WIHI - A Podcast from the Institute for Healthcare Improvement
Health & Fitness:Medicine
Date: December 7, 2017
Featuring:
When Dr. Victor Montori first started talking about Minimally Disruptive Medicine more than a decade ago, he shook the establishment. Dr. Montori, who works with patients with diabetes, had come to believe that shared decision making – an effort to help patients make informed decisions about managing their health problems – wasn't proving all that effective. Dr. Montori felt doctors and nurses weren't factoring in the burden of being a patient with a chronic condition, and the real life challenges – social, economic, or personal – of following prescribed treatment plans. It was time, he argued, for providers to look up from strict protocols and guidelines long enough to get curious about their patients' lives in order to minimize barriers to better health, not add to them.
Fast forward to 2017 and Dr. Montori is more convinced than ever that health care providers need to learn from patients and not the other way around. And to appreciate the circumstances in patients' lives that can compete with managing a chronic condition. This outlook is fundamental to the work of the KER Unit Dr. Montori founded at Mayo, the more patient-driven shared decision making he now promotes, and a new effort he's dubbed "a patient revolution for careful and kind care." The latter is the focus of a new website with recommended reading, tools, and activities.
Dr. Montori and his colleagues joined us to discuss this revolution on the December 7 WIHI: The (Careful and Kind) Patient Revolution.
WIHI: Harnessing Improvement to Reduce Diagnostic Errors and Delays
WIHI: Medicare Reimbursement and Meaningful Conversations about End-of-Life Care
WIHI: Accelerating Improvement: The Enduring Value of Collaboratives
WIHI: How Health Care Organizations Can Create Equity in the Community
WIHI: Relationships Count: Community Health Workers and Team-Based Care
WIHI: Getting Right Care, Right!
WIHI: What Students in the Health Professions Can Do for You... and Improvement
WIHI: Saving Lives by Design: Lessons for All from Ghana's Project Fives Alive!
WIHI: The Echo Effect of Project ECHO's Access to Specialty Care
WIHI: The IHI Triple Aim: Lessons from the First Seven Years
WIHI: Disability Competent Care
WIHI: Now What? Best Practices for Newly Diagnosed Cancer Patients
WIHI: Leaning In: Oregon's Coordinated Care Organizations
WIHI: Reducing Risks and Defects with Help from the Front Lines
WIHI: All Hands on Deck to Reduce C. Difficile
WIHI: The Managers and Management We Need to Improve Care
WIHI: Bundles and Buy-In for Value-Based Care
WIHI: Topping the Charts in Pediatrics and Adverse Events Reporting
WIHI: The Ups and Downs of Health Care Costs and Reform
WIHI: When Everyone Knows Your Name: Identifying Patients with Complex Needs
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