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A small change at the bedside can ripple across an entire system. That’s the spark behind this conversation with Dr. Khalil Sivjee, Medical Director at Cleveland Clinic Canada and pulmonary–critical care physician, as we explore how data, design, and relentless measurement turn delays into decisions and anxiety into action.
We begin in the ICU, where a simple ventilator-liberation protocol challenged “that’s how we do it” and proved that even a junior clinician can drive measurable improvement. From there, Khalil zooms out to outpatient redesign—mapping the lung-cancer journey from first nodule to treatment and collapsing months-long waits by pre-ordering imaging, biopsies, and consults. Supported by EMR flags that signal when access drifts off target, this work redefines what it means to be data-driven.
We unpack “metrics that matter”—from reducing “scanxiety” through faster imaging turnaround to tracking safety events and service-line dashboards that keep teams focused on what patients actually feel. Then the conversation expands into the workplace, where Cleveland Clinic’s corporate advisory model helps companies build healthier environments through smarter design—air quality, ergonomics, mental-health screening, and on-site “pre-primary” checks that spot hypertension and diabetes early.
Finally, we look to the frontier of access: portable diagnostic kits and AI-enabled triage that bring care to students, remote workers, and underserved communities. The distance between a question and a clinical answer keeps shrinking.
The takeaway: the future of outpatient care is near-home, proactive, and measurable. Put the patient at the center, bring services to them, and measure everything that matters.
If this resonates, follow, share, and leave a review—and tell us the one metric you think every clinic should track.
🔗 Resources & Links
Guest Links
- Dr. Khalil Sivjee – Cleveland Clinic Canada Profile: https://my.clevelandclinic.org/canada/staff/sivjee-khalil
- Dr. Khalil Sivjee – LinkedIn: https://www.linkedin.com/in/khalil-sivjee-a3021a9a/
Specific References Mentioned in the Episode
- Cleveland Clinic Canada — Official site for outpatient and corporate health programs: https://my.clevelandclinic.org/canada
- Tytocare — Remote diagnostic platform discussed in the episode: https://www.tytocare.com
Chapters
1. Data-Driven Care As A Mandate (00:00:00)
2. Ventilator Liberation And Early Wins (00:03:18)
3. Integrated Systems And Measuring What Matters (00:05:42)
4. Collapsing Lung Cancer Waits (00:06:55)
5. Culture, Resistance, And Central Triage (00:10:23)
6. Cross-Border Move And Leadership Path (00:13:20)
7. Outpatient Model At Cleveland Clinic Canada (00:15:32)
8. Metrics That Matter And Scansiety (00:18:03)
9. Mapping Flows And EMR Flags (00:21:01)
10. Corporate Health And Healthy Workplaces (00:24:44)
11. Pre-Primary Screening At Scale (00:28:15)
12. Bringing Care To Where People Are (00:31:43)
13. Tytocare Kits And Virtual Exams (00:34:03)
14. AI Triage And Remote Diagnostics (00:37:22)
15. The Next Frontier Of Outpatient Care (00:40:18)
16. Predicting The Clinic Of The Future (00:42:08)
6 episodes
