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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But once approved, then it kind of was a top down uh project.
And we were just helping everybody at all levels exceed uh uh excel.
We want you to excel.
You know, we we were going to hospitals and and uh nursing and and medical teams within the hospital.
Tell us what we can do to help you excel.
We've got all kinds
of tools and education and you know tweaks to Epic and all that to make this easy for you to excel.
Alex, I'll also just like
You know, all I can say is this was really methodical, and and the opportunity to develop the institute and to get buy-in across the organization in a way that was perceived as integral to the mission of the organization at all levels was was one that was too good not to not to um take part in in a in a uh energetic way.
And we were we did.
We were we were forced to be able to do that.
But we very um strategically uh work to make this so.
I I wanted to say before we get too far further in the conversation that there is a table within the um paper that shows a uh leading indicator of change, which is at what percent does code status change for hospitalized patients?
With a serious chronic illness, one or more serious chronic illnesses.
How frequently does code status change during a hospitalized, so an acutely ill patient?
And what you'll see in there is that there is a positive association between goals of care conversations during that hospitalization and the change in code status.
We were agnostic to how the code status
status changed, but only that the change in code status was reasonable to to assume was moving towards something that was more aligned with a patient's own values, preferences, and priorities.
Yes.
And what we saw was a positive association even in patients who never saw palliative care during that index hospitalization.
Showing 121–140 of 629 · page 7 of 32
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