Disruption in Healthcare is About Finding New Ways

The power of voices and collective efforts is unparalleled in creating the change we urgently need to see in healthcare. ?By uniting together, patients, healthcare providers, administrators, and society as a whole can amplify their impact, challenge the status quo, and drive transformative reforms that prioritize patient-centered care, improve provider wellness, and address the systemic issues plaguing the healthcare system. ?Only through collaboration and shared responsibility can we usher in a new era of healthcare that truly meets the needs and aspirations of all stakeholders.

I feel honored to learn of and meet so many each week who are working individually and collectively to positively contribute to healthcare change.?It uplifts my motivation, increases my efforts, and strengthens my belief that – together – we can make a difference.?We can create the transformation we mutually desire for the betterment of patients, providers, all healthcare employees, and our society at large.

It will take each of us – together.

This is the eleventh edition of Let's Make a Ruckus.?This bi-weekly newsletter aims to provide you with knowledge, resources, and connections of value that support your work in healthcare.?We will celebrate ruckus makers, introduce you to those doing work that makes a difference, and keep you informed of upcoming opportunities where you can let your voice be heard and make a ruckus.

Celebrating a Ruckus Maker

Todd R. Otten, MD, FAAFP is a Board-certified family physician, an honored Naval Flight Surgeon, and a former Chief of Staff and ACO Medical Director. ?He is now an author and advocate for healthcare change.?Todd recently co-wrote and published Ripple of Change with Joshua Judy.

?About the book:?The combined journey of Todd – doctor – and Joshua – patient – offers a compelling narrative of trust, healing, and a vision for a transformed healthcare system that prioritizes patient experience, quality care, lower costs, and provider wellness. This book serves as a powerful catalyst for change, inspiring readers to actively participate in reshaping the future of healthcare and creating a ripple effect of positive transformation.

Throughout the book, Todd and Joshua challenge us to change how we refer to the Quadruple Aim.?This is OUR Quadruple Aim.

I was priviledged to be on a call this week hosted by Gabe Charbonneau, MD with Medicine Forward to learn more about Todd and the book and share an exceptional conversation.

During the conversation, Todd shared his experiences and insights on transforming healthcare delivery to prioritize patient care and provider well-being. He emphasized the importance of advocating for what's right, even if it means saying no and challenging the status quo. Todd and the group also discussed

• The need for empowered healthcare professionals who are willing to initiate change and build a supportive team.
• The significance of finding like-minded individuals and creating a unified front to drive meaningful change.
• And emphasize that change in healthcare requires a collective effort and a commitment to improving patient-centered care and provider well-being.

The recording to that conversation is below. ?I hope you might join the further conversations that are sure to be had.?

Learn more about Todd and purchase a copy of Ripple of Change from his website OurQuadrupleAim.com.

Don't Miss These LinkedIn Posts!

Preston Alexander 's post highlights the contradictory actions of Wellstar, with the closure of two hospitals and the launch of a $100M venture fund. The financial growth and positive numbers presented raise questions about the organization's priorities and whether the returns from their venture fund will be used to serve more people or simply generate more profit. There were many good contributions in the comments, such as the one shared by Dave Sneddon .

Preston's post was too long to capture completely; please click the image for the full post.

Oh, Dave deBronkart , I so appreciate our unfailing willingness to call BS when warranted and needed! Valerie Choniuk, MPA-HCA, CPXP shares my appreciation ??.

Matthew Zachary 's post sheds light on the wasteful spending and lack of trust in healthcare marketing. By consciously and strategically reallocating even a fraction of the extravagant marketing budget, we have the potential to create meaningful change, invest in genuine innovation, and foster stronger connections with patients, ultimately benefiting both the industry and the individuals it serves. Burt Rosen 's comment was a good addition.

Matthew's post was too long to capture completely; please click the image for the full post.

Jared Johnson 's post highlights the importance of prioritizing consumer experience in healthcare and suggests that marketing professionals, with their understanding of consumers, experience design capabilities, and growth-oriented mindset, should play a leading role in driving this transformation. By embracing consumer-centric practices and building the necessary skills, healthcare organizations can create a competitive advantage and better engage with their target audience, ultimately improving the overall healthcare experience. Great comment, Ashley Conger !

This visual is fantastic, thank you Muhammed Shinu . Better than $$ spent on marketing, let's resolve the problems within healthcare to elevate experience.

Bob Dent, DNP, MBA, FACHE, FAAN, FAONL 's post triggered a LOT of conversation. I wonder where you stand on this debate? Sharing the comments from .Jose M Maria FNP-BC, RN and Rochelle Sandell .

Thank you, Greta Rosler , for sharing this article from Becker's Healthcare. Appreciated Kaye Mendoza 's comments.

Link to the article HERE

Thank you, Josh Pappas , for sharing this article.

Link to the article HERE

Lonnie Hirsch 's post highlights the pressing need for less complexity, increased health data interoperability, improved communication, and dedicated patient navigators to guide and support healthcare consumers, ultimately emphasizing the importance of providing assistance and reducing the burden of navigating the healthcare system alone. Thank you, Ashley Conger for mentioning micro-revolutions - YES!

This was a long post, just sharing the top ?? and bottom ?? portions here. Click on either image to get to the full post.

Ashley Conger 's powerful account underscores the urgent need for improved interoperability and health information exchange in healthcare, as fragmented systems and outdated practices continue to hinder access to vital information, negatively impacting patient experiences and outcomes, and emphasizing the imperative for significant improvements in the industry. Love the addition from Candyce. Edelen .

Marion Jenkins - YES! Sometimes efficiency gets confused with effectiveness.

Partnering with Corey Adams on a series of posts to LinkedIn is such fun. The collection, with contribution from those who comment, will be written up for publication. A supporting effort towards the completion of his doctorate. So glad to partner with and support you, Corey! To this first post, greatly appreciated comments such as those from Chris Malone and Bill Quiseng .

And here was the second post in partnership with Corey Adams . Lonnie Hirsch and Ashley Conger , your comments offer further insight or emphasis and we are grateful!

Laila Waggoner supported and shared this post from Dean Browell where he shared top concerns in healthcare and asked how research could assist.

Roseanna Galindo, CCBA, CAVS ?? supports the idea of data being transformative by envisioning a data culture in healthcare that encourages intellectual curiosity, innovation, and iteration, empowering decision-makers at all levels to explore and uncover insights from the data they have access to.

David Spinks offers 50 things he has learned about building deeper connections. Not all may work for you, but are there a few that you can act on today?

And, OH!, I am so glad Danny Pancratz asked for clarity about what a "double opt-in" is. I have been sending introduction emails without doing this first. Immediately adjusting my practice - thank you!

A reminder from Arvid Pedersen about the value of appreciation. Appreciation is characterised by interest, attention, devotion, and friendliness.

And then this post from Brian Carlson double downs on the value of recognition and appreciation!

Jason Dupuis brings the discussion of how to help care teams elevate their empathy or compassion to the higher level of how do we first demonstrate empathy and compassion for the care teams. Walk the talk. His post was celebrated by Lonnie Hirsch and Ginny Fulton NP, PMHS, MMI .

Adrienne Boissy offered a short video on empathy that continued this theme. Appreciated Hank Marquis's comment.

This story from Jeff Atwood ! A Papa Bear's love and protection! So glad his heart had grown three sizes at the end when he understood the full story and could see the extension of love offered by the student.

This video from Practicing Excellence with Marla Weston, PhD, RN, FAAN is a gift. I hope you give yourself five minutes to watch.

Florence Nightingale had many of the answers to what is needed for a healthcare system provide high quality, safe, and compassionate care. This article shared by Greta Rosler offers us a reminder of the lessons Nightingale offered. I wonder when we will fully learn them.

Link to the article HERE.

One of the lessons shared from Nightingale is the role of everyone in healthcare to create the exceptional healthcare results we desire. Tom Dahlborg shared this post with a similar message. Doug Pohl 's question emphasizes that we each have an opportunity every day to contribute.

Dr Helen Curr asks the following in the article she shared:

Health care innovation has a worrying tendency to look like a cookie cutter version of something that went before it. We pilot, we pilot again, we pilot with a very moderate tweak. What is on offer can be highly prescriptive, mapped out in advance, no matter who or what issue enters the room. What if innovation could include the genuinely radical – and more, what if the innovation was by its very nature flexible, responsive, and bespoke in each and every interaction with a patient.

Take a look at the article to see more: HERE

Danny Langloss emphasizes the importance of embracing failure as a natural part of the journey to success and encourages leaders to model vulnerability, authenticity, and a growth mindset, creating an environment of psychological safety and trust within their teams. Linda Goodman 's comment added well to what was shared.

Danny's post was too long to capture completely; please click the image for the full post.

Bill Staikos highlights the importance of avoiding complexity in change management and instead suggests starting small by engaging innovators and early adopters to drive and evangelize change, citing research that shows a 25% buy-in can be a tipping point for successful change efforts. Appreciated Nina Bianchi contribution in the comments.

Bill's post was too long to capture completely; please click the image for the full post.

Jim Ferrell emphasizes the crucial role of leaders in change initiatives, highlighting the importance of their active participation and engagement. By leading by example and being willing to change themselves, leaders inspire and empower their teams to embrace change and make meaningful progress.

Ah... the F's need our attention! Your first line got my attention Swati Mehta MD, FACP, SFHM, CPXP and then you listed F's that were unexpected with the first line, but spot on for what we need in healthcare! Loved the support from Christa Peters and the giggle from Cody Wales .

Swati's post was too long to capture completely; please click the image for the full post.

Who doesn't like a good TED Talk? Well, this one is better than good, so you will love it! Full video below. Thank you Sally Mildren for hitting 'like' on this post by Jennifer Hawkins and, thus, bringing it to my attention.

The description of this talk is

Profit, money, shareholders: these are the priorities of most companies today. But at what cost? In an appeal to corporate leaders worldwide, Chobani founder Hamdi Ulukaya calls for an end to the business playbook of the past -- and shares his vision for a new, "anti-CEO playbook" that prioritizes people over profits. "This is the difference between profit and true wealth," he says.

Short and simple, love this learning bite Swati Mehta MD, FACP, SFHM, CPXP !

Zane Magers, MBA - I'm so glad you have found an organization with the RIGHT culture. I celebrate their great work in creating this culture and you for finding and joining them! Thank you for sharing this article HERE.

Oh, Emmanuel Mukula ???? - the video shared with your post was what captured my attention. And then I partially agreed with your post - when we allow 'toxic' behaviors we harm the culture and the ability of teams to be high-functioning. Your intent with your post was right-on. The comments offered greatly to this discussion, such as Chris Howells , and you demonstrated openness and appreciation for the feedback. Well done.

Shared with me by Daniel Walker , I appreciated this model shared by Shruti Bhat in this post. Be courageous. Be human.

Thank you Irith Lebovich, MD for sharing Susan David, Ph.D. 's post.

Emotional skills aren't 'soft;' they are essential, learnable, practical human skills that are at the core of healthy organizations.

Yes, that's right Bill Staikos ! It isn't an 'either or' between human-to-human vs. digital experiences. Especially in healthcare. Rich contributions to this discussion from individuals such as Othmane Agoumi and Lee Becker .

And thank you Carrie Gotch, CLSSBB, PSM, Prosci for highlighting what Roy Jakobs said in your post. Technology should assist our efforts, not get in the way and create new barriers.

Marion Jenkins shared another to give us a bit of a chuckle. Both from the image and the shared experience with ChatGPT.

Let's stop arguing about WFH and focus on the real issues When leaders prioritize taking care of their people, it fosters a positive work environment and leads to growth. By focusing on employee well-being, fair compensation, and treating people with care and respect, companies can achieve long-term success beyond just chasing productivity metrics. Thank you for contributing this post ?? Jerod Brennen and thank you Tony Vizza for the comment you added.

There were so many good posts these past two weeks that I have maxed the space allowed by LinkedIn for this newsletter. I may have maxed your attention as well, but in case you are interested in a few more of great value, I encourage you to check these posts out:

From Bruce Berger, PhD HERE

From David Agler, MD, MBA HERE

From Diana Cantú-Reyna, BSN, RN, CCRN HERE

From Joyce Nazario, CPXP HERE

From Peter Hayes HERE

From Tom Dahlborg HERE

Recommended Newsletters

This edition from What The Doctor Sees, created by J. Michael Connors MD, shares his frustration with the lack of improvements in healthcare. The promises of fixes that go unmet time and time again.

What if we took back the control of the system or control of our own choices? What if we designed our practices around relationships, continuity, and outcomes? What if technology, data science, care coordination, care navigation centered around fostering a continual relationship with trusted providers?

The disruption of continuity

Recommended Podcast Episodes

From Healthcare Rap Podcast - Jared Johnson and Zain Ismail speak with Robert Riney . Episode titled 'Henry Ford Health's CEO On Leadership & Consumerism.'

From Micro-Moments With Peter - Peter Pronovost MD, PhD, FCCM speaks with Amitabh Goel MD FACS . Episode titled 'Addressing Financial Burden Through Love + Value-Based Care.'

From Eyes On the Future - Stephanie Douglas shares a conversation between Lauren McCabe and Emilia Morano-Williams . Episode titled 'What Consumers Want.' Many thanks to Sondra Brown for sharing this episode with me.

Upcoming PXC Events - Available for Anyone to Join!

The events hosted by The PX Community offer and encourage your contribution.?Ask questions, contribute your ideas, and share your knowledge.?Your voice matters.?Let's make a ruckus!

This year we are testing Speed Networking directly following each event.?Come for the event and stay for the networking!

Event on June 2, 2023: The Cost of an F – The Impact of Patient Experiences on the Bottom Line

Event on June 15, 2023: Real-Time Experience and Break/Fix Feedback for Your Support Services Teams

Event on June 27, 2023: Linking Real-Time Patient Feedback with Engaging Video Education

Event on June 30, 2023: Open Conversation – Healthcare Wants One Measure For PX

To learn more about The PX Community and receive a tour, schedule time with Denise.

Join The PX Community to Make a Ruckus That Makes a Difference

Connect with Denise Wiseman, PhD, MBA, CPXP, and follow The PX Community on LinkedIn