A couple of excerpts from the Fougner/Geraci-Ciardullo piece
The Cheesecake Factory succeeds because of standardization and efficiencies, with complete control over purchasing and production. What recipes work become menu items throughout the chain. What recipes don’t work are soon discarded, much as a rancher periodically culls the herd.
The Cheesecake Factory model of care seems to work best for elective surgery. It is no coincidence that Dr. Gawande uses his mother’s knee replacement surgery as his example. Her orthopedic surgeon’s efforts over the years have produced standardization, efficiency and excellent outcomes...
There’s a problem, however. The same standardization so successful in elective surgery breaks down for most medical care situations. Even Dr. Gawande admits that “a person is not a steak.” Patients are not food items, they are not widgets in an assembly line.
Therein lies the fatal flaw for Cheesecake Health System’s doctors: the intrinsic variability of presentation, variability of response to treatment, and variability of co-morbidities.