Leading Healthcare Through Relationships | Nirav R. Shah, MD, MPH

The Doctor's Art

Henry Bair and Tyler Johnson

Medicine, Society & Culture, Health & Fitness, Philosophy

5 • 2.1K Ratings

🗓️ 24 January 2023

⏱️ 48 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

What does it take to lead a health department with a budget of more than $50 billion, overseeing the health of nearly 20 million Americans? Here to tell us about that is Nirav R. Shah, MD, MPH, who was the 15th New York State Commissioner of Health from 2011 to 2014. Today, Dr. Shah is a nationally recognized advocate of patient safety, health care innovation, and high-quality, low-cost care. He has variously served as Chief Operating Officer of Kaiser Permanente in Southern California, Advisor to the CDC Director, Senior Fellow of the Institute of Health Improvement, and Senior Scholar at Stanford University's Clinical Excellence Research Center. In this episode, Dr. Shah joins us to share his philosophy of healthcare leadership and how meaningful relationships anchor his work.

In this episode, you will hear about:

How Dr. Shah’s upbringing and the influence of Jainism steered him away from a lucrative career in finance and into medicine - 1:53
Two patient stories in which seemingly simple mistakes led to moments of awakening for Dr. Shah in recognizing his purpose in medicine - 6:21
A brief overview of Dr. Shah’s career path - 13:47
Lessons on empathetic leadership that Dr. Shah picked up along the way - 19:21
How forging strong relationships helped Dr. Shah find solutions on big issues during his time as New York State’s Health Commissioner - 21:57
Dr. Shah’s current pursuits, including those focused on making a business case for supporting the unpaid caregivers of patients - 31:23
Why transparency and bureaucratic structure are critical components of healthcare reform in the United States - 37:46
Advice to clinicians on what makes effective leaders and collaborators, and how to find passion for meaningful projects - 41:43

Dr. Shah is a trustee of the John A. Hartford Foundation, a board member of STERIS, and an advisor to GSR Ventures.

You can follow Dr. Nirav R. Shah on Twitter @NiravRShah or on LinkedIn.

Visit our website www.TheDoctorsArt.com where you can find transcripts of all episodes.

If you enjoyed this episode, please subscribe, rate, and review our show, available for free on Spotify, Apple Podcasts, or wherever you get your podcasts. If you know of a doctor, patient, or anyone working in health care who would love to explore meaning in medicine with us on the show, feel free to leave a suggestion in the comments or send an email to [email protected].

Transcript

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0:00.0	Hi, I'm Henry Bear.
0:03.0	And I'm Tyler Johnson.
0:05.0	And you're listening to The Doctors Art, a podcast that explores meaning in medicine.
0:09.0	Throughout our medical training and career, we have pondered.
0:13.2	What makes medicine meaningful?
0:15.1	Can a stronger understanding of this meaning
0:17.2	create better doctors?
0:18.8	How can we build health care institutions
0:20.6	that nurture the doctor-patient connection.
0:23.0	What can we learn about the human condition
0:25.0	from accompanying our patients in times of suffering?
0:28.0	In seeking answers to these questions,
0:30.0	we meet with deep thinkers working across health care, from doctors and nurses to patients and health care executives, those who have collected a career's worth of hard-earned wisdom.
0:40.0	Probing the moral heart that beats at the core of medicine, we will hear stories that are by turns heart-breaking, amusing, inspiring, challenging, and enlightening.
0:49.0	We welcome anyone curious about why doctors do what they do?
0:53.0	Join us as we think out loud about what illness and healing can teach us about some of life's biggest questions.
1:00.0	What does it take to lead a health department with a budget of more than 50 billion dollars
1:07.8	overseeing the health of nearly 20 million Americans?
1:11.7	Here to tell us about that is Dr. Narav Shah, who was the 15th New York State Commissioner of Health from 2011 to 2014.
1:19.0	Today, Dr. Shah is a nationally recognized advocate of patient safety, health care innovation, and high quality low cost care, having variously served as the chief operating officer of Kaiser Permanente in Southern California, advisor to the CDC director, senior fellow of the
1:36.1	Institute of Health Improvement, and senior scholar at Stanford University's Clinical Excellence
1:41.0	Research Center.
	...

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