Podcasts about ihi triple aim

Date: December 15, 2016 Featuring: Rishi Manchanda, MD, MPH, Chief Medical Officer, The Wonderful Company; President & Founder, HealthBegins  WIHI is pleased to present a Special Edition Podcast, featuring Rishi Manchanda of HealthBegins, discussing why it’s important for health care to “move upstream” to address the social determinants contributing to many patients’ poor health today. Dr. Manchanda also argues that if frontline providers are asked to address upstream factors like poor housing or job insecurity, they need to have the resources and the knowledge and the active partnerships to draw from. Otherwise, they’re at risk for burnout and anything but joy in work. This is why Dr. Manchanda and some others suggest we consider expanding the IHI Triple Aim to the “Quadruple Aim” to include critically important job satisfaction. WIHI recorded Dr. Manchanda’s remarks on December 5, 2016, in Orlando, Florida, at the Scientific Symposium, held in conjunction with the Institute for Healthcare Improvement’s 28th Annual National Forum on Quality Improvement in Health Care.  The podcast is over an hour long; we highly recommend that you have the presentation slides (posted on this page) handy for reference as you’re listening. At the conclusion of Dr. Manchanda’s remarks, IHI’s Dr. Don Goldmann moderates a brief Q&A. 

Date: October 29, 2015 Featuring: Kimberlydawn Wisdom, MD, MS, Senior Vice President of Community Health & Equity and Chief Wellness and Diversity Officer, Henry Ford Health System John Whittington, MD, Lead Faculty, IHI Triple Aim; Senior Fellow, Institute for Healthcare Improvement Sandra Bailey, Vice President for Care Transitions, Methodist Le Bonheur Healthcare Joy Sharp, Manager, Community Navigators, Methodist Le Bonheur Healthcare Mara Laderman, MSPH, Senior Research Associate, IHI Health and health care improvement communities in the US are focusing on equity and racial disparities in some important new ways. Frustrated by the slow progress of closing gaps (despite decades of research and documentation of the problems), many are forging ahead to create more equitable access to care and better outcomes wherever and whenever they can. The new learning is coming from the “doing,” often making use of existing data that already tell a powerful story of persistent inequities (e.g., in cancer diagnosis and treatment, heart disease, and diabetes care) and highlight where there are opportunities to intervene.  On this episode of WIHI, we explored the opportunities health systems have to reduce inequities by virtue of their role as employers and purchasers, as well as their overall stature in the community. Health systems can promote equity with better hiring practices; by using a diverse pool of contractors and suppliers for goods and services; by offering living wages; and by engaging in initiatives in low-income — and often adjacent — neighborhoods. There are also many ways to use the influence and the resources of a health system to develop more community-friendly spaces and places for outdoor activities and physical exercise. These aren’t just pie-in-the-sky ideas. They’re being spearheaded by organizations such as Methodist Le Bonheur Healthcare in Memphis and the Henry Ford Health System in Detroit. There are numerous other examples — but still, not nearly enough.

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: January 12, 2012 Featuring: Barry Zuckerman, MD, Chair, Department of Pediatrics, Boston University School of Medicine; Founder, National Center for Medical-Legal Partnership Robert Kahn, MD, MPH, Associate Professor of Pediatrics and Director, Division of General and Community Pediatrics, Cincinnati Children’s Hospital Medical Center Carol Beasley, MPPM, Director of Strategic Projects, Institute for Healthcare Improvement Let’s face it. If someone mentions the words “medical” and “legal” in the same sentence, the next thing we imagine we’ll hear about is a lawsuit. Picture this instead: empowered, proactive social workers, collaborating with health care providers, lawyers, and legal experts, to ensure that the health of indigent patients isn’t undermined by unsafe housing, lack of food, or lack of access to benefits and entitlements. Some people refer to this type of outreach as “preventive law” because it’s directly related to preventive health measures we now recognize are crucial to help people head off disease or better manage chronic conditions.Doctors and nurses on the front lines have understood for years the role that social conditions play in improving or worsening health. Also, what happens when problems brewing at home, such as domestic abuse, don’t rise to the surface during a routine medical visit? Fifteen years ago, Dr. Barry Zuckerman founded a program at Boston Medical Center to address a swarm of issues affecting the health of low-income children. Six years ago, this initiative became the National Center for Medical–Legal Partnership, focusing on anyone, at any age, in need of the combined power of medical and legal intervention. The effort and the framing caught on and there are now over 200 programs like Zuckerman’s across the US, one of them in Cincinnati. WIHI host Madge Kaplan welcomes Dr. Zuckerman and Dr. Robert Kahn of Cincinnati Children’s Hospital Medical Center to explain and explore the ingredients of an effective medical-legal partnership and how the efforts to date are making a difference in patients’ health and their lives. At Cincinnati Children’s, key prompts to get at social determinants of health are built right into the electronic health record. This helps screen for health-undermining circumstances — for instance, a landlord’s lack of attention to a faulty refrigerator — that might benefit from legal attention. This is just the type of thing Carol Beasley is keeping an eye on as she continues to help spearhead the work of the IHI Triple Aim initiative. When the goals are improving the experience of care, improving the health of populations, and reducing per capita costs, it’s increasingly essential to form coalitions and partnerships that integrate legal and social service expertise with health care expertise.

Tom Scaletta, MD MAAEM FAAEM, covers an effective means of cutting visits by frequent users in half, satisfying all aspects of the IHI Triple Aim, and creating emergency department capacity without increased staff or space. This talk was featured at the American Academy of Emergency Medicine’s 22nd Annual Scientific Assembly.

Healthcare is becoming more complex. Many health professions students are learning in linear environments influenced by measurement and finance that value individual knowledge and exceptionalism. Dr. Ankel and many colleagues believe the day of the autonomous physician is over. Upon graduation, these newly minted professionals are expected to thrive in non-linear environments that value improvement science, patient and family centered care, resource stewardship, and teaming behaviors. How do we design the health professions learning systems of tomorrow? How do we facilitate systems thinking to shape these environments? Our guests will talk about their own work in learning system design that facilitates the IHI Triple Aim, and teaming behavior. Dr. Ankel will describe 10 program milestones to help learning systems maximize resilience, the ability to manage complexity, and the ability to manage context. Ms. Noltimier will describe her journey in creating a health system program to train nurse practitioners and physician assistants. Felix Ankel, MD is the Vice President for health professional education at HealthPartners in Bloomington, MN. He is a former emergency medicine residency director and Professor of Emergency Medicine at the University of Minnesota. Annually, HealthPartners trains more than 470 residents, 2,000 clinical students and provides continuing education to more than 19,000 participants. Access his medical education leadership blogs at the International Clinician Educators ICE blog here. Michelle Noltimier, RN, BSN, MBA is the Director of Physician Assistant and Nurse Practitioner Graduate Education at HealthPartners. Previous experience includes 8 years as a leader in two different Level 1 trauma center emergency departments that have active health professional education programs. She has experience leading teams through change and transitions and achieving improvements in quality and operational efficiency.

Learn about IHI’s Open School courses and resources, and their strategies for quality improvement and safety

The Institute for Healthcare Improvement's (IHI) Triple Aim Initiative is a framework for optimizing health system performance. Learn about IHI's Open School courses and resources (free to enrolled students), and teach strategies for quality improvement and safety. They also teach skills and promote attitudes that influence better care for patients, caregivers, and communities. Presenter: Lisa Pagnucco BS Pharm, PharmD, BCACP Assistant Professor, College of Pharmacy