Bisognano noted that two days after the November election, IHI held a meeting with 100 political and healthcare industry leaders such as former U.S. Senate Majority Leaders Tom Daschle, William Frist, MD, Gary Kaplan, CEO of Virginia Mason Health System in Seattle, Christine Cassel, MD, President and CEO of the American Board of Internal Medicine, and Bruce Siegel, President and CEO of the National Association of Public Hospitals and Health Systems.
What they all were thinking, she said, was that the election changed nothing for most of America. Frist, she said, noted 'that the same people are sitting in the same conference rooms, with the same issues behind the same closed doors.
"But with healthcare, in the last two days, everything has changed.
"There's a sense of certainty about the destination. There are going to be more people coming into the system."
And the challenge is to make sure that costs are lowered while quality improves, two goals that some healthcare systems are finding are not mutually exclusive.
"But what's really causing uncertainty is how do we get there," Bisognano said. "In the last weeks, I've heard more people say, 'Okay. I realize now I have to control my costs,' more than I've heard more than the last 20 years."