Check, please.

A stack of clipped articles on my dresser includes The Checklist by Atul Gawande, a New Yorker article from December 2007 about the lives saved in hospitals that implemented checklists to follow for routine procedures.

It is a process similar to pilots' pre-flight checklists which have existed since the 1930's according to the article. The checklist did not start its jump to acceptance in hospital ICU's, however, until 2001, when Peter Provonost started a checklist to tackle a specific infection at Johns Hopkins. Buoyed by strong results (meaning lives saved), Peter has become a champion of checklists. In essence, they work because if you make sure to do all the little steps correctly, the larger goal is completed. Skip one step in a series, however minor, and the project is in jeopardy. Gawande writes:

"...you have a desperately sick patient, and in order to have a chance of saving him you have to make sure that a hundred and seventy-eight daily tasks are done right—despite some monitor’s alarm going off for God knows what reason, despite the patient in the next bed crashing, despite a nurse poking his head around the curtain to ask whether someone could help “get this lady’s chest open.”"

I kept the article for several reasons.

1. A case management checklist can ensure that staff complete their tasks while having the freedom to work without a supervisor looking over their shoulders. Think you can expect staff to do everything they need to with all their customers every time? In his first study, Provonost asked nurses to record doctors' actions in the ICU. They reported that "in more than a third of patients, they skipped at least one [step]."

2. Consistent case management is part of great customer service, and customers should receive equal access to services. Individualized service should be based on the needs and goals determined through standardized assessments and procedures.

3. Workforce development has high stakes. Onestops, community colleges, basic education programs, and other partners can make life-changing impacts on job seekers, employers, and communities.