WIHI - A Podcast from the Institute for Healthcare Improvement

Date: July 18, 2019

Featuring:

• Stephen Mette, MD, Chief Clinical Officer, interim Chief Executive Officer, Senior Vice Chancellor Clinical Programs, University of Arkansas for Medical Sciences (UAMS) Medical Center

• Victor Tabbush, PhD, Adjunct Professor Emeritus, UCLA Anderson School of Management

It hasn't always been easy to talk about the business case for quality improvement, let alone isolate the financial benefit. Now, there's a way to do both, in the context of transformative, age-friendly care. On this episode of WIHI our expert panel discusses a new IHI and Age-Friendly Health Systems (AFHS) report, The Business Case for Becoming an Age-Friendly Health System, and reviews the Report’s two prominent case studies: Hartford Hospital and St. Vincent’s Hospital. The panel discusses the potential to unlock cost savings and generate new revenue through the adoption of the 4Ms Framework, all while providing safer, more appropriate care. If you’re looking to learn more about the financial benefits of being an Age-Friendly Health System, this episode of WIHI is for you.

Short description (for IHI.org preview only): What are the financial benefits of being an Age-Friendly Health System?

May 30, 2019

Featuring:

• John Krueger, MD, MPH, Division Vice President for Quality, CHI Franciscan

The key components of safer acute pain management systems, along with tools and resources to support new practices, are highlighted in a new IHI report, Advancing the Safety of Acute Pain Management​. In this episode of WIHI, we dive into the report with three experts: John Krueger, Joan Maxwell, and Scott Winiecki. John and Joan discuss establishing shared expectations with their video simulation of a doctor and patient discussing her upcoming surgery,​ and Scott shines light on the work being done by the Safe Use Initiative at the FDA.

Our WIHI guests all agree that health care needs to create safer processes for a patient population that is becoming more aware of the risks of opioids, more realistic about their ability to tolerate some pain, and more open to non-opioid remedies for pain management. If you’re looking to learn more about how to create these processes, then this WIHI is for you.

Date: April 18, 2019

 Featuring:

Thomas H. Gallagher, MD, Professor, Department of Medicine, University of Washington; Associate Chair, Patient Care Quality, Safety, and Value

Allen Kachalia, MD, JD, Director, Armstrong Institute for Patient Safety and Quality; Senior Vice President for Patient Safety and Quality, Johns Hopkins Medicine

Description:

When a patient is unintentionally harmed during medical treatment, how should organizations respond?

 Not that long ago, steps like these were unthinkable and, from a risk manager's perspective, totally unwise. Today these practices are at the core of what are called communication and resolution programs (or CRPs)​, and their architects say there's been a significant uptick in US health systems using them. Our guests are two leading experts on CRPs, Tom Gallagher and Allen Kachalia. They and a team of researchers have been teasing out the reasons why so many health care leaders are committed to the principles of CRPs, but hesitant to deploy the practices.

 If you've been wondering what's been going on with CRPs and new ways forward, this WIHI is for you.

Date: March 21, 2019

Featuring:

• M.E. Malone, MS, MPH, Deputy Director, Betsy Lehman Center for Patient Safety

Certain concepts have become hallmarks of improving patient safety and second nature to improvers — for example, systems thinking and building a culture of safety. However, try explaining this work to people outside safety improvement circles and you're likely to confront the reality that the degree to which health care can be unsafe and that medical errors and near misses occur is not universally shared. Or understood.

The Betsy Lehman Center has been working on a multi-phase effort to better understand these disconnects and the messaging and terminology that might fix them. They've published a new report​, and we dug into the findings and recommendations on the March 21 WIHI: How to Make Patient Safety Easier to Explain and to Champion.

• Derek Feeley, President and CEO, Institute for Healthcare Improvement (IHI)

How much thought and preparation go into how you pitch new ideas and initiatives to leaders in your organization? If you've been frustrated by lack of support or buy-in from a leader, it's possible that you did not win that person over at the start.

IHI's President and CEO, Derek Feeley, recently penned a blog? on the ingredients he's found can help an initial pitch succeed and was joined on this episode of WIHI, How to Speak So Leaders Will Listen, Derek was joined by Angela Shippy, Memorial Hermann Health System's Senior Vice President and Chief Quality Officer, to offer feedback on pitches from improvers in the IHI community.

Together, Derek and Angela reflected on how challenging it can be to lack the backing or active involvement of leadership to pursui improvement work in health and health care, shared their suggestions and advice for getting the attention of leaders in order to spark meaningful improvement and change.

• Beth Daley Ullem, MBA, President, Quality and Safety First

 How well do health care boards oversee health care quality? Trustee oversight of finances has a long track record, while accountability for health care quality is relatively new and features a steep learning curve. There are hundreds of quality metrics to understand along with dozens of initiatives to improve care. Indeed, board members often complain that they're handed so much information, it's hard to ask hard questions, let alone engage in oversight.

 Is there a better way for boards to fulfill their mandate of ensuring health systems live up to theirs on quality? Maybe so. The IHI Lucian Leape Institute​ has just released a white paper, that pairs a new online assessment tool with a new framework, to help boards and health care leaders work together to take a giant step forward with governance of quality. We explored those details and more on the January 17 WIHI: NEW Guidance for Governance of Health System Quality – What Trustees Should Know and Do.

Date: December 20, 2018

Featuring:

WIHI is pleased to present a Special Edition Podcast, Women in Action: Paving the Way for Better Care, featuring a panel of outstanding women who are creatively and effectively reshaping caregiving, and conversations about health and health care in the US and around the world. Whether itís blowing the whistle on the dangerous levels of lead in drinking water in Flint, Michigan, championing the healing powers of dance and movement in hospitals, or shining a human spotlight on disease outbreaks throughout the world, we learn from the panel that there are multiple ways to act and make a difference today.

WIHI recorded this keynote panel, moderated by Maureen Bisognano, on December 11, 2018, in Orlando, Florida, at the Institute for Healthcare Improvementís 30th Annual National Forum on Quality Improvement in Health Care.

You can learn more about Maureen Bisognano and the backgrounds of the keynote panelists ñ Mona Hanna- Attisha, Vania Deonizio, and Celine Gounder ñ here. [link to biosÖhave to figure out how to link to specific bios since theyíre spread out on the Forum web pages]

The podcast is one hour; we recommend that you have the presentation slides (posted on this page) handy for reference as youíre listening. Vania Deonizio also shared a video about Danciní Power during her remarks. Youíll find a link to the video just below.