

WIHI is an exciting "talk show" program from IHI. It's free, it’s timely, and it’s designed to help dedicated legions of health and health care improvers worldwide keep up with some of the freshest and most robust thinking and strategies for improving health and patient care. Learn more at ihi.org/wihi
Episodes

Tuesday Jun 27, 2017
WIHI: The Leaders Needed for the Changes Health Care Needs
Tuesday Jun 27, 2017
Tuesday Jun 27, 2017
Date: November 4, 2010
Featuring:
- Marshall Ganz, MPA, PhD, Lecturer in Public Policy, Harvard University
- Kate B. Hilton, MTS, JD, Principal in Practice, Leading Change; Leadership Coach, NHS England; Director, Organizing for Health
If you don’t work in the health care system, it’s sometimes hard to understand why, when so much is known about better ways to take care of patients and better ways to deliver quality at lower cost, people don’t just “do it!” What’s so complicated? If one hospital or hospital system has dramatically lowered infection rates, trained its practitioners to work as teams, AND coordinates with outpatient clinics to help people with serious, chronic conditions avoid the emergency department, then why can’t all hospitals do this? What’s the excuse?
Well, there is no “excuse” per se, but the reasons for the uneven and unreliable pace of change are many and complex. So much so that many health care improvement experts believe that the massive challenges facing health care systems in the US and in other countries, such as the UK, now require a new type of focus and mobilization. Where else in society have broad based, necessary changes come about before? How does this happen? Who makes it happen? Enter Marshall Ganz whose organizing in the civil rights movement and with everyone from farm workers to political candidates is legendary. This is the same Marshall Ganz, whose 2009 IHI National Forum keynote had several thousand attendees taking copious notes.
Marshall and Kate Hilton are in the midst of a timely initiative dubbed Organizing for Health. In a nutshell, the two are harnessing some of the best known and proven practices from community organizing and successful social and political movements, to help spawn a new type of health care leader—one who can then mobilize colleagues and staff to create fundamental, organizational change. And we’re not just talking about a better run chart. It’s about new goals, new skills, new ways of working across all health care settings, new partnerships with patients and families, and new teamwork; it’s about meeting new cost and payment expectations, and the needs of an expanding number of patients coming into the US health care system with insurance for the first time.
WIHI host Madge Kaplan welcomes Marshall Ganz and Kate Hilton to share a fresh vision for health care reform that could change business as usual in your organization.

Tuesday Jun 27, 2017
Tuesday Jun 27, 2017
- Lee Adler, DO, Vice President for Quality, Safety, Innovation, and Research, Florida Hospital
- Ruth Ann Dorrill, MPA, Team Leader, Office of Inspector General, US Department of Health and Human Services
- Amy Ashcraft, Senior Analyst, Office of Inspector General, US Department of Health and Human Services
- Donald Goldmann, MD, Senior Vice President, Institute for Healthcare Improvement
- Fran Griffin, Senior Manager of Clinical Programs for BD Medical/Medical Surgical Systems; Faculty, Institute for Healthcare Improvement
This is the backdrop for a groundbreaking series of studies that the Office of Inspector General (OIG) at the Department of Health and Human Services has been undertaking. In the past two years, the OIG has issued a series of reports focused on harm that reaches hospitalized Medicare recipients, including analysis of the sensitivity and accuracy of methods for detecting harm. Its most recent report, slated for publication in October, provides a first-of-its-kind national incidence rate for adverse events.
IHI’s Global Trigger Tool, designed to facilitate a retrospective review of medical records to identify adverse events, combined with a physician review, has been singled out by the OIG as a powerful means of determining when an adverse event has occurred.
This WIHI offers a window into all the research findings — straight from the experts — and their significance for patient safety, harm detection, improvement work, and policy reform going forward.

Tuesday Jun 27, 2017
WIHI: Reducing Readmissions, Restoring Revenues: Making Good Care Count
Tuesday Jun 27, 2017
Tuesday Jun 27, 2017
- Amy Boutwell, MD, MPP, Director of Health Policy Strategy, Institute for Healthcare Improvement
- Jeffrey Burke, Director, Financial Decision Support, Spectrum Health
- Rosemary Rotty, Director, Financial Planning, UMass Memorial Health Care
You’d be hard pressed to find anyone working in a hospital who’d say, “Yes, we really want Mrs. Jones to be back here a few days after she’s been discharged, running a fever, suffering complications from surgery, and now needing to be readmitted so we can run more tests.” And yet, scratch the surface of even the most dedicated hospital these days, working hard on sending people home with appropriate information, support, and planning… and you’ll find someone working late who’s been asked to come up with the business model that’s going to replace all the lost revenues when those “unwanted” readmissions are reduced!
Even as payers, including Medicare, are poised to make hospitals that don’t reduce their readmissions feel added financial pain, the fiscal impact on hospitals doing the right thing, right now, is already real. At times, it feels like it comes down to “choose your poison.” That’s why, experts say, hospitals have often made the unbelievable decision of throwing successful readmission reduction programs overboard, quite simply because they can’t afford the negative effect on the bottom line.
IHI’s STAAR (STate Action on Avoidable Rehospitalizations) initiative is taking a hard look at finances, working with a courageous group of hospitals that are learning how to open their books and analyze their admissions (and readmissions) patterns with some new eyes and new thinking. As with any serious commitment to improvement, knowing the facts is the essential first step. It turns out that asking one set of hard, financial questions, leads to others about utilization patterns and overall hospital operations… helping hospitals get ever closer to truly understanding how to care for patients in the right place, at the right time.
WIHI host Madge Kaplan talks with Amy Boutwell from the STAAR initiative and two hospital leaders who crunch numbers, Jeffrey Burke and Rosemary Rotty, share why it’s critically important to make the financial impact of reducing readmissions a living, breathing, part of your quality agenda.

Tuesday Jun 27, 2017
WIHI: The Buzz about Medical Training: It’s (Slowly) Changing
Tuesday Jun 27, 2017
Tuesday Jun 27, 2017
Date: September 23, 2010
Featuring:
- Lawrence Smith, MD, Dean, Hofstra/North Shore-Long Island Jewish School of Medicine; Chief Medical Officer, North Shore-LIJ Health System
- John Rock, MD, Founding Dean, Herbert Wertheim College of Medicine at Florida International University
- M. Brownell Anderson, Senior Director, Educational Affairs, Association of American Medical Colleges (AAMC)
It’s not easy to turn medical training upside down to better fit the needs of today’s patients and health care system. Consider that the last major reform occurred some 100 years ago and many, many institutions and individuals would say they’ve done just fine with the basics and, besides, some of the new content areas like “humanism” would be nice to know, but they’re hardly essential. I’m going to be a surgeon, after all!
Well, don’t try that out on the Deans of some 20 new medical schools. The attitude also might not wash with a new breed of curriculum architects who pair students with patients in low-income neighborhoods from day one, who insist on the mastery of good communication skills, and who have begun to weave the science and the tools of quality improvement and patient safety in and out of all science and clinical coursework. This is the new reality for future doctors and a lot of the changes are occurring at the grassroots, school by school, with educational leaders and governing bodies just now harnessing the best that’s out there to create a new blueprint for medical training, overall.
Dr. Lawrence Smith is serious about change. At his brand new medical school, Hofstra/North Shore–LIJ, first-year students will, among other things, get certified as EMTs and learn firsthand about teamwork and what patients and families need in crisis situations. At the Wertheim College of Medicine–Florida International University, Dean John Rock is sending medical students into diverse and complex communities so they’ll immediately appreciate medical realities within the context of social and economic realities. The AAMC’s Brownie Anderson, who’s in regular contact with all the new Dean innovators, joins WIHI fresh off a conference highlighting a vast amount of change occurring at all the nation’s medical schools. Whether it’s the IHI Open School or the virtual MyCaseSpace pioneered by the University of Central Florida, change is in the air and on the ground.

Tuesday Jun 27, 2017
WIHI: Leaders Never Stop Learning
Tuesday Jun 27, 2017
Tuesday Jun 27, 2017
Date: September 9, 2010
Featuring:
- Maureen Bisognano, President and CEO, Institute for Healthcare Improvement
Here's the thing about IHI's new President and CEO, Maureen Bisognano: she has unshakable optimism. And it's not because she wears rose-colored glasses or is looking at a different health care world than the rest of us. No, Maureen’s optimism is fed by her regular contact with some of health care's most reliable sources: patients and families, front-line providers, leaders — all of whom know firsthand where the problems lie and where the opportunities reside. They also share Maureen’s belief, honed by over 25 years’ worth of experience working to improve patient care, that the next barrier is only as formidable as you make it. The questions always need to be, “What new processes can you test?” “What new skills are needed?” “Who haven’t you included in the discussion?”
Talk to anyone who has met Maureen, and they’ll tell you she is a leader for our times; she’s keenly aware of every vexing and hard-nosed cost and policy issue the US health care system especially is facing, and clearer than ever how IHI and the quality improvement movement can and must provide a path forward.
Opportunity has knocked for health care reform in tandem with quality and patient safety like never before. WIHI host Madge Kaplan has a candid discussion with Maureen about these issues and more.

Tuesday Jun 27, 2017
WIHI: Against All Odds: Maternal Survival in Ghana and the US
Tuesday Jun 27, 2017
Tuesday Jun 27, 2017
Date: July 15, 2010
Featuring:
- Nana Twum-Danso, MD, MPH, FACPM, Director, Project Fives Alive!
- Jo Ivey Boufford, MD, President, New York Academy of Medicine
- Sue Gullo, RN, MS, Managing Director, Institute for Healthcare Improvement

Tuesday Jun 27, 2017
WIHI: Unprofessional Behavior Not Permitted Here
Tuesday Jun 27, 2017
Tuesday Jun 27, 2017
Date: July 1, 2010
Featuring:
- Barry Silbaugh, MD, MS, FACPE, CEO, American College of Physician Executives
- Kevin Stewart, FRCP, Medical Director Winchester and Eastleigh NHS Trust; Health Foundation Fellow, IHI
- Charlotte Guglielmi, RN, CNOR, Perioperative Nurse Specialist, BIDMC; President, Association of periOperative Registered Nurses
- Gerald B. Healy, MD, Emeritus Healy Chair in Otolaryngology, Children’s Hospital (Boston); Senior Fellow, IHI
- Ron Wyatt, MD, MHA, General Internist, Huntsville Hospital (Alabama); Merck Fellow, IHI

Tuesday Jun 27, 2017
WIHI: The Image of Better (Radiation) Imaging Practices
Tuesday Jun 27, 2017
Tuesday Jun 27, 2017
Date: June 17, 2010
Featuring:
- James R. Duncan, MD, PhD, Associate Professor of Radiology and Surgery, Washington University School of Medicine
- Richard T. Griffey, MD, MPH, Associate Chief for Quality and Safety, Emergency Medicine, Washington University School of Medicine

Tuesday Jun 27, 2017
Tuesday Jun 27, 2017
Date: June 3, 2010
Featuring:
- Carol Beasley, Director, Institute for Healthcare Improvement
- Tom Nolan, PhD, Statistician and Co-Founder, Associates in Process Improvement; Senior Fellow, IHI
- Laura K. Landy, President and CEO, Fannie E. Rippel Foundation

Tuesday Jun 27, 2017
WIHI: Coaching’s the Thing for Primary Care Practice
Tuesday Jun 27, 2017
Tuesday Jun 27, 2017
Date: May 20, 2010
Featuring:
- Ann Lefebvre, MSW, CPHQ, Associate Director, North Carolina Area Health Education Centers Program
- Neil Baker, MD, IHI Faculty and Improvement Advisor, and Improvement Consultant
- Cory B. Sevin, RN, MSN, NP, Director, Institute for Healthcare Improvement
- Roger Chaufournier, CEO, CSI Solutions