Healthcare Reframed
Healthcare Reframed
Podcast Description
Health and the delivery of healthcare are topics of importance around the globe. There is little debate that much of the world, and much of the United States, feels that their healthcare system needs to improve and perhaps even to change dramatically. The US healthcare system is our focus, and it has the dubious distinction of generating worse outcomes at greater cost than any peer nation. Why is that? What can we do about it? Why have we all been talking about this for what seems like forever and not made things better yet? If you share our passion for digging into these topics, gathering ideas and insights into how to change the system, and maybe want to stretch your world view a bit, you have come to the right place.
We have each been fortunate to have the time and space to talk with each other and to learn and think hard about our experiences and insights into the world of healthcare. We created this site and this podcast series to share our reflective conversations with smart, experienced and insightful healthcare leaders who are passionate about making the world a better place, to amplify their important voices, and to share what we have learned about the issues and ideas that these interviews led us to explore more deeply. For each episode, we have also created a scrollstory to share additional background and context for a selection of the topics discussed during the interviews between Judson and our guests. Working to put together all of this content has been hugely energizing and enlightening for us, and we are eager to share what we have learned with you.
The world definitely does not have a shortage of healthcare related information available on the internet. Between all of the podcasts and websites and news articles and magazines and corporate websites and government websites and published medical research, we often seem to be drowning in healthcare related information. And it is not always easy to tell who is creating and curating that content, or how much of the information provided is really designed to generate clicks and views and to sell you things. You will find no ads or corporate sponsors or paywalls on this site, no attempt to monetize your interest. But we do have to keep the lights on, so if you find our efforts here interesting and maybe even useful, please consider making a donation of whatever size seems appropriate to you.
Our team
Judson HoweSeries - creator and producer
Judson is a healthcare executive with more than a decade of leadership experience as both a hospital CFO and CEO, primarily in rural Northern California. He has seen first-hand the pressures facing our organizational leaders as they try to make high-quality healthcare a core value in our communities. Judson’s passion for understanding the forces shaping our healthcare system and for seeking new insights into how to create change are the driving forces behind this podcast series.
Micah Buller - Video and sound recording an...
Podcast Insights
Content Themes
The podcast focuses on topics related to the US healthcare system, exploring themes such as healthcare equity, innovative payment models, and community health improvements, with episodes discussing practical cases like Dr. Somava Saha's work on global payments and healthcare justice.
Health and the delivery of healthcare are topics of importance around the globe. There is little debate that much of the world, and much of the United States, feels that their healthcare system needs to improve and perhaps even to change dramatically. The US healthcare system is our focus, and it has the dubious distinction of generating worse outcomes at greater cost than any peer nation. Why is that? What can we do about it? Why have we all been talking about this for what seems like forever and not made things better yet? If you share our passion for digging into these topics, gathering ideas and insights into how to change the system, and maybe want to stretch your world view a bit, you have come to the right place.
Our Team
Judson Howe
Host, series creator
Micah Buller
Creative Director
Lindsay Hunt
Co-producer
Todd Carpenter
Co-producer
The U.S. healthcare system has no shortage of resources, talent, or ambition. Yet for patients and families, it too often delivers fragmentation, frustration, and suffering. Few leaders have both lived that failure personally and reshaped the system globally as Maureen Bisognano. • Former President and CEO of the Institute for Healthcare Improvement (IHI), where she co-led the landmark 100,000 Lives Campaign, saving more than 122,000 patients in 18 months. • Nurse, hospital executive, and global advisor to healthcare leaders in more than 50 countries. • Pioneer of the simple but transformative practice: asking not only “What’s the matter?” but “What matters to you?” In this powerful conversation with host Judson Howe (former rural hospital network president), Bisognano traces her journey from a young nurse caring for her dying brother to leading one of the most influential healthcare improvement movements in the world. Her message is both deeply personal and strategically urgent: healthcare must shift from treating sickness to co-producing health with patients, families, schools, and communities. Key themes from the conversation include: • How one doctor’s decision to ask “What do you want?” transformed her understanding of care. • Why the 100,000 Lives Campaign succeeded where policy failed—by combining urgency, simplicity, and disciplined spread. • The role of co-production, where patients become active partners in designing and managing their own care. • How “upstream” interventions—healthy food, prevention, workforce well-being—reshape health far more effectively than episodic treatment. • The power of exnovation: removing obsolete practices and processes that waste time, money, and energy. • Why loneliness, belonging, and kindness must be recognized as clinical issues. • Leadership lessons from a career defined by resilience, humor, and relentless pursuit of change against entrenched hierarchy. Bisognano challenges executives, clinicians, and policymakers alike to broaden their vision. Healthcare is not just hospitals, surgeries, and budgets—it is families, communities, and the choices we make every day about food, connection, and meaning. 1:41 Home, Hope, and Whole-Person Care 5:53 From Bedside to IHI: Purpose to Platform 7:47 “Some Is Not a Number”: 100,000 Lives Campaign 10:08 Upstream Health: Prevention Before Admission 18:21 Co-Production in Action: Patient-Led Dialysis 25:49 Recovery Colleges: A New Front Door for Mental Health 27:13 Loneliness as Diagnosis: Belonging Is Medicine 40:40 Will • Ideas • Execution: The IHI Change Formula 43:07 Exnovation: Stop Doing What Adds No Value 50:53 Redesigning Rural Hospitals: Community Health Centers 54:26 First KPI: Workforce and Family Health Meet the Guest Maureen Bisognano • Former President & CEO, Institute for Healthcare Improvement • Co-architect of the global What Matters to You movement, now in 50+ countries • International advisor on system redesign, patient safety, and culture change • Nurse, mentor, grandmother, and advocate for kindness in healthcare ⸻ Watch on YouTube | Listen on Spotify | Listen on Apple Podcasts (Links in first comment) Production: Healthcare Reframed — MicahBuller | Todd Carpenter | Lindsay Swain Hunt
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