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Habitual Excellence, Presented by Value Capture
Habitual Excellence, Presented by Value Capture episodes
- Denise Cardo, MD of the CDC Talks About Aiming for Perfect Healthcare With Zero Harm
Episode page: https://valuecapturellc.com/he67
Welcome to Episode #67 of Habitual Excellence, presented by Value Capture.
Joining us today as our guest is Denise Cardo, MD.
Dr. Denise Cardo is the director of the Division of Healthcare Quality Promotion (DHQP), National Center for Emerging and Zoonotic Infectious Diseases (NCEZID) at the Centers for Disease Control and Prevention (CDC). Dr. Cardo joined CDC in 1993 as a medical epidemiologist in the Hospital Infections Program (later named as Division of Healthcare Quality Promotion). After holding several leadership positions in DHQP, she was selected as division director in 2003.
Her interests include patient safety, occupational health, prevention of healthcare-associated infections, and antimicrobial resistance.
She’s recently the co-author of a NEJM Perspectives piece:
Health Care Safety during the Pandemic and Beyond — Building a System That Ensures Resilience
In today's episode, Dr. Cardo talks with host Mark Graban, about topics and questions including:
- Why should we aim beyond merely “getting better” and why should we be aiming for Zero Harm?
- Aim for “perfect healthcare with no harm?
- What are some practices that are not evenly distributed across the US?
- Working previously with PRHI - Ken Segel and Paul O’Neill?
- 70% decrease in harm showed what’s possible
- Preventing preventable infections or ALL infections??
- What is the role of CDC in promoting and partnering with healthcare organizations on patient safety? How has that evolved?
- Policies to incentivize - transparency and accountability
- Aligning payment to results… most countries aren’t there yet
- Please tell us how the CDC partners with CMS, AHRQ, and other federal agencies? With private advocacy groups?
- Focusing on Americans, CDC is a global leader — Collaboration or learning from similar organizations in other countries that are focused on patient safety?
- Lessons from the Covid pandemic? As you wrote about in the NEJM, why have we seen more patient safety problems recently, including more falls, more infections, more pressure ulcers in hospitals and SNFs?
- You and your co-authors wrote the recent trends “severely suggests that our health care system lacks a sufficiently resilient safety culture and infrastructure.”
- Disparities and equity - not just access to care, but “quality care”
- Moving forward, what evidence would you expect to see if we DID have a “sufficiently resilient safety culture and infrastructure”?
Click to visit the main Habitual Excellence podcast page.
38 min - Meghan Scanlon on Transitions and Reflections, To and Within Healthcare
Episode page: https://valuecapturellc.com/he66
Welcome to Episode #66 of Habitual Excellence, presented by Value Capture.
Joining us today as our guest is Meghan Scanlon, the Vice President of Performance Excellence for Community Hospitals at Duke University Health System.
She was previously with Value Capture for almost 7 years as a Principal and Partner in the firm. Prior to that, Meghan and I worked together at Johnson & Johnson as part of a consulting team there that worked with medical labs and hospital systems. She has a BS in Industrial Engineering from Penn State University.
In today's episode, Meghan shares reflections, with host Mark Graban, about various career transitions that she has gone through in her career:
- Transition from college to the working world
- Transition into consulting for healthcare organizations
- Transition to Value Capture
- Transition to DUHS
Click to visit the main Habitual Excellence podcast page.
46 min - Interview of Theresa Brown, RN on Her New Book "Healing" (Part 2)
Episode page and links: https://valuecapturellc.com/he65
Welcome to Episode #65 of Habitual Excellence, presented by Value Capture.
Joining us again today is Theresa Brown, PhD, BSN, RN. She is a nurse and writer who lives in Pittsburgh. Her third book — Healing: When a Nurse Becomes a Patient — is available now. It explores her diagnosis of and treatment for breast cancer in the context of her own nursing work. Her book, The Shift: One Nurse, Twelve Hours, Four Patients' Lives, was a New York Times Bestseller.
Theresa's BSN is from the University of Pittsburgh, and during what she calls her past life she received a PhD in English from the University of Chicago.
Today's episode is the second part of a two-part series with Theresa that started in episode #64.
In today's episode, Theresa talks about the conviction of RaDonda Vaught -- why is this triggering a lot of fear amongst nurses -- and they talk more about the issues she raises in her books.
Host Mark Graban also asks Theresa questions and discusses topics including:
- 250,000 Americans a year are dying from medical errors and “no one is doing much to change that” — why is that?
- What can be done (or needs to be done) to reduce infections and medication errors?
- You’ve written about mistakes you’ve made… and you wrote about how that wasn’t easy. What happened with the mistake you made (and I hate how that sounds blaming) — the mistake you were involved with regarding the steroid injection?
- You wrote about being “too proud” to tell your manager that a shift’s assignment was “potentially overwhelming” — Why was that?
- Thoughts on laws requiring certain nurse to patient ratios?
- What can be done about the problem of nurses not getting breaks or time to eat lunch
- Thoughts on 12-hour shifts? Increased risk of error, but fewer handoffs. Can we improve the way handoffs are done?
- “One of the key factors in burnout, though, is employees feeling like they have little control over their work environment. That’s pretty much status quo in hospitals for nurses and doctors.” — What can be done about that??
- Epilogue - your main recommendations for our American health system?
36 min - Interview of Theresa Brown, RN on Her New Book "Healing" (Part 1)
Welcome to Episode #64 of Habitual Excellence, presented by Value Capture.
Joining us today as our guest is Theresa Brown, PhD, BSN, RN. She is a nurse and writer who lives in Pittsburgh. Her third book — Healing: When a Nurse Becomes a Patient — is available now. It explores her diagnosis of and treatment for breast cancer in the context of her own nursing work. Her book, The Shift: One Nurse, Twelve Hours, Four Patients' Lives, was a New York Times Bestseller.
Theresa's BSN is from the University of Pittsburgh, and during what she calls her past life she received a PhD in English from the University of Chicago.
Today's episode is the first part of a two-part series with Theresa. Come back in two weeks for the next part in Episode #65.
In today's episode, Theresa talks about the need to improve healthcare for the sake of patients and for caregivers. How did Theresa's view of healthcare change when she became a breast cancer patient?
Host Mark Graban also asks Theresa questions and discusses topics including:
- Is there sometimes an "empathy gap" in healthcare?
- Making things easy for patients is not currently a goal of healthcare?
- It sounds like nobody was coordinating (or explaining) your overall cancer situation? Why did you feel "left in the dark?"
- Did caregivers know you were a nurse? Were you reated differently?
- “This job would be easier if there weren’t such a narrow divide between being the canary in the coal mine and Chicken Little" -- is there an empathy gap toward nurses and other caregivers?
Click to visit the main Habitual Excellence podcast page.
32 min - Paul H. O'Neill Sr.: A Podcast From 2011 on Safety, Leadership, and More
Episode page with links and more: https://valuecapturellc.com/he63
Welcome to Episode #63 of Habitual Excellence, presented by Value Capture.
Today brings us a special episode, where we have an opportunity to revisit Mark Graban's interview of our original non-executive chairman, Paul H. O'Neill, Sr. This interview originally appeared in the Lean Blog Interviews podcast back in July 2011.
In the discussion, Mr. O'Neill shared his thoughts on patient safety and healthcare, including his time spent as the Chair of the Pittsburgh Regional Health Initiative and his work with Dr. Richard Shannon in dramatically reducing hospital-acquired infections (HAIs) to their “theoretical limit” of zero harm. Mr. O'Neill talks about the leadership required to have such an impact on safety and quality, drawing on lessons from his years as Alcoa's CEO.
Click to visit the main Habitual Excellence podcast page.
30 min - Conversation With Vickie Pisowicz on The Value Capture Way and Her New Role
Welcome to Episode #62 of Habitual Excellence, presented by Value Capture.
Episode page: htps://www.valuecapturellc.com/he62
Joining us today as our guest is Vickie Pisowicz, from Value Capture. She has been a Senior Advisor with the firm and its clients and she also has a new role that we'll talk about today, as Director of the Value Capture Way and Advisory Development.
In today's episode, Vickie talks about the role, what it means to have a "way" and what the "Value Capture Way" entails.
Host Mark Graban also asks Vickie questions and discusses topics including:
- What is the Value Capture Way? Codifying that?
- Values and principles are long standing, methods can improve… codifying doesn’t mean fossilizing
- Advisory - advisors or trusted advisors vs. consultants -- What do those terms mean to you?
- What will this mean for clients, both current and future?
- Learning at the fastest possible rate, meeting their needs
Click to visit the main Habitual Excellence podcast page.
19 min - An Audio Summary of the Paul O'Neill "Playbook"
Episode page with links: https://www.valuecapturellc.com/he61
Welcome to Episode #61 of Habitual Excellence, presented by Value Capture.
In today's episode, Mark Graban reads a chapter that he wrote as a summary of the Paul O'Neill "playbook" as documented in the full eBook A Playbook for Habitual Excellence: A Leader’s Roadmap from the Life and Work of Paul H. O’Neill Sr.
You can also read the summary on our website.
9 min - Sandra Geiger on Strategy Development & Deployment, Lean Culture
Chief People Officer & Chief Strategy Deployment Officer at Atrius Health
Episode page: https://www.valuecapturellc.com/he60
Welcome to Episode #60 of Habitual Excellence, presented by Value Capture.
Joining us today as our guest is Sandra Geiger. She is the Chief People Officer & Chief Strategy Deployment Officer at Atrius Health in MA. Sandra was previously VP of Performance Excellence at another Massachusetts health system. She’s a physical therapist by background.
In today's episode, Sandra shares her experiences with "strategy development" and the Lean management practice of "strategy deployment" -- before, during and after a pandemic
Host Mark Graban also asks Sandra questions and discusses topics including:
- How did you get introduced to Lean?
- How did you become CPO?
- The aim of "never-ending success"
- A quick pivot due to Covid - emergency strategy?
- Connecting the strategy thread to the front line work and improvement and their role
- People learning what the strategies are - doesn’t always happen?
- Why Lean at Atrius Health?
- How you can influence a company culture through Lean -- Continuous Improvement and Respect for People?
- Beyond culture, where does “technical Lean” fit as well?
Click to visit the main Habitual Excellence podcast page.
41 min - Dr. Eric Dickson on Lean Management in a Crisis (The Covid Pandemic)
CEO of UMass Memorial Health
Show page: https://www.valuecapturellc.com/he59
Welcome to Episode #59 of Habitual Excellence, presented by Value Capture.
Joining us again today is Eric W. Dickson MD, MHCM, FACEP, a returning guest. He is President and Chief Executive Officer at UMass Memorial Health. He was previously a guest in Episode #11, released in July 2020, earlier in the pandemic.
In today's episode, follows up on our earlier discussion about their commitment to "no furloughs and no layoffs" and how that "might have been the best decision we made" during the pandemic, as Eric said.
Host Mark Graban also asks Eric questions and discusses topics including:
- Going through almost two years of this now, what have you learned about “Lean management in a crisis?”
- Lessons Learned? — Developing people during a crisis?
- A culture of Respect for People
- Staff now are exhausted -- how can we recover?
- When you talk about principles and values, including safety and respect, how did you handle the vaccine mandate?
- The role of a leader — Your role as the CEO during this?
40 min - Liz Long and Dr. John Anderson: Transforming Primary Care and Lean Management
Welcome to Episode #58 of Habitual Excellence, presented by Value Capture.
Notes, video, transcript, and more: https://www.valuecapturellc.com/he58
In today's episode, our guests are John B. Anderson, Jr., MD, MPH, the Chief Medical Officer for Duke Primary Care, part of the Duke University Health System, and Elizabeth Long, their Chief Operating Officer.
In the episode, Liz and John discuss an overarching theme of Transforming Primary Care -- through Lean management practices and continuous improvement, with our host, Mark Graban. Topics and questions include:
- Liz and John's professional backgrounds
- Tell us about your organization’s Improvement journey — how they started and why?
- What is the focus on improvement in primary care?
- Teamwork and collaboration across sites? More broadly? How to encourage this?
- Why did your focus shift to a management system?
- Creating the culture of quality and continuous improvement
- A3 problem solving - as a method for continuous improvement?
- Morning huddles, tiered huddles?
- Benefits & results?
- Lessons learned?
39 min
About Habitual Excellence, Presented by Value Capture
From the publisher's feed
Do you want to create a healthcare organization that strives for zero harm through principles-based leadership, Lean practices, and real-time, root-cause problem solving? We share conversations with…
Value Capture advisors, clients, and thought leaders, exploring how to create “habitual excellence” (a phrase coined by Value Capture’s founder Paul O’Neill) by engaging everybody in creating a culture of safety - and learning. Lead your teams to the theoretical limits of perfect for staff safety, patient safety and performance, using methods from Toyota, Alcoa, Catalysis, and the Shingo Institute.
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