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Showing posts from December, 2025

Measure to Improve not Impress: NPS measures loyalty not satisfaction

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  In any business the stakeholders need to be defined and the product or service needs to be designed in the best possible manner. While this truth is self evident the board rooms and governance are busy assessing performance based on the profitability of the business. Top line, Bottom line, Revenue and Expenditure dominate the discourse. The three stakeholders in healthcare in no order of importance are care seekers (patients), treatment providers (doctors, nurses, paramedical) and support staff and other employees. While these are extremely important a healthcare setup or any hospital while dealing with human life needs to create services which not only provide consistent clinical outcomes based on standard treatment guidelines and evidence based medicine, but while doing so exhibit compassionate care. While treating illness has always been considered as the primary function of a hospital, the concepts of hospitality, customer delight and marketing seem alien to medical practitio...

The power of the Bugs

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 It is indeed a paradox that with all the achievements of humanity the bugs bacteria, parasites, fungi and viruses are capable of creating havoc and laying low so many persons daily. The morbidity and mortality caused by these are there for all to see. While technology and science have made life far easier and comfortable our vulnerability to bugs has increased manifold and the capacity to defeat the invaders has declined precipitously. Infection is a result of the confluence of three factors, the infecting bug, the host namely the human body and the environment. We seem to believe that care of the host and control of environment is in our control and the bug is not, however really all three are under our control. To add to this confluence there are two more issues under consideration, immunisation and Antibiotic resistance. While we talk of life on Mars, automation, high technology innovations, internet of things  and the threat of Artificial Intelligence we neglect the war o...