WIHI: Moving Upstream to Address the Quadruple Aim

Date: December 15, 2016


  • Rishi Manchanda, MD, MPH, Chief Medical Officer, The Wonderful Company; President & Founder, HealthBegins 

WIHI is pleased to present a Special Edition Podcast, featuring Rishi Manchanda of HealthBegins, discussing why it’s important for health care to “move upstream” to address the social determinants contributing to many patients’ poor health today. Dr. Manchanda also argues that if frontline providers are asked to address upstream factors like poor housing or job insecurity, they need to have the resources and the knowledge and the active partnerships to draw from. Otherwise, they’re at risk for burnout and anything but joy in work. This is why Dr. Manchanda and some others suggest we consider expanding the IHI Triple Aim to the “Quadruple Aim” to include critically important job satisfaction.

WIHI recorded Dr. Manchanda’s remarks on December 5, 2016, in Orlando, Florida, at the Scientific Symposium, held in conjunction with the Institute for Healthcare Improvement’s 28th Annual National Forum on Quality Improvement in Health Care

The podcast is over an hour long; we highly recommend that you have the presentation slides (posted on this page) handy for reference as you’re listening. At the conclusion of Dr. Manchanda’s remarks, IHI’s Dr. Don Goldmann moderates a brief Q&A. 


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