Efficiency and Efficacy
There have been postings from my ADVANCE colleagues lately about the cutting of staff in order for corporations to meet financial targets. I commented Sept. 4 on Toni Patt's blog and referenced the Francis Inquiry, which reports on the massive failings of the Mid-Staffordshire Foundation Trust between the years 2005 and 2009. I felt this publication was important enough to get its own post.
The executive summary sums things up fairly well. In essence, the Trust focused solely on financial and efficiency targets while completely ignoring the fact that they were no longer providing effective (or safe) care to patients. Why should we care? Because it seems like we are moving in the same direction. The stories I've read in this report remind me of what Toni and Michael Kelley have said is going on in their work environments back in the US. They also mirror what is happening with a company I know well in the Northeast.
We must speak out when we feel patient care will be jeopardized by purely financially based decisions. Do we put our jobs in harm's way? Sometimes we do; Toni can attest to that. When we become PTs though, are we just getting a job, or a career that comes with professional responsibility and liability?
No business can survive without efficiency, but no business has a reason to exist without efficacy. We must have both.