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: End-of-Life Care and How Communities Can Become "Conversation Ready"
WIHI: 10 Things Every Hospital Needs to Know to Be Safe
WIHI: The Road to Team-Based Primary Care and Behavioral Health
WIHI: 100 Million Healthier Lives by 2020
WIHI: Optimizing Safety with the Electronic Health Record: The Latest on Glitches and Fixes from the Frontlines
WIHI: Better Care and Better Value for Hip and Knee Replacement
WIHI: Mental Health Care in the Hospital: Preventing Harm, Promoting Safety
WIHI: From Here to CLER: Graduate Medical Education and the Clinical Learning Environment Review (CLER)
WIHI: Tread Water No More! Making Sense of Patient Experience Data
WIHI: Preventing Financial Harm to Patients: The Costs of Care Initiative
WIHI: From Prehospital to In-Hospital: The Continuum for Time-Sensitive Care
WIHI: New Roles, New Routes for Managing Populations
WIHI: Making the Work of QI Less Draining and More Sustaining
WIHI: The Patient-Centered Medical Home: Early Results, Tough Scrutiny
WIHI: Partnering with Patients for Safety: The Next Phase of Work and Commitment
WIHI: Transforming Tensions and Tempers on Health Care Teams
WIHI: Reclaiming Empathy — Best Practices for Engaging with Patients
WIHI: Bright Spots for Patients with Complex Needs
WIHI: How High? How Low? Shared Decision Making Amidst Shifting (Hypertension) Guidelines
WIHI: Mobilizing Skilled Nursing Facilities to Reduce Avoidable Rehospitalizations
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