working to working.

In this context there is often a perception that our HEALTH CARE system is broken – not working depending on how we defined working. FIXING it can mean many things but one approach is to FIX the CONTENT of HEALTH CARE. If we get the CONTENT right we have a greater chance of the getting the HEALTH CARE (service, decision, care, outcome) right.

Where the evidence is summarized inaccurately we can be making misinformed decisions.  Where the guidelines are presented with improper attention to the many factors necessary for trustworthy guidance, we can be making misinformed decisions with greater confidence.  Where the quality measures and regulations which drive behavior are not appropriate, we make the greatest missteps. If we can identify these areas and FIX the CONTENT of HEALTH CARE we can make a difference. 

Imagine if you were trying to use a map with such inaccuracies. Imagine if that map is now high-tech and automatically providing a focused view while you are driving.  Would the automated solution provide a false sense of accuracy? How often are we experiencing that in our health care system?

FIX can also mean to hold steady, fasten, adhere, make permanent.  When solving any complex problem figuring out what you FIX (hold steady) and what you FIX (change to improve) is a way to approach it.

But I’m most interested in doing this for real – for the right reasons and the best results. I am not interested in a “FIXED” (or rigged) system.