Promising Care

Promising Care: How We Can Rescue Health Care by Improving It collects 16 speeches given over a period of 10 years by Donald M. Berwick, an internationally acclaimed champion of health care improvement throughout the course of his long and storied career as a physician, health care educator and policy expert, leader of the Institute for Healthcare Improvement (IHI), and administrator of the Centers for Medicare & Medicaid Services. These landmark speeches (including all of Berwick's speeches delivered at IHI's annual National Forum on Quality Improvement in Health Care from 2003 to 2012) clearly show why our medical systems don't reliably contribute to our overall health. As a remedy he offers a vision for making our systems better safer, more effective, more efficient, and more humane. Each of Berwick's compelling speeches is preceded by a brief commentary by a prominent figure in health care, policy, or politics who has a unique connection to that particular speech. Contributors include such notables as Tom Daschle, Paul Batalden, and Lord Nigel Crisp. Their commentaries reflect on how it felt to hear the speech in the context in which it was delivered, and assess its relevance in today's health care environment. The introduction is by Maureen Bisognano, CEO of Institute for Healthcare Improvement, and author of Pursuing the Triple Aim. Praise for previous books by Don Berwick Curing Health Care: "e;The book is an easy and affirming read for anyone who is familiar with and has used the TQM teachings of Dr. Joseph M. Juran and Dr. W. Edwards Deming and would be a simple and informative introduction to the concepts for anyone who has been hearing about TQM but has no idea what it is all about and wants to know more."e; Permanent Fixes (blog) "e;Donald Berwick is the most clearly heard evangelist of applying industrial methods of continuous quality improvement in health care."e; Annals of Internal Medicine Escape Fire: "e;With an effective blend of common sense, real-life stories, persuasive metaphors, and out-of-the-box thinking, Dr. Berwick's presentations make for fascinating reading for anyone interested in improving America's $1.7 trillion health care system."e; Piper Report "e;Anyone interested in change in the healthcare system would enjoy this book. In degree programs, the various speeches would be useful for discussion in a health policy readings course."e; The Annals of Pharmacotherapy

Promising Care: How We Can Rescue Health Care by Improving It collects 16 speeches given over a period of 10 years by Donald M. Berwick, an internationally acclaimed champion of health care improvement throughout the course of his long and storied career as a physician, health care educator and policy expert, leader of the Institute for Healthcare Improvement (IHI), and administrator of the Centers for Medicare & Medicaid Services. These landmark speeches (including all of Berwick's speeches delivered at IHI's annual National Forum on Quality Improvement in Health Care from 2003 to 2012) clearly show why our medical systems don't reliably contribute to our overall health. As a remedy he offers a vision for making our systems better -- safer, more effective, more efficient, and more humane.Each of Berwick's compelling speeches is preceded by a brief commentary by a prominent figure in health care, policy, or politics who has a unique connection to that particular speech. Contributors include such notables as Tom Daschle, Paul Batalden, and Lord Nigel Crisp. Their commentaries reflect on how it felt to hear the speech in the context in which it was delivered, and assess its relevance in today's health care environment. The introduction is by Maureen Bisognano, CEO of Institute for Healthcare Improvement, and author of Pursuing the Triple Aim.Praise for previous books by Don BerwickCuring Health Care:"The book is an easy and affirming read for anyone who is familiar with and has used the TQM teachings of Dr. Joseph M. Juran and Dr. W. Edwards Deming and would be a simple and informative introduction to the concepts for anyone who has been hearing about TQM but has no idea what it is all about and wants to know more."Permanent Fixes (blog)"Donald Berwick is the most clearly heard evangelist of applying industrial methods of continuous quality improvement in health care."Annals of Internal MedicineEscape Fire:"With an effective blend of common sense, real-life stories, persuasive metaphors, and out-of-the-box thinking, Dr. Berwick's presentations make for fascinating reading for anyone interested in improving America's $1.7 trillion health care system."Piper Report"Anyone interested in change in the healthcare system would enjoy this book. In degree programs, the various speeches would be useful for discussion in a health policy readings course."The Annals of Pharmacotherapy

Preface ixAcknowledgments xiiiThe Author xvThe Commentary Authors xviiIntroduction xxviiby Maureen Bisognano1 My Right Knee 1Commentary by Gary S. Kaplan2 Some is Not a Number, Soon is Not a Time 25Commentary by C. Joseph McCannon3 Power 45Commentary by Dale Ann Micalizzi4 Mont Sainte-Victoire 67Commentary by Jason Leitch5 A Message for Ramesh 89Commentary by Paul Farmer6 Eating Soup with a Fork 101Commentary by Paul B. Batalden7 What "Patient-Centered" Should Mean: Confessions of an Extremist 123Commentary by Frederick S. Southwick8 Tense 137Commentary by Jessica Berwick9 A Transatlantic Review of the NHS at Sixty 155Commentary by Lord Nigel Crisp10 The Epitaph of Profession 165Commentary by Christine K. Cassel11 Squirrel 177Commentary by Diana Chapman Walsh12 You Decide 195Commentary by Beverley H. Johnson13 The Moral Test 205Commentary by Tom Daschle14 New Health System--New Professionalism 223Commentary by James Reason15 To Isaiah 235Commentary by Mark D. Smith16 And We Said, "No" 245Commentary by Patricia A. GabowIndex 267