Habitual Excellence, Presented by Value Capture

In this podcast episode, Ken Segel, the CEO of Value Capture, meets with Mayor Ed Gainey, City of Pittsburgh, to discuss the city's journey toward habitual excellence and Mayor Gainey's leadership learnings. We will explore the principles of habitual excellence as exemplified by Mayor Ed Gainey of Pittsburgh. The episode delves into Gainey's leadership style, focusing on his commitment to continuous improvement and excellence in public service. It highlights Gainey's background and how his experiences have shaped his approach to leadership. Additionally, the post discusses specific initiatives and strategies implemented by Gainey to foster positive change and improvement within the Pittsburgh community. Through anecdotes and insights, the episode provides valuable lessons and inspiration for individuals and organizations striving for excellence in their respective fields.

In this podcast episode, Ken Segel, the CEO of Value Capture, engages in a conversation with Lou Shapiro on developing and deploying a strategy that breaks through and makes the kind of difference we need in healthcare right now, and it's very challenging circumstances, and trying to use this as a moment to change deeply for the better. They will discuss lessons learned, but also, as we go forward to think about how to achieve that breakthrough as a sector and as individual institutions.

In this podcast episode, Ken Segel, the CEO of Value Capture, engages in a conversation with Dr. David Zaas, a pulmonary and critical care physician with extensive leadership experience in major health systems. The episode revolves around the theme of strategy deployment and its importance in healthcare. Dr. Zaas, who currently serves as the president at Wake Forest Baptist, shares insights into his leadership philosophy and how it has been shaped by his background as a physician-scientist. The discussion delves into the challenges facing healthcare, such as cost pressures, consolidation, and job losses, and the need for authentic, optimistic leadership to navigate these issues. Dr. Zaas emphasizes the privilege of working in healthcare and the opportunity to make a significant impact on the lives of patients, communities, and caregivers. Dr. Zaas breaks down his approach to strategy into three key components. First, he underscores the importance of a people strategy, where creating an environment of respect, value, diversity, and continuous improvement is crucial. Second, he emphasizes the need to build robust management systems and processes to support the organization's growth and adaptability. Finally, the discussion addresses setting bold goals and achieving excellence, focusing on eliminating harm, striving for top-tier performance, and fostering academic discovery. The episode highlights the significance of creating a strong foundation in culture and processes before setting ambitious goals, and it explores how these principles can differentiate healthcare organizations and drive them towards excellence.

How a leadership journey along with an organization transformation brought one leader from considering leaving the profession to feeling engaged in his work again.

View video and more here ay 16, 2023, from 1 to 2:30 pm ET A panel discussion with a team of leaders from Value Capture, LLC, clinicians, Continuous Improvement professionals, and DEIA practitioners (scroll down for bios): About the Session Discover what getting to zero harm means and explore how getting to zero harm for patients and staff can be achieved by emphasizing the most fundamental aspect of Lean, actively showing respect for others. Recognize how combining Continuous Improvement, Diversity, Equity, Inclusion and Accessibility (DEIA) and the four stages of Psychological Safety can promote health equity and improve patient and staff safety. Discuss intentional approaches to create and develop equitable, psychologically and physically safe spaces for diverse healthcare staff and patients of underrepresented groups that benefit staff engagement and the overall patient experience.

Deondra Wardelle and Mark Graban discuss the ongoing blog series and upcoming panel discussion webinar on the theme of "Getting to Zero Harm for Patients with DEIA and Psychological Safety. They share what sparked the #RootCauseRacism® collaboration with Value Capture, LLC. They also discuss the power of connecting Diversity, Equity, Inclusion, and Accessibility (DEIA) to Psychological Safety as a way to promote health equity and offer countermeasures that improve patient and staff safety. Blog series: https://www.valuecapturellc.com/blog/tag/rootcauseracism Webinar registration (for the live event or recording): https://www.valuecapturellc.com/webinar-panel-zero-harm-patients-staff-deia-psychological-safety

Psychiatrist, expert on "moral injury" in healthcare, author Welcome to Episode #77 of Habitual Excellence, presented by Value Capture. Episode page with transcript, video, links, and more Our guest today is Wendy Dean, MD, a psychiatrist. She is the President and co-founder of “Moral Injury of Healthcare,” a nonprofit organization focused on alleviating workforce distress. A seminal article she co-authored with Simon Talbot, MD for STATNews in July of 2018 began the conversation about moral injury in healthcare. She’s the co-author of the upcoming book If I Betray These Words: Moral Injury in Medicine and Why It's So Hard for Clinicians to Put Patients First. It will be available April 4th and you can pre-order it now through the publisher. In today's episode, Dr. Dean talks with host Mark Graban, about topics and questions, including: Definition 1: “perpetrating, failing to prevent, bearing witness to, or learning about acts that transgress deeply held moral beliefs and expectations.” Definition 2: “a deep soul wound that pierces a person’s identity, sense of morality, and relationship to society.” Click to visit the main Habitual Excellence podcast page.

See video and more via this page The recording of the webinar panel that was presented on January 25, 2023. A panel discussion with: 1

Register here January 25, 2023, 1 to 2 pm ET A panel discussion with: The Institute of Medicine’s groundbreaking report, To Err is Human, was published 20 years ago and spurred a vigorous effort to improve patient safety, but preventable medical errors still cause an estimated 250,000 deaths a year in the United States, making this problem the third-leading cause of death. Additionally, the COVID-19 pandemic has put the healthcare workforce in crisis, and safety is suffering. Well-intentioned efforts to improve processes and change behavior in the healthcare industry have been decentralized and resulted in minimal improvements, says Karen Wolk Feinstein, Ph.D. The failure can be traced, in part, to the lack of a single federal agency that investigates healthcare errors and identifies ways to prevent them, she says. Dr. Feinstein is spearheading the creation of a proposed federal independent agency, the National Patient Safety Board (NPSB), modeled in part after the National Transportation Safety Board (NTSB) and the Commercial Aviation Safety Team, that would identify and anticipate significant harm in healthcare; provide expertise to study the context and causes of harm and solutions; and create solutions to prevent patient safety events from occurring. This idea is fully supported by Ken Segel, as he has discussed in this blog post. He will join Dr. Feinstein for the discussion. In December, legislation was introduced into the U.S. House of Representatives: H.R.9377 – the National Patient Safety Board Act. Learning Objectives This session will cover topics including: Paul O'Neill, Sr You'll be able to ask our expert panelists live questions about this legislation, the NPSB, and patient safety in general.

President and CEO of Washington Health System Episode page with links, transcript and more: https://valuecapturellc.com/he74 Welcome to Episode #74 of Habitual Excellence, presented by Value Capture. Joining us today as our guest is Brook Ward, the President and CEO of Washington Health System (WHS) in Washington County, Pennsylvania, in that role since July 2019. From 2010 to June 2019, he served as Executive Vice President and Chief Operating Officer. In his role, Brook provides leadership, direction, and administration across the entire Washington Health System, which includes a large community hospital, a small rural hospital, a 70-provider physician group, a community wellness center, residency and fellowship programs, a school of nursing program and onsite medical simulation center and joint ventures in the areas of hospice, senior living, home health, cancer center and others. Brook is a graduate of Grand Valley State University, Grand Rapids MI, with a master’s degree in Public Administration (MPA). He also has a Bachelor of Science in Health Care System Administration from Ferris State University, Big Rapids MI and received an Associates of Allied Science in Radiology from Ferris State University. Today we’re going to be talking about how the WHS has never (I repeat, never) used a traveler nurse in their system. Acknowledging the travel nurses are skilled and they're good people, Brook makes a compelling case that quality and safety is better with full time staff members who are not "strangers" to the organization and how they do things. Brook also discusses the program that they created (and continue to iterate) that's win/win/win for the system, staff, and patients. In today's episode, Brook talks with host Mark Graban, about topics and questions, including: Click to visit the main Habitual Excellence podcast page.

View the slides, video, and more Presented by two leaders from Duke HomeCare & Hospice: Cooper Linton, Associate Vice President, Duke HomeCare & Hospice Janet Burgess, Director Patient Care Services Mike Radtke, from Value Capture, will also be part of the Q&A Duke Home Health (DHH) faced a crisis of nursing turnover, even before COVID hit. Staffing retention is a major issue across all of healthcare -- please join us for this impactful and practical webinar regardless of where you work within the broader healthcare system — home health or otherwise! Powered by a system-wide quest for zero harm throughout Duke Health, DHH leaders used this philosophy and accompanying principles to identify root causes, then build rapid-cycle learning into improvement and management systems. Investigation revealed poor staff engagement and excessive work-process burdens, leading to significant negative patient impact, referring-customer dissatisfaction, and financial harms. To resolve these problems, DHH’s rapid-cycle learning system, rooted in the principle of respect, involved: So far, RN turnover has been reduced from 75% to 18% (annualized rates). These lessons are transferrable to many different settings, so please attend if you work outside of home care. Learning Objectives This session will provide practical tips on how to design systems that produce:

Webinar preview -- Register here to watch live or get the recording Nursing turnover is very likely costing your organization millions of dollars. But you don't have to just accept that… you can fix it. I'm happy to be moderating a webinar that is being hosted by Value Capture, presented by two leaders from Duke Health who have reduced nursing attrition from 75% to 18% (annualized rates) in just over a year. Using a Rapid-Cycle Learning System to Tackle Turnover & Attrition It comes down to leadership. Duke HomeCare & Hospice reduced nursing turnover from 75% to 18% in one year's time. The same principles and systems they used can work in ANY type of healthcare setting! Join us for a free webinar on December 6th, presented by Cooper Linton and Janet Burgess, two leaders from that organization. How did they reduce nursing attrition? How did their teams do this? Now you can learn from them – their process and their results. Join us Tuesday December 6th from 1 to 2 pm eastern – it's free… join us live or we'll send you the recording.

Episode page with video, transcript, and more Joining us today as our guest is Louis (Lou) A. Shapiro. He is the President and Chief Executive Officer of the Hospital for Special Surgery HSS. He has served in this role since October 2006. Under Lou’s leadership, HSS has experienced significant growth, expansion of facilities and recognition as the world leader in its specialty areas of orthopedics, rheumatology and their related disciplines. Lou has more than 30 years of healthcare experience, including as Executive Vice President and Chief Operating Officer of Geisinger Health System in Pennsylvania, and as a leader in the healthcare practice at McKinsey & Company. He began his career at Allegheny General Hospital in Pittsburgh, where he served in a number of capacities. Today we’re going to be talking about how the culture at HSS contributes to their habitual excellence, including 13 years being ranked #1 at what they do as a specialty hospital for musculoskeletal care. What's the role of hiring the best of the best and how does a culture help them thrive and stay? What can be learned from the HSS approach that delivers such great value, including incredibly low infection rates. In today's episode, Lou talks with with host Mark Graban, about topics and questions including:

Get slides and more Presented on October 18, 2022 Presented by In healthcare organizations, the COVID crisis has damaged workers’ safety, both physically and psychologically. Many organizations are struggling deeply with morale, and face difficulties in recruiting and retaining staff. It's been demonstrated that every institution can rebuild trust and solve these challenges, by dramatically growing its ability to keep providers and patients safe by leading and engaging everyone in different ways. Paul O’Neill, the former Alcoa CEO, US Treasury Secretary, healthcare safety pioneer, and Value Capture’s first non-executive Chairman, relentlessly demonstrated a leadership “playbook” that started with workforce safety as the lever to achieve habitual excellence, which produced world-leading results in every core measure. The webinar will bring O’Neill’s approach to life for attending leaders by comparing typical practices in healthcare with case examples from Alcoa and the institutions in healthcare that have applied this "playbook." Learning Objectives At the end of this webinar, you will understand: Paul O’Neill The recording page also includes "deeper dive" information including:

Register for the webinar Attend live on October 18 at 1 pm ET, or register to see the recording using the same link Presented by In healthcare organizations, the COVID crisis has damaged workers’ safety, both physically and psychologically. Many organizations are struggling deeply with morale, and face difficulties in recruiting and retaining staff. It's been demonstrated that every institution can rebuild trust and solve these challenges, by dramatically growing its ability to keep providers and patients safe by leading and engaging everyone in different ways. Paul O’Neill, the former Alcoa CEO, US Treasury Secretary, healthcare safety pioneer, and Value Capture’s first non-executive Chairman, relentlessly demonstrated a leadership “playbook” that started with workforce safety as the lever to achieve habitual excellence, which produced world-leading results in every core measure. The webinar will bring O’Neill’s approach to life for attending leaders by comparing typical practices in healthcare with case examples from Alcoa and the institutions in healthcare that have applied this "playbook." Learning Objectives At the end of this webinar, you will understand: Paul O’Neill

Episode page with video clip, transcript, and more Welcome to Episode #71 of Habitual Excellence, presented by Value Capture. Joining us today as our guests are Leah Binder and Dr. Richard Shannon. Leah Binder is President & CEO of The Leapfrog Group, representing employers and other purchasers of health care calling for improved safety and quality in hospitals. Under her leadership, The Leapfrog Group launched the Leapfrog Hospital Safety Grade, which assigns letter grades assessing the safety of general hospitals across the country. Richard P. Shannon, MD serves as the Chief Quality Officer for Duke Health. He is responsible for the overall direction, leadership and operational management of the quality and safety programs of Duke Health, and provides leadership in strengthening a quality culture where everyone is engaged and respected. Leah and Rick are both amongst the great lineup of presenters at an executive seminar that’s being hosted by Duke Health in Durham, NC — on September 15th and 16th — titled “Leading with Safety.” Today we’re going to be talking about the urgent need to improve safety and quality in healthcare — and what leading organizations are doing to make progress toward ideal care and zero harm. In today's episode, Leah and Rick talk with host Mark Graban, about topics and questions including: IOM ReportU.S. Hospitals Are Getting Safer for Patients, Study FindsConsolidated Appropriations Act of 2020

CEO for the MUSC Health Charleston Division and the chief clinical officer for MUSC Health. Welcome to Episode #70 of Habitual Excellence, presented by Value Capture. Joining us today as our guest is David Zaas, MD, MBA. He is the chief executive officer for the MUSC Health Charleston Division and the chief clinical officer for MUSC Health. Dr. David Zaas is a pulmonary and critical care medicine physician with an interest in advanced lung diseases and lung transplantation. Dr. Zaas's research interests have focused on improving outcomes from lung transplantation including the role of infectious complication and organ rejection. Dr. Zaas is also actively engaged in the education of students and graduate trainees as well as a leader in hospital administration. Dr. Zaas graduated from Yale University in 1994. He completed his medical degree at Northwestern University in 1998 and did his internship and residency at Johns Hopkins Hospital. He completed his fellowship training at Duke in Pulmonary and Critical Care Medicine in 2005. He formerly served as medical director for lung transplantation at Duke. Dr. Zaas joined the MUSC faculty in 2020 and he is a professor of medicine at MUSC. In today's episode, Dr. Zaas talks with host Mark Graban, about topics and questions including:

Episode page with video, transcript, and more Welcome to Episode #69 of Habitual Excellence, presented by Value Capture. Joining us today as our guest is Susan Moffatt-Bruce, M.D., Ph.D. M.B.A., FRCSC. She is a thoracic surgeon and she is the Chief Executive Officer at the Royal College of Physicians and Surgeons of Canada. She was previously executive director of The Ohio State University’s Wexner Medical Center University Hospital. Prior to that, she was the OSU Wexner Medical Center’s first chief quality and patient safety officer. She and her team were celebrated for their success in reducing patient safety events and hospital re-admissions. Dr. Moffatt-Bruce completed medical school and residency in General Surgery at Dalhousie University. She undertook a PhD in Transplant Immunology at the University of Cambridge, England, and completed her Cardiothoracic Surgery fellowship at Stanford University, California. She also trained at Intermountain Healthcare, the Institute for Healthcare Improvement, Harvard School of Public Health. Dr. Moffatt-Bruce has a Lean Six Sigma Black Belt certification. She earned her Masters of Business Operational Excellence and her Executive Masters of Business Administration at the Fisher College of Business at the Ohio State University. In today's episode, Susan talks with host Mark Graban, about topics and questions including: Aravind ChandrasekaranEpisode 25 Click to visit the main Habitual Excellence podcast page.

Episode page: https://valuecapturellc.com/he68 Joining us today as our guest is Jeff Hunter, the President of Jeff Hunter Strategy. He is the author of Patient-Centered Strategy: A Learning System for Better Care, published by Catalysis in 2018. Jeff is on the faculty of Catalysis, and the Donald J. Schneider School of Business and Economics at St. Norbert College. From 1991 until his retirement in 2015 he was the Senior Vice President, Strategy and Marketing for ThedaCare, a healthcare system based in Appleton, Wisconsin. Jeff received his B.S. in Economics from the University of Detroit and his M.A. in Health Services Administration from the University of Wisconsin-Madison. In today's episode, Jeff talks with host Mark Graban, about topics and questions including: Click to visit the main Habitual Excellence podcast page.

Episode page: https://valuecapturellc.com/he67 Welcome to Episode #67 of Habitual Excellence, presented by Value Capture. Joining us today as our guest is Denise Cardo, MD. Dr. Denise Cardo is the director of the Division of Healthcare Quality Promotion (DHQP), National Center for Emerging and Zoonotic Infectious Diseases (NCEZID) at the Centers for Disease Control and Prevention (CDC). Dr. Cardo joined CDC in 1993 as a medical epidemiologist in the Hospital Infections Program (later named as Division of Healthcare Quality Promotion). After holding several leadership positions in DHQP, she was selected as division director in 2003. Her interests include patient safety, occupational health, prevention of healthcare-associated infections, and antimicrobial resistance. She’s recently the co-author of a NEJM Perspectives piece: Health Care Safety during the Pandemic and Beyond — Building a System That Ensures Resilience In today's episode, Dr. Cardo talks with host Mark Graban, about topics and questions including: PRHIKen SegelPaul O’Neill Click to visit the main Habitual Excellence podcast page.