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Thinking Upstream

Upstream Public Health

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A podcast from Upstream Public Health, a non-profit that works in partnership with communities to transform public health through organizing, policy advocacy, education, and developing the next generation of public health leaders. Support this podcast: https://podcasters.spotify.com/pod/show/upstreamph/support
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Turn on the Lights Podcast

Brought to you by the Institute for Healthcare Improvement (IHI)

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Hosted by Don Berwick, MD, MPP, FRCP, and Kedar Mate, MD, Founder and CMO of Qualified Health, and Former President and CEO of Institute for Healthcare Improvement (IHI), Turn on the Lights is a podcast that aims to improve health care worldwide by shedding light on health care issues through thought-provoking conversations. By demystifying health care problems, we hope to activate both the public and health care professionals to help us accelerate changes leading to health and health care i ...
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What if the hospitals serving society’s most vulnerable were actually delivering some of the most essential care in the country? In this episode, Dr. Eric Wei explores the vital role of public hospitals in serving vulnerable populations and dispelling the myth that they provide second-tier care. He discusses system improvements through Lean strateg…
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Burnout among health care professionals isn't just a staffing issue; it’s a crisis rooted in systems, culture, and misaligned values. In this episode, Dr. Steve Swensen explores the growing crisis of burnout and moral injury among health care workers, highlighting its roots in emotional exhaustion, misaligned values, and lack of agency, and how it …
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Hello everyone and welcome back to Money Power Health. This week, we are discussing so called “forever chemicals” or PFAS, a group of more than 10,000 man-made chemicals used in a wide range of industrial applications and consumer products. Of core interest to public health, they are resistant to degradation, meaning they persist in the environment…
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AI in health care is advancing rapidly, with promising uses in imaging and admin tasks, but its diagnostic and patient-facing roles demand careful, human-centered oversight to ensure safety and equity. In this episode, experts Brett Moran, Charles Binkley, and Lucas Zier discuss the evolving role of AI in health care, from established tools like im…
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Consumers must understand the crucial difference between legally permissible contaminant levels and true health-based goals for drinking water. In this episode, Cydian Kauffman, CEO of Pure Water Northwest, shares how his experience in property management led him to focus on water quality. He explains the EPA’s standards /MCL versus MCLG) and why m…
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CareQuest Institute for Oral Health is a national nonprofit dedicated to creating an oral health care system that is accessible, equitable, and integrated. Learn more about how their advocacy, philanthropy, research, and education are creating a better oral health system at carequest.org/turnonthelights The current health care system often prioriti…
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CareQuest Institute for Oral Health is a national nonprofit dedicated to creating an oral health care system that is accessible, equitable, and integrated. Learn more about how their advocacy, philanthropy, research, and education are creating a better oral health system at carequest.org/turnonthelights What if the path to better health and stronge…
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CareQuest Institute for Oral Health is a national nonprofit dedicated to creating an oral health care system that is accessible, equitable, and integrated. Learn more about how their advocacy, philanthropy, research, and education are creating a better oral health system at carequest.org/turnonthelights What happens when the power of large language…
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CareQuest Institute for Oral Health is a national nonprofit dedicated to creating an oral health care system that is accessible, equitable, and integrated. Learn more about how their advocacy, philanthropy, research, and education are creating a better oral health system at carequest.org/turnonthelights Democratizing knowledge is critical to bridgi…
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CareQuest Institute for Oral Health is a national nonprofit dedicated to creating an oral health care system that is accessible, equitable, and integrated. Learn more about how their advocacy, philanthropy, research, and education are creating a better oral health system at carequest.org/turnonthelights The erosion of government-funded science infr…
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CareQuest Institute for Oral Health is a national nonprofit dedicated to creating an oral health care system that is accessible, equitable, and integrated. Learn more about how their advocacy, philanthropy, research, and education are creating a better oral health system at carequest.org/turnonthelights The separation of oral and physical health ha…
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CareQuest Institute for Oral Health is a national nonprofit dedicated to creating an oral health care system that is accessible, equitable, and integrated. Learn more about how their advocacy, philanthropy, research, and education are creating a better oral health system at carequest.org/turnonthelights What happens when one of America’s largest he…
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CareQuest Institute for Oral Health is a national nonprofit dedicated to creating an oral health care system that is accessible, equitable, and integrated. Learn more about how their advocacy, philanthropy, research, and education are creating a better oral health system at carequest.org/turnonthelights How do we scale proven solutions in health ca…
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CareQuest Institute for Oral Health is a national nonprofit dedicated to creating an oral health care system that is accessible, equitable, and integrated. Learn more about how their advocacy, philanthropy, research, and education are creating a better oral health system at carequest.org/turnonthelights Curious about how we can fix the inefficienci…
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CareQuest Institute for Oral Health is a national nonprofit dedicated to creating an oral health care system that is accessible, equitable, and integrated. Learn more about how their advocacy, philanthropy, research, and education are creating a better oral health system at carequest.org/turnonthelights Palliative care aims to treat symptoms and im…
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CareQuest Institute for Oral Health is a national nonprofit dedicated to creating an oral health care system that is accessible, equitable, and integrated. Learn more about how their advocacy, philanthropy, research, and education are creating a better oral health system at carequest.org/turnonthelights The U.S. health care system is complex, costl…
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Hi everyone and welcome back to Money Power Health. We often tend to think of our health as the product of our own energies, something we alone are accountable for. But in reality, our health is to a large degree shaped by the conditions we find ourselves in, the quality of our air, the wealth of our parents, the food we have access to, our opportu…
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CareQuest Institute for Oral Health is a national nonprofit dedicated to creating an oral health care system that is accessible, equitable, and integrated. Learn more about how their advocacy, philanthropy, research, and education are creating a better oral health system at carequest.org/turnonthelights Anyone can choose leadership, and it requires…
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The alcohol industry is a significant commercial determinant of health, shaping global consumption patterns through aggressive marketing, lobbying against regulation, and expanding into new markets, particularly in low- and middle-income countries. With its substantial influence on policymaking and public perceptions, the industry has contributed t…
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The structure of the U.S. health care system, particularly employer-sponsored insurance, is significantly impacting the economic well-being of most Americans. In this episode, Zack Cooper, Associate Professor of Public Health and Economics for Yale University, examines the drivers of rising health care costs and their impact on individuals and the …
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Learning health networks offer a powerful, cost-effective approach to improving health care outcomes by fostering collaboration. In this episode, Dr. Peter Margolis, Co-Director Emeritus of the James M. Anderson Center for Health Systems Excellence at Cincinnati Children's Hospital, and Dr. Daniel Hyman, Principal and Founder of Frontline Quality S…
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The key to improving broken systems lies in identifying leverage points and strategically restacking existing resources. In this episode, Dan Heath, a New York Times bestselling author, discusses how to apply behavioral and systems thinking principles to health care. He emphasizes that health care, despite its challenges, can improve by focusing on…
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Hello everyone, and welcome back to Money, Power, Health with me, Nason Maani. This week we are speaking to Dr David Blane, a GP in Pollokshaws and Clinical Research Fellow at the University of Glasgow, and the academic coordinator of the Deep End GP network. As you know, in this podcast we have spoken about the ways in which the wider physical and…
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How well is the U.S. health care system working, and what is being done to address its biggest challenges? In this episode, Dr. Liz Fowler, former Deputy Administrator and Director of the Innovation Center at the Centers for Medicare & Medicaid Services, discusses the progress and challenges of U.S. healthcare reform, emphasizing the impact of the …
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Health care institutions can significantly reduce their environmental impact while also saving money and improving community health. In this episode, Dr. Jeff Thompson, former CEO of Gundersen Health System and advisor, discusses his pioneering work at Gundersen Health System in reducing greenhouse gas emissions. He explains that by focusing on was…
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How can we tackle deep-rooted health inequities and ensure sustainable change in our communities? In this episode, Dr. Thea James, Vice President of Mission and Associate Chief Medical Officer at Boston Medical Center, and Dr. Bisola Ojikutu, Commissioner of Public Health and the Executive Director of the Boston Public Health Commission, talk about…
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Despite decades of progress in geriatric care, too many older adults still struggle to receive the reliable, evidence-based care they deserve. In this episode, Dr. Terry Fulmer, President of the John A. Hartford Foundation, and Faith Mitchell, an Institute Fellow at the Urban Institute, discuss the development of age-friendly health systems and the…
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Is medical education stuck in the past, or can innovative approaches reshape the future of health care? In this episode, Dr. Abraham Nussbaum, Chief Education Officer at Denver Health, discusses the evolution and challenges of medical education, emphasizing the limitations of the traditional "textbook of the body" approach rooted in the Flexner Rep…
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Did you know that sleep-deprived doctors are more likely to make critical errors or that poor communication during patient handoffs can jeopardize care? In this episode, Dr. Christopher Landrigan, Chief of General Pediatrics at Boston Children's Hospital and co-founder of the I-PASS Patient Safety Institute, emphasizes the importance of systemic ch…
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How can healthcare systems worldwide overcome workforce challenges while adapting to shifting demographics, advancing technologies, and evolving patient expectations? In this episode, Dr. Navina Evans, the Chief Workforce, Training, and Education Officer at the new NHS England, discusses the challenges and evolution of workforce planning in the Nat…
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In a world where misinformation often outpaces facts, clear public health communication and preparedness are more crucial than ever. In this episode, Dr. Celine Gounder, Senior Fellow & Editor-at-Large for Public Health at KFF Health News, shares her journey from clinician to a media figure focused on public health, highlighting her roles during th…
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Imagine a health care system where patients are not just recipients but co-owners, shaping the services they receive based on the needs of their community. In this episode, Doug Eby and April Kyle discuss Southcentral Foundation's community-driven health care model, which prioritizes customer ownership, flexible management, and service integration …
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Is the rapid growth of Medicare Advantage a solution for health care efficiency, or is it a costly gamble that benefits insurers more than patients? In this episode, Hayden Rooke-Ley discusses the rapid expansion of Medicare Advantage, a privatized form of Medicare, and the growing influence of private insurance companies in the U.S. health care sy…
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What happens when we reduce people to mere data points in a world driven by economic values? In this episode, Marshall Ganz, the Rita T. Hauser Senior Lecturer in Leadership, Organizing, and Civil Society at the Harvard Kennedy School, discusses how health care and other systems risk dehumanization by reducing people to data points, driven by econo…
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Could health care thrive if leaders treated trust and teamwork as carefully as they manage finances? In this episode, Thomas H. Lee, Chief Medical Officer for Press Ganey Associates, Inc., talks about the critical role of social capital in fostering trust, teamwork, and effective patient care within health care organizations. Thomas argues that lea…
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When health care meets ethics, our choices reveal as much about our values as they do about our scientific advances. In this episode, Vardit Ravitsky, President and CEO of the Hastings Center, highlights the role of bioethics in navigating complex health care choices, especially those made prominent by the pandemic. She describes bioethics as inter…
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AI is rapidly transforming health care, offering technology companies new possibilities for improving patient outcomes and revolutionizing care delivery. In this episode, Dr. Michael Howell, Chief Clinical Officer at Google, explores how technology giants like Google are impacting health care, sharing insights on AI advancements and their potential…
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Transforming health systems requires addressing social determinants of health and expanding beyond traditional hospital care. In this episode, Michael Dowling, President and CEO of Northwell Health, talks about how he is redefining health system leadership by addressing broader health determinants and expanding services beyond traditional hospital …
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In a time when trust in health care leadership and media is faltering, how can transparent, local, and solution-driven journalism bridge the gap and rebuild confidence in the stories that shape our health and lives? In this episode, David Rousseau, Publisher and Executive Director of Journalism and Information Technology at KFF Health News, talks a…
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AI implementation in health care, especially for predicting conditions like sepsis, needs collaboration between data scientists and clinicians to ensure accurate and valuable results. In this episode, Dr. Eric Poon, professor of medicine and the Chief Health Information Officer at the Duke University Health System, discusses the significant impact …
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Community organizing empowers patients, clinicians, and providers to advocate for necessary reforms. In this episode, Dr. Pedja Stojicic, Executive Director of People Power Health, discusses the urgent need for change in healthcare and the challenges faced by established organizations. He highlights the role of agency in health, arguing people expe…
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Early online patient communities were pioneers in sharing personal health data to support others with similar conditions. In this episode, Susannah Fox, anthropologist and author of Rebel Health, dives into the evolving landscape of health care, where the traditional power dynamics between patients and providers are shifting. Susannah explores the …
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Studies indicate that treating patients at home can result in lower mortality rates compared to traditional hospital care. In this episode, Dr. Bruce Leff, a professor of medicine at Johns Hopkins University School of Medicine, discusses the transformative shift of healthcare from hospitals to home-based care. He underscores the importance of trust…
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The Ukrainian medical community has shifted from emotional reactions to systematic approaches in response to the war. In this episode, Dr. Olesya Vynnyk, coordinating medical initiatives for the World Congress of Ukraine, and Dr. Miguel Cendoroglo Neto, the CMO for Albert Einstein Jewish Hospital, focus on the challenges Ukraine's health care syste…
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Michelle Browder began using art at 13 to channel her energy and fight against racism, leading to her lifelong journey in activism. In this episode, Michelle Browder, an American artist and activist known for her work in reimagining the future of gynecology and obstetrics in the US, explores the connection between art, activism, and medicine. Miche…
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How accountable are we when it comes to injuries caused by medical errors? Since this archive episode aired, patient safety remains a serious issue, with thousands of Americans dying from errors in their care. Although interest in improving patient safety has sadly waned, many are working to revive it and increase attention to the problem. In this …
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Since this archive episode aired early in our podcast, organizations have paid off billions of dollars in medical debt, and many hospitals have stopped suing patients for small claims. However, the problem of medical debt is far from over and now is the best moment to do something about medical debt. In this interview, Berneta Haynes, Staff Attorne…
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The aging population is rapidly growing, posing significant challenges for global health care systems. In this episode, Dr. Maria Carney, Chief and Medical Director at Northwell Health, and Charles Kenney, Senior Vice President at Northwell Health, talk about the need for a health care system that supports healthy aging. Dr. Carney and Charles disc…
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Patients and their families feel more empowered and regain normalcy by participating in their own care. In this episode, Dr. Kavita Bhavan, Chief Innovation Officer at Parkland Health and an infectious disease specialist, shares how empowering patients to self-administer IV antibiotics at home has improved health care access and equity. She highlig…
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Disparities in patient care based on race and insurance status lead to frustration, fueling a growing movement to unionize and push for fair treatment. In this episode, Dr. Holly Humphrey, President of the Josiah Macy Jr. Foundation, explores the pressing issues facing the American health care system and the foundation's pivotal role in transformin…
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