Why It Matters
Last week, IHI reached out to members of the IHI Leadership Alliance members to see how they were approaching the year ahead. What resolutions, in the midst of a changing administration, do they have for 2017?
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Time of Change: US Health Care Leaders Resolve to Stay the Course in 2017

By Mike Briddon | Friday, January 20, 2017
Trump administration health care leaders response

No matter how you’re feeling about Friday’s big event — Donald J. Trump’s inauguration as the 45th President of the United States — one thing is certain: Change is coming. Change is coming to our country. Change is coming to our government. And change, all signs indicate, is coming to our already complex health care system.

At the Institute for Healthcare Improvement, we teach that all improvement requires change, but not all change is an improvement. Navigating through those changes — whether they are improvements or not — falls squarely on the shoulders of leaders. And many health care leaders, including IHI President Emeritus and Senior Fellow Don Berwick, have shared their thoughts about the future of the industry in several media outlets.

“If anything, I think the quality movement and the importance of leaders goes up, not down,” said Berwick in a December interview with Hospitals and Health Networks.

Derek Feeley, President and CEO of IHI, shared a similar sentiment in a video recorded last week at IHI: “In times of ambiguity and change, that’s exactly when leaders need to focus on innovation and creativity and new ideas.”

Both Feeley and Berwick are senior advisors for the IHI Leadership Alliance, a dynamic collaboration of health care executives committed to advancing the Triple Aim — better experience of care, improved population health, and lowered costs. Last week, IHI reached out to Alliance members to see how they were approaching the year ahead. What resolutions, in the midst of a changing administration, do they have for 2017? Here’s a collection of responses:

Tami Minnier, Chief Quality Officer, University of Pittsburgh Medical Center (UPMC): In 2017, the Wolff Center at UPMC resolves to only focus on the priorities and initiatives that make the most impact to our patients and members. We will push ourselves to adopt the powerful skill of saying “no” because it is critical to our success. Saying “no” frees us up to say “yes” when it matters most.

Leslie Porth, Senior Vice President of Strategic Quality Initiatives, Missouri Hospital Association: Challenge ourselves to inform, advocate, convene, and facilitate innovative thinking and pragmatic approaches to advance population health, thus improving health status and outcomes for Missourians.

John Chessare, President and CEO, Greater Baltimore Medical Center (GBMC) HealthCare System: The GBMC HealthCare Family resolves in the New Year to rise above all distractions and bring more joy to each other and our patients as we move faster toward the Triple Aim. (Read more about John’s message to his organization on the GBMC blog.)

Kendra Tinsley, Executive Director, Kansas Healthcare Collaborative (KHC): In 2017, KHC will work to increase to 100 percent (n=126) the Kansas hospitals signing the Institute of Diversity’s Equity of Care Pledge. We will offer education and resources to hospitals/health systems consistent with the Equity of Care Pledge to advance their health equity knowledge and help them establish goals, specifically, to increase collection and use of race, ethnicity, language preference and other socio-demographic data.

Joyce Overman Dube, Administrator, Quality Management Services, Mayo Clinic: Improve our system-wide, observed-to-expected mortality ratio to be at or below the benchmark by supporting collaboration between documentation, coding, and practice partners while leveraging the time and expertise of our mortality review committee. And, to make bold improvements in improving patient safety and reducing the mortality rate across our system.

Susan Harrington, Clinical IT Director, Emerald Physicians (Hyannis, Massachusetts): We will align the organization’s three Ps — people, processes and productivity — to transform our community’s health through safe, high quality, patient-centered care. We will focus this year on patient centered co-design.

Andrew Neuner, CEO, Health Quality Council of Alberta (HQCA), shared a resolution beyond US borders: Increase our efforts to monitor the health system by providing the public with an easy-to-understand public reporting system that demonstrates key measures under the Triple Aim. The hope is that this will create new conversations to improve the health system.

Representatives from other organizations, including Memorial Hermann in Texas, Roanoke Chowan Community Health Center in North Carolina, and HealthPartners in Minnesota put improving the patient experience, fostering a culture transparency and inclusion, and developing meaningful measures for the pediatric population, respectively, on their lists.

IHI Leadership Alliance members will convene in Washington, DC, later this spring. There, they’ll have the opportunity to compare progress toward these commitments and to learn lessons from the progress of the community.

What is your organization resolving to do in 2017? Share your thoughts in the comment box below or join the conversation on Twitter, using @TheIHI.

Editor’s Note: See Don Berwick’s full video interview with Hospitals and Health Networks. And see Derek Feeley’s full video interview at the upcoming IHI Change Conference.


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