The Institute for Healthcare Improvement (IHI), an independent not-for-profit organization based in Boston, Massachusetts, is a leading innovator, convener, partner, and driver of results in health and health care improvement worldwide. At our core, we believe everyone should get the best care and health possible. This passionate belief fuels our mission to improve health and health care.
Episodes
Tuesday Aug 07, 2018
Tuesday Aug 07, 2018
June 2011 Author in the Room® Teleconference
Author: Dr. Eric Widera
Article: "Finances in the Older Patient with Cognitive Impairment: 'He Didn't Want Me to Take Over'”
Summary Points:
- Individuals with Alzheimer’s disease will have increasing difficulty with finances over time, and the very first signs of this difficulty will occur prior to the diagnosis of dementia, when they have only mild cognitive impairment.
- Health care professionals, including physicians, should educate older adult patients and families about the need for advance financial planning and encourage the use of Durable Power of Attorney for Financial Matters.
- Using objective information from performance-based financial tests can help decide whether, when, and in which financial areas families or caregivers need to assume proxy financial responsibility.
Tuesday Aug 07, 2018
Tuesday Aug 07, 2018
July 2011 Author in the Room® Teleconference
Author: Gordon D. Schiff, MD
Article: "Medical Error: A 60-Year-Old Man with Delayed Care for a Renal Mass"
Summary Points:
- Appreciate the frequency, faces, and challenges of test result follow-up management errors.
- Understand selected reliability science concepts and ways they apply to the problem of test result management.
- Learn about some specific change ideas that can help ensure more fail-safe test follow-up.
Tuesday Aug 07, 2018
Tuesday Aug 07, 2018
- Concussion does not require a loss of consciousness and is typically a transient and reversible neurologic dysfunction
- Those with sports-related concussion should not return to play the same day
- Initial treatment often begins with rest and subsequent gradual activation
Tuesday Aug 07, 2018
Tuesday Aug 07, 2018
September 2011 Author in the Room® Teleconference
Author: Dr. Laura Mosqueda
Article: Elder Mistreatment: "I don't care anything about going to the doctor, to be honest..."
Summary Points:
- Elder mistreatment encompasses a range of behaviors, including emotional, financial, physical and sexual abuse, neglect by other individuals, and self-neglect
- Nearly all of the United States has mandatory reporting laws for health care professionals.
- Dr. Laura Mosqueda discusses elder mistreatment in community-living older adults, associated factors and consequences, and practical approaches a health care professional can take when a reasonable suspicion of elder mistreatment arises.
Tuesday Aug 07, 2018
Tuesday Aug 07, 2018
October 2011 Author in the Room® Teleconference
Author: Michael Paasche-Orlow, MD, MA, MPH
Article: Caring for Patients with Limited Health Literacy
Summary Points:
- Health literacy is the degree to which individuals have the capacity to obtain, process, and understand health information, skills, and services needed to make informed health decisions and take informed actions.
- Clinicians can help patients with limited health literacy by removing unneeded complexity in their treatment regimens and in the health care system and by using teach-back methods to assess and improve understanding.
- A patient-based universal precaution approach for confirming patient comprehension of critical self-care activities can help ensure that all patients have their health literacy needs identified.
Tuesday Aug 07, 2018
Tuesday Aug 07, 2018
- Prevalent, fragile population, cared for until the end of life
- Care must be interdisciplinary
- Facility, staff, physicians
- Residents, family members
- Understand and anticipate natural history of aging and decline in long term care, including planning, assessment, continuing care, acute care, and end-of-life care
Tuesday Aug 07, 2018
Tuesday Aug 07, 2018
- Celiac can present at any age with a wide variety of signs and symptoms and delay in diagnosis is common
- Testing for celiac disease with IgA tissue transglutaminase is accurate and cost-effective
- The only treatment for celiac disease is the gluten free diet, but this is very burdensome and requires ongoing education and support
Tuesday Aug 07, 2018
Tuesday Aug 07, 2018
January 2012 Author in the Room® Teleconference
Author: Hal Sox, MD
Article: New American Cancer Society Process for Creating Trustworthy Cancer Screening Guidelines
Summary Points:
- Trustworthy guidelines require transparency about purpose, process, evidence, and rationale.
- Trustworthy guidelines require a systematic review of the pertinent evidence.
- Expertise in evaluating evidence and freedom from financial conflicts of interest are the main requirements for membership on a guidelines panel. If these are present, then clinical skills are important.
Tuesday Aug 07, 2018
Tuesday Aug 07, 2018
February 2012 Author in the Room® Teleconference
Author: George A. Bray, MD
Summary Points:
- Excess calories are stored as fat, independent of protein.
- Protein increases metabolic rate and lean body mass.
- Adherence to a diet is more important than the macronutrient composition of that diet.
Tuesday Aug 07, 2018
Tuesday Aug 07, 2018
March 2012 Author in the Room® Teleconference
Author: David S. Ludwig, MD, PhD
Article: Weight Loss Strategies for Adolescents
Summary Points:
- Childhood obesity arises from a complex interplay of biology, behavior, and the environment. Consequently, successful treatment requires targeting multiple determinants of body weight.
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Family-based treatment offers the most immediate and effective approach for childhood obesity, with benefits for all family members.
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Ultimately, the solution to the obesity epidemic will require a comprehensive public health strategy to make the social environment healthier for children and adults.