What we choose to measure can distort our organizations, impact our workforce, and hijack our attention and resources. Jerry Muller, professor emeritus of history at the Catholic University of America and the author of The Tyranny of Metrics, describes how that happens then offers a way to create metrics that matter.

CME link: https://earnc.me/1s88Dd

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The US went from small scale, local healthcare institutions to multibillion dollar megaproviders in barely a generation. Lawton R. Burns, MBA shares his perspective on how it happened, what the true costs are, and what we all can do about it.

Big Med:

Seemed Like a Good Idea:

If I Betray These Words:

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Rosemary Batt is the Alice Hanson Cook Professor of Women and Work at the Industrial Labor Relations School at Cornell University and a Professor in Human Resource Studies and International and Comparative Labor. Her research focuses on comparative international studies of management and employment relations, with particular attention to the impact of financialization on management and employment and the globalization and restructuring of service industries and its impact on low wage workers.

https://cepr.net/wp-content/uploads/2021/10/AB-Financialization-In-Healthcare-Spitzer-Rept-09-09-21.pdf

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In this episode, we look back at a conversation from Season 1 with Richard Lacquement, Dean of the US War College, about the idea of professionalism in the military and how that relates to some of the struggles in professionalism in healthcare.

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Welcome to Season 8 of Moral Matters! Today, we begin the new season by celebrating the 1-year anniversary of the release of our book If I Betray These Words. And we are going to do that by looking back and revisiting both episodes in which Wendy and Simon discuss the journey and their respective experiences which led to the making of the book.

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Here’s a quick recap of Season 7, in which Wendy, Simon and Kimmy discuss the variety of guests we spoke with this season and how Season 8 will look back at the fabulous guests we've spoken with over the past three years.

Do us a favor? Let us know the tiniest bit about you, and who you want to hear from, so we can better plan future seasons: https://www.surveymonkey.com/r/9SBSMMF

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Today's episode, with Dr. Candice Chen, is about a new framework for health worker and first responder distress developed by the Workplace Change Collaborative through a federal grant. The WCC, which includes George Washington University, Moral Injury of Healthcare, the Institute for Healthcare Improvement, and the American Federation of Teachers union, thought it was critical to expand the work on distress and its solutions to include moral injury. We talk through the background of the WCC, the framework, and next steps.

Explore the framework: https://www.wpchange.org/explore-the-framework

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On this episode, we’re talking about debt collection in American medicine. Lightly paraphrasing today’s guest: ‘The source of much disillusion in medicine is the fundamental tension between the widely held ideals and aims of medical care and the market fundamentalism that dominates American life, which leaves those of us who work in health care with a gnawing sense that we are being drawn away from our raison d’etre.’

Luke Messac, MD, PhD, is an emergency physician and historian at Mass General Brigham in Boston and an instructor at Harvard Medical School. He is the author of Your Money or Your Life, just released by Oxford University Press, on November 1 of 2023.

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Link to Dr. Messac’s book: https://academic.oup.com/book/49415

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