More troubles for Berwick?

Much of the recent criticism aimed at Don Berwick, the new CMS Administrator, is, in my opinion, unfair and politically motivated. Other criticism is legitimate, as some in the quality and infection prevention communities have disagreed with his willingness to vigorously pursue some strategies that lack strong evidence. This was discussed in a blog posting a few months ago by Bob Wachter. Now there's a new issue emerging. Sen. Chuck Grassley has requested that Berwick disclose the funding of the non-profit he founded, the Institute for Healthcare Improvement. According to IHI's 2008 form 990, which can be viewed at the Guidestar website, Berwick's reportable compensation was $2.3 million in 2008. Regardless of the motivation behind Grassley's information request, whether Berwick has conflicts of interest is a legitimate question.

Addendum (8/1/10, 9:50 AM):  Click here for more.

Dr. Berwick goes to Washington

The Story is one of the podcasts I listen to while I walk to work. This week’s episode is well worth a listen—an excellent interview with Don Berwick about his time with CMS. I can’t comment much more without making this a political blog, which is not my intent. But I urge you to listen at least to the story of his meetings with two senators, starting at about 14:45 into the podcast (downloadable from the website or from iTunes).

Will Berwick survive at CMS?

Bob Wachter’s latest post gives me some (slim) hope that my earlier post about Berwick’s tenure at CMS being over was premature. Read for yourself—it seems like a double-bank shot to me, and the “political zombie” argument is a more plausible explanation for some of his recent statements. But who knows?

Berwick is out

Looks like Don Berwick’s tenure at CMS will be a short one, since the votes to confirm him are not there. We commented here on his initial recess appointment. I can’t comment much more without making this a political blog, which has never been our intent. I will only say that it is a sad commentary on the state of our divided government, and yet another setback for efforts to improve the U.S. healthcare system. As for a replacement: who in their right mind would want to step into this arena now, to have their record judged by people whose primary goal is the failure of healthcare reform?

Bundle up!

The New York Times is confirming that Don Berwick, president of IHI, is going to be named the new director of the Centers for Medicare and Medicaid Services. I recommend this thoughtful post by Dr. Bob Wachter on the appointment. As Bob points out, Don is very much on the "just do it" side of the equation regarding infection prevention and other patient safety issues, and his fame has arisen in large part from his amazing charismatic appeal. How this will translate into infection prevention policies at CMS is anyone's guess.

“Not your father’s CMS”

I just returned from my first HICPAC meeting….and no, I won’t risk being thrown off the committee for discussing all of our deliberations on this blog (at least right now I won’t). However, I did want to point out a fun moment from a presentation by John O’Brien from CMS. John gave an update on the CMS Partnership for Patients, which we blogged about earlier.

The PFP is still nascent, and we’ll see how much of an impact it has on the ground. But the presentations by Joe McCannon at SHEA and this one from John O’Brien were both encouraging, and almost certainly reflect the impact that Don Berwick has had on the culture there. The photo above was taken at the break after John’s lecture. As you can see, there is a painting on the back of his suit jacket, depicting patient safety themes. During his talk he briefly discussed this “walking art”, and how it helps start conversations in airports, at conferences, etc. The painting is the work of Regina Holliday, a Washington DC-based patient rights arts advocate. The full story and explanation of the images on the jacket can be found on her blog, here.