WIHI: Large-Scale Change Across a Country: Learning from Scotland

Date: June 20, 2013


  • Maureen Bisognano, President and CEO, Institute for Healthcare Improvement (IHI)
  • Jeffrey D. Selberg, MHA, Executive Vice President and Chief Operating Officer, IHI
  • Derek Feeley, Director General for Health and Social Care, Scotland; Chief Executive, NHS Scotland; Incoming Executive Vice President, IHI
  • Carol Haraden, PhD, Vice President, IHI

In September 2013, IHI will welcome one of Scotland’s most well-regarded health system improvement leaders to its executive ranks. Derek Feeley is currently Director General for Health and Social Care in the Scottish Government and Chief Executive of NHS Scotland. In this capacity, he has overseen and steered Scotland’s ground-breaking Patient Safety Programme. At IHI, Mr. Feeley will have executive-level responsibility for driving IHI’s strategy across five core focus areas: Improvement Capability; Patient Safety; Person- and Family-Centered Care; Quality, Cost, and Value; and the Triple Aim for Populations. His role will be international in scope, helping to steer IHI’s ongoing work on six continents in support of our mission to improve health and health care around the world. 
How can the experience of Scotland and the leadership of Derek Feeley move this agenda forward? We explore this on WIHI. Along with Mr. Feeley, our guides include IHI President and CEO, Maureen Bisognano; IHI COO, Jeff Selberg; and IHI Vice President Carol Haraden, who has first-hand experience working with clinical and quality leaders in Scotland and England to drive significant change across both countries. In Scotland, hospital standardized mortality ratios (HSMR) have fallen by nearly 11 percent since 2008.
What went on in health care delivery in Scotland to achieve these results? How is Scotland sustaining the gains and exporting the learning to other countries, including the US? How does Scotland now intend to change the health trajectories for infants and young children? WIHI host Madge Kaplan hopes leads the discussion to answer these questions. 



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