Ira Byock
speaker
629 appearances
3 recordings
1 series
first heard Jun 2019
last heard Jul 2025
Ira Byock’s voice in public audio — every appearance, attributed to the second.
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Appearances
Yeah.
You know, who w who did you have the conversation with, a little bit about what was discussed, and then choose one of these four.
That's pretty that's pretty flexible.
But we thought that at least was meaningful enough that we could count the darn thing.
No, but we but we also iterated around code status, by the way, because we realized in in this fifty-one hospital health system, when the institute began and we began to gr you know grow quality colleagues like Chris and and so many others around the health system that we had a problem with code status.
That in some of the hospitals there were still partial code orders that were that were being written and accepted.
And so we took on a political
politically dicey um initiative to refine code status policies and procedures consistent with American card associations and uh college of cardiology and and that wasn't easy.
In getting rid of the partial code, we also instituted when a do not resuscitate or do not attempt resuscitation order is written, that there is a menu that pops up.
Correct me if I say this wrong, Matt, that uh has a desired level of medical treatment list so that you're talking about what the patient would accept uh uh short of code stats.
And we gave them credit in a goals of care note for filling that darn thing out. 'Cause it had to write that legitimately, you had to have had a conversation with the patient.
may have been conversations that you couldn't find, although I'm not sure that there were that many, but it but uh uh we were blind to it.
We couldn't analyze it, we couldn't count them.
right?
All the way up.
Scale it up, scale it down.
And scale it across the uh other uh parts of the health system.
The the the the analysis.
The
that's why I say that, you know, we went all the way up these endless layers of governance to get it approved.
Showing 101–120 of 629 · page 6 of 32
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