What happens when a health system decides that quality comes first? In this episode, Dr. Gary Kaplan, who retired as the longtime CEO of Virginia Mason and currently serves on the Board of Stewardship Trustees of CommonSpirit Health, discusses leading one of America’s most influential physician-led health systems through a radical transformation focused on quality, safety, and patient-centered care. He reflects on Virginia Mason’s roots as a Mayo Clinic–style group practice and why shared purpose and clinician leadership created a fundamentally different culture of care. Dr. Kaplan explains how adopting Lean management principles reshaped chaotic health care systems, reduced waste, and supported clinicians in delivering safer, more reliable care. He also discusses why fee-for-service medicine drives unsustainable costs, his advocacy for value-based and capitated payment models, and how market consolidation ultimately led to Virginia Mason's merger, despite its strong performance and independence. Tune in to explore what it truly takes to redesign health care systems around patients, clinicians, and value, rather than volume. Resources: Connect with and follow Dr. Gary Kaplan on LinkedIn. Follow CommonSpirit Health on LinkedIn and explore their website! Learn more about your ad choices. Visit megaphone.fm/adchoices

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“What did the council decide on item 42?” — answered with the speaker and the moment.

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