Raise a Ruckus That Ignites a Revolution

Nine heart-led and driven individuals ( Laina Latterner , Doug Pohl , Gabe Charbonneau, MD , Heather Slutzky, MLS, CPXP Lonnie Hirsch , Toni Land, MBA, BSN, CPXP, LCC Todd R. Otten, MD, FAAFP Bruce Berger, PhD Danielle (Danie) Turpin ) joined me for a conversation this past Monday.  Each is actively engaged in doing something meaningful to bring positive changes to healthcare.  

The title for the event was "The Bridge" because many can see and talk about what we need to do, but few are taking action – we need a bridge between knowing and doing. These nine were the right individuals for this initial discussion about what the bridge might be.

Then, a few days later, I had a conversation with Alexa Brett, M.Ed HR OLPC and she brought up the idea of a bridge between impactful ideas and action.  

It made me think we might be on to something. We are in need of a bridge—a powerful conduit for change. 

The conversation on Monday also included identifying those already working to create change. Doug Pohl (I believe) mentioned The Patient Revolution – a heart-centered non-profit seeking to disrupt the industrialization of healthcare. But during our Monday talk, there was concern about the word "revolution." It can sound negative.  We want to inspire people to work together and unite in action. We want this action to be courageous and determined and not perceived as negative and combative.  

So, what's the best word that shows how we can unite many people, create a bridge between knowing and doing, and positively transform healthcare?

Renaissance? Evolution? Revitalization? Renewal?

Hmmm, for now, I'm sticking with The Bridge.  As Leslie Pagel said (see her post below) – 'Charge!'

This is the fifteenth edition of Let's Make a Ruckus. This bi-weekly newsletter aims to provide you with knowledge, resources, and connections of value that support your work in healthcare. We will celebrate ruckus makers, introduce you to those doing work that makes a difference, and keep you informed of upcoming opportunities where you can let your voice be heard and make a ruckus.

Each image shared in this newsletter links to the original post. To contribute your voice to the conversation, offer a 'like' to demonstrate your support, or read the comments of others, click the image. The Ruckus Makers highlighted will appreciate your engagement with their shared view. I encourage you to follow all of the individuals featured in this newsletter!

Celebrating a Ruckus Maker

Bruce Berger, PhD is an accomplished author, a captivating speaker, and passionate healthcare advocate. His kindness and generosity shine through in every interaction, leaving a lasting impact on all who cross his path.

Bruce's contributions to The PX Community have been nothing short of remarkable. During two impactful events, his insightful content ignited awareness and piqued the interest of participants. As an advocate for healthcare improvement, Bruce's research revolves around understanding how healthcare professionals communicate with patients and how their words affect patient outcomes, including treatment adherence.

Bruce Berger's dedication to enhancing healthcare communication embodies a genuine commitment to making a difference in the lives of both patients and providers. It has been my privilege to meet and learn from this Ruckus Maker.

Book: Motivational Interviewing For Health Care Professionals

Website: comMIt - Comprehensive MI Training

An example of content Bruce shares on LinkedIn. This post had tremendous engagement and the extended conversation was informative through the voices of many.

Don't Miss These LinkedIn Posts!

There have been many who post content suggesting a need to do something about the problems in healthcare. This post from Michael O'brien calls for a revolution. Let's do as Brad Arner volunteered and 'Happy arm the insurgency!'

Link to the JAMA opinion piece HERE

Ann M. Richardson, MBA shares reasons for the need to unite and stop the current trajectory of our healthcare system.

Displaying the top 👆 and bottom 👇 of the post because of its length. Click the image to see the full post.

Link to John A. Marzano 's share: The Five Most Important Questions Hospitals must Answer in Planning for the Future

Dike Drummond MD further added to the reason the system needs to change. I appreciate Dr. Richard C. Scepura expanding this to include all who work in healthcare.

Link to the blog article HERE

Todd R. Otten, MD, FAAFP 's post and Diana Londoño, MD 's comment add to the voices calling for change.

Thank you, Peter Hayes for highlighting Eric Bricker, MD 's post identifying an important issue in healthcare. The measures used to incentivize healthcare decisions are not aligned with the improvement of healthcare.

Preston Alexander shares the reality behind why nurses strike.

Thank you Sachin H. Jain, MD, MBA , you are correct. There is much talk about health equity, but little effective action. Appreciate the recommendations from you and Daniel Wolfson .

Link to download the article HERE

Kathleen Bartholomew ! An experience such as yours should not include concern about the cost to receive needed care. Thank you for sharing your story and aligning it with a call to action

If we are to leave a legacy of caring for humanity, it is imperative that we create a radically new system; one that rewires health care from individual billable transactions to providing health services for communities; an apolitical system whose core belief is that everyone has the right to be well.

Peter Pronovost MD, PhD, FCCM offered awareness of a new BMJ Quality and Safety study.

An eye popping 600,000 to 1 million Americans suffer permanent disability or death from diagnostic errors each year in the US.

Yes, Jeffrey M. Lewis, MBOE, BSN, RN, LSSBB , definitely as important as "To Err Is Human" and "Crossing the Quality Chasm."

Link to the SIDM press release HERE

Link to the BMJ article HERE

Grace Cordovano, PhD, BCPA shared these next two posts highlighting healthcare system decisions that have not been made with consideration of what is best for those they serve. Patients were not at the center of these decisions.

Grace's second post:

Thank you, Rebecca Love RN, MSN, FIEL , for making the connection of the healthcare crisis beyond the doors of our hospitals. I appreciated the contribution in the comments, such as those shared by Andrea Z. and Tom Burns BSN RN .

Link to the article HERE

Those posts above offered reasons for us to take action. As we consider doing so, I appreciate Liz Fosslien post. I read this as 1) gathering a support system - others who also want to step forward and effect change, and 2) being aware that we won't get it right at first and don't let that prevent us from trying.

This post from Apurv Gupta, MD, MPH , and the contributory comment from Lonnie Hirsch offer important considerations as we embark on our efforts to transform healthcare.

Jim Ferrell 's analogy is a good reminder that our individual perspective excludes the ability to see the full picture. It will take the contribution of all view points - physicians, nurses, support teams, leaders, payers, politicians, and patients - to create the change we desire.

We can't escape the page alone. Only together - by dissolving the barriers within and between us.

To see by my eyes, and by yours.

Exactly, Ted James, MD, MHCM !

The balance between business and service can be challenging, but finances should serve as the means, not the end goal.

Our mission should always center on preserving health, saving lives, and serving communities.

Link to the article HERE

Doug Pohl - I celebrate your post! Yes, to positive dialogue and the avoidance of blaming. Amy Story - love "shift the dialogue from 'us vs them' to 'us, together.' Exactly!

Irith Lebovich, MD - a perfect example of time and effort wasted in shaming. You are correct, two wrongs don't make a right. Instead of creating a 'catchy story' let's guide our media towards elevating the real needs of healthcare improvement.

As I themed the posts captured over the last two weeks, leadership was the next most populated category. Fitting to follow the call to action for healthcare transformation. This post from David McLean is excellent for all - we all lead through actions if not title - to consider. Above the line leadership is what we need!

This post from Dr. Candace (Candy) Campbell, DNP (aka Florence Nightingale) follows the one above well. When we work to elevate the frequency of leading above the line, how positively others feel when around us will elevate.

Katie Quinney , I celebrate your willingness to share your struggle when in this role. And for your awareness that you were doing the best you could. We too often blame-shame those who are truly doing the best they can. Let's instead offer a hand and help lift them to the next level.

This post from Alexa Brett, M.Ed HR OLPC follows nicely with the one from Katie above. Thank you for sharing this, Alexa!

Link to article HERE

And these skills are not SOFT! These critical and REAL skills are needed to effectively relate with our peers, interact with our patients, and lead our teams. Thank you for sharing this article Yvonne McLean .

Link to the article HERE

Thank you for sharing this post from Nora Warshawsky, PhD,NEA-BC, CNE, FAAN , Greta Rosler . Important research offering insight into those factors that contribute to the ability to lead more effectively. I hope organizations that have nurse leaders with more than 50 FTE's (which I have seen far too often) consider these findings.

Link to the article HERE

Oh, Mark Shapiro, MD ! I celebrate your shared experience and learnings. None of us are perfect, and we are all a constant work in progress. How are we going to support ourselves as we learn and grow? Let's work first on the words we use when we talk to ourself.

Link to full conversation HERE

Nina Bianchi , I smiled as I read the first sentence and envisioned you celebrating and cheering 😃 Thank you for the joy you gave me from that vision and for sharing this article.

Link to article HERE

It is important to consider all the variables as we set goals and create our strategy. This is an excellent example, Angelo Venditti . Loved your contribution to the conversion, Greta Rosler .

Appreciated this view on 'thought leaders' as I am often concerned that we only hear from a few when most have valuable contributions to add to the conversation. Thank you for sharing Amy Story . And I agree 💯percent with what Doug Pohl said - the conversation in the comments is where the good stuff comes from.

Useful contribution to the conversation about 'thought leaders' or 'influencers' from Ann M. Richardson, MBA . I completely agree that 'healthcare cannot afford more noise.' I also believe those outside of healthcare have insights to offer.

I see this as a 'yes, and' - those only seeking to line their wallet (and there are too many) are negatively contributing noise. Those seeking to partner and help and are actively listening to learn are welcome to join the conversation.

Displaying the top 👆 and bottom 👇 of the post because of its length. Click the image to see the full post.

As we transition to Patient Experience related posts, we begin with this one from Laura Cooley, PhD . The conversation in the comments contributed greatly!

Much to learn from what the VA has accomplished in enhancing experience and trust. Thank you Jason A. Wolf, Ph.D., CPXP for sharing Jennifer Purdy, LCSW, CPXP 's post.

Link to the article HERE

Thank you for the suggestions for how to turn PX governance meetings in to jam sessions, Bill Staikos !

Brian Carlson , appreciate your generous share of insights you gained from others!

Foundational, thank you for this share Harvey Max Chochinov . Grateful that Nicki Macklin tagged me on this!

People around the world want to be seen and respected for who they are.

Love the simplicity of asking, "I know a lot about you medically, but much less about who you are as a person. So, tell me, what do I need to know about you as a person to give you the best care possible?"

Our solutions do not need to be complicated. We will have the greatest success with simple and heart-led modifications.

What is data storytelling? Let an expert, Roseanna Galindo, CCBA, CAVS 📊 , help you to learn!

Are the only actions to take the ones that can be quantitatively measured? Thank you for this post Tom Dahlborg , and let's focus on creating

Compassion fueled loving relationships with one another, building mutual trust, creating community, driving out fear, and instilling a balanced approach to data and together improve patient experience, achieve the quintuple aim, move from value based care to values based care, from healthcare to healthCARING, and from revenue centered care to love centered care.

Following your lead, Leslie Pagel - CHARGE!

Antra B. - wow, what a beautiful way to shine a light on Keith Carlson, BSN, RN, NC-BC ! This is a model example of actions for us each to take daily. Recognize the contributions of others and show each other appreciation. Congratulations to you and to Keith!

Jeff Atwood - I appreciate your consistent messages that inspire us to think a bit differently and find the positive. So true; I also learn more on my bad days than my good.

Nick DeStefano, MS,CPXP I love this! The perfect way to end this list of shared posts. Let's all go out and be A.W.E.S.O.M.E!

There were so many good posts these past two weeks that I have maxed the space allowed by LinkedIn for this newsletter. I may have maxed your attention as well, but in case you are interested in a few more of great value, I encourage you to check these posts out:

From Alexa Brett, M.Ed HR OLPC 🔹HERE

From Angelo Venditti 🔹HERE

From Ann M. Richardson, MBA 🔹HERE

From Charity Hix, MD 🔹 HERE

From Corey Amann, MD, MBA - Sharing Dutch Rojas 's post 🔹 HERE

From Greta Rosler 🔹HERE

From Jared Johnson 🔹 HERE

From John L. Sims Jr., MSN, RN, CNL, CMSRN 🔹 HERE

From Katie Quinney 🔹 HERE

From Leslie Pagel 🔹 HERE

From Liz Fosslien 🔹 HERE

From Joe Tye 🔹 HERE

From Michael Hersh, MD 🔹 HERE

From Nina Bianchi 🔹 HERE

From Preston Alexander 🔹 HERE and HERE

From Rebecca Love RN, MSN, FIEL 🔹 HERE

From Roseanna Galindo, CCBA, CAVS 📊 🔹 HERE

From Todd R. Otten, MD, FAAFP 🔹 HERE

From Valerie Choniuk, MPA-HCA, CPXP 🔹 HERE

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Upcoming PXC Events - Available for Anyone to Join!

The events hosted by The PX Community offer and encourage your contribution. Ask questions, contribute your ideas, and share your knowledge. Your voice matters. Let's make a ruckus!

This year we are testing Speed Networking directly following each event. Come for the event and stay for the networking!

Event on July 28, 2023: Open Conversation - Fostering Human Connection Across the Care Continuum.

Event on August 4, 2023: A Conversation With an Experience Evangelist - Shawn Nason.

Event on August 11, 2023: Words Matter - Exploring the Preferences of 'Patient' vs 'Customer' Through Data with Toni Land, MBA. BSN, CPXP and Meike Eilert, Ph.D..

Event on August 18, 2023: Conversations Worth Having in Healthcare - Boost Satisfaction & Care Quality with Elizabeth Warner, MD FACP CPE, Fasiha Haq, Cheri Torres, and Jackie Stavros

Event on August 25, 2023: Open Conversation - Breaking the Experience Silo and Collaboration Within Our Organizations