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What does “quality” really mean in healthcare and how do you measure it when every patient’s story is unique?
Dr. Summer Kaplan joins host Chris St. John to unpack the Six Pillars of Healthcare Quality, a framework that continues to guide modern medicine two decades after its creation by the Institute of Medicine.
From her vantage point as a pediatric radiologist, Dr. Kaplan explains how these pillars intersect within medical imaging, revealing how safety, equity, and patient-centeredness are not competing goals but interconnected responsibilities.
She shares personal reflections as both a radiologist and a parent, discusses how over-optimization can erode care, and reminds us that effectiveness in imaging isn’t just about getting the “right diagnosis”—it’s about guiding the next best step for the patient.
Whether you’re a clinician, technologist, or healthcare leader, this episode offers a thoughtful look at what it means to practice imaging that’s safe, equitable, and meaningful for every patient.
What You’ll Learn:
- How the six pillars of healthcare quality, safety, timeliness, efficiency, effectiveness, equity, and patient-centeredness, apply to modern imaging
- Why efficiency has a Goldilocks zone: too little leads to waste, too much leads to burnout and errors
- How patient-centeredness extends beyond the patient to include family-centered care, especially in pediatrics
- What equity in imaging looks like, from resource distribution to race-based utilization differences
- Why effectiveness isn’t always a single diagnosis, it’s directing care down the right pathway
- How clinical guidelines can improve outcomes but are often under-used in practice
- The challenge of measuring quality in systems built for speed rather than reflection
Chapters:
[00:00] Intro – Defining the Six Pillars of Healthcare Quality
[05:23] Safety – Beyond Dose: MRI Safety and Patient Information
[13:13] Timeliness – Balancing Wait Times, Workload, and Access
[16:45] Patient-Centeredness – Designing Care for Patients and Families
[22:34] Equity – Addressing Geographic, Racial, and Socioeconomic Gaps
[27:41] Efficiency – The Goldilocks Principle in Radiology
[30:28] Effectiveness – When Imaging Guides the Path Forward
[35:18] Challenges – Why Measuring Quality Still Isn’t Easy
[37:43] Closing – Humanity at the Heart of Imaging
Frame by Frame: Rethink Imaging Podcast is handcrafted by our friends over at: fame.so
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