I believe that Mr Jacoby has drawn the wrong lesson from the commercial and scientific success of the Lasik Vision Institute.
It
is not necessarily being a corporation that makes it a success; rather
it is the laser like focus on one ailment, weak eyes, that provides
success.
General Hospitals are not specialized they have to provide healing
for a vast number of ailments. Lasik, like the Shouldice Hernia Clinic
outside Toronto, focuses on a single issue. Lasik's doctors perform
hundreds of similar surgeries so their success rate is excellent; its
doctors learn what better techniques and tools might be needed, so they
drive innovation.
Diffuse focused hospitals cannot do that. They have to be all things to all comers.
To
bring focus into the hospital setting, we might experiment by setting
up "focused services" that were stand alone entities with budgetary and
clinical independence. We could see if this focus might result in the
positive outcomes evident with Lasik.
Sent to Boston Globe
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