Denise Cardo, MD of the CDC Talks About Aiming for Perfect Healthcare With Zero Harm

05/17/22 • 37 min

Habitual Excellence, Presented by Value Capture

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:

Why should we aim beyond merely “getting better” and why should we be aiming for Zero Harm?
Aim for “perfect healthcare with no harm?
What are some practices that are not evenly distributed across the US?
Working previously with PRHI - Ken Segel and Paul O’Neill?
70% decrease in harm showed what’s possible
Preventing preventable infections or ALL infections??
What is the role of CDC in promoting and partnering with healthcare organizations on patient safety? How has that evolved?
Policies to incentivize - transparency and accountability
Aligning payment to results... most countries aren’t there yet
Please tell us how the CDC partners with CMS, AHRQ, and other federal agencies? With private advocacy groups?
Focusing on Americans, CDC is a global leader — Collaboration or learning from similar organizations in other countries that are focused on patient safety?
Lessons from the Covid pandemic? As you wrote about in the NEJM, why have we seen more patient safety problems recently, including more falls, more infections, more pressure ulcers in hospitals and SNFs?
You and your co-authors wrote the recent trends “severely suggests that our health care system lacks a sufficiently resilient safety culture and infrastructure.”
Disparities and equity - not just access to care, but “quality care”
Moving forward, what evidence would you expect to see if we DID have a “sufficiently resilient safety culture and infrastructure”?

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.

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:

Why should we aim beyond merely “getting better” and why should we be aiming for Zero Harm?
Aim for “perfect healthcare with no harm?
What are some practices that are not evenly distributed across the US?
Working previously with PRHI - Ken Segel and Paul O’Neill?
70% decrease in harm showed what’s possible
Preventing preventable infections or ALL infections??
What is the role of CDC in promoting and partnering with healthcare organizations on patient safety? How has that evolved?
Policies to incentivize - transparency and accountability
Aligning payment to results... most countries aren’t there yet
Please tell us how the CDC partners with CMS, AHRQ, and other federal agencies? With private advocacy groups?
Focusing on Americans, CDC is a global leader — Collaboration or learning from similar organizations in other countries that are focused on patient safety?
Lessons from the Covid pandemic? As you wrote about in the NEJM, why have we seen more patient safety problems recently, including more falls, more infections, more pressure ulcers in hospitals and SNFs?
You and your co-authors wrote the recent trends “severely suggests that our health care system lacks a sufficiently resilient safety culture and infrastructure.”
Disparities and equity - not just access to care, but “quality care”
Moving forward, what evidence would you expect to see if we DID have a “sufficiently resilient safety culture and infrastructure”?

Click to visit the main Habitual Excellence podcast page.

Previous Episode

Meghan Scanlon on Transitions and Reflections, To and Within Healthcare

Episode page: https://valuecapturellc.com/he66

Welcome to Episode #66 of Habitual Excellence, presented by Value Capture.

Joining us today as our guest is Meghan Scanlon, the Vice President of Performance Excellence for Community Hospitals at Duke University Health System.

She was previously with Value Capture for almost 7 years as a Principal and Partner in the firm. Prior to that, Meghan and I worked together at Johnson & Johnson as part of a consulting team there that worked with medical labs and hospital systems. She has a BS in Industrial Engineering from Penn State University.

In today's episode, Meghan shares reflections, with host Mark Graban, about various career transitions that she has gone through in her career:

Transition from college to the working world
Transition into consulting for healthcare organizations
Transition to Value Capture
Transition to DUHS

Click to visit the main Habitual Excellence podcast page.

Next Episode

Jeff Hunter on Managing Strategy with Focus and Agility

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:

As we shift to a new mode of the pandemic — living with Covid — What are you hearing from healthcare leaders about what’s required next?
Hearing a lot of “Thank God I had the Lean management system” for the pandemic - discipline, standard work
How do you define strategy? Not just a binder...
Strategy plan vs. strategy?
Differentiation — what differentiates us? Not imitating
From budgeting to financial forecasting (beyond budgeting)
Strategy plan or hypothesis? - PDSA cycles — Roadmap or GPS?
Strategy formulation and strategy deployment??
Lot of choices that have to be made? How to make better choices? Better choices more quickly?
How do you define a management system, a strategic management system? What makes it really work?
Reinvigorating the management system, but learning from the first time