My guest for episode #220 is somebody I've wanted to interview for a long time, Dr. Robert Wachter, one of the leading voices in the modern patient safety movement. He's most recently author of a brand-new book The Digital Doctor: Hope, Hype, and Harm at the Dawn of Medicine's Computer Age. His book was excerpted in this New York Times Op-Ed piece, "Why Health Care Tech Is Still So Bad."
In this episode, we cover topics including:
How Bob got into the patient safety field
Of all of the estimates of patient harm and death caused by medical errors, which does he find most valid?
His perspectives on the interface between Lean principles and practices and the modern patient safety movement
What were some of the pros and cons of the $30 billion in federal government incentives for EMR/EHR adoption?
Is it fair to say that EHR systems solve some patient safety problems while solving others?
Some of the new waste introduced by new "meaningful use" regulations
The story of a preventable medication error that harmed a child - a combination of technology problems, human factors, and bad process
Finding the balance between "system problems" and personal accountability (see this article)
Disclosure: I received an advance copy of The Digital Doctor from the publisher. I highly recommend the book for its balanced presentation of the promise, successes, and challenges of healthcare IT. The book discusses why electronic medical records haven't been adopted more quickly, why government incentives were introduced, and EMR/EHR systems are not the panacea that some had promised.
Previously, Dr. Wachter has written books on patient safety (that I've read and recommend) including Understanding Patient Safety and Internal Bleeding. He received one of the 2004 John M. Eisenberg Awards, the nation's top honor in patient safety and quality. He has been selected as one of the 50 most influential physician-executives in the U.S. by Modern Healthcare magazine for the past seven years, the only academic physician to achieve this distinction. I was honored when Dr. Wachter recently interviewed me about Lean and patient safety for his AHRQ "Web M&M" series.
Dr. Wachter is Professor and Associate Chairman of the Department of Medicine at the University of California, San Francisco, where he holds the Lynne and Marc Benioff Endowed Chair in Hospital Medicine. He is also Chief of the Division of Hospital Medicine, and Chief of the Medical Service at UCSF Medical Center. He has published 250 articles and 6 books in the fields of quality, safety, and health policy. He coined the term "hospitalist" in a 1996 New England Journal of Medicine article and is past-president of the Society of Hospital Medicine. He is generally considered the academic leader of the hospitalist movement, the fastest growing specialty in the history of modern medicine.
For a link to this episode, refer people to www.leanblog.org/220.
Podcasts are sponsored by KaiNexus and their continuous improvement software platform -- www.KaiNexus.com
For earlier episodes of the Lean Blog Podcast, visit the main Podcast page at www.leanpodcast.org, which includes information on how to subscribe via RSS or via Apple iTunes.Joining me for episode #219 is Tristan Kromer, a professional "Lean Startup" coach who works with startups around the world and volunteers for the non-profit Lean Startup Circle.
Monday, March 23, 2015
Thursday, March 19, 2015
219 - Tristan Kromer, Lean Startup Coaching
Joining me for episode #219 is Tristan Kromer, a professional "Lean Startup" coach who works with startups around the world and volunteers for the non-profit Lean Startup Circle.
In this episode, we discuss topics including how he got involved in the Lean Startup movement, the difference between a coach and a consultant, and lessons from various startups. When are you "pivoting" versus just giving up on an idea? Tristan also talks about why being data driven and scientific "is the aspiration" and why somebody who "starts from a profound state of ignorance" can be helpful by asking the right questions.
You can find Tristan on Twitter @trikro and via his blog. Read his bio here.
For a link to this episode, refer people to www.leanblog.org/219.
Podcasts are sponsored by KaiNexus and their continuous improvement software platform -- www.KaiNexus.com
For earlier episodes of the Lean Blog Podcast, visit the main Podcast page at www.leanpodcast.org, which includes information on how to subscribe via RSS or via Apple iTunes.Joining me for episode #219 is Tristan Kromer, a professional "Lean Startup" coach who works with startups around the world and volunteers for the non-profit Lean Startup Circle.
In this episode, we discuss topics including how he got involved in the Lean Startup movement, the difference between a coach and a consultant, and lessons from various startups. When are you "pivoting" versus just giving up on an idea? Tristan also talks about why being data driven and scientific "is the aspiration" and why somebody who "starts from a profound state of ignorance" can be helpful by asking the right questions.
You can find Tristan on Twitter @trikro and via his blog. Read his bio here.
In this episode, we discuss topics including how he got involved in the Lean Startup movement, the difference between a coach and a consultant, and lessons from various startups. When are you "pivoting" versus just giving up on an idea? Tristan also talks about why being data driven and scientific "is the aspiration" and why somebody who "starts from a profound state of ignorance" can be helpful by asking the right questions.
You can find Tristan on Twitter @trikro and via his blog. Read his bio here.
For a link to this episode, refer people to www.leanblog.org/219.
Podcasts are sponsored by KaiNexus and their continuous improvement software platform -- www.KaiNexus.com
For earlier episodes of the Lean Blog Podcast, visit the main Podcast page at www.leanpodcast.org, which includes information on how to subscribe via RSS or via Apple iTunes.Joining me for episode #219 is Tristan Kromer, a professional "Lean Startup" coach who works with startups around the world and volunteers for the non-profit Lean Startup Circle.
In this episode, we discuss topics including how he got involved in the Lean Startup movement, the difference between a coach and a consultant, and lessons from various startups. When are you "pivoting" versus just giving up on an idea? Tristan also talks about why being data driven and scientific "is the aspiration" and why somebody who "starts from a profound state of ignorance" can be helpful by asking the right questions.
You can find Tristan on Twitter @trikro and via his blog. Read his bio here.
Wednesday, March 04, 2015
218 - Karen Kiel-Rosser, Baldrige & Mary Greeley Medical Cen
My guest for episode #218 is Karen Kiel-Rosser, Vice President/Quality Improvement Officer at Mary Greeley Medical Center in Iowa. You can see her full bio below in this post. You might remember Karen from a recent post where she told a great story about putting patient safety first.
We're talking today about the Malcolm Baldrige National Quality Award and how that framework and process is mutually supportive of Lean and quality improvement. In December, Mary Greeley Medical Center was named a recipient of Gold level recognition in the 2014 Iowa Recognition for Performance Excellence (IRPE) program - the state level Baldrige award. They previously received the Silver level in 2011.
In the podcast, we talk about why and when Mary Greeley decided to pursue the Baldrige award, what it was like to be reviewed at the state level, and their future plans for applying at the national level.
Karen also shares thoughts about how Baldrige ("the what") and Lean ("the how") fit together, some of their key quality outcomes measures, and how the recognition has helped internally with staff. She also talks about their safety huddles, the importance of "engaging those closest to the work," and the need for a "systematic approach" to capture Rapid Improvement Events and daily improvement work and how their use of KaiNexus has supported those efforts.
The hospital was previously featured in episode #201: Ron Smith & Suz Kaprich, the KaiNexus WorkOut at Mary Greeley Medical Center.
For a link to this episode, refer people to www.leanblog.org/218.
Podcasts are sponsored by KaiNexus and their continuous improvement software platform -- www.KaiNexus.com
For earlier episodes of the Lean Blog Podcast, visit the main Podcast page at www.leanpodcast.org, which includes information on how to subscribe via RSS or via Apple iTunes.
We're talking today about the Malcolm Baldrige National Quality Award and how that framework and process is mutually supportive of Lean and quality improvement. In December, Mary Greeley Medical Center was named a recipient of Gold level recognition in the 2014 Iowa Recognition for Performance Excellence (IRPE) program - the state level Baldrige award. They previously received the Silver level in 2011.
In the podcast, we talk about why and when Mary Greeley decided to pursue the Baldrige award, what it was like to be reviewed at the state level, and their future plans for applying at the national level.
Karen also shares thoughts about how Baldrige ("the what") and Lean ("the how") fit together, some of their key quality outcomes measures, and how the recognition has helped internally with staff. She also talks about their safety huddles, the importance of "engaging those closest to the work," and the need for a "systematic approach" to capture Rapid Improvement Events and daily improvement work and how their use of KaiNexus has supported those efforts.
The hospital was previously featured in episode #201: Ron Smith & Suz Kaprich, the KaiNexus WorkOut at Mary Greeley Medical Center.
For a link to this episode, refer people to www.leanblog.org/218.
Podcasts are sponsored by KaiNexus and their continuous improvement software platform -- www.KaiNexus.com
For earlier episodes of the Lean Blog Podcast, visit the main Podcast page at www.leanpodcast.org, which includes information on how to subscribe via RSS or via Apple iTunes.
