Harnessing Professionalism: The Forgotten Frontier of Quality Improvement?
Hybrid-Imperial Bldg. Rm. A or https://duke.zoom.us/j/97560093793?pwd=YWdjV1Q1WUl3aStpcTIwakM1Tm4zQT09 Code:002605
Dr. McWilliams will discuss the inherent limitations of current quality improvement strategies, explore clinician professionalism as a potentially underused resource, and present new research that examines A) the effects of peer relationships in motivating physicians to elevate their performance and B) the care provided by physicians judged as higher quality by the profession.
Dr. McWilliams will discuss:
•How the pace of health care quality improvement has been slow in the U.S.
•How efforts to pay for performance have not delivered, and how new approaches and new conversations are needed.
•How quality improvement can be reframed around the linchpin of care delivery-clinician agency-as addressing problems of information or motivation when professionals act as agents on their patients' behalf.
•How we might better support clinicians' intrinsic motivation and tap into what they can collectively observe and learn, not only to improve clinician performance but also to align organizational objectives with those of the profession.
Bio
J. Michael McWilliams, MD, PhD, is the Warren Alpert Foundation Prof. of Health Care Policy, Prof. of Med. at Harvard Med. School, and a general internist at Brigham and Women's Hospital. The overarching goal of his research is to inform policies that support efficiency and equity in health care. His work spans many areas, including the design and effects of payment systems, the organization and quality of health care delivery, the effects of health insurance coverage, and quasi-experimental methods for causal inference in observational research.
Dr. McWilliams is currently principal investigator of a Program Project (P01) on the Medicare program funded by the National Institute on Aging and leads work supported by the Commonwealth Fund and Arnold Ventures. He serves as co-director of the Methods for Policy Research concentration of the Harvard Health Policy PhD Program, Sr. Advisor to the Center for Medicare & Medicaid Innovation, and Assoc. Editor for JAMA Internal Medicine. His research has earned several honors.
Dr. McWilliams was a Morehead Scholar at UNC-Chapel Hill and received his BS in biology with highest distinction. He received his MD magna cum laude from Harvard Med School, his PhD in Health Policy from Harvard, and his residency in internal medicine at Brigham and Women's Hosp.
