Thank you very much for sharing ! Possible quality is never rejected by the patients - clients - customers - consumers.

How is technology and science contribute the improvement of health care delivery

How is technology and science contribute the improvement of health care delivery

Bullshit lol

How would this intersect with education. I could go on… oh the stories and the contracts in place. Yet… a lot of really good people trying in very complex conditions. Ugh… When we overlay systems thinking and let’s say… water treatment or energy grids… it’s not a far leap to see how food, water and health intersect…. Now, how does education and various energy of sorts… rise and fall in accordance with Values and measuring of effective. I mean honestly… the testing issue isn’t new… there are dynasties and loads of these things to see… breathe…. When I say it’s workable… it really is… I like the movie world war Z… but boy is it weaponizable info… because what is effective and what is good… these are not exact overlays. Humans and systems and rights of indivuaks and groups. Health care leads the way… but, health folks aren’t perfect either. #LoveEVICTShate

The HIE’s were supposed to be self sustaining by 2010… not so much. But, why would anyone be surprised? Think about wealth gaps and service industry and inflation and supply chains… the unreal levels of unsustainable realities… I mean the podium speak and old school great society and into justifying more trickle Welch based realities of triangulations and tricky dicks of western IPO’s and IPN’s… IDN’s… so to speak. Gold and back again… funny thing about mining… and inflation. Control and fear and realities of exploration. Hang tight… see how quickly these connections can cite fear? If you overlay this and reality of rights of a person’s mind and body… women and men, but women at the front of that reality of equation… best cases of pleitropicity and jurisprudence begins to morph into actuality of cynicism and bizarre “protections”… which morph from protect and serve and into “protection money”… I love law enforcement as well as activists and community. These ar wood course not linear expressions of collusion nor opposites… it’s no more than political spectrums and alignments only existing in left to right… How do we explain all these matters without sliding into bizzaro transactional living which feeds so many trappings of extremism and dystopian ion cannons… weird… I get it. Like I said… I love the ACA and the iterations prior to it… like the work of Hillary Clinton and the odd missteps of HMO thoughts… which ironically gave us the needs and remakes of an MSO… middle people get bad raps sometimes… don’t get me wrong. It’s wanted at times. PBM’s and clinical complexities and negotiating with physicians and health systems and on and on… oh the transitions and translations ove time… remember. Insulin is not supposed to be easy to get as it is not a first line therapy… unless it’s needed…

The ACA and delays of role out and consolidations… various beta testing and also odd manifest ions of fear and backlash through subtlety and reality. Better access increases better possibilities…. The ACA increases and attempts to help access while protecting rights. The genius of non-profits and community assessments… the actual or rubber stamping of needs assessments… if you see proxy and vendors and layers and subsidies and concepts of fractionated change…. It’s almost too much to comprehend the moving parts. I was fortunate or unfortunate to be in a place and time and of my capacity to see and help some of these things in my corner of the world. My own… defacto beta testing, so to speak. I can still remember thinking about how upset I was when I could see the ACA going away… an imperfect tool for sure… but pretty damn good in so many ways. Any more better and it could have been bad… the unfortunate necessity of overly framing waterfall in complex conditions created plenty of Plato cave candle burning… or burning out… so to speak… It’s ok… unbelievable but it is…. I also understood that Medicare and commercial and Medicaid were not the same… Obvie…. But the connections of investments and reality of funding streams. Goodness the connections of siloes and entrenchment and Values… the actual quantum and relativity influence presented a space of light in which to grow much better… while not tearing down. Don’t get me wrong, it’s all imperfect. The geographic realties and issues of compliance and making money. And all so Many things. Breathe…. Now, the issuance of Values and Value… in conjunction with very large wealth equity and disconnects of what is deemed “research” and values. Oh my did 2008 teach a great many folks. Interoperability. Think about that….

Thank you for such an easy to understand example that connects social care to health care so clearly!

Are we in favor of health equity, at any cost?

Triggers are a good thing, provided they have parameters to prevent alert fatigue.

😊

Excellent Presentation. I retired in 2010 as CEO at a FQHC and was heavily involved in the lead up to the ACA. Since we were in a high poverty area we were vitally concerned about providing coverage to the low income population/ The ACA was a god send for us and other community based health care organizations. The constant drum beat of a repeal and replace is pure fantasy and will only serve to make life harder for millions of low income people, and make it harder for providers to actually provide care in low income areas as well as health proviider shortage areas. I am writing this comment in June 2024 so hopefully Biden and his team will be re-elected so that the ACA can be expanded and improved. Thank you for your informative explanation.

Dr. Berwick, you are 100% right, of course! Love your and the IHI commitment and focus to change the paradigm in patient safety.

Dont become a CNA ive been doing its for 12 years.

Cna job is so horrible its really really abuse and a beating bag the cna is the bottom even maintenance is treated better

Thanks

Hey, how about you stop treating the 90% that had good outcomes like decent folks instead of going overboard with your 10%? Some surgeries don't have 90% success rates and you want to punish the 90% that had good outcomes for the 10% that went south? You're not "advancing the safety of acute pain management" by giving anti-inflamatories that cause heart problems and do nothing for the pain. NSAIDs aren't pain relievers.

The chances of having a negative outcome from giving it are a lot less than if you don't. It's being undertreated right now. There has been a huge overreaction to that 10%. We're not clones. That woman's brother had an addiction not because he was given opioids, but because he has the genetic predisposition to have one. The rest of us can't develop an addiction if we tried. We don't have the constitution to develop one.

Health insurance companies should not exist. They are in direct opposition to the needs of a patient. When a patient needs care how can greedy shareholder profits be achieved. Again, directly opposed to one another.

Why is IHI not updating the links and content in their educational courses? This video is more than 7 years old.

I like how all the good doctors are leaving the ACA. Just had my PCP AND ENT both leave this year because of issues with payments last year. Now I have marketplace insurance that is useless to me.

I am in a skilled nursing facility and I can't get up because of broken leg in 4 places. I have been here a week now and can't even get a bath or wash my hair. To have to use a toilet is a joke. They put a sdult diaper on me and tell me to pee. I have been left to lay here in my own urine for an hour to 2hours before some one will show up yo put a new diaper on. There is no skilled anything in here!!

VERY INSIGHTFUL

I recently suffered a fracture of the greater trochanter and the ER physician gave me a tiny amount of the lowest dose Vicodin and told me to ask my Suboxone doctor to prescribe something stronger. When I did my doctor told me I would have to come in and be seen in person even knowing that I would have to take a bus several miles on crutches to do so. Why do doctors treat patients with a history of addiction so horribly when they know that failing to treat pain adequately can result in something far greater than if they did. It almost seems like they would rather you go and buy street drugs then then treat your pain adequately

Honesty I think the entire concept of insurance is absurd. Why am I paying a subscription to 3rd party to pay for care? Every other subscription based service I'm paying the person providing that service. I pay my electric bill to my electric company, I pay my Internet service provider for internet, I pay a streaming service to provide me with shows to watch. why I can't I pay a premium directly to the hospital providing care same as you would a gym membership? Having funding coming directly from patients would save money to the facilities by being able to almost eliminate the entire billing department since a lot of coding and billing is done almost exclusively to satisfy insurance companies. Another big perk is that consumers tend to be far more reliable sources of income than insurance companies. Imagine having your doctor determine if your procedure is medically necessary instead of say a Medicare Administrative Contractor (who isn't a doctor) make that decision.

This is a horrible take. Can’t wait for it to be debunked because the data is skewed. For the most part they take healthcare disparities and because there are disparities they assume discrimination or bias whether implicit or explicit without taking into account other variables !!

That's all fine and good but what are hospitals doing to make things more efficient? BRB going to watch another youtube vid about a robot CNA/Specimen runner

I worked at this one plant where the plant manager and operations manager done nothing but beat down the team leaders in our 5Y A3 meetings. It was ridiculous. Since I have been managing operations I always keep in mind the empathy part you just mentioned. These people are your supervisors and team leaders bc they want to do a good job for you.

where is the soup? and the fork?

Is this free,so I wanna join.

right

Gjbshjiteco grov

Thank you for sharing.

How do you partner with an interrupting or unengaged doctor/nurse/othee medical personnel.

genetics

I love these videos. This is my favorite depiction of the Red Bead Game exercise with students and I share these videos in my own class with nursing students. I think it really resonates for nurses working in middle management. These videos are a great lead-in to discussion. Thank you!

Enjoyed this. Trust is huge- if the community doesn’t trust you they will not open up and be honest about their health which is such a personal aspect of who they are.

This is pure excellence. I encountered similar content, and it was absolutely astonishing. "Your Body Your Temple" by Sophia Wintergreen