America has the indisputable distinction among the industrialized countries including the G7 countries (Canada, France, United Kingdom, Germany, Italy and Japan) of having the highest per capita expenditure on health care and waste.1 Berwick and Hackbarth identified2 six domain of health care waste in America, a) Failure of Care Delivery, b) Failure of Care Coordination, c) Overtreatment of Low-Value-Care, d) Pricing Failure, e) Fraud and Abuse, f) Administrative Complexity. A recent review by William H. Shrank, et.al., based on these six domain of health care waste indicated that originally $760 billion to $935 billion accounted for the cost of waste in health care system in America.3 After intervention to reduce waste in health care, approximately 25% reduction was noticed in America, but the health care waste in America is still much greater than in any industrialized country of the world.
A moral imperative for the health care professionals is to eliminate this enormous waste in health care in America.
We have worked for the last five years to reduce waste in health care employing the cutting edge technology (artificial intelligence, telemedicine-cloud, etc.). The three projects completed by us, if instituted in all the hospitals of America shall significantly reduce the waste in health care.
I. Telemedicine-cloud: Clostridium difficile infection control in hospitals
II. Hand Hygiene
III. Physician Tool for Laboratory Testing
1) Papanicolas I, Woskie LR, Jha AK. Health care spending in the United States and other high-income countries. JAMA 2018; 319(10): 1024-1039
2) Berwick DM, Hackbarth AD. Eliminating waste in US health care. JAMA2012; 307(14):1513-1516
3) Shrank WH, Rogstad TL, Parekh N. Waste in the US Health Care System: Estimated Costs and Potential for Savings. JAMA 2019; 322(15): 1501-1509