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What does it take for a healthcare organization to adopt new technology without losing the trust of patients and staff? In this episode, Dr. John M. Cho, Executive Director and CEO of AMSUS, The Society of Federal Health Professionals, explores why data, AI, cybersecurity, and digital trust are leadership responsibilities rather than simply technology issues. Drawing on his experience as a physician, retired U.S. Army Medical Corps brigadier general, and healthcare executive, he explains how organizations can make technology a strategic asset through strong governance, risk management, and clear communication. Dr. Cho emphasizes that successful change requires leaders to engage employees, listen to concerns early, and demonstrate how new tools can support rather than replace their work. He also discusses the importance of combining change leadership with change management, building feedback loops, and fostering an agile culture that can adapt safely as technology evolves. Tune in to learn how healthcare leaders can build the trust, systems, and workforce alignment needed to make digital transformation successful! About Dr. John M. Cho: Dr. John M. Cho is the Executive Director and Chief Executive Officer of AMSUS, the Society of Federal Health Professionals. A physician, retired general in the United States Army Medical Corps, and healthcare executive, he has led at the intersection of healthcare delivery, organizational transformation, technology, readiness, and enterprise leadership. His work focuses on helping organizations build the alignment, systems, and trust needed to solve complex healthcare challenges. Things You’ll Learn: Data, AI, cybersecurity, and digital trust should be treated as enterprise-wide strategic assets, not isolated IT responsibilities. Healthcare organizations need a risk management framework to protect data, support ethical use, and build patient trust. Change leadership provides vision and buy-in, while change management creates the processes needed to execute successfully. Leaders must listen to people closest to the work, act on their feedback, and address the fears that may sit beneath resistance to new technology. Agile organizations can adapt and scale technology more effectively because they have strong governance, communication, and feedback processes in place. Resources: Connect with and follow Dr. John M. Cho on LinkedIn. Follow AMSUS on LinkedIn and explore their website.

Civic health is an integral part of whole-person health, yet it is often overlooked in traditional healthcare settings. When healthcare organizations actively empower patients to participate in the democratic process, they can help address the 80% of health outcomes determined by social and environmental factors. In this episode, Lizette Escobedo, Vice President of Government Relations and Civic Engagement at AltaMed Health Services, discusses how healthcare organizations can take responsibility for the civic health of their communities. She shares the origins and success of AltaMed's "My Vote. My Health." initiative, a nonpartisan campaign that transforms clinics into vote centers and turns healthcare providers into trusted civic messengers. Drawing on her extensive background in social justice and community organizing, she explains the critical link between healthcare policy and patient well-being, the power of building coalitions to engage low-propensity voters, and practical steps health systems can take to make voting more accessible. Tune in to learn how healthcare leaders can use their platforms to advance civic engagement, empower disenfranchised communities, and ensure patients have a voice in the policies that shape their health. About Lizette Escobedo: Lizette Escobedo is the Vice President of Government Relations and Civic Engagement at AltaMed Health Services, the nation’s largest Federally Qualified Community Health Center, which serves over 730,000 patients in Southern California. She is a dedicated advocate for civic engagement and social justice with over 20 years of experience empowering Latino communities.At AltaMed, Lizette leads the "My Vote. My Health." campaign, a groundbreaking nonpartisan initiative that mobilized over half a million voters in the 2022 midterm elections. By leveraging the trust of medical professionals and the accessibility of community health clinics, her team ensures patients have the tools to make their voices heard. Prior to AltaMed, she led major civic engagement efforts, including national Census mobilization and citizenship campaigns, with the NALEO Educational Fund. In 2019, she was named Woman of the Year by the California Assembly for her commitment to equity and justice. Things You’ll Learn: Why civic health is a crucial component of whole person health, impacting the 80% of outcomes driven by environmental and social factors. How AltaMed's "My Vote. My Health." initiative successfully integrated nonpartisan voter outreach into the clinic experience. The vital role of "trusted messengers"—like doctors and nurses—in increasing turnout among low-propensity voters. Practical ways to lower barriers to voting by providing in-clinic polling places, language support, and localized ballot education. Why healthcare organizations must build internal executive buy-in and establish community partnerships to sustain civic engagement beyond election cycles. Resources: Connect with Lizette Escobedo on LinkedIn Explore AltaMed Health Services and the My Vote. My Health. campaign Learn more about the Institute for Healthcare Improvement Questions, ideas, or guest suggestions: [email protected]

AI is rapidly transforming how people access health information, but its greatest value will depend on whether it strengthens, rather than replaces, trust, equity, and human connection. In this episode, Dr. Karen DeSalvo, a physician, public health leader, and former Chief Health Officer at Google, explores what healthcare needs from technology now. She shares how digital tools can help people manage their health, reduce administrative burden for clinicians, improve access to information, and identify inequities in care. Technology is only as effective as the systems and people using it, she emphasizes. Drawing on her work in post-Hurricane Katrina New Orleans, federal health IT policy, and public health, she explains why health systems must look beyond clinic walls by addressing social drivers of health, building trust through evidence-based communication, ensuring data interoperability, and strengthening AI safety standards. Tune in to learn how healthcare leaders can use technology to make care more accessible, equitable, trustworthy, and human-centered. About Karen DeSalvo: Dr. Karen DeSalvo is a global health leader known for her work at the intersection of medicine, public health, and technology. As Google’s former Chief Health Officer, she led health professionals in using Google’s tools and technology to help people live longer, healthier lives. She also provided medical leadership for employee health and safety initiatives. Before joining Google, Dr. DeSalvo served as the National Coordinator for Health Information Technology and Acting Assistant Secretary for Health in the U.S. government. She was also Health Commissioner in post-Hurricane Katrina New Orleans, where she helped lead the city’s public health recovery. Dr. DeSalvo has held academic leadership roles at Tulane University and currently serves on the Board of Directors for Welltower and on the Council of the National Academy of Medicine. She holds an MD and MPH from Tulane University and a master’s degree in clinical epidemiology from the Harvard School of Public Health. Things You’ll Learn: Digital health and AI should help people manage their health while supporting, not replacing, clinicians and care teams. Healthcare leaders must use technology intentionally to improve equity, access, health literacy, and patient trust. Trust is built through reliable, evidence-based communication, humility, and listening to communities over time. Interoperable health data can improve quality, safety, and population health while enabling more responsible AI use. AI can help address workforce shortages, burnout, and access challenges, but it requires strong safety standards and human oversight. Resources: Connect with Dr. Karen DeSalvo on LinkedIn Follow Google on LinkedIn and explore their website Learn more about the Institute for Healthcare Improvement Questions, ideas, or guest suggestions: [email protected]

What would it take for AI to make health care more accessible without making it less human? In this episode, Bill Hudson, Chief Information Officer at Hippocratic AI and former health system CIO, explores how healthcare leaders can move beyond AI hype and focus on solving meaningful problems. He explains why responsible implementation starts with a clear use case, the people who will benefit, and an understanding of how technology fits into clinical workflows. Bill discusses how AI can improve patient follow-up, expand access, and reduce administrative burdens while emphasizing the importance of clinical validation, human escalation, and continuous measurement of safety, equity, and value. He encourages leaders to involve clinicians, privacy and cybersecurity experts, informaticists, and patients in decision-making to ensure AI meaningfully improves care rather than simply automating tasks. Tune in for a practical conversation about how to use AI to create more capacity, stronger patient connections, and safer, more human health care. IHI Spotlight -  Neel Vora Following the conversation, Neel Vora, Vice President of Information Technology at IHI, shares a practical framework for responsible AI adoption: fit, safety, and value. He encourages leaders to use a risk-based governance process from the first idea through retirement of a tool, with input from patient safety, privacy, cybersecurity, equity, legal, workforce, and patient representatives. He also emphasizes starting with a narrow use case, testing it in the real workflow, and continuing to measure whether AI improves safety, quality, equity, patient experience, or workforce well-being. About Bill Hudson: Bill Hudson is Chief Information Officer at Hippocratic AI and an accomplished digital transformation leader with more than 25 years of experience in health care information technology. He works with health care leaders to reimagine care delivery through Hippocratic AI’s agentic solutions, advancing population health and what he calls clinical abundance. His experience includes leading large-scale provider outsourcing arrangements, multiple Epic implementations, hospital integrations, Community Connect programs, and strategic work with provider AI startups. Previously, Bill served as Chief Information Officer at INTEGRIS Health and John Muir Health, Chief Healthcare Strategist for VMware, and Chief Technology Officer for Kettering Health. He has also held leadership roles at CTG and Cerner, serves as a board advisor to Tausight, and is a member of the Institute for Healthcare Improvement Board of Directors. He holds an MBA from Pepperdine University. Things You’ll Learn: Implementation should begin with a clear problem, the people who will benefit, and the outcomes an organization hopes to improve. Automating a task does not automatically improve care. The strongest use cases extend support that health systems lack the time or capacity to provide today. AI can help patients understand discharge instructions, obtain medications, schedule follow-up care, and escalate concerns before they become more serious. Every patient-facing AI interaction must be designed for safety, including clinical validation, safeguards against inaccurate responses, and a reliable path to human escalation. AI should support clinicians by reducing distraction and administrative burden, not replacing their judgment or requiring them to do more with less. Responsible AI governance requires input from clinical, privacy, cybersecurity, informatics, equity, legal, workforce, and patient perspectives. Resources: Connect with and follow Bill Hudson on LinkedIn. Follow Hippocratic AI on LinkedIn and explore their website. Explore the Institute for Healthcare Improvement’s AI Governance guidance for health systems.

What happens when false narratives about Latino communities become a public health threat? In this episode, Dr. Vincent Guilamo-Ramos, Leona B. Carpenter Chair in Health Equity and Social Determinants of Health at the Johns Hopkins University School of Nursing, explores how harmful narratives can shape policy, fear, trust, access to care, and health outcomes. He explains why portraying Latinos as outsiders, a burden, or undeserving ignores their central role in the U.S. economy, workforce, caregiving systems, and civic life. Dr. Guilamo-Ramos calls on health care organizations to move beyond neutrality by building meaningful relationships with Latino communities, adapting services to reduce barriers to care, and sharing real decision-making power with the people they serve. Tune in for a thoughtful conversation about why Latino health is U.S. health and how health care leaders can correct harmful narratives, restore trust, and act on equity. About Vincent Guilamo-Ramos: Dr. Vincent Guilamo-Ramos is the Leona B. Carpenter Chair in Health Equity and Social Determinants of Health Professor at the Johns Hopkins University School of Nursing. He is the founding director of the Center for Latino Adolescent and Family Health. A dually licensed adult health and psychiatric-mental health nurse practitioner, his research focuses on social determinants of health and family-based interventions that promote adolescent and young adult sexual and reproductive health, HIV prevention, and improved care outcomes among Latino and other underserved communities. Things You’ll Learn: False narratives about Latino communities can become policies and practices that create fear, delay care, and harm people’s health. Latinos are central to the U.S. economy, workforce, caregiving systems, and civic life, not peripheral to the nation’s future. Fear of enforcement or profiling can keep people from preventive care, primary care, follow-up appointments, and other essential services. Chronic stress and discrimination can affect mental health, family stability, and health outcomes across generations. Health care organizations can reduce barriers by adapting care delivery, screening for psychological distress, and connecting families with clinical and social support. Meaningful engagement requires Latino communities to have real leadership, decision-making authority, and oversight of resources. Health equity work should begin with communities furthest from opportunity so that universal efforts do not widen existing gaps. Resources: Connect with and follow Dr. Vincent Guilamo-Ramos on LinkedIn. Explore the Center for Latino Adolescent and Family Health at Johns Hopkins University School of Nursing. Read Correcting False Narratives: Indispensable Latino Contributions to U.S. Population Health in the New England Journal of Medicine. Read the National Academies report, Ending Unequal Treatment: Strategies to Achieve Equitable Health Care and Optimal Health for All

What would change if healthcare listened more deeply to Black breast cancer survivors and built systems around their experiences, expertise, and lives? In this episode, Ricki Fairley, co-founder and CEO of Touch, the Black Breast Cancer Alliance, joins Philip McAdoo to discuss trust, science, and collective action in the fight against Black breast cancer. Drawing on her own journey as a triple-negative breast cancer survivor, Ricki explains why the science of Black breast cancer must be treated differently, how the "purple cape" of accountability shapes Black women's experience of illness, and why doctors, pharma, and health systems must change the language, the data, and the support they offer. She also shares how Touch's navigators, clinical trial matching, and community partnerships help Black women move from fear to informed, confident decision-making. Tune in for a powerful, personal conversation about building trust, changing the science, and turning advocacy into a movement! About Ricki Fairley:Ricki Fairley is co-founder and CEO of Touch, the Black Breast Cancer Alliance, and a triple-negative breast cancer survivor and thriver. She has turned her personal experience, strategic expertise, and sense of purpose into a national movement focused on eradicating Black breast cancer. Ricki has founded and led major initiatives including #BlackDataMatters, the When We Trial Movement, For the Love of My Girls, Touch Cares, and BlackTNBCSanctuary.org, all designed to increase awareness, support Black women and families, advance clinical trial participation, and change outcomes for Black breast cancer survivors. IHI Spotlight: Ashley JacksonIn this episode's IHI Spotlight, Ashley Jackson discusses IHI's Cancer Collective Action Collaborative, a 14-month initiative connecting healthcare organizations, cancer centers, and community-based and advocacy groups to address disparities across the cancer care journey. She shares why moving from awareness to action requires an honest look at gaps in care, committed partnerships, and accountability, and why building trust with communities must come before any collaborative work begins. Things You'll Learn: Black breast cancer is biologically and clinically different, and clinical trials must reflect the burden of disease that Black women actually carry. Trust is difficult to build and easy to lose; a genuine, sustained partnership matters more than one-time sponsorship. Many Black women carry an invisible "purple cape" of caregiving and financial responsibility that doesn't come off during treatment, and health systems often fail to see it. Doctors' limited time with patients and low awareness of the latest trials leave many patients without a real clinical trial conversation. Peer navigators who have lived the experience themselves can provide education, emotional support, and practical resources around the clock. Racial bias in care delivery is real and can directly affect the quality and speed of treatment a patient receives. Meaningful partnership with communities requires listening first and building trust before starting collaborative work. Resources: Connect with and follow Ricki Fairley on LinkedIn. Learn more about Touch, the Black Breast Cancer Alliance.

What would change if health care truly organized itself around what matters most to older adults, patients, families, and caregivers? In this episode, Alice Bonner, a nationally recognized leader in age-friendly care and person-centered systems, joins Dr. Philip McAdoo to discuss ageism, dignity, caregiving, and what it takes to make health care more responsive to older adults. She explains how ageism shows up in everyday assumptions, communication, workflows, physical spaces, and care decisions, and why it must be treated as a health equity issue. Alice also highlights the importance of age-friendly care, the 4Ms framework, listening deeply to older adults, engaging caregivers without bypassing the person receiving care, and making “what matters” visible, documented, and actionable across the system. Tune in for a thoughtful conversation about designing care around dignity, trust, and the real lives of older adults and the people who care for them! About Alice Bonner:Alice Bonner is a nationally recognized leader in age-friendly care, person-centered systems, and efforts to make “what matters” a reliable part of care for older adults, families, and caregivers. Her work focuses on helping health systems address ageism, strengthen dignity and respect in care delivery, and build reliable practices that support older adults across hospitals, nursing homes, clinics, home care, and community settings. IHI Spotlight: Kate DeBartolo In this episode’s IHI Spotlight, Kate DeBartolo highlights practical tools that help older adults prepare for medical appointments and communicate what matters most. She discusses IHI’s My Health Checklist and The Conversation Project, which support care planning around priorities, medications, mind, mobility, and end-of-life wishes. Kate also shares how IHI’s partnership with AARP has expanded these resources through community engagement, translations, caregiver support, and tools for health care teams. Things You’ll Learn: Ageism often begins with assumptions about older adults before getting to know them as individuals. Health systems can unintentionally create inequities when they do not account for hearing, mobility, cognition, language, fear, or the need for more time. Dignity should not be optional in health care; it should be treated as a design requirement. Age-friendly care is built around the 4Ms: what matters, medication, mentation or mind, and mobility. Families and caregivers often hold important information about medications, safety, finances, living conditions, and social support. Asking “what matters” is only the first step; health systems must document, share, and act on the answer. Leaders can make person-centered care real by modeling dignity, listening to frontline teams, and building age-friendly practices into workflows. Resources: Connect with and follow Alice Bonner on LinkedIn. Explore the Institute for Healthcare Improvement’s Age-Friendly Health Systems work. Learn more about IHI’s My Health Checklist. Learn more about The Conversation Project.

Patient safety and workforce safety are not separate priorities. They are different, but deeply connected outcomes of the same health care system. In this episode, Patricia McGaffigan, Senior Advisor for Safety at the Institute for Healthcare Improvement and President of the Certification Board for Professionals in Patient Safety, explains why health care organizations cannot deliver consistently safe, compassionate care without also protecting and supporting their workforce. She discusses why leaders must move beyond reacting to individual errors, distinguish burnout from moral injury and compassion fatigue, and create systems that encourage people to speak up, report risks, and learn from mistakes. Patricia also shares how boards and senior leaders can make safety a daily purpose rather than a dashboard metric by asking what every major decision will mean for the safety of patients and the workforce. Tune in to learn why patient and workforce safety must be led together, and how health care organizations can build a culture where people are safe to speak up, learn, and thrive. About Patricia McGaffigan: Patricia McGaffigan is Senior Advisor for Safety at the Institute for Healthcare Improvement and President of the Certification Board for Professionals in Patient Safety. She co-chairs the National Steering Committee for Patient Safety and serves as a liaison to IHI’s Lucian Leape Institute, Patient and Workforce Safety and Well-Being Initiative, and Nursing Initiative. A nationally recognized patient-safety leader, Patricia brings experience in clinical practice, teaching, and medical device and technology organizations, with a career focused on improving safety for patients, families, and the health care workforce. Things You’ll Learn: Patient safety and workforce safety are inseparable because patients and care teams experience the same system. Safer systems address the conditions that lead to harm instead of expecting people to be infallible. Workforce well-being is a performance strategy that makes care safer, more compassionate, equitable, and reliable. Burnout, moral injury, and compassion fatigue have different causes and require different responses. Psychological safety, transparency, and accountability must work together for organizations to learn and improve. Workarounds often reveal system problems and should be examined rather than blamed on individual clinicians. Boards and leaders must treat zero preventable harm as a core purpose and weigh the safety impact of every major decision on patients and the workforce. Resources: Connect with and follow Patricia McGaffigan on LinkedIn. Follow the Institute for Healthcare Improvement on LinkedIn and explore the IHI website. Learn more about IHI’s National Action Plan to Advance Patient Safety. For questions, ideas, or guest suggestions, email [email protected].

What is public trust in nurses worth if it does not lead to voice, protection, and authority? In this episode, Dr. Ernest J. Grant, Clinical Associate Professor and Vice Dean for Diversity, Equity, and Inclusion at the Duke University School of Nursing, reflects on a nursing career shaped by bedside care, burn prevention, public policy, and national leadership. He shares how nursing found him, what decades of caring for burn patients taught him about dignity and presence, and why prevention became an extension of bedside care rather than a departure from it. Dr. Grant also discusses volunteering after the September 11 attacks, leading the American Nurses Association during COVID-19, and using nurses' firsthand experiences to advocate for safer working conditions and stronger public-health responses. Looking ahead, he explains why nurses need a meaningful seat at the table, how AI should support rather than replace human care, and why healthcare leaders must mentor the next generation and create safer ways for nurses to speak up. Tune in to hear why honoring nurses requires more than praise; it requires systems that recognize their expertise, protect their courage, and give them the authority to lead. About Dr. Ernest J. Grant Ernest J. Grant, PhD, RN, FADLN, FAAN, is a Clinical Associate Professor and Vice Dean for Diversity, Equity, and Inclusion at the Duke University School of Nursing. He is the immediate past president of the American Nurses Association, the nation's largest nurses' organization representing the interests of 5.3 million registered nurses. He was the first man elected president in the organization's 130-year history. Dr. Grant has more than 30 years of nursing experience and is internationally recognized for his expertise in burn care and fire safety. He also serves as adjunct faculty at the University of North Carolina at Chapel Hill School of Nursing. His work has included bedside care, professional education, injury prevention, public policy, workforce advocacy, and national nursing leadership. In 2002, President George W. Bush presented Dr. Grant with a Nurse of the Year Award for his work caring for burn victims from the World Trade Center site. He was inducted as a Fellow of the American Academy of Nursing in 2011 and designated an Academy Living Legend in 2026, its highest honorary recognition. He earned his BSN from North Carolina Central University and his MSN and PhD from the University of North Carolina at Greensboro. He has also received honorary doctoral degrees from the University of Wisconsin and Thomas Jefferson University. Things You'll Learn Nursing can become a calling through direct experience, mentorship, and the realization that nurses can influence care far beyond a single role or credential. During major crises, leaders need to listen closely to frontline workers, translate their experiences into action, and advocate for the equipment, information, and protection they need. Calling nurses heroes is not enough if healthcare systems fail to protect them from unsafe staffing, inadequate resources, violence, and exclusion from decision-making. Public trust should translate into a meaningful nursing voice in strategy, policy, technology, resource allocation, and the design of patient care. AI can support clinical work, but it cannot replace the human touch, individualized judgment, or active listening that help patients feel heard. Leadership does not require a formal title; nurses can lead through advocacy, committee participation, professional organizations, and efforts to improve policies and practice. Healthcare leaders can turn trust into lasting authority by mentoring future leaders, sharing decision-making context, and building thoughtful succession plans. Resources Connect with and follow Dr. Ernest J. Grant on LinkedIn. Visit the Duke University School of Nursing website.

What can four decades of HIV/AIDS response teach public health about preparing for the next crisis? In this episode, Dr. Eugene McCray, a physician, epidemiologist, and longtime public health leader, reflects on the lessons HIV/AIDS has taught about trust, stigma, data, prevention, equity, and community engagement. He explains how community advocacy helped accelerate surveillance, drug development, education, and access to care, and why effective interventions mean little if they do not reach the people who need them most. Dr. McCray also explores the importance of transparent communication, timely, locally relevant data, and the creation of safe environments where communities and public health teams can share concerns and solutions. Looking ahead, he argues that future public health responses must be community-centered, evidence-based, prevention-focused, and willing to take accountability when systems get things wrong. Tune in to hear why the lessons of HIV/AIDS are not simply history, but a blueprint for building more resilient public health systems. IHI Spotlight: The episode's spotlight connects the conversation to healthcare improvement, safety, equity, and public health learning. The central lesson is that public health needs memory: science and data must remain connected to people, prevention tools must be paired with systems that deliver them equitably, and community partnership must be treated as a condition for effectiveness rather than a courtesy. About Dr. Eugene McCray: Dr. Eugene McCray is a physician, epidemiologist, and public health leader whose career has contributed to the HIV/AIDS response in the United States and globally. His work has included HIV surveillance, prevention, healthcare-worker safety, global HIV programs, and leadership of the CDC's domestic HIV program. In this conversation, he draws on decades of experience to explore what public health can learn from HIV/AIDS about trust, community engagement, data, prevention, equity, and accountability. Things You’ll Learn: Community-led advocacy helped accelerate the HIV/AIDS response by strengthening surveillance, speeding drug development, and building trust with affected populations. Stigma and discrimination can undermine public health by discouraging people from testing, seeking care, and accessing services. Transparent communication is essential when science is uncertain, especially when leaders clearly distinguish what is known from what is not yet known. Public health leaders need to listen to communities and create environments where staff and community members feel safe sharing concerns, assumptions, and solutions. Data is most powerful when it is timely, local, actionable, and used to identify populations being left behind rather than to assign blame. Effective prevention tools such as PrEP cannot reduce inequities unless public health systems tailor delivery to the communities that need them and involve those communities in designing interventions. Meaningful community engagement should extend across research, implementation, evaluation, and the feedback loop that uses data to improve programs. Future public health crises will require systems that integrate trust, prevention, and accountability, take responsibility for mistakes, and build stronger community-centered partnerships. Resources: Connect with and follow Dr. Eugene McCray on LinkedIn.

Healthcare can’t ask communities to trust systems that haven’t earned their trust. In this episode, Harold Phillips, the CEO of NMAC (formerly the National Minority AIDS Council), discusses what HIV reveals about stigma, trust, racial justice, and the communities still being left behind by healthcare. Drawing on his lived experience with HIV and decades of public health leadership, Phillips explores why healthcare must treat the whole person rather than simply the diagnosis. He explains how stigma, misinformation, and mistrust can keep people from accessing care even when effective treatments and prevention tools are available. Phillips also examines the difference between outreach and genuine community partnership, emphasizing the importance of listening to communities and using their lived experiences to shape healthcare systems and policy. Tune in to hear Harold Phillips share what healthcare leaders can learn from communities that have historically been left behind, and how those lessons can help build more equitable, trustworthy systems. IHI Spotlight - Sylvia Trent-Adams: This episode’s IHI Spotlight features Sylvia Trent-Adams, President and CEO at the Institute of Healthcare Improvement, who talks about the lessons HIV has taught her about dignity, trust, equity, and person-centered care. Drawing on her experience as a nurse caring for soldiers living with or affected by HIV, she emphasizes that treating a diagnosis and truly seeing a person are not the same thing. She also discusses why healthcare organizations must listen to marginalized communities and act on what they hear, making equity an essential part of quality and safety rather than a separate initiative. About Harold Phillips: Harold J. Phillips is a nationally recognized HIV policy leader and public health strategist with over 30 years of experience advancing equity, access, and innovation in the fight against HIV/AIDS. In 2025, he was appointed CEO of NMAC, where he leads eNorts to center racial justice and community leadership in the national response to HIV. Previously, Phillips served as Director of the White House Office of National AIDS Policy (2021–2024), overseeing the implementation of the National HIV/AIDS Strategy and shaping federal policy to accelerate progress toward ending the epidemic. He also held senior roles at the Health Resources and Services Administration’s HIV/AIDS Bureau, where he managed key programs including Ryan White, AIDS Education and Training Centers, and PEPFAR-funded initiatives. As a Black gay man living with HIV, Phillips brings lived experience and visionary leadership to his work. His career has been defined by a commitment to uplifting marginalized voices, modernizing HIV policy, and building sustainable systems of care. Things You’ll Learn: HIV continues to reveal how stigma, misinformation, and mistrust can create barriers to healthcare access. Treating the whole person requires healthcare systems to address the social and personal circumstances that shape health outcomes. Lived experience should inform healthcare policy, system design, and shared decision-making. Genuine community partnership requires ongoing listening, responsiveness, and action, not one-time outreach or consultation. Healthcare organizations can build trust by listening to communities, adapting their services, and creating systems that center historically marginalized populations. Resources: Connect with and follow Harold Phillips on LinkedIn. Follow NMAC on LinkedIn and explore their website!

What if the key to leading change isn't having all the answers, but knowing how to listen? In this episode, Sue Hassmiller, a nationally recognized nurse leader, leadership coach, and health care strategist, talks about the human side of leading teams through change and what it takes to build trust, psychological safety, and true ownership. She explains why deep listening and genuine relationships are more effective than simply telling people what to do. She also explores the difference between compliance and ownership, and how leaders can help teams take greater responsibility for improvement by connecting change to their values and giving them a voice. Finally, Sue shares how coaching, curiosity, and self-awareness can help leaders overcome judgment and better understand why teams may feel stuck, resistant, or exhausted. Tune in to learn how leaders can listen differently, build stronger connections, and create the conditions for meaningful, lasting change in health care! IHI Spotlight - Jesse McCall: In this IHI Spotlight, Jesse McCall, Senior Director at IHI, explains that sustainable healthcare improvement depends as much on people and culture as it does on technical methods. He emphasizes connecting frontline staff to a shared purpose, creating psychologically safe environments where people can speak up and test new ideas, and ensuring leaders close feedback loops so employees become partners in change rather than recipients of it. About Sue Hassmiller: Sue Hassmiller, PhD, RN, FAAN, is an executive and leadership coach for nurse executives and health care leaders. Across a distinguished career spanning frontline public health, nursing academia, high-level government policy, and 25 years leading national initiatives at the Robert Wood Johnson Foundation, she has dedicated her life to transforming health care systems from the inside out. An elected member of the National Academy of Medicine, recipient of the Florence Nightingale Medal, and recognized as a Living Legend by the American Academy of Nursing, Sue combines multi-sector expertise with certified coaching to help health care leaders navigate complex relationships, drive health equity, and champion compassionate care. She is also the author of Resetting: An Unplanned Journey of Love, Loss, and Living Again, which explores healing and the vital human element in modern health care. Things You’ll Learn: Deep listening is essential for understanding how people experience and respond to change. Leaders build ownership by listening to their teams, acknowledging their perspectives, and connecting change to shared values. Psychological safety enables teams to contribute ideas, innovate, and perform at their best. Effective behavior change requires leaders to change their own behaviors by becoming more curious, self-aware, and less judgmental. Leaders can better support stuck or exhausted teams by asking questions and seeking to understand the underlying causes instead of making assumptions. Resources: Connect with and follow Sue Hassmiller on LinkedIn.

What would health care look like if nurses had the power to shape the systems they work in? In this episode, Dr. Beverly Malone, President and CEO of the National League for Nursing, discusses why nurses must be recognized not simply as health care workers, but as healers, leaders, educators, and system shapers. She explains how nursing's unique combination of scientific expertise, empathy, advocacy, and whole-person care gives nurses a critical perspective on what patients and health care systems need. Dr. Malone calls on health care organizations to invest in nurses by providing career pathways, supporting well-being, fostering inclusion, and ensuring meaningful participation in decision-making, arguing that the future of health care depends on listening to and empowering the nurses already at the center of care. Tune in for an inspiring conversation about the power nurses already hold, and what health care systems can do to listen to, support, and empower them to lead!  About Dr. Beverly Malone: Dr. Beverly Malone is President and CEO of the National League for Nursing. A nurse, educator, clinician, and global health care leader, she has held senior leadership roles in the United States and the United Kingdom, including serving as Federal Deputy Assistant Secretary for Health under President Bill Clinton and as General Secretary of the Royal College of Nursing in the UK. Her work has focused on nursing education, leadership, diversity and equity, evidence-based practice, and advancing nurses' roles in shaping health care systems. Things You’ll Learn: Nurses are healers whose work combines science, skill, empathy, trust, and hope. Nurses exercise leadership every day by coordinating complex systems around patient care. Health care organizations must replace gratitude alone with meaningful structural support for nurses. Nurses need a seat at decision-making tables because their frontline perspective can reveal what systems miss. Nursing education and clinical practice must collaborate to prepare and support nurses throughout their careers. Cultures of belonging and well-being are essential to retaining nurses and delivering quality care. Empowered nurses can help lead health care toward prevention, health promotion, and more coordinated care. Resources: Connect with and follow Dr. Beverly Malone on LinkedIn. Follow the National League for Nursing on LinkedIn and explore their website!

What does health care truly need now, and who is already showing us the way forward? The newest season of Turn On The Lights centers on one defining question: What does health care need now? Host Philip McAdoo speaks with experts and changemakers about workforce well-being, public health, HIV prevention, aging, technology, AI, cybersecurity, patient advocacy, and health equity. Rather than focusing solely on problems, each conversation highlights practical strategies, innovative thinking, and the leaders driving meaningful improvement across the health care system. Together, these stories reinforce that better care begins with trust, safety, dignity, and a willingness to listen. If you're passionate about improving health care through leadership, innovation, equity, and human-centered care, this season offers inspiring conversations you won't want to miss. About Dr. Philip McAdoo: Dr. Philip Dorian McAdoo is an organizational strategist, educator, author, advocate, and storyteller whose work focuses on trust, culture, workplace well-being, belonging, and systems change. He serves as Director of Internal Equity & Workplace Well-Being at the Institute for Healthcare Improvement, where he supports leaders and teams in strengthening the human and organizational conditions that make improvement possible. Philip’s career spans health care, education, environmental justice, consulting, policy advocacy, philanthropy, and the arts. He holds a doctorate in Educational Leadership from the University of Pennsylvania, where his research explored the identities and experiences of openly gay educators. He is the author of Independent Queers and Every Child Deserves…, and he has spoken and led work across national convenings focused on leadership, culture, equity, and institutional change. As host of Turn on the Lights, Philip brings a human-centered and systems-focused lens to conversations about what health care needs now and how better systems can be built. Things You’ll Learn: Health care improvement starts with supporting the workforce caring for patients every day. Equity requires addressing the communities that continue to be left behind. Public health lessons from HIV remain highly relevant today. Person-centered care should be designed around what matters most to patients. Technology should strengthen trust, not simply automate processes. AI, cybersecurity, and digital transformation require strong leadership and governance. Patient advocacy remains essential for reducing disparities. Meaningful improvement begins by listening to patients, caregivers, and communities. Resources: Connect with and follow Dr. Philip McAdoo on LinkedIn and visit his website! Follow the Institute for Healthcare Improvement on LinkedIn and explore their website!

Welcome back to a special encore presentation of Turn on the Lights! As we continue our transition series, our new host, Dr. Philip, has selected one of our most impactful and widely listened-to conversations from the archives to revisit. He introduces this timely discussion with Chris Van Gorder, which explores how cost shifting, regulatory mandates, and Medicare Advantage risk transfer are pushing healthcare toward structural unaffordability. Summary: Leading a major health system today means juggling patient-first ethics with a financing model that keeps tightening the screws. In this episode, Chris Van Gorder, President and Chief Executive Officer of Scripps Health, explains why health care is becoming structurally unaffordable amid soaring premiums, uncompensated emergency care, and rising input costs. He describes how hospitals have become the default safety net as county systems disappear, while underpayment by Medicare and Medicaid forces cost shifting onto employers and commercially insured patients. Van Gorder also highlights California’s seismic rebuilding mandates, which create massive capital pressure without matching reimbursement. He critiques managed care, value-based care, and Medicare Advantage for pushing risk onto providers through prior authorization and denials, recounting Scripps’ difficult decision to exit several Medicare Advantage contracts after heavy losses and the downstream impact on patients. Tune in and learn how payment design, intermediaries, and regulation shape what hospitals can sustain and what patients can access. About Chris Van Gorder: Chris Van Gorder, MPA, FACHE, is the President and Chief Executive Officer of Scripps Health in San Diego, where he has led the organization since 2000 after serving as its Chief of Healthcare Operations and COO. A veteran healthcare executive with decades of experience across California hospital systems, he previously held CEO and senior leadership roles at Long Beach Memorial Medical Center, Anaheim Memorial Medical Center, and Little Company of Mary Hospital. Beyond health system leadership, he has served on multiple boards, including Prolacta Bioscience and previously Abiomed and Z-Medica, and he has been active in national and civic service as a commissioner for the U.S. National Commission for UNESCO. He also brings an uncommon public-safety background, including reserve service with the San Diego Sheriff’s Department and long-running involvement with California’s Emergency Medical Services Authority, earning a Distinguished Service Medal. An educator and author, he teaches at USC and wrote The Front-Line Leader (2014). Things You’ll Learn: Healthcare executives are dealing with an unprecedented volume of simultaneous operational, financial, and workforce demands, raising the stakes of everyday decisions.  Affordability isn’t just a household problem; it’s a system design problem that forces hospitals to cover the growing cost of unpaid care.  Cost shifting is not a theory; it is the mechanism that pushes public underpayment onto commercial premiums.  Regulatory and capital mandates can dramatically raise costs without generating new revenue, especially in California.  Medicare Advantage often adds friction through narrow networks, prior authorization, and payment disputes, while shifting risk downhill. Walking away from bad contracts can stabilize a system financially, but it creates real disruption for patients and exposes policy gaps in switching coverage. Resources: Connect with and follow Chris Van Gorder on LinkedIn. Follow Scripps Health on LinkedIn and explore their website!