I (Dr. Jim Scott) took some notes at Berwick's closing remarks last Tuesday that I thought you might like to see. He put this together on the spot on some (handwritten) overheads, so I don't think its published anywhere. his take on where we've been in P2 in year one and where we're headed in year 2. once again, its obvious that our own work is an important part of his learning.
General:
- Directionally correct
- Unique
- Crucially important - historically aligned (with IOM, etc)
- Self critical - bias toward learning
- Senior leadership truly committed
- Project leaders are masters
The aims have been reaffirmed
- No needless deaths
- No needless pain
- No delays
- No helplessness
- No waste
Approach:
- Use the science
- Patient in control
- Cooperate
Questions:
- How fast can we go?
- As fast as the early adopters go? (instead of as fast as the laggards)
- Should we work harder? NO! that's not possible
Adjustments:
- Learn more from each other
- Learn together about tough issues and difficult redesigns (2 to 5 to all - system level redesign. He divided this into three buckets, with some off the cuff examples (interesting how this aligns with our thoughts on the key spread goals):
Science
Guidelines
Surveillance of literature
Registries
Trigger tools
Patient Control
Shared decision making
Open Access
Medical records open
e mail
Patients on teams
Cooperate
- Case coordinators
- Flow model
- ICSI model
- Benchmarks
Year 2 theme: "Never worry alone" (share what's keeping you up at night, because others are probably worrying about it too, and if they aren't they should be)
What does success look like?
- Thousands of patients measurably better off in ways they could tell stories about
- Very surprising new processes of care
Obviously vintage Berwick, with nice turns of phrase. let me know if there's something that doesn't make sense.
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