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  • Fellows Snapshot: Gilbert Salinas, MPA, 2013-2014 Kaiser Permanente Safety Net Fellow
    health And they weren t being looked at the microsystem level It was a very powerful moment Here I was in a room full of Kaiser administrators and executives and I could make something happen by putting my story out there And the people in the audience were so receptive so forthcoming about wanting to create change to fix things not only for me but for all patients who had the same problems with durable medical equipment After this presentation the head of urology and some administrators from my home facility came and talked with me They said they were truly sorry for my difficulties and that they hadn t heard about them which is quite possible because the complaining process is fragmented I had appealed for almost eight years but letter writing only goes so far There s no human face in front of you So they partnered with me We went back to the drawing board had some meetings and started changing processes And Kaiser changed their policies on catheters so things wouldn t be so black and white based on CMS standards They would make decisions on more of a case by case basis based on what the patients actually need I never gave up on my system I knew Kaiser was a great system but they did have these inefficiencies And they were able to knock down barriers and help patients get what they need to fulfill their mission which is to thrive That meeting at Kaiser launched my relationship with IHI Maureen and I stayed in touch She shared my story around the world and we became great friends Ever since then the learning I ve had from IHI has continuously drawn me back We really came full circle by the Forum in 2011 2011 IHI National Forum on Quality Improvement in Health Care when I was asked to present with Tom Nolan IHI Senior Fellow That was a great experience for me And now that I m here at IHI as a fellow I m actually seeing the inside of this organization and all it has to offer and it s far more than what was on the surface I ve seen joy in work I ve had great conversations with staff I feel that people here are very genuine and driven by their mission That s really what it s all about I ve never been part of something I didn t believe in I have been blessed that way going back to the beginning of my career working with kids in the battlefields of LA areas plagued by violence Oakland Compton South Central LA they called it Murder Central I really believed in what we were doing and I believed in the kids we were working for I could see the glimmering lights of hope in them So this organization is no different It feeds me what I feel I need That s why I m really a believer in IHI s

    Original URL path: http://www.ihi.org/communities/blogs/_layouts/ihi/community/blog/itemview.aspx?List=113a95c2-dffe-41ec-abee-93b4088068ac&ID=10 (2016-02-01)
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  • 25th National Forum: Challenges and Opportunities in Qatar
    projects we have engaged in over the past 18 months I feel a close affinity to the IHI team This affinity is based on mutual respect and admiration and a willingness to share knowledge and expertise on all sides to learn and improve Qatar is a small country but one that is on a trajectory of exponential growth This growth presents a set of unique challenges in different sectors health care being one Our population is aging and with the onset of modern lifestyles we are seeing a growing burden of chronic diseases such as diabetes heart disease and cancer As the country is literally in a heavy construction phase we have a skewed labour force that includes a large percentage of male workers who have their own specialized health care needs But increasingly our patients are more discerning and expect the finest health care to be available to them within this country All of these trends are common to hospital providers around the world but many of them are more pronounced here in Qatar Whilst the challenges may be considerable so too are our opportunities We have strong and supportive partner organizations including those in Qatar s Academic Health System and others internationally Qatar s long term vision incorporates a high standard of affordable health care for all its citizens In order for Hamad Medical Corporation to deliver on this vision we need to support a culture of quality and safety The skills that are taught at an IHI Forum are designed to enhance the efficiency and effectiveness of multi disciplinary teams I am therefore delighted to take part in this National Forum in Orlando and even more so to have the IHI collaborating with us to bring the next Middle East Forum to Qatar in April 2014 Mike

    Original URL path: http://www.ihi.org/communities/blogs/_layouts/ihi/community/blog/itemview.aspx?List=81ca4a47-4ccd-4e9e-89d9-14d88ec59e8d&ID=46 (2016-02-01)
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  • 25th National Forum: My Tribe
    Forum Helen Bevan is Chief Transformation Officer with the NHS Horizons Team working with NHS Improving Quality My first IHI National Forum was in 1996 and I still get excited for each one each year When you are a change agent committed to improving health care systems it can feel a little lonely Not everyone welcomes change The status quo and inertia are powerful But when I m on the plane traveling from far away I feel as though I m going to see my tribe The National Forum is a life changing event I meet people there who like me years ago are just starting out on their improvement journeys At the Forum though they become part of a worldwide movement That feeling of belonging and being part of something global has never left me it s one of the many reasons I return to the Forum every year A fun thing about having been to so many Forums is seeing the changes from year to year I remember the 2008 Forum well President Obama had just been elected and everyone there was excited about the promise of reform and transformation As someone from the UK that Forum felt a little US centric which is understandable But then it changed again and in the years since the National Forum has felt increasingly global Another change I ve noticed is the move from focusing primarily on hospitals and acute care to focusing on the Triple Aim on population health integrated care and care in people s homes and communities The Forum is always a huge boost to my batteries Coming at the end of a long year it helps re charge you and reminds everyone of why they re passionate about improvement It s a unique opportunity to meet thousands of like minded people And it s a unique opportunity to have access to the world s best teachers of improvement The sessions are great because of the talent wisdom and enthusiasm the presenters have for the topics they re teaching and for the audience they re presenting to I ve never lost my enthusiasm for the Forum even after 17 of them I enjoy the constancy such as Maureen Bisognano s ever present push to make health care truly person centered and all the innovative approaches the Forum is always the best place to learn about the newest stuff in improvement As I think about the future of health health care and improvement I think we need to take advantage of new technologies such as social media and new ways to connect people virtually There are so many people out there who can and should contribute both to the Forum and health care improvement in general When people connect in greater and greater numbers they create a magnet that draws even more people This is a real opportunity for all of us See you at the National Forum Helen Bevan Tags Leadership National Forum 25th Forum Anniversary Blog Home

    Original URL path: http://www.ihi.org/communities/blogs/_layouts/ihi/community/blog/itemview.aspx?List=81ca4a47-4ccd-4e9e-89d9-14d88ec59e8d&ID=45 (2016-02-01)
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  • 25th National Forum: Thoughts from a Forum Newbie
    lucky enough to have been awarded a Health Foundation Fellowship at the IHI and I d like to share with you my perspective on the atmosphere here and some of the challenges ahead When I moved to Boston for one year only I was immediately overwhelmed by the optimism and can do attitude that pervades both Boston and Cambridge and reaches its zenith at the IHI The welcome that I have received has been true generous and deep seated I m certain that anybody attending the conference in Orlando will be able to share in this feel good atmosphere openness and conviviality Although I have not been able to attend the National Forum in the past all my new colleagues speak about the joy and value of the event and I can t wait to sink my teeth in this December at the 25th iteration This does not mean that in this incarnation of IHI s National Forum that the team will be concentrating on back slapping and ignoring the challenges faced by health care providers and more importantly patients and families of patients worldwide A tremendous emphasis is required in looking to alter the grassroots culture within health provider organizations everywhere The tools for patient safety and improvement that the Forum has promoted for years such as measurement PDSA cycles global safety trigger tool etc can only achieve so much and gains sometimes are not sustained because many of us fail to adequately address the learning environments where these tools are expected to behave like magic wands I m certainly expecting that many of the sessions and speakers will be able to assist attendees in planning how we can all promote a culture of psychological safety for all staff I m sure we can also all learn more about

    Original URL path: http://www.ihi.org/communities/blogs/_layouts/ihi/community/blog/itemview.aspx?List=81ca4a47-4ccd-4e9e-89d9-14d88ec59e8d&ID=44 (2016-02-01)
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  • 25th National Forum: My Journey with IHI
    while pursing my Masters research project on the adoption of the then recently produced clinical practice guidelines for sepsis An internet search led me to a minicourse offered by the Institute for Healthcare Improvement in Orlando I attended and learned that combining the evidence based elements into a bundle and using quality improvement QI strategies to implement them would greatly increase the likelihood of sustainable improvement It sounded so practical and doable I decided to stay for the whole National Forum where I heard an energetic passionate leader say that Some is not a number soon is not a time join me in saving 100 000 Lives I was immediately hooked and decided at that point that I wanted to pursue a career in improving the delivery of health care for my patients But this was still foreign to me and I needed the knowledge and skillset to make change and gain the credibility to engage others in my journey At the time there were few options for training especially in Canada Then I came upon the Patient Safety Officer Executive Training Program from IHI Attending this program gave me the foundations and the passion to really make a difference and immersed me in a network of like minded colleagues from whom I continue to learn today Spreading the message and applying the techniques from my learnings led to my appointment as medical director patient safety and quality a new position created at my hospital to my hiring as the medical officer for the Canadian Patient Safety Institute and to the opportunity to design implement and spread quality improvement while educating others at the local provincial and national level I have attended quite a few other IHI National Forums and offerings since then both to advance my knowledge and perhaps

    Original URL path: http://www.ihi.org/communities/blogs/_layouts/ihi/community/blog/itemview.aspx?List=81ca4a47-4ccd-4e9e-89d9-14d88ec59e8d&ID=43 (2016-02-01)
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  • 25th National Forum: A Special Year
    conversations during the prior year developing our keynote address the first thing I said was Tom Nolan is a real cool cat Not exactly what we had discussed during our planning of how I was going to begin the keynote Once I got my composure and remembered why I was on stage in the first place I was able to continue with our presentation Working with Tom that year really gave me insight on quality improvement in health care This concept of providing high quality health care for all patients all over the world seemed like an impossible task Was it even possible to provide high quality health care for all patients all the time After meeting Maureen Bisognano CEO of IHI four years ago I began to develop a deep belief that this is attainable As a Kaiser Safety Net Fellow this year at the IHI I get to see this organization from the inside My desk is two feet away from Derek Feeley s desk Executive Vice President IHI Maureen is in the same office Here are some words that describe what I have seen at IHI Integrity Commitment Compassion Leadership Honesty Humbleness Hard Work and Innovation At all levels I have felt welcomed as a partner and friend Ideas are not just discussed or heard they are actually put into practice Staff here at the IHI have a very high standard for their work A common theme is to strive for excellence and accept nothing less than excellence IHI has taught me to always ask the question What is best for the patient It has driven my work in health care as an advocate and hospital administrator I have also used this thinking in my own health care It works My health care system has become my partner in well being and quality of life This year as I reflect on my past experiences with IHI the National Forum stands out as a highlight for many reasons It is where I made friends with a huge network of change agents that are committed to improving quality in health care They have become a huge part of my life It reminds me of Don Berwick s inspiring words that are helping to get me motivated as we enter a new year It will be a special year as I get to share it with my new friends current IHI Fellows that come from various parts of the world We have become a cohesive group of innovators this year and I feel very honored to be a part of this cohort Much of our learning has been outside of the classroom It s an interesting thought to learn outside of the classroom I wonder what that would look like in a hospital setting What if patients would learn to stay healthy outside of a clinical setting Health care needs to change from health care to health We must begin to look outside of our health care organizations for partnerships

    Original URL path: http://www.ihi.org/communities/blogs/_layouts/ihi/community/blog/itemview.aspx?List=81ca4a47-4ccd-4e9e-89d9-14d88ec59e8d&ID=42 (2016-02-01)
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  • 25th National Forum: A Very Special Place in My Heart
    a member of the small group of pioneers who began meeting in the late 1980s and whose collaboration and ideas led directly to the birth of IHI The IHI National Forum has a very special place in my heart and has been a key contributor to my professional development I had the privilege of co chairing National Forums 1 2 and 20 It all began in 1989 when I was at Henry Ford Health System and received a call from Don Berwick He asked me if I would co chair the National Summit of the National Demonstration Project NDP to be held in Boston this summative meeting of the NDP was the pre cursor to the IHI National Forum One of my partners in running this meeting was Penny Carver later a Senior Vice President at IHI I felt honored to be asked and readily accepted Now the tough part With no history how many participants should we plan for 100 150 200 How about keynote speakers Actually keynote speakers were easy I asked my boss Gail Warden who was then CEO of Henry Ford Health System and Don s boss Tom Pyle CEO of Harvard Community Health Plan to open each of the two days with a speech on the importance of Continuous Quality Improvement CQI in health care National Forum 1 was a great success Attendance was beyond what we expected 287 people joined us in Boston The main conference hall couldn t handle all of them It was standing room only National Forum 2 was easier I co chaired with Dr Louise Liang who later chaired IHI s Board of Directors We now had some experience I asked Sister Mary Jean Ryan CEO of SSM Health Care the first health care organization to win the Baldrige Award to give a keynote We were on our way It was time to incorporate IHI as a not for profit organization with a Board of Directors and program offerings I ve had the good fortune of attending all of IHI s National Forums It s always the most valuable few days of my year I ve attended Learning Labs all day Minicourses CEO Summits and countless presentations from a variety leading authorities in health care quality improvement A very special part of each National Forum for me has been the annual keynote by a thought leader from outside of health care Of course just listening to Don Berwick s annual keynote is worth the trip I call Don the Billy Graham of health care He gave us hope and challenged us all to keep the patient as the central focus of improvement years before others caught up with the idea My only problem with the National Forum is that I want to attend many sessions but can only choose a few I want to catch up with health care quality experts attending the conference outside the meeting rooms and pick their brains but there is never enough time Ed note

    Original URL path: http://www.ihi.org/communities/blogs/_layouts/ihi/community/blog/itemview.aspx?List=81ca4a47-4ccd-4e9e-89d9-14d88ec59e8d&ID=41 (2016-02-01)
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  • 25th National Forum: Connecting
    years ago I met Jerilyn Crain below a patient advocate from California with a wonderful story of change and transformation and a personality to match Jerilyn and I sat at the same table in a session and had to work together on a solution for person centred care She told her story of transforming the oncology transport service in her community a story of party buses and celebration It was inspiring and I have told it many times since Three weeks ago in a hotel in Glasgow late on a Friday evening I spoke to the Scottish Conference of Cancer Support Groups They were gathered for their annual get together to learn and share with each other I told them Jerilyn s story a story from 8000 miles away but one connected to their shared mission They loved it Then I came home and emailed Jerilyn to tell her She loved it too IHI National Forums have led directly to longer term connections such as the link between NHS Scotland and Cincinnati Children s Hospital The image below is the moment one of the leaders of Scotland s innovative Early Years Collaborative met one of Cincinnati Children s leaders and the connection was made There are moments like this every minute at the National Forum as people connect for the first or for the hundredth time You see huddles in corridors in meeting rooms and even at the bar Later this year we will send a number of Scottish Patient Safety Programme SPSP Fellows to Cincinnati to learn from their work And soon after Scotland will host leaders from Cincinnati so they can see our work in the Early Years Collaborative All around the world we all need to remember that we have much more in common than we have

    Original URL path: http://www.ihi.org/communities/blogs/_layouts/ihi/community/blog/itemview.aspx?List=81ca4a47-4ccd-4e9e-89d9-14d88ec59e8d&ID=39 (2016-02-01)
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