WIHI - A Podcast from the Institute for Healthcare Improvement
Summary: It's free, it's timely, and it's designed to help dedicated legions of health care improvers worldwide keep up with some of the freshest and most robust thinking and strategies for improving patient care. Welcome to WIHI, a bi-weekly podcast from the IHI, a not-for-profit organization founded in 1991 and based in Cambridge, Massachusetts. IHI is a reliable source of energy, knowledge, and support for a never-ending campaign to improve health care worldwide. IHI works with health care providers and others to accelerate the measurable and continual progress of health care systems toward safety, effectiveness, patient-centeredness, timeliness, efficiency, and equity.
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- Artist: Madge Kaplan
- Copyright: 2015 IHI
Podcasts:
Reports from the Frontlines of Effective Crisis Management
Primary Cares New Pressures and Possibilities
1) One third of Medicare managed care patients diagnosed with RA are not receiving DMARDs. 2) There is variation in DMARD receipt based on accidental factors: sociodemographics, geographic location, and health plan. 3) Since DMARD use is the main way to affect outcomes in RA, these patient groups and the physicians treating them are reasonable target for quality improvement interventions.
Health Cares Newest Improvers: Patient and Family Advisors
The Newest Innovator on the Block Center for Medicare and Medicaid Innovation
1) The findings suggest that the zoster vaccine is as effective in a community setting with its mixed population and routine clinical practices as was found in the controlled clinical trials. 2) To date, the uptake of the zoster vaccine has been modest due to a number of reasons, including weaknesses in the adult vaccine infrastructure, knowledge and beliefs of clinicians and patients, periodic supply shortfalls as well as financial reasons. 3) Because zoster and its attendant neurologic complication of postherpetic neuralgia are common and serious among the elderly, it seems prudent to recommend zoster vaccine. The potential impact of vaccination on the burden of the disease in this population is significant.
A Legible Prescription for Health
Alert to Change: New Models for Residency Work Hours
1) Active surveillance is a reasonable approach to consider for carefully-selected 65 year old men with low-risk clinically localized prostate cancer, providing improved quality of life even if associated with an increased risk of prostate cancer-specific death. 2) The results depend on patient preferences 3) It is crucial that individual patients make this decision in conjunction with their doctors
The Power of Specialty Care and the Necessity to Use It Wisely
The Patient Activist
1) Improved communication is associated with decreased surgical mortality 2) Since there was a dose response relationship, this indicates that continuing follow up was related to better results. 3) Briefings and debriefings is more than a checklist, it is about the conversation.
Finding the Will to Bend the Cost Curve
Nursings New Roadmap: Education, the Workforce, and Health Care Quality
1) First, a systematic approach to approaching prescribing is essential. 2) Second, an essential first step is to know what the patient is actually taking right now, and to clarify what goals you are trying to achieve by prescribing drugs. 3) Third, it is critical to individualize care based on what benefits and harms a patient is actually experiencing from their drugs.
