Leadership Conversations
This podcast from NEJM Catalyst features interviews with leaders in health care as they discuss innovative ideas and actionable solutions for enhancing the value of health care delivery, providing perspectives on what's working in the industry, what's not, and why.
Episodes
How Health Policy Shapes Clinical Innovation
Why should physicians engage in health policy, and how can payment rules quietly steer care, innovation, and the spread of new models?
Transparency as an Ethical Promise: HealthLocator, Trust, and Patient-Centered Quality
How HealthLocator can help patients find high-quality care while building trust, improving transparency, and supporting organizations in a more patient-centered quality ecosystem.
Evaluating Value-Based Care: A Look Inside Risant Health’s Platform Strategy
Can a scalable, technology-enabled platform make value-based care work across fragmented health care systems? Early results from Risant Health suggests it can.
Healing the Gun Violence Epidemic through Health System Action
How can health system leaders move beyond treating gun violence as an injury event to address it as a preventable public health crisis?
Advancing Health Equity in a Time of Retrenchment: On Equity, Value, and the Work Ahead
How can health care organizations advance health equity when political, legal, and cultural forces are making the work more difficult?
Modern Presidential Leadership and Health Care’s Defining Moments
How the actions of Presidents Obama, Trump, and Biden through personal experience, leadership, and legislature reveal their greatest health care victories while president.
How CMMI’s Mission Remains the Same Despite Changes in Leadership
Two Center for Medicare and Medicaid Innovation directors, past and present, compare notes on how the center maintains its mission of making care more affordable and accountable through administration changes.
Rethinking Leadership for Academic Medical Centers: Navigating the Challenges
What’s driving the shift from an individual leader for academic medical centers to a team-based operational leader and how to proceed to that transformation.
Leading Transformation in Rural Health: How Mayo Clinic Health System Is Redefining Care, Culture, and the Use of AI
How Mayo Clinic Health System is transforming care for largely rural communities while reshaping culture, workforce, and AI-enabled practice across a widely dispersed network.
Leading Academic Medical Centers Through Crisis and Renewal: Emory’s Turnaround and New Vision for Greatness
How an academic medical center emerged from financial deficits, workforce turnover, and low morale to become a high-performing, trusted system that defines what “great” will mean for academic medical centers in the decades ahead.
High-Reliability Organizing: Refreshing a Proven Framework for Modern Health Care Challenges
How can health care leaders refresh the high-reliability organization (HRO) concept to address today’s workforce shortages, AI integration, and complex care delivery demands?
How Physician Coaches Can Be Beneficial
How a physician coach can create growth through vulnerability and help view clinical practice in an entirely new way.
Beyond the Hype: How AI Is Finally Delivering on Digital Health’s Promise
After a decade of disappointment with electronic health records that turned physicians into data-entry clerks, generative AI is emerging as the transformative force that will restore the physician-patient relationship while solving health care’s most intractable operational challenges.
Building Community and Empathy Through Health Care Book Clubs
NYU Langone Health’s Patient Experience Book Club demonstrates how simple, low-cost initiatives can foster meaningful connections among health care workers while improving professional well-being and institutional engagement through shared reading experiences.
Fostering Courtesy and Respect Within a Public Health Care System: A Pilot Program
A pilot program at Parkland Health uses “courtesy and respect” stickers on hand sanitizer dispensers to make respectful communication as ingrained as hand hygiene.
How Optum Is Tackling the Primary Care Crisis
How one organization is tackling primary care issues by reducing burnout, building team-based models, and using technology to create a better practice environment.
Teamwork and Touch Base by 12: Building Trust Through Better Communication
Working together as a team to better communicate between physicians and nurses as well as the complete caregiving team will enhance the experience for patients.
Distinguishing the Difference Between Curing and Caring When Treating Patients
How to excel at both curing and caring with an understanding of the distinction.
Scaling AI-Driven Health Care at Optum Amid Industry Transformation
How do we produce better health outcomes and an exceptional experience at a lower cost, at scale, every day? Learn how a large health care services company is striving to serve its population’s physical, mental, pharmacy, social, and financial needs through three core areas: value-based care, pharmacy services, and technology...
Redefining and Structuring Three Soft Skills into Hard Skills
Advocating to transform soft skills into hard skills to improve patient and caregiver experiences.
The (Unique) Role of a Chief Clinical Financial Officer
How the importance of physician leadership that understands the financial aspects of health care can lead to unique roles that directly work toward improving patient care and financial operations.
Accelerating Clinical Technology Adoption Through Human-Centered Implementation Strategies
Successful health care technology adoption requires moving beyond the boardroom to understand workflow integration, cultural dynamics, and operational processes that determine whether innovations become indispensable clinical partners or abandoned tools.
Building a Global Innovation Ecosystem to Transform Health Care from Within
Health care transformation requires more than isolated innovation efforts — it demands a global ecosystem where institutions become engines of entrepreneurship, spinning out solutions from within while collaborating across borders to scale impact and achieve financial sustainability.
The Six Rs in Action: Achieving Operational Excellence and a Common Language at Scripps Health
How can a simple, systemwide framework empower 20,000 frontline staff and leaders across Scripps Health to boost retention, reduce costs, and drive operational excellence — all while keeping patients at the center? Dr. Ghazala Sharieff reveals how the six Rs turned bold goals into everyday actions, building a common language...
Engaging Complex Health System Boards in Quality and Safety Governance
Effective board governance in complex health systems requires structured approaches that cascade quality and safety accountability from the boardroom to the bedside, creating bidirectional information flow that empowers frontline teams while maintaining strategic oversight.
GLP-1 Access and Affordability: Policy Options and Market Strategies
How can policy makers and health care leaders ensure affordable, equitable access to GLP-1 medications while managing their substantial budget impact on the health system?
Collaborating to Affect Change for Rural Health Care with Innovation and Technology
How can the partnership and collaboration of multiple health care organizations attack the challenges of rural health care?
Leading from Within: Cultivating Effective Leadership and Followership in Health Care
This discussion highlights the importance of recognizing that everyone can engage in leading within their roles, while also addressing the crucial skills of followership and the need for clarity in leadership roles to foster effective teamwork and improve patient outcomes.
Expanding the Community of Learning for Value-Based Health Care
How hospitals are facilitating knowledge sharing and accelerating the implementation of value-based health care with the Value Catalyst Community.
Health Care Policy in a Changing Political Landscape
What are the key health care policy challenges and opportunities on the horizon for 2025, and how might recent election outcomes shape these discussions?
Four Core Themes for Supporting Family Member Care Partners
Family caregivers of acutely ill patients are critical members of the care team. How can health care professionals better support these care partners?
Optimizing Employer-Sponsored Health Insurance in the Face of Increasing Cost Pressures
How can employers provide health insurance coverage that’s both high quality and affordable?
Five Strategic Priorities for Pushing a Better Health Care System Forward
A health care CEO’s most important responsibility is to maintain the sacredness of the patient-clinician relationship and ensure that interaction is as valuable for both the physician and the patient as possible.
Evolving from “Family and Friends” Health Care Boards to Competency-Based Governance
What competencies are needed in the boardroom to advance the mission of creating healthier communities? How do health care system governance boards make these changes?
Five Critical Leadership Skills for Managing a Health Care Merger
A checklist of leadership skills for building trust through transparency, actions, and consistency that apply to health care mergers as well as day-to-day health care leadership.
Care Innovations for Reaching Rural Populations
Innovative examples of overcoming challenges in rural health care access caused by distance, weather, clinician shortages, and other reasons, by connecting with patients virtually and locally.
Investing in the Right Thing: How Simplified, Value-Based Care Moves Health Upstream
Value-based care frees up health care organizations to go upstream and invest in the health and well-being of their community members.
Having the Backs of Our Caregivers: Strategically Partnering Without Losing Staff
In strategic partnerships with others focused on improving costs and efficiencies, a health system needs to continue to be the right side of the brain, looking for the opportunities, not doing the routine tasks.
Resolving Physician Shortages with New Care Models
We need to redesign the care delivery model in a way that allows physicians to be the good doctors they are while still providing patients with full access to care.
The Mangomoment: Small Acts of Health Care Kindness and Leadership
Everyone in health care can integrate Mangomoments into their daily practice.
System-Level Change Management with a Population Health Lens
Sustainable, forward-looking health care systems need to provide community-based care while managing risk-based economic models and populations.
Transforming from Inconsistent Greatness
The bar is not set for high-performing health care systems. It’s moving, with many opportunities to improve beyond inconsistent greatness. Transformation involves changes in mindsets, culture, and processes, along with a particular approach to care delivery.
Setting the Benchmark: Improving Outcomes for All
With core outcome measures set for ICHOM, the next step is maintaining focus on implementation.
RETOOL: Engaging with Gig Workers for the Foreseeable Future
A six-component model for including gig workers as valued members of the health care team.
Carbon Neutral Care Is Not Impossible
How Kaiser Permanente became the first carbon-neutral health system and the eighth-largest user of solar energy in the United States.
Population Health Management: The Next Big Inflection in Health Care
The external and internal factors necessary for population health management in the transformation to value-based care.
Value-Based Care in Action: A Growing, Necessary Disruption to the Status
Quo
With health care in crisis, switching to value-based care is a necessary disruption that organizations and nations must take.
You May Never Use It, but You Build It Anyway: Preparing Health Systems for Tragic Events
The purpose of health care systems is not just to cure illness. To make a dent, they must be part of their communities, addressing inequities in care.
With PROMs, It Matters What You’re Measuring
When it comes to PROMs, there’s a difference between measuring something important to patients’ treatments versus important to their lives.
Health Care Is Simple but Profound
Health cannot be achieved unless health care also addresses mental health and social care.
What’s Up with Health Misinformation?
Health care does not begin when someone walks in the door of their doctor’s office, but when they search online for videos and articles and then act on that information — whether good or bad.
Weathering Storms as Pandemic Prep: How Katrina Aided Ochsner’s Response to Covid-19
From generators to digital medicine, Ochsner has bolstered its processes to be ready for the worst.
Health Equity, Environmental Sustainability, Workforce: The Joint Commission’s Three Strategic Priorities
A directional approach from The Joint Commission on three key areas of health care quality improvement.
Communication Innovation in the Covid-19 Era
How creating a short TV show with health care leadership captured the attention of staff at Vanderbilt far more than written communication.
Equitable Kidney Disease Care: Far from Perfect, Far from Done
The Chief Medical Officer for DaVita Kidney Care discusses how the organization is addressing health inequities in the kidney disease population.
Advancing Health Care Affordability in Massachusetts and Beyond
The CEO of Blue Cross Blue Shield of Massachusetts describes his work in making population-based contracts a norm in the state and what still needs to be done to improve health care affordability and access.
Racial Equity Plan: Developing Specific Actions for Anti-Racist Health Care
The Senior Vice President and Senior Associate Dean for Health Equity and Inclusive Excellence for Vanderbilt Medical Center discusses the development of their Racial Equity Plan.
Improving Care for the Intellectually Disabled
Intellectual disabilities affect 1–3% of the U.S. population. The Executive Vice President and Chief Clinical Officer for Prisma Health discusses how health care redesign should factor in this population to reduce the health disparities they face.
Full Lifecycle Interventions for Addressing Social Determinants of Health
How Priority Health focuses on social determinants of health to meet its members’ unique needs.
Covid-19 Learnings from the Ebola Crisis
The CEO for Texas Health Resources says that “learning has to be done quickly” and describes what his organization has done to meet the needs of their patients and staff.
Confronting Racial Disparities in C-Suite Health Care Leadership
Hurdles faced by a Chinese American breaking into the C-suite sphere of U.S. health care leadership dominated by white men, the adapting of different cultural values, and advice for younger generations aspiring to the C-suite.
Confronting the Nursing Crisis by Recontextualizing Its Past and Reenvisioning Its Future
The former CEO of Memorial Hermann Health System, who began his career in nursing, traces the history of the nursing shortage back to the 1970s and offers a selection of solutions for its current iteration, focusing on short-, medium-, and long-term tactics.
The Top of the Pyramid: High Quality, Best Value, Patient-Centered Care
If we don’t have equity, we don’t have quality, says the CMO of the Centers for Medicare & Medicaid Services.
Telemedicine Is Medicine: Training Medical Students on Virtual Visits
Physicians are responsible for making patients feel safe and secure, whether that’s in-person or via a screen.
Lessons from a Female CEO: You Never Learn If You Don’t Challenge Yourself
“It never entered my mind that my gender would be a limiting factor for me,” says the President and CEO of Saint Alphonsus Regional Medical Center.
Applying the Equity Lens to Quality and Safety Initiatives
“I don’t think we can ever look at health care delivery, quality and safety, transformation and work, without having equity at the forefront of everything that we do,” says Eric Wei, MD, MBA, Senior Vice President and Chief Quality Officer for NYC Health + Hospitals.
How to Create Incentives for Improvement
How the Alternative Quality Contract strives to promote a system that produces health outcomes, not just health care.
Celebrating Successes During Bleak Times
The CMO of Montefiore Medical Center explores what they got right during the height of the pandemic — including playing music — and how to apply those learnings in the future.
Apollo Hospitals’ Response to Covid-19 in India: Behind the Scenes
How the Apollo Hospitals Group handled the intense spike of Covid-19 cases in India, and what they’ve learned from the thousands of families they’ve treated.
What’s the Performance Implication of a Nondiverse Leadership Team?
Missing important points of view around the C-suite table hurts the organization and the clinical outcomes they are attempting to achieve, says Ron Williams, former chairman and CEO of Aetna.
Turning the Mirror on Ourselves to Manage Nonstop Crisis Mode
Naming the challenges and crowdsourcing the strategic plan are two ways Oregon Health & Science University is tackling the ongoing challenges from 2020.
What Went Right in Israel During the Height of Covid-19?
The Chief Medical Officer and Chief Innovation Officer for Sheba Medical Center discusses how Israel was able to keep its case mortality rate low.
Trauma in Our Streets and in Our ED: How a Minneapolis Trauma I Health Center Handled 2020
It’s not about blaming others, it’s about doing our part to address the inequities and unjust reality we see in health care, says the CEO of Hennepin Healthcare.
A Nurse Is Not Just a Nurse: The Challenges of Nursing During a Pandemic and Beyond
Burnout in nursing began long before the Covid-19 pandemic. What will health care leaders learn from the past months to make sure this problem doesn’t continue into the future?
Like a 100-Day Hurricane: Sustaining Months-Long Crisis Response
UF Health Jacksonville’s CEO describes the safety-net hospital’s hurricane mindset for sustained Covid-19 pandemic response and leadership efforts such as receiving the vaccine first.
Covid-19 Vaccine Distribution: One of the Most Complex Tasks in American Public Health History
What can health systems and their public health partners execute on now to accelerate and amplify vaccination efforts?
Why Can’t I Get It? Make Covid-19 Vaccination Convenient and Simple
The Executive Vice President and Chief Medical Officer for CVS Health remains optimistic about the United States’ Covid-19 vaccination efforts.
Public Health and Population Health: Are They the Same Thing?
Especially important during a pandemic, health care’s common challenge is making sure how we deliver care and change the structures of society actually contributes to the health of the people we intend to serve.
Dance of the Porcupines: A View into the Rapid Development of Covid-19 Vaccines from Around the World — Part 2
The pharma industry came together under extraordinary circumstances to develop a vaccine for Covid-19. Biotech and AI will play a major role in what’s to come next.
Dance of the Porcupines: A View into the Rapid Development of Covid-19 Vaccines from Around the World — Part 1
The pharma industry came together under extraordinary circumstances to develop a vaccine for Covid-19. Biotech and AI will play a major role in what’s to come next.
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