What is Gold Standard Management? Definitions and concepts.

What is Gold Standard Management?

American healthcare is now rapidly embracing gold standard, evidence-based approaches. This movement includes not only the science of medicine but how the enterprise itself is managed. Indeed, best practices in medicine and clinical care delivery can only be delivered if supported by best practices in management.

The root cause of any organization's inability to perform is how it is being managed. Managerial malpractice is at the heart of all management failure, and nowhere is that more crucial to remedy than in healthcare delivery. The evidence abundantly shows that most of an organization's performance shortfalls can be fixed simply by changing the management approach. The prescription for poor performance is simple: either change managers, or change how they manage.

Gold Standard Management Defined

Evidence-based on studies of What Really Works
Best practices applied housewide in every department, no spotty application
Partners with Gold Standard Medicine and the standardization of clinical protocols — see movie visualization
Sets stretch goals, tough measures, defines management accountabilities
Does not accept notion that organization problems are caused by a difficult operating environment
Removes areas of managerial malpractice and professionalizes management
Is distinctive for its Edge, Execution and Energy

GSM Addresses Current Problems in Hospital Management

Managerial malpractice — in actual practice leaders do not meet the criteria of a true profession (Is Management a Profession?)
Organization failure usually caused by inappropriate management (Managing Our Way to Decline)
Management approach change needed due to organization growth stage (Evolution and Revolution as Organizations Grow)

This site details management approaches that can be reliably used to create substantial improvement in the functioning of hospitals and health systems. The profile of winning healthcare organizations, largely unknown 20 years ago, has now been tested in a variety of hospital organization development efforts. That successful model can be replicated in any organization by its management team if they have a plan and the commitment. This site provides a suggested plan and many resources, the rest is up to you.

gold standard, n: a model of excellence; a paragon; best one; a method or procedure widely recognised as the best available.

management, n: skill in managing; executive ability; results leadership; taking care, charge, command; providing direction, enthusiasm, exactness, prudence, vigilance.

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Frequently Asked Questions

Q. Is GSM a panacea? A. No. Implementing GSM internally does not prevent the difficult external world from buffeting the organization. However, getting control of the organization with GSM means that the organization will be better able to weather the storms.
Q. Is GSM the same as perfection management? A. No. While GSM incorporates the ideas of perfection management, it is broader than perfection management. That subset of the quality movement pushes beyond six sigma and is advocated at places like Lexus and Motorola. While the term is catchy, it’s a little hard to use in healthcare due to customer perceptions.
Q. Does GSM become the new mantra or dogma, closing off future experimentation? A: No. GSM becomes the new floor in terms of a set of defined standards and procedures, thus closing off ineffective approaches in management. It is a system open to evolving and elevating standards.