WIHI - A Podcast from the Institute for Healthcare Improvement
Health & Fitness:Medicine
Date: February 18, 2016
Featuring:
What is the “true north” for the health care quality improvement movement? What are the questions leaders and champions of quality and safety initiatives must periodically ask themselves as a natural part of the process of seeking dramatic change? If you’re IHI’s founder and President Emeritus and Senior Fellow, Don Berwick, the questions, and the answers, are often moral ones. Don is known for reminding improvers at critical moments that whatever they’re working hard on must, finally, come back to the patients themselves and principles of service and healing relationships. When the vision starts to go blurry in a miasma of metrics and measures and monitoring, Don argues, we lose our way.
In December, Don took to the podium at IHI’s National Forum in Orlando and delivered a keynote calling for what he labeled a “moral era” for the health care quality improvement movement — Era Three. In the keynote, Don outlined five developments from earlier eras that he believes have started to obscure the improvement movement’s sense of purpose: excessive measurement; complex (pay for performance) incentives; preoccupation with money; and professional prerogative. Increasing attention to five activities in Era Three, broadly defined, can help: improvement science; transparency; civility; listening (to patients, family members, and staff); and rejecting greed.
During this WIHI, Don was joined by his daughter, Dr. Jessica Berwick, an internist at Beth Israel Deaconess Medical Center in Boston, who shared the perspective of a relatively new physician navigating many of the competing forces Don describes in his speech.
WIHI: How to Beat Burnout and Create Joy in Work.
WIHI: Tuning up Health System Boards for Patient Safety
WIHI: Pursuing Health Equity With Curiosity: Notes from New Initiatives
WIHI: Workplace Violence in Health Care Can't Be the Norm
WIHI: Greater Satisfaction, Outcomes, and Savings With Self-Administered Care
WIHI: How to Fail Forward (Quickly) on the Road to Population Health
WIHI: How to Beat the Boring Aspects of QI
WIHI: The Digital Transformation: How Technology Is Helping (and Hurting) Health Care
WIHI: Seven Popular Improvement Tools: How (and When) to Use Them
WIHI: The High Stakes of Health Care Policy
WIHI: Creating Age-Friendly Health Systems
WIHI: Who's Your Health Care Proxy?
WIHI: What We're Learning about Patients with Complex Needs
WIHI: The Right Care, Right Setting, and Right Time of Hospital Flow
WIHI: Claiming the Edge with Quality Improvement in Communities
WIHI: Practicing Respect and Preventing Harm
WIHI: The Next Wave of Patient Safety
WIHI: Improving the Rate of Recommended Care: Looking Back and Looking Ahead
WIHI: Moving Upstream to Address the Quadruple Aim
WIHI: Measures That Matter: Whole System Measures 2.0
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