Clinician's Roundtable

Host: Mark Nolan Hill, MD Guest: Allan Siperstein, MD In this segment, Dr. Allan Sipperstein of Cleveland Clinic Foundation discusses the various types of liver metastesis and introduces the radio frequency ablation as a treatment option. What is RFA, how does it work and what outcomes can be expected?

Host: Michael Greenberg, MD Guest: Rosemarie Nelson, MS Dr. Michael Greenberg talks with Rosemarie Nelson of the Medical Group Management Associations's Health Care Consulting Group about ways to decrease the number of no-show patients in your practice.

Host: Michael Greenberg, MD Guest: Eugene Litvak, PhD One of America’s sharpest minds in health care and operations management says we’ve been looking for answers in all the wrong places. Eugene Litvak, PhD, from the Boston University Health Policy Institute, instead recommends a plan built around variability theory that will cut costs and increase quality. He lays out his strategy for an effectiv...

Host: Michael Greenberg, MD Guest: Eugene Litvak, PhD Host Dr. Michael Greenberg speaks with Dr. Eugene Litvak, of the Institute for Healthcare Improvement and Boston University's Health Policy Institute, about how the healthcare system has been looking for answers in all the wrong places, and how variability theory can cut costs and increase quality. The plan? To create a system where we all win.

Host: Bill Rutenberg, MD Guest: Donald Berwick, MD, MPP What are the best ways to bring safety to the hospital setting? What type of support systems are available to doctors when errors occur? Dr. Don Berwick, President and CEO of the Institute for Healthcare Improvement shares thoughts on these topics and more in an interesting interview with host Dr. Bill Rutenberg.

Host: Bill Rutenberg, MD Guest: Donald Berwick, MD, MPP How has our healthcare system gotten to its current fragmented state? Where are the opportunities to make the greatest impacts to improve the healthcare system? Join host, Dr. Bill Rutenberg in talking with healthcare expert Dr. Don Berwick, who is President and CEO of the Institute for Healthcare Improvement.

Host: Mark Nolan Hill, MD Guest: John Whittington, MD If we were to evaluate the US healthcare system on quality alone, how would we fare? How do we compare in quality to other healthcare systems? Join host Dr. Mark Nolan Hill in discussing quality of healthcare with Dr. John Whittington from the Institute for Healthcare Improvement.

Host: Mark Nolan Hill, MD Guest: John Whittington, MD The Institute for Healthcare Improvement's Triple Aim Model is meant to be adopted by organizations wanting a strategic model to improve healthcare. In this segment, IHI's Dr. John Whittington talks about some of the organizations joining Triple Aim and what type of roles they play as 'Integrators.'

Host: Mark Nolan Hill, MD Guest: John Whittington, MD One of the components of the Institute for Healthcare Improvement's Triple Aim initiative is to manage the per capita cost of healthcare. Is this an achievable goal? How do we get there? In this segment Dr. John Whittington, lead faculty of the Triple Aim Project discusses healthcare cost managment with host, Dr. Mark Nolan Hill.

Host: Mark Nolan Hill, MD Guest: John Whittington, MD In the first part of this interview, Dr. John Whittington talks with host Dr. Mark Nolan Hill about the history and initiatives of the Institute for Healthcare Improvement. In the second part of this segment he talks about Triple Aim: a healthcare challenge to improve the health of a defined population, improve the individual's healthcare exper...

Host: Susan Dolan, RN, JD Guest: Donald Taylor, PhD Hear Dr. Donald H. Taylor, Assistant Professor of Public Policy Studies at Duke University, as he discusses his research revealing that hospice saves Medicare money.

Host: Susan Dolan, RN, JD Guest: Mary Labyak, MSW Hear Mary Labyak, MSW, President and CEO of the Hospice of the Florida Suncoast, the largest not-for-profit, community based hospice in the nation, dispel myths about hospice.

Host: Maurice Pickard, MD Guest: Maureen Bisognano, MS Maureen Bisognano, Executive Vice President and Chief Operating Officer at the Institute for Healthcare Improvement, explores some of the theories of Dr. Noriaki Kano. In the healthcare industry the connections between quality and cost are not always clear. Mrs. Bisognano uses Dr. Kano's framework and demonstrates three ways that health care l...

Host: Maurice Pickard, MD Guest: Maureen Bisognano, MS How do quality improvements in health care yield strong returns on investment? Maureen Bisognano, executive vice president and chief operating officer of the Institute for Healthcare Improvement discusses how to get leadership to buy into better healthcare. She then outlines what the medical profession can learn from successful healthcare mode...

Host: Bill Rutenberg, MD Guest: Charlene Harrington, RN, PhD Professor and RN Charlene Harrington discuss the Future of Nursing Homes with host, Dr. Bill Rutenberg. What policies are vital to keep nursing homes up to snuff so they’re ready for the aging population? They also discuss the development of and usefulness of Nursing Home Consumer Information System, Reimbursement policies, and Regulatio...

Host: Bill Rutenberg, MD Guest: Charlene Harrington, RN, PhD Professor and RN, Charlene Harrington discusses with host Dr. Bill Rutenberg the recently launched UCSF demonstration project to design and test nursing interventions to improve quality of care in nursing homes. A focus of the study is to "refine a practice model to transform the nursing home care, based on peer-reviewed research into wh...

Host: Bill Rutenberg, MD Guest: Richard Moss, MD Our guest Dr. Rick Moss discuses with host, Dr. Bill Rutenberg current modes of diagnosis, including the genetic basis of CF. This is followed by a discussion of current and future treatments for cystic fibrosis, including lung transplantation, stem cell and gene therapies.

Host: Bill Rutenberg, MD Guest: Richard Moss, MD No longer a disease of childhood, patients with cystic fibrosis are now living well into adult life. Dr. Moss discusses with host Dr. Bill Rutenberg about the current state of the art of treatment that has made long-term survival possible, new morbidities resulting from increased survival to financing health care for adults with cystic fibrosis and...

Host: Bruce Bloom, DDS, JD Guest: Joe McCannon Joe McCannon, a VP at the Institute for Healthcare Improvement and manager of the 5 Million Lives Campaign, discusses the groundbreaking, voluntary initiative to protect patients from five million incidents of medical harm in US hospitals over two years (December 2006 – December 2008).

Host: Bruce Bloom, DDS, JD Guest: Joe McCannon Joe McCannon, VP and Campaign Manager for the IHI, discusses the 100,000 lives campaign which began in 2006. Up to 15M incidents of patient harm occur in US Hospitals each year-what can we do to reduce these iatrogenic errors?

Host: Lee Freedman, MD Guest: W. Michael Alberts, MD, MBA Dr. Alberts, a past president of the American College of Chest Physicians, discusses the rationale for the new recommendation from that body against the use of CT scanning to screen for lung cancer.

Host: Matthew J. Sorrentino, MD, FACC, FASH Guest: David Faxon, MD Dr. David Faxon, Professor of Cardiology at Harvard Medical School, will outline strategies to improve early reperfusion in patients presenting with an ST-segment elevation myocardial infarction. How can we improve door-to-balloon times and save lives?

Host: Matthew J. Sorrentino, MD, FACC, FASH Guest: Ziyad Hijazi, MD Dr. Ziyad Hijazi, an interventional cardiologist at Rush Medical Center, will discuss the diagnosis and treatment of atrial septal defects and patent foramen ovale in children and adults. When do we close these defects?

Host: Mark Nolan Hill, MD Guest: Christopher Cates, MD Following an interventional radiologic procedure, patients often have to lay still for 6-8 hours to enable their groin wound to properly close. Often times the patient returns to the physician because of a groin complication. Today's guest, Dr. Christopher Cates holds a patent on a new method for quickly sealing arterial puncture sites, decrea...

Host: Mark Nolan Hill, MD Guest: Christopher Cates, MD There is a huge opportunity to improve the outcomes of stroke victims by reorganizing our healthcare delivery system to provide access to acute stroke care in highly specialized stroke centers in similar ways that heart centers mobilized 25 years ago. Join host, Dr. Mark Nolan Hill in an intersting conversation with our guest, Dr. Christopher...