Donald Berwick, MD: IHI National Forum Keynotes (2009-2012)

Dr. Donald Berwick, IHI President Emeritus and former Administrator of the Centers for Medicare & Medicaid Services, delivered three of his most memorable IHI National Forum keynote addresses in 2009, 2011, and 2012. In the speeches — “Squirrel,” “The Moral Test,” and “And We Said, ‘No’” — Berwick talks about successes in health care quality improvement and the challenges that still lie ahead. Berwick uses his unique storytelling style to take his audiences around the world, highlighting innovations, demanding we protect patient safety, urging us to uncover waste and reduce costs in health care, and revealing the true meaning of patient-centered care.

Hear more from Dr. Berwick at the 28th Annual National Forum​ in Orlando on December 4–7, 2016. Login to to watch the full-length videos for free. You can also enroll to earn 3 continuing education credits ($99 fee) for watching all three keynote videos.


"And We Said, 'No'": Health Care Challenges, Ethics, and Civil Society

24th Annual IHI National Forum (2012)

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Berwick explores the 11 “hard-to-mention topics” health care improvers must tackle together, including profits, defending the poor, and end-of-life care.

The Moral Test

23rd Annual IHI National Forum (2011)

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Berwick narrows in on health care efficiency — “the quality dimension of our time.” He describes health care costs and recommends five principles to guide our work.


21st Annual IHI National Forum (2009)

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Berwick takes us skiing in New Hampshire, shopping for health insurance in Cedar Rapids, Iowa, and fishing in Alanya, Turkey. He closes this speech by suggesting seven practical actions to rescue (and manage) health care.