There has been very positive response to this program across the clinical staff. It was first announced in a Managers and Directors meetings (at each of HPH’s four hospitals, and shared services meeting) by the chief quality officer and endorsed by leadership. There was initially a lot of sheepish laughter about a program called “Getting Rid of Stupid Stuff,” but then enthusiastic support as it was presented. As nominations have come in and been addressed, HPH has received a lot of appreciation for being willing to listen and to make changes.
Several nominations for stupid stuff beyond the EHR documentation topics have been received. Across the organization, there is a recognition that they have changed the way they think about clinical protocols, and are willing to stop and consider current practices. “Our CEO takes every opportunity to encourage us to keep working to identify and eliminate stupid stuff, and almost 18 months after we started it is clearly part of our approach to doing business,” said Melinda Ashton.
The positive reaction to HPH’s Perspective column in the November 8, 2018 issue of NEJM suggests that this approach has trust-building value. HPH has been approached by a number of organizations and heard from CMOs, CIOs and others around the country that there is something unique here. Their willingness to label well-intended, required work as stupid has seemingly struck a nerve.