Bonus Episode: Deep Dive on Dr. Agwunobi Interview Titelbild

Bonus Episode: Deep Dive on Dr. Agwunobi Interview

Bonus Episode: Deep Dive on Dr. Agwunobi Interview

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 In our first “bonus episode,” Dr. Alessi further explores some of the relevant topics from his conversation with Dr. Andrew Agwunobi, UConn Health CEO and executive VP for health affairs, such as patient safety, the per-capita cost of health care in the U.S. compared to other parts of the world, how aligned incentives might address that, and electronic medical records. Watch for periodic “deep dives” released as bonus episodes as Dr. Alessi brings in more guests throughout the year. Submit questions for Healthy Rounds With Dr. Anthony Alessi: HealthyRounds@uchc.edu Dr. Andrew Agwunobi: https://www.uconnhealth.org/about-us/leadership UConn Health: https://www.uconnhealth.org Support from UConn Health Orthopedics and Sports Medicine: https://www.uconnhealth.org/orthopedics-sports-medicine Grant support from Coverys: www.coverys.com Transcript Welcome to the Healthy Rounds Podcast, where we provide you with up-to-date timely medical information from national and international leaders in their fields. This podcast is brought to you by UConn Health, with support from the Department of Orthopedic Surgery and a grant from Coverys. Our podcasts here are not designed to direct your personal healthcare, which should only be done by your physician. I’m your host, Dr. Anthony Alessi, and today we’re going to do something a little bit different. Our first episode last week was with Dr. Andrew Agwunobi, the Chief Executive Officer for UConn Health and the Executive VP for Health Affairs. And, in our discussion with him, he brought up several topics and you know, we only have 20 minutes or so to have the conversation, but he brought up many topics and I think this is going to be happening as we do more and more of these interviews because they provide topics for us to really take what we’re going to be calling the “deep dive”. And that being these topics that we discussed really provoke further thought and the need for further explanation. So, I thought we’d have some fun with that by looking at some of the topics he brought up and maybe looking at them a little more carefully. Among the things he talked about were research, education, things that UConn can be doing to improve the stature of the university and you know, I guess we expect research and education to be part of it. But he also talked about patient safety, patient satisfaction, improving the patient experience. You know, when I first heard the term patient safety, I thought it was an odd term because you think right away, “well, I’m in a hospital, I should be safe.” But years ago, and I would say about 20, 30 years ago, we started looking at the entire hospital system and how we deliver care from the standpoint of industrial engineering. For those of you familiar with industrial engineering, it’s a way of looking at a process and finding a way to make it more efficient. So, you look for the weak points in that process and make corrections. So, in the case of healthcare, we looked at a lot of different things and I guess probably the most relevant change came in the operating room where we now have a timeout that’s mandatory. So, before surgery begins, when everyone who’s involved is in the room, they take a timeout to make sure we’ve identified the right patient by their armband, make sure we’ve identified what side or what procedure we’re going to be doing and where it’s going to be done. We also make sure we have all the proper equipment in the room. So basically, you have a checklist. And that brings me to a book called The Checklist Manifesto by Atul Gawande. Dr. Gawande is a surgeon and a famous author, but he looked at the use of checklists in medicine. Much like a pilot, right, before a pilot takes off, they go through a whole checklist to make sure various things are working, we know who’s available, what they should do, but they go through a checklist of all their buttons and dials before they even initiate taking off. So, medicine took that same, those same practices and applied it to really every procedure we do. If I’m giving an injection, say a nerve block, right, part of what I have to do is make sure that I’ve identified the procedure I’m doing, what side I’m doing, how have I marked my landmarks, and what I’m using. So again, a checklist to do a procedure. And that is to really help patient safety, and that’s just one example. We’re going to get Dr. Scott Allen on the show. Dr. Allen is an internist who is really the guru here in the state of Connecticut when it comes to patient safety and quality, and he won a great award last year from the Connecticut Hospital Association, so, I look forward to having him on as a guest as well and talk a little bit about that. One of the other things Dr. Agwunobi brought up was the per capita cost of care in the United States versus Europe. We spend twice as much as everyone else in delivering healthcare. The cost in the United States per capita ...
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