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What does it mean to be a good doctor today? Dr. Thomas Lee, a renowned practicing physician, healthcare executive, researcher, and policy expert, takes us to the frontlines of care delivery to meet inspiring, transformative doctors who are making a profound difference in patients’ lives—as well as their own. These revealing, intimate profiles of seven remarkable physicians are more than a reminder of the importance of putting patients first. They provide an invaluable working model of what it means to be a good doctor, how to become one, and how to remain one for the benefit of patients and colleagues alike. It’s a model that sustains physicians themselves over years and decades, combating the constant threat of burnout. These stories capture the daily challenges every caregiver faces—while highlighting the amazing personal triumphs that make their jobs so rewarding. You’ll meet Dr. Emily Sedgwick, the breast radiologist who redesigned screening techniques to reduce patients’ fears; Dr. Merit Cudkowicz, a neurologist who is leading the way in ALS research and treatments; Dr. Mike Englesbe, a transplant surgeon who is improving how physicians prescribe analgesics in response to the opioid epidemic; Dr. Laura Monson, a pediatric plastic surgeon addressing the long-term social effects of cleft palates; Dr. Lara Johnson, a primary care physician dedicated to providing care to the homeless; Dr. Joseph Sakran, a trauma surgeon who started a movement among healthcare providers to curb gun violence, and Dr. Babacar Cisse, a neurosurgeon who was an undocumented alien and once worked as a restaurant busboy, and epitomizes what it means to be a “Dreamer.” Their stories are not only powerful but offer practical lessons and insights into developing high reliability cultures, resilience, and improvement mindsets. This is what is takes to be a good doctor.

ISBN10 : 9781260459210 , ISBN13 : 1260459217

Page Number : 240

Two leading physicians' prescription for solving our health care problems: organizing the fragmented system that delivers care. One of the most daunting challenges facing the new U.S. administration is health care reform. The size of the system, the number of stakeholders, and ever-rising costs make the problem seem almost intractable. But in Chaos and Organization in Health Care, two leading physicians offer an optimistic prognosis. In their frontline work as providers, Thomas Lee and James Mongan see the inefficiency, the missed opportunities, and the occasional harm that can result from the current system. The root cause of these problems, they argue, is chaos in the delivery of care. If the problem is chaos, the solution is organization, and in this timely and outspoken book, they offer a plan. In many ways, this chaos is caused by something good: the dramatic progress in medical science—the explosion of medical knowledge and the exponential increase in treatment options. Imposed on a fragmented system of small practices and individual patients with multiple providers, progress results in chaos. Lee and Mongan argue that attacking this chaos is even more important than whether health care is managed by government or controlled by market forces. Some providers are already tightly organized, adapting management principles from business and offering care that is by many measures safer, better, and less costly. Lee and Mongan propose multiple strategies that can be adopted nationwide, including electronic medical records and information systems for sharing knowledge; team-based care, with doctors and other providers working together; and disease management programs to coordinate care for the sickest patients.

ISBN10 : 9780262258364 , ISBN13 : 0262258366

Page Number : 295

Much of the improved survival rate from heart attack can be traced to Eugene Braunwald's work. He proved that myocardial infarction was an hours-long dynamic process which could be altered by treatment. Thomas H. Lee tells the life story of a physician whose activist approach transformed not just cardiology but the culture of American medicine.

ISBN10 : 9780674726567 , ISBN13 : 0674726561

Page Number : 398

From the top experts on healthcare workforce engagement comes a vital road map to reduce the alarmingly high—and fast-growing—rate of staff burnout and to transform care. More than half of U.S. physicians and 40 percent of nurses experience one or more symptoms of burnout. This crisis poses a serious threat to our health systems, impacting not only the well-being of the caregiving workforce but also that of their patients. Written by a team of thought leaders with deep expertise in healthcare workforce engagement and cultural development, The Engaged Caregiver shows leaders, managers, and front-line providers how to: •Recognize the early signs of burnout and turn it around •Address staff more effectively to keep them engaged •Build strong, reliable teams with a real sense of purpose •Map their organization’s core values and get everyone on board •Create a positive culture that’s cohesive, inclusive, and resilient •Develop highly effective leadership and organizational systems •Hire, engage, and manage talent strategically—and successfully •Promote diversity, equity, and inclusion in the workplace •Leverage data to drive improvements throughout the organization In this wide-ranging guide, healthcare professionals will learn how to identify, diagnose, address, and overcome caregiver burnout on a personal level, as well as measure, develop, and implement strategies that improve the entire workplace culture. The Engaged Caregiver provides an actionable plan for creating a resilient work culture that empowers caregivers and gives them the support they need to fulfill the patient promise with every care experience, every day.

ISBN10 : 9781260461305 , ISBN13 : 1260461300

Page Number : 240

With his “deeply informed and compassionate book…Dr. Epstein tells us that it is a ‘moral imperative’ [for doctors] to do right by their patients” (New York Journal of Books). The first book for the general public about the importance of mindfulness in medical practice, Attending is a groundbreaking, intimate exploration of how doctors approach their work with patients. From his early days as a Harvard Medical School student, Epstein saw what made good doctors great—more accurate diagnoses, fewer errors, and stronger connections with their patients. This made a lasting impression on him and set the stage for his life’s work—identifying the qualities and habits that distinguish master clinicians from those who are merely competent. The secret, he learned, was mindfulness. Dr. Epstein “shows how taking time to pay attention to patients can lead to better outcomes on both sides of the stethoscope” (Publishers Weekly). Drawing on his clinical experiences and current research, Dr. Epstein explores four foundations of mindfulness—Attention, Curiosity, Beginner’s Mind, and Presence—and shows how clinicians can grow their capacity to provide high-quality care. The commodification of health care has shifted doctors’ focus away from the healing of patients to the bottom line. Clinician burnout is at an all-time high. Attending is the antidote. With compassion and intelligence, Epstein offers “a concise guide to his view of what mindfulness is, its value, and how it is a skill that anyone can work to acquire” (Library Journal).

ISBN10 : 9781501121739 , ISBN13 : 1501121731

Page Number : 304

An indispensable guide to reducing the suffering―of patients and caregivers alike―and to improving healthcare delivery for all In our efforts to treat patients, cure illness, and manage institutions, healthcare professionals too often overlook the fundamental purpose everyone in the industry shares: to alleviate suffering. Press Ganey’s Chief Nursing Officer, Christina Dempsey, has worked everywhere in healthcare, from the ward floor to the hospital boardroom. She has also experienced the system as a patient and as a family member of a critically ill patient. In The Antidote to Suffering, this 30-year healthcare veteran and patient-experience thought leader argues that the key to improving healthcare is to reduce the suffering—physical, psychological, and emotional—of patients and caregivers alike through Compassionate Connected CareTM. Drawing on her 360-degree perspective, Dempsey offers a comprehensive, detailed, evidence-based plan that addresses the clinical, operational, cultural, and behavioral dimensions of care that every patient and caregiver experiences, in every setting. When suffering decreases, Dempsey argues, outcomes improve for patients and those who care for them. A virtuous cycle takes hold, leading to increases in morale, loyalty, and productivity and results in a culture that drives quality, safety, and value. It paves the path for creating a new national healthcare culture—one that values compassion, fosters efficiency, and drives innovation The Antidote to Suffering is the first book to explore the pervasiveness of suffering in our healthcare system, and to provide the strategies and tools to: * Identify and measure suffering throughout your organization * Create a system in which every clinical response is informed by compassion * Operationalize staff behavior to promote meaning and purpose * Increase productivity by building a culture of collaboration Reducing human suffering isn’t just a moral imperative for healthcare providers. It’s a practical way to improve organizations and fix our broken system—without sacrificing the respect, dignity, and compassion we all deserve.

ISBN10 : 9781260116564 , ISBN13 : 1260116565

Page Number : 256

From the nation’s leading experts in healthcare safety—the first comprehensive guide to delivering care that ensures the safety of patients and staff alike. One of the primary tenets among healthcare professionals is, “First, do no harm.” Achieving this goal means ensuring the safety of both patient and caregiver. Every year in the United States alone, an estimated 4.8 million hospital patients suffer serious harm that is preventable. To address this industry-wide problem—and provide evidence-based solutions—a team of award-winning safety specialists from Press Ganey/Healthcare Performance Improvement have applied their decades of experience and research to the subject of patient and workforce safety. Their mission is to achieve zero harm in the healthcare industry, a lofty goal that some hospitals have already accomplished—which you can, too. Combining the latest advances in safety science, data technology, and high reliability solutions, this step-by-step guide shows you how to implement 6 simple principles in your workplace. 1. Commit to the goal of zero harm.2. Become more patient-centric.3. Recognize the interdependency of safety, quality, and patient-centricity.4. Adopt good data and analytics.5. Transform culture and leadership.6. Focus on accountability and execution. In Zero Harm, the world’s leading safety experts share practical, day-to-day solutions that combine the latest tools and technologies in healthcare today with the best safety practices from high-risk, yet high-reliability industries, such as aviation, nuclear power, and the United States military. Using these field-tested methods, you can develop new leadership initiatives, educate workers on the universal skills that can save lives, organize and train safety action teams, implement reliability management systems, and create long-term, transformational change. You’ll read case studies and success stories from your industry colleagues—and discover the most effective ways to utilize patient data, information sharing, and other up-to-the-minute technologies. It’s a complete workplace-ready program that’s proven to reduce preventable errors and produce measurable results—by putting the patient, and safety, first.

ISBN10 : 9781260440935 , ISBN13 : 1260440931

Page Number : 256