UNLEASHED: Redesigning Health Care

Nadia Laack, MD, a radiation oncologist at the Mayo Clinic, is co-leading a major technology-driven process improvement effort in cancer care. She shares her team’s goals, approach, and successes to date, including substantial reductions in delays for patients and system improvements that save clinician time.

Find more information, including additional resources and an excellent transcript, at www.unleashedpodcast.org/#e29

Lindsey Leininger, a health economist at the Tuck School of Business at Dartmouth, takes a more incremental approach to changing healthcare than Don Berwick. To her, the most powerful vector for innovation in health care delivery is startup organizations contracting directly with payers to reduce hospitalizations and emergency room visits. 

Find more information, including additional resources and an excellent transcript, at www.unleashedpodcast.org/#e28

Don Berwick, co-founder of the Institute for Healthcare Improvement, joins us to explore: Who should be on hospital boards? What metrics should their pay be tied to? We also touch on universal health insurance, value-based payments, and the need to expand resources to primary care. 

Find more information, including additional resources and an excellent transcript, at www.unleashedpodcast.org/#e27

When there is an adverse event in a hospital, what does the ideal response look like? What values must guide the effort? Chi-Cheng Huang, who has spent more than two decades improving hospital care, responds to Episode 25. He’s a practicing physician and faculty member at the Wake Forest School of Medicine.

Find more information, including additional resources and an excellent transcript, at www.unleashedpodcast.org/#e26

What does a culture of safety in a hospital look like from the perspective of clinicians? How about from the perspective of patients? And how will that change with AI? Peter Lachman, an internationally recognized expert on hospital quality and safety and former CEO of the International Society for Quality in Healthcare (ISQua), shares his perspective.

Find more information, including additional resources and an excellent transcript, at www.unleashedpodcast.org/#e25.

What’s important in modern day hospital quality improvement? Michael Calderwood, Chief Quality Officer at Dartmouth Health, emphasizes better coordination of care, better teamwork, and better conversations with patients and communities.

Find more information, including additional resources and an excellent transcript, at www.unleashedpodcast.org/#e24

Don Berwick, co-founder of the Institute for Healthcare Improvement, joins us to explore: What is the current state of hospital quality and safety in the United States? Are hospital boards of directors making it a priority? What impact might AI have? 

Find more information, including additional resources and an excellent transcript, at www.unleashedpodcast.org/#e23

How do mental health providers add value in a primary care setting? What does it take to make the model sustainable? Kate DeGeorge, a family medicine doctor at the University of Virginia, responds to Episode 21. 

Find more information, including additional resources and an excellent transcript, at www.unleashedpodcast.org/#e22

Patients discuss mental health with their primary care physicians all of the time. Staggeringly few, however, go on to receive care from mental health professionals. How much might that change if mental health professionals worked side by side with primary care physicians? It’s already happening in several locations around the country, especially in academic medical centers. Christina Moore, a psychologist, shares her experiences leading the effort in pediatrics at Dartmouth Health.

Find more information, including additional resources and an excellent transcript, at www.unleashedpodcast.org/#e21

In the previous episode, we discussed care for children with medical complexity from a clinician’s point of view. Now, we hear from Annie Hoen, an epidemiologist and health systems researcher at Dartmouth. She’s also a mother of a child with medical complexity. 

Find more information, including additional resources and an excellent transcript, at www.unleashedpodcast.org/#e20

How do you care for a high-needs population when every patient is unique? Nancy Murphy, a pediatrician at the University of Utah, has been grappling with the challenge for decades. 

Find more information, including additional resources and an excellent transcript, at www.unleashedpodcast.org/#e19.

What are the connections between the mind and, specifically, the heart? How should the health system respond? Roy Ziegelstein, cardiologist and editor-in-chief at DynaMed and DynaAI, offers a response to Episode 17.

Find more information, including additional resources and an excellent transcript, at www.unleashedpodcast.org/#e18.

The mind and the body are connected, but our system generally treats physical and mental health as two separate worlds. Sivan Rotenberg, a clinical psychologist at Dartmouth Health, is trying to change that, specialty by specialty. 

Find more information, including additional resources and an excellent transcript, at www.unleashedpodcast.org/#e17

What do elders really want and need? How must the health care system respond? Amber Barnato, director of The Dartmouth Institute for Health Policy and Clinical Practice, also a hospice and palliative care doctor, offers a response to Episode 15. 

Find more information, including additional resources and an excellent transcript, at www.unleashedpodcast.org/#e16

EPISODE 15 -  When Si France heard about the PACE program, a care model for nursing-home-eligible seniors, he thought it was the most amazing care model that he’d ever heard of in the United States. He went on to launch WelbeHealth, which serves seniors in thirteen locations in California … and growing.

Find more information, including additional resources and an excellent transcript, at www.unleashedpodcast.org/#e15.

EPISODE 14 - We are introducing a new kind of episode, a response episode. Guests will offer reactions to the prior episode. Our first respondent, Roy Ziegelstein, comments on our story in Episode 13 about caring for people with serious mental illness.

Find more information, including additional resources and an excellent transcript, at www.unleashedpodcast.org/#e14

EPISODE 13:  Joe McDonough has a straightforward goal: Keep people with serious mental illness healthy and out of the hospital. He’s doing it with home visits.

Find more information, including additional resources and an excellent transcript, at www.unleashedpodcast.org/#e13.

EPISODE 12 - Our final episode in a four-episode series on primary care. Today: Artificial Intelligence. Is it possible that technology could actually restore humanity in health care? What other doors might AI open?

Find more information, including additional resources and an excellent transcript, at www.unleashedpodcast.org/#s2e6.

EPISODE 11 - Our third episode in a four-episode series on primary care. Today: Advanced Primary Care, sometimes called team-based primary care. What happens when you combine the advantages of Direct Primary Care with bigger clinical teams that include advanced practice providers, health coaches, behavioral health professionals, pharmacists, nutritionists, and more? What gets better for patients? What gets harder for clinicians?

Find more information, including additional resources and an excellent transcript, at www.unleashedpodcast.org/#s2e5.

EPISODE 10 — Our second episode in a four-episode series on primary care. Today: Direct primary care. What happens when you take the middle man … the health plan … out of primary care? What happens when primary care clinicians no longer have to worry about billing and coding? What new services do they offer? What else do they do differently?

Find more information, including additional resources and an excellent transcript, at www.unleashedpodcast.org/#s2e4.

EPISODE 9 — Our first in a four episode series on primary care. Today: Full scope family medicine. Is it an unfortunate necessity in remote areas, or a model for primary care everywhere?

Find more information, including additional resources and an excellent transcript, at www.unleashedpodcast.org/#s2e3.

EPISODE 8 - Goran Henriks has spent decades leading innovation in the Swedish health system, and he’s gained an international reputation for his work. He shared three patient stories with us, each offering a conceptual building block for clinician-innovators.

Find more information, including additional resources and an excellent transcript, at www.unleashedpodcast.org/#s2e2.

EPISODE 7 - Winnie Henderson, a surgeon who focuses on breast cancer treatment at Oregon Surgical Wellness, describes how she deepens her connections with patients through empathy, education, and collaborative decision making. She also describes the benefits, for both patients and doctors.

Find more information, including additional resources and an excellent transcript, at www.unleashedpodcast.org/#s2e1.

EPISODE 6 - JoAnna Leyenaar, a pediatric hospitalist at Dartmouth Health, is developing mental health skill-building programs for teens who are boarding at the hospital, sometimes for several days,  after a mental health crisis. 

Find more information, including additional resources and an excellent transcript, at www.unleashedpodcast.org/#s1e6.

EPISODE 5 - Lara Goitein shares her experience building and leading a program for clinician led innovation and continuous improvement at a community hospital in Santa Fe, New Mexico.

Find more information, including additional resources and an excellent transcript, at www.unleashedpodcast.org/#s1e5.

EPISODE 4 - David de Geisel is building community partnerships and advancing innovative methods for testing for and treating Hepatitis C.

Find more information, including additional resources and an excellent transcript, at www.unleashedpodcast.org/#s1e4.

EPISODE 3 - Jessica Salwen-Deremer, a gastro-psychologist and an innovation leader at Dartmouth Health, is building new care models for patients with irritable bowel syndrome.

Find more information, including additional resources and an excellent transcript, at www.unleashedpodcast.org/#s1e3.

EPISODE 2 - Dick Levy is a philanthropist with deep interest in … and deep knowledge of … innovation in health care delivery.

Find more information, including additional resources and an excellent transcript, at www.unleashedpodcast.org/#s1e2.

EPISODE 1 - Tyler Hartman and Kate Richards have a goal: Get pre-term babies home sooner. A pioneering innovation effort at Dartmouth Health. 

Find more information, including additional resources and an excellent transcript, at www.unleashedpodcast.org/#s1e1.