Relentless Health Value EP492: The Solutions Show: How to Run a High-Quality Hospital at 143% of Medicare, With Sam Flanders, MD, and Shane Cerone
Nov 6, 2025
Shane Cerone, a health system executive and co-founder at KADA Health, teams up with Dr. Sam Flanders, a chief quality and safety expert, to delve into elevated hospital management models. They discuss creating a model to thrive at 150% of Medicare, highlighting how reducing inefficiencies can enhance care without compromising quality. Their strategies include Toyota-style continuous improvement and empowering clinicians through Kaizen methods. The duo urges employers to reclaim pricing power to foster market competition, envisioning a healthcare landscape that's more affordable and efficient.
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Frontline Problem Solving Beats Central Control
- Centralized teams cannot spot or solve thousands of frontline problems across a health system.
- Empowering workers closest to the work enables continuous, scalable improvement.
Reduce Friction For Clinicians Daily
- Make it easier for clinicians to deliver care every day by removing friction and empowering staff.
- Focus leadership on productivity gains so clinicians can spend more time with patients.
Run Kaizen At The Front Line
- Train and empower frontline staff to run rapid, local experiments (Kaizen) and hardwire successful fixes.
- Ensure CEOs visibly support and protect staff-led improvements so they persist.