WIHI: The Managers and Management We Need to Improve Care

Date: March 26, 2015


  • David Munch, MD, Senior Vice President and Chief Clinical Officer, Healthcare Performance Partners
  • Stephanie Calcasola, MSN, RN-BC, Director of Quality and Medical Management, Baystate Medical Center
  • Kedar Mate, MD, Senior Vice President, Institute for Healthcare Improvement (IHI)

No one’s capabilities and talent should be wasted when it comes to improving health and health care for those we serve. We know you agree. Health care leaders have an incredibly important role to play in driving improvement initiatives in their organizations. So do people on the frontlines of care. What we aren’t as articulate about is the role that middle managers play. You know, the people with the job titles of House Supervisor or Shift Supervisor or Team Lead or Manager of the PACU (Post Anesthesia Care Unit). A growing number of experts say we can’t afford to ignore how people in these jobs are essential to improvement, too. 
WIHI host Madge Kaplan is joined by one of those experts, Dr. David Munch, who led the discussion on this WIHI. IHI’s senior innovation and improvement capability expert, Dr. Kedar Mate, and Baystate Medical Center’s Stephanie Calcasola, also helped us look at what middle managers do, now, on behalf of quality improvement – and what they could do more of, if their contributions and unique positioning in the organization were better utilized and understood. Especially when it comes to making improvement endeavors operational and sustainable.


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