WIHI - A Podcast from the Institute for Healthcare Improvement

WIHI

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 read less
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Episodes

WIHI: The Benefits of Behavioral Health in the ED
14-11-2019
WIHI: The Benefits of Behavioral Health in the ED
Thanks for listening to WIHI. As an organization dedicated to continuous improvement, we hope you will take a moment to give us feedback on this particular episode of WIHI. We’ll use this information to ensure we keep producing the high-value, cutting-edge conversations on health and patient care. Take the 1-minute survey here: ihi.org/PodcastSurvey.  Date: November 14, 2019  Featuring: Arpan Waghray, MD, System Director, Behavioral Medicine, System Medical Director, Telepsychiatry, Providence St. Joseph Health; Chief Medical Officer, Well Being TrustScott Zeller, MD, Vice President of Acute Psychiatry, VituityScott M. Surico, BSN, RN, MICN, Education Coordinator for Emergency Services, Hoag Memorial Hospital Presbyterian​Marie Schall, MA, Senior Director, Institute for Healthcare Improvement (IHI)​  Emergency departments (EDs) constantly handle behavioral health-related emergencies, but what if EDs were able to take a more proactive approach toward behavioral health patients, initiating treatment and better connecting individuals to optimal care?  Tune into this episode of WIHI, The Benefits of Behavioral Health in the ED, to hear about an eight-hospital system, 18-month IHI initiative, Integrating Behavioral Health in the Emergency Department and Upstream (ED and UP). With support from the Well Being Trust, the ED and UP initiative sought to improve ED culture surrounding patients with behavioral health issues, emphasizing trauma-informed care, and the need to build awareness of, and partner with, community resources. The WIHI panel highlights the importance of changing hearts and minds and practices in the ED with behavioral health patients when they’re most vulnerable, and the impact well-conceived interventions can have on patients, family members, and staff. Treating patients with the care most appropriate to their condition is of critical importance in health care, and we hope you’ll appreciate and learn from this WIHI.
WIHI: Increasing Joy in Work: Notes from a Cardiac ICU Team
06-11-2019
WIHI: Increasing Joy in Work: Notes from a Cardiac ICU Team
As an organization dedicated to continuous improvement, we hope you will take a moment to give us feedback on this episode of WIHI. Take the 1-minute survey here: ihi.org/PodcastSurvey. Featuring: Jamie Beach, BSN, RN, Quality Data Manager, Frankel Cardiovascular Center, Michigan MedicineDiane Lopez, RN, MSN, Clinical Nursing Director, Michigan MedicineJessical Perlo, MPH, Network Director, Institute for Healthcare Improvement Caregiver burnout is well documented and on the rise. To address some of the underlying issues and improve patient and provider safety, the Institute for Healthcare Improvement (IHI) has developed a framework and set of recommendations known as "Joy in Work." Organizations across the country are testing how to apply the principles with encouraging results. If you want to learn how one clinical team at Michigan Medicine, spearheaded by Diane Lopez with help from Jamie Beach, has changed what was once a toxic culture in a medical unit, this episode of WIHI is for you.  IHI Joy In Work Tools and Resources:  The IHI Framework for Improving Joy in Work is the North Star for this work. Other key and helpful materials include: IHI Blog Post: In Defense of the Word “Joy”Journal of Healthcare Management: Why Focusing on Professional Burnout Is Not EnoughNEJM Catalyst: Applying Community Organizing Principles to Restore Joy in WorkIHI Tool: "What Matters to You?" Conversation Guide for Improving Joy in Work  Currently, IHI is gearing up for a Results-Oriented Learning Network around Joy in Work. The network will kick off in January 2020. Register here to save your spot in a free informational call with Network faculty on November 15, 2019, at 11:00 AM ET. Looking for in-person trainings? Join us at this year’s National Forum, where Joy in Work is a featured track. (You can browse all National Forum sessions here.)
WIHI: NO LET UP ON SAFETY
19-09-2019
WIHI: NO LET UP ON SAFETY
September 19, 2019 Featuring: Tejal K. Gandhi, MD, MPH, CPPS, Chief Clinical and Safety Officer, Institute for Healthcare Improvement (IHI)​Rear Admiral Jeffrey Brady, MD, MPH, United States Public Health Service, Director, Agency for Healthcare Research and Quality's Center for Quality Improvement and Patient Safety Helen Haskell, President, Mothers Against Medical Error and Consumers Advancing Patient Safety Jay Bhatt, DO, MPH, MPA, FACP, Senior Vice President & Chief Medical Officer, American Hospital Association; President, Health Research and Educational Trust It’s been 20 years since the renamed National Academy of Medicine (former Institute of Medicine) first shined light on the unintended consequences of medical errors in American health care. Their report, To Err is Human: Building a Safer Health System, has served as a catalyst for safety initiatives at health systems, and progress has been made on multiple fronts — from significant reductions in health care - associated infections, to an embrace of quality improvement and patient safety solutions that now encompass the entire continuum of care. Even with this progress, obstacles to safe and reliable care persist. Systems are confronting a new payment environment, it remains difficult to sustain improvement gains, there are EHR headaches, and ongoing concerns about physician and staff burnout. These are just some of the reasons IHI convened national safety leaders and stakeholders to form the National Steering Committee for Patient Safety (NSC). Co-chaired by IHI and the Agency for Healthcare Research and Quality (AHRQ), the NSC is hard at work on a new National Action Plan it expects to release in early 2020. In light of these developments, and in support of World Patient Safety Day on 9/17, we’re focusing this edition of WIHI: No Let Up on Safety, on the work of the NSC and their bold intention to re-energize the safety movement in the US with foundational safety principles and priorities.  If you’re looking to continue the conversation, join industry leaders at this year’s IHI National Forum on Quality Improvement in Health Care and attend a special interest breakfast with members of the NSC.
WIHI: Black Women and and Maternal Care: Redesigning for Safety, Dignity, and Respect
08-08-2019
WIHI: Black Women and and Maternal Care: Redesigning for Safety, Dignity, and Respect
Date: August 8, 2019 Featuring: Joia Crear-Perry, MD, FACOG, Founder and President, National Birth Equity Collaborative Ebony Marcelle, CNM, MS, FACNM, Director of Midwifery, Community of Hope Shannon Welch, MPH, Project Director, Institute for Healthcare Improvement (IHI) A significant rise in maternal deaths in the United States, especially among black women, has recently gotten a lot of public attention. According to the US Centers for Disease Control and Prevention (CDC), acute events tied to childbirth are contributing to the upward trend. Experts also highlight other factors putting black women, in particular, at risk: racism and implicit bias within health care, the daily struggles of poverty, and disregard for pregnant women’s knowledge about their own bodies and potentially dangerous symptoms.  With lives at stake, we invite you to listen to this WIHI: Black Women and Maternal Care: Redesigning for Safety, Dignity, and Respect to learn more about the issues that have led to an alarming rise in maternal mortality disproportionately impacting Black women and what can be done to reverse this trend. Dr. Joia Crear-Perry, Ebony Marcelle, and Kiddada Green are among national and local leaders of organizations that are co-creating solutions and interventions with Black women all across the US to improve the quality of support and health care surrounding pregnancy and childbirth. Shannon Welch will describe how the current partnerships and learning with IHI promise to offer new and better practices to improve outcomes and save lives.
WIHI: Aim High For Equity in the Health Care Workforce
18-07-2019
WIHI: Aim High For Equity in the Health Care Workforce
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 CenterAndrea Werner, MSW, Senior Vice President, Bellin Health SystemsKalyn Witak, Talent Acquisition Specialist, Bellin Health SystemsSaranya Loehrer, MD, MPH, Head of Innovation, Institute for Healthcare Improvement If you’re looking to learn more about the role health care systems can play in the efforts to improve workforce equity, then this episode of WIHI, Aim High for Equity in the Health Care Workforce, is for you. We’ll hear from two members of IHI’s Leadership Alliance: Bellin Health Systems and the University of Arkansas for Medical Sciences Medical Center (UAMS) on their work in the Alliance’s Equity Workgroup. In 2018, the Workgroup developed a Call to Action to Achieve Health Equity, pledging to create “a more diverse, inclusive, and equitable workforce in our organizations.” Health system leaders recognize the need to better understand and address the ways in which workplace inequities, e.g., low income or stagnant career growth, impact the health of the communities in which their institutions reside. IHI's Saranya Loehrer kicks off the dicusssion, followed by leaders from Bellin andUAMS who highlight the implementation details of their workplace equity efforts and share their learnings thus far.
Special Edition WIHI - Women in Action: Paving the Way for Better Care
18-12-2018
Special Edition WIHI - Women in Action: Paving the Way for Better Care
Date: December 20, 2018 Featuring: Mona Hanna-Attisha, Pediatric Public Health Whistleblower Maureen Bisognano, President Emerita and Senior Fellow, Institute for Healthcare Improvement Vania Deonizio, Healer of Forgotten Wounds Celine Gounder, Storytelling Disease Detective 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.
WIHI: BUILDING THE WILL AND SKILL TO BE A CLINICAL IMPROVER
09-11-2018
WIHI: BUILDING THE WILL AND SKILL TO BE A CLINICAL IMPROVER
November 8, 2018  Featuring: ​Brent C. James, MD, MStat, Clinical Professor (Affiliated), Department of Medicine, Stanford University School of Medicine; Senior Fellow, IHI; Former Chief Quality Officer, Intermountain HealthcareKedar Mate, MD, Chief Innovation and Education Officer, Institute for Healthcare ImprovementKavita P. Bhavan, MD, MHS, Associate Professor Infectious Diseases, UT Southwestern; Medical Director, Outpatient Parenteral Antimicrobial Therapy Clinic, Parkland Health & Hospital System  Clinical and administrative leaders in health care know how difficult it is to shape one, unifying workplace culture. And while interdisciplinary team-based care is becoming more common in health systems, the range of people taking care of patients perform their jobs based on very different professional backgrounds and training.  Can quality improvement (QI) break down these silos? Can it nurture a new kind of culture, where QI is the knowledge that unites clinicians in the common pursuit of better clinical decision making and encourages more clinicians to take the lead with improving care delivery? There’s evidence to suggest yes.  Whether the issue is curbing overdiagnosis and overtreatment; reducing waste, costs, and patient suffering; or factoring in “what matters” to a patient when considering treatment options, clinicians who are improvers can lead the way. We explored this topic and more on the November 8 WIHI: Building the Will and Skill to Be a Clinical Improver.