Posts by Jordan Messler

The Essentials of QI Leadership: A Conversation with Dr. Eric Howell, Part 2

My last blog post, featuring my Q and A with Dr. Eric Howell, Division Director, Collaborative Inpatient Medicine Service (CIMS) at Johns Hopkins Bayview Medical Center in Baltimore, MD, and SHM's Senior Physician Advisor, focused on his early days in Quality Improvement (QI) and advice for training in QI. This next post discusses the Center’s role within SHM and how hospitalists can become involved in quality improvement. How did you get involved in The Center, and can you explain your role in The Center today? It was a lot of luck, good timing and being prepared. I’ve been in The Center for two years. Before that, I was involved with a number of The Center’s successful QI projects. I was reasonably well known in the Project BOOST (SHM's program for improving care transitions) community. Along with Mark Williams and Jeff Greenwald, I was one of the original three who pitched Project…

The Essentials of QI: It Starts with Leadership — A Conversation with Dr. Eric Howell

SHM’s Center for Quality Improvement is the hospitalist’s home for quality improvement (QI). QI became a foundational theme for SHM early in the growth of hospitalists. It’s not a coincidence that many of our leaders, such as Bob Wachter, Win Whitcomb, Greg Maynard, and Mark Williams are QI leaders as well.  As hospitalists, we were and are best positioned to impact quality in the hospital. The Center provides a comprehensive set of resources and programs to support hospitalists and other hospital clinicians as they work to improve quality and safety in their hospital. SHM’s Mentored Implementation (MI) is one example of how hospitalists are supported to facilitate systems change and improving hospital outcome, in which SHM pairs a hospital team with a physician mentor. The MI model is an evidence-based framework developed to support QI teams via planning and implementation of interventions. Mentored Implementation programs and resources have been implemented…

Vegas Awaits: Hospital Medicine 2017

I’m packing up for Vegas. I always look forward to the yearly conference. And back in Vegas, expectations are high. However, we all know there will be one or two distractions from the conference schedule. Here are few takeaways I hope to obtain from both the conference and Vegas. Building Community The Power of Networking Placing the Right Bets The Importance of Arts AYCE Benefits Building Community While I’m in Vegas, I may wander north of the strip and head for Container Park and the Downtown Project. The Zappos CEO poured $350 million of his wealth into this downtown Las Vegas project, with the goal of rapidly building a community from scratch as start-up city. Health can be impacted by the design of a city, and many cities are taking that cue. The Downtown Project wanted to create a walkable city and a new tech industry while experimenting with city building at the private level.…

Fake News! Get Your Fake News Here!

One of the top stories of 2016 is fake news. Chances are, in 2017, we will continue to fall for these fairy tales. When people think Obamacare and the Affordable Care Act are two completely different entities, we know facts can dissipate quickly. Why are we duped so easily? These stories fit into a narrative we want to believe in, reinforcing our often insular views, where the echo chamber reverberates at high frequency. We digest only headlines and forward those along, not having time to fully read the stories. Lack of faith in the "media" causes us to trust any headline from any source over the mainstream media. Facebook is recognizing the large role it plays in dissemination of fake stories to the extent that it plans to roll out a new filter in Germany to begin to fight this epidemic. Here's how you and others can combat fake news…

BREAKING NEWS: “Physicians Deemed Unnecessary”; “Social Worker Promoted to Hospital CEO”

“Physicians deemed unnecessary, ½ of all hospitals expect to be using artificial intelligence technology by 2020. Medical schools begin to shutter.” (See New England Journey of Medicine 2016.) “Social worker of inner city hospital found to be the most cost effective position in the system, promoted to CEO.” “Patients HCAHPS surveys determined to be filled out by their pets 90% of the time. Industry chief states this improves surveys have never been more accurate and recommends tying 100% of salary to Rover’s results.” (See webofliesmd.com for those last two.) So ran some Facebook headlines from my Macedonia buddy. Makes me long for the days of getting duped by The Onion. Fake news, as opposed to satirical news, is the latest virus infecting the web. They travel online faster than Usain Bolt. We are passed the era of truthiness and into the realm of post-truth. With newspaper subscription rates declining faster than ever, the search for real news gets harder and harder. Truth…
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