Speaking to senior healthcare worker again (yesterday very disheartened with gear) today she's not as despondent a lot of gear although not up to standard they are used to she describes as functional.Up to yesterday they had been completely out for few days and says they are glad of it as it's all they can getFROM RTE: https://www.rte.ie/news/2020/0403/1128300-ppe-covid-19-ireland/
No QC at point of receipt or no accurate specs on orders? Dail printer all over again? No comment yet from HSE or Ministers or than sycophantic response to suppliers.
I'm sure the HSE could have been much more specific in what they wanted and sent a team over to China to do QC checks before confirming the order. And the result, we would now have very little PPE in the country.
As Michael Ryan WHO said:
"The problem in society we have at the moment is that everyone is afraid of making a mistake. Everyone is afraid of the consequence of error.
But the greatest error is not to move. The greatest error is to be paralysed by the fear of failure.
Perfection is the enemy of the good when it comes to emergency management
Speed trumps perfection."
Everything has a context and in the HSE we have an organisation that has been out of control since Mary Harney set it up, has never met budget targets, has a history of secrecy and lying, has killed its clients and left other seriously ill and damaged but refuses time and again to admit wrong and closes ranks when wrong-doing and incompetence is highlighted - no-one gets fired.That quote really sums up my thoughts on this to be honest. You're not going to get it 100% right but you're going to get it right enough that you keep moving forward and you deal with issues as they arise.
I'd hate to think what a loss looked like. "Let's be seen to do something, anything, sure it'll be grand."The HSE have managed to secure the equivalent of 13 years worth of PPE in a matter of weeks, during a global shortage. If they need to work with the supplier so that part of that order needs to be replaced so be it. It sounds like a big win to me.
Everything has a context and in the HSE we have an organisation that has been out of control since Mary Harney set it up, has never met budget targets, has a history of secrecy and lying, has killed its clients and left other seriously ill and damaged but refuses time and again to admit wrong and closes ranks when wrong-doing and incompetence is highlighted - no-one gets fired.
We don't know how much of the €208m order for PPE is useless/defective and we don't know the full consequences of such defects.
I'd hate to think what a loss looked like. "Let's be seen to do something, anything, sure it'll be grand."
HSE management sitting proudly in front of their PPE stock at press briefing now
In fairness the HSE was just a reorganisation of what was there. The culture of lying, waste, incompetence and killing its clients was there in the healthcare sector long before the HSE was formed.Everything has a context and in the HSE we have an organisation that has been out of control since Mary Harney set it up, has never met budget targets, has a history of secrecy and lying, has killed its clients and left other seriously ill and damaged but refuses time and again to admit wrong and closes ranks when wrong-doing and incompetence is highlighted - no-one gets fired.
The issues with the Health Service run far deeper than this issue with PPE. We need to stop talking about the HSE as if it is some organisation that sits on top of the hospitals and that it is the root cause of the problems with the healthcare system. The hospitals and the doctors and nurses and administrators and managers in those hospitals are the HSE.What are the chances of the HSE, its process designers or product and service suppliers getting to Six Sigma standards of excellence. For those unfamiliar with it, the widely accepted definition of a Six Sigma process is a process that produces 3.4 Defective Parts (or non-conforming outcomes) per Million Opportunities or DPMO.
Six Sigma aims to deliver yields of 99.99966% unlike the latest HSE debacle with the PPE which we are told produced a yield of 65%, no where near good enough for a modern healthcare organisation. Excuses like the HSE and its employees are operating under pressure is not a reason for failure to deliver excellence, it is merely a very poor excuse. Doing routine work in a normal environment is just that, routine, stress free, repetitive, day-to-day operations. Operating to a standard of excellence in a non-routine environment is called managing.
Any chance any of their director of this, manager of that, co-ordinator of something amorphous and meaningless that can't be measured will ever get to sigma seven levels of delivery? Based on their own performance measures using the PPE numbers their DPMO is somewhere between 691,462 and 308,538; Sigma Six would be 3.4 and sigma seven 0.019.
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