• Summary

  • We are in a race to make health value work. Join Dr. Eric Weaver and Daniel Chipping of the Accountable Care Learning Collaborative as they interview top executives, physicians, and entrepreneurs leading the transformation to health value.
    2020 - Accountable Care Learning Collaborative
    Show more Show less
Episodes
  • May 23 2022
    This week we are talking about how value-based care transformation is related to the “Hero’s Journey” monomyth that was initially described by Joseph Campbell, an intellectual known for his work in comparative mythology and religion. Campbell studied religions, all of the greatest literary achievements, mythologies, folklores, and fairytales and discovered that they all involve a hero who goes on an adventure, is victorious in a decisive crisis, and comes home changed or transformed.  Leaders in healthcare transformation are on a Hero’s Journey, not unlike Jesus, Buddha, Krishna, Apollonius of Tyana, Odysseus, Superman, Luke Skywalker, and Harry Potter! We all have one thing in common -- we follow our bliss in becoming captivated by population health and health equity and then reach for the stars! Joining us this week in the Race to Value is the one and only Dr. Zubin Damania.  Dr. Damania (aka “ZDoggMD”) is a physician Leader, internet personality, and healthcare influencer with 2.5M Facebook followers and 75M YouTube views.  In this special podcast episode (a recording from the closing keynote at the Advancing Health Value Summit), Zubin discusses the transition to Health 3.0 through the monomyth of the Hero’s Journey. In this podcast, we pay special attention to the issues of burnout and moral injury in the healthcare workforce and how we forge a new way for delivering care that is compassionate, relationship-based, and technology-enabled.  Can our nation’s healthcare industry successfully make the transition from Health 2.0 to Health 3.0 in this Hero’s Journey?  Will health leaders heed the call for adventure and come back home completely transformed?  Meet Dr. Damania, your mentor in this journey to provide you (the Hero) with guidance and inspiration to dispel your doubts and fears, while also giving you strength and courage to begin the quest. Episode Bookmarks: 03:00 Introduction to ZDoggMD (and how Eric first met him at a 6-day silent mediation retreat!) 05:00 “We are all trying to forge a new way of being in the world when it comes to health care.” 05:20 COVID-19, system fragility, and workforce burnout 06:20 An opportunity for optimism and the two sides of “hero’s work here” 07:30 The Hero’s Journey in healthcare (Health 1.0 à Health 2.0 à Health 3.0) 08:20 Zubin explains “Health 1.0” as a way physicians practiced holistic medicine based on relationship and intuition 10:15 Physician paternalism in Health 1.0 began the Hero’s Journey (just like Luke Skywalker on Tattooine deciding to forge a new path forward) 11:00 The excessive utilization, care variation, and escalating costs of Health 1.0 12:00 The dominator physician hierarchy of Health 1.0 and how that relegated nurses to a lower status 13:30 The origins of “Health 2.0” – a technology-enabled, data-driven business model 15:30 Right-brain (holistic care) vs. Left-brain (reductionist care) that led to a clash in medicine between 1.0 and 2.0 16:30 The shadow side of Health 2.0 (reductionist de-humanization, commodification, and de-personalization) due to the dominator administrator hierarchy 17:30 “Burnout is like renal failure. You are being dialyzed due to chronic moral injury.” 18:00 What is moral injury and how does it apply to healthcare? 19:00 The suffering created by Health 2.0 and how looking inward can help the workforce find equanimity (Awakening) 20:00 The negative feedback loop caused by a flawed system and how that contributes to moral injury 20:20 The Empire of 2.0:  How de-personalized EHR systems defeat healthcare heroes by turning them into data entry clerks 22:00 How Zubin reached the apex of 2.0 due to pressures to practice medicine on an assembly line 23:30 Health 1.0 is the old shore, Health 2.0 is the boat we're in, Health 3.0 is the shore we're trying to get to. 24:00 How Zubin found inspiration from “The Happiness Hypothesis” by Jonathan Haidt
    Show more Show less
    1 hr and 17 mins
  • May 16 2022
    George Halvorson is a retired American healthcare executive who served as CEO of six health plans over the last 30 years.  From 2002-2013, he was the CEO of Kaiser Permanente and was listed several times on Modern Healthcare‘s “Most Influential People in Healthcare”. During his tenure at Kaiser Permanente, he led the nation's largest nonprofit health plan and hospital system, which is also a leader in the adoption of technology to advance community health outcomes and reduce health inequities.  Under Halvorson's leadership, Kaiser Permanente's investment in electronic medical records and physician support systems resulted in diminished infection rates and scalable population health outcomes within partnering communities. Since his retirement from Kaiser, George Halvorson has devoted his time to promoting the benefits of early childhood education and to addressing social difference and tensions through his own Institute. George Halvorson is currently the Chair and CEO of the Institute for InterGroup Understanding, a nonprofit organization that works on issues of racism, prejudice, discrimination and intergroup stress and conflict by facilitating a collective understanding of what children need to achieve safe and productive lives. George is someone who leads with a passion to help create intergroup Peace for our nation so that we may intellectually overcome our more negative and damaging instinctive behaviors. In this episode, you will learn the truth about the Medicare Advantage program from one of the leading intellectuals in healthcare.  We also discuss Health IT transformation and the power of organizational culture to reshape care delivery. In the last 20 minutes of the interview, George Halvorson also discusses his mission to improve the culture of our world by helping others overcome negative and instinctive behaviors that lead to intergroup conflict.  This is a powerful discussion about the impact of tribalism in our world and how we have a collective and ethical obligation to help each child from every ethnic, economic, cultural, and racial group in America to overcome the hardwiring of societal conditioning that leads to “us versus them” intergroup conflict. “We need to steer ourselves away from the easy abyss of anger through tribalism, into a higher level of interaction. This is a just-in-time learning opportunity.”   Episode Bookmarks: 01:20 George Halvorson’s legacy as a healthcare executive and former CEO of Kaiser Permanente 02:20 The Institute for InterGroup Understanding, a nonprofit organization that works on issues of racism, prejudice, discrimination and intergroup stress and conflict 03:10 George’s extensive experience in international healthcare reform and his authorship of several books related to healthcare reform and intergroup peace 04:20 “The fragmented nature of care delivery and siloing of data creates an expensive plethora of uncoordinated, unlinked, economically segregated, operationally limited microsystems, each performing in ways that too often create suboptimal performance” 06:30 “We are on the cusp of the golden age of healthcare delivery, and it’s going to be made golden by information, data, and systems.” 07:15 Innovation at Kaiser Permanente led to a 40% reduction in congestive heart failure crisis events 08:15 Leveraging biometric data and predictive algorithms for disease detection and prevention 09:45 George Halvorson as a national leader in mitigating health disparities and his 2013 book, “Ending Racial, Ethnic and Cultural Disparities in American Health Care” 11:15 Medicare Advantage has become a successful social services program for millions of people (and our most important vehicle to reduce health inequities) 12:15 How Kaiser Permanente reduced prostate cancer death rates for Hispanic Americans 13:30 “I believe that we should deliver better care to every single American, and we have done a pretty miserable job for many subsets of ou...
    Show more Show less
    1 hr
  • May 9 2022
    This week is Nurses Week – a time for all of us to reflect on the contributions that nurses make to our society. During this important time of observance for one of our most valued professions in caring for those most in need, we invited Dr. Sharrica Miller to join us for an important conversation.  Dr. Miller is a Cal State University, Fullerton nursing professor who teaches several nursing classes, including pediatrics, writing, research, and mentoring. But she brings more into her classroom than just her vast knowledge and experience in nursing; Dr. Miller also shares the 12 years she spent in the foster care system. This period left an indelible impression on her, and she decided that once she made it out of the foster care system, she would reach back and help others.  To that aim, she has become a national leader in helping nurses use their platform to advocate for vulnerable populations in the community. Casey Family Programs recently awarded Dr. Miller with the 2021 Casey Excellence Award, a national recognition for her work with foster youth in several organizations, including California Youth Connection. Dr. Sharrica Miller is not only a nurse educator, renowned public speaker, and DEI strategist --- she is a servant leader and advocate for the most vulnerable in our society.   Episode Bookmarks: 01:25 Reflections on Nurses Week and Introduction to Sharrica Miller, PhD, RN 02:25 National recognition for her service in helping children transition out of foster care 03:25 The hardship and instability of Dr. Miller’s childhood and how she broke the intergenerational cycle of disadvantage 05:35 Determination to take control of her life once emancipated from the foster care system 06:20 A mission in service to others as an advocate began when gaining custody of her siblings as a young adult 07:30 Lessons in mentorship that inspired her to “speak for those who can’t” and how COVID-19 impacted the foster care system 09:20 The promise of education in breaking the cycle of poverty and despair (“Education was my ticket to freedom.”) 11:00 How the learning environment and minority representation at Howard University propelled her to success 12:00 The importance of mentorship and creation of “safe spaces” on college campuses for minority nursing students 12:40 “Nursing programs need to be actively anti-racist to identify structural barriers.  It is not enough to just value diversity.” 14:00 Why representation from minorities is so important in Higher Education 15:00 Overcoming a victimhood mindset brought about by old emotional pain through hardship 16:30 “You must develop an internal locus of control.  You can either change your perspective of a problem or change your situation.” 18:40 Inspiration from Eckhart Tolle in overcoming a victim mentality by stopping "pain-bodies"that control our thinking. 19:40 The dangers of over-internalizing success or failure 21:30 “In preparing to lead transformational change, you must first do the work inside. That allows you to show up with the stamina to fail forward.” 23:20 Using failure as a learning opportunity to adapt one’s approach to change management 24:30 The plight of racial injustice in our society and the disparities that are built into the American healthcare system 26:00 “Minorities are expected to be majority by 2050.  We need to think about this in preparing the healthcare workforce for tomorrow.” 28:00 “Teaching nursing students about Social Determinants of Health can actually do harm if we only teach at the surface level.” 29:00 “Racism is a social determinant of health.” 30:00 A recent study confirming that racism exists in nursing (63% of nurses have experience acts of racism in the workplace) 31:30 Dr. Miller discusses the history of racism in nursing and how leadership should addresses reported incidents of “Nursing while Black” 35:00 Addressing the “race card” response when attempting to...
    Show more Show less
    1 hr and 6 mins

What listeners say about The Race to Value Podcast

Average Customer Ratings

Reviews - Please select the tabs below to change the source of reviews.