The Getting Rid of Stupid Stuff (GROSS) initiative originated from Hawaii Pacific Health, Honolulu, by Dr Melinda Ashton. The main driving force was because of the increasing burden of administrative tasks within their healthcare system. This resulted in lesser time for hospital staff to focus on the real work needs and deliver excellent patient care. GROSS encourages all ground staff, managers and leaders to review their existing processes, and remove meaningless tasks or tasks that provide little value.
The GROSS initiative at Hawaii Pacific Health enjoyed tremendous success especially if the submitted idea was small, controllable and implementable by the staff. This helps them to easily eliminate their daily frustrations and minimise burden in their work area.