Podcasts about healthcare improvement ihi

Since 2002, Patient Safety Awareness Week (PSAW) aims to promote patient safety throughout healthcare. This week the Divas share four key patient safety strategies for every practice and the three "A's" of patient safety and more.Resources:Institute for Healthcare Improvement (IHI) - https://bit.ly/4icWtdLIHI - Patient Safety Essential Tool Kit - https://bit.ly/429jmZPUniversity of the Pacific Dugoni School of Dentistry - health history forms in multiple languages -  https://bit.ly/45Yd0g5 https://www.thecompliancedivas.com

Join Josh Clark and Kedar Mate from the Institute for Healthcare Improvement (IHI) as they explore the innovative role of care operating systems in transforming patient care. They discuss how an integrated OS approach enhances quality, safety, and patient experience, and share success stories of CareOS implementations. Learn critical strategies and tactics for healthcare leaders who are faced with complex challenges related to workforce, clinical outcomes, and financial sustainability. This episode is sponsored by the Institute for Healthcare Improvement (IHI).

On this two-part episode series of The Healthcare Plus Podcast, Quint Studer hosts Dr. Gerald Hickson, Joseph C. Ross Chair of Medical Education and Administration, Professor of Pediatrics, Founding Director of the Center for Patient and Professional Advocacy (CPPA). Quint and Dr. Hickson's conversation focuses on addressing professional behavior among healthcare providers. Dr. Hickson discusses research linking disrespectful behavior to poor patient outcomes and malpractice claims, emphasizing the importance of professionalism in the workplace. The conversation also extends to nursing, offering innovative leadership strategies for behavioral intervention. In Part 1, Dr. Hickson discusses the early career experiences that led him to explore professionalism and what he learned about the importance of respect in the practice of medicine. The conversation explores Vanderbilt's latest research on the topic and shares how health system leaders can start pursuing a culture of safety and respect. In Part 2, Quint and Dr. Hickson discuss intervention techniques for both physicians and nurses, highlighting “cup of coffee” conversations as a way to make medicine kinder, safer, and more reliable. About Gerald B. Hickson, MDGerald B. Hickson, MD, Joseph C. Ross Chair of Medical Education and Administration, Professor of Pediatrics, Founding Director of the Center for Patient and Professional Advocacy (CPPA). Dr. Hickson serves as Chair of the Board of Directors of the Institute for Healthcare Improvement (IHI). He also serves on the Board of Directors of Keck (USC) Health System, the RL Datix Customer Advisory Board and is a member of the International Regulatory Expert Advisory Group to the Australian Health Practitioner Regulation Agency (AHPRA). Dr. Hickson previously served as Chair of the Board of Directors of the National Patient Safety Foundation (NPSF). Dr. Hickson received a BS from the University of Georgia and MD from Tulane University School of Medicine.

On this two-part episode series of The Healthcare Plus Podcast, Quint Studer hosts Dr. Gerald Hickson, Joseph C. Ross Chair of Medical Education and Administration, Professor of Pediatrics, Founding Director of the Center for Patient and Professional Advocacy (CPPA). Quint and Dr. Hickson's conversation focuses on addressing professional behavior among healthcare providers. Dr. Hickson discusses research linking disrespectful behavior to poor patient outcomes and malpractice claims, emphasizing the importance of professionalism in the workplace. The conversation also extends to nursing, offering innovative leadership strategies for behavioral intervention. In Part 1, Dr. Hickson discusses the early career experiences that led him to explore professionalism and what he learned about the importance of respect in the practice of medicine. The conversation explores Vanderbilt's latest research on the topic and shares how health system leaders can start pursuing a culture of safety and respect. In Part 2, Quint and Dr. Hickson discuss intervention techniques for both physicians and nurses, highlighting “cup of coffee” conversations as a way to make medicine kinder, safer, and more reliable. About Gerald B. Hickson, MDGerald B. Hickson, MD, Joseph C. Ross Chair of Medical Education and Administration, Professor of Pediatrics, Founding Director of the Center for Patient and Professional Advocacy (CPPA). Dr. Hickson serves as Chair of the Board of Directors of the Institute for Healthcare Improvement (IHI). He also serves on the Board of Directors of Keck (USC) Health System, the RL Datix Customer Advisory Board and is a member of the International Regulatory Expert Advisory Group to the Australian Health Practitioner Regulation Agency (AHPRA). Dr. Hickson previously served as Chair of the Board of Directors of the National Patient Safety Foundation (NPSF). Dr. Hickson received a BS from the University of Georgia and MD from Tulane University School of Medicine.

This week, our guest Christie VanHorne shares her career trajectory into public health from a background in history and involvement in humanitarian efforts.  From working as a health educator to creating her own public health consulting business and teaching at Vassar College, Christie's story highlights how hard work, staying true to yourself, and having a solid network are all crucial to building your dream career. Her  journey emphasizes the dynamic nature of professional and personal evolution, encouraging listeners to embrace change and growth. You'll LearnChristie's path into public health through a passion for human rights and social justiceHer work in South Africa with the Peace Corps and international health Building a strong network to open up doors to new opportunitiesDealing with toxic workplaces and how Christie founded her consulting businessHow education has been a common factor throughout all of Christie's career and how her love for teaching led to a decision to pursue a DrPHDeciding between a DrPH and PhD and figuring out which path is best for youFinding your niche in public health, staying true to yourself, and traversing your journey at your own paceToday's GuestChristie is a seasoned public health consultant with 20 years of experience. In 2015, she founded CVH Consulting, LLC., offering services to create impactful health education and training experiences for her clients. Christie has worked with the Institute for Healthcare Improvement (IHI), the New York State Department of Health, the Hemophilia Federation of America, and many more organizations to design, develop, and update programs. She is also a subject matter expert on the social determinants and health equity for many continuing education projects for community-based organization staff and healthcare professionals. From her time in the Peace Corps in South Africa to teaching at Vassar College and all the career experiences in between, Christie's dedication to public health shines. Last year, she was recognized with the prestigious ATHENA Award, an international honor for women who demonstrate excellence in their profession, community service, and mentorship of future leaders. One of her current volunteer roles is serving as the Vice-Chair of the National Women's Health Network Board of Directors. In August, Christie will start her Doctor of Public Health degree at Tulane University, specializing in Equity, Leadership, and Advocacy. She resides in the Hudson Valley, NY, with her beloved pups and husband.ResourcesFollow Christie on LinkedIn and Instagram Learn more about CVH ConsultingSupport the Show.Join The Public Health Career Club: the #1 hangout spot and community dedicated to building and growing your dream public health career.

Welcome to episode 159 [originally broadcast on Wednesday 10 April 2024] of #mhTV​​​​​​​​. This week Nicky Lambert and David Munday spoke with guest Auzewell Chitewell about Using quality improvement in practice. AC - Auzewell "Auz" Chitewe is an experienced healthcare leader, passionate about Quality Improvement and transformational change. Responsible for delivering the quality improvement plan at East London NHS Foundation Trust (ELFT) - a mental health, community health and primary care provider rated 'outstanding' by the Care Quality Commission (CQC). Also an Improvement Advisor and faculty on the application of quality improvement methods with the Institute for Healthcare Improvement (IHI). Auz trained as a nurse and is an Improvement Advisor working as Associate Director for Quality Improvement at ELFT. In addition to his support of frontline improvement projects, Auz is experienced in developing and delivering system-wide work programmes, collaboratives and learning systems. Some of his work has centered on improvement to reduce bed occupancy, improve access to services, joy in work, and improving population health using the Triple Aim framework (patient experience, population health outcomes and value for money). He has experience providing strategic and operational leadership in organisations looking to building a culture of continuous quality improvement that involves everyone. He is a recipient of the NHS Leadership Academy Award in Senior Healthcare Leadership and is a senior member of faculty for coaching and teaching on improvement science across professional, communities and organisational boundaries. His leisure interests include shooting 360º photography. Some X links to follow are: VG - https://www.x.com/VanessaRNMH NL - https://www.x.com/niadla​​​​​​​​ DM - https://www.x.com/davidamunday AC - https://www.x.com/auzewell Credits: #mhTV Presenters: Vanessa Gilmartin, Nicky Lambert & David Munday Guest: Auzewell Chitewell Theme music: Tony Gillam Production & Editing: David Munday

Show SummaryOn today's episode, we feature Kate DeBartolo, a senior director for the Institute for Healthcare Improvement and the leader for the conversation project. IHI has public engagement initiative to help people share their wishes for care through the end of their lifeAbout Today's GuestKate DeBartolo is a Senior Director at the Institute for Healthcare Improvement (IHI) and leads The Conversation Project, IHI's public engagement initiative to help people share their wishes for care through the end of life. The Conversation Project was founded in 2010, on the belief that these discussions should begin at the kitchen table—not in the intensive care unit. The Conversation Project offers free tools, guidance, and resources to begin talking with those who matter most about your and their wishes.  Kate joined IHI in 2007, with earlier work designing and executing the national field operations for IHI's hospital-based programs. Prior to joining IHI, Kate worked as a grant analyst at The California Endowment. She is a graduate of Wellesley College and currently lives in Washington DC with her husband and son. Links Mentioned In This EpisodeThe Conversation Project WebsitePsychArmor Resource of the WeekThis week's PsychArmor resource of the week is the PsychArmor course Caring for Veterans through End of Life: Caregivers and Loved Ones. In this course, you will learn how to support and care for Veterans as they near the end of their lives. We will explore the impact of the final journey on caregivers and loved ones, and the importance of planning and respite care. We will discuss how a Veteran's service in different eras may impact their care and the unique challenges faced by caregivers and loved ones in the grieving process. By the end of this course, you will have the knowledge and skills necessary to provide compassionate care and support to Veterans and their families during this important time.  You can see find the course here:  https://learn.psycharmor.org/courses/caring-for-veterans-through-the-end-of-life-caregivers-and-loved-ones This Episode Sponsored By: This episode is sponsored by PsychArmor. PsychArmor is the premier education and learning ecosystems specializing in military culture content PsychArmor offers an. Online e-learning laboratory that is free to individual learners as well as custom training options for organizations. Contact Us and Join Us on Social Media Email PsychArmorPsychArmor on TwitterPsychArmor on FacebookPsychArmor on YouTubePsychArmor on LinkedInPsychArmor on InstagramTheme MusicOur theme music Don't Kill the Messenger was written and performed by Navy Veteran Jerry Maniscalco, in cooperation with Operation Encore, a non profit committed to supporting singer/songwriter and musicians across the military and Veteran communities.Producer and Host Duane France is a retired Army Noncommissioned Officer, combat veteran, and clinical mental health counselor for service members, veterans, and their families.  You can find more about the work that he is doing at www.veteranmentalhealth.com  

Today's episode is a discussion of the Age-Friendly Health Systems, an initiative by the John A. Hartford Foundation and the Institute for Healthcare Improvement (IHI) to improve the care of older adults across healthcare settings. Amanda Meier of IHI will review the Age-Friendly Health Systems Action Community, the 4Ms framework, and how nursing home residents and staff can benefit from participation.Watch RecordingDownload Presentation SlidesCheck out our other interviews by visiting https://www.qualityinsights.org/qin/multimedia  This material was prepared by Quality Insights, a Quality Innovation Network - Quality Improvement Organization under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services (HHS). Views expressed in this material do not necessarily reflect the official views or policy of CMS or HHS, and any reference to a specific product or entity herein does not constitute endorsement of that product or entity by CMS or HHS. Publication number 12SOW-QI-GEN-032123-CC-A 

"This is the time for a different kind of leader" — Dr Kedar Mate, President and CEO of the Institue for Healthcare ImprovementIn this episode, President and CEO of the IHI, Dr Kedar Mate begins by reflecting on his upbringing and the formative years that impact his values. While working for Partners in Health, he saw first-hand how solving a complex problem in Peru helped him to understand values and complex systems. He goes on to highlight the importance of using values-based leadership and the utility of the Quality Improvement (QI) skill set. Next, Dr Mate elaborates on some of the challenges with QI, as well as some of the successes with nationwide healthcare models. We conclude with his reflections on taking on the role as the leader of the Institute for Healthcare Improvement (IHI) and the importance of self-care.Follow Dr Kedar Mate: Twitter/X, Linkedin.About the guest; Kedar Mate, MD, is the President and Chief Executive Officer at the Institute for Healthcare Improvement (IHI) and a member of the faculty at Weill Cornell Medical College. Dr. Mate's scholarly work has focused on healthcare quality, strategies for achieving large-scale change, and approaches to improving health equity and value.Resources mentioned in the podcast:Dr Mate's podcast Turn on the lightsThe Institution for Healthcare Improvement Basics of Quality Improvement - The Science of Improvement Plan-Do-Study-Act (PDSA) CyclePartners in Health WebsiteNetflix Documentary on Partners in Health - Bending the ArcBackground of Dr. Paul FarmerMusic attribution: AudioCoffee from Pixabay.Contact information: If you'd like to get in touch, reach out at jono@clinicalchangemakers.com This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.clinicalchangemakers.com

In this teaser episode, hosts Don Berwick and Kedar Mate introduce themselves and their roles within the Institute for Healthcare Improvement (IHI). They explain how Turn on the Lights is a thought-provoking podcast that will explore how the US healthcare system is working and not working. The podcast will feature candid conversations with healthcare workers, patients, innovators, activists, and researchers who share practical solutions and personal stories to improve healthcare delivery, equity, and quality. Topics discussed in the podcast will include improving health and healthcare delivery, health equity and quality, and social justice. The hosts encourage listeners to join the conversation and become part of the movement to improve health care worldwide. Learn more about your ad choices. Visit megaphone.fm/adchoices

Kate Debartolo of The Conversation Project is talking with us about advance care planning, and how to talk about what matters most to you. According to The Conversation Project website (theconversationproject.org), Kate “has worked at The Institute for Healthcare Improvement (IHI) since 2007. She currently leads The Conversation Project team and operations. Additionally, Kate manages and cultivates relationships with national and state-level organizations that help engage the general public in advance care planning.” Individuals can find the Conversation Starter Guide and use it to have discussions with their families.  The Conversation Project also has resources for choosing a healthcare proxy, being a healthcare proxy, and what to consider if you're dealing with a serious illness.  The TCP resources come in multiple languages and forms, easily accessed and edited. All the resources and workbooks are available at no charge. Take advantage of all the free guides The Conversation Project has to offer! Check out The Conversation Project website here. Get resources to get your conversation started here. Follow TCP on Facebook here. Connect with TCP on Twitter here. Find more information about hospice philosophy, end of life care, and self care for both personal and professional caregivers here.  Find more podcast episodes from The Heart of Hospice at The Heart of Hospice Podcast (theheartofhospice.com) Connect with podcast host Helen Bauer at helen@theheartofhospice.com. Book podcast host Helen Bauer to speak at your event or conference by sending an email to helen@theheartofhospice.com.    

How does the healthcare industry address issues of equity, diversity, and inclusion? Healthcare systems are run on data. This data can include anything from number of falls, number of infections, to how long it takes patients to enter and leave healthcare locations. This data also shows us that the number of wrong site surgeries go up when people don't feel psychologically safe to speak up. There is a direct correlation between the level of trust and safety that people feel at work, and the lived experience of patient outcomes. In this week's episode, EDI expert, Joann Wortham tells us about her experiences in helping healthcare executives address discrimination and inequity in their field. If you've been wondering how you can move the needle and influence patient outcomes for the better, this is the episode for you.THE FINER DETAILS OF THIS SHOWHow did you decide to step out of a lucrative career into the field of EDI (equity, diversity, and inclusion)? [02:26]How can an administration better understand the experiences of women and minorities in the healthcare system?[15:38]How do you inspire leaders in the healthcare industry to embrace EDI?[23:31]KEEP UP WITH JOANN WORTHAMFollow Joann Wortham on LinkedinEDI Is the New Black: Lead the Market with Diverse TeamsEPISODE RESOURCESJoin the Remarkable Leadership Lessons Community NowVisit the Remarkable Leadership Lessons SiteGot questions? Send them hereInterested in being a guest? Schedule an introduction call!Subscribe on Apple Podcasts, Spotify, or Google Podcasts, and leave us a rating or reviewGUEST BIOJoann Wortham is a seasoned international thought leader who uses insight from lived experiences along with her background in education, healthcare, business, and risk management to create novel approaches to today's most critical workplace concerns. With over twenty years of experience, as well as a Master of Science in nursing education and a Juris Doctorate, Ms. Wortham has presented and consulted for such prestigious groups as the Institute of Healthcare Improvement (IHI) and Yale Health. She was also a consultant and contributor to the American Society of Risk Management's (ASHRM) Human Capital Playbook. Her current book is entitled EDI is the New Black.

 Kirk B. Jensen, MD, MBA, FACEP, has spent over 20 years in Emergency Medicine management and clinical care. Board-certified in Emergency Medicine, he has been medical director for several emergency departments and is Chief Medical Officer for Best Practices, Inc. Dr. Jensen is a faculty member for the Institute for Healthcare Improvement (IHI) focusing on quality improvement, patient satisfaction, and patient flow both within the ED and throughout the hospital. He chaired two IHI communities, Improving Flow Through the Acute Care Setting and Operational and Clinical Improvement in the Emergency Department. Currently he is a leader of the innovative IHI seminars Cracking the Code to Hospital-wide Patient Flow and Perfecting Emergency Department Operations. Dr. Jensen is a popular speaker and coach for EDs across the country. He is co-author of two books, Leadership for Smooth Patient Flow (2007 ACHE Hamilton Award winner) and Hardwiring Flow. He is the recipient of the 2007-08 American College of Emergency Physicians (ACEP) Honorable Mention Speaker of the Year Award. Dr Jensen presents on patient safety, patient flow, operations management, and change management at the ACEP Emergency Department Directors Academy. In addition, Dr. Jensen served on the expert panel and site examination team of Urgent Matters, a Robert Wood Johnson Foundation Initiative focusing on helping hospitals eliminate ED crowding and congestion as well as preserving the health care safety net. Dr. Jensen holds a Bachelor s Degree in biology from the University of Illinois (Champaign) and a Medical Degree from the University of Illinois (Chicago). He completed a residency in Emergency Medicine at the University of Chicago Link to claim CME credit: https://www.surveymonkey.com/r/3DXCFW3 (https://www.surveymonkey.com/r/3DXCFW3) CME credit is available for up to 3 years after the stated release date Contact CEOD@bmhcc.org if you have any questions about claiming credit.

In 2010  Ellen Dunham Jones gave a TedTalk on retrofitting the suburbs and repurposing malls. In 2021, Kedar Mate et al authored a piece in Harvard Business Review Why Health Care Systems Should Invest in Medical Malls Kedar Mate, MD, is the President and Chief Executive Officer at the Institute for Healthcare Improvement (IHI), President of the Lucian Leape Institute, and a member of the faculty at Weill Cornell Medical College. Dr. Mate's scholarly work has focused on health system design, health care quality, strategies for achieving large-scale change, and approaches to improving value. Previously Dr. Mate worked at Partners In Health, the World Health Organization, Brigham and Women's Hospital, and served as IHI's Chief Innovation and Education Officer.  Dr. Mate has published numerous peer-reviewed articles, book chapters and white papers and has received multiple honors including serving as a Soros Fellow, Fulbright Specialist, Zetema Panelist, and an Aspen Institute Health Innovators Fellow. He graduated from Brown University with a degree in American History and from Harvard Medical School with a medical degree.  You can follow him on twitter at @KedarMate Ian Sinnett, AIA, ACHA, is a Principal and board-certified healthcare architect who co-leads the Dallas Health Practice for Perkins&Will. His expertise is concentrated on the strategic, pre-design, programming, and planning phases of projects furthered by a continued level of intensity and project engagement through completion and first-patient. Ian has worked with a range of for-profit, developer, rural, academic, and not-for-profit clients including MD Anderson Cancer Center, HCA, UT Southwestern, Children's Health, Penn Medicine, Legacy Community Health, and RedBird Dallas. Notable recent projects include critical access hospitals in Uvalde, TX and Pecos, TX, a complete reconfiguration and expansion of the Lancaster General Health ED (15th busiest in the US), and acting as the Principal in Charge of the RedBird Mall Sears Dark Store revitalization with UT Southwestern and Children's Health in Southern Dallas. Outside of his professional life, Ian travels the world with his wife, is a volunteer and advocate for Big Brothers Big Sisters, and is building his dream get-a-away in the high deserts of West Texas.

In this podcast we cover - 1. Nuances of understanding value-based care and the invisible care-giver economy 2. The importance of caring for caregivers 3. Insights on who the caregivers are and their experience with COVID Nirav R. Shah, MD, MPH, is Senior Scholar at Stanford University's Clinical Excellence Research Center. He is a leader in patient safety and quality, innovation and digital health, and the strategies required to transition to lower-cost, patient-centered health care. Board-certified in Internal Medicine, Dr. Shah is a graduate of Harvard College and Yale School of Medicine, and is an elected member of the National Academy of Medicine. He serves as an independent director for STERIS plc, as trustee for The John A. Hartford Foundation, as Senior Fellow of the Institute for Healthcare Improvement (IHI), and as a member of the HHS Secretary's Advisory Committee on National Health Promotion and Disease Prevention Objectives for 2030. Previously, he served as senior vice president and Chief Operating Officer for clinical operations for Kaiser Permanente in Southern California, and as Commissioner of the New York State Department of Health. Quotes At 3mins 27 seconds “I learned from the AARP, the American Association of Retired Persons, that unpaid family caregivers are responsible for about $500 billion, that's Billion with a B, dollars of care every year that they're not paid for. So fully 2% 2.5% of our GDP in America is silent, it's invisible.” At 5mins 18 seconds For the last few decades in America, we've been talking about this thing called value based care. And what value based care means is that we're not going to be paying for things one at a time, we're going to be paying for improvement in outcomes and overall care. At 13mins 09 seconds I'm making a story about how important it is to move care into the home. Well, I think that's what we used to call house calls a few decades ago, right? It used to be normal that the doctor came to you in your home, and actually outside of America, that is still the norm in many other countries. So what we're finding is that we're reinventing and rediscovering what used to work, it made a lot of sense. At 16mins 22 seconds The research we've done at Stanford so far has shown that this cost and burden can last decades in terms of psychological impact, in terms of total cost of care in terms of your own health burdens, in terms of having heart attacks, in terms of dying young, as a caregiver, that kind of impact can be averted. And that's the lesson here is take care of yourself. So you can better take care of your loved one as well. Disclaimer: This podcast is for general informational purposes only and does not constitute the practice of medicine, nursing or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast or materials linked from this podcast is at the user's own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard, or delay in obtaining, medical advice for any medical condition they may have, and should seek the assistance of their health care professionals for any such conditions. --- Support this podcast: https://podcasters.spotify.com/pod/show/manta-cares/support

Dr. Thom Mayer has been widely recognized as one the nation's foremost experts in leadership, management, and customer service in healthcare. His skills as a speaker are legendary, and are attested to by the fact that he was named Outstanding Speaker of the Year for the American College of Emergency Physicians in the second year of the award, and has twice been given the Over the Top; Award, which is given to the highest rated speaker of the year for the American College of Emergency Physicians. Dr. Mayer has given Keynote speeches at numerous national conferences, including those for The Studer Group. Dr. Mayer has published over 60 articles, 60 book chapters, and has edited ten textbooks on healthcare leadership, customer service, and emergency medicine. Dr. Mayer wrote Leadership for Great Customer Service, about which leadership guru Tom Peters said, 'I honestly can t remember when I ve seen so much of so much importance crammed into a short book. This book is laser-like in its aim'; Most recently, Dr. Mayer wrote Leadership for Smooth Patient Flow. The Emergency Department and Hospitalists services for which he is responsible have won awards from virtually every survey company in healthcare, including one client whose scores rose from the first percentile to the 85th percentile in one year. On September 11, 2001, Dr. Mayer served as one of the Command Physicians at the Pentagon Rescue Operation, coordinating all medical assets at the site. In addition, physicians under his direction were the first to successfully diagnose and treat inhalation anthrax victims during the fall 2001 anthrax crises in the nation s capital. Dr. Mayer also serves as the Medical Director of the NFL Player s Association. Insightful lessons and anecdotes from all of these experiences are woven into his presentations. Without exception, client audiences have raved about Dr. Mayer s presentations, citing their warmth, wisdom, and extremely humorous presentation. Dr. Mayer s passion and energy in speaking about customer service and leadership in healthcare have resulted in valuable lessons and practical applications. Kirk B. Jensen, MD, MBA, FACEP, has spent over 20 years in Emergency Medicine management and clinical care. Board-certified in Emergency Medicine, he has been medical director for several emergency departments and is Chief Medical Officer for BestPractices, Inc. Dr. Jensen is a faculty member for the Institute for Healthcare Improvement (IHI) focusing on quality improvement, patient satisfaction, and patient flow both within the ED and throughout the hospital. He chaired two IHI communities; Improving Flow Through the Acute Care Setting and Operational and Clinical Improvement in the Emergency Department. Currently he is a leader of the innovative IHI seminars Cracking the Code to Hospital-wide Patient Flow and Perfecting Emergency Department Operations. Dr. Jensen is a popular speaker and coach for EDs across the country. He is co-author of two books, Leadership for Smooth Patient Flow (2007 ACHE Hamilton Award winner) and Hardwiring Flow. He is the recipient of the 2007-08 American College of Emergency Physicians (ACEP) Honorable Mention Speaker of the Year Award. Dr Jensen presents on patient safety, patient flow, operations management, and change management at the ACEP Emergency Department Directors Academy. In addition, Dr. Jensen served on the expert panel and site examination team of Urgent Matters, a Robert Wood Johnson Foundation Initiative focusing on helping hospitals eliminate ED crowding and congestion as well as preserving the health care safety net. Dr. Jensen holds a Bachelor s Degree in biology from the University of Illinois (Champaign) and a Medical Degree from the University of Illinois (Chicago). He completed a residency in Emergency Medicine at the University of Chicago Link to claim CME credit: https://www.surveymonkey.com/r/3DXCFW3...

At the beginning of the pandemic when nursing homes were a hotbed for COVID-19 infections and many untimely deaths, the Institute for Healthcare Improvement (IHI) began hosting daily phone calls where hundreds of facilities joined to quickly get and share information that would improve their response. It led to a larger project over the next year that included every nursing home in the country sharing knowledge and information, and is an excellent example of how IHI achieves its mission of helping to improve quality and outcomes by learning and teaching best practices.IHI was founded more than 30 years ago to improve the safety and quality of healthcare by studying how leading companies in other industries systematize processes to apply learnings across the healthcare ecosystem. Don Berwick, IHI's founder, and Maureen Bisognano, president emerita, talked about the genesis of the organization as guests on the Healthcare is Hard podcast in February 2019. Since July 2020, the organization has been led by our guest for this episode: IHI's current president and CEO, Dr. Kedar Mate.In this episode, Dr. Mate talked to Keith Figlioli about his background as an Indian-American and how time spent in his youth traveling between both countries helped drive him towards a career dedicated to addressing health related injustice and inequities. They discuss many facets of the work he's doing at IHI including:Questioning IHI's relevance. After three decades of measurable success working towards its mission, one of Dr. Mate's first decisions as IHI's new CEO was to audit the organization and its relevance in a rapidly-evolving healthcare landscape. He describes three core value propositions – the organization's methods, ability to inspire, and quest for driving results at scale – and how they apply today.Teaching – and learning – globally. With so many challenges around quality, outcomes and costs to overcome in the U.S. healthcare system alone, Dr. Mate talks about why IHI has chosen a broader, global focus. Much like the organization's mission of bringing knowledge from other industries into healthcare, its involvement in healthcare delivery around the world enables it to identify and share strategies that are working across healthcare economies. Measuring outcomes vs. process. Dr. Mate shares his belief about the current flaws in measuring care quality. He talks about how outcome-based measurement is underrepresented in favor of process-based measurement, and how the industry has a tendency to continue creating new measures without sunsetting old ones. He also shares the important reminder that measurement itself is not the objective, and that we must not lose sight of giving organizations tools and methods so they can actually change their measures and create better results.Quality and new care delivery. With new sites of care and options for virtual care continuing to grow, Dr. Mate and Keith talk about the role quality measurements will plan in the future of healthcare. They discuss the imperative for setting standards and measurements for virtual care and technology-enabled services, and how quality can become the major differentiator when there are no limitations on geographic boundaries.To hear Dr. Mate and Keith talk about these topics and more, listen to this episode of Healthcare is Hard: A Podcast for Insiders.

Lisez l'article correspondant dans Perspective ACPM :Débreffage de l'équipe : Y participer, c'est réduire vos risques médico-légauxFramework for Improvement de l'Institute for Healthcare Improvement (IHI) (en anglais)

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.

Join us as we hear from Jessica Perlo, Senior Director at the Institute for Healthcare Improvement. As an Improvement Advisor, Jessica has led many initiatives in IHI to address burnout and restore individual wellness including a focus on restoring joy to the health care workforce, and the Healthcare Workforce Rescue Package from the All In Well-Being Campaign.  The information presented during the podcast reflects solely the opinions of the presenter. The information and materials are not, and are not intended as, a comprehensive source of drug information on this topic. The contents of the podcast have not been reviewed by ASHP, and should neither be interpreted as the official policies of ASHP, nor an endorsement of any product(s), nor should they be considered as a substitute for the professional judgment of the pharmacist or physician.

Professor Don Berwick, MD, MPP, FRCP, KBE, is President Emeritus and Senior Fellow at the Institute for Healthcare Improvement (IHI). This podcast episode is a recording of the live conversation with Don from the penultimate session in the #LfE4 conference, October 2021. Don speaks about his career, his reflections on his paper about the three eras of healthcare, and what he thinks we can do to make healthcare better before answering some questions posed by the audience. Here are some links to some of the content from the conversation: Summary of the Era 3 paper The Moral Determinants of Health Dr W Edwards Deming's red bead experiment

As everyone knows, I been saying for over a year to stay out the hospitals. If you want to know why, just go listen to our show a few weeks ago with Dr. Bryan Ardis. But today, our guest is currently still working in healthcare. Dr. David Wilcox is a nursing professional and hospital administrator. He is so disturbed about things going on in healthcare that he wrote a book about it: How To Avoid Being a Victim of the American Healthcare System: A Patient's Handbook for SurvivalIt sounds like there has been a lot of fraud and a lot shady political dealings going on in healthcare for a long, long time. NOTE: I disagree strongly with some of the views of our guest, however, he still works in the healthcare system and we respect his willingness to come on and speak on some of these issues. If you find yourself in the hospital for whatever reason, this is good information to add to your bag. As always we are not providing medical advice. Please talk to your doctor or trusted healthcare professional. Guest Bio:Dr. David Wilcox was born and raised in Syracuse NY. One of his earliest memories was of his grandmother telling him that he would be a doctor one day. It didn't appear that he was following the correct path to that dream as he dropped out of high school and left home at 15 years old. After a failed first marriage that produced a special needs child, Dr. Wilcox knew without a doubt he wanted to be a caregiver. This led him to get his licensed practical nurse (LPN) certification and began his journey into the medical profession. Over the years Dr. Wilcox was a kidney/pancreas transplant nurse as well as an intensive care unit nurse, and emergency department nurse. Later he moved to North Carolina and journeyed into nursing management and became a nursing supervisor while obtaining his bachelor's degree in nursing and master's degree in health administration. He also studied patient throughput or the movement of patients in a hospital and became a patient throughput director. In this role he spoke at many Institute of Healthcare Improvement (IHI) conferences on the creative ways he found to ensure patients being admitted had open beds to go to. Later seeing an opportunity in healthcare information technology (IT) Dr. Wilcox joined a healthcare IT company where he obtained his Lean Six Sigma Black Belt (LSSBB) certification and his doctorate becoming a thought leader in efficient ways to care for patients using technology and clinical buy-in. This journey led him to create this book to reach patients and empower them with the knowledge to better partner with their health care providers. Dr. Wilcox continues to reside in North Carolina with his wife of 21 years Eva and his three dogs. Being fond of dog rescues, the couple has two English Setters Koni and Ezra, and a beagle rat terrier mix Eleanor Rose. The author can be reached at drdavidwilcox.com.My Patriot Supply The original Patriot survival company. My Patriot Supply was founded by people with a passion for seDisclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to you.Support the show (https://www.paypal.com/donate/?hosted_button_id=PSTD4CUDH4ENE)

Jennifer is the Manager of the Performance Improvement Department at the Medical University of South Carolina and is a retired Air Force E9 Chief Master Sergeant with 32 years of clinical, administrative and performance improvement experience in hospital, ambulatory care and dental facilities in a variety of settings worldwide. At MUSC Jennifer and her team of Six Sigma Green and Black Belts supports executive leadership teams in the deployment of Lean Six Sigma throughout the organization by developing and delivering Lean Six Sigma training programs and leading system wide improvement projects. Jennifer has a MBA in Human Resources, a BS in Occupational Education and Health Administration, she is a certified Six Sigma Master Black Belt and LEAN Sensei, she is a member of the American Society for Quality (ASQ), the Institute of Industrial and System Engineers (IISE), Society of Health Systems (SHS), Institute for Healthcare Improvement (IHI) and Project Management Institute (PMI). Here in episode #32 Jennifer opens the show with a great leadership mindset, she shares her career journey from the Air Force and into her current leadership role, she highlights the value of Demings 14 points of management, and breaks down the cultural differences between military leadership culture and civilian hospital culture, she shares a great tactic for letting teams vent their emotions when launching new projects, she connects a major career aha moment with the tastiest training exercise ever, Jennifer highlights an often overlooked opportunity for healthcare systems to focus on aligning cultures following company mergers, and after reviewing this session I really wish that I had stayed on that topic just a little bit longer. Jennifer then calls on all quality people to become better storytellers and turns our mentor question around and highlights the power of professional sponsorships. Jennifer you are truly one of a kind! From all of the value that you're delivering in today's show to your leadership with the conference and the exceptional team you've built there at MUSC. I thank you sincerely for the contributions that you're bringing to the industry and also for your past service to this country. --- Send in a voice message: https://anchor.fm/healthcarequalitycast/message

A qualidade é premissa básica para todos os envolvidos na saúde - profissionais do setor, hospitais, operadores de planos de saúde, etc. Mas o que será que significa qualidade em saúde e quais são as suas dimensões? Quais os mecanismos para mensurar estes indicadores e como este tema é visto por quem atua no setor? Este episódio é um convite para mergulhar neste universo da qualidade e saúde e descobrir em que direção o Brasil caminha neste sentido. A qualidade da atenção prestada e a segurança do paciente é uma das principais bandeiras levantadas pela Anahp desde sua formação, há 20 anos. E neste ano, a associação intensificou o trabalho de divulgação dos indicadores de qualidade hospitalar. Este material, gratuito e já disponível para downlaod, é uma das raras fontes de informação do setor hospitalar que, além de proporcionar benchmarking, tem a pretensão de servir de parâmetro para beneficiários e contratantes de serviços de saúde. O que, na prática, significa democratizar o acesso à informação. Já ficou claro que a qualidade deve se tornar prioridade na saúde no pós-pandemia. Apesar de todos os males e muitas vidas perdidas, a crise que vivemos tem evidenciado ainda mais a importância desse tema para quem busca entregar cuidado e prestar assistência com valor. Mas, apesar da qualidade ser uma das premissas mais básicas em qualquer sistema de saúde, a realidade nem sempre reflete esse princípio. A qualidade é uma cultura, e muitos fatores precisam estar alinhados para que a entrega seja completa. Processos bem estabelecidos, protocolos alinhados, equipe integrada, mensuração de dados e compartilhamento de informações, por exemplo, são passos fundamentais nesse processo. Sem contar a importância de mecanismos que atestam a qualidade, como o caso das acreditações hospitalares de mais certificações específicas. Hoje, no Brasil, podemos dizer que apenas cerca de 6% dos mais de 6 mil hospitais do país são acreditados. Mas o fato é que qualidade não se faz sozinho. Para que o resultado chegue, é preciso uma conscientização coletiva, de todos os elos do setor, e muita cooperação. Para falar sobre tudo isso, o Por Dentro da Saúde traz, neste episódio, dois convidados especialistas no tema: - Paulo Borem, diretor sênior do Institute for Healthcare Improvement (IHI) para a região da América Latina - Pedro Villela, diretor-adjunto substituto da Agência Nacional de Saúde Suplementar (ANS)

Kevin chats us through what sepsis is and how to treat and manage sepsis patients. Top 3 Points from this podcast: Follow your A to E approach  For a septic patient if you have the ability and can't get blood cultures then deliver antibiotics Give fluid and continually reassess and consider the sepsis 6. About Kevin: Kevin Rooney was appointed as a consultant in Intensive Care and Anaesthesia at the Royal Alexandra Hospital in Paisley in July 2003. He is the Clinical Director for Critical Care in Clyde Sector of Greater Glasgow & Clyde Health Board. Between January 2011 and February 2020, Kevin was Professor of Care Improvement at the Institute for Research in Healthcare Policy and Practice within the University of the West of Scotland. He continues to practice in Intensive Care & Anaesthesia at the Royal Alexandra Hospital where he can pursue his interests of patient safety, clinical critical care research and healthcare quality improvement. Between 2012-17, Professor Rooney was the Clinical Lead for the Acute Adult Workstream of the Scottish Patient Safety Programme for Healthcare Improvement Scotland and led their breakthrough series collaborative on Sepsis, which resulted in a sustained relative risk reduction of 21% in sepsis mortality across Scotland, as well as a 27% reduction in cardiac arrests. Kevin is a Fellow for the Scottish Patient Safety Programme and a Founding Member of the Q initiative for the Health Foundation and the National Health Service. As critical care faculty for the Institute for Healthcare Improvement (IHI) he has taught quality improvement for IHI in the Hospitais da Universidade de Coimbra project (Portugal), “Patientsikkert Sygehus”  (Danish Patient Safety Programme), the Improvement Science in Action Course for the National Guard Health Affairs in Saudi Arabia, the Best Care Always Programme for the Hamad Medical Corporation in Qatar and finally the Salus Vitae programme in Brazil. Recent awards include Doctor of the Year Award in the Scottish Health Awards 2015, the Scottish Health Award 2014 for Innovation and a NHS Greater Glasgow & Clyde Chairman's Gold Award for excellence in clinical practice in 2014. In April 2018, Kevin was recognised by The Herald newspaper as one of the 70 NHS heroes to commemorate 70 years of NHS Scotland.

Welcome to the QI Guy in Conversation with...In this episode, I'm in conversation with Prof. Jason Leitch, National Clinical Director for NHS Scotland. Jason graduated in dentistry from the University of Glasgow in 1991. He became a Fellow of the Faculty of Dental Surgery at the Royal College of Surgeons (England) in 1996. He has a doctorate from the University of Glasgow, a Masters in Public Health from Harvard University and is a fellow of The Royal College of Physicians and Surgeons of Glasgow and the Royal College of Surgeons of Edinburgh (2004). He was a 2005-06 Quality Improvement Fellow at the Institute for Healthcare Improvement (IHI), in Boston, sponsored by the Health Foundation, he is now a Senior Fellow at the IHI. Jason was also part of the senior team who conceived, designed and led the Scottish Patient Safety Programme and now he is talking to me! Follow Jason on Twitter: @JasonLeitch Watch Jason's HIS QI Connect session as he reflects on the COVID-19 pandemic and his learning about leading in a crisis situation: https://www.youtube.com/watch?v=m6Ac6-phF8I&t=1445s Follow on Twitter: @The QI_Guy Subscribe wherever you get your podcasts!

Guest Alice Bonner, PhD, RN, FAAN, Senior Advisor on Aging, Institute for Healthcare Improvement (IHI) “What Matters to You?” is a simple question to ensure person-centered care. Using it can create deeper personal connection between clinicians, patients and patients' families leading to more meaningful care plans. Dr. Alice Bonner of the Institute for Healthcare Improvement discusses how this question has spawned multiple initiatives designed to drive shared decision-making across all healthcare settings. Key Topics Introducing our guest, Alice Bonner, PhD, RN, FAAN, Senior Advisor on Aging, Institute for Healthcare Improvement (IHI) (1:32) The difference between “what matters to you?” and “what's the matter with you?” (3:25) A theme in patient feedback across settings (4:41) The vulnerability of the patient role (6:12) Drivers of patient-centered care (10:24) The impact of telehealth (13:03) National organizations engaged with this idea (15:48) The Conversation Project (17:10) Measuring the impact (21:48) Integrating with your quality program (24:30) “It's not a heavy lift.” (26:17) Referenced in this podcast Barry, Michael J., Edgman-Levitan, Susan. (2012) Shared Decision Making – The Pinnacle of Patient Centered Care. New England Journal of Medicine, 366, 780-781. What Matters to You? What Matters(IHI website with resources) The Conversation Project (IHI website with resources) Center to Advance Palliative Care (Eliciting Patient Priorities via Telehealth) Ariadne Labs Dr. Bonner can be reached at abonner@IHI.org. Sign up for e-newsletters focused on your healthcare setting.

Open educational resources are teaching materials that are either in the public domain or have been released under a creative commons license, allowing them to be used. The Institute for Healthcare Improvement (IHI) offers a wealth of QI and patient safety resources for students, faculty, and healthcare organizations. Dr. Aaron Sebach discusses how the IHI open educational resources are usedto promote competency in DNP students from a QI perspective.

Dr. Sachin Jain says he got a silent education about healthcare and medicine around the dinner table from his father, an anesthesiologist and pioneer in pain management. But he still wasn’t sold on a career in healthcare until the end of his junior year at Harvard when he took a course on the quality of healthcare in the U.S. taught by Dr. Howard Hiatt and (one of this podcast’s first guest) Dr. Don Berwick.That decision kicked-off a career where Sachin has packed experience from nearly every angle of the healthcare industry into the last 20 years. Immediately following his junior year at Harvard, Don Berwick offered him a summer internship with the Institute for Healthcare Improvement (IHI) working on its Pursuing Perfection Initiative. This provided an opportunity to visit and study the nation’s best health systems at Don’s side and opened the door to a tremendous network of national healthcare leaders.A few year later, Sachin landed in Washington, DC as Special Assistant to the National Coordinator for Health IT during the Obama Administration and then Senior Advisor to the CMS Administrator (his mentor, Don Berwick). He then jumped back to the provider side as a resident at Brigham and Women’s Hospital in Boston for four years, before seeing healthcare through the pharmaceutical lens as Chief Medical Information and Innovation Officer at Merck. In 2014, he was recruited to the west coast by Anthem Blue Cross Blue Shield, where he was CEO of its subsidiary, CareMore Health, a care delivery system for Medicare and Medicaid patients, and CEO of Aspire, a large palliative care provider that was acquired by Anthem in 2018.In July 2020, Sachin became CEO at SCAN Health Plan, a non-profit founded as the Senior Care Action Network in the late 70s that’s now a Medicare Advantage HMO with 220,000 members and revenues over $3.5 billion.At SCAN, Sachin has continued his commitment to disrupting the status quo in healthcare. On this episode of Healthcare Is Hard, he discussed many of his ideas with Keith Figlioli, including:Making hospitals less necessary. A few years back, Sachin was in the running to lead a nationally-known integrated health system and laughs at himself when he thinks of his final pitch to the board. He argued for revenues to go down, fewer beds and facilities, less fee for service revenue, and more risk-based revenue. While he fully understands how this goes against everything driving health systems for the past two decades, it aligns with his fundamental belief that healthcare needs to focus more intensely on outpatient management of people with chronic diseases to keep them out of hospitals as much as possible.Medicare advantage as a blueprint of Medicare for all. Sachin says he doesn’t think Americans trust the public sector to fund and provide healthcare, but he believes people could get behind healthcare that is government funded and privately delivered. With elements like a coordinated network, transparency around quality, incentives for consumer experience, and rewards for higher participation, he believes MA could be a solution to full coverage.Islands of innovation. While Sachin sees lots of creativity and reinvention around individual verticals and addressing single diseases, he’s frustrated with the lack of connective tissue between them and thinks this will get worse before it gets better. He says the next phase will have to be focused on connecting all these pieces to treat the full patient and that it will be incumbent on private markets to think creatively about deal structure to incentivize it.To hear Sachin and Keith talk about these topics and more, listen to this episode of Healthcare is Hard.

Innovation is a big part of the conversation this week on “Let Me Say This About That.” In Episode 69, Susan Ryan sat down with Alice Bonner, who has been a geriatric nurse practitioner caring for older adults and their families for over 30 years. She is currently adjunct faculty and director of strategic partnerships for the CAPABLE program at the Johns Hopkins University School of Nursing and senior advisor for aging at the Institute for Healthcare Improvement (IHI). Marla and Mary discuss Project ECHO and the role it has played in healthcare. Bonner’s work with IHI involved Project ECHO and she is a big fan of the model, as is The Green House Project. Mary shares the number of initiatives Green House has launched using Project ECHO and the impact it has had on those learning through that model. Bonner also speaks about the barriers to innovation and Marla explores a report from Canada on effective innovation for long-term care. Both Mary and Marla discuss the benefits of the report and utilizing the perspective from another country. They examine Bonner’s greatest hope, fear, and her call to action. Plus, Marla adds an Irish proverb in the mix. Hear what it is and how it applies to our discussion today!   Find out more about Project Echo here: https://hsc.unm.edu/echo/  Read more about the Element of an Effective Innovation Strategy for LTC in Ontario here: https://neltoolkit.rnao.ca/sites/default/files/Elements%20of%20an%20Effective%20Innovation%20Strategy%20for%20Long%20Term%20Care%20in%20Ontario%202011.pdf 

Dr. Bob dials up Dr. Donald Berwick for a big-picture discussion about improving healthcare – generally, and as it relates to COVID. Don talks about the origins of the patient safety movement, his time running the Centers for Medicare & Medicaid Services during the passage and implementation of the Affordable Care Act, and what lessons he's taking away from the pandemic. Plus, how to tackle the longstanding inequities in health care – and beyond – in America.   Follow Dr. Bob on Twitter @Bob_Wachter and check out In the Bubble’s new Twitter account @inthebubblepod.   Follow Don Berwick on Twitter @donberwick.    Keep up with Andy in D.C. on Twitter @ASlavitt and Instagram @andyslavitt.   In the Bubble is supported in part by listeners like you. Become a member, get exclusive bonus content, ask Andy questions, and get discounted merch at https://www.lemonadamedia.com/inthebubble/    Support the show by checking out our sponsors!   Click this link for a list of current sponsors and discount codes for this show and all Lemonada shows: https://drive.google.com/file/d/1NEJFhcReE4ejw2Kw7ba8DVJ1xQLogPwA/view    Check out these resources from today’s episode:    Keep up with all the work being done at the Institute for Healthcare Improvement (IHI) at their website: http://www.ihi.org/  Check out the book Don mentioned, The Health Gap by Michael Marmot: https://www.bloomsbury.com/us/the-health-gap-9781632860781/ Learn more about the Swiss Cheese Model of pandemic defense: https://www.nytimes.com/2020/12/05/health/coronavirus-swiss-cheese-infection-mackay.html  Read the 1999 Institute of Medicine report on medical mistakes that Bob mentions in today’s episode: https://www.nap.edu/resource/9728/To-Err-is-Human-1999--report-brief.pdf  Watch Don’s full 2012 Harvard Medical School commencement speech: https://youtu.be/wmEbO58chac  Learn more about Dr. Bob Wachter and the UCSF Department of Medicine here: https://medicine.ucsf.edu/    To follow along with a transcript and/or take notes for friends and family, go to www.lemonadamedia.com/show/in-the-bubble shortly after the air date.   Stay up to date with us on Twitter, Facebook, and Instagram at @LemonadaMedia. For additional resources, information, and a transcript of the episode, visit lemonadamedia.com. See omnystudio.com/listener for privacy information.

Age-Friendly Health Systems: History and Overview "Age-friendly Health Systems create a system of care where there's good communication, good leadership, and information systems that track across (care settings)."— Alice Bonner, PhD, RN With nine years to go before the last Baby Boomers reach age 65, our nation is on a short timeline to develop the infrastructure needed to provide quality care for older adults in our hospitals and health care systems.  With that vision in mind, a system of "age-friendly environments" is emerging from the collaborative efforts between the John A. Hartford Foundation and the Institute for Healthcare Improvement (IHI) in partnership with the American Hospital Association (AHA) and the Catholic Health Association of the United States (CHA). The first podcast interview for This is Getting Old: Moving Towards an Age-Friendly World was with Dr. Terry Fulmer who has led development of the Age-Friendly Health Systems initiative (Episode 3). Building on that interview, in this episode, Dr. Alice Bonner shares the history and an overview of the Age-Friendly Health Systems. The goal of the age-friendly health system is to guide development of an infastructure required for hospitals and health systems to deliver evidence-based care for all - not just for older adults. Discover how the system empowers all health care settings to implement the 4M’s Framework to facilitate care for older adults. Part One of 'Age-Friendly Health Systems: Evidence-Based Care for All Older Adults'  Age-Friendly Health Systems: A History And Overview The Age-Friendly Health Systems: Evidence-Based Care for All Older Adults offers healthcare systems opportunities to help older adults residing within them. The model further emphasizes that societies must strive to counter age-based stigma, referred to as ageism, towards elderlies. This is to encourage independence for older people and to implement strategies that promote healthy aging. The idea came about from several organizations and individuals who look at the current health system, the current system of communities and public health, and how healthcare facilities are run.  They brought together expert clinicians, researchers, and people who spent their lives working with older adults. They started doing a big review of the literature and combed through several references. They've found that there are 90 elements of care guided explicitly toward older people's best care. They did lots of brainstorming, had meetings, and repeatedly went over the literature until they got down from 90 elements to 13 elements. Then everybody said, "13 things are just too many things to ask nurses and doctors and social workers to do". So they got together in a room and didn't come out until they had called it down to four elements, and those four elements all start with the letter M. What Matters? Medications, Mobility, and Mentation. "Age-friendly health systems allow people to customize; it promotes leadership; it requires leadership. And not just a medical director, but nursing leadership, social work, leadership, pharmacy leadership. It's about the interprofessional team."- Alice Bonner, PhD, RN  Age-Friendly Care – 4Ms Framework The 4M's are the core practices that clinicians believed to make a difference in administering care. Alice emphasized that health systems should implement these 4Ms accurately. According to her, "By addressing these 4Ms, we're talking about assessing people and then acting on those assessments. It isn't enough to do an assessment and put a piece of paper in the chart. What you want to do is say, "Okay, how can we act on this?" The Age-Friendly Care Systems 4Ms frameworks evolve on the following concepts:   What Matters   Know and align care with each older adult's specific health outcome goals and care preferences, including end-of-life care and across settings of care.    Medication   If medication is necessary, use age-friendly medication that does not interfere with What Matters to the older adult, mobility, or mentation across the setting of care.   Mentation   Prevent, identify, treat, and manage dementia, depression, and delirium across care settings.   Mobility   Ensure that older adults move safely every day to maintain function and do What Matters. Part Two of ''Age-Friendly Health Systems: Evidence-Based Care for All Older Adults’  The Principles Behind Age-Friendly Health System   Alice further stressed that most people are not thinking about ageism and includes stereotyped beliefs that discriminate against older adults. It’s not widely recognized, until it happens to you or someone you love.  Age-friendly systems look at how workers at health systems speak, the language they use, the references they make, and how they handle ageism and get rid of it. The Frameworks Institute has several resources and reports to help you learn more about how to effectively counter ageism. That is the primary reason why the forerunners of the 4Ms framework of the age-friendly systems anchored the system on the following principles. The 4Ms are set to be integrated into care for every adult ages 65 and older during every inpatient stay for over a year in a primary care setting.   Age-Friendly Health Systems and the 4Ms are a framework to organize the efficient, reliable delivery of effective care with older adults.  The framework is intended to be an infrastructure that builds on the care you provide today.  Age-Friendly Health Systems are designed to close the gap between the evidence-based care that we know works and the reliable practice of that care with every older adult in every interaction. "We started with five health systems. We're now at over a thousand health systems across the country, which is pretty miraculous for a three or four-year project. And the goal is to make it not just a project but to make it sustainable in the way we deliver care everywhere, all the time, every day." — Alice Bonner, PhD, RN Why Should Health Systems Implement The 4Ms Framework? As of December 2020, over 1,000 hospitals, outpatient practices, retail-clinics, and post-acute long-term care communities have been recognized as working to become Age-Friendly Health Systems. Having described a detailed 4Ms approach in their setting, 178 of these have been identified as Committed to Care Excellence as exemplar sites working toward the 4Ms reliable practice. What Are Participants Saying? There's always measurement involved in being recognized as an age-friendly health system. You or your organization can participate by signing up and joining an active community.  Here are what some of the participants are saying about 4M's Framework of the Age-friendly System.  "My hospital joined the movement and was recognized as an Age-Friendly Health System Participant after sharing with IHI how we are putting the 4Ms into practice. I'm going to encourage my doctor's office to join, too. " "IHI recognized us as leaders in the movement, and as an Age-Friendly Health System Committed to Care Excellence when we shared three months of data on the number of older adults, we cared for with the 4Ms." About Melissa Batchelor, PhD, RN, FNP, FAAN: I earned my Bachelor of Science in Nursing ('96'96) and Master of Science in Nursing ('00'00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my PhD in Nursing and a post master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11'11) and then joined the Duke University School of Nursing faculty as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the faculty at George Washington University (GW) School of Nursing in 2018 as a (tenured) Associate Professor. I am also the Director of the GW Center for Aging, Health, and Humanities. Find out more about her work at https://melissabphd.com/.

Introducing the AHRQ ECHO National Nursing Home COVID-19 Action Network  "The goal of the COVID-19 Action Network is to collaboratively advance improvements in COVID-19 prevention and infection management.”— Alice Bonner, Ph.D., RN Covid-19 exacerbated nursing homes' conditions; everyone was taken aback and did not anticipate the virus's overwhelming spread. It brought unprecedented challenges to nursing homes, considering older adults and immunocompromised patients are more vulnerable to the virus.   With that, the call for nursing homes to adapt changes in administering care amidst the pandemic is necessary and urgent.  In this episode, Alice Bonner will share with you what the Covid-19 Action Network is doing to advance improvements in COVID-19 prevention and infection management in nursing homes during this pandemic. Discover how they are actively recruiting training centers (health systems) and nursing homes worldwide to join in on promoting health and well-being of residents and staff.  Part One of 'National Nursing Home COVID-19 Action Network’  What Is Covid-19 Action Network All About? Alice Bonner is a senior adviser for the aging at the Institute for Health Care Improvement (IHI) in Boston, Massachusetts, and is also an adjunct faculty at Johns Hopkins University.   With her expertise in the field, Alice Bonner in collaboration with IHI and Project ECHO and with the support from the CARES Act Provider Relief Fund for Nursing Homes, and the Agency for Healthcare Research and Quality (AHRQ) launched the COVID-19 Action Network.  “Supported by the federal Agency for Healthcare Research and Quality (AHRQ) and in collaboration with the Institute for Healthcare Improvement (IHI), Project ECHO is launching a National Nursing Home COVID-19 Action Network.” -Alice Bonner, Ph.D., RN What Are The Goals Of the Covid-19 Action Network? The Covid-19 Action Network program aims to promote the health and well-being of nursing home residents and staff.  Towards that end, they've been recruiting Training Centers to provide interactive training to nursing home staff.  The primary goal of which is to advance improvements in COVID-19 prevention and infection control.  Specifically, the program implement evidence-based best practices to help nursing homes;  Keep the  Coronavirus out.  Identify residents and staff who have been infected with the virus early. Prevent the spread of the virus among staff, residents, and visitors.  Provide safe, appropriate care to residents with mild and asymptomatic cases.  Ensure staff practice safety measures to protect residents and themselves.  Reduce social isolation for residents, families, and staff. Part Two of 'National Nursing Home COVID-19 Action Network’  How Are The Covid-19 Action Network Goals Achieved? Alice highlighted that Covid-19 Action Network is not a model where a bunch of experts swoop in and say, "We're going to do all these webinars and give you all this important information." Instead, it's an all teach and all learn style of interacting among nursing homes.  Thus, to achieve their goals, the collaborators walked the extra mile to;  Provide no-cost training and mentorship to thousands of nursing homes nationwide. Create a virtual learning community where nursing home staff can learn from experts and each other to expand the use of proven best practices. The COVID-19 Action Network's Approach  The team comes up with a COVID-19 Action Network's Approach, which includes weekly sessions over 16 weeks. The virtual sessions are in concise presentation coupled with case-based learning and discussion. Essentially, these sessions are facilitated by small interprofessional teams of subject matter and quality improvement experts.  On top of that, there will be a sharing of best practices that nursing home staff can implement immediately. Furthermore, the sessions follow a standardized curriculum updated regularly to reflect new evidence and best practices.  The highlights of the curriculum are; PPE current practices Infection management practices COVID-19 testing Clinical management of asymptomatic and mild cases Minimizing the spread of COVID-19 Managing social isolation "What nursing home staff need is the skill set of how to talk with families, how to think about the questions to ask, and how actually to improve systems of care and workflow." — Alice Bonner, Ph.D., RN Why Should Nursing Homes Participate? Alice believes that nursing home staff are stretched and strained because of the pandemic.  Project ECHO and Covid-19 Action Network inspires and motivates people who work in long-term care to take charge and be the champions and be the leaders.  They're encouraged to participate so they can gain practical information, skills, and resources to deal with the prevention and management of the Coronavirus. In joining the program, they'll be a part of a virtual learning community of specialists and peers.  Plus, the good thing about it is that participation is free and voluntary. Moreover, nursing homes that participate will receive $6,000 to compensate for staff time. Nursing homes can join through their local training center or by using The Project Echo form through January 2021. If you have enrolled with a training center, there is no need to fill out our form.  Nursing homes, sign up here if you haven’t already enrolled with a Training Center: https://hsc.unm.edu/echo/institute-programs/nursing-home/pages/ Questions? Email Alice Bonner: abonner@ihi.org Resources Mentioned In Podcast:   CDC Long-Term Care Facility Toolkit AHCA/NCAL's #GetVaccinated Campaign Leading Age Vaccination Toolkit   About Melissa Batchelor, Ph.D., RN, FNP, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my Ph.D. in Nursing and a post master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11) and then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the faculty at George Washington University (GW) School of Nursing in 2018 as a (tenured) Associate Professor, where I am also the Director of the GW Center for Aging, Health, and Humanities. Find out more about her work at https://melissabphd.com/.

Dr. Kedar Mate is the new President and CEO of the Institute for Healthcare Improvement (IHI), perhaps the world’s most respected healthcare quality improvement organization. Today, we discuss his vision for healthcare improvement in the coming years. We also will touch on the latest health news.**Be sure to subscribe to The Healthy Skeptic MD on your favorite podcast app and on Youtube!Link for our channel on podcast apps and Youtube: wavve.link/healthyskepticmd

Show notes and links: http://www.valuecapturellc.com/he26 Welcome to Episode #26 of Habitual Excellence, presented by Value Capture. We are joined by Kedar Mate, MD, President and Chief Executive Officer at the Institute for Healthcare Improvement (IHI), President of the IHI Lucian Leape Institute, and a member of the faculty at Weill Cornell Medical College. We are also joined by Patricia A. McGaffigan, RN, MS, CPPS, Vice President, Safety Programs, Institute for Healthcare Improvement (IHI), previously served as COO and Senior VP of Programs at the National Patient Safety Foundation until 2017, when the Foundation merged with IHI. In this episode, our host Mark Graban asks Kedar and Patricia about the IHI National Action Plan to Advance Patient Safety, how this is connected to the late Paul O'Neill, and the connections between workforce safety and patient safety. We also chat about the IHI National Forum and how that is a virtual event this year. Other links: To Err is Human (report) Safer Together (report) IHI Lucian Leape Institute

Welcome to Episode #104 (Season 4) of Creating a New Healthcare. I’m delighted to welcome back to this podcast Dr. Don Berwick - one of the leading authorities on healthcare quality & improvement over the past few decades.  Dr. Berwick is President Emeritus and Senior Fellow at the Institute for Healthcare Improvement (IHI), an organization that he co-founded and led as President and CEO for 18 years. In July 2010, President Obama appointed Dr. Berwick to the position of Administrator of the Centers for Medicare and Medicaid Services (CMS), which he held until December 2011. An elected member of the Institute of Medicine (IOM), Dr. Berwick served two terms on the IOM’s governing Council, and was a member of the IOM’s Global Health Board. He served on President Clinton's Advisory Commission on Consumer Protection and Quality in the Healthcare Industry. His body of work & contributions to the field of healthcare quality & safety are unparalleled, including two classics: the 1999 IOM report, ‘To Err is Human’ and the 2001 IOM report, ‘Crossing the Quality Chasm’. In 2005, he was appointed “Honorary Knight Commander of the British Empire” by Queen Elizabeth II, the highest honor awarded by the UK to non-British individuals, in recognition of his work with the British National Health Service. To say that Dr. Berwick brings a seasoned perspective on the current state of our healthcare system and the challenges we face as a nation is, to put it mildly, an understatement. What distinguishes Dr. Berwick even more than his record of accomplishment or his brilliant mind is his tireless reminders of the ethical responsibility we have to attend to the health of the American public - especially for those of us who are providers, administrators, policy makers, health insurance companies, as well as pharmaceutical and device manufacturers. A relevant quote from one of Dr. Berwick’s recent articles underscores this responsibility;  “Fate will not create the new normal; choices will.”  In this episode, we’ll cover a range of topics, including the following:Dr. Berwick’s recent article, Choices for the “New Normal” - which is a call-to-action and a leadership roadmap outlining crucial choices in six critical domains that will play a significant role in determining the future of healthcare delivery.Inequality and Inequity -  the relative lack of social support services provided in the US as compared to other developed nations; which Dr. Berwick describes as “the most notable wake-up call”.An ethical reframing of the social determinants of health, described in his recent article, The Moral Determinants of Health; along with some shocking statistics on inequities related to poverty, hunger, homelessness, social isolation, and the uninsured.The tragic and insidious institutional racism that is embedded in our healthcare delivery system, as well as in other institutions such as our criminal justice system.A critical reframing of healthcare that Dr Berwick refers to as “What Matters to You Medicine”; which he suggests should disrupt and replace the legacy “What’s the Matter With You” paradigm.Dr. Berwick is one of the greatest healthcare humanitarians and transformational leaders of our era. He is the quintessential example of empathic ethical leadership. We need more leaders like this in and around healthcare. Dr. Berwick’s recent publications are seminal. In these articles, he courageously cuts to the stark realities of our healthcare system. He not only lays bare the truth for all to see but also outlines the crucial leadership choices of our time. And even beyond that, he lays out a pathway for positive action. Dr. Berwick writes, speaks & acts with intellectual integrity, academic rigor, and with a disarmingly insightful and honest authenticity - as well as with a powerful voice based in morals and compassion. At times, it’s unsettling, uncomfortable and inconvenient. Make no mistake about it, Dr. Berwick’s message is not an academic treatise. It is a call for ethical action.Until next time, Be safe and be well.Zeev E. Neuwirth, MD

This is the first of a five-episode mini-series on Quality Improvement (QI) in Healthcare in collaboration with the Institute for Healthcare Improvement (IHI) student organization. The episode features the student leaders of the IHI Baylor College of Medicine chapter who introduce the organization, explain some of their group’s activities, and give a brief overview of what QI in healthcare is and why it’s so important!

"Coming out of this pandemic, and this crisis, I think the future for perioperative medicine is very bright and we should definitely take the opportunity and really build on that now..." The two co-vice presidents of The International Board of Perioperative Medicine join Desiree's POCAPALOOZA; this conversation is global in its context, with perceptive reflections upon the US healthcare market specifically. "Towards high‐quality peri‐operative care: a global perspective" - the paper we begin by discussing - is here: https://onlinelibrary.wiley.com/doi/full/10.1111/anae.14921 As anesthesiologists "we are part of teams" how can innovations like tele-medicine help us to do better? Are we right to be optimistic about our specialty in this difficult time? What are "the four M's"? The International Board for Perioperative Medicine is here: https://www.internationalboardpom.org/ The Global Health Data @ Work team - which both our guests contribute to - are an invaluable resource; visit them here: https://ghdatwork.com/team The Hartford Foundation is here: https://www.hfpg.org/ "Perioperative medicine journal" is here: https://perioperativemedicinejournal.biomedcentral.com/ Listeners will also doubtless enjoy this paper - highlighted in the conversation - here: "The Brain-Heart Connection: GCBH Recommendations to Manage Cardiovascular Risks to Brain Health" - https://www.aarp.org/content/dam/aarp/health/brain_health/2020/02/gcbh-heart-health-report-english.doi.10.26419-2Fpia.00099.001.pdf Presented by Desiree Chappell with Lee Fleisher, Professor and Chair of Anesthesiology and Critical Care, University of Pennsylvania and Carol Peden, Professor of Anesthesiology and Exec. Director of the Center for Health System Innovation, University of Southern California, University of Bath and the Institute for Healthcare Improvement (IHI). If you loved this piece please enjoy another episode of TopMedTalk featuring Lee Fleisher here: https://www.topmedtalk.com/ebpom-2019-brain-health-peri-operative-quality-initiative-poqi-6-what-can-we-do-tomorrow-2/ Or check out some more of Carol Peden's work here: https://www.topmedtalk.com/women-in-anaesthesia-part-6-carol-peden/ Attentive listeners will also recall that we mention the impressive work of Maurizio Cecconi; we profile him here: https://www.topmedtalk.com/topmedtalks-to-maurizio-cecconi/ And finally we mention change management, a theme on TopMedtalk. Check out this classic piece here: ERAS Team Working and managing change - https://www.topmedtalk.com/eras-team-working-and-managing-change/

This piece is about the application of data, how do we use it and when should we gather it? How important is it to "just get started and find out what the problem is"? Further reading is available here: https://bjanaesthesia.org/article/S0007-0912(17)33828-X/fulltext If you're interested in hearing more about the Enhanced Peri-Operative Care for High-risk patients (EPOCH) trial go here: https://www.topmedtalk.com/desirees-roundtable-carol-peden-epoch-qa/ Presented by Professor Carol Peden, Executive Director of the Center for Heath System Innovation and Professor of Anesthesiology at the Keck School of Medicine of the University of Southern California, Fellow of the Institute for Healthcare Improvement (IHI).

The two co-vice presidents of the international board of perioperative medicine join Desiree's POCAPALOOZA. This conversation is global in its context with perceptive reflections upon the US healthcare market. "Towards high‐quality peri‐operative care: a global perspective" - the paper we begin by discussing - is here: https://onlinelibrary.wiley.com/doi/full/10.1111/anae.14921 As anesthesiologists "we are part of teams" and "anesthesia and intensive care have developed a much higher profile after COVID and we should build on that". How can innovations like telemedicine help us to do better? Are we right to be optimistic about our specialty in this difficult time? The international board for perioperative medicine is here: https://www.internationalboardpom.org/ The Hartford Foundation is here: https://www.hfpg.org/ "Perioperative medicine journal" is here: https://perioperativemedicinejournal.biomedcentral.com/ Presented by Desiree Chappell with Lee Fleisher, Professor and Chair of Anesthesiology and Critical Care, University of Pennsylvania and Carol Peden, Professor of Anesthesiology and Exec. Director of the Center for Health System Innovation, University of Southern California, University of Bath and the Institute for Healthcare Improvement (IHI). Make sure you ride the POCAPALOOZA - to the good health of perioperative care - all the way round the world. Next stop? Hong Kong! We're raising money for APORG this year, if you enjoy listening to TopMedTalk please make a generous donation: https://www.justgiving.com/crowdfunding/protea-live?utm_id=1&utm_term=ZKW35J94X If you enjoyed this piece why not try out another episode of TopMedTalk featuring Lee Fleisher here: https://www.topmedtalk.com/ebpom-2019-brain-health-peri-operative-quality-initiative-poqi-6-what-can-we-do-tomorrow-2/ Or check out Carol Peden here: https://www.topmedtalk.com/women-in-anaesthesia-part-6-carol-peden/

COVID-19, The Center Holds! Gary Gunderson talks with Lauren Gunderson and Dr. Soma Stout. Soma, a primary care internist and pediatrician, is a Vice President at the Institute for Healthcare Improvement (IHI) and serves as Executive Lead of 100 Million Healthier Lives. Lauren Gunderson is a playwright, screenwriter and short story author. For two of the last three years she has also been the most produced playwright in America.

This is episode 31, "The Tremendous Good a Publicly Sponsored Insurance System Can Do." My guest, Donald Berwick, MD, has a Masters of Public Policy and is a Fellow of the Royal College of Physicians. He is President Emeritus and Senior Fellow at the Institute for Healthcare Improvement (IHI), an organization that Dr. Berwick co-founded and led as President and CEO for 18 years. He is considered one of the nation's leading authorities on health care quality and improvement. Dr. Berwick is a pediatrician by background, and he has served as Clinical Professor of Pediatrics and Health Care Policy at the Harvard Medical School, Professor of Health Policy and Management at the Harvard School of Public Health, and on the staff of several hospitals. He has also served as chair of the National Advisory Council of the Agency for Healthcare Research and Quality. In July, 2010, President Obama appointed Dr. Berwick to the position of Administrator of the Centers for Medicare and Medicaid Services (CMS), and he served as Administrator until December, 2011. Do not miss this episode as Dr. Berwick makes the case for single-payer Medicare for All that is patient-centered. Episode 31 Transcript  

This is the panel discussion which tackles emergency surgery. Discussion begins with more detail regarding the Enhanced Peri-Operative Care for High-risk patients (EPOCH) trial. Featuring, Professor Carol Peden, Executive Director of the Center for Heath System Innovation and Professor of Anesthesiology at the Keck School of Medicine of the University of Southern California, Fellow of the Institute for Healthcare Improvement (IHI), Ben Griffiths, consultant anesthetist at Auckland City Hospital, anaesthetic lead for ANZELA-QI and Michael Cox, Professor of Surgery, Nepean Hospital.

This is the panel discussion which followed the address at EBPOM 2018 by Professor Sir Bruce Keogh on the eve of the 70th anniversary of the NHS. Various questions from the audience are considered; where should we be in ten years from now, what are the disruptive forces headed our way? The panel features; Sir Bruce Keogh, Professor Monty Mythen, University College London, Carol Peden, Professor of Anesthesiology and Exec. Director of the Center for Health System Innovation, University of Southern California, University of Bath and the Institute for Healthcare Improvement (IHI), Professor Sol Aronson, tenured professor at Duke University and Executive Vice Chairman in the Department of Anesthesiology, Mike Grocott, Professor of Anaesthesia and Critical Care Medicine, University of Southampton, NIHR Senior Investigator and Dr Ramani Moonesinghe, Director of the UK National Institute of Academic Anaesthesia Health Services Research Centre. The full lecture from Sir Bruce Keogh 'Ernest Henry Starling Plenary Lecture 2018 “70 Years on: our NHS”' is available in full here: https://www.topmedtalk.com/ebpom-2018-3-sir-bruce-keogh-the-nhs-at-70/

The results of the Enhanced Peri-Operative Care for High-risk patients (EPOCH) trial; where does it put perioperative practice in 2019? What have we learned? Originally streamed live from the Charles Sammons Cancer Center, Dallas, during EBPOM-USA 2019 on www.topmedtalk.com If you'd like to attend an event like this ensure your next click is here: www.ebpom.org/meetings If you have any comments or questions you'd like to send to the team email: contact@topmedtalk.com Presented by Carol Peden, Professor of Anesthesiology and Exec. Director of the Center for Health System Innovation, University of Southern California, University of Bath and the Institute for Healthcare Improvement (IHI).

The results of the Enhanced Peri-Operative Care for High-risk patients (EPOCH) trial are a huge talking point in the perioperative sphere; this stand alone piece follows on from "EBPOM Conference Highlight | Lessons on EPOCH in the UK". To hear that click here: https://www.topmedtalk.com/ebpom-conference-highlight-1-21-lessons-on-epoch-in-the-uk/ Originally streamed live from the Charles Sammons Cancer Center, Dallas, during EBPOM-USA 2019 on www.topmedtalk.com If you'd like to attend an event like this ensure your next click is here: www.ebpom.org/meetings If you have any comments or questions you'd like to send to the team email: contact@topmedtalk.com Presented by Monty Mythen with Desiree Chappell and Carol Peden, Professor of Anesthesiology and Exec. Director of the Center for Health System Innovation, University of Southern California, University of Bath and the Institute for Healthcare Improvement (IHI). Additional contributions from Sol Aronson, tenured professor at Duke University and Executive Vice Chairman in the Department of Anesthesiology as well as TopMedTalk listeners and conference delegates.

As an organization dedicated to continuous improvement, we hope you will take a moment to give us feedback on this episode of WIHI. Take the 1-minute survey here: ihi.org/PodcastSurvey. Featuring: Jamie Beach, BSN, RN, Quality Data Manager, Frankel Cardiovascular Center, Michigan Medicine Diane Lopez, RN, MSN, Clinical Nursing Director, Michigan Medicine Jessical Perlo, MPH, Network Director, Institute for Healthcare Improvement Caregiver burnout is well documented and on the rise. To address some of the underlying issues and improve patient and provider safety, the Institute for Healthcare Improvement (IHI) has developed a framework and set of recommendations known as "Joy in Work." Organizations across the country are testing how to apply the principles with encouraging results. If you want to learn how one clinical team at Michigan Medicine, spearheaded by Diane Lopez with help from Jamie Beach, has changed what was once a toxic culture in a medical unit, this episode of WIHI is for you.  IHI Joy In Work Tools and Resources:  The IHI Framework for Improving Joy in Work is the North Star for this work. Other key and helpful materials include: IHI Blog Post: In Defense of the Word “Joy” Journal of Healthcare Management: Why Focusing on Professional Burnout Is Not Enough NEJM Catalyst: Applying Community Organizing Principles to Restore Joy in Work IHI Tool: "What Matters to You?" Conversation Guide for Improving Joy in Work  Currently, IHI is gearing up for a Results-Oriented Learning Network around Joy in Work. The network will kick off in January 2020. Register here to save your spot in a free informational call with Network faculty on November 15, 2019, at 11:00 AM ET. Looking for in-person trainings? Join us at this year’s National Forum, where Joy in Work is a featured track. (You can browse all National Forum sessions here.) 

Lessons learned from the Enhanced Peri-Operative Care for High-risk patients (EPOCH) trial. This conversation focuses upon the challenges of quality improvement programmes; how do we keep track of patients and improve follow up questions after surgery? How do we clearly show Quality Improvement Programmes work for the patient? Further discussion encompasses innovation and utilization in practice. Presented by Monty Mythen and Desiree Chappell with their guest Carol Peden, Professor of Anesthesiology and Exec. Director of the Center for Health System Innovation, University of Southern California, University of Bath and the Institute for Healthcare Improvement (IHI). For more on EPOCH look here: https://www.topmedtalk.com/?s=EPOCH

100% of OR Teams using a checklist and conducting debriefs. Mortality rates dropped by 35%. An economic return of 80,000 hours annually due to a reduction of time spent on each surgical case, equaling $4,000,000 saved. Another $3,000,000 earned per year via increased through-put. But perhaps most importantly, an estimated additional 500 lives saved per year across the state. Today we're talking with Dr. Michael Rose of McLeod Health in Florence, South Carolina, and Kate Hilton, the lead faculty for the Institute for Healthcare Improvement (IHI)'s Leadership and Organizing for Change virtual program, about how these changes were made possible. Enjoy!

This piece is about the application of data, how do we use it and when should we gather it? How important is it to "just get started and find out what the problem is"? Further reading is available here: https://bjanaesthesia.org/article/S0007-0912(17)33828-X/fulltext If you're interested in hearing more about the Enhanced Peri-Operative Care for High-risk patients (EPOCH) trial go here: https://www.topmedtalk.com/desirees-roundtable-carol-peden-epoch-qa/ Presented by Professor Carol Peden, Executive Director of the Center for Heath System Innovation and Professor of Anesthesiology at the Keck School of Medicine of the University of Southern California, Fellow of the Institute for Healthcare Improvement (IHI).

This is the panel discussion which tackles emergency surgery. Discussion begins with more detail regarding the Enhanced Peri-Operative Care for High-risk patients (EPOCH) trial. Featuring, Professor Carol Peden, Executive Director of the Center for Heath System Innovation and Professor of Anesthesiology at the Keck School of Medicine of the University of Southern California, Fellow of the Institute for Healthcare Improvement (IHI), Ben Griffiths, consultant anesthetist at Auckland City Hospital, anaesthetic lead for ANZELA-QI and Michael Cox, Professor of Surgery, Nepean Hospital.

Lessons learned from the Enhanced Peri-Operative Care for High-risk patients (EPOCH) trial. This conversation focuses upon the challenges of quality improvement programmes; how do we keep track of patients and improve follow up questions after surgery? How do we clearly show Quality Improvement Programmes work for the patient? Further discussion encompasses innovation and utilization in practice. Presented by Monty Mythen and Desiree Chappell with their guest Carol Peden, Professor of Anesthesiology and Exec. Director of the Center for Health System Innovation, University of Southern California, University of Bath and the Institute for Healthcare Improvement (IHI). For more on EPOCH look here: https://www.topmedtalk.com/?s=EPOCH

Yvonne Coghill is Professor of Primary Care and Head of Child Health at the School of Public Health, Imperial College London. Yvonne is currently the Director at NHS Workforce Race Equality Standard (WRES) Implementation in NHS England. She is a member of the equality and diversity council at the Institute for Healthcare Improvement (IHI) in the United States where she has helped develop their inclusion strategy. Yvonne was awarded an OBE for services to healthcare in 2010 and was appointed to the position of Director for WRES implementation in June 2015. This year Yvonne has been awarded a Fellowship of the Royal College of Nursing, a CBE in the Queen’s birthday honours list, an honorary fellowship from Kings College University, an honorary doctorate from Buckinghamshire University and has recently been voted one of the top 70 most inspirational nurses in the NHS over the last 70 years.

In our 4th interview podcast of 2019, Donald Berwick, co-founder and former President and CEO of IHI, the Institute for Healthcare Improvement, shares his Deming Journey.  Dr. Berwick, who presented at The Deming Institute's 2018 Conference, is one of the nation's leading authorities on healthcare quality and improvement.  (This is Tripp's first interview with Dr. Berwick) Highlights include: His training as a pediatrician His efforts to apply quality management, before his introduction to the Deming Philosophy Co-Founded IHI in 1989 as a non-profit organization Appointed by President Obama, in July 2010, to the position of Administrator of the Centers for Medicare and Medicaid Services (CMS), which he held until December, 2011 Ran for governor of Massachusetts in 2014 4 children and 7 grandchildren Attended a Four-day Seminar with Dr. Deming in 1986, leaving early and then returning Prior to meeting Dr. Deming, serving as "VP of Inspection" In the world of inspection, everything stayed the same Waiting times of 2 minutes for x-rays were reported to him (with falsification) by the radiology department  "Do something about it" Question: What is the pushback that you see today in healthcare? The Red Bead Experiment was "electrifying," including triggering a vicious cycle of blame by management and withdrawal by willing workers. The workforce (willing workers) wants to do well The influence of Dr. Deming, and others, on IHI Prescriptions for fixing healthcare - "It takes leadership" General tone of healthcare today; "measure enough, yell enough, things get better" Continued focus today (backsliding) on measurement for inspection Question: What are physicians learning today about management? Answer: "Heroism as the route to excellence"

This is the panel discussion which followed the address at EBPOM 2018 by Professor Sir Bruce Keogh on the eve of the 70th anniversary of the NHS. Various questions from the audience are considered; where should we be in ten years from now, what are the disruptive forces headed our way? The panel features; Sir Bruce Keogh, Professor Monty Mythen, University College London, Carol Peden, Professor of Anesthesiology and Exec. Director of the Center for Health System Innovation, University of Southern California, University of Bath and the Institute for Healthcare Improvement (IHI), Professor Sol Aronson, tenured professor at Duke University and Executive Vice Chairman in the Department of Anesthesiology, Mike Grocott, Professor of Anaesthesia and Critical Care Medicine, University of Southampton, NIHR Senior Investigator and Dr Ramani Moonesinghe, Director of the UK National Institute of Academic Anaesthesia Health Services Research Centre. The full lecture from Sir Bruce Keogh 'Ernest Henry Starling Plenary Lecture 2018 “70 Years on: our NHS”' is available in full here: https://www.topmedtalk.com/ebpom-2018-3-sir-bruce-keogh-the-nhs-at-70/

Gary Gunderson talks with Soma Stout, Vice President, Institute for Healthcare Improvement (IHI), primary care internist and pediatrician. She serves as Executive Lead of 100 Million Healthier Lives.

The results of the Enhanced Peri-Operative Care for High-risk patients (EPOCH) trial are a huge talking point in the perioperative sphere; this stand alone piece follows on from "EBPOM Conference Highlight | Lessons on EPOCH in the UK". To hear that click here: https://www.topmedtalk.com/ebpom-conference-highlight-1-21-lessons-on-epoch-in-the-uk/ Originally streamed live from the Charles Sammons Cancer Center, Dallas, during EBPOM-USA 2019 on www.topmedtalk.com If you'd like to attend an event like this ensure your next click is here: www.ebpom.org/meetings If you have any comments or questions you'd like to send to the team email: contact@topmedtalk.com Presented by Monty Mythen with Desiree Chappell and Carol Peden, Professor of Anesthesiology and Exec. Director of the Center for Health System Innovation, University of Southern California, University of Bath and the Institute for Healthcare Improvement (IHI). Additional contributions from Sol Aronson, tenured professor at Duke University and Executive Vice Chairman in the Department of Anesthesiology as well as TopMedTalk listeners and conference delegates.

The results of the Enhanced Peri-Operative Care for High-risk patients (EPOCH) trial; where does it put perioperative practice in 2019? What have we learned?   Originally streamed live from the Charles Sammons Cancer Center, Dallas, during EBPOM-USA 2019 on www.topmedtalk.com   If you'd like to attend an event like this ensure your next click is here: www.ebpom.org/meetings   If you have any comments or questions you'd like to send to the team email: contact@topmedtalk.com Presented by Carol Peden, Professor of Anesthesiology and Exec. Director of the Center for Health System Innovation, University of Southern California, University of Bath and the Institute for Healthcare Improvement (IHI).

How do we address the issue of post operative delirium? Here you will find fascinating further discussion about cognitive function after surgery. What practical, simple steps can patients and providers take to bridge the gap between new discoveries in this area and risk minimisation? Featuring Desiree Chappell interviewing her guests, Carol Peden, Professor of Anesthesiology and Executive Director of the Center for Health System Innovation, University of Southern California, University of Bath and the Institute for Healthcare Improvement (IHI) and Lee A. Fleisher Chair of Anesthesiology and Critical Care, University of Pennsylvania. For more on this topic why not listen to our piece with Henrik Kehlett here: https://www.topmedtalk.com/asa-2018-san-francisco-henrik-kehlet-recovery-is-all-about-inflammation/ -- Do you have your ticket to the Dallas Master's Course being organised in March by EBPOM USA yet? Find out more here: https://www.ebpom.org/EBPOM-USA-2019 As a TopMedTalk subscriber you can get a 20% discount for 1 person, or a 50% discount for a team. Just use the promo code "DAL 20" if you're solo or "EDAL 50" if you're coming as a group.

Don Berwick and Maureen Bisognano lived and breathed different sides of the healthcare industry before starting the Institute for Healthcare Improvement (IHI) – a $60 million not-for-profit organization with 150 employees across more than 70 countries that drives results in health and healthcare improvement worldwide.What most people don’t know is that Don and Maureen hatched the idea for IHI while working together – Don as a research and quality guide physician and pediatrician, and Maureen as a nurse and hospital CEO. They would discuss each other’s work problems in-depth from very different perspectives, but in a way that helped facilitate actionable improvements.In the mid-1980s, Don, Maureen, and a larger group started meeting people from outside healthcare who understood how to improve things systematically, without having to rely on incentives. They began teaching people around them what they were learning from different industries, and quickly understood that it’s unfair to send a “changed” person back to an unchanged organization. It became quickly apparent to them that it would take a new breed of leaders, as well as people on the front lines, to create long-term change in healthcare.IHI was born with an aggressive goal, literally written on the back of an envelope. Don and Maureen set out to solve six problems in US healthcare, and engaged 2,000 hospitals and saved 100,000 lives[to date?]. With the guidance of their children who fortunately had political campaign experience, they started their own campaign to change healthcare. Originally supported by the John. A. Hartford Foundation, the IHI became a reality in 1991 – and the rest is history.In this episode of Healthcare is Hard: A Podcast for Insiders, Don and Maureen draw upon their extensive industry experience to cover a number of pressing topics with host Keith Figlioli, including: Achieving the “Triple Aim” in Healthcare – the Triple Aim is the trifecta of achieving better care for individuals, better health outcomes, and lower per capita costs. Don and Maureen saw this happening in other industries and in healthcare markets across the world. They talk about how they took this aim and created a leadership alliance within IHI where 40 organizations came together with a common goal of achieving the Triple Aim. Healthcare’s Defects in Areas that Other Industries Don’t Tolerate – among these areas are safety issues, effectiveness, reliability, patient focus, coordination, waste and delay, and most importantly, equity. Don and Maureen discuss how they understood that people were aware of this in the mid-1980s, but no one had a way to deal with it directly at the time. The Will for Change in Healthcare – who needs this inspiration and how can the will for change be built? As Maureen explains, painting the story of a patient can help build such inspiration, especially for senior-level executives who may be a little further removed. It doesn’t matter whether it’s a good or bad story; it’s about providing a background for these ideas to grow.The Next Big Things in Healthcare – telemedicine, telehealth, global budgeting, and healthcare for millennials are just some of the innovations Don and Maureen are excited about. To hear Don Berwick and Maureen Bisognano talk about these topics and more, listen to this episode of Healthcare is Hard: A Podcast for Insiders.

Lessons learned from the Enhanced Peri-Operative Care for High-risk patients (EPOCH) trial. This conversation focuses upon the challenges of quality improvement programmes; how do we keep track of patients and improve follow up questions after surgery? How do we clearly show Quality Improvement Programmes work for the patient? Further discussion encompasses innovation and utilization in practice. Presented by Monty Mythen and Desiree Chappell with their guest Carol Peden, Professor of Anesthesiology and Exec. Director of the Center for Health System Innovation, University of Southern California, University of Bath and the Institute for Healthcare Improvement (IHI). For more on EPOCH look here: https://www.topmedtalk.com/?s=EPOCH

Our our next guest, is the former president and CEO of the Institute for Healthcare Improvement (IHI) and led the organization’s 100,000 Lives Campaign, a nationwide initiative to reduce mortality in America. The post Episode 5: Dr. Don Berwick brings a global perspective to fixing American healthcare appeared first on Fixing Healthcare Podcast.

Lessons learned from the Enhanced Peri-Operative Care for High-risk patients (EPOCH) trial. This conversation focuses upon the challenges of quality improvement programmes; how do we keep track of patients and improve follow up questions after surgery? How do we clearly show Quality Improvement Programmes work for the patient? Further discussion encompasses innovation and utilization in practice. Presented by Monty Mythen and Desiree Chappell with their guest Carole Peden, Professor of Anesthesiology and Exec. Director of the Center for Health System Innovation, University of Southern California, University of Bath and the Institute for Healthcare Improvement (IHI). For more on EPOCH look here: https://www.topmedtalk.com/?s=EPOCH

We're playing TopMedTalk's Top Ten during the month of October, in no particular order. It's an opportunity for new and established listeners to catch up with the most popular podcasts over the past year. Here you will find a fascinating discussion about cognitive function after surgery and a wider conversation about the 'brain health initiative'. What practical, simple steps can patients and providers take to bridge the gap between new discoveries in the arena of brain health and risk minimisation? Featuring Desiree Chappell interviewing her guests, Carol Peden, Professor of Anesthesiology and Executive Director of the Center for Health System Innovation, University of Southern California, University of Bath and the Institute for Healthcare Improvement (IHI) and Lee A. Fleisher Chair of Anesthesiology and Critical Care, University of Pennsylvania. Join us on www.topmedtalk.com and sign up for our email updates and never miss a live streamed conference again. Also - you can find Slido here: http://www.slido.com/ - the 'event code' you require is #tmtasa18

In no particular order we're playing some of the content that listeners have voted for with their downloads. This episode is one of the top ten most downloaded podcasts we've done so far. Here you will find a fascinating discussion about cognitive function after surgery and a wider conversation about the 'brain health initiative'. What practical, simple steps can patients and providers take to bridge the gap between new discoveries in the arena of brain health and risk minimisation? Featuring Desiree Chappell interviewing her guests, Carol Peden, Professor of Anesthesiology and Executive Director of the Center for Health System Innovation, University of Southern California, University of Bath and the Institute for Healthcare Improvement (IHI) and Lee A. Fleisher Chair of Anesthesiology and Critical Care, University of Pennsylvania.

The Enhanced Perioperative Care for High-risk patients (EPOCH) trial results, as revealed at EBPOM 2018, show no change in mortality rates either on a 90 day or 180 day scale. What does this mean as regards the drive towards quality improvement in perioperative healthcare?   For more on this we highly recommend you listen to these two podcasts here:   The Epoch Trial Results: https://www.topmedtalk.com/ebpom-2018-8-the-epoch-trial-results/   The Dawn of a new EPOCH: https://www.topmedtalk.com/ebpom-2018-9-the-dawn-of-a-new-epoch/   Further light at the end of the tunnel is found in this piece about The Emergency Laparotomy Collaborative (ELC) which Monty mentions during the podcast: https://www.topmedtalk.com/ebpom-2018-emergency-lapartoomy-collaborative/   Presented by Monty Mythen and Desiree Chappell with contributions from Rupert Pearse, Professor of Intensive Care Medicine at Queen Mary, University of London, Nial Quiney, Consultant Anaesthetist at Royal Surrey County Hospital and Principal investigator for the Emergency Laparotomy Quality Improvement Care Bundle (ELPQuiC) project and Clinical Lead for the Emergency Laparotomy Collaborative (ELC), Carole Peden, Professor of Anesthesiology and Executive Director of the Center for Health System Innovation, University of Southern California, University of Bath and the Institute for Healthcare Improvement (IHI), Ramani Moonesinghe, Director of the UK National Institute of Academic Anaesthesia Health Services Research Centre.   This special programme was originally streamed live on www.topmedtalk.com - if you missed it you're obviously not yet signed up to our newsletter! Remedy the situation, for free, now by either going to the website www.topmedtalk.com or following this link to sign up directly: https://www.topmedtalk.com/sign-up/

This is the panel discussion which followed the address at EBPOM 2018 by Professor Sir Bruce Keogh on the eve of the 70th anniversary of the NHS. Various questions from the audience are considered; where should we be in ten years from now, what are the disruptive forces headed our way? The panel features; Sir Bruce Keogh, Professor Monty Mythen, University College London, Carole Peden, Professor of Anesthesiology and Exec. Director of the Center for Health System Innovation, University of Southern California, University of Bath and the Institute for Healthcare Improvement (IHI), Professor Sol Aronson, tenured professor at Duke University and Executive Vice Chairman in the Department of Anesthesiology, Mike Grocott, Professor of Anaesthesia and Critical Care Medicine, University of Southampton, NIHR Senior Investigator and Dr Ramani Moonesinghe, Director of the UK National Institute of Academic Anaesthesia Health Services Research Centre. The full lecture from Sir Bruce Keogh 'Ernest Henry Starling Plenary Lecture 2018 “70 Years on: our NHS”' is available in full here: https://www.topmedtalk.com/ebpom-2018-3-sir-bruce-keogh-the-nhs-at-70/

The highly anticipated results of the Enhanced Peri-Operative Care for High-risk patients (EPOCH) trial, presented for the first time at EBPOM 2018. Were these results as expected? Can we make large scale quality improvement programmes work? Does this trial put 'the big questions' to bed? This piece is introduced by Monty Mythen and presented by Professor Rupert Pearse, Professor of Intensive Care Medicine at Queen Mary, University of London and Carol Peden, Professor of Anesthesiology and Exec. Director of the Center for Health System Innovation, University of Southern California, University of Bath and the Institute for Healthcare Improvement (IHI). Join in the debate: contact@topmedtalk.com

Scott Zeller, MD, Vice President of Acute Psychiatry, Vituity Robin Henderson, PsyD, Chief Executive, Behavioral Health, Providence Medical Group Oregon and Clinical Liaison, Well Being Trust Vera Feuer, MD, Director of Pediatric Emergency Psychiatry, Northwell Health Mara Laderman, MPH, Director for Innovation, Institute for Healthcare Improvement (IHI)​   ​For all that emergency departments (EDs) do to stabilize individuals and save lives, they’ve never been the ideal place for patients whose crises are related to behavioral health. EDs are designed to address the most urgent, sometimes life-threatening problems, and then discharge or transfer patients to the appropriate next level of care. If a psychiatric or addiction-related admission is needed, however, there may not be any beds. This often leads to boarding patients in the ED or adjacent hallways for hours, sometimes days. ​   In the US, many blame an underfunded mental health system for the shortage of inpatient beds and an inadequate supply of outpatient services that might help patients avoid going to the hospital altogether. Emergency department staff aren't any happier with the status quo. They have begun to look at how EDs might improve the overall care experience for behavioral health patients and contribute to continuity of care.   Promising new practices are being tested in nine hospitals participating in Integrating Behavioral Health in the Emergency Department and Upstream​, an initiative led by IHI in partnership with Well Being Trust​. Improvements these hospital EDs are testing include creating new lines of communication and care coordination, including post-discharge follow-up, with community-based services; standardizing and streamlining processes from intake to discharge for a range of mental health and substance abuse issues; working with both patients and their family members on self-management skills; and educating ED staff on behaviors consistent with a trauma-informed and empathetic culture.   We dicsussed these tests and innovations on the July 12 episode of WIHI: How to Build a Better Behavioral Health in the Emergency Department

Date: May 10, 2018 Featuring: Michael Rose, MD, Anesthesiologist, Vice President of Surgical Services & Chairperson of Community Board of Trustees, McLeod Regional Medical Center ​Kate B. Hilton, JD, MTS, Faculty, Institute for Healthcare Improvement; Senior Consultant, ReThink Health​ Alex Anderson, Research Associate, Institute for Healthcare Improvement For the past 30 years, the Institute for Healthcare Improvement (IHI)​ has worked with organizations around the world to improve health and health care using an approach to quality improvement that's grounded in W. Edwards Deming's System of Profound Knowledge. Dedicated improvers know that, to achieve results, we need to consistently apply systems thinking, an understanding of variation, and theories of knowledge. So, what often stands in the way of adopting and spreading meaningful improvements? Breaking news: People are resistant to change. Deming himself stressed the importance of psychology — or the adaptive, human side of change — in his System of Profound Knowledge. But health care improvers still have a lot of work to do to sharpen our thinking, vocabulary, and tools in this challenging domain. That's why the IHI Innovation Team has been researching and testing "psychology of change" ideas and methods to promote and accelerate successful, scalable, and sustainable improvement work. Kate Hilton and Alex Anderson described how they are working with organizations to implement the IHI Psychology of Change Framework, and Dr. Michael Rose discussed implementing many of these methods to spread the use and adoption of a surgical safety checklist at McLeod Regional Health Center in Florence, South Carolina on this episode WIHI: How to Make Change Happen: An Introduction to IHI's Psychology of Change Framework. 

Ellen Goodman is a true media pioneer. She started her career as a researcher for Newsweekmagazine and went on to become one of the first women to write for the publication’s op-ed pages. In 1980, she won the Pulitzer Prize for Distinguished Commentary. No reporter skills, however, could uncover her mother’s voice in order to talk deeply and specifically about her desires and wishes when she was facing her end her life. Like the majority of us, Ellen struggled and questioned the decisions she was making on her mother’s behalf. “Have I made the right decisions for my mother?” she asked herself. Ellen never wanted her family or friends to feel that same burden. Ellen realized after her mother’s death how much easier it would have been if she could have heard her mother’s voice guiding her throughout all the difficult discussions. Ellen knew she had missed the opportunity to have a conversation. “The Conversation Project” was created in 2010 when Ellen and a group of colleagues, concerned members of the media, clergymen, and medical professionals came together to share stories of “good deaths” and “bad deaths.” In 2011, The Conversation Project began a partnership with the Institute for Healthcare Improvement (IHI) in order to create momentum and awareness for their “Conversation” initiative. Today, “The Conversation Project” includes a team of seasoned law and media professionals along with a group of journalists who are working pro bono alongside IHI staff members to bring a wealth of expertise to the project.“I realized only after my mother’s death how much easier it would have all been if I heard her voice in my ear as these decisions had to be made.” ―Ellen Goodmanhttp://theconversationproject.org/ See acast.com/privacy for privacy and opt-out information.

Kate DeBartolo is used to uncomfortable conversations. In fact, her job is to be a proponent of them. And here’s why. As the Director for The Conversation Project, her mission is to get people talking about one of the most difficult topics many of us will ever encounter: our end of life decisions and the end of life wishes of the those we love. Let’s face it, we’re all going to die. That’s a hard pill to swallow but it’s obviously true. And how we want to die, how we want our last days to be and how we want to be celebrated and honored after we’re gone are all topics worth considering and sharing with the people we live our life with. So, you may feel uncomfortable over the next 45 minutes but I invite you to stick with it because this episode could be the starting point to one of the most important conversations you ever have.   Guest Bio Kate DeBartolo is the Director of The Conversation Project, an initiative started in 2013 by The Institute for Healthcare Improvement (IHI) that is dedicated to helping people talk about their wishes for end-of-life care.   Mentioned in this Episode https://theconversationproject.org/ Option B: Facing Adversity, Building Resilience, and Finding Joy by Sheryl Sandberg & Adam Grant https://www.amazon.com/Option-Adversity-BuOption B: Facing Adversity, Building Resilience, and Finding Joy Book by Sheryl Sandberglding-Resilience-Finding/dp/1524732680 Wild: From Lost to Found on the Pacific Crest Trail by Cheryl Strayed https://www.amazon.com/Wild-Found-Pacific-Crest-Oprahs-ebook/dp/B005IQZB14 Life After Death: The Burden of Proof by Deepak Chopra https://www.amazon.com/Life-After-Death-Burden-Proof/dp/0307345785 The Last Lecture https://www.amazon.com/Last-Lecture-Randy-Pausch/dp/1401323251/ref=sr_1_1?s=books&ie=UTF8&qid=1522333326&sr=1-1&keywords=last+lecture     Connect with the 60 Mindful Minutes podcast   Web: https://kristenmanieri.com  Email: Kristen@kristenmanieri.com    Facebook: https://www.facebook.com/60MindfulMinutes Instagram: @kristenmanieri_ 

Date: December 17, 2015 Featuring: Neil Baker, MD, Neil Baker Consulting and Coaching LLC; Faculty, Institute for Healthcare Improvement (IHI) WIHI is pleased to present a Special Edition Podcast, featuring Neil Baker. WIHI recorded Dr. Baker’s remarks on December 8, 2015, in Orlando, Florida, at the Institute for Healthcare Improvement’s 27th Annual National Forum on Quality Improvement in Health Care.   The broadcast is 1:12 long; we recommend that you have the presentation slides, along with the other materials listed below, handy for reference as you’re listening. During his Forum session, Dr. Baker orchestrated four one-minute table conversations among attendees; you might consider engaging co-workers in similar table conversations while listening, using the handouts for guidance. All the elements, including the audio, are posted below.    Neil Baker works with health care organizations to enhance leadership and team impact. His signature contribution to this field is his adept way of using any work situation, even the most complex and difficult, as an opportunity to achieve immediate impact on the quality of work relationships. We might spend our entire working lives striving to become better colleagues and leaders and more effective team members; what Dr. Baker offers are effective ways to interrupt unproductive “reactive” patterns to get back on the right track.   Neil Baker developed his approaches over 30 years as a leader, speaker, consultant, and executive coach. His past positions include serving as Director of Psychiatric Inpatient Services at the University of Colorado Health Sciences Center in Denver, Colorado; Medical Director of Quality at Group Health Cooperative in Seattle, Washington; and faculty and Improvement Advisor for ten years for the Institute for Healthcare Improvement (IHI) in Cambridge, Massachusetts. Currently, in addition to his consulting practice, he serves as faculty for the leadership track he created for the IHI/Project ECHO collaborative on improving access and office efficiency in primary care. 

Date: April 6, 2017 Featuring:  Kate DeBartolo, National Field Director, Institute for Healthcare Improvement (IHI) and The Conversation Project (TCP) Suzanne Salamon, MD, Associate Chief, Gerontology Division, Beth Israel Deaconess Medical Center Ravi B. Parikh, MD, MPP, Resident in Internal Medicine, Brigham and Women’s Hospital (Boston) Fiona McCaughan, RN, MS, Cambridge Health Alliance None of us likes to imagine being unable able to speak for ourselves when it comes to our health care. But situations arise throughout our lives when we need a trusted person to communicate with doctors and nurses on our behalf. And, if we are facing care decisions near the end of life, a trusted proxy can play a crucial role ensuring our wishes are respected. So, does everyone have a documented health care proxy? In all likelihood, no, or not yet, which is why there are numerous efforts underway to close this gap.   The Conversation Project, a five-year-old grassroots initiative based at IHI, has just published a new, free resource it believes can help: How to Choose a Health Care Proxy & How to Be a Health Care Proxy. We learned more about this latest proxy kit and the issues surrounding choosing a health care proxy on the April 6 WIHI: Who’s Your Health Care Proxy? ​

Date: December 1, 2016 Featuring: Lindsay A. Martin, MSPH, Executive Director and Improvement Advisor, Institute for Healthcare Improvement (IHI) Alide Chase, MS, Senior Fellow, IHI Jeff Rakover, MPP, Research Associate, IHI The health care quality improvement movement in the US is in the midst of an important discussion and debate about reducing measurement burden and homing in on measures that really matter. Against a backdrop of hundreds of improvements that are being tracked and reported on by thousands of health systems in the US alone, guidance on which measures are most important to the pursuit of better care, better health, and lower cost couldn’t be more timely.   The Institute for Healthcare Improvement (IHI) has a longstanding interest in measures that health and health care leaders, including hospital trustees, can make sense of and track. Strong examples of this focus are two IHI White Papers: Whole System Measures(published in 2007) and A Guide to Measuring the Triple Aim (published in 2010). Now, IHI is pleased to introduce the field to Whole System Measures 2.0: A Compass for Health System Leaders, a brand new IHI White Paper we discussed on the December 1 WIHI: Measures That Matter: Whole System Measures 2.0.

Date: June 25, 2015 Featuring: John Whittington, MD, Lead Faculty, IHI Triple Aim; Senior Fellow, IHI Trissa Torres, MD, MSPH, FACPM, Senior Vice President, IHI Kevin Nolan, MA, Associates in Process Improvement; Senior Fellow, IHI Ninon Lewis, MS, Executive Director, Triple Aim for Populations, IHI It’s never been easy to define an overall strategy for the transformation of US health care. And that may explain why the Triple Aim has been so resonant with so many. In part it’s the simplicity of a three-part framework to achieve better care, better health, at lower per capita costs. It’s also the goals themselves. The idea of simultaneously improving the care of individual patients, improving the health of larger populations, and bringing health care costs down, first conceived by the Institute for Healthcare Improvement (IHI) in 2008, now defines the pursuits of health care systems and communities in many parts of the world, but especially here in the US.   Fast forward to June 2015 and Milbank Quarterly​ has just published the first major harvesting of lessons learned over the past seven years of work on the Triple Aim, drawing on IHI’s engagement with some 141 organizations across a wide array of settings. We brought the article authors into our WIHI studio to discuss their analysis.

Date: September 11, 2014 Featuring: Kevin Little, PhD, Improvement Advisor, Institute for Healthcare Improvement (IHI); Principal, Informing Ecological Design, LLC Kristine KS White, RN, BSN, MBA, Faculty, IHI; Principal, Aerate Consulting; Co-founder, Aefina Partners, LLC Kathy Klock, Senior Vice President, Human Resources & Clinical Support Services, Gundersen Health System James Bonner, LMSW, Director of Patient Experience, Spectrum Health Have you been poring over some patient survey or patient experience data lately? Chances are good you have. How did you make sense of what you saw? What actions are you taking as a result of what you learned? Not sure? Unclear what to make of the information or what to do with it? You are not alone! In fact, as the ways to learn about how patients experience their care and their caregivers have grown, so has the confusion about how to interpret the data and how to make the best use of it. We invited Kris White and Kevin Little to lead the discussion, both of whom are determined to pull listeners out of whatever morass of patient-generated information they might be drowning in. Kathy Klock from Gundersen Health System and James Bonner from Spectrum Health joined to discuss how their organizations are successfully navigating the patient experience data waters.   Learn about a terrific set of guiding principles for appreciating and distinguishing among the wide range of methods health care organizations are using to decipher patient experience data and the comprehensive picture that emerges from patient surveys, focus groups, patient and family advisory councils, and much more. 

Date: December 15, 2011 Featuring: Jeffrey D. Selberg, MHA, Executive Vice President and Chief Operating Officer, Institute for Healthcare Improvement (IHI)   2011-2012 IHI Fellows     Every December, nearly half the people who attend IHI’s National Forum in Orlando, Florida, do so for the very first time. They join with the “regulars” and the “veteran” conference-goers and immerse themselves in intense learning and networking over four packed days. By the time it all winds up, everyone is eager to return to colleagues back home to share new ideas and initiate new improvement strategies. Some of IHI’s best informants wind up being our fellows, most of whom have never attended the Forum before. At the Forum, they fan out to cover as much ground as possible so that they can spread the learning among themselves and beyond.That’s the spirit behind WIHI’s December 15 program, “Heard at the Forum.” The 2011-2012 IHI Fellows and IHI’s Executive Vice President and COO Jeff Selberg join WIHI host Madge Kaplan to talk about what they learned from IHI’s 23rd Annual National Forum: stand-out results; new improvement strategies; new ideas about leadership; the growth of the quality improvement movement internationally; the necessary and new role patients are taking on in designing better care; new thinking about navigating the complexities of the health care environment in the US; the opportunities embedded in health care reform; and more.This rich round-up from the Forum will be beneficial for the entire improvement community, whether or not you attened this year’s event. WIHI participants who have their own favorite conference stories, session “take-aways,” and memorable quotes from the keynotes, also add to the discussion for everyone’s benefit.

Patients are at risk – from the moment they begin their healthcare journey. They are at risk of bad outcomes (as defined by us) and of bad experience (as can only be defined by them) Patient safety experts like James Reason, and groups like the Institute for Healthcare Improvement (IHI) have prompted us to think about systems and complexity as sources of error – and supported strategies to remove predictable human fallibility as far as possible. This is important to make healthcare safer. Vic Brazil’s talk suggests there is also a human face to patient safety - in the behaviour and attitude of healthcare practitioners and patients themselves...... We think too little of patients. We feel affronted if patient takes a different view of ‘evidence’ or of ‘risk’. …and they think too much of us....! Every day patients allow nurses (and doctors) to inject drugs into their IV line without asking “whats in that syringe”.... This combination of our subconscious paternalism and patients’ blind faith is a heady mix……but ripe for us to make a difference. Vic suggests there are are small, human ways we can involve patients in safer healthcare, of better quality and with an improved patient experience. We can ask them. We often do involve patient advocates at the ‘strategic end’, but when was the last time you invited a real patient to your departmental teaching or consultant meeting (or smacc conference...!) We can connect with advocates for patient experience and ‘personalised medicine’, especially if we are interested in social media. Follow people like @JenWords and @EricTopol Involve patients as another layer of Swiss cheese. Ask them to be on the lookout for mistakes. And maybe Stop ‘looking after’ patients and start ‘partnering with’.

Laura Adams is the President and CEO of the Rhode Island Quality Institute (RIQI), a center of collaborative innovation that advances health and healthcare transformation. RIQI is the only organization in the nation to win all three of the major HITECH health IT grants which funded CurrentCare (the statewide health information exchange), the RI Regional Extension Center and the RI Beacon Community, bringing in $27M in funding. She was recently appointed to the Governor's Workgroup on Healthcare Innovation. Laura served on the ONC's HIT Policy Committee's Governance Panel for the Nationwide Health Information Network. She is a member of the Health Information Management and Systems Society (HIMSS) Center for Patient and Family Centered Care Advisory Group and chaired the Institute of Medicine's (IOM) Planning Committee for the “Digital Infrastructure for Population Health and a Learning Healthcare System” workshop series. Laura led the governance consulting for the Improving Performance in Practice (IPIP) Initiative, a RWJF-funded collaboration among the American Board of Medical Specialties, and the Boards and Societies of Internal Medicine, Family Physicians and Pediatrics. She traveled in the U.S. and Europe with W. Edwards Deming in the study of statistical-based quality improvement. She was Founder, President and CEO of Decision Support Systems, a New York-based company specializing in Internet-based healthcare decision support. Laura has been a faculty member of the Institute for Healthcare Improvement (IHI) in Boston since its inception. She directed the IHI Idealized Design of the Intensive Care Unit project and served as faculty in the VHA's ICU improvement collaborative. She was among the first to bring the principles of healthcare QI to the Middle East, in conjunction with Donald Berwick, MD and the Harvard Institute for Social and Economic Policy in the Middle East. She served as IHI faculty at the inaugural IHI Middle East Forum on Quality Improvement in Healthcare in Doha, Qatar in 2013. Her publications include co-authoring with Gustafson, et al, Developing & Testing a Model to Predict Outcomes of Organizational Change, Health Services Research, 38(2), 751-776 and co-authoring “Collaborating with Consumers to Advance Health Knowledge and Improve Practice” Herzlinger, R, Consumer-Driven Health Care: Implications for Providers, Payers and Policymakers, 2004. She also co-authored “A Draft Framework for Measuring Progress Towards the Development of a National Health Information Infrastructure, BMC Medical Informatics Decision Making, June, 2005.   Laura co-authored “Improving comfort and communication in the ICU: a practical new tool for palliative care performance measurement and feedback”, Nelson, J., Mulkerin, C., Adams, L. and Pronovost, P.; Quality and Safety in Health Care (QSHC), Aug 2006. She co-authored with Peter Pronovost, MD, et.al. in The Rhode Island ICU Collaborative: A Model for Reducing CLABSI and Ventilator-associated Pneumonia Statewide, QSHC, 2010;19:555-561.   She also co-authored publication with M. Vigorito and B. Sexton entitled Collaborative Improvement in Sepsis Identification & Treatment, JQPS, Vol. 37, No. 11, Nov. 2011. RIQI won the 2013 National Council for Community Behavioral Health Excellence Award for Impact in serving those with behavioral health and substance abuse challenges. Laura has received citations from the RI Congressional delegation for her visionary leadership and contributions to improving the healthcare system in Rhode Island. She received University of Northern Colorado's Distinguished Alumni award and in 2014, RIQI was named RI's Most Innovative Company in Healthcare by the Providence Business News. 00:00 Laura explains the mission of the Rhode Island Quality Institute (RIQI).00:30 Laura explains what the general concept of a Health Information Exchange is--one of the services provided by the RIQI.03:00 The issues with the uptake of Health Information Exchanges.04:30 “What business are we in? We want to share that information because patient's lives depend on it.”06:15 The tragedy of the commons in relation to Health Information Exchanges.08:50 Why transparency is important to the RIQI.09:10 “The only power we have is the power of vision.”10:20 The balance between the financial incentive to hoard data and the moral incentive to save lives by sharing data.11:40 The payment for value system, and how this is encouraging providers to share their data instead of hoarding it.13:30 The improvements that Laura has observed from active Health Information Exchange.15:00 Laura explains the dashboard system that RIQI has developed, and the alerts that this system provides for Nurse Care Managers.17:00 How RIQI is expanded this alert system to extend to patients and their families.23:50 How patients would be able to upload their own information into the Health Information Exchange.26:45 Advanced Directives and other information gaps that only patients are able to provide.29:00 How RIQI's Health Information Exchange system sifts efficiently through an immense amount of data.33:30 How RIQI is connecting their Health Information Exchange system with their major providers one at a time.37:45 You can find out more at www.RIQI.org or by emailing Laura directly at LAdams@RIQI.org.

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.