From the Commentaries
"′My Right Knee′ was a personal turning point for me, and it raised the bar for the health care industry ... I wasn′t quite prepared to hear a speech that would provide a defining moment in my own leadership journey and quest for quality."
Gary S. Kaplan, MD
"Tomorrow′s leaders will need Berwick′s stunning ability to bridge and balance tensions without collapsing them, to hold contradictions."
Diana Chapman Walsh, PhD
"As in all of his speeches, whether to an audience unfamiliar with the mortal drama of illness and privation or to those steeped in its complexities, Don Berwick signals the urgency and pathos of a wounded world."
Paul Farmer, MD, PhD
"Dr. Berwick is masterful at the use of stories to convey memorable and vivid messages that are vital to the humanistic core as well as the modern challenge of medicine."
Christine K. Cassel, MD
"It takes someone like Don Berwick to shake us out of our biomedical mindset and remind us that we are dealing not just with a disease, but with a person often buffeted by factors we can′t quantify or control."
Mark D. Smith, MD, MBA
The Author xv
The Commentary Authors xvii
Introduction by Maureen Bisognano xxvii
1 My Right Knee 1
Commentary by Gary S. Kaplan
2 Some Is Not a Number, Soon Is Not a Time 25
Commentary by C. Joseph McCannon
3 Power 45
Commentary by Dale Ann Micalizzi
4 Mont Sainte–Victoire 67
Commentary by Jason Leitch
5 A Message for Ramesh 89
Commentary by Paul Farmer
6 Eating Soup with a Fork 101
Commentary by Paul B. Batalden
7 What Patient–Centered Should Mean: Confessions of an Extremist 123
Commentary by Frederick S. Southwick
8 Tense 137
Commentary by Jessica Berwick
9 A Transatlantic Review of the NHS at Sixty 155
Commentary by Lord Nigel Crisp
10 The Epitaph of Profession 165
Commentary by Christine K. Cassel
11 Squirrel 177
Commentary by Diana Chapman Walsh
12 You Decide 195
Commentary by Beverley H. Johnson
13 The Moral Test 205
Commentary by Tom Daschle
14 New Health System New Professionalism 223
Commentary by James Reason
15 To Isaiah 235
Commentary by Mark D. Smith
16 And We Said, No 245
Commentary by Patricia A. Gabow
Donald M. Berwick, MD, MPP, FRCP, is president emeritus and senior fellow at the Institute for Healthcare Improvement (IHI), an organization that he cofounded and led for eighteen years. He is one of the nation′s leading authorities on health care quality and improvement. In July 2010, President Obama appointed Dr. Berwick to the position of administrator of the Centers for Medicare & Medicaid Services (CMS), which he held until December 2011. A pediatrician by background, Dr. Berwick has served as clinical professor of Pediatrics and Health Care Policy at the Harvard Medical School, professor of Health Policy and Management at the Harvard School of Public Health, and a member of the staffs of Boston Children′s Hospital, Massachusetts General Hospital, and Brigham and Women′s Hospital. Dr. Berwick is the author of Escape Fire and coauthor of the books, Curing Health Care and New Rules, also available from Jossey–Bass.