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 Speak Up for Safety
WIHI: Building Systems of Safety
WIHI: Engaging and Supporting Family Caregivers
WIHI: Improving Patient Experience: What's Working, What's Not
WIHI: What's Next for Electronic Health Records
WIHI: How Health Care Can Accelerate Health Equity
WIHI: 100 Million Healthier Lives: From Vision to Reality
WIHI: Five Practical Strategies for Managing Successful Improvement Projects
WIHI: Nurturing Trust: Addiction and Maternal and Newborn Health
WIHI: Health Care in Motion: Making Sense of a Moving Picture
WIHI: Joy in Work: An Antidote to Today's Burnout in Health Care
WIHI: The Opioid Crisis: How Health Care and the Community Can Act
WIHI: Breaking the Rules: Lessons from IHI’s Leadership Alliance
WIHI: The New World of Co-producing Health and Health Care
WIHI: A New Framework for Safety in Ambulatory Care
WIHI: Making Data Work for Quality Improvement
WIHI: New Tools and Thinking for Shared Decision Making
WIHI: Realizing “What Matters” (to Patients and Families)
WIHI: Personal Mastery for Transformational Leadership
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