Creating the “Workflow of champions” begs the question:
What is your goal?
The widespread phenomenon of medication supply problems and overconsumption is the #1 reported source of frustration on the part of clinicians managing patients for chronic conditions with controlled medications. Consider medication overconsumption like a manufacturing defect in your clinic. It might sound a bit harsh, but with 16,000 people per year having lethal complications from opioids, tolerating overconsumption may in fact be a mistake, a “defect” in your clinic.
The important thing about defining a defect, and a defect rate, is that it is measurable.
If you measure it, you can improve it. You can set your tolerances. When I challenge a group of providers, I might ask them to provide a collective statement.
Which of the following statements best represents your organization’s values?:
A) We are willing to tolerate our patients taking more medication than they are otherwise directed by their physician.
B) We feel the physician should be the authority in setting dosing limits.
If “B” is your preferred answer, then defining a means for determining which patients are subject to the high risk of exceeding your dosing instructions, along with an action plan for those patients, is the only way you will get there.
This week we explore change, and provide specific scripts and workflow to get your clinic to a zero defect rate when it comes to unreasonable risk.