Turn on the Lights Podcast

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Hosted by Don Berwick, MD, MPP, FRCP, and Kedar Mate, MD, President and CEO at IHI, Turn on the Lights is a podcast that aims to improve healthcare worldwide by shedding light on healthcare issues through thought-provoking conversations. By demystifying healthcare problems, we hope to activate both the public and healthcare professionals to help us accelerate changes leading to health and healthcare improvements worldwide. Our discussions cover various topics such as healthcare delivery, health equity, quality, and social justice. The podcast features solutions from around the world and encourages listeners to take action. Brought to you by the Institute for Healthcare Improvement (IHI).

Brought to you by the Institute for Healthcare Improvement (IHI)


    • May 16, 2025 LATEST EPISODE
    • weekly NEW EPISODES
    • 43m AVG DURATION
    • 87 EPISODES


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    Latest episodes from Turn on the Lights Podcast

    Imagine a public health system built on mutual aid, participation, and dignity with Eric Reinhart

    Play Episode Listen Later May 16, 2025 46:19


    CareQuest Institute for Oral Health is a national nonprofit dedicated to creating an oral health care system that is accessible, equitable, and integrated. Learn more about how their advocacy, philanthropy, research, and education are creating a better oral health system at carequest.org/turnonthelights What if the path to better health and stronger communities doesn't start in hospitals, but in our relationships with each other? In this episode, Dr. Eric Reinhart, a political anthropologist, social psychiatrist, and psychoanalytic clinician based in Chicago, reflects on how his experiences in medicine, anthropology, and advocacy have shaped his urgent focus on public health reform, especially around mass incarceration and its devastating effects on communities. He argues that incarceration is not only a symptom but also a cause of widespread mental illness and social breakdown, emphasizing the need to democratize caregiving and public health beyond bureaucratic systems. Reinhart critiques the U.S. health care model for being overly medicalized and profit-driven, calling for a bottom-up approach that empowers communities to care for one another. He warns against relying on political self-correction, stressing that meaningful change requires validating public anger and offering materially supported, ethical alternatives rooted in relational care. Drawing from models like Paul Farmer's work and his own experiences in underserved communities, Reinhart envisions a public health system built on mutual aid, participation, and dignity. Tune in as Dr. Eric Reinhart challenges us to rethink public health by examining how systems of incarceration and inequality undermine care and what we can do to build something better! Learn more about your ad choices. Visit megaphone.fm/adchoices

    Has healthcare fully realized the potential of AI? with Eric Horvitz

    Play Episode Listen Later May 9, 2025 51:50


    CareQuest Institute for Oral Health is a national nonprofit dedicated to creating an oral health care system that is accessible, equitable, and integrated. Learn more about how their advocacy, philanthropy, research, and education are creating a better oral health system at carequest.org/turnonthelights What happens when the power of large language models meets the complexity of modern medicine? In this episode, Eric Horvitz, Chief Scientific Officer of Microsoft, discusses the transformative impact of artificial intelligence in health care, particularly the shift from rule-based systems to data-driven models like GPT-4. He highlights how AI can reduce physician burnout by handling administrative tasks and supporting clinical decision-making. Eric emphasizes the importance of AI collaborating with, rather than replacing, health care professionals to improve diagnostic accuracy and patient safety. He also explores future possibilities, including personalized health companions, intelligent patient portals, and AI-powered tumor board simulations. Overall, he underscores both the exciting potential and the responsibility involved in integrating AI safely and meaningfully into health care. Tune in for a thought-provoking conversation on how AI is transforming health care, from easing clinician burden to reimagining patient care and medical decision-making! Learn more about your ad choices. Visit megaphone.fm/adchoices

    Democratizing Expertise with Sanjeev Arora

    Play Episode Listen Later May 2, 2025 50:24


    CareQuest Institute for Oral Health is a national nonprofit dedicated to creating an oral health care system that is accessible, equitable, and integrated. Learn more about how their advocacy, philanthropy, research, and education are creating a better oral health system at carequest.org/turnonthelights Democratizing knowledge is critical to bridging health care gaps and improving patient outcomes, especially in underserved communities. In this episode, Dr. Sanjeev Arora, founder and director of Project ECHO, shares how he transformed a local hepatitis C treatment challenge in New Mexico into a global movement. He explains how the ECHO model leverages technology, best practices, case-based learning, and outcome tracking to extend specialist knowledge to underserved areas. Arora emphasizes the power of community, respect, and kindness in driving ECHO's success and highlights a study showing rural clinicians can achieve outcomes equal to specialists with proper support. He also discusses ECHO's global reach, funding, future plans, and the urgent need to address the supply-demand gap in health care through service to others.Tune in and learn how democratizing knowledge can revolutionize health care delivery! Learn more about your ad choices. Visit megaphone.fm/adchoices

    Keeping Patients over Profits with Dhruv Khullar

    Play Episode Listen Later Apr 25, 2025 42:07


    CareQuest Institute for Oral Health is a national nonprofit dedicated to creating an oral health care system that is accessible, equitable, and integrated. Learn more about how their advocacy, philanthropy, research, and education are creating a better oral health system at carequest.org/turnonthelights The erosion of government-funded science infrastructure is leading to a loss of competitive edge and innovation in the US.  In this episode, Dhruv Khullar, physician and health policy professor, explores how current policies are affecting science, health care, and academia, warning that funding cuts and tensions with universities could jeopardize innovation and global leadership. He reflects on the historical role of U.S. government investment in establishing biomedical dominance and cautions that countries like China may gain ground if these trends continue. Dhruv also critiques the "Gilded Age" of medicine, marked by corporatization, financialization, and a move away from patient-centered care, and proposes solutions like enforcing corporate practice of medicine laws and antitrust regulations. He further discusses physician unionization as a counterforce and the health risks of ultra-processed foods, calling for possible regulatory action. Tune in and learn about the critical intersection of science, policy, health care, and the future of innovation! Learn more about your ad choices. Visit megaphone.fm/adchoices

    Demystifying Dental Health with Melissa Burroughs

    Play Episode Listen Later Apr 18, 2025 38:26


    CareQuest Institute for Oral Health is a national nonprofit dedicated to creating an oral health care system that is accessible, equitable, and integrated. Learn more about how their advocacy, philanthropy, research, and education are creating a better oral health system at carequest.org/turnonthelights The separation of oral and physical health has created a significant crisis in the US, leaving millions without access to affordable dental care despite its crucial link to overall well-being.  In this episode, Melissa Burroughs, Director of Public Policy at the CareQuest Institute for Oral Health, discusses the historical reasons for this divide and its modern consequences, highlighting how poor oral health exacerbates conditions like diabetes and heart disease. She details the critical coverage gaps in Medicare, state-variable Medicaid adult benefits, and the VA system, explaining why dental care is often the most unaffordable service and outlining the profound equity issues affecting vulnerable populations. Melissa addresses the concerning trend of efforts to remove fluoride from public water systems and the potential negative impact of proposed Medicaid cuts on already fragile dental benefits. She also underscores that millions of Americans cannot access oral health care primarily due to cost, making it the number one medical service people report skipping. Tune in and learn why integrating oral health is vital for a healthier America and what policy changes could bridge the access gap! Learn more about your ad choices. Visit megaphone.fm/adchoices

    Catholic Health Care with Patricia Gabow

    Play Episode Listen Later Apr 11, 2025 46:55


    CareQuest Institute for Oral Health is a national nonprofit dedicated to creating an oral health care system that is accessible, equitable, and integrated. Learn more about how their advocacy, philanthropy, research, and education are creating a better oral health system at carequest.org/turnonthelights What happens when one of America's largest health care systems quietly limits your access to essential care? In this episode, Dr. Patricia Gabow, former CEO of Denver Health, discussed her values-driven leadership of the safety-net system, which remained financially stable while serving a predominantly uninsured and underserved population through integrated care and lean management. She highlighted concerns from her recent book about the growing influence of Catholic health systems in the U.S., particularly their adherence to religious directives that restrict reproductive, gender-related, and end-of-life care. Gabow emphasized the lack of transparency in these systems, noting that most patients are unaware of the limitations until they need care. She criticized the shift from mission-driven leadership by nuns to profit-focused lay leadership, often disconnected from frontline health care realities. While hopeful about Pope Francis's advocacy for the poor, she expressed disappointment in the lack of reform among American bishops and health systems. Tune in to pull back the curtain on Catholic hospitals, their powerful reach, and what it means for the future of patient care in the U.S! Learn more about your ad choices. Visit megaphone.fm/adchoices

    Movement Building and Large Scale Change with Joe McCannon

    Play Episode Listen Later Apr 4, 2025 43:53


    CareQuest Institute for Oral Health is a national nonprofit dedicated to creating an oral health care system that is accessible, equitable, and integrated. Learn more about how their advocacy, philanthropy, research, and education are creating a better oral health system at carequest.org/turnonthelights How do we scale proven solutions in health care, climate resilience, and public health to create lasting impact? In this episode,  Joe McCannon, former Director of Sustainability for the Council on Environmental Quality in the Executive Office of the President of the United States, discusses scaling impactful solutions in public health, climate change, and health care resilience. Joe highlights three key challenges: providing clinical guidance for climate-related health issues, keeping health care facilities operational during disasters, and reducing healthcare's environmental impact. He emphasizes the importance of showcasing successful sustainability efforts and leveraging policies like the Inflation Reduction Act to drive change. To tackle large-scale problems, he advocates for understanding harm and solutions, fostering collective action, leading with strong values, setting clear goals, and rejecting powerlessness. Despite challenges, Joe urges bold, proactive action, emphasizing that this is a moment for courage and innovation. Tune in for an eye-opening conversation with Joe McCannon on the strategies, challenges, and innovations needed to drive large-scale change and build a healthier, more resilient future! Learn more about your ad choices. Visit megaphone.fm/adchoices

    Rational Public Policy with Mike Chernew

    Play Episode Listen Later Mar 28, 2025 44:15


    CareQuest Institute for Oral Health is a national nonprofit dedicated to creating an oral health care system that is accessible, equitable, and integrated. Learn more about how their advocacy, philanthropy, research, and education are creating a better oral health system at carequest.org/turnonthelights Curious about how we can fix the inefficiencies of the U.S. health care system and ensure better care for all? In this episode, Michael Chernew, the Leonard D. Schaeffer Professor of Health Care Policy at the Department of Health Care Policy at Harvard Medical School, discussed the challenges and reforms in the American health care system. He emphasized the concept of value-based insurance design, which aims to reduce cost-sharing for high-value services to ensure patients receive necessary care. Chernew highlighted the inefficiencies of the fee-for-service system and the importance of payment reforms, particularly within Medicare Advantage, to improve care quality and control costs. He also explained the complexities of the U.S. health care system, influenced by the balance between market forces and government regulation, leading to opaque pricing and administrative burdens. While acknowledging the potential lessons from other countries' health care systems, he noted that adopting foreign models directly may not work due to the unique economic and social landscape of the U.S. Tune in as Professor Michael Chernew unpacks innovative solutions, such as value-based insurance design and payment reforms, that could reshape the future of health care! Learn more about your ad choices. Visit megaphone.fm/adchoices

    The Evolution of Palliative Care with Christine Cassel

    Play Episode Listen Later Mar 21, 2025 38:56


    CareQuest Institute for Oral Health is a national nonprofit dedicated to creating an oral health care system that is accessible, equitable, and integrated. Learn more about how their advocacy, philanthropy, research, and education are creating a better oral health system at carequest.org/turnonthelights Palliative care aims to treat symptoms and improve patients' quality of life, even if they are not terminally ill, and should be integrated early in the treatment process. In this episode, Dr. Christine Cassel, a pioneer in geriatrics and palliative care, shares her journey from an aspiring philosopher to an influential figure in health care. She discusses her early experiences that ignited her passion for moral philosophy and medicine, leading to her groundbreaking work in end-of-life care and palliative medicine. Dr. Cassel highlights the importance of early palliative care, emphasizing its role in symptom relief and preparing patients and families for the future. She also delves into her current initiative, Bridging Divides, aimed at fostering respectful conversations and reducing polarization within medical schools and beyond, emphasizing the power of curiosity, intellectual humility, and the "exhausted majority" in bridging divides. Tune in to learn about Dr. Cassel's impactful career, the evolution of palliative care, and strategies for promoting understanding and unity in a divided world! Learn more about your ad choices. Visit megaphone.fm/adchoices

    Think Tanks and Their Role in Health Care Policy with Andrea Ducas

    Play Episode Listen Later Mar 14, 2025 40:18


    CareQuest Institute for Oral Health is a national nonprofit dedicated to creating an oral health care system that is accessible, equitable, and integrated. Learn more about how their advocacy, philanthropy, research, and education are creating a better oral health system at carequest.org/turnonthelights The U.S. health care system is complex, costly, and often frustrating, but what if we could reimagine it to work better for everyone? In this episode, Andrea Ducas, Vice President of Health Policy at the Center for American Progress, shares how her personal experiences shaped her commitment to creating a more equitable system, criticizing the current model as overly complex, costly, and dependent on employment and insurance status. She explains the historical development of employer-based insurance and government programs like Medicare, Medicaid, and the Affordable Care Act (ACA), highlighting CAP's role in shaping policy and advising lawmakers. CAP is currently focused on defending Medicaid from budget cuts while also exploring long-term reforms to simplify and improve health care access. Ducas emphasizes the importance of preparing bold, progressive policy solutions so they are ready for implementation when political opportunities arise. Tune in to learn about the challenges of health care policy, the fight to protect Medicaid, and bold ideas for a more equitable future! Learn more about your ad choices. Visit megaphone.fm/adchoices

    Anyone Can Choose Leadership with Dennis Wagner and John Scanlon

    Play Episode Listen Later Mar 7, 2025 44:11


    CareQuest Institute for Oral Health is a national nonprofit dedicated to creating an oral health care system that is accessible, equitable, and integrated. Learn more about how their advocacy, philanthropy, research, and education are creating a better oral health system at carequest.org/turnonthelights Anyone can choose leadership, and it requires bold aims, intentional actions, and disciplined responses to challenges. In this episode, Dennis Wagner, Principal and Managing Director of  Yes And Leadership, LLC,  and John Scanlon, partner at Financial Transformations Inc., highlight the key themes of their book Choosing to LEAD, like how leadership is distinct from management, administration, and observation. The book presents 12 essential leadership mindsets and methods drawn from years of experience and insights from respected figures. While the book focuses on health care, its principles apply broadly, showing that effective leadership involves adaptability, teamwork, and positive communication. Ultimately, the discussion encourages individuals at all levels to embrace leadership, as it not only improves organizations and communities but also enhances personal fulfillment and effectiveness. Tune in for an inspiring conversation full of powerful lessons on leadership, mindset, and the choices that drive meaningful impact! Learn more about your ad choices. Visit megaphone.fm/adchoices

    The Economics and Ills of U.S. Health Care and Health Insurance with Zack Cooper

    Play Episode Listen Later Feb 28, 2025 48:01


    The structure of the U.S. health care system, particularly employer-sponsored insurance, is significantly impacting the economic well-being of most Americans.  In this episode, Zack Cooper, Associate Professor of Public Health and Economics for Yale University, examines the drivers of rising health care costs and their impact on individuals and the economy. He highlights the disconnect between Medicare and private insurance spending, the role of provider market power in driving up prices, and the surprising link between health care costs and job losses for lower and middle-income workers. Zack explains that rising health care premiums lead companies to reduce payroll, disproportionately affecting workers earning between $20,000 and $100,000 annually. He argues that employer-sponsored insurance contributes to income inequality and suggests potential policy solutions such as broader insurance markets, eliminating employer-sponsored insurance, and stronger antitrust enforcement in the health care sector. Zack also touches on the debate between single-payer systems and market-based approaches, emphasizing the need for greater efficiency and value in health care spending. Tune in and learn how health care costs are affecting your wallet and the broader economy! About CareQuest: CareQuest Institute for Oral Health is a national nonprofit dedicated to creating an oral health care system that is accessible, equitable, and integrated. Learn more about how their advocacy, philanthropy, research, and education are creating a better oral health system at carequest.org/turnonthelights Learn more about your ad choices. Visit megaphone.fm/adchoices

    Continuous Learning for Better Care with Daniel Hyman and Peter Margolis

    Play Episode Listen Later Feb 21, 2025 46:44


    Learning health networks offer a powerful, cost-effective approach to improving health care outcomes by fostering collaboration. In this episode, Dr. Peter Margolis, Co-Director of the James M. Anderson Center for Health Systems Excellence at Cincinnati Children's Hospital, and Dr. Daniel Hyman, Principal and Founder of Frontline Quality Solutions, LLC, discuss the learning health network model, which involves communities working together to improve health by sharing information and working together. They cover the history of collaboratives, highlighting the importance of translating evidence into practice and building reliability. Dr. Margolis and Dr. Hyman highlight networks that successfully improved remission rates and reduced harm, such as Improved Care Now and Children's Hospital Solutions. They also touch on the role of patient and family engagement in driving innovation and the potential for applying the learning health network model to adult health care. Finally, Dr. Margolis and Dr. Hyman agree that although the cost of joining a network can be as low as $4000 per year, securing buy-in and budget allocation for learning health network participation is a challenge that needs to be addressed at the organizational level.  Tune in and learn how experts agree that learning health networks can transform health care! About CareQuest: CareQuest Institute for Oral Health is a national nonprofit dedicated to creating an oral health care system that is accessible, equitable, and integrated. Learn more about how their advocacy, philanthropy, research, and education are creating a better oral health system at carequest.org/turnonthelights Learn more about your ad choices. Visit megaphone.fm/adchoices

    Approaching Systems Change with Dan Heath

    Play Episode Listen Later Feb 14, 2025 48:44


    The key to improving broken systems lies in identifying leverage points and strategically restacking existing resources. In this episode, Dan Heath, a New York Times bestselling author, discusses how to apply behavioral and systems thinking principles to health care. He emphasizes that health care, despite its challenges, can improve by focusing on successful examples, addressing system bottlenecks, and driving change through collaboration and alignment with existing motivations. Dan stresses the importance of prioritizing changes that are most likely to be adopted and supported. He also underscores the need to shift from a sense of helplessness to a sense of agency by learning from past successes. Tune in and learn how to find your leverage points to drive meaningful change in health care! About CareQuest: CareQuest Institute for Oral Health is a national nonprofit dedicated to creating an oral health care system that is accessible, equitable, and integrated. Learn more about how their advocacy, philanthropy, research, and education are creating a better oral health system at carequest.org/turnonthelights Learn more about your ad choices. Visit megaphone.fm/adchoices

    The Past, Present, and Future of Health Plan Innovation with Liz Fowler

    Play Episode Listen Later Feb 7, 2025 45:10


    How well is the U.S. health care system working, and what is being done to address its biggest challenges? In this episode, Dr. Liz Fowler, former Deputy Administrator and Director of the Innovation Center at the Centers for Medicare & Medicaid Services, discusses the progress and challenges of U.S. healthcare reform, emphasizing the impact of the ACA, the shift to value-based care, and the need for systemic innovation to improve access, affordability, and quality. While the ACA has expanded coverage and improved access for individuals with pre-existing conditions, high out-of-pocket costs, care denials, and inefficiencies persist. Dr. Fowler emphasizes the need for mandatory value-based payment models to drive systemic change, focusing on team-based care, predictive analytics, and home-based interventions. She notes that while CMS has the scale to implement reforms, Medicaid innovation remains complex due to state-by-state variations. Driven by real patient experiences, Dr. Fowler remains committed to improving health care access, affordability, and quality through government-led innovation. Tune in as Dr. Liz Fowler shares firsthand insights on the evolution of health care reform, the shift to value-based care, and the ongoing innovations shaping the future of Medicare and Medicaid! About CareQuest: CareQuest Institute for Oral Health is a national nonprofit dedicated to creating an oral health care system that is accessible, equitable, and integrated. Learn more about how their advocacy, philanthropy, research, and education are creating a better oral health system at carequest.org/turnonthelights Learn more about your ad choices. Visit megaphone.fm/adchoices

    Turn off the lights with Jeff Thompson at the IHI Forum

    Play Episode Listen Later Jan 31, 2025 33:46


    Health care institutions can significantly reduce their environmental impact while also saving money and improving community health.  In this episode, Dr. Jeff Thompson, former CEO of Gundersen Health System and advisor, discusses his pioneering work at Gundersen Health System in reducing greenhouse gas emissions. He explains that by focusing on waste reduction, energy efficiency, and renewable energy sources, Gundersen decreased their emissions by 95% while simultaneously saving money, improving local economies, and ultimately benefiting patient health. Dr. Thompson details how they identified simple fixes, such as adjusting air exchange systems, and implemented large-scale projects, such as using landfill methane. He also addresses the need for industry-wide change and recognizes the growing movement of young professionals and health care organizations taking action.  Tune in and learn how to make health care more sustainable, economically sound, and beneficial for communities' health! Learn more about your ad choices. Visit megaphone.fm/adchoices

    There is no quality without equity with Thea James and Bisola Ojikutu

    Play Episode Listen Later Jan 24, 2025 0:33


    How can we tackle deep-rooted health inequities and ensure sustainable change in our communities? In this episode, Dr. Thea James, Vice President of Mission and Associate Chief Medical Officer at Boston Medical Center, and Dr. Bisola Ojikutu, Commissioner of Public Health and the Executive Director of the Boston Public Health Commission, talk about the persistent challenges in achieving health equity, even in resource-rich cities like Boston, where structural inequities and systemic racism continue to drive disparities. COVID-19 exposed and exacerbated these inequities, disproportionately impacting communities of color and emphasizing the need for community-focused solutions. Dr. Thea James explains how institutions like Boston Medical Center have taken innovative steps, such as engaging communities to analyze data and co-create solutions, supported by strong leadership and accountability. Dr. Bisola Ojikutu shines a light on how sustaining momentum for health equity requires shifting from a moral to an economic imperative and embedding systemic changes through legislative action, like the Health Equity Compact's proposed reforms. Long-term success depends on creating policies and structures that transcend political and societal shifts, ensuring equity remains a core priority. Tune into this compelling conversation with Boston's leading experts as they unpack the systemic barriers, innovative solutions, and the critical role of policy in advancing health equity! About CareQuest: CareQuest Institute for Oral Health is a national nonprofit dedicated to creating an oral health care system that is accessible, equitable, and integrated. Learn more about how their advocacy, philanthropy, research, and education are creating a better oral health system at carequest.org/turnonthelights Learn more about your ad choices. Visit megaphone.fm/adchoices

    Building an Age Friendly Movement with Terry Fulmer and Faith Mitchell

    Play Episode Listen Later Jan 17, 2025 43:24


    Despite decades of progress in geriatric care, too many older adults still struggle to receive the reliable, evidence-based care they deserve. In this episode, Dr. Terry Fulmer, President of the John A. Hartford Foundation, and Faith Mitchell, an Institute Fellow at the Urban Institute, discuss the development of age-friendly health systems and the ongoing challenges in ensuring older adults receive high-quality, evidence-based care. Dr. Fulmer highlights the "four M's" framework (What Matters, Medications, Mentation, and Mobility) as a way to simplify and scale age-friendly practices, benefiting over 4 million older adults in the U.S. Sustained partnerships, government initiatives, and long-term philanthropic support have been essential in spreading this movement globally. Equity and accountability are central, ensuring all health care staff contribute to reliable, harm-free care for every older adult, regardless of background. While challenges like increasing diversity and system coordination persist, there is optimism in innovations like AI and a growing commitment to improving care for aging populations. Tune in to learn how a global movement is transforming care for older adults! About CareQuest: CareQuest Institute for Oral Health is a national nonprofit dedicated to creating an oral health care system that is accessible, equitable, and integrated. Learn more about how their advocacy, philanthropy, research, and education are creating a better oral health system at carequest.org/turnonthelights Learn more about your ad choices. Visit megaphone.fm/adchoices

    Is medical education stuck in the past? with Abraham Nussbaum

    Play Episode Listen Later Jan 10, 2025 43:52


    Is medical education stuck in the past, or can innovative approaches reshape the future of health care? In this episode, Dr. Abraham Nussbaum, Chief Education Officer at Denver Health, discusses the evolution and challenges of medical education, emphasizing the limitations of the traditional "textbook of the body" approach rooted in the Flexner Report. He highlights the growing importance of addressing relational and community health issues, such as loneliness and social determinants, through innovative models like Longitudinal Integrated Clerkships (LIC), where students follow patients across various care settings. Despite these advances, systemic barriers, including the transactional nature of health care and prioritization of documentation over care, contribute to physician burnout and patient dissatisfaction. Modern medical training, often remote and isolated, leaves students discouraged, though mentorship and relational learning show promise in improving outcomes. Dr. Nussbaum expresses hope for systemic reform driven by alignment between student and patient needs and the efforts of forward-thinking leaders. Tune in for groundbreaking ideas on transforming medical training to address the relational and community health challenges of today! About CareQuest: CareQuest Institute for Oral Health is a national nonprofit dedicated to creating an oral health care system that is accessible, equitable, and integrated. Learn more about how their advocacy, philanthropy, research, and education are creating a better oral health system at carequest.org/turnonthelights Learn more about your ad choices. Visit megaphone.fm/adchoices

    The importance of the "hand-off" in health care with Christopher Landrigan

    Play Episode Listen Later Dec 20, 2024 43:15


    Did you know that sleep-deprived doctors are more likely to make critical errors or that poor communication during patient handoffs can jeopardize care? In this episode, Dr. Christopher Landrigan, Chief of General Pediatrics at Boston Children's Hospital and co-founder of the I-PASS Patient Safety Institute, emphasizes the importance of systemic changes, improved communication, and financial support to enhance patient safety. Dr. Christopher Landrigan has spent his career addressing patient safety issues, particularly focusing on resident work hours and communication failures in hospitals. His early research revealed that sleep-deprived medical residents made significantly more errors, prompting changes to duty-hour policies to reduce risks to patients and providers. Recognizing that frequent handoffs during shorter shifts could lead to information loss, Dr. Landrigan co-developed the I-PASS system, a standardized communication framework to improve patient care transitions. I-PASS, now adapted for various specialties and roles, has been implemented across hospitals nationwide with support from organizations like the I-PASS Institute and regional partnerships such as the Kentucky Hospital Association. While progress has been made, Dr. Landrigan emphasizes the need for systemic change, behavior adaptation, and financial backing to scale successful patient safety programs across the complex health care system. Tune in to learn about Dr. Landrigan's work on resident hours and the I-PASS system's impact on patient safety! About CareQuest: CareQuest Institute for Oral Health is a national nonprofit dedicated to creating an oral health care system that is accessible, equitable, and integrated. Learn more about how their advocacy, philanthropy, research, and education are creating a better oral health system at carequest.org/turnonthelights Learn more about your ad choices. Visit megaphone.fm/adchoices

    Workforce planning, workforce wellbeing, and workforce retention with Navina Evans

    Play Episode Listen Later Dec 13, 2024 39:43


    How can healthcare systems worldwide overcome workforce challenges while adapting to shifting demographics, advancing technologies, and evolving patient expectations? In this episode, Dr. Navina Evans, the Chief Workforce, Training, and Education Officer at the new NHS England, discusses the challenges and evolution of workforce planning in the National Health Service (NHS) amid global pressures on healthcare systems. She highlights the importance of addressing workforce recruitment, retention, and reform to ensure sustainability, emphasizing the need for flexible career pathways and adaptability to changing demographics and technological advancements. Dr. Evans outlines the NHS's focus on multi-professional training, prevention, and addressing health inequalities while balancing the need for specialized and generalist skills. She also notes the importance of creating a workforce that reflects the evolving needs of patients, integrating community-based care, and leveraging advancements in AI and remote technologies. To meet future demands, she stresses the value of a dynamic, long-term workforce plan that adapts continuously to shifts in population needs and healthcare innovations. Tune in and learn about the future of healthcare workforce planning, uncovering innovative strategies to tackle burnout, boost retention, and meet the changing needs of patients and providers alike! About CareQuest: CareQuest Institute for Oral Health is a national nonprofit dedicated to creating an oral health care system that is accessible, equitable, and integrated. Learn more about how their advocacy, philanthropy, research, and education are creating a better oral health system at carequest.org/turnonthelights Learn more about your ad choices. Visit megaphone.fm/adchoices

    Cutting through the misinformation with Celine Gounder

    Play Episode Listen Later Dec 6, 2024 41:29


    In a world where misinformation often outpaces facts, clear public health communication and preparedness are more crucial than ever. In this episode, Dr. Celine Gounder, Senior Fellow & Editor-at-Large for Public Health at KFF Health News, shares her journey from clinician to a media figure focused on public health, highlighting her roles during the Ebola and COVID-19 crises. She emphasizes the widespread confusion between public health and health care, noting that many view public health as merely government-imposed restrictions. Dr. Gounder also discussed the challenge of addressing misinformation, which often spreads through emotionally charged narratives and the limitations of relying solely on factual data to sway public opinion. Advocating for relatable, story-driven health communication, she stressed the importance of strong health systems, pointing to Rwanda's successful response to recent outbreaks as a model. Looking to the future, she underscored the urgent need for sustainable vaccine manufacturing and preparedness against pandemic flu risks, which depend heavily on robust public health infrastructure. Tune in for an insightful conversation on the future of public health and the vital role of effective communication in overcoming misinformation and preparing for future challenges! About CareQuest: CareQuest Institute for Oral Health is a national nonprofit dedicated to creating an oral health care system that is accessible, equitable, and integrated. Learn more about how their advocacy, philanthropy, research, and education are creating a better oral health system at carequest.org/turnonthelights Learn more about your ad choices. Visit megaphone.fm/adchoices

    When people of the system own the system - with April Kyle and Doug Eby

    Play Episode Listen Later Nov 29, 2024 51:40


    Imagine a health care system where patients are not just recipients but co-owners, shaping the services they receive based on the needs of their community. In this episode, Doug Eby and April Kyle discuss Southcentral Foundation's community-driven health care model, which prioritizes customer ownership, flexible management, and service integration to improve outcomes and reduce costs for Alaska Native communities. This approach, enabled by the Indian Self-Determination Act, empowers the community to design services tailored to their needs, while SCF's leadership fosters transparency and ongoing improvement through community feedback, showcasing the benefits of community-involved health care. Tune in to discover how a revolutionary, community-led health care model in Alaska is transforming the way we think about patient care and community wellness!  About CareQuest: CareQuest Institute for Oral Health is a national nonprofit dedicated to creating an oral health care system that is accessible, equitable, and integrated. Learn more about how their advocacy, philanthropy, research, and education are creating a better oral health system at carequest.org/turnonthelights Learn more about your ad choices. Visit megaphone.fm/adchoices

    Health system ownership with Hayden Rooke-Ley

    Play Episode Listen Later Nov 22, 2024 48:07


    Is the rapid growth of Medicare Advantage a solution for health care efficiency, or is it a costly gamble that benefits insurers more than patients? In this episode, Hayden Rooke-Ley discusses the rapid expansion of Medicare Advantage, a privatized form of Medicare, and the growing influence of private insurance companies in the U.S. health care system. He highlights concerns about the cost-effectiveness and quality of care under this model, as well as insurance companies' anti-competitive practices, and emphasizes the need for regulatory action despite the political challenges involved. Tune in to discover what it means for health care costs, patient care, and the future of Medicare! About CareQuest: CareQuest Institute for Oral Health is a national nonprofit dedicated to creating an oral health care system that is accessible, equitable, and integrated. Learn more about how their advocacy, philanthropy, research, and education are creating a better oral health system at carequest.org/turnonthelights Learn more about your ad choices. Visit megaphone.fm/adchoices

    Politics, mobilization, and political force with Marshall Ganz

    Play Episode Listen Later Nov 15, 2024 47:22


    What happens when we reduce people to mere data points in a world driven by economic values? In this episode, Marshall Ganz, the Rita T. Hauser Senior Lecturer in Leadership, Organizing, and Civil Society at the Harvard Kennedy School, discusses how health care and other systems risk dehumanization by reducing people to data points, driven by economic values rather than human complexity. He argues that real power is relational, emerging through interdependence and that social movements succeed by focusing on people-based power instead of wealth or authority. Social movements, he explains, are more than protests; they require sustained practices, relationship-building, and a commitment to values transformation to create a lasting impact. Reflecting on his experiences with Cesar Chavez, Marshall underscores the need for moral, accountable institutions and emphasizes the importance of continuous learning and practical engagement in driving change. His new book, People, Power, Change, champions hope as essential, believing in the possibility of meaningful outcomes even amid uncertainty. Tune in as Marshall Ganz shares powerful insights on transforming communities, challenging the status quo, and reclaiming humanity in systems like health care! About CareQuest: CareQuest Institute for Oral Health is a national nonprofit dedicated to creating an oral health care system that is accessible, equitable, and integrated. Learn more about how their advocacy, philanthropy, research, and education are creating a better oral health system at carequest.org/turnonthelights Learn more about your ad choices. Visit megaphone.fm/adchoices

    What is social capital and what value does it have in health care? with Tom Lee

    Play Episode Listen Later Nov 8, 2024 48:24


    Could health care thrive if leaders treated trust and teamwork as carefully as they manage finances? In this episode, Thomas H. Lee, Chief Medical Officer for Press Ganey Associates, Inc., talks about the critical role of social capital in fostering trust, teamwork, and effective patient care within health care organizations. Thomas argues that leaders should approach social capital with the same discipline as financial capital, establishing norms reinforcing reliability and mutual respect. He highlights examples from the Mayo Clinic, where solid social norms create a cohesive, patient-centered culture. Thomas notes that modern life and technology often erode social connections, making it essential to deliberately nurture social capital. He also emphasizes that social capital is indispensable for long-term success, especially as financial and staffing resources are limited. Tune in to learn how prioritizing social capital can transform health care, enhance patient care, and foster a culture of collaboration and trust! About CareQuest: CareQuest Institute for Oral Health is a national nonprofit dedicated to creating an oral health care system that is accessible, equitable, and integrated. Learn more about how their advocacy, philanthropy, research, and education are creating a better oral health system at carequest.org/turnonthelights Learn more about your ad choices. Visit megaphone.fm/adchoices

    Ethical conundrums aplenty with Vardit Ravitsky

    Play Episode Listen Later Nov 1, 2024 41:55


    When health care meets ethics, our choices reveal as much about our values as they do about our scientific advances. In this episode, Vardit Ravitsky, President and CEO of the Hastings Center, highlights the role of bioethics in navigating complex health care choices, especially those made prominent by the pandemic. She describes bioethics as interdisciplinary, involving collaboration across philosophy, sociology, and other fields to address ethical issues like justice, equity, and patient autonomy. Her journey into bioethics began with personal experiences that led her to explore the intersections of technology and core human values, such as family and kinship. Looking ahead, Vardit identifies artificial intelligence and climate change as the next major ethical challenges in health care, with AI potentially increasing access but presenting risks like bias and privacy concerns. Viewing bioethics as a guide for responsible innovation, she sees the Hastings Center as dedicated to public engagement, policy influence, and fostering diversity within bioethics. Tune in and dive into the heart of bioethics, exploring how our most challenging health care decisions reflect who we are and shape the future of medicine! Learn more about your ad choices. Visit megaphone.fm/adchoices

    How technology giants like Google are impacting healthcare with Michael Howell

    Play Episode Listen Later Oct 25, 2024 43:41


    AI is rapidly transforming health care, offering technology companies new possibilities for improving patient outcomes and revolutionizing care delivery. In this episode, Dr. Michael Howell, Chief Clinical Officer at Google, explores how technology giants like Google are impacting health care, sharing insights on AI advancements and their potential to improve patient outcomes. Dr. Howell believes machine learning breakthroughs, particularly in image recognition, have enabled significant progress in diagnosing conditions like diabetic retinopathy and cancer. He highlights Google's mission to provide better health information while also leveraging AI to support clinicians and enhance care delivery. Dr. Howell also discusses recent innovations, such as pulse detection in wearable devices and large-scale public health campaigns, emphasizing the role of trust and data security in Google's health initiatives. Tune in for an insightful conversation on how big firms plan to use AI to reshape health care and unlock new opportunities for innovation in patient care! Learn more about your ad choices. Visit megaphone.fm/adchoices

    Expanding the role of health systems beyond traditional hospital care with Michael Dowling

    Play Episode Listen Later Oct 18, 2024 44:36


    Transforming health systems requires addressing social determinants of health and expanding beyond traditional hospital care. In this episode, Michael Dowling, President and CEO of Northwell Health, talks about how he is redefining health system leadership by addressing broader health determinants and expanding services beyond traditional hospital care. He shares his journey from a background in human services to leading Northwell Health, where he focuses on integrating community services and growing access. Michael discusses Northwell's extensive network and proactive measures in areas like gun violence and mental health. He also advises that leaders should promote decency, respect, and community well-being to improve overall health, suggesting that political leaders should embody these values to support better health outcomes. Tune in to discover how Michael Dowling is redefining health care by tackling social determinants of health and expanding the role of health systems beyond traditional hospital care! Learn more about your ad choices. Visit megaphone.fm/adchoices

    Can trust in health care journalism be rebuilt? with David Rousseau

    Play Episode Listen Later Oct 11, 2024 44:23


    In a time when trust in health care leadership and media is faltering, how can transparent, local, and solution-driven journalism bridge the gap and rebuild confidence in the stories that shape our health and lives? In this episode, David Rousseau, Publisher and Executive Director of Journalism and Information Technology at KFF Health News, talks about the challenges that today's health care journalism faces and how he seeks to build trust in health care leadership and media. KFF Health News, a trusted and non-partisan source, focuses on explaining complex health care issues through policy analysis, polling, and journalism. Throughout this conversation, David addresses the challenges of navigating the health care system, the impact of local news decline on health reporting, and the role of misinformation. He also emphasizes how rebuilding trust requires transparency, diverse experts, and localized storytelling. Tune in and learn about the future of health reporting, trust, and the impact of misinformation on our health care system! About CareQuest: CareQuest Institute for Oral Health is a national nonprofit dedicated to creating an oral health care system that is accessible, equitable, and integrated. Learn more about how their advocacy, philanthropy, research, and education are creating a better oral health system at carequest.org/turnonthelights Learn more about your ad choices. Visit megaphone.fm/adchoices

    Using information, insights (and humans) to improve outcomes with Eric Poon

    Play Episode Listen Later Oct 4, 2024 39:45


    AI implementation in health care, especially for predicting conditions like sepsis, needs collaboration between data scientists and clinicians to ensure accurate and valuable results. In this episode, Dr. Eric Poon, professor of medicine and the Chief Health Information Officer at the Duke University Health System, discusses the significant impact of information technology on health care, mainly focusing on electronic medical records (EMRs) and the growing influence of AI technologies. He touches on the challenges of integrating AI into health care, emphasizing the importance of bridging the gap between clinical practice and IT. Dr. Poon shares insights on the evolving role of digital scribes, ambient technologies, and the potential of AI to enhance patient care. He also highlights the need for human supervision to ensure AI systems are safe and accurate and explains how generative AI could both challenge and improve the future of health care. Tune in and learn how technology is reshaping the health care landscape and what the future might hold for both clinicians and patients! Learn more about your ad choices. Visit megaphone.fm/adchoices

    ai humans poon emrs improve outcomes chief health information officer
    Building will and change with agency with Pedja Stojicic

    Play Episode Listen Later Sep 27, 2024 45:57


    Community organizing empowers patients, clinicians, and providers to advocate for necessary reforms. In this episode, Dr. Pedja Stojicic, Executive Director of People Power Health, discusses the urgent need for change in healthcare and the challenges faced by established organizations. He highlights the role of agency in health, arguing people experience better outcomes when they have control over their health future. Dr. Stojicic touches on the influence of Marshall Ganz's organizing principles, which emphasize building relationships and collective action as the foundation for change, and explains how these skills have been applied in diverse contexts, from climate change advocacy to improving healthcare policies in the U.S. He also urges listeners to consider the power of small actions in driving larger change, underscoring the importance of growing leadership and engagement within communities to create a more sustainable healthcare system. Tune in and learn how grassroots organizing can transform healthcare and empower communities to take control of their health futures! Learn more about your ad choices. Visit megaphone.fm/adchoices

    The importance of access to information and data as a patient and caregiver with Susannah Fox

    Play Episode Listen Later Sep 20, 2024 47:14


    Early online patient communities were pioneers in sharing personal health data to support others with similar conditions. In this episode, Susannah Fox, anthropologist and author of Rebel Health, dives into the evolving landscape of health care, where the traditional power dynamics between patients and providers are shifting. Susannah explores the concept of co-production of care, where patients' experiences are valued as much as scientific knowledge. She highlights the rise of patient-led communities and innovations, particularly in diabetes care, where patients have hacked their devices to improve their outcomes. Susannah also discusses AI's role in health care, emphasizing the importance of integrating patient experiences into AI tools.  Tune in and learn how patients are revolutionizing health care and shaping its future! Learn more about your ad choices. Visit megaphone.fm/adchoices

    The transformative shift from health care in hospitals to home-based care

    Play Episode Listen Later Sep 13, 2024 53:58


    Studies indicate that treating patients at home can result in lower mortality rates compared to traditional hospital care. In this episode, Dr. Bruce Leff, a professor of medicine at Johns Hopkins University School of Medicine, discusses the transformative shift of healthcare from hospitals to home-based care. He underscores the importance of trust, patient education, and personalized care, particularly in home settings where patients feel more comfortable. Dr. Leff also explores the economic benefits and challenges of hospital-at-home care, highlighting its potential to reduce costs, improve patient outcomes, and address the looming "silver tsunami" of aging adults. He highlights the growing acceptance and effectiveness of this model, supported by global studies showing improved mortality rates and patient satisfaction. Dr. Leff also stresses how hospital-at-home care has expanded to treat over 100 different conditions, showing its versatility and effectiveness across various diagnoses. Tune in and learn how home-based care is reshaping the future of healthcare, offering a more humane and cost-effective alternative to traditional hospital settings! Learn more about your ad choices. Visit megaphone.fm/adchoices

    Maintaining medical care amidst bombs with Dr. Olesya Vynnyk and Dr. Miguel Cendoroglo Neto

    Play Episode Listen Later Sep 6, 2024 48:57


    The Ukrainian medical community has shifted from emotional reactions to systematic approaches in response to the war. In this episode, Dr. Olesya Vynnyk, coordinating medical initiatives for the World Congress of Ukraine, and Dr. Miguel Cendoroglo Neto, the CMO for Albert Einstein Jewish Hospital, focus on the challenges Ukraine's health care system faces during the ongoing conflict with Russia. Dr. Vynnyk highlights the struggle of maintaining medical care amidst bombs and corruption, and the essential role of international support and education. Dr. Cendoroglo stresses his efforts to bring resources and training to Ukrainian health care workers and help Dr. Vynnyk navigate the complexities of the situation. It's remarkable that despite these inhuman conditions, both doctors remain optimistic for the future, calling for global solidarity and action to support Ukraine's medical community. Tune in and learn how you can join the fight against aggression and help transform health care during times of war! Learn more about your ad choices. Visit megaphone.fm/adchoices

    Art, activism, and health care with Michelle Browder

    Play Episode Listen Later Aug 30, 2024 54:39


    Michelle Browder began using art at 13 to channel her energy and fight against racism, leading to her lifelong journey in activism. In this episode, Michelle Browder, an American artist and activist known for her work in reimagining the future of gynecology and obstetrics in the US, explores the connection between art, activism, and medicine. Michelle's journey from a young fighter against racism to a renowned artist began at 13, using art to channel her energy and convey the need to dismantle racism. She discusses her plans to create a museum in Montgomery, Alabama, combining art, history, and medicine to educate and inspire future healthcare professionals, emphasizing empathy, dignity, and the need for equitable care. Collaborating with institutions like Harvard and UAB, Michelle aims to empower young women to pursue careers in healthcare despite societal barriers, expressing optimism about the future due to the dedication of young people fighting for justice and equity. Tune in and learn about the transformative power of art in addressing historical and contemporary issues in gynecology and obstetrics! Learn more about your ad choices. Visit megaphone.fm/adchoices

    Rerun: What Happened to Patient Safety with Sue Sheridan

    Play Episode Listen Later Aug 23, 2024 49:40


    How accountable are we when it comes to injuries caused by medical errors? Since this archive episode aired, patient safety remains a serious issue, with thousands of Americans dying from errors in their care. Although interest in improving patient safety has sadly waned, many are working to revive it and increase attention to the problem. In this interview, Sue Sheridan, founder and a global leader of Patients for Patient Safety US, shares how, ever since going through family tragedies caused by medical error twice, she's actively worked to improve and ensure patient safety across the United States. As a newborn, Sue's son's unattended Kernicterus caused permanent brain damage, and some years later, her husband died because of a late-stage sarcoma diagnosis that had been previously detected; after these events, she decided to make a change and share her family's story across health care. However, patient safety has been deprioritized as there are still gaps in the system regarding data collection that can catch mistakes. With Patients for Patient Safety, Sue seeks to democratize patient safety by highlighting transparency, illustrating the magnitude of the problem, and using input from the patient community when coming up with changes or solutions. Tune in to learn more about the importance of patient safety! Learn more about your ad choices. Visit megaphone.fm/adchoices

    Rerun - Penalized for Being Sick: The Uniquely American Crisis of Medical Debt with Berneta L. Haynes

    Play Episode Listen Later Aug 16, 2024 41:36


    Since this archive episode aired early in our podcast, organizations have paid off billions of dollars in medical debt, and many hospitals have stopped suing patients for small claims. However, the problem of medical debt is far from over and now is the best moment to do something about medical debt. In this interview, Berneta Haynes, Staff Attorney with the National Consumer Law Center, talks in depth about what medical debt is, who is affected by it, why it's a massive issue in the United States, and how to start solving this problem. In the US, getting sick or suffering an accident can lead to costly bills that trap a patient in a debt and disparity cycle when they lack money, insurance coverage, or live with a chronic condition. The National Consumer Law Center seeks to help communities of color and low-income populations by teaching them to manage their debt, handle collectors, and know their rights. Berneta explains the provisions and protections the Affordable Care Act and the No Surprises Act have to protect consumers from unfair medical bills and aggressive collections while highlighting changes and actions that improve the law, reduce debt, and expand the support umbrella across the country. Tune in to learn more about the issue of medical debt and how to tackle it best! Learn more about your ad choices. Visit megaphone.fm/adchoices

    We need a health care system that supports healthy aging with Maria Carney and Charles Kenney

    Play Episode Listen Later Aug 9, 2024 47:15


    The aging population is rapidly growing, posing significant challenges for global health care systems. In this episode, Dr. Maria Carney, Chief and Medical Director at Northwell Health, and Charles Kenney, Senior Vice President at Northwell Health, talk about the need for a health care system that supports healthy aging. Dr. Carney and Charles discuss Robert Butler's vision of alleviating older adults' suffering, advocating for better treatment, and combating ageism, while also emphasizing the need for more support for caregivers and improved home care systems to enhance the quality of life for the elderly. They stress that addressing negative stereotypes and championing the importance of geriatric medicine is crucial for preparing for the future. Dr. Carney and Charles also address potential challenges, like for-profit health care systems denying payment for essential services, and highlight the importance of political support and education in creating an inclusive, effective approach to geriatric care. Tune in and learn how we can transform our health care system to better serve the growing aging population and support a healthier, longer-lived society! Learn more about your ad choices. Visit megaphone.fm/adchoices

    Patient empowerment and community engagement for better health outcomes

    Play Episode Listen Later Aug 2, 2024 42:45


    Patients and their families feel more empowered and regain normalcy by participating in their own care. In this episode, Dr. Kavita Bhavan, Chief Innovation Officer at Parkland Health and an infectious disease specialist, shares how empowering patients to self-administer IV antibiotics at home has improved health care access and equity. She highlights the success of involving patients and their families in their care, addressing health disparities, and engaging the community. Dr. Bhavan discusses initiatives like using Dobutamine at home for end-stage heart failure patients, holding financial literacy fairs for kids, and improving flu vaccination rates through community health assessments. She also emphasizes the importance of trusting patients, addressing social determinants of health, and moving away from paternalistic health care models. Tune in and learn how innovative approaches to health care delivery are significantly impacting patient empowerment and health equity! Learn more about your ad choices. Visit megaphone.fm/adchoices

    The future of medical education with Holly Humphrey

    Play Episode Listen Later Jul 26, 2024 47:59


    Disparities in patient care based on race and insurance status lead to frustration, fueling a growing movement to unionize and push for fair treatment. In this episode, Dr. Holly Humphrey, President of the Josiah Macy Jr. Foundation, explores the pressing issues facing the American health care system and the foundation's pivotal role in transforming health professional education. Dr. Humphrey shares her insights on the high costs of medical training and how it drives specialty choices, the foundation's strategic initiatives focusing on diversity, equity, and belonging, and the adaptations made during the global pandemic. She discusses the grassroots activism of residents and students addressing disparities in patient care and how the Macy Foundation supports these efforts through innovative programs and career development opportunities. Kedar, Don, and Dr. Humphrey also tackle the future of medical education, touching on the financial stress trainees face, the ethical dilemmas introduced by high finance in health care, and the revolutionary potential of artificial intelligence. Dr. Humphrey brings to light the importance of investing in human capital and preparing the workforce for the health care challenges ahead. Join this episode to explore critical topics, and stay tuned for a thought-provoking conversation on the future of health care and medical education! Learn more about your ad choices. Visit megaphone.fm/adchoices

    The importance of evidence-based medicine and health care with Dr. Rita Redberg

    Play Episode Listen Later Jul 19, 2024 37:46


    Significant variations in medical treatments, even within the same state, challenge the belief that medical care is primarily based on science. In this episode, Dr. Rita Redberg, a Professor of Medicine at UCSF Health, examines the belief that medical care is based primarily on science by discussing significant variations in treatment practices and advocating for evidence-based medicine. In her "Less is More" series in JAMA Internal Medicine, she aims to improve test readability and effectiveness. Throughout this interview, Dr. Redberg discusses the US Preventive Services Task Force's controversial mammography guidelines and the potential harms of over-testing, underscoring the importance of high-quality, unbiased evidence and rigorous FDA approval processes for new medical devices and drugs. She also addresses issues like unnecessary procedures motivated by fear of litigation or financial incentives and strongly calls for removing conflicts of interest from scientific trials and enhancing NIH funding to promote independent research.  Tune in and learn about the importance of evidence-based practices in health care and the steps needed to ensure safer, more effective patient care! Learn more about your ad choices. Visit megaphone.fm/adchoices

    The Power of Patients and Clinicians Aligning on a Deep Issue: Prior Authorization Law Change, with Dr. Nisha Mehta and Dr. Tina Shah

    Play Episode Listen Later Jul 12, 2024 52:24


    Imagine mobilizing a community of doctors and patients to spark change in the health care system. In this episode, Dr. Nisha Mehta and Dr. Tina Shah share how they made significant strides in addressing one of the most pressing issues in health care today: prior authorizations. They share how they mobilized a vast community of doctors to tackle the pressing issue of prior authorizations and their detrimental impact on patient care. Listen in to learn about the powerful role of physician-patient alliances, the significance of sustained advocacy, and how a focused community can drive monumental change in health care. Learn more about your ad choices. Visit megaphone.fm/adchoices

    Beacons of scientific truth, with Alan Weil

    Play Episode Listen Later Jul 5, 2024 44:18


    Evidence is paramount in policy-making due to its reliance on the scientific method. In this episode, Alan Weil, the editor-in-chief of Health Affairs, explores ways to improve the US healthcare system and combat widespread misinformation. He shares insights from his extensive career in state health policy, emphasizing the critical importance of evidence-based decision-making and the scientific method in driving effective healthcare policies. Alan explores the complex interplay between federal and state policies, highlighting states as "laboratories of democracy" where innovative healthcare solutions can be tested and refined. Kedar, Don, and Alan tackle the challenges of implementing evidence-based policies in a polarized political landscape and the essential role that Health Affairs plays in fostering scientific understanding among policymakers and healthcare professionals. Join this episode to learn why teamwork across fields and good science communication are important for policy and why there's hope for the future of healthcare policy despite challenges! Learn more about your ad choices. Visit megaphone.fm/adchoices

    Information exchange and the role publications play in health care and medical media today, with Kirsten Bibbins-Domingo, 17th Editor-in-Chief of JAMA and the JAMA Network

    Play Episode Listen Later Jun 28, 2024 45:23


    The US health care system is facing a crisis of mistrust, with less than half of Americans trusting health care professionals. In this episode, Kirsten Bibbins-Domingo, the 17th Editor-in-Chief of JAMA and the JAMA Network, discusses various topics, ranging from the importance of truth, transparency, and scientific thinking to the role of health equity, structural racism, AI, and machine learning in health care. She highlights the significance of effective communication in making scientific knowledge accessible and engaging for both professionals and the general public. Within the interview, Kirsten emphasizes the use of various media to reach wider audiences and combat misinformation, emphasizing the necessity of rigorous peer review and maintaining high standards in scientific publications. Additionally, she addresses the impact of the polarized political environment and the need for inclusive and diverse perspectives in health care research and practice.  Tune in and learn how these efforts aim to improve trust and care in the health care system! Learn more about your ad choices. Visit megaphone.fm/adchoices

    Let's talk about "hospitalists" and what the term means with its inventor Robert Wachter

    Play Episode Listen Later Jun 21, 2024 42:43


    The transition from paper to digital in healthcare has been a rollercoaster, but vital for progress. In this episode, Dr. Robert Wachter explores the transformation from paper-based to digitally-based systems in healthcare, exploring the bumpy road of implementing electronic medical records and the impact of these changes within the industry. His vision for the future of healthcare, driven by digital tools and AI, offers a glimpse into how technology could revolutionize the industry, reduce administrative burdens, and enhance patient care. Listen and navigate the complexities and innovations of healthcare with Dr. Robert Wachter in this insightful episode. Learn more about your ad choices. Visit megaphone.fm/adchoices

    If you don't learn their story, you're cheating the patient and yourself with Dr. David Reuben

    Play Episode Listen Later Jun 14, 2024 36:10


    Advocacy and action are needed to address the gaps in elderly care and improve the quality of life for older adults. In this episode, Dr. David Reuben delves into the pressing issue of improving the US health care system, focusing on the aging population and the challenges faced in providing adequate care. Dr. Reuben emphasizes patient-centered care for older adults, stressing the importance of understanding their goals and dignity in decision-making. He also discusses various topics, such as technology in healthcare, caregiver support, and lifestyle modifications for successful aging, advocating for advancements in Alzheimer's prevention and improved housing options. Tune in and learn how you can contribute to improving care for older adults in your community! Learn more about your ad choices. Visit megaphone.fm/adchoices

    Taking the Policy Route to Improve Coverage and Care with Leslie Dach, Founder and chair of Protect Our Care

    Play Episode Listen Later Jun 7, 2024 44:43


    Despite legislative efforts, the American health care system continues to grapple with persistent challenges. In this episode, Leslie Dach discusses the intricate challenges and notable progress within America's health care landscape, highlighting persistent issues such as exorbitant costs and inadequate coverage. Drawing from his tenure at Walmart, he sheds light on the complexities faced by large employers in navigating the health care marketplace and reflects on the transformative impact of the Affordable Care Act, noting both persistent opposition and bipartisan support for reform initiatives. Tune in and gain valuable insights into the intricacies of health care reform and discover how you can contribute to building a healthier future for all Americans! Learn more about your ad choices. Visit megaphone.fm/adchoices

    The Need for a Healthier, More Supportive Environment and System for Health Care Professionals with Eileen Barrett, J. Corey Feist, and Wendy Dean

    Play Episode Listen Later May 31, 2024 54:45


    How can health care organizations align their values to support both high-quality patient care and the well-being of their staff? In this episode, Dr. J. Corey Feist, Dr. Wendy Dean, and Dr. Eileen Barrett bring personal stories and professional insights on the rise of moral injury, systemic challenges, and legislative efforts to make meaningful changes. Together, they explore the importance of legislative action like the Lorna Breen Act, the need for destigmatizing mental health care, and the crucial role of leadership in shaping a healthier, more supportive environment for health care professionals.  Join this episode to unpack these urgent issues and seek pathways toward healing and resilience for those who care for us all. Learn more about your ad choices. Visit megaphone.fm/adchoices

    Patient-Centric Care with Susan Edgman-Levitan

    Play Episode Listen Later May 24, 2024 52:24


    How can health care providers ensure that patient priorities like symptom management and emotional support are consistently addressed through a patient-centered approach in daily practice? In this episode, Susan Edgman-Levitan unravels the intricacies of what truly matters to patientsunravels the intricacies of what truly matters to patients: their individual needs, concerns, and experiences within the health care system. She shares personal struggles with rheumatoid arthritis and a transformative encounter with a doctor prioritizing her life goals, leading to today's focus: shifting clinical attention to "What matters to you?", illustrating how this shift enhances patient satisfaction, impacts clinical outcomes, and addresses clinician burnout rates. Tune in for an insightful exploration of how shining a light on patient-centered care might just be the beacon of change that healthcare needs. Learn more about your ad choices. Visit megaphone.fm/adchoices

    Big Data, Big Opportunity to Improve Patient Care with Dr. John Halamka, President of Mayo Clinic Platform

    Play Episode Listen Later May 17, 2024 39:57


    The democratization of AI technologies has the potential to revolutionize health care on a global scale, leveling the playing field and ensuring more equitable access to advanced medical care. In this episode, Dr. John Halamka, president of Mayo Clinic Platform, highlights the challenges of managing vast patient data, the inefficiencies within health care systems, and emphasizes the pivotal role of AI in addressing biases, promoting transparency, and augmenting clinical decision-making without replacing human expertise. He underscores transparency in AI utilization, advocates for initiatives like mattress labeling to build trust, and champions global access to AI technologies in healthcare to enhance patient outcomes. Tune in and learn how Mayo Clinic is striving to harness the power of artificial intelligence (AI) to revolutionize health care globally! Learn more about your ad choices. Visit megaphone.fm/adchoices

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