Quality for the Rest of Us: Recent Episodes
Gayle Porter
Quality for the Rest of Us investigates the mysterious world of healthcare in search of adventurous innovation and exciting solutions from professionals across the nation.
Did you know that healthcare is the most targeted industry by cybercriminals, and that cyberattacks are attributed to increased mortality? This episode introduces an innovative approach to managing the hidden costs of a cyberattack.
Key Points:
-The true cost of a cyberattack
-Mitigation that saves lives
-Keeping the hospital open
References:
-FBI Internet Crime Complaint Center (IC3) (2013). 2013 Internet Crime Report. https://www.ic3.gov/AnnualReport/Reports/2013_IC3Report.pdf.
-Microsoft Threat Intelligence (Oct. 2023). “Innovating for Security and Resilience.” Microsoft Digital Defense Report 2023, 100. https://www.microsoft.com/en-us/security/security-insider/microsoft-digital-defense-report-2023.
-McGlave, C; Neprash, H; Nikpay, S (Aug. 19, 2024). “Hacked to Pieces? The Effects of Ransomware Attacks on Hospitals and Patients.” Social Science Research. http://dx.doi.org/10.2139/ssrn.4579292
-Porter, N (March 2, 2025). Life Hacks: Healthcare’s Cure for the Common Cyberattack. Modeling the Future Challenge 2025.
-Ponemon Institute (2024). The 2024 Study on Cyber Insecurity in Healthcare: The Cost and Impact on Patient Safety and Care. https://www.proofpoint.com/us/resources/threat-reports/ponemon-healthcare-cybersecurity-report.
-National Security Agency (NSA) (March 2024). NSA’s Top Ten Cloud Security Mitigation Strategies. Cybersecurity Information. https://media.defense.gov/2024/Mar/07/2003407860/-1/-1/0/CSI-CloudTop10-Mitigation-Strategies.PDF.
-U.S. Department of Health and Human Services. Office of Civil Rights: Breach Portal. “Archive: Notice to the Secretary of HHS Breach of Unsecured Protected Health Information.” https://ocrportal.hhs.gov/ocr/breach/breach_report.jsf
-European Repository of Cyber Incidents (EuRepoC) (2024). The EuRepoC dashboard. https://www.swp-berlin.org/en/swp/about-us/organization/swp-projects/european-repository-on-cyber-incidents-eurepoc.
-A.M. Best (June 24, 2024). US Cyber: Hot Pricing Cools Off, Rapid Growth Stalls.
-Sheps Center for Health Services Research (2024). Rural Hospital Closure Database. https://www.shepscenter.unc.edu/programs-projects/rural-health/rural-hospital-closures/.
Support the show
For more information, visit PorterQI.com, or email Q4Us@porterqi.com.
What exactly is the value of experience? Will a good mentor help improve safety? How can you measure mentor engagement at the organizational level? Today's episode explores the role of mentorship in safety culture.
Key Points:
-Witnessing mistakes
-Knowledge management
-Undocumented wisdom
Support the show
For more information, visit PorterQI.com, or email Q4Us@porterqi.com.
How does the administrative wing respond to scrutiny? We are wired to have a fight or flight response, but surely there is a better way for managers to handle pressure? Today's podcast looks at examples of great managers who kept a pulse on the frontline and gained credibility in the boardroom for the knowledge they gained.
Key Points:
-frontline expectations
-responding to scrutiny
-building credibility
Support the show
For more information, visit PorterQI.com, or email Q4Us@porterqi.com.
How does your organization celebrate retirement? It's not a typical interview question, but perhaps it should be: How we treat the people who have given years of their lives to the organization speaks volumes about how we value everyone else.
Today's episode is half-podcast, half-tribute to Sostenes the lab director -- because listening to people speak about his life at retirement made me want to live mine better.
Key Points:
-Just another party?
-Getting rid of the "old guard"
-Building a legacy
Support the show
For more information, visit PorterQI.com, or email Q4Us@porterqi.com.
How can we care for strangers if we do not care for each other? This episode looks at some of the best and worst charitable policies in the workplace and examines how safety culture can be elevated and restored during difficult times.
Key Points:
-Mandatory charity
-Acceptable charity lists
-Service awards and fundraisers
Support the show
For more information, visit PorterQI.com, or email Q4Us@porterqi.com.
How much do you trust your coworkers to watch your patients during lunch?
This question is an often overlooked key indicator of safety culture. Nurses are possessive of "their" patients and this episode explores reasons and symptoms of lunch breaks that are not covered.
Key Points:
-Critical debriefing
-Trusting your team
-What makes a "good" team?
Support the show
For more information, visit PorterQI.com, or email Q4Us@porterqi.com.
Do you ever hear coworkers say, "Someone should fix that"? Have you ever wished Marie Kondo would come to your healthcare facility and tidy up? This episode looks at the physical environment as a sign of safety culture.
Key Points:
-The Van Halen Effect
-The Psychology of your workspace
-Someone should fix that
References:
-Ozden, E. (Sept. 28, 2021). The Reason Behind David Lee Roth’s Brown M&Ms Request for Live Shows. Rock Celebrities. https://rockcelebrities.net/the-reason-behind-david-lee-roths-brown-mms-request-for-live-shows.
-Vanbuskirk, S. (April 3, 2023). The Mental Health Benefits of Making Your Bed. VeryWell Health. https://www.verywellmind.com/mental-health-benefits-of-making-your-bed-5093540.
Support the show
For more information, visit PorterQI.com, or email Q4Us@porterqi.com.
What is the intersection between safety and security? This episode shares some of my adventures at the bedside and explores opportunities to strengthen safety culture with best practices in security.
Key Points:
-Violence is prevalent
-TJC on violence in healthcare
-Safety and Security
References:
-The Joint Commission (May 15, 2024). 2023 Sentinel Event Data Annual Report. https://www.jointcommission.org/resources/news-and-multimedia/newsletters/newsletters/joint-commission-online/may-15-2024/now-available-2023-sentinel-event-data-annual-report.
-Markovitz, S.; Grimes, C. (Sept. 1, 2022). Violence Against Healthcare Workers Is At An All-Time High: Here’s How Workplaces Can Keep Them Safe. Forbes. https://www.forbes.com/sites/coronavirusfrontlines/2022/09/01/violence-against-healthcare-workers-is-at-an-all-time-high-heres-how-workplaces-can-keep-them-safe/.
Support the show
For more information, visit PorterQI.com, or email Q4Us@porterqi.com.
Everyone wants to believe that we treat our patients like family. But is it possible to prove it? Today's episode provides a quick auditing method to identify whether you have a family-friendly organization.
Key Points:
-Family Support Systems
-Humanizing Healthcare
-Family Furnishings
References:
-Goldfarb, MJ; Bibas, L; Bartlett, V; Jones, H; Khan, N (Oct. 2017). Outcomes of Patient- and Family-Centered Care Interventions in the ICU: A Systematic Review and Meta-Analysis. Critical Care Medicine 45(10): 1751-1761. DOI: 10.1097/CCM.0000000000002624.
Support the show
For more information, visit PorterQI.com, or email Q4Us@porterqi.com.
Efficient throughput and end of life care work at opposite ends of the spectrum. How does your end of life care reflect your safety culture? Today's episode explores ways to track the quality of end of life care and assess your facility's safety culture in the process.
Key Points:
-End of life care and the culture of safety
-When it takes too long to die
-Assessing quality and procedures
Support the show
For more information, visit PorterQI.com, or email Q4Us@porterqi.com.
How should we respond to voluntary reporting? What can we do when our scientific approach to the study of errors becomes as dehumanizing as the culture that caused the error? This episode discusses non-mandatory reporting by turning the lens of safety culture onto the safety department itself.
Key Points:
-Why reporting happens
-Troublemakers and safety culture
-The best weapon against never-events
Support the show
For more information, visit PorterQI.com, or email Q4Us@porterqi.com.
Have you ever questioned the credibility of your safety culture survey? So many safety culture assessments describe vague things to avoid, but how can you tell if you have it? This season, we're sharing the Top 10 Signs that your healthcare organization has a solid safety culture.
Key Points:
-What is "good" healthcare?
-Virtue and ethics in safety culture
-Introducing the Top 10 Signs
References:
Norwood, Arlisha (2017). "Dorothea Dix." National Women's History Museum. Accessed October 2, 2024 from https://www.womenshistory.org/education-resources/biographies/dorothea-dix.
Support the show
For more information, visit PorterQI.com, or email Q4Us@porterqi.com.
As the holidays approach, I'm revisiting the subject of what matters most to patients. This episode discusses the discharge process, length of stay, and outcome metrics that can serve as a compass for other quality measures.
Key Points:
-Universal needs
-Critical questions
-What if?
Support the show
For more information, visit PorterQI.com, or email Q4Us@porterqi.com.
Did you hear about the redesign of the nurse manager role at Advocate Health? This episode discusses the six insights gleaned from three simple questions that just might save the nurse manager role.
Key Points:
-Ask the frontline
-Mutual goals
-Critical mentorship
References:
-Twenter, P (Oct. 21, 2024). Advocate redesigns the nurse manager role. Becker’s Clinical Leadership. https://www.beckerhospitalreview.com/nursing/advocate-redesigns-the-nurse-manager-role.html.
-American Association of Colleges of Nursing (AACN). (Oct. 2022). Nursing Shortage Fact Sheets. AACN News & Information. https://www.aacnnursing.org/news-information/fact-sheets/nursing-shortage
-Incredible Health. (March 16, 2021). 34% of Nurses Plan to Leave Their Current Role by the End of 2022. Inside Incredible Health. https://www.incrediblehealth.comwp-content/uploads/2022/03/IH-COVID-19-2022-Summary-1.pdf.
-Kennedy, M. (Jan. 29, 2018). Experienced Bedside Nurses: An Endangered Species? Off the Charts: Blog of the American Journal of Nursing. Retrieved Nov. 30, 2022, from https://ajnoffthecharts.com/experienced-bedside-nurses-endangered-species/
-Kennedy, M. Nurses at the Bedside--Who Will Be Left to Care? AJN, 118(2), 7. https://www.doi.org/10.1097/01.NAJ.0000530224.10340.d1/
-Lohrenz, C. (2014). Fearless Leadership, 2nd ed. Greenleaf Book Group Press.
-Phillips, David et al. (2010). Christmas and New Year as risk factors for death. Soc Sci Med, 71(8). 1463-71. https://www.doi.org/10.101/j.socscimed.2010.07.024.
-Tarlengco, J. (Nov. 21, 2022). Gemba Walk: Meaning, Process, and Examples. Safety Culture. https://safetyculture.com/topics/gemba-walkTwenter, P (Oct. 21, 2024). Advocate redesigns the nurse manager role. Becker’s Clinical Leadership. https://www.beckerhospitalreview.com/nursing/advocate-redesigns-the-nurse-manager-role.html.
Support the show
For more information, visit PorterQI.com, or email Q4Us@porterqi.com.
Important notices are common in healthcare, but opportunities for feedback can be hard to find. Yet, communication about problems is essential to a robust patient safety program. This episode looks at changes in technology that could improve safety communication across the healthcare industry.
Key Points:
-Safety communication in space
-Healthcare feedback loops
-Overwhelming public comment
References:
Sull, D; Sull, C (Oct. 18, 2023). How Do Nurses Rate Their Employers? MIT Sloan Management Review. https://www.sloanreview.mit.edu/article/nursing-satisfaction-index/.
Support the show
For more information, visit PorterQI.com, or email Q4Us@porterqi.com.
Big Pharma spends billions of dollars on advertising that teaches the public how to say the names of their products. While millions of people live with hypertension, many of them cannot remember the name of their diagnosis or what it means. This episode discusses healthcare communication and shares helpful models for improvement.
Key Points:
-Big Pharma ads get it right
-Idiopathic Explanations
-Louis Braille and medical coding
References:
-Institute of Medicine (2001). Crossing the quality chasm: A new health system for the 21st century. Washington, DC: National Academy press.
-Hughes, RG, Ed (April 2008). “Handoffs: Implications for Nurses.” Patient Safety and Quality: An Evidence-Based Handbook for Nurses. AHRQ. https://www.ncbi.nlm.nih.gov/books/NBK2649/.
-Mole, B (Jan. 11, 2019). Big Pharma shells out $20B each year to schmooze docs, $6B on drug ads. Ars Technica. https://arstechnica.com/science/2019/01/healthcare-industry-spends-30b-on-marketing-most-of-it-goes-to-doctors/.
-Etymonline (Sept. 18, 2024). “Idiot.” https://www.etymonline.com/word/idiot/.
-Petzold, C (2023). Braille and Binary Codes. Code: The Hidden Language of Computer Hardware and Software, 2nd Ed. Pearson Education.
Support the show
For more information, visit PorterQI.com, or email Q4Us@porterqi.com.
Have you ever noticed how admission orders can be corrected, but a faulty discharge is nearly impossible to correct? Today's episode explores fake deaths, inaccurate discharges, and how to begin solving for resurrection errors in healthcare.
Key Points:
-Fake deaths are common
-Computers do not believe in resurrection
-Discharges are surprisingly inflexible
References:
-Wikipedia (2024). “Safety Coffin.” https://en.wikipedia.org/wiki/Safety_coffin.
-Stechyson, N. (June 19, 2024). “Noam Chomsky told us to question the media. This week, the media reported he had died.” CBC. https://www.cbc.ca/news/world/noam-chomsky-not-dead-1.7239373.
-Bruchac, J (2005). Code Talker. New York: Penguin.
-Clapper, C (October 16, 2023). Special Feature: Can we keep our patients safe? Asking an expert the tough questions with Craig Clapper. Quality for the Rest of Us. https://podcasts.apple.com/us/podcast/quality-for-the-rest-of-us/id1640141276
Support the show
For more information, visit PorterQI.com, or email Q4Us@porterqi.com.
What can a con-man teach us about patient safety? Sometimes normal human reactions are just what is needed to breach protocol and result in harm. Today's episode explores the relationship between the perfect heist and safety culture.
Key Points:
-Reaction Videos
-Dual Auditing
-Decoys and False Alarms
References:
Diaz, Naomi (Nov. 17th, 2022). Why healthcare mergers and acquisitions are a cybersecurity risk. Becker’s Health IT. https://www.beckershospitalreview.com/cybersecurity/why-healthcare-mergers-and-acquisitions-are-a-cybersecurity-risk.html.
Support the Show.
For more information, visit PorterQI.com, or email Q4Us@porterqi.com.
Infectious disease fascinates me. When the State of Texas offers a free certification program in pandemic preparedness, including courses in epidemiology and infectious disease, I'm eager to sign up. Tune in to hear some of what I loved, what I didn't love, and why access to this type of knowledge is a great opportunity overall.
Key Points:
-Public Health History in Texas
-Research Hesitancy
-Neglected Tropical Diseases
References:
-Texas Epidemic Public Health Institute (2024). Certificate Program. https://www.tephi.texas.gov/training/index.htm.
-Kuhn, T (1996). The Structure of Scientific Revolutions, 3rd ed. U of Chicago P.
Support the Show.
For more information, visit PorterQI.com, or email Q4Us@porterqi.com.
Have you noticed how busy the clinic waiting rooms are becoming? As the largest living generation retires from providing care and seeks to receive it, our primary care models are experiencing new challenges. This episode seeks to focus our efforts on an improvement mindset as we manage the surge of patients.
Key Points:
-Blocking the Door
-Black Friday in Healthcare
-Primary Care Triage
References:
-Shen, Fan (2004). The Barefoot Doctor. Gang of One. University of Nebraska Press.
Support the Show.
For more information, visit PorterQI.com, or email Q4Us@porterqi.com.
Have you ever been asked to sign that you'll pay whatever is "leftover" from your bill -- without knowing the total? This episode uses a risk approach to discuss the expectation that patients must promise to pay to an infinite and undefinable cost, and shares solutions that fit a patient safety model using clear communication and patient-empowered decision-making.
Key Points:
-The Blank Check
-Transparency Laws in Practice
-Patient-Driven Billing
Support the Show.
For more information, visit PorterQI.com, or email Q4Us@porterqi.com.
Is it possible that one of our top safety interventions could increase the risk of patient harm? Why do some huddles seem so fruitful while others fall short? This episode shares 5 pitfalls of the typical staff huddle with tips on how to improve their productivity without increasing the risk for clinical errors.
Key Points:
-Reality is not like the research
-The unforgiving med pass
-Opportunities for engagement
References:
-Pimentel, CB; Snow, AL; Carnes, SL; Shah, NR; Loup, JR, Vallejo-Luces, TM; Madrigal, C, Hartmann, CW (Sept. 2021). Huddles and their effectiveness at the frontlines of clinical care: a scoping review. J Gen Intern Med, 36(9): 2772-2873. DOI: 10.1007/s11606-021-06632-9. https://www.ncbi.nlm.nih.gov/pmc/articles/pmc8390736/.
-Greenberg, M (Jan. 14, 2014). Feeling Deprived Can Lead to Some Illogical Behavior. Psychology Today. https://www.psychologytoday.com/us/blog/the-mindful-self-express/201401/feeling-deprived-can-lead-some-illogical-behavior.
Support the Show.
For more information, visit PorterQI.com, or email Q4Us@porterqi.com.
Does healthcare improvement sometimes feel like an impossible task? This episode looks at ways to refresh more than the data, but also our outlook and understanding, through an analytical approach.
Key Points:
-Time to give up?
-Human rights applications
-Breaking it down
References:
-World Vision International. (Feb. 9th, 2018). A Stolen Trombone, Barrier Analysis and Isaiah 65 – A chat with Tom Davis – World Vision’s New Global Lead for Sustainable Health. Retrieved September 8th, 2022, from https://www.wvi.org/article/stolen-trombone-barrier-analysis-and-isaiah-65-chat-tom-davis-world-visions-new-global-lead.
-Porter, G (2023). Simple Tools. Healthcare Quality for the Rest of Us: A Friendly Guide to Healthcare Quality Management. Porter Creatives.
Support the Show.
For more information, visit PorterQI.com, or email Q4Us@porterqi.com.
Have you noticed there are a lot of companies diving into primary care and then quickly exiting--or how many of these ventures carry the term "health" in their title rather than "healthcare"? This episode explores the dichotomy of healthcare that treats the sick and health companies that provide primary care for the healthy, including recommendations for how these companies could recover and thrive.
Key Points:
-Healthcare for the Healthy
-Holistic Care
-Unmet Needs and Opportunities
References:
-Fox, S (2024). Rebel Health: A Field Guide to the Patient-Led Revolution in Medical Care. Highbridge Company.
Support the Show.
For more information, visit PorterQI.com, or email Q4Us@porterqi.com.
Have you ever experienced unintended consequences in your efforts to improve healthcare quality? Is there a better way to find solutions to persistent problems? This episode applies the principles of Precision Medicine -- with its individualized, scientific approach -- to the field of healthcare improvement.
Key Points:
-Viper Reimbursement
-Magic and distraction
-The garden quality indicator
References:
-Bragg, Alistair (2022). Great Moments in Unintended Consequences: Transcontinental Railroad, Cash for Ash, Cobra Problem. Reason. https://reason.com/video/2022/01/14/great-moments-in-unintended-consequences-vol-5/.
-Porter, G. (2023). Project Management. Quality for the Rest of Us: A Friendly Guide to Healthcare Quality Management. Porter Creatives.
-Drew T, Vo M, Wolfe J. The invisible gorilla strikes again: Sustained inattentional blindness in expert observers. Psychol Sci. 2013 Sep; 24(9): 1848-1853. https://doi.org/10.1177/0956797613479386.
-Lehrer, Jonah. The Magic Gasp. Mystery: A Seduction, A Strategy, A Solution. Simon & Schuster. Aug 2021.
Support the show
For more information, visit PorterQI.com, or email Q4Us@porterqi.com.
Patient Decision-Making is supposed to be the goal, but just defining it can cause a heated argument. What prevents it from happening, and how can we overcome those barriers? This episode uncovers a missing piece in patient decision-making, and offers recommendations for a solid patient-centered framework.
Key Points:
-Speak Up campaigns
-Obscure language
-Precision Risk
References:
-The Joint Commission (2024). Facts About Speak Up. https://www.jointcommission.org/resources/for-consumers/speak-up-campaigns/facts-about-speak-up.
-Joseph, C. (Jan. 31, 2024). Trust or Bust: Healing Healthcare’s Credibility Crisis. Nordic Global. https://www.nordicglobal.com/blog/trust-or-bust-healing-healthcare-credibility-crisis.
-Krist, AH; Tong, ST; Aycock, RA; Longo, DR (2017). Engaging patients in decision-making and behavior change to promote prevention. Studies in Health Technology and Informatics, Vol. 240: 284-302. DOI: 10.3233/978-1-61499-790-0-284.
-Agency for Healthcare Research and Quality (July 2014). The SHARE Approach. https://www.ahrq.gov/health-literact/professional-training/shared-decision/index.html
Support the show
For more information, visit PorterQI.com, or email Q4Us@porterqi.com.
This Patient Safety Week, I had the honor of sitting down with healthcare tech and e-iatrogenesis expert Benjamin Cooperman to discuss my toughest questions about digital harm, healthcare cybersecurity, and high reliability organizing (HRO) in the healthcare tech space. He has an extensive background in information technology and HRO consulting in the healthcare industry. This feature-length episode covers the human side of digital patient safety, discusses hospital closures related to healthcare cyberattacks, and shares practical tips on how to design highly reliable systems to protect our patients from digital harm.
Key Points:
-What is e-iatrogenesis?
-Hospital closures, cyberattacks, and budget-friendly regulations
-The future of digital patient safety
Support the show
For more information, visit PorterQI.com, or email Q4Us@porterqi.com.
The topic of Artificial Intelligence and healthcare tech often prompts polarized responses across the industry. Will AI replace doctors? Will technology alleviate burnout, or worsen it? What do we need most in the development of healthcare innovation? Today's episode shares some cautionary tales as well as tips for success.
Key Points:
-Decision support
-AI Gatekeepers
-Smart Development
References:
-Jennings, Katie. (February 19, 2024). “An AI Doctor In A Box Coming To A Mall Near You.” Forbes.https://www.forbes.com/sites/katiejennings/2023/11/15/an-ai-doctor-in-a-box-coming-to-a-mall-near-you/?sh=44decf8a4284.
-Trzeciak, S; Mazzarelli, A (2019). Compassionomics: The Revolutionary Scientific Evidence That Caring Makes A Difference. Studer Group.
-Athena Health (Dec. 1, 2015). “When I Grow Up.” Mindshare. https://ispot.tv/a/AlsM.
-American Medical Association (Feb. 6, 2024). Augmented intelligence: Pros and cons of AI in health care and clinical workflow optimization. AMA Update Podcast. https://www.ama-assn.org/practice-management/digital/augmemted-intelligence-pros-and-cons-ai-health-care-and-clinical.
-Procter, Jason. (February 19, 2024). “Air Canada found liable for chatbot's bad advice on plane tickets.” CBC. https://www.cbc.ca/news/canada/british-columbia/air-canada-chatbot-lawsuit-1.7116416 -Sull, D; Sull, C (Oct. 16. 2023). The Real Issues Driving the Nursing Crisis. MIT Sloan Management Review. https://www.sloanreview.mit.edu/article/how-solve-nursing-crisis.
Support the show
For more information, visit PorterQI.com, or email Q4Us@porterqi.com.
Nearly 10 years ago, the goal of mandatory electronic documentation was to improve patient engagement, care coordination, research, disparity, and healthcare quality. As we look toward the next wave of requirements for interoperability, this episode reviews our progress toward these goals and shares recommendations for the future.
Key Points:
-Is digital better?
-Vulnerable data
-Patient ownership
References:
-Office of the National Coordinator for Health Information Technology (ONC) (May 2, 2023). Laws, Regulation, and Policy: Health IT Legislation. HealhIT.gov. https://www.healthit.gov/topic/laws-regulation-and-policy/health-it-legislation.
-Cohen, Ronnie (July, 7, 2016). Prescription-drug monitoring program saves lives, could save more. Reuters. https://www.reuters.com/article/us-health-drugs-prescription-monitoring-idUSKCN0ZN2HH/
-McKeon, Jill (Feb. 10, 2023). HHS, FBI, CISA Warn of North Korean State-Sponsored Cyber Threat Actors Targeting Healthcare. HealthITSecurity. https://www.healthitsecurity.com/news/hhs-fbi-cisa-warn-of-north-korean-state-sponsored-cyber-threat-actors-targeting-healthcare/.
-Spearie, Steven (Sept. 1, 2023). HSHS chief executive confirms system-wide outage was caused by cybersecurity incident. The State Journal—Register. https://www.sj-r.com/story/news/healthcare/2023/09/01/hshs-breach-due-to-cybersecurity-incident-system-acknowledges/70744543007.
-Kirwan, Hope (Jan. 24, 2024). Eau Claire, Chippewa Falls leaders say news of hospital closures shocked communities. Wausau Pilot & Review. https://wwww.wausaupilotandreview.com2024/1/24/eau-claire-chippewa-falls-leaders-say-news-of-hospital-closures-shocked-communities.
-Diaz, Naomi (Nov. 17th, 2022). Why healthcare mergers and acquisitions are a cybersecurity risk. Becker’s Health IT. https://www.beckershospitalreview.com/cybersecurity/why-healthcare-mergers-and-acquisitions-are-a-cybersecurity-risk.html.
Support the show
For more information, visit PorterQI.com, or email Q4Us@porterqi.com.
Why do some patients prefer to spend $100 on imported frankincense oil than spend the same amount on a clinic visit? What can alternative medicine tell us about measuring patient satisfaction? Today's episode discusses these novel trends.
Key Points:
-Why essential oils?
-Limits of patient satisfaction metrics
-The patient's voice
References:
-“Vapor rub relieves cold symptoms for children, researchers find (2010). Penn State Medicine. https://www.psu.edu/news/medicine/story/vapor-rub-relieves-cold-symptoms-children-researchers-find/
-Fortune Business Insights (2024). Essential Oils Market Size, Share & COVID-19 Impact Analysis Report. https://www.fortunebusinessinsights.com/industry-reports/essential-oils-market-101063.
-Grand View Research (2024). U.S Dietary Supplements Market Size: Share & Trends Analysis Report. https://www.grandviewresearch.com/industry-analysis/us-dietary-supplements-market-report.
-Assefi, Nassim. “Zocdoc Report: Men’s Health” (2023). The Paper Gown. https://www.zocdoc.com/blog/zocdoc-report-mens-health/
-Buggey, Hope. “Cleveland Clinic Survey: Men will do Almost Anything to Avoid Going to the Doctor” (2019). Cleveland Clinic. https://newsroom.clevelandclinic.org/2019/09/04/cleveland-clinic-survey-men-will-do-almost-anything-to-avoid-going-to-the-doctor/
-“Why don’t men see Doctors?” (2019). Itegris Health. https://integrisok.com/resources/on-your-health/2019/june/why-dont-men-see-doctors
-Bidmon, Sonja and Ralf Terlutter. “Gender Differences in Searching for Health Information on the Internet and the Virtual Patient-Physician Relationship in Germany: Exploratory Results on How Men and Women Differ and Why” (2015). Journal of Medical Internet Research. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4526954/
Support the show
For more information, visit PorterQI.com, or email Q4Us@porterqi.com.
Why do healthcare professionals shy away from working in scenic rural areas, even when they are offered the comfort of broadband internet and affordable housing? Today's episode addresses the two reasons why doctors and nurses avoid rural health and how innovators around the world are solving those problems.
Key Points:
-The new Netropolis
-Rwanda's blood bank program
-Specialty café
References:
-Ingraham, Christopher (2019). If you lived here you’d be home by now: Why we traded the commuting life for a little house on the prairie. HarperCollins.
-United States Census Bureau (Dec. 29, 2022). Nation’s Urban and Rural Populations Shift Following 2020 Census. https://www.census.gov/newsroom/press-releases/2022/urban-rural-populations.html.
-Vogel, Emily A. (Aug. 19, 2021). Some digital divides persist between rural, urban, and suburban America. Pew Research Center. https://www.pewresearch.org/fact-tank/2021/08/19/some-digital-divides-persist-between-rural-urban-and-suburban-america/.
-Henderson, Kim (March 9, 2023). Help wanted: How a small Navajo hospital is delivering care amid a big nursing shortage. World magazine. https://wng.org/articles/help-wanted-1677989626.
-Rober, Mark (March 18, 2023). Amazing Invention- This Drone Will Change Everything. https://youtu.be/DOWDNBu9DkU.
-Blain, Loz (January 24, 2023) “MightyFly's new autonomous cargo drone carries 100 lb for 600 miles.” New Atlas. https://newatlas.com/drones/mightyfly-cento/
Support the show
For more information, visit PorterQI.com, or email Q4Us@porterqi.com.
What is the greatest risk to your organization and how can you tell? What does a "good" solution look like? Today's episode shares how to use a risk assessment to identify hot spots in your organization and innovate for the best solutions.
Key Points:
-Relative risk?
-Scoring Risks
-Discussing solutions
References:
-Fox, Andrea (May 31, 2023). Florida bans offshore health record storage. HealthcareITNews. https://www.healthcareitnews.com/news/florida-bans-offshore-health-record-storage-0.
-McKeon, Jill (Feb. 10, 2023). HHS, FBI, CISA Warn of North Korean State-Sponsored Cyber Threat Actors Targeting Healthcare. HealthITSecurity. https://www.healthitsecurity.com/news/hhs-fbi-cisa-warn-of-north-korean-state-sponsored-cyber-threat-actors-targeting-healthcare/.
-The Joint Commission (2023). Survey Analysis for Evaluating Risk (SAFER) Matrix FAQs. https://www.jointcommissioninternational.org/resources/customer-service/frequently-asked-questions/survey-analysis-for-evaluating-risk-matrix-faqs.
Support the show
For more information, visit PorterQI.com, or email Q4Us@porterqi.com.
Are there trails blazed outside the system’s parameters that frustrate planners? This episode discusses “desire paths” in sidewalk design as an example for surgical staffing, and looks at how AI could help us get a better understanding of employee behavior and trends. What will we find if we stop to listen to the footfalls of our healthcare community?
Key Points:
-What are "desire paths"?
-Is AI able to eliminate reactive staffing?
-The Operating Suite
References:
-Bramley, E. V. (Oct 5, 2022). Desire paths: the illicit trails that defy the urban planners. The Guardian. Retrieved October 17th, 2022, from https://www.theguardian.com/cities/2018/oct/05/desire-paths-the-illicit-trails-that-defy-the-urban-planners.
-Melchionna, M. (Mar 1, 2022). Sanford Health to Deploy New AI System for Nurse Scheduling. HealthITAnalytics. Retrieved October, 18th, 2022 from https://healthitanalytics.com/news/sanford-health-to-deploy-new-ai-system-for-nurse-scheduling.
-Walker, C. (Feb. 24, 2022). Unique AI tool helps Sanford Health schedule nurses. Sanford Health News. Retrieved October 18th, 2022, from https://news.sanfordhealth.org/innovations/unique-ai-tool-helps-sanford-health-schedule-nurses.
Support the show
For more information, visit PorterQI.com, or email Q4Us@porterqi.com.
Have you noticed that physicians are doing a lot more clerical work these days, staying late to answer email and sit on the phone? Does your organization require a graduate degree for simple data entry jobs? Today's episode talks about Eduflation, the cost of down-skilling our experts, and ways to measure and prove our value to an organization.
Key Points:
-What is Eduflation?
-Dependable yet flexible
-Measuring value
References:
-Allen, David (2002). Getting Things Done: The Art of Stress-Free Productivity. Penguin Books.
-Clapper, C.; Merlino, J.; Stockmeier, C. (2018). Zero Harm: How to Achieve Patient and Workforce Safety in Healthcare. McGraw Hill Education.
-Statista Research Department (2023). Percentage of the U.S. population who have completed four years of college or more from 1940 to 2022, by gender. Education and Science. https://www.statista.com/statistics/184272/educational-attainment-of-college-diploma-or-higher-by-gender.
-Mishel, L, Kandra, J. (Aug. 10, 2021). CEO pay has skyrocketed 1,322% sincec 1978. Economic Policy Institute. https://www.epi.org/publication/ceo-pay-in-2020.
-Fowler, G. (Aug. 7, 2023). AI is acting 'pro-anorexia' and tech companies aren't stopping it. The Washington Post. https://www.washingtonpost.com/technology/2023/08/07/ai-eating-disorders-thinspo-anorexia-bulimia.
-Atillah, Imane El (Mar. 31, 2023). Man ends his life after an AI chatbot "encouraged' him to sacrifice himself to stop climate change. Euronews. https://www.euronews.com/next/2023/03/31/man-ends-his-life-after-an-ai-chatbot-encouraged-him-to-sacrifice-himself-to-stop-climate-.
-Saraswathula, A.; Merck, S. (2023). The Volume and Cost of Quality Metric Reporting. JAMA,329(21): 1840-1847. Doi: 10.1001/jama.2023.7271.
Support the show
For more information, visit PorterQI.com, or email Q4Us@porterqi.com.
Why are roles so vague today? What does quiet quitting say about our processes? What organizational improvement could remedy the cause of quiet quitting? Today's episode dives into the world of job descriptions, organizational goals and quiet quitting from a process perspective with solutions based on solid improvement principles.
Key Points:
-Job description evolution
-SMART vision
-The patient care vacuum
References:
-The American Heart Association (2023). Advanced Cardiovascular Life Support (ACLS). https://cpr.heart.org/en/cpr-courses-and-kits/healthcare-professional/acls.
-Elsevier (2023). Clinician of the Future 2023: Education Edition. https://beta.elsevier.com/promotions/clinician-of-the-future-education-edition/.
Support the show
For more information, visit PorterQI.com, or email Q4Us@porterqi.com.
This Healthcare Quality Week, I had the honor of sitting down with esteemed High Reliability Organizing (HRO) expert Craig Clapper to discuss my toughest questions about patient safety and quality improvement. He has a background in nuclear engineering and an emphasis in good humor, resulting in a conversation that was both compassionate and thought-provoking. This feature-length episode covers the human side of high reliability, the number of rodent hairs acceptable in a jar of peanut butter, and a practical approach to barriers in data collection and process adoption.
Key Points:
-Compassionate outcomes and HIPAA
-The future of patient safety
-Configuration control and change management
References:
-Reliability 4 Life: https://reliability4life.com/r4l-home/r4l-latest-updates/.
-Craig Clapper PE, Founder and Chief Knowledge Officer at Reliability 4 Life: https://linkedin.com/craig-clapper-pe-701159145.
-Clapper, C.; Merlino, J.; Stockmeier, C. (2018). Zero Harm: How to Achieve Patient and Workforce Safety in Healthcare. McGraw Hill Education.
Support the show
For more information, visit PorterQI.com, or email Q4Us@porterqi.com.
By 2034, the Baby Boomers will leave the workplace: We will have more demand for healthcare than the supply of workers. What can we do to manage this demographic cliff? Today's episode provides practical examples and workforce solutions for organizations of any size.
Key Points:
-Clinicians as alarms
-Demographic Brain Drain
-Shared Results and Opportunities
References:
-Riley, Robin. (Feb. 2018). “Remote System Uses Video, Algorithms to Monitor Baby’s Heart Rate and Breathing.” Photonics Media. https://www.photonics.com/Articles/Remote_System_Uses_Video_Algorithms_to_Monitor/a63071
-Gardner-Thorpe, J.; Love, N.; Wrightson, J.; Walsh, S.; Keeling, N (Oct. 2006). The Value of Modified Early Warning Score (MEWS) in Surgical In-Patients: A Prospective Observational Study. Ann R Coll Surg Engl, 88(6): 571-5.
-Paltiel, O.; Clarfield, A.M. (Feb. 15, 2022). Tigray: the challenges of providing care in unimaginable conditions. The British Medical Journal, 376. https://wwdoi.org/10.1136/bmj.o400.
-Eggleston, K., Suk Lee, Y. et al. (2021) Robots and Labor in the Service Sector: Evidence from Nursing Homes. National Bureau of Economic Research. Retrieved November 1, 2022 from https://www.nber.org/papers/w28322.
-Bellosta-Batalla, Miguel, et al. (Mar. 2020). “Brief mindfulness session improves mood and increases salivary oxytocin in psychology students”. Stress and Health. https://onlinelibrary.wiley.com/doi/10.1002/smi.2942
-Barazza, Jorge and Paul Zak. (Jun. 2009). “Empathy toward Strangers Triggers Oxytocin Release and Subsequent Generosity”. Annals of the New York Academy of Science. https://nyaspubs.onlinelibrary.wiley.com/doi/abs/10.1111/j.1749-6632.2009.04504.x
-Walker, C. (Feb. 24, 2022). Unique AI tool helps Sanford Health schedule nurses. Sanford Health News. Retrieved October 18th, 2022, from https://news.sanfordhealth.org/innovations/unique-ai-tool-helps-sanford-health-schedule-nurses.
Support the show
For more information, visit PorterQI.com, or email Q4Us@porterqi.com.
Communication in healthcare can be a real challenge. Today's episode explores patient needs, the speaker-audience relationship, jargon, and misinformation in healthcare.
Key Points:
-Health education is tricky
-Jargon is not patient-centered
-Nuance and clarity
References:
-Leonard SA, Main EK, Scott KA, Profit J, Carmichael SL (2019). Racial and ethnic disparities in severe maternal morbidity prevalence and trends. Ann Epidemiol, 2019 May(33), 30-36. https://doi.org/10.1016/j.annmepidem.2019/02/007.
-BILLY (2023). BILLY Info Page. www.trybilly.app.
-Jaklevic, M. C. (July 27, 2023). ‘Medical errors are the third leading cause of death’ and other statistics you should question. Association of Health Care Journalists. https://healthjournalism.org/blog/2023/07/medical-errors-are-the-third-leading-cause-of-death-and-other-statistics-you-should-question.
-Makary, Martin A.; Daniel, Michael. Medical error—the third leading cause of death in the US. BMJ. 2016 May. 2016;353;i2139. Retrieved August 7th, 2022, from https://www.bmj.com/content/353/bmj.i2139.
-Heron, M. (2021). Deaths: Leading Causes for 2019. National Vital Statistics Reports, 70(9), 18. Retrieved October 27th, 2022, from https://www.cdc.gov/nchs/data/nvsr/nvsr70/nvsr70-09-508..pdf.
-The Joint Commission (2023). Sentinel Event Data 2022 Annual Review. https://www.jointcommission.org/-/media/tjc/documents/resources/patient-safety-topics/sentinel-event/03162023_sentinel-event-_annual-review_final.pdf.
-Goodstein, David L. and Judith R. (1996). “Feynman’s Lost Lecture The Motion of Planets Around the Sun.” Caltech’s Engineering and Science magazine. http://calteches.library.caltech.edu/563/2/Goodstein.pdf.
Support the show
For more information, visit PorterQI.com, or email Q4Us@porterqi.com.
When it comes to technology in healthcare, why do we provide so much support to the most educated, best-informed members of the team, and then neglect the most vulnerable members that the entire system exists to serve? Today's episode talks about the need for superusers to help patients access care.
Key Points:
-Precision Medicine meets Interoperability
-Horrible tech transitions
-A root cause to data poverty?
References:
-Radley, D.C. et al (May 1, 2013). Reduction in medication errors in hospitals due to adoption of computerize provider order entry systems. J Am Med Inform Assoc 20(3): 470-6.
-Health Level Seven International (n.d.). Frequently Asked Questions. Retrieved Aug. 18, 2023 from https://www.hl7.org/about/faqs/.
-Wells, K. (June 8, 2023). An eating disorders chatbot offered dieting advice, raising fears about AI in health. National Public Radio. Retrieved Aug. 28, 2022, from https://www.npr.org/sections/health-shots/2023/06/08/1180838096/an-eating-disorders-chatbot-offered-dieting-advice-raising-fears-about-ai-in-healthcare/.
-Edwards, B. (Aug. 10, 2023). AI-powered grocery bot suggests recipe for toxic gas, “poison bread sandwich.” Ars Technica. Retrieved Aug. 28, 2022, from https://www.arstechnica.com/information-technology/2023/08/ai-powered-grocery-bot-suggests-recipe-for-toxic-gas-poison-bread-sandwich/.
-Western, M.J.; Armstrong, M.E.G.; Islam, I. et al (Nov. 9, 2021). The effectiveness of digital interventions for increasing physical activity in individuals of low socioeconomic status: a systematic review and meta-analysis. Int J of Behav Nutr Phys Act, 18(148). Retrieved Aug. 28, 2022, from https://ijbnpa.biomedcentral.com/articles/10.1186/s12966-021-01218-4.
-Hussein, I.; Xiaoxuan, L,; Nevine, Z.; Morris, A.D.; Denniston, A.K. (March 4, 2023). Health data poverty: an assailable barrier to equitable digital health care. The Lancet, 2 (4): E260-5.
-Bonner, P. (May 13, 2022). IRS blames old tech in destruction of information returns. Journal of Accountancy. Retrieved Aug. 29, 2022, from https://www.journalofaccountancy.com/news/2022/may/rs-blames-old-tech-destruction-information-returns.html.
Support the showFor more information, visit PorterQI.com, or email Q4Us@porterqi.com.
Are smart phones the new smoking habit? A lot of managers are discussing what can be done in the workplace to manage addictive behavior with smart devices. Today's episode discusses ways that healthcare quality can survive and thrive in these cultural and technological changes.
Key Points:
-Smoke breaks hurt productivity
-Gamification is as addictive as smoking
-Attendance-based measures at work
References:
-Dyches, Chris (Mar. 8, 2012). Smokers waste 5 weeks a year taking smoke breaks, survey shows. WBTV Local News online.
-Federal Communications Commission (May 4, 2021). The Dangers of Distracted Driving. https://www.fcc.gov/consumers/guides/dangers-texting-while-driving.
-Olmstead, K; Lampe, C; Ellison, N. (June 22, 2016). Social Media and the Workplace. The Pew Research Center. https://www.pewresearch.org/internet/2016/06/22/social-media-and-the-workplace/.
-Pantic I. Online social networking and mental health. Cyberpsychol Behav Soc Netw. 2014 Oct;17(10):652-7. doi: 10.1089/cyber.2014.0070.
-Flores, J. (Oct. 2, 2020). Ex-Facebook Executive Says Company Made Its Product as Addictive as Cigarettes. CBS News. https://www.cbsnews.com/news/facebook-addictive-as-cigarettes-former-executive-says/.
-Lee Health (2023). Are Your Addicted to Social Media? Healthy News Blog. https://www.leehealth.org/health-and-wellness/healthy-news-blog/mental-health/are-you-addicted-to-social-media.
-Hucla, Muthia (Sept. 1, 2018). What Happens To Your Brain When Someone Appreciates You. Medium. https://medium.com/@muthiahuda/what-happens-to-your-brain-when-someone-appreciates-you-6af4632abdbb.
-Devlin, Hannah (April 28, 2023). AI has better ‘bedside manner’ than some doctors, study finds. The Guardian. https://www.theguardian.com/technology/2023/apr/28/air-has-better-bedside-manner-than-some-doctors-study-finds.
-Sanna, N. (July 15, 2020). 4 Big Reasons to Put Service at the Center of Your Life. Medium. https://medium.com/age-of-awareness/4-big-reasons-to-put-service-at-the-center-of-your-life-5a9977ab8eb7.
Support the showFor more information, visit PorterQI.com, or email Q4Us@porterqi.com.
It seems to be a fact of life that everything in your home goes wild as soon as you come off mute in an important online meeting: Cats howl, dogs bark, and children cry. What are the best ways to improve the quality of a virtual meeting in the real-world online office?
Key Points:
-Is video really that awesome?
-The devil's in the agenda
-Is there a point to this meeting?
References:
-Clacey, Kirsten; Morris, Jay-Allen (2020). The Remote Facilitator’s Pocket Guide. “Why is Remote Collaboration Difficult?” Barrett-Koehler Publishers, Inc.
-Whillans, Ashley, Dave Feldman, and Damian Wisniewski. “Is Agenda Theater Ruining Your Meetings?” (2022). Harvard Business Review. https://hbr.org/2022/10/is-agenda-theater-ruining-your-meetings
-Desmond J. Leach, Steven G. Rogelberg, Peter B. Warr and Jennifer L. Burnfield. “Perceived Meeting Effectiveness: The Role of Design Characteristics” (2009). Journal of Business and Psychology. Vol. 24, No. 1, pp. 65-76. https://www.jstor.org/stable/40605716
-Cohen, Melissa, et al. “Meeting Design Characteristics and Attendee Perceptions of Staff/Team Meeting Quality” (2011). sychology Faculty Publications. 96. https://digitalcommons.unomaha.edu/cgi/viewcontent.cgi?article=1098&context=psychfacpub
-Rogelberg, Steven. “What the Science Says about Meeting Agendas May Surprise You. Plus an Alternative Approach That Could be a game Changer” (2019). https://www.linkedin.com/pulse/what-science-says-meeting-agendas-may-surprise-you-plus-rogelberg/
Support the showFor more information, visit PorterQI.com, or email Q4Us@porterqi.com.
When was the last time you held a physical file? Going digital has massively shifted our document routines. What are the keys to success for document handling in a virtual healthcare office?
Key Points:
-Getting organized
-Archive overload
-Understanding the cloud
References:
-American Health Information Management Association (AHIMA) (2023). Who We Are. https://www.ahima.org/who-we-are/about-us/.
-AHIMA (Feb. 2023). Social Determinants of Health Data: Survey Results on Collection, Integration, and Use. https://ahima.org/media/03dbonub/ahima_sdoh-data-report.pdf.
-Kondo, M.; Sonenshein, S. (2020). Joy at Work: Organizing Your Professional Life. Little, Brown Spark.
Support the showFor more information, visit PorterQI.com, or email Q4Us@porterqi.com.
Have you ever written an urgent request to a colleague, only to be ignored? Today, "ghosting" is not just a part of the dating world, it's a reality in the workplace. Today's episode looks at the root cause of ghosting at work and provides solutions to help you get through it.
Key Points:
-Danger avoidance
-The ghost process
-Backlogs and process maps
References:
-Soeiro, Loren (Feb. 25, 2019). “7 Essential Psychological Truths About Ghosting.” Psychology Today. https://www.psychologytoday.com/us/blog/i-hear-you/201902/7-essential-psychological-truths-about-ghosting.
Support the showFor more information, visit PorterQI.com, or email Q4Us@porterqi.com.
The pandemic forced many healthcare offices online whether they were ready or not. Today's episode looks at the top challenges (and opportunities) from that experience, along with ways to make life easier after rapid change.
Key Points:
-Ghosting when lives depend on it
-Gaming for patient safety
-Preventing brain drain in virtual work
References:
-Clacey, Kirsten; Morris, Jay-Allen (2020). The Remote Facilitator’s Pocket Guide. “Why is Remote Collaboration Difficult?” Barrett-Koehler Publishers, Inc.
-Lee Health (2023). Are Your Addicted to Social Media? Healthy News Blog. https://www.leehealth.org/health-and-wellness/healthy-news-blog/mental-health/are-you-addicted-to-social-media.
-Hucla, Muthia (Sept. 1, 2018). What Happens To Your Brain When Someone Appreciates You. Medium. https://medium.com/@muthiahuda/what-happens-to-your-brain-when-someone-appreciates-you-6af4632abdbb.
-The American Heart Association (2023). Advanced Cardiovascular Life Support (ACLS). https://cpr.heart.org/en/cpr-courses-and-kits/healthcare-professional/acls.
-Saraswathula, A.; Merck, S. (2023). The Volume and Cost of Quality Metric Reporting. JAMA,329(21): 1840-1847. Doi: 10.1001/jama.2023.7271.
-The Joint Commission (2023). Survey Analysis for Evaluating Risk (SAFER) Matrix FAQs. https://www.jointcommissioninternational.org/resources/customer-service/frequently-asked-questions/survey-analysis-for-evaluating-risk-matrix-faqs.
Support the showFor more information, visit PorterQI.com, or email Q4Us@porterqi.com.
Did you know that the lack of a treatment plan is not considered a medical error? Is it really possible for a patient to go hours - even days - without a treatment plan? This week's episode digs into the disparity between surgical patients and their recovery plans, offering examples and solutions to the problem.
Key Points:
-All surgical patients are not the same
-Interdisciplinary care
-Standardizing the Basics: Eat. Cough. Walk.
References:
-The American Heart Association (AHA) (2023). Stroke. https://www.heart.org/en/news/category-stroke.
-The Society of Thoracic Surgeons (STS) (2023). Clinical Practice, Credentialing, and Reporting Guidelines. https://www.sts.org/resources/clinical-practice-credentialing-and-reporting-guidelines.
Support the showFor more information, visit PorterQI.com, or email Q4Us@porterqi.com.
With the replication of so many new tech tools in healthcare, it's common to look for places where the tool could be used. In patient-centered care, however, we begin with the problems patients face, and ask which tool would best solve the problem. Today's episode looks at barriers in patient access to appointments and suggests a convenient and affordable alternative just waiting to be studied.
Key Points:
-Healthcare tech expansion
-The current model of access to care
-Solutions from an existing resource
References:
-Ernst, Diana (May 1, 2023). FDA Clears Smart Toilet Seat for Heart Health Monitoring. Medical Professional Reference. https://www.empr.com/home/news/medical-technology/fda-clears-smart-toilet-seat-for-heart health-monitoring.
-American Hospital Association (AHA) (Jan 2021). Case Study of Presbyterian Healthcare Services, Albuquerque, NM: Hospital-at-Home Care Improves Value for Patients. The Value Initiative. https://www.aha.org/system/files/media/file/2021/01/value-initiative-case-study-hospital-at-home-presybterian-healthcare-services-albuquerque-nm.pdf.
-Coppa, Kevin et al (May 2021). Examination of Post-Discharge Follow-up Appointment Status and 30-Day Readmission. J Gen Intern Med, 36(5), 1214-1221. DOI: 10.1007/s11606-020-06569-5.
-Lingsma, H F; Bottle, A; Middleton, S; Kievit, J; Steyerberg, E W, Marang-van de Mheen, P J (Feb. 14, 2018). Evaluation of hospital outcomes: the relation between length-of-stay, readmission, and mortality in a large international administrative database. BMC Health Services Research, 18(116). https://bmchealthcareservres.biomedcentral.com/articles/10.1186/s12913-018-2916-1.
Support the showFor more information, visit PorterQI.com, or email Q4Us@porterqi.com.
Do you ever feel like there are blind spots in your data? Data Visibility is critical to decision-making, and yet many healthcare leaders struggle to get an accurate picture of their work. In today's conclusion to the two-part Data Visibility series, Jennifer Sipert shares some of the solutions and surprises she discovered in rural America.
Key Points:
-Southern hospitality
-New is not always better
-The solution to hidden data
Contact:
Jennifer Sipert, MS CPHQ
Principal Consultant
Reliability 4 Life
Sound Consulting
Jennifer.Sipert@SoundConsulting.net
Support the showFor more information, visit PorterQI.com, or email Q4Us@porterqi.com.
Do you ever feel like there are blind spots in your data? Data Visibility is critical to decision-making, and yet many healthcare leaders struggle to get an accurate picture of their work. Today's special guest, Jennifer Sipert, shares how her journey from a large, well-resourced hospital in the Pacific Northwest to a tiny, rural hospital in New Mexico gave her the tools to uncover those hidden data stories.
Key Points:
-Looking behind the data points
-Software and silos
-The root cause of hidden data
Contact:
Jennifer Sipert, MS CPHQ
Principal Consultant
Reliability 4 Life
Sound Consulting
Jennifer.Sipert@SoundConsulting.net
Support the showFor more information, visit PorterQI.com, or email Q4Us@porterqi.com.
If we are blind to our own biases, how do we make accurate decisions using healthcare data? Today's episode shares a case study of a clinical problem we simply could not see -- until data integration techniques helped us remove the bias. These discoveries helped shape our national maternal care measures with more accurate reporting and improved awareness.
Key Points:
- Invisible problems and bias
- The data integration approach
- Lessons from maternal sepsis
References:
-Bragdon, Trevor (Sept. 7, 2017). When data gives the wrong solution. Trevor Bragdon.com. https://www.trevorbragdon.com/when-data-gives-the-wrong-solution/
-Porter, Gayle (2022). Vital Signs: Using Data Integration to Identify Hidden Indicators of Obstetrical Sepsis [quality tool conference session]. National Association for Healthcare Quality (NAHQ) Next Annual Conference online.
-U.S. Department of Health and Human Services Office of Minority Health. (n.d.). Minority Population Profiles: Diabetes and Hispanic Americans. Retrieved July 10, 2022, from https://www.minorityheath.hhs.gov.
-Plebanek DJ, Sloutsky VM (2018). Selective Attention, filtering, and the development of working memory. Dev Sci. 2018;e12727. https://doi.org/10/1111/desc/12727.
-Drew T, Vo M, Wolfe J. The invisible gorilla strikes again: Sustained inattentional blindness in expert observers. Psychol Sci. 2013 Sep; 24(9): 1848-1853. https://doi.org/10.1177/0956797613479386.
-Willinck, Jocko. First Platoon: Detach. Leadership Strategy and Tactics. St Martin’s Press. Jan 2020.
-Leonard SA, Main EK, Scott KA, Profit J, Carmichael SL (2019). Racial and ethnic disparities in severe maternal morbidity prevalence and trends. Ann Epidemiol, 2019 May(33), 30-36. https://doi.org/10.1016/j.annmepidem.2019/02/007. Retrieved March 10, 2022, from https://pubmed.ncbi.nlm.nih.gov/30928320/.
Support the showFor more information, visit PorterQI.com, or email Q4Us@porterqi.com.
Why do healthcare professionals shy away from working in scenic rural areas, even when they are offered the comfort of broadband internet and affordable housing? Today's episode addresses the two reasons why doctors and nurses avoid rural health and how innovators around the world are solving those problems.
Key Points:
-The new Netropolis
-Rwanda's blood bank program
-Specialty café
References:
-Rober, Mark (March 18, 2023). Amazing Invention- This Drone Will Change Everything. https://youtu.be/DOWDNBu9DkU.
-Blain, Loz (January 24, 2023) “MightyFly's new autonomous cargo drone carries 100 lbs for 600 miles.” New Atlas. https://newatlas.com/drones/mightyfly-cento/
-Ingraham, Christopher (2019). If you lived here you’d be home by now: Why we traded the commuting life for a little house on the prairie. HarperCollins.
-United States Census Bureau (Dec. 29, 2022). Nation’s Urban and Rural Populations Shift Following 2020 Census. https://www.census.gov/newsroom/press-releases/2022/urban-rural-populations.html.
-Vogel, Emily A. (Aug. 19, 2021). Some digital divides persist between rural, urban, and suburban America. Pew Research Center. https://www.pewresearch.org/fact-tank/2021/08/19/some-digital-divides-persist-between-rural-urban-and-suburban-america/.
-Henderson, Kim (March 9, 2023). Help wanted: How a small Navajo hospital is delivering care amid a big nursing shortage. World magazine. https://wng.org/articles/help-wanted-1677989626.
Support the showFor more information, visit PorterQI.com, or email Q4Us@porterqi.com.
In a field driven by outcomes, how can we effectively measure access to care? This episode discusses one metric that serves as a canary in the coal mine to warn us of potential hazards to safety, quality, and patient access.
Key Points:
-Measuring access to care
-Common barriers
-Real-world solutions
References:
-Sekhar, KC, Chakra Rao, SSC (2014). John Scott Haldane: The father of oxygen therapy. Indian J Anaesth, 58(3): 350-352. Doi: 10.4103/0019-5049.135087.
-Eschner, Kat (Dec. 30, 2016). The Story of the Real Canary in the Coal Mine. Smithsonian magazine. https://www.smithsonianmag.com/smart-news/story-real-canary-coal-mine-180961570/.
-Ronin, Kara (March 2, 2015). How to Not Waste the first 7 Seconds of a First Impression. Executive Impressions. https://www.executive-impressions.com/blog/not-waste-7-seconds-first-impression.
-Kelen, GD; Wolfe, R; D’Onofrio, G; Mills, AM; Diercks, D (Sept. 28, 2021). Emergency Department Crowding: The Canary in the Health Care System. NEJM Catalyst. https://catalyst.nejm.org/doi/full/10.1056/CAT.21.0217
-Bukata, R. (2022). ED Throughput: A Fixable Problem. Emergency Physicians Monthly. https://epmonthly.com/article/ed-throughput-a-fixable-problem/.
-Sharieff, G.Q., et al. (Sept. 2013). Improving Emergency Department Time to Provider, Left-Without-Treatment Rates, and Average Length of Stay. J Emerg Med 45(3): 426. Doi: 10.1016/j.jemermed.2013.03.014.
Support the showFor more information, visit PorterQI.com, or email Q4Us@porterqi.com.
There is an increasing number of cybersecurity events at hospitals with documentation lockouts lasting for several days. This episode asks how to mitigate the effect of these events and safeguard healthcare quality during a cyber disaster.
Key Points:
-Planning for a multi-day cyber event
-Assessing risk and loss
-Practical tools and solutions
References:
-Irby, Kelsay (Nov. 11, 2022). I’m the “Nurse Who Called 911” for Help with Unsafe Staffing -- Here’s my story. Nurse.org. https://nurse.org/articles/nurse-who-called-911-real-story.
-Phillips, Nathan (Oct 12, 2022) “Faced with an overwhelmed ER, a St. Michael Medical Center nurse called 911 for help” https://www.kitsapsun.com/story/news/2022/10/12/overwhelmed-st-michael-medical-center-nurse-called-911-help/10472123002/
-Diaz, Naomi (Nov. 17th, 2022). Why healthcare mergers and acquisitions are a cybersecurity risk. Becker’s Health IT. https://www.beckershospitalreview.com/cybersecurity/why-healthcare-mergers-and-acquisitions-are-a-cybersecurity-risk.html.
-McKeon, Jill (Feb. 10, 2023). HHS, FBI, CISA Warn of North Korean State-Sponsored Cyber Threat Actors Targeting Healthcare. HealthITSecurity. https://www.healthitsecurity.com/news/hhs-fbi-cisa-warn-of-north-korean-state-sponsored-cyber-threat-actors-targeting-healthcare/.
Support the showFor more information, visit PorterQI.com, or email Q4Us@porterqi.com.
A lot of resources had to be rushed to the healthcare system out of necessity during the COVID-19 Pandemic. Just as nursing students joined bedside nurses prior to graduation, video-linked tablets were handed to patients in isolation to protect providers from extensive viral exposure. But are there hidden barriers to their use at the bedside? This episode asks whether devices were ever truly integrated into healthcare and discusses three examples of opportunity for further integration.
Key Points:
-Internet of Things in healthcare
-Device integration and duplication of tasks
-Evaluating real practice
References:
-Internet of Things. (2023, February 8th). In Wikipedia. https://en.m.wikipedia.org/wiki/internet-of-things.
Support the showFor more information, visit PorterQI.com, or email Q4Us@porterqi.com.
Will Artificial Intelligence (AI) replace traditional abstraction? Can AI really compete on complex measure and registry abstraction? This week, as a holiday special, we are replaying the most downloaded episode of the year. "AI: The End of Abstraction?" which discusses how AI technology is transforming this professional field.
Key points:
-What is AI and how does it work with healthcare data?
-How good is AI abstraction?
-Advice to prepare for the future of abstraction
References:
-The Centers for Medicare and Medicaid Services (CMS). (2022). Data Catalog, Artificial Intelligence (AI) Explorer Program, Enterprise Portal Service. Tech Topics. April 20, 2022.
-Carta Healthcare. (2022). Atlas: AI-assisted data abstraction for clinical registries. Retrieved September 6th, 2022, from https://www.carta.healthcare/atlas/.
-Escalante-de Mattei, S. (2022). AI-Generated Artwork Goes Viral after Winning Award at State Fair. ARTnews. Retrieved September 5th, 2022, from https://www.artnews.com/art-news/news/colorado-state-fair-ai-generated-artwork-controversy-1234638022/.
-National Association for Healthcare Quality (NAHQ). (n.d.). CPHQ Certification. https://www.nahq.org/individuals/cphq-certification.
Support the showFor more information, visit PorterQI.com, or email Q4Us@porterqi.com.
When an airline overbooks a flight, they may have to bump passengers if everyone shows up, but they also have some insurance against cancellations. Can an O.R. use this same strategy to maximize revenue? What happens when a patient is bumped from their colonoscopy?
Key Points:
-The golden goose of the hospital
-Borrowing ideas from the best
-Specificity in scheduling models
References:
Lariviere, M. (Sept. 28, 2010). Overbooking: Should doctors act like airlines? The Operations Room. https://operationsroom.wordpress.com/2010/09/28/overbooking-should-doctors-act-like-airlines/.
Salvatore, T Scali et al. (Dec. 2021). Surgeon experience versus volume differentially affects lower extremity bypass outcomes in contemporary practice. J Vasc Surg, 74(6), 1978-1986.e2. https://www.doi.org/10.1016/j.jvs.2021.05.029.
Stone, D.; Upchurch, Jr., G.; Scali, S. (March 2021). Surgeon Credentialing Should Reflect Real-world Practice Outcomes Rather than Arbitrary Minimum-Volume Benchmarks. JAMA Surg, 156(7), 597-598. https://www.doi.org/10.1001/jama-surg.2021.0154.
The Operating Room Global (TORG). (Jan. 2021). Common causes of surgical errors in the operating room. Legal Issues. https://www.operatingroomissues.org/common-cuases-of-surgical-errors-in-the-operating-room/.
Sadeghzadeh, H.; Sadat, S. (April 2018). Increasing Operating Room Profits and Decreasing Wait Lists by Use of Data-Driven Overbooking Model. International Journal of Hospital Research, 7(x). https://www.doi.org/10.15171/ijhr.2018.xx.
Support the showFor more information, visit PorterQI.com, or email Q4Us@porterqi.com.
The nursing workforce is shrinking. As bedside nurses are added to the “endangered species” watchlist, this episode asks: Is it still possible to love working at the bedside?
Key Points:
-Bribes for “something better later on” are ineffective
-The true source of burnout that is not being discussed
-Nurse inexperience and patient safety
References:
American Association of Colleges of Nursing (AACN). (Oct. 2022). Nursing Shortage Fact Sheets. AACN News & Information. https://www.aacnnursing.org/news-information/fact-sheets/nursing-shortage/
Incredible Health. (March 16, 2021). 34% of Nurses Plan to Leave Their Current Role by the End of 2022. Inside Incredible Health. https://www.incrediblehealth.comwp-content/uploads/2022/03/IH-COVID-19-2022-Summary-1.pdf.
Kennedy, M. (Jan. 29, 2018). Experienced Bedside Nurses: An Endangered Species? Off the Charts: Blog of the American Journal of Nursing. Retrieved Nov. 30, 2022, from https://ajnoffthecharts.com/experienced-bedside-nurses-endangered-species/
Kennedy, M. Nurses at the Bedside--Who Will Be Left to Care? AJN, 118(2), 7. https://www.doi.org/10.1097/01.NAJ.0000530224.10340.d1/
Lohrenz, C. (2014). Fearless Leadership, 2nd ed. Greenleaf Book Group Press.
Phillips, David et al. (2010). Christmas and New Year as risk factors for death. Soc Sci Med, 71(8). 1463-71. https://www.doi.org/10.101/j.socscimed.2010.07.024.
Tarlengco, J. (Nov. 21, 2022). Gemba Walk: Meaning, Process, and Examples. Safety Culture. https://safetyculture.com/topics/gemba-walk/
Support the showFor more information, visit PorterQI.com, or email Q4Us@porterqi.com.
This week, we replay an abridged interview with Anne Dempsey, RN BSN, who explains how to manage conflict. Is it possible to reach a common goal amidst raised voices?
Key Points:
-Listening without getting stressed
-Why "you always" is good to hear
-Armored up and getting nowhere
Reach out to Anne Dempsey: a.f.dempsey.333@gmail.com
References:
Dempsey, A.F. (2021). A life uncensored: Lessons in vulnerability. Independently published.
Support the showFor more information, visit PorterQI.com, or email Q4Us@porterqi.com.
Why do we spend so much time in meetings asking questions? What's the point of talking about problems when we could just do something? Today's episode deals with the angst of wasted time and shares a tool for designing better outcomes that last.
Key Points:
-Blind investigations
-Quieting the competition
-Process and Action
References:
-Drew T, Vo M, Wolfe J. The invisible gorilla strikes again: Sustained inattentional blindness in expert observers. Psychol Sci. 2013 Sep; 24(9): 1848-1853. https://doi.org/10.1177/0956797613479386.
-Lehrer, Jonah. The Magic Gasp. Mystery: A Seduction, A Strategy, A Solution. Simon & Schuster. Aug 2021.
-Hsuan, C.; Segel, J. Hsia, R.; Wang, Y.; Rogowski, J. (Sept. 26, 2022). Association of emergency department crowding with inpatient outcomes. Health Services Research. https://doi.org/10.1111/1475-6773.14076.
Support the showFor more information, visit PorterQI.com, or email Q4Us@porterqi.com.
What can a WW2 Slovenian doctor teach us about managing conflict in healthcare? This week's episode discusses new policies on violence in healthcare, contributing factors, and how to overcome pandemic violence.
Key Points:
-Healthcare in conflict
-Power, fear and pandemic violence
-The root cause of violence in healthcare
References:
-Franja Partisan Hospital. (2022). Explore Franja. https://www.pb-franja.si/en/explore-franja/franja-partisan-hospital-1943-1945/.
-Markovitz, S.; Grimes, C. (Sept. 1, 2022). Violence Against Healthcare Workers Is At An All-Time High: Here’s How Workplaces Can Keep Them Safe. Forbes. https://www.forbes.com/sites/coronavirusfrontlines/2022/09/01/violence-against-healthcare-workers-is-at-an-all-time-high-heres-how-workplaces-can-keep-them-safe/.
-Kasambira, T.; Kundishora, C.; Furlong, E.; Balingall, N. (Jan. 21, 2021). Recognizing -Racism: Using QI to Help Take Action. https://qi.elft.nhs.uk/recognizing-racism/.
-American Society for Healthcare Risk Management. (March 13, 2019). Reducing Violence Potential With A Patients’ Code of Conduct. https://forum.ashrml.org/2019/03/13/reducing-violence-potential-with-a-patients-code-of-conduct/.
-Esposito, L. (May 13, 2014). Managing the Power Dynamic Between Doctors and Patients. U.S. News & World Report. https://health.usnews.com/health-news/patient-advice/articles/2014/05/13/managing-the-power-dynamic-between-doctors-and-patients/.
-The Center for Medicare and Medicaid Services. (n.d.). Patient’s Bill of Rights. Consumer Information and Insurance Oversight (CCIIO). https://www.cms.gov/CCIIO/programs-and-initiatives/health-insurance-market-reforms/patients-bill-of-rights/.
-The American Hospital Association. (March 23, 2022). AHA Urges DOJ to Protect Health Care Workers from Workplace Violence. Advocacy. http://www.aha.org/lettercomment/2022-03-24-aha-urges-doj-protect-health-care-workers-workplace-violence/.
-Ha Do Byon et al. (Aug. 3, 2021). Nurses’ Experience With Type II Workplace Violence and Underreporting During the COVID-19 Pandemic. Workplace Health Saf. DOI:10.1177/21650799211031233.
Support the showFor more information, visit PorterQI.com, or email Q4Us@porterqi.com.
Our second episode of "What Matters Most to Patients?" discusses an often-ignored metric that could radically improve performance outcomes.
Key Points:
-Three perspectives on a universal patient need
-The question every patient asks but we cannot answer
-What happens if the patient finds out?
Listen at: https://porterqi.com/podcasts
Support the showFor more information, visit PorterQI.com, or email Q4Us@porterqi.com.
When we are selecting measures and metrics to define our success, we often ask “What matters most to patients?” Today's episode explains the single metric that should serve as the lens for all other healthcare metrics.
Key Points:
-What matters most is rarely prioritized
-The evils of percentages
-The "guy in the chair"
References:
Barbara Gomes, Natalia Calanzani, Jonathan Koffman and Irene J. Higginson (2015). Is dying in hospital better than home in incurable cancer and what factors influence this? A population-based study. BMC Medicine, October 9(13), 235. https://doi.org/10.1186/s12916-015-0466-5.
Kohn, L.T.; Corrigan, J.M.; Donaldson, M.S. (Eds.). (2000). To Err is Human: Building a Safer Health System. National Academies Press.
Support the showFor more information, visit PorterQI.com, or email Q4Us@porterqi.com.
What does one of the most baffling problems in urban planning reveal about hospital staffing? How are the people who make up the healthcare industry voting with their feet, and what trails are they blazing? How can these paths be predicted using AI?
Key Points:
-Urban planners are often stumped by pedestrians
-Sanford Health uses Artificial Intelligence to predict needs
-What other trails work better in healthcare than the "sidewalk-system" provided?
References:
Bramley, E. V. (Oct 5, 2022). Desire paths: the illicit trails that defy the urban planners. The Guardian. Retrieved October 17th, 2022, from https://www.theguardian.com/cities/2018/oct/05/desire-paths-the-illicit-trails-that-defy-the-urban-planners.
Melchionna, M. (Mar 1, 2022). Sanford Health to Deploy New AI System for Nurse Scheduling. HealthITAnalytics. Retrieved October, 18th, 2022 from https://healthitanalytics.com/news/sanford-health-to-deploy-new-ai-system-for-nurse-scheduling.
Walker, C. (Feb. 24, 2022). Unique AI tool helps Sanford Health schedule nurses. Sanford Health News. Retrieved October 18th, 2022, from https://news.sanfordhealth.org/innovations/unique-ai-tool-helps-sanford-health-schedule-nurses.
For more information, visit PorterQI.com, or email Q4Us@porterqi.com.
The Joint Commission again included the safe use of alarms as a National Patient Safety Goal this year, but so far, it is only being applied to the use of devices by nursing staff. Do physicians experience alarm fatigue?
Key Points:
-Alarm Fatigue background
-The problem of desensitized clinicians
-A simple solution to a common offender
References:
The Joint Commission (2022). Hospital: 2022 National Patient Safety Goals. Retrieved October 13th, 2022, from https://www.jointcommission.org/standards/national-patient-safety-goals/hospital-national-patient-safety-goals.
For more information, visit PorterQI.com, or email Q4Us@porterqi.com.
We've had the same fall prevention plan since the 1980s and the incidence of falls today is worse than that of the 1950s. Why are reductions in fall events so temporary? Isn't it about time to try something different? Today's episode presses for a better answer to the problem of patient falls and offers new solutions you've likely never heard of before.
Key Points:
-The condition of fall prevention in the nation
-Fall prevention at the bedside
-A fall prevention tool you have never heard of before
References:
Agency for Healthcare Research and Quality (AHRQ). (Jan. 2013). Tool 3H: Morse Fall Scale for Identifying Fall Risk Factors. Preventing Falls in Hospitals. Retrieved from https://www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/morse-fall-scale.html.
Weil, T. P. (2015). Patient falls in hospitals: An increasing problem. Geriatric Nursing. Sep-Oct;36(5):342-7.
For more information, visit PorterQI.com, or email Q4Us@porterqi.com.
Today's episode applies the Barrier Analysis tool to an unconventional problem: Time Management.
Key Points:
-Origins of the Barrier Analysis
-Why Mark Twain ate a frog for breakfast
-How barriers become skills
For more information, visit PorterQI.com, or email Q4Us@porterqi.com.
This episode shares highlights and impressions from attending an incredibly inspirational National Association for Healthcare Quality (NAHQ) Next 2022 Conference. What have we learned and where are we going?
Key Points:
-We are building stairs to help patients and clinicians reach the next level
-Behavioral Health is evolving
-Resilience is all about vision (not self-care)
All opinions are my own.
Visit PorterQI.com for more information, or email q4us@porterqi.com.
Will Artificial Intelligence (AI) replace traditional abstraction? Can AI really compete on complex measure and registry abstraction? Today's episode discusses the evolving future of abstraction and how AI technology is affecting this professional field.
Key points:
-What is AI and how does it work with healthcare data?
-How good is AI abstraction?
-Advice to prepare for the future of abstraction
AI Artwork Link:
Escalante-de Mattei, S. (2022). AI-Generated Artwork Goes Viral after Winning Award at State Fair. ARTnews. Retrieved September 5th, 2022, from https://www.artnews.com/art-news/news/colorado-state-fair-ai-generated-artwork-controversy-1234638022/.
References:
The Centers for Medicare and Medicaid Services (CMS). (2022). Data Catalog, Artificial Intelligence (AI) Explorer Program, Enterprise Portal Service. Tech Topics. April 20, 2022.
Carta Healthcare. (2022). Atlas: AI-assisted data abstraction for clinical registries. Retrieved September 6th, 2022, from https://www.carta.healthcare/atlas/.
National Association for Healthcare Quality (NAHQ). (n.d.). CPHQ Certification. https://www.nahq.org/individuals/cphq-certification.
Chess Questions. (Jan. 9th, 2021). Chess Grandmaster vs Computer — Who Wins Today? Retrieved Sept. 7th, 2022, from https://chessquestions.com/chess-grandmaster-vs-computer-who-wins-today/.
I have no conflicts of interest to disclose; all opinions are my own.
Visit PorterQI.com for more information, or email q4us@porterqi.com.
Guest Anne Dempsey, RN BSN, explains how to manage a meeting when threats and accusations take over. Is it possible to reach a common goal amidst raised voices and all-caps emails?
Key points:
-Listening in a conflict without getting stressed
-Why "you always" is good to hear
-Armored up and getting nowhere
Email Anne Dempsey: A.F.Dempsey.333@gmail.com
Dempsey, A.F. (2021). A Life Uncensored: Lessons in Vulnerability. Independently Published. Visit PorterQI.com for more information, or email q4us@porterqi.com.
When federal regulations require a change, we need to achieve compliance even when people don’t like change. Today’s case study unwraps the mystery of how an unexpected tool can improve communication with providers when we discuss these requirements.
Key Points:
-How to uncover barriers to compliance with new regulations
-Powerlessness in medicine
-Applying tools from outside our professional field
Citation: Miller, W. R.; Rollnick, S. (1991). Motivational Interviewing: Preparing people to change addictive behavior. J of Community & Applied Soc Psych. 2(4). 299-300. https://doi.org/10.1002/casp.2450020410.
Visit PorterQI.com for more information, or email Q4us@porterqi.com.
The ED was overwhelmed, and compliance was less than 30%. Suddenly, in one week, compliance increased roughly 40%. The solution involved just 30 pieces of paper and two hours of work. What happened?
Join us to find out how this success can be duplicated at your facility.
Key points:
-We should study our successes, not just our failures
-How the visual "emoji" culture affects healthcare
-Practical tools and templates to apply the solution anywhere
Visit PorterQI.com for more information, or email q4us@porterqi.com.