Atul Gawande: evaluation

Transcript context

…It’s a for-profit, nonprofit, part of Harvard? How does it fit into the universe? It is an academic center that is part of Harvard Chan School of Public Health and the Brigham and Women’s Hospital. But it sits as a platform we’ve created for people who want to do experiments in how we bring science and innovation to the delivery of healthcare in the same way that you bring science and innovation to biological sciences. We have people come here from all of the different hospitals in the area, from the business school, from the School of Public Health, from economics department, and then really built it as a place to enable capabilities to do large experiments. Like the experiment we just finished with the state of South Carolina: five years of working with them to see whether you could get the surgeons in the state to adopt the safe surgery checklist without regulations because it’s a red state and they didn’t want to mandate it, but without financial incentives because they didn’t have the money to pay for pay-for-performance. And we got a program that successfully got 40 percent of the population through adoption, lowered the death rate 22 percent. But to get the other 60 percent on board, we believe you would have to bring on some mandate or other component. So that’s the kind of thing we could do. You’re the director here?…

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