As long as I have been active in the business world (and paying attention), “providing solutions” has been part of normal business language. This is not a measure that I endorse, but a Google search for “business solutions” garners 10 times more results than does a search for “business problems.” (For what it’s worth, bing.com turns up 270 million for the former, and 300 million for the latter. Is Microsoft onto something here?)

Tom Blackwell (National Post Health Care columnist) writes last month about the trends to bring Toyota-like efficiency into hospital and health-care environments. The successes are clear and are often demonstrated in reduced wait times and higher through put. Both of these offer defense to such criticisms as “you can’t treat people like automobiles” because you can treat processes like processes.

One of the perspectives that Mr. Blackwell introduces is that of consultant Tim Hill, who works in the implementation of such programs. His criticism is that, as the worm turns toward “everybody’s doing it,” clients may not be getting the value that they should (or, as Hill puts it, “A lot of health care facilities are getting ripped off.”). Needless to say, the eHealth initiative in Ontario has raised the level of scrutiny on consultants to the health-care industry, including perhaps myself and Mr. Hill.

Accountability for “providing solutions” has always been a tricky one for consultants and service providers. How many software executives would take payment from the efficiencies their product generates? Or how many advertising executives would link compensation to the sales impact of a campaign? With a larger understanding of shared interests, consultants can be encouraged to try to “solve the problem” rather than simply “provide the solution.” This may override the obvious tension of the pay-the-least vs. charge-the-most divide. Again, both sides need to be reasonable.

The bigger challenge is where “the problem” stretches beyond the area of the organization that hired the consultants. The natural temptation for any service provider is to give the client “what they want,” which may not be the solution they need. To use Mr. Hill’s example, the hospital may get the rigour of Lean processes (that they asked for!), but some important underlying issues remain unsolved.

Managing the tension of collaboration is possible when there is an understanding of the shared interests. This likely means that: (1) the customer is not always right; and (2) for consultants, there are no one-size-fits-all solutions… but we all knew that already.

THIS ORIGINALLY APPEARED IN THE MARCH NEWSLETTER OF THE CANADIAN SUPPLY CHAIN SECTOR COUNCIL (www.supplychaincanada.org)

Tags: Tags: Canadian Supply Chain Sector Council, consulting, continuous improvement, Health Care Reform, Tim Hill, Tom Blackwell —

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