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.
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WIHI: A Partnership to Reduce Deaths from Sepsis
WIHI: Navigating New Care Teams with Nurse Practitioners
WIHI: Reality Knocks with Reducing (Hospital) Readmissions
WIHI: OpenNotes: Doctors and Patients Are on the Same Page
WIHI: Gaining Ground: Quality Improvement and US Medical Residency
WIHI: Navigating the Elections with a Clear-Eyed View
WIHI: Pioneering ACOs: What Do We Know So Far?
WIHI: Conversations as Cornerstones of End-of-Life Wishes
WIHI: Minimally Disruptive Medicine
WIHI: Triple Perspectives on Triple Aim in a Region
WIHI: Essential Skills for Health Care Reformers and Improvers: Holding Tension and Learning Habits of the Heart
WIHI: Situational Awareness and Patient Safety
WIHI: Testing,Testing! Is This Procedure Necessary?
WIHI: "Pursuing the Triple Aim" Book Discussion with the Authors and Innovators
WIHI: You Can't Improve What You Can't Evaluate
WIHI: Going, Going, Green! Embedding Environmental Health and Sustainability into Health Care Delivery
WIHI: What Can You Learn in 90 Days? IHI’s Innovation Process
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