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As we talk about the current zeitgeist moving us towards value and equity, we also have to think about how polarized our country is politically. Democrats and Republicans live in separate worlds, or “echo chambers,” with each side prone to bias or “motivated reasoning.” This has created an existential threat of tribalism where partisanship has turned Americans against one another. The term that best describes our strife is “political sectarianism,” or the tendency of political groups to align on the basis of moralized identities rather than shared ideas or policy preferences. However, the promise of value-based care is something that we should all agree on in a bipartisan way. The Race to Value is both an economic and a moral imperative, and it can be actualized through relationship-based care, collaborative health models, and the power of advanced analytics. In this week's episode, we interview Michael L. Millenson, an internationally recognized expert on making American health care better, safer and more patient-centered. As a leading expert on health policy, quality improvement, and patient-centered care, he provides a deeply informed and unfiltered perspective on how to defeat political sectarianism to achieve analytics-based value innovation. This intellectual conversation leaves nothing unsaid and will provide you with an enhanced understanding of the political challenges of value transformation and how analytics will drive collaborative health in the Information Age. Episode Bookmarks: 01:30 Introduction to Michael Millenson 03:30 The “Race to Value” — is this a revolution? 06:00 “Value-based care is the ethically right thing to do.” 06:45 Confusion about value in health. (Public perception equates the term “value-based care” to fast food.) 07:30 Referencing Walter McClure, Ph.D and the ‘Buy Right' strategy of health care reform 08:00 “Value-based care is the most important transformation of American medicine in our lifetimes.” 10:30 The dilemma of VBC (you must first recognize that poor quality exists currently to realize the potential for value) 12:00 Political sectarianism – how tribalism and entrenched interests hinder health policy 13:30 Winners and Losers in health policy reform and how “motivated losers” fight back! 15:30 How social media and suspicion stifles value-based payment innovation and the promise of bipartisan reform 16:30 Authentic healthcare leaders realize the need for value (there is hope!) 18:30 How do you engage providers to root out clinical variation and unnecessary care? 20:00 The need for Patient Safety and Quality Improvement in Healthcare 21:00 Referencing Michael's book, “Demanding Medical Excellence: Doctors and Accountability for the Information Age” 22:00 “Hospitals often do not do what it takes to be as safe as possible because there is no return on investment.” 24:30 Referencing Michael's article “Why We Still Kill Patients: Invisibility, Inertia, and Income” 26:00 The moral challenges of bureaucratic medicine and misaligned economics and how it creates preventable harm 29:00 The disconnect between Cost and Quality 31:00 The ethics of value-based care and the travesty of physicians not speaking up (Referencing Michael's article “The Silence”) 33:30 The promise of “Analytics” in the future of healthcare (and the similarities to the “Plastics” scene in The Graduate) 34:30 Enhancing clinical outcomes through semantic interoperability, AI, and predictive analytics 37:30 The misperception that population health analytics will impinge on clinical autonomy 39:30 Smart phone technologies and “proactive benefits” to engage patients in getting well 41:15 “Analytics is the key to the Information Age of Medicine.” 43:00 The limitations of human cognition in healthcare and how unleashing analytics can foster empathy and compassion in medicine 44:30 How open APIs and the FHIR interoperability standard will emp...
Today on Bagels and Blessings you will hear the testimony of Jeff Millenson. He's been involved in Messianic music and ministry for many years. It was pure joy speaking with him recently. You will enjoy great music, including some tunes written by Jeff and performed by Liberated Wailing Wall. It's always fun talking to someone who has been in the movement for a long time. We chatted a bit about how Messianic tunes have changed over the years. You'll love it! Thanks so much for listening!
Michael Millenson is a health policy strategist, consultant, legacy agitator of the status quo, and President at Health Quality Advisors. I was happy to sit back and play armchair expert as we attempted to deconstruct and "schoolhouse rock" what exactly "Healthcare Reform" actually means. With a new administration and perhaps a more cockeyed pessimist view on advancing the ball, could there be even the slightest chance that health care could suck less sooner than later? Well, that's what we're here to find out. Enjoy the show.
Author and journalist Michael Millenson is one of the original agitators of the status quo of healthcare. He is a friend, mentor, and someone I have consistently referred to as the “older, angrier, and more sagacious version of me.” His activism over the past 20+ years has paved the way for scores od patient advocates like me to grow our experiences into formidable and influential bully pulpits. And his book, Demanding Medical Excellence” is a template for what SHOULD be happening with our healthcare system but is regrettably not. He is particularly incendiary against hospital systems that place profit over purpose and who often have to be incentivized to do the right thing for their patients. You’re going to love this conversation.
The following audio interview will be transcribed to text to create a chapter in the upcoming charity/anthology titled HIGHWAY TO HEART, HUMOR, and HONESTY in HEALTHCARE. Available late Spring/early Summer 2020. VISIT the book page Michael L. Millenson is president of Health Quality Advisors LLC and...
Pushing for restructuring the care delivery system to improve outcomes For the show notes, full transcript, links, and resources please visit us at show link: https://bit.ly/2HbYJEt
Pushing for restructuring the care delivery system to improve outcomes
On the Wednesday, October 9th 2013 broadcast at 10AM Pacific/1PM Eastern our guest is Michael Millenson, President, Health Quality Advisors, LLC. You can follow Michael on Twitter via the handle @MLMillenson. Michael is a friend of this broadcast, a prolific and thoughtful writer, blogger and consultant and has recently penned the title: Still Demanding Medical Excellence posted on The Healthcare Blog and Health Affairs which is somewhat of a pulse check on the status of the quality movement since the IOM's landmark publication "Crossing the Quality Chasm" release in 2001. He describes himself as a 'Quality-of-care evangelis't via his consulting, writing and speaking, and is an early, vocal and loud advocate for better, safer, patient-centered care. Join us for an encore chat with this talented and thoughtful voice in the health innovation conversation.
On the October 9th, 2013 broadcast at 12 noon Pacific/3PM Eastern my special guests are Leslie Kernisan, MD and Michael Millenson, both thought leaders in health innovation through from slighly different points of view. Leslie is 'a practicing geriatrician in San Francisco with a particular interest in helping family caregivers'. She author's the blog GeriTech; whereas Michael is a quality health author, blogger, and activitist who writes from the perspective of health policy vs. the granulatiry of providing direct care per se. See Michael's work at Millenson.com. The 'etiology' of this chat spawned froma twitter exchange regarding ACOs and whether they'll impact the care for seniors in any meaningful way. While a thread developed in response to the question, this chat will dig deeper and illuminate the current state of grandma's care and how high a bar the ACO need lift to in order to add value to grandma's experience of care - one pillar of the triple aim. You can follow both on twitter via @GeriTechBlog and @MLMillenson respectively.
On the Wednesday July 17th 2013 broadcast at 10AM Pacific and 1PM Eastern our special guest is quality of care evangelist, insighful blogger, author and advocate for participatory medicine Michael Millenson, follow him @MLMillenson on Twitter. Our topic today is ACOs and the quality movement. Michael describes himself as follows: I'm a consultant specializing in quality of care, patient empowerment and web-based health. I also serve on the boards of a medical journal and of two health care-related foundations and hold an adjunct appoint as the Mervin Shalowitz, M.D. Visiting Scholar at Northwestern University's Kellogg School of Management. Earlier in my career, I was a reporter for the Chicago Tribune, where I was nominated three times for a Pulitzer Prize. I left to write what would become the critically acclaimed book, Demanding Medical Excellence: Doctors and Accountability in the Information Age, then went to work for a large consulting firm before heading out on my own. You can find Michael on the web at Provoking Change, Promoting Better Care' otherwise known as Millenson.com. Michael's most recent titles include: If You Want to Stop Hospital Harm, Don't Call a Capitalist, Left Behind: Will Cutting Medicare Hurt Seniors?, and How a Real Writer Dies. Join us!
On the Thursday, April 28th 2011 program at 11AM Pacific and 2PM Eastern, my guest commentator is thought leader, author, blogger, lecturer and consultant on health care quality, and related transformational initiatives Michael L. Millenson. We'll discuss his piece: 'ACO Fairy Tale Faces a Rumpelstiltskin Moment' and more. Millenson is president of Health Quality Advisors LLC, and a nationally recognized expert on improving the quality of Americanhealth care. He is the author of the critically acclaimed book, Demanding Medical Excellence: Doctors and Accountability in the Information Age, and he holds an adjunct appointment as the Mervin Shalowitz, M.D. Visiting Scholar at Northwestern University’s Kellogg School of Management. For more information, see: http://www.healthqualityadvisors.com/ Please join us!
On the Wednesday, January 12th 2011 program at 11AM Pacific and 2PM Eastern, my guest commentator is thought leader, author, blogger, lecturer and consultant on health care quality, and related transformational initiatives Michael L. Millenson. Millenson is president of Health Quality Advisors LLC, and a nationally recognized expert on improving the quality of American health care. He is the author of the critically acclaimed book, Demanding Medical Excellence: Doctors and Accountability in the Information Age, and he holds an adjunct appointment as the Mervin Shalowitz, M.D. Visiting Scholar at Northwestern University’s Kellogg School of Management. He also consults on Web-based interactive health care as a principal of Health 2.0 Advisors. For more information, see: http://www.healthqualityadvisors.com/ On this program we will discuss the state of the ACO development and deployment industry and particularly what lessons we need to carry forward in perhaps this final effort by the private sector to get a handle on the relentless expansion of the health care services industry. Please join us!