Posts filed under ‘About ICSI’
The Institute for Clinical Systems Improving holds an annual conference on health care transformation. In their evaluations, attendees often say the event, which brings together 400 health care and health leaders, gives them hope to go out and do the hard work of improving our health care system.
This year, we found a poem that resonated with ICSI staff, and our President and CEO, Sanne Magnan, MD, PhD, shared the poem to launch our meeting. It was well received. So we want to share it to inspire all of you who are also working to achieve the Triple Aim of better health, better care and better costs.
The Gates of Hope—A Poem by Victoria Safford
Our mission is to plant ourselves at the gates of Hope—
Not the prudent gates of Optimism,
Which are somewhat narrower.
Not the stalwart, boring gates of Common Sense;
Nor the strident gates of Self-Righteousness,
Which creak on shrill and angry hinges
(People cannot hear us there; they cannot pass through)
Nor the cheerful, flimsy garden gate of
“Everything is gonna’ be all right.”
But a different, sometimes lonely place,
The place of truth-telling,
About your own soul first of all and its condition.
The place of resistance and defiance,
The piece of ground from which you see the world
Both as it is and as it could be
As it will be;
The place from which you glimpse not only struggle,
But the joy of the struggle.
And we stand there, beckoning and calling,
Telling people what we are seeing
Asking people what they see.
My wife and I recently celebrated 40 years of marriage by going to Kauai. It was a wonderful time of gorgeous scenery, warm weather, and relaxation. As I sat many mornings watching the surf roll in below our rented condo, I also found it a time of contemplation.
If you have never been to Kauai—especially in an April when it was still snowing in Minnesota, once you get there you try to figure out how to stay. There was a job opening at the Tropical Ice Cream Shop near Princeville. I knew it wouldn’t pay the bills, but that wasn’t the reason I’m back here working at ICSI.
As I looked at the surrounding paradise, I kept thinking everyone should be able to experience it. But most people are not as fortunate as me. I have siblings who cannot afford such a trip.
One of the reasons is the rising cost of health care. Forget exotic vacations. The unsustainable increases in costs are leaving fewer and fewer dollars for education, good housing, jobs, and clean environments that are known to contribute more to an individual’s health than health care itself.
ICSI’s 50 medical group and hospital members are committed to achieve the Triple Aim of better health, better care and more affordable health care. Some are engaged in programs like Choosing Wisely to ensure physicians and patients discuss appropriate care that improves safety and lowers costs. Others are working to help prevent avoidable hospital readmissions through the RARE (Reducing Avoidable Readmissions Effectively) Campaign. That effort has kept 7,300 people from returning to the hospital unnecessarily, saving an estimated $55 million in the process.
While there was some remorse as we boarded the plane for Minnesota, I was ready to come back to work (that’s kind of true). Our community has accomplished much in improving the quality and value of the care we deliver, but it is not enough, as the waves of baby boomers rolling into the health care system are just as constant as the waves off shore in Kauai.
So today I am wrapping up preparations for our annual Colloquium with its theme of “Building a Sustainable Health System.” I’m hoping the slate of leaders who will be presenting, and the lessons that 400 attendees take home and implement, will accelerate our efforts to achieve that Triple Aim. Accomplishing that will help others afford health care. And it will help me forget about that mocha chocolate almond ice cream cone.
The fifth annual County Health Rankings, prepared by the University of Wisconsin Population Health Institute, recently came out. Minnesota fared quite well nationally. But I was more interested in my county–Washington. We ranked #8, which was near the top among all Minnesota counties.
The report was more relevant to me this year because the Institute for Clinical Systems Improvement has been focusing on both health care and health improvement. So I was aware that the University of Wisconsin work estimates that “health care” accounts for only about 20 percent of our “health” and longevity.
The goal of this project is to promote evidence-based patient-centered care in the primary care setting. We have developed a set of tools, including decision aids, to facilitate a conversation between the patient and clinician that incorporates the best research evidence and the patient’s preferences and values. We have also developed a ShareEBM implementation toolkit.
Our study will have two arms; one arm in which decision aids are passively disseminated and one strategically implemented with the study team assisting the adoption (ShareEBM Plus). Participating practices in both arms will have full access in perpetuity to the decision aids most pertinent to the primary care of patients with diabetes and concomitant chronic conditions (hypertension, depression, statin use, aspirin use, osteoporosis). Learn more about participation requirements and join us today!
The Robert Wood Johnson Foundation (RWJF) has awarded ICSI $150,000 to help promote greater integration of health care systems with public health and other community resources for health improvement. As part of the grant, over the next 18 months ICSI will develop multiple papers, two videos and an assessment tool that support health care system/public health integration. ICSI will also create an advisory committee to provide input and direction for this work.
Learn more about ICSI’s work to build sustainable, healthier communities.
Slightly over a year ago, I referenced the sense of “drinking from the fire hydrant” in discussing the challenge of incorporating all the information flooding our senses as we work on transforming health care. (http://bit.ly/9ZwdJQ). At the heart of this was an invitation to attend the annual ICSI/IHI Colloquium, as an opportunity to hear from many of those involved in the ongoing efforts. Over 500 of our friends and colleagues–an attendance record–took advantage of that event, which was a great success.
Admit it, we all like to be recognized for a job well done. Whether being sited at a local meeting, seeing our name linked to a successful outcome, or being published in a peer-reviewed journal, those of us in health care have many of the same human needs as demonstrated by any others in our society. We all like to be associated with a “winner” and, when possible, have others thank us personally for our hard work and creativity. That’s why it’s often times really, really hard to be a catalyst, but also sometimes really, really important.
I’ve been feeling exceptionally good recently. Part is due to my son being selected as one of 50 college students to get a scholarship to the Telluride Film Festival. My daughter Laura, the world changer, spent four months in her beloved Guatemala. My wife, who thinks our yard is a northern Tara, will soon have pictures of her perennial gardens in the Minneapolis Star Tribune. And at an advanced age (call me Grandpa Moses of the literary field), I’m self-publishing my first novel and so far four people want to buy a copy.
Have you ever looked in the mirror, and been forced to do a harsh reality check? Who is that person, what happened to the young vibrant person who I know resides in my memory? Is that really the way others see me? It’s a humbling experience, which is why I’ve migrated away from spending too much time in front of such an apparatus.
“It’s all about the culture.” How many times have we heard that statement when trying to address the changes necessary in health care? In fact, isn’t it likely that irrespective of the arena, a disconnect between strategy and culture is a recipe for failure, and often disaster. To paraphrase many who work in this area, “culture eats strategy for lunch everyday.” Yet over my career in health care, and more specifically in the area of quality improvement, we have continued to attempt to implement new programs, new strategies, new approaches, only to see them disappear into the abyss of “failed opportunities” and lamented the lack of a culture that supports the activities.