With the penchant Americans have for all things European I have been wondering if there is a way to make a go of a business that combines Monster Truck events with Pamplona’s running of the bulls. Could I make money building a business that brought the running of the bulls to cities throughout the US indoors? I bet you could pour a few hundred truckloads of dirt on the floor of Texas Stadium, get a lot of people to pay for the privilege of trying to outrun the bulls, and fill the seventy-thousand seats at a hundred dollars a seat. Perhaps we could combine it with “La Tomatina,” the annual tomato fight in Bunol, Spain where 100 tons of overripe tomatoes are thrown in the world’s largest food fight–those Spaniards sure have a knack for having a good time. We could sell bags of rotten tomatoes at the concession stands. Maybe the new Fox Sports Network would carry it live.
I spent the last several days in Tampa. I’ve been coming to Tampa since my parents retired there twenty-six years ago. There has been highway construction each time I’ve been there. They are still building roads in Tampa, and the construction takes traffic to a standstill. The good news is that you can get to anywhere you need to be in Tampa in ten minutes as long as you are driving a Klingon Battle Cruiser.
Some projects, like Tampa’s road construction, are not designed to end, they just go on and on, and people become so accustomed to the effort that sooner or later they no longer notice it.
Improving patient experience via HCAHPs is one such project. How many years has your hospital been working at it? What year is it planned to end? Apparently there is no statute of limitations.
What is the net value of your investment? Has there been or will there be return on the investment? Will you be able to look back a few years from now a say with some degree of certainty that your efforts improved patient experience? Do the efforts year in and year out seem to be focused on fixing what was already supposed to be fixed?
Best case with HCAHPs, maybe you will be able to look back and say that all you really achieved was avoiding the penalty.
In Tampa when they finish building a road, they move the equipment and the builders to another area and build a different road. They do not build a road, tear it down, and then build the same road again and again. That would be silly.