Details

<p>Preface ix</p> <p>Acknowledgments xv</p> <p>Introduction xix<br /><i>Frank Davidoff, MD</i></p> <p>1. Kevin Speaks 1</p> <p>2. Buckling Down to Change 11</p> <p>3. Quality Comes Home 43</p> <p>4. Run to Space 61</p> <p>5. Sauerkraut, Sobriety, and the Spread of Change 93</p> <p>6. Why the Vasa Sank 127</p> <p>7. Eagles and Weasels 155</p> <p>8. Escape Fire 177</p> <p>9. Dirty Words and Magic Spells 211</p> <p>10. Every Single One 239</p> <p>11. Plenty 269</p> <p>About the Author 297</p> <p>About the Commentary Authors 299</p> <p>Index 305</p>

Donald M. Berwick, MD, MPP, is president, CEO, and cofounder of the Institute for Healthcare Improvement in Boston, Massachusetts. Dr. Berwick is a clinical professor of pediatrics and health care policy at the Harvard Medical School, and a pediatrician. An associate in pediatrics at Boston’s Children’s Hospital, he is also a consultant in pediatrics at Massachusetts General Hospital. Dr. Berwick is the coauthor of the books, Curing Health Care and New Rules, also available from Jossey-Bass.

"Why Is Changing Health Care So Hard?" <p>In this provocative and much-needed book, health care expert Dr. Donald Berwick shares eleven of his most compelling speeches. These unforgettable speeches (which were delivered at the Institute for Healthcare Improvement’s annual National Forum on Quality Improvement in Health Care from 1992 to 2002) dramatically show that we need to create a new system that guarantees that every patient has the benefit of care drawn from the best scientific knowledge available. No mere diatribe, Berwick’s vision for change includes practical suggestions and tools that can truly transform our broken system and puts the patient at the center of the health care system.</p> <p>"In this vibrant book, Don Berwick speaks about one of the most vexing issues of our time with compelling competence, penetrating clarity, relentless honesty, and heart-warming humor. In an era when so many public voices lack these qualities, Berwick gives us reason to hope that our most difficult social problems have solutions that are within reach. We are the solution, of course–if we are willing to emulate the intellectual and moral courage modeled by leaders like Don Berwick."<br /> –Parker J. Palmer, author, The Courage to Teach and Let Your Life Speak</p> <p>"[Berwick’s] target is a health care system that has evolved primarily to serve the needs and interests of those who work in the system–doctors, nurses, administrators, payors, insurers–rather than the needs and interests of patients."<br /> –from the Introduction by Frank Davidoff</p>

"In this vibrant book, Don Berwick speaks about one of the most vexing issues of our time with compelling competence, penetrating clarity, relentless honesty, and heart-warming humor. In an era when so many public voices lack these qualities, Berwick gives us reason to hope that our most difficult social problems have solutions that are within reach. We are the solution, of course— if we are willing to emulate the intellectual and moral courage modeled by leaders like Don Berwick." <br /> — Parker J. Palmer, author, <i>The Courage to Teach</i> and <i>Let Your Life Speak</i> <p>"[Berwick's] target is a health care system that has evolved primarily to serve the needs and interests of those who work in the system— doctors, nurses, administrators, payors, insurers— rather than the needs and interests of patients."<br /> — from the Introduction by Frank Davidoff</p>

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