Clinicians:
What would you do if you were unleashed?
Unleashed is the podcast that challenges
every clinician listening to ask themselves…
What would I do if I were unleashed? What would I do if I could reinvent care from scratch?
The podcast also calls upon health care executives, thought leaders, and policy makers to do more to support innovation on the front lines.
Most episodes spotlight clinicians who have developed a new model of care. Occasionally, hosts Glyn Elwyn and Chris Trimble interview experts on innovation in health care delivery.
Episodes
EPISODE 6 — JoAnna Leyenaar, a pediatric hospitalist at Dartmouth Health, is developing mental health skill-building programs for teens who are boarding at the hospital, sometimes for several days, after a mental health crisis.
“It's rare that we have the time to step back and think, holistically, how can we fix this? I feel like this is one example of so many that if we had the time, the space, and the infrastructure to be able to collaborate, we could transform healthcare.”
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JoAnna Leyenaar, MD, PhD, MPH, works as a pediatric hospitalist and Vice Chair of Research for the Department of Pediatrics at Dartmouth-Hitchcock Medical Center. She focuses on improving the quality of healthcare provided to children, particularly those who are vulnerable and underserved, with particular interest in the integration of mental and behavioral healthcare. Dr. Leyenaar received her MD from McMaster University (Canada), her MPH from Harvard University, and her PhD from Tufts University
Papers in the Journal of Pediatrics, the Journal of Adolescent Health and Hospital Pediatrics.
JoAnna Leyenaar
EPISODE 5 — Lara Goitein shares her experience building and leading a program for clinician led innovation and continuous improvement at a community hospital in Santa Fe, New Mexico.
“We changed the paradigm of physicians engaging in the hospital's quality agenda to the hospital engaging in physician’s quality agenda.”
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Dr. Lara Goitein is a pulmonary and critical care physician and Medical Director of Clinician-Directed Performance Improvement for Dartmouth Health. She trained at Harvard Medical School, did her residency in Internal Medicine at Massachusetts General Hospital, and did her Pulmonary and Critical Care Fellowship at University of Washington, Seattle. She is author of the book, “The ICU Guide for Families: Understanding Intensive Care and How You Can Support Your Loved One” (Rowman & Littlefield, Dec 2021).
Paper in Health Affairs
Lara Goitein
EPISODE 4 — David de Gijsel is building community partnerships and advancing innovative methods for testing for and treating Hepatitis C.
“What's become very clear is that you have to step out of your office.”
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David de Gijsel, MD, MSc, MPH works on the intersection of social justice and health. As the Chief Health Officer at Better Life Partners, he designs community-embedded, whole-person care for people with substance use disorders. As an infectious disease physician at Dartmouth Health, he focuses on the infectious complications of injection drug use, specifically on new care models for the treatment of hepatitis C in people who inject drugs.
Resources:
Publication in the Journal of Participatory Medicine
David de Gijsel
EPISODE 3 — Jessica Salwen-Deremer, a gastro-psychologist and an innovation leader at Dartmouth Health, is building new care models for patients with irritable bowel syndrome.
“And it starts with pain, but long-term, of course you become anxious. Who wouldn't become anxious if they got pain every other time they ate and they didn't know when they would need to use the bathroom?”
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Jessiy Salwen-Deremer, PhD, DBSM, is the Director of Behavioral Medicine for Digestive Health at Dartmouth-Hitchcock Medical Center and Assistant Professor of Psychiatry & Medicine at the Geisel School of Medicine at Dartmouth. Dr. Salwen-Deremer earned her PhD in clinical psychology at Stony Brook University and completed her fellowship in behavioral medicine at the Johns Hopkins School of Medicine. Her areas of expertise include behavioral sleep medicine and GastroPsychology, with a particular focus on improving access to care through the use of novel technologies and care pathways.
Resources:
Jessica Salwen-Deremer
EPISODE 2 — Dick Levy is a philanthropist with deep interest in … and deep knowledge of … innovation in health care delivery.
“Philanthropists understand a new device or a new drug. They don't really understand the weaknesses of healthcare.” — Dick Levy
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Richard “Dick” Levy is a philanthropist with deep interest in innovation in health care delivery. The Susan & Richard Levy Health Care Delivery Incubator is a joint initiative between Dartmouth College and Dartmouth Health that brings together multidisciplinary teams of researchers and frontline healthcare providers to improve patient care. Dick served as the CEO of Varian Medical Systems from 1999 to 2006 and Chairman from 2002 to 2014. He holds a bachelor’s degree from Dartmouth and a PhD in nuclear chemistry from the University of California Berkeley.
Dick Levy
EPISODE 1 — Tyler Hartman and Kate Richards have a goal: Get pre-term babies home sooner. A pioneering innovation effort at Dartmouth Health.
“If you've ever been in a NICU … it's a pretty beepy and loud environment. The room structure, the lighting, the noise, the smells. It doesn't scream bonding … let’s put it that way.” — Tyler Hartman
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Dr. Tyler Hartman, MD, is a neonatologist and director of Dartmouth’s Neonatal High-Risk Follow-Up Clinic and Pediatric Hospital at Home program. He has a particular interest in developing new models of care that enable children to be home with their family instead of being in a hospital. He is the director of the New England Follow-Up Network (NE FUN), the first multistate regional high-risk neonatal follow-up collaborative consisting of 14 tertiary referral NICUs in New England.
Resources:
Paper in BMJ Open Quality
Tyler Hartman
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Kathryn Richards, APRN, is a pediatric nurse practitioner at Dartmouth Health Children’s in the Neonatal High-Risk Follow-Up Clinic. Kathryn’s clinical work focuses on care of the high-risk and medically complex neonate in the home environment. She is the co-investigator for the Hope Grows at Home program, designed to transition the care of the stable neonate from the NICU to the home environment with nasogastric feeding.
Kate Richards
The Hosts
Glyn Elwyn, BA, MD, MSc, PhD, FRCGP, is a clinician and researcher. He is a tenured professor at The Dartmouth Institute for Health Policy and Clinical Practice in the USA. He has visiting chairs at Radboud University, Nijmegen, University College London, and the University of Lausanne. His work focuses on implementing change in how healthcare is delivered: whether it be about critical decisions or a better way of getting effective things done as well as possible.
Glyn Elwyn
Chris Trimble founded Treehouse Audio Productions in 2021, intent on helping clients share their expertise, with impact, through the medium of recorded audio. Prior to founding Treehouse, Chris was a professor at the Tuck School of Business at Dartmouth for 17 years. He has written six books on innovation, the last of which focused on innovation in health care delivery. Chris holds a master’s degree in business and bachelor’s degrees in engineering and music.
Chris Trimble