Leading Quality

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Leading Quality

Jason Meadows, MD

10 episodes

4 days ago

Why This Episode Matters Healthcare quality work often stalls not because of a lack of methods or data, but because organizations fail to build the leadership and culture needed to sustain improvement. In this episode, Dr. Todd Allen reflects on his journey from frontline emergency medicine to senior quality leadership at Intermountain Healthcare and The Queen’s Health Systems, and how his view of quality evolved from tools and measurement to leadership, trust, and psychological safety. The c...

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Episodes (10/10)

Leading Quality

Why Building Leaders May Be the Most Important Quality Improvement Work

Send us a text Why This Episode Matters Healthcare quality work often stalls not because of a lack of methods or data, but because organizations fail to build the leadership and culture needed to sustain improvement. In this episode, Dr. Todd Allen reflects on his journey from frontline emergency medicine to senior quality leadership at Intermountain Healthcare and The Queen’s Health Systems, and how his view of quality evolved from tools and measurement to leadership, trust, and psychologica...

2 weeks ago

50 minutes

Leading Quality

The Hidden Danger Outside the Hospital: How Families and Clinicians Reinvented Home Care for Pediatric Oncology Patients

Send us a text What if some of the biggest gains in patient safety aren’t inside hospitals at all—but at the kitchen table? In this episode, Dr. Amy Billett and Dr. Chris Wong walk us through the groundbreaking, cross-disciplinary effort at Dana-Farber/Boston Children’s in collaboration with Ariadne Labs that cut ambulatory central-line–associated bloodstream infections (CLABSIs) for pediatric oncology patients by ~50%. It’s a story of co-design, equity, humility, and design thinking—with fam...

1 month ago

59 minutes

Leading Quality

Values in a Crisis: Trust, Transparency, and the Culture That Endures

Send us a text What if the hardest part of quality isn’t finding the right answer, but making the right action unmistakable for the people who deliver care? That’s the thread we pull with Dr. Hilary Babcock—infectious disease physician, longtime infection prevention leader, and now chief quality officer helping steer a 12-hospital system of 33,000 people through transformation without losing its soul. We talk about learning to lead beyond subject-matter expertise and how COVID pressure-teste...

1 month ago

48 minutes

Leading Quality

Human Factors as Healthcare’s Secret Advantage: How an Open Door and a Tiny Tube Revealed System Flaws

Send us a text A door swinging open in the OR. A tiny defect in IV tubing. Both seem trivial—until you realize they expose how fragile our systems really are. In this episode, Allie Muniak, Executive Director of Health System Improvement at Health Quality BC, shows how human factors turns everyday frustration into lifesaving insight. We follow her path from psychology to system redesign, uncovering how design, teamwork, and curiosity prevent harm long before checklists or policies do. Allie e...

1 month ago

36 minutes

Leading Quality

Small Changes That Move Mountains: Metrics That Matter and the Outpatient Revolution

Send us a text A small change at the bedside can ripple across an entire system. That’s the spark behind this conversation with Dr. Khalil Sivjee, Medical Director at Cleveland Clinic Canada and pulmonary–critical care physician, as we explore how data, design, and relentless measurement turn delays into decisions and anxiety into action. We begin in the ICU, where a simple ventilator-liberation protocol challenged “that’s how we do it” and proved that even a junior clinician can drive measur...

2 months ago

43 minutes

Leading Quality

How a High Reliability Transformation Cut Preventable Harm by 90%

Send us a text Safety isn’t a side project. It’s the operating system. We sit down with Paul Lambrecht, a rare blend of front line paramedic sensibility and executive discipline, to unpack how high reliability organizing moves from idea to front line work. From standing up daily safety huddles to building a just culture where ARCC and SBAR actually get used, Paul explains how to turn near misses into gold, flatten authority gradients, and create a system where performance as inten...

2 months ago

45 minutes

Leading Quality

Change Happens at the Speed of Trust: Lessons from a Decade of Physician-Led Improvement

Send us a text As Stephen Covey once wrote, "Change happens at the speed of trust." This simple yet profound insight applied by this week's guest, Dr. Curt Smecher captures the essence of how British Columbia's Physician Quality Improvement program transformed healthcare from the ground up. Affectionately known as "Papa QI," Smecher shares the remarkable journey of creating a physician-led improvement movement that has trained over 1,600 clinicians across the province. What makes this story ...

3 months ago

45 minutes

Leading Quality

From 1 to 4 CMS Stars: A Quality Transformation Journey

Send us a text What transforms a one-star hospital into a four-star institution in just four years? The answer lies not in fancy technology or complex solutions, but in approaching problems with genuine humility and data-driven focus. Dr. Kimiyoshi Kobayashi brings a refreshing perspective to healthcare quality leadership in this illuminating conversation. As Chief Medical Officer at UMass Memorial Medical Center, he shares the critical mindset shift that helped him lead a remarkable quality...

3 months ago

49 minutes

Leading Quality

Finding Joy in Healthcare: One Physician's Journey from Burnout to Advocacy

Send us a text Dr. Lawrence Yang's powerful story begins with a stark confession: "My body had to say no for me because I didn't know how to do it myself." This candid admission sets the tone for a conversation that weaves together personal vulnerability, system transformation, and the science of hope. As a family physician who once installed a bedroom and shower in his clinic to work longer hours, Dr. Yang's burnout journey will resonate with healthcare professionals everywhere. His turning...

4 months ago

45 minutes

Leading Quality

Introduction - Leading Quality

Send us a text Healthcare is more complex than ever — with patients seeing multiple specialists, interacting with advanced technology, and relying on coordinated teams to deliver safe, effective care. In this introductory episode, host Dr. Jason Meadows shares why he created Leading Quality and what listeners can expect. This podcast will spotlight the people — from senior leaders to frontline innovators — who are moving healthcare forward. Together, we’ll explore their stories, lessons...

4 months ago

4 minutes