Podcast appearances and mentions of Donald M Berwick

In this episode of the Healthcare Plus Podcast, Quint Studer welcomes Regina Shupe, DNP, RN, and Jennifer Carron Passon, MSOM, CPXP, for a conversation focused on patient experience. Quint, Regina, and Jennifer explore the “patient experience” concept, which has evolved tremendously over the past few decades. Now it encompasses the sum of all interactions from the initial touchpoint when a patient even considers selecting a healthcare organization until the time that they are back home caring for themselves and maintaining a healthy lifestyle. (It's interesting to hear Quint, who has been described as putting patient experience “on the map,” open the discussion with his own history lesson on the field.) They also discuss a 2021 JAMA article—“Criterion-Based Measurements of Patient Experience in Health Care: Eliminating Winners and Losers to Create a New Moral Ethos” by Thom Mayer, Arjun Venkatesh, and Donald M. Berwick—debating the pros and cons of moving away from traditional percentile-based evaluations.Finally, they offer a wealth of takeaways. Listeners will learn from the thoughtful discussion of common barriers people face when working to improve the patient experience and some practical (and doable) tips for overcoming them. About Jennifer Carron Passon, MSOM, CPXPWith 30 years of leadership experience and a Certified Patient Experience Professional (CPXP) credential, Jennifer is a patient experience officer at BJC Health System, a $6B integrated academic health system that serves millions of patients and families across the Midwest.   Her mission is to ignite a passion for human centricity and to transform the healthcare experience for all. She uses her Disney Institute training and contemporary thinking to design and deploy innovative interventions and digitally enhanced programs that elevate service excellence, hospitality, ownership, and regulatory results. She also contributes to various state-level and global initiatives that aim to advance patient and family engagement, equity and inclusion, and quality and safety in healthcare delivery. About Regina Shupe, DNP, RNRegina works for the Healthcare Plus Solutions Group® team as an advisor, bringing her expertise in emergency services to help our partners assess and improve upon their patient experience and throughput to better serve patients and communities. She holds a Doctor of Nursing Practice degree and also holds a certification in LEAN for Healthcare. For the past 35 years, she has dedicated her life to caring for patients, families, team members, and physicians. As a nurse, she enjoyed the intersection between the heart and science, healing patients from the inside out. As a leader, she is able to see the positive correlation between the experience of team members and the experience of patients. She believes when we intentionally design meaningful and memorable experiences for team members, physicians, and patients, we are able to heal as well as truly transform healthcare.

The word Catholic is often capitalized and used in reference to the religious denomination. It may also be an adjective meaning comprehensive or universal. On this episode of SoundPractice we will be discussing the term in both of its definitions. The Catholic Church and Its Hospitals: A Marriage Made in Heaven? is a new book extensively researched and written by Patricia Gabow, MD, MACP, former CEO of Denver General Hospital. The Foreword of the book is by Donald M. Berwick, MD, MPP. Hear about the role of the bishops and the Ethical and Religious Directives (ERDs) in policy making for the Catholic health system. We also discuss surprising statistics about the extent, reach, and influence of Catholic Healthcare in terms of the number of beds and hospitals. From small hospitals built by nuns and nurses to now having four out of the ten largest healthcare systems in the United States being Catholic systems. There is another side to the story. Patients may not understand that certain reproductive care or end-of-life care are not available to them in a Catholic health system. Physicians who work in these systems may not understand the reach and influence of the ERDs. We will be exploring this issue in depth. In Gabow's book, she provides a section on considerations for the Catholic health system's return to mission fidelity. Join us for this insightful and thought-provoking discussion on the Catholic Church and its hospitals. Learn more about the American Association for Physician Leadership at www.physicianleaders.org

Greed should not be a factor in patient care, and yet more and more it seems to be. Dr. Donald Berwick has a wonderful article titled Salve Lucrum in JAMA, and I highly recommend it. He touches on how his father inspired and inspires him, the importance of community and connection, and the small steps we can take to fight greed. Dr. Donald M. Berwick, MD, MPP, FRCP, is President Emeritus and Senior Fellow at the Institute for Healthcare Improvement. He is former Administrator of the Centers for Medicare & Medicaid Services. Trained as a pediatrician by background, he has taught at Harvard Medical School and Harvard School of Public Health, and he has served on the staffs of Boston's Children's Hospital Medical Center, Massachusetts General Hospital, and the Brigham and Women's Hospital. He was Vice Chair of the US Preventive Services Task Force, the first "independent member" of the American Hospital Association Board of Trustees, and Chair of the National Advisory Council of the Agency for Healthcare Research and Quality, and the Institute of Medicine. Recognized as a leading authority on health care quality and improvement, Dr. Berwick has received numerous awards for his contributions, including from the British National Health Service in 2005, when he was appointed "Honorary Knight Commander of the British Empire" by Her Majesty, Queen Elizabeth II. Dr. Berwick is the author or co-author of over 160 scientific articles and six books. He currently serves as lecturer in the Department of Health Care Policy at Harvard Medical School.  He has a new podcast in spring, 2023 called Turn on the Lights.

Donald M. Berwick, MD, MPP, FRCP, President Emeritus and Senior Fellow, Institute for Healthcare Improvement, is also former Administrator of the Centers for Medicare & Medicaid Services. A pediatrician by background, Dr. Berwick has served on the faculty of the Harvard Medical School and Harvard School of Public Health, and on the staffs of Boston's Children's Hospital Medical Center, Massachusetts General Hospital, and the Brigham and Women's Hospital. He has also served as Vice Chair of the US Preventive Services Task Force, the first "Independent Member" of the American Hospital Association Board of Trustees, and Chair of the National Advisory Council of the Agency for Healthcare Research and Quality. He served two terms on the Institute of Medicine's (IOM's) Governing Council, was a member of the IOM's Global Health Board, and served on President Clinton's Advisory Commission on Consumer Protection and Quality in the Healthcare Industry. Recognized as a leading authority on health care quality and improvement, Dr. Berwick has received numerous awards for his contributions. In 2005, he was appointed "Honorary Knight Commander of the British Empire" by Her Majesty, Queen Elizabeth II in recognition of his work with the British National Health Service. Dr. Berwick is the author or co-author of over 160 scientific articles and six books. He currently serves as Lecturer in the Department of Health Care Policy at Harvard Medical School. Follow Don on Twitter Nana Twum-Danso, MD, MPH, FACPM, ​Senior Vice President, Global, Institute for Healthcare Improvement (IHI), leads all global strategy and client development, with top-line revenue responsibility. Previously she was Managing Director for Health at The Rockefeller Foundation, overseeing a strategy designed to transform the practice of public health through data science. She is a public health and preventive medicine physician with 20 years of experience in health policy, practice, strategy, monitoring, learning, evaluation, research, and philanthropy at local, national, and international levels. Dr. Twum-Danso is also an Adjunct Assistant Professor in the Department of Maternal and Child Health at the Gillings School of Global Public Health at the University of North Carolina, Chapel Hill. She worked at the Task Force for Global Health in Atlanta, Georgia; was Director of IHI's nationwide CQI initiative in Ghana; Senior Program Officer in the MNCH Department at the Bill & Melinda Gates Foundation; independent consultant; and Founder and CEO of MAZA, a social enterprise that provided on-demand health care transportation for pregnant women and sick infants in remote areas of Ghana. She also served on technical advisory committees for the World Health Organization, the US National Academy of Sciences, Engineering and Medicine, and the Canadian International Development Research Centre. Dr. Twum-Danso received her undergraduate and medical education from Harvard University and her public health and preventive medicine residency training from Emory University.  Follow Nana on Twitter.

JEMS Editor Emeritus A.J. Heightman talks with EMS visionary, researcher and educator extraordinaire Mike Taigman about living with stress and stress management in EMS, accelerated by the COVID-19 pandemic.Mike and his wife Sascha recently released their insightful book “Super-Charge Your Stress Management in the Age of COVID-19.” Mike Taigman is the leading expert in improvement science, resilience, and stress management at First Watch based out of Carlsbad, California. Mike’s broad experience helps him turn data into actionable information, helps teams build their resilience using our neuroscience-based ResilientFirst system, and teaches stress management techniques that can be used by anyone anywhere.Mike facilitated the development of EMS Agenda 2050 a vision for EMS in America 30 years in the future. Inspired by the “people centered” aspect of Agenda 2050, Mike works with some of the world leading physicians and researchers to bring evidenced-based leadership, education and practices to the EMS industry. These practices help create organizations where employees are resilient, joyful, thriving, and providing compassionate care during long careers.As a young street paramedic in Denver, Mike honed his clinical skills caring for patients and helping new paramedics learn to provide solid clinical care with kindness and compassion.As a popular conference educator, author of more than 600 articles in professional journals, an associate professor in the graduate program in emergency health services management at the University of Maryland Baltimore County, and an associate adjunct professor in the master’s program in healthcare administration and interprofessional leadership at the University of California San Francisco, Mike has focused on helping professionals save more lives, reduce suffering, and be more effective leaders.As a consultant, Mike has worked with EMS, fire, and public health in 48 of the 50 states, most of the Canadian provinces, Israel, Palestine, Australia and throughout Europe. His expertise includes EMS street survival, patient centered leadership, effective quality/performance improvement, and resiliency. He holds a master’s degree in organizational systems and is frequently part of the faculty for the Institute for Healthcare Improvement.Mike’s wife Sascha Liebowitz is an accomplished writer and author of “Living Every Minute of It,” a blog about living each day with patience, tolerance, kindness and love towards oneself and others. A former New York lawyer, Sascha now lives in California focusing on family, writing, and being of service to others. She holds a BA from Columbia College and a JD from New York University School of Law.This episode of the EMS Today Show, and Mike and Sascha’s book “Super-Charge Your Stress Management in the Age of COVID-19,” will give you important tools to develop and maintain resiliency and get through this difficult time in your EMS career.In a testimonial about the book, Donald M. Berwick, MD, MPP, President Emeritus and Senior Fellow, Institute for Healthcare Improvement said it best, “Managing … stress is a continual task for the healing professions—more challenging perhaps in the era of COVID-19, but, frankly, always with us.”Dr. Berwick goes on to say that the book “draws on a wide library of science, teachings, and experience and distills it all into a readable and useful collection of practical, attractive techniques. Each one seems not only promising, but frankly, fun.”His concluding remark really sums up why a book by Mike Taigman will be so helpful to emergency service personnel: “This book brings optimism and oxygen at a time when we badly need both.”

Podcast Notes Key Takeaways Avoid industrial and processed oils like canola, corn, or soybean oilFor non-high temperature cooking, use extra virgin olive oilFor high-temperature cooking, use avocado oilIn Mark’s book Food Fix: How to Save Our Health, Our Economy, Our Communities, and Our Planet–One Bite at a Time, he talks about how the government created regulations that drive a food system that makes people sick and fatMark created a free guide of 20 action steps you can take to make a differenceIf you’re a vegan, tofu and tempeh are great sources of protein because they low-starch carbs80% of your health is determined outside of healthcare“It’s your social structure, your loneliness, access to food and water, it’s your exposure to toxins, food system, your lifestyle, your exercise, your sleep” – Dr. Mark Hyman Bread has a higher glycemic index than sugar“Meaning if you eat two slices of bread, it’s worse for your blood sugar than having two tablespoons of sugar” – Dr. Mark Hyman“Gluten tends to cause leaky gut, even in healthy people”  – Dr. Mark HymanAbout 20% of the population has real gluten sensitivityAbout 1% of the population has celiac eval(ez_write_tag([[728,90],'podcastnotes_org-medrectangle-3','ezslot_0',122,'0','0']));Read the full notes @ podcastnotes.orgIn this new Q&A series, Dr. Mark Hyman takes live questions from his community. For a chance to speak with Dr. Hyman during a future Ask Mark Q&A, text your question to 413-225-8995 using the hashtag #AskMarkTopics covered in this episode include:The best and worst oils for cookingHow to get involved in improving our food systemStaying healthy on a vegetarian dietHow medical students can work towards becoming physicians who understand larger systems issuesHow to get restorative sleepThe #1 change Dr. Hyman would make to improve food policyGluten, heartburn, and GERDHigh intensity exercise and autophagyWhat to eat to prevent diabetesMentioned in this episode:Eat Fat Get Thin by Dr. Mark HymanFood: What the Heck Should I Eat by Dr. Mark HymanFood Fix by Dr. Mark HymanThe UltraMind Solution by Dr. Mark HymanFood Fix Action Guide Food Policy Action Cleveland Clinic Center for Functional Medicine Patient Programs Chicago Food Policy Action Council Karen Washington, Rise and Root Farm Ron Finley, Gangsta GardenerThe Moral Determinants of Health by Donald M. Berwick, MD, MPPInstitute for Functional MedicineCleveland Clinic Center for Functional MedicineDr. Hyman’s Sleep Master ClassDr. Hyman’s 10-Day ResetDr. Hyman’s 10-Day Reset: How To Do The 10-Day Reset (Without the Kit)Virta Health See acast.com/privacy for privacy and opt-out information.

Podcast Notes Key Takeaways Avoid industrial and processed oils like canola, corn, or soybean oilFor non-high temperature cooking, use extra virgin olive oilFor high-temperature cooking, use avocado oilIn Mark’s book Food Fix: How to Save Our Health, Our Economy, Our Communities, and Our Planet–One Bite at a Time, he talks about how the government created regulations that drive a food system that makes people sick and fatMark created a free guide of 20 action steps you can take to make a differenceIf you’re a vegan, tofu and tempeh are great sources of protein because they low-starch carbs80% of your health is determined outside of healthcare“It’s your social structure, your loneliness, access to food and water, it’s your exposure to toxins, food system, your lifestyle, your exercise, your sleep” – Dr. Mark Hyman Bread has a higher glycemic index than sugar“Meaning if you eat two slices of bread, it’s worse for your blood sugar than having two tablespoons of sugar” – Dr. Mark Hyman“Gluten tends to cause leaky gut, even in healthy people”  – Dr. Mark HymanAbout 20% of the population has real gluten sensitivityAbout 1% of the population has celiac eval(ez_write_tag([[728,90],'podcastnotes_org-medrectangle-3','ezslot_0',122,'0','0']));Read the full notes @ podcastnotes.orgIn this new Q&A series, Dr. Mark Hyman takes live questions from his community. For a chance to speak with Dr. Hyman during a future Ask Mark Q&A, text your question to 413-225-8995 using the hashtag #AskMarkTopics covered in this episode include:The best and worst oils for cookingHow to get involved in improving our food systemStaying healthy on a vegetarian dietHow medical students can work towards becoming physicians who understand larger systems issuesHow to get restorative sleepThe #1 change Dr. Hyman would make to improve food policyGluten, heartburn, and GERDHigh intensity exercise and autophagyWhat to eat to prevent diabetesMentioned in this episode:Eat Fat Get Thin by Dr. Mark HymanFood: What the Heck Should I Eat by Dr. Mark HymanFood Fix by Dr. Mark HymanThe UltraMind Solution by Dr. Mark HymanFood Fix Action Guide Food Policy Action Cleveland Clinic Center for Functional Medicine Patient Programs Chicago Food Policy Action Council Karen Washington, Rise and Root Farm Ron Finley, Gangsta GardenerThe Moral Determinants of Health by Donald M. Berwick, MD, MPPInstitute for Functional MedicineCleveland Clinic Center for Functional MedicineDr. Hyman’s Sleep Master ClassDr. Hyman’s 10-Day ResetDr. Hyman’s 10-Day Reset: How To Do The 10-Day Reset (Without the Kit)Virta Health See acast.com/privacy for privacy and opt-out information.

In this new Q&A series, Dr. Mark Hyman takes live questions from his community. For a chance to speak with Dr. Hyman during a future Ask Mark Q&A, text your question to 413-225-8995 using the hashtag #AskMarkTopics covered in this episode include:The best and worst oils for cookingHow to get involved in improving our food systemStaying healthy on a vegetarian dietHow medical students can work towards becoming physicians who understand larger systems issuesHow to get restorative sleepThe #1 change Dr. Hyman would make to improve food policyGluten, heartburn, and GERDHigh intensity exercise and autophagyWhat to eat to prevent diabetesMentioned in this episode:Eat Fat Get Thin by Dr. Mark HymanFood: What the Heck Should I Eat by Dr. Mark HymanFood Fix by Dr. Mark HymanThe UltraMind Solution by Dr. Mark HymanFood Fix Action Guide Food Policy Action Cleveland Clinic Center for Functional Medicine Patient Programs Chicago Food Policy Action Council Karen Washington, Rise and Root Farm Ron Finley, Gangsta GardenerThe Moral Determinants of Health by Donald M. Berwick, MD, MPPInstitute for Functional MedicineCleveland Clinic Center for Functional MedicineDr. Hyman’s Sleep Master ClassDr. Hyman’s 10-Day ResetDr. Hyman’s 10-Day Reset: How To Do The 10-Day Reset (Without the Kit)Virta Health See acast.com/privacy for privacy and opt-out information.

Dr. Donald M. Berwick served on President Clinton's Advisory Commission on Consumer Protection and Quality in the Healthcare Industry and later as the Administrator of Medicare and Medicaid under President Obama.Having started his career as a Harvard-educated pediatrician and expert on medical policy, Dr. Berwick left the daily practice of medicine in 1989 to launch the Institute For Healthcare Improvement, an organization that now collaborates with hospitals and institutions around the world.He continues to serve on many committees, including as Vice Chair of the US Preventive Services Task Force and the first "independent member" of the American Hospital Association Board of Trustees.In addition to serving for two terms on the Institute of Medicine's (IOM's) Governing Council and member of the IOM's Global Health Board, Dr. Berwick has done extensive work with the Boston's Children's Hospital Medical Center, Massachusetts General Hospital, and the Brigham and Women's Hospital.Dr. Berwick is the author or co-author of over 160 scientific articles and six books, he currently serves as Lecturer in the Department of Health Care Policy at Harvard Medical School. In 2014 he also was a Democratic candidate for governor of Massachusetts

Dr. Donald M. Berwick served on President Clinton's Advisory Commission on Consumer Protection and Quality in the Healthcare Industry and later as the Administrator of Medicare and Medicaid under President Obama.Having started his career as a Harvard-educated pediatrician and expert on medical policy, Dr. Berwick left the daily practice of medicine in 1989 to launch the Institute For Healthcare Improvement, an organization that now collaborates with hospitals and institutions around the world.He continues to serve on many committees, including as Vice Chair of the US Preventive Services Task Force and the first "independent member" of the American Hospital Association Board of Trustees.In addition to serving for two terms on the Institute of Medicine's (IOM's) Governing Council and member of the IOM's Global Health Board, Dr. Berwick has done extensive work with the Boston's Children's Hospital Medical Center, Massachusetts General Hospital, and the Brigham and Women's Hospital.Dr. Berwick is the author or co-author of over 160 scientific articles and six books, he currently serves as Lecturer in the Department of Health Care Policy at Harvard Medical School. In 2014 he also was a Democratic candidate for governor of Massachusetts

Dr. Donald M. Berwick served on President Clinton's Advisory Commission on Consumer Protection and Quality in the Healthcare Industry and later as the Administrator of Medicare and Medicaid under President Obama.Having started his career as a Harvard-educated pediatrician and expert on medical policy, Dr. Berwick left the daily practice of medicine in 1989 to launch the Institute For Healthcare Improvement, an organization that now collaborates with hospitals and institutions around the world.He continues to serve on many committees, including as Vice Chair of the US Preventive Services Task Force and the first "independent member" of the American Hospital Association Board of Trustees.In addition to serving for two terms on the Institute of Medicine's (IOM's) Governing Council and member of the IOM's Global Health Board, Dr. Berwick has done extensive work with the Boston's Children's Hospital Medical Center, Massachusetts General Hospital, and the Brigham and Women's Hospital.Dr. Berwick is the author or co-author of over 160 scientific articles and six books, he currently serves as Lecturer in the Department of Health Care Policy at Harvard Medical School. In 2014 he also was a Democratic candidate for governor of Massachusetts

Donald M. Berwick, MD, MPP, President Emeritus and Senior Fellow, Institute for Healthcare Improvement is interviewed by Anette Nilsson, Development Strategist, Qulturum Region Jönköpings län. They are talking about coaching in health care and how to be a good coach.

Despite efforts by Republicans to scale back the Affordable Care Act, there is another movement to push the healthcare industry further left and into a single-payer system. In the latest Managed Care Cast, Donald M. Berwick, MD, MPP, FRCP, president emeritus and senior fellow of the Institute for Healthcare Improvement and a former administrator of CMS, and Patricia Salber, MD, MBA, of The Doctor Weighs In, discuss the idea of single-payer system and misconceptions about the concept, such as that is means the government will run healthcare. Some countries have chosen government-run healthcare in addition to a single-payer system, but the United States has been discussing a single-payer environment, which is a discussion around payment, not care delivery. They also speculate on the steps of getting from the current multipayer system in the United States to single-payer system and what individual states are doing to investigate the possibility of setting up a single-payer system.

Back in 2012, I blogged twice about aspects of Dr. Donald M. Berwick's 1989 article in the New England Journal of Medicine titled “Continuous Improvement as an Ideal in Health Care.” The full text is only available to subscribers. As I posted on LinkedIn, another aspect of this article caught my eye when I was reviewing it the other day in advance of my talk at the Studer Group "What's Right in Healthcare" conference next week. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app Support this podcast: https://anchor.fm/lean-blog-audio/support

Date: July 9, 2015   Featuring:  Sanjeev Arora, MD, FACP, FACG, Director, Project ECHO (Extension for Community Healthcare Outcomes), Department of Internal Medicine, UNM School of Medicine Donald M. Berwick, MD, MPP, FRCP, President Emeritus and Senior Fellow, Institute for Healthcare Improvement There’s telemedicine, and then there’s Project ECHO. Founder and director, Dr. Sanjeev Arora, makes the distinction so we don’t miss what’s groundbreaking about Project ECHO’s approach. While telemedicine focuses on bridging geographic divides that can separate patients from needed specialists, Project ECHO is on a mission to bridge divides within the provider community itself that prevent medical expertise from being shared and distributed more widely.   With Project ECHO, primary care doctors and others working in underserved, isolated, or small community settings use videoconferencing to advance their skills and ability to handle complex cases because of what they learn from specialists some distance away. The goal is both simple and profound: a “democratization of knowledge” so that patients anywhere can receive the best care from the doctor or health care practitioner they have easiest access to, not the one they don’t.    What began in 2003 as a process for improving access to treatment for people in New Mexico suffering from Hepatitis C, now offers support and learning for 30 different diseases and conditions, impacting patients in some 22 states. A lot of observers believe Project ECHO’s approach to expanding access to specialty care is disruptive in the best sense. That’s why this WIHI took a good, hard look at what difference this effort is making to patients and providers alike.  

Date: October 12, 2012 Featuring: Donald M. Berwick, MD, MPP, Former President and CEO, Institute for Healthcare Improvement; Former Administrator, Centers for Medicare & Medicaid Services Chris Jennings, President, Jennings Policy Strategies (Washington, DC); Former Senior Health Care Advisor (Domestic Policy & National Economic Councils) to President Bill Clinton We’re just weeks out from the November elections in the US and, depending on the outcome, health care reforms championed by the Obama administration will either continue unabated or possibly face some serious challenges — from a new President or a differently configured Congress. In the midst of this uncertainty, numerous individuals are keeping a close eye on the national policies and initiatives that have done the most of late to accelerate new payment schemes and the redesign of health care delivery, as well as expand insurance coverage.IHI has two programs this fall to help you navigate this election cycle with a clarity of purpose that health care improvement requires more than ever in these tumultuous times: a WIHI with Dr. Don Berwick and Chris Jennings on October 12 and, on November 8, Out of the Blocks, an in-person, one-day conference in Washington, DC, featuring post-election analysis from Sen. Tom Daschle and Sen. Bill Frist, IHI President and CEO Maureen Bisognano, Virginia Mason CEO Gary Kaplan, and moderated by Don Berwick and NBC’s Nancy Snyderman, MD.Because health care reform has become such a political flash point, it’s sometimes hard to find the “through line” for the improvement community in particular and the country as a whole. But Don Berwick says this is precisely what needs to happen. In this WIHI, he explains what “continuity of purpose” might entail in order to stay focused on a robust agenda that includes much greater attention to improving care across the continuum, reducing costs, and helping people and communities lead healthier lives. You can also count on Chris Jennings to summon his 25 years of experience as a health policy strategist to provide the freshest and most sanguine ways to think about reinventing health care in the US, even when political winds can, and often do, change directions.Madge Kaplan hosts this special pre-election WIHI... Whether you’re steeped in forming an accountable care organization or patient-centered medical home, innovating to improve the patient experience, hard at work on reducing avoidable readmissions, or engaged in any combination of these efforts and more.

Date: February 12, 2015 Featuring: Donald M. Berwick, MD, MPP, FRCP, President Emeritus and Senior Fellow, Institute for Healthcare Improvement David Cutler, PhD, Otto Eckstein Professor of Applied Economics, Harvard University, Harvard Kennedy School of Government, Harvard School of Public Health There are lots of health care issues to speculate about in the coming year. Here in the US, the ongoing expansion of health insurance coverage is an ambitious work in progress that continues to face plenty of political and legal headwinds. And then there’s the still glaring and still growing $3 trillion national price tag of US health care. Some are encouraged that health spending is slowing, but do we have any strong evidence that improvements in the quality of care, safety, and IT, coupled with payment reforms that increasingly tie reimbursements to quality and value, are key factors? Fortunately, our guests on this WIHI, Don Berwick and David Cutler, bring important improvement, policy, and economic perspectives to the table to help make sense of the current environment and what’s ahead. Against the backdrop of the Affordable Care Act and other significant initiatives, our guests offered their assessments of recent progress with better care and lower costs, and where efforts need to continue to yield even bigger benefits. We also touched upon the following: global payments and the various payer-led financial carrots and sticks in play right now designed to improve health care delivery; the state of statewide reforms, Medicaid expansion, and community-led, population health-driven experiments; and the bright spots and storm clouds on the horizon with respect to policy makers, politicians, and the public where there are still major divides.

Date: February 18, 2016 Featuring:  Donald M. Berwick, MD, MPP, FRCP, President Emeritus and Senior Fellow, Institute for Healthcare Improvement Jessica Berwick, MD, MPH, Internist, Beth Israel Deaconess Medical  Center (Boston) What is the “true north” for the health care quality improvement movement? What are the questions leaders and champions of quality and safety initiatives must periodically ask themselves as a natural part of the process of seeking dramatic change? If you’re IHI’s founder and President Emeritus and Senior Fellow, Don Berwick, the questions, and the answers, are often moral ones. Don is known for reminding improvers at critical moments that whatever they’re working hard on must, finally, come back to the patients themselves and principles of service and healing relationships. When the vision starts to go blurry in a miasma of metrics and measures and monitoring, Don argues, we lose our way. In December, Don took to the podium at IHI’s National Forum in Orlando and delivered a keynote calling for what he labeled a “moral era” for the health care quality improvement movement — Era Three. In the keynote, Don outlined five developments from earlier eras that he believes have started to obscure the improvement movement’s sense of purpose: excessive measurement; complex (pay for performance) incentives; preoccupation with money; and professional prerogative. Increasing attention to five activities in Era Three, broadly defined, can help: improvement science; transparency; civility; listening (to patients, family members, and staff); and rejecting greed. During this WIHI, Don was joined by his daughter, Dr. Jessica Berwick, an internist at Beth Israel Deaconess Medical Center in Boston, who shared the perspective of a relatively new physician navigating many of the competing forces Don describes in his speech.

Medicare at 50: Reflections From Former CMS Administrator Donald M. Berwick, MD  

Medicare at 50: Reflections From Former CMS Administrator Donald M. Berwick, MD

AMA Journal of Ethics theme editor Amanda Xi, MD, a transitional year resident at Henry Ford Hospital, interviewed Donald M. Berwick, MD, shortly before the Supreme Court’s decision in King versus Burwell. Dr. Berwick discussed progress in meeting the health care goals of the ACA and the Institute for Healthcare Improvement and next steps for improving patient care. A former head of the Centers for Medicare and Medicaid Services, Dr. Berwick is a senior fellow and president emeritus at the Institute for Healthcare Improvement.

Interview with Donald M. Berwick, MD, MPP, author of Measuring Surgical Outcomes for Improvement: Was Codman Wrong?

Interview with Donald M. Berwick, MD, MPP, author of Eliminating Waste in US Health Care

Host: Jack Lewin, MD Guest: Donald Berwick, MD, MPP There are several prominent points of disagreement in today's health reform debate, but one area of general accord involves hospital readmissions: we can (and must) do much better in coordinating the transition and follow-up process for admissions and readmissions — and, if executed properly, this will improve outcomes for our patients. As we embark on a campaign to reduce unnecessary readmissions, Dr. Donald M. Berwick, president and chief executive officer for the Institute for Healthcare Improvement (IHI), joins host Dr. Jack Lewin for an important conversation about the Hospital-to-Home (H2H) campaign, co-sponsored by IHI and the American College of Cardiology, to apply scientifically-based protocol to keep patients healthy at home once they leave the hospital. Dr. Berwick says the shift won't come by simply telling hospital staff to work harder; instead, we need to use the hard evidence we have to change the paradigm for transition and follow-up care.

Host: Jack Lewin, MD Guest: Donald Berwick, MD, MPP There are several prominent points of disagreement in today's health reform debate, but one area of general accord involves hospital readmissions: we can (and must) do much better in coordinating the transition and follow-up process for admissions and readmissions — and, if executed properly, this will improve outcomes for our patients. As we embark on a campaign to reduce unnecessary readmissions, Dr. Donald M. Berwick, president and chief executive officer for the Institute for Healthcare Improvement (IHI), joins host Dr. Jack Lewin for an important conversation about the Hospital-to-Home (H2H) campaign, co-sponsored by IHI and the American College of Cardiology, to apply scientifically-based protocol to keep patients healthy at home once they leave the hospital. Dr. Berwick says the shift won't come by simply telling hospital staff to work harder; instead, we need to use the hard evidence we have to change the paradigm for transition and follow-up care.