At a time when the pace of change in healthcare can be overwhelming, Dr. Cochran provides a clear path to a new system. I’m inspired by the practical ideas for change.”
– Maureen Bisognano, Retired CEO Institute for Healthcare Improvement
DR. JACK COCHRAN is an innovative leader for health care transformation. In his 2018 book Healer, Leader, Partner he provides practical, proven knowledge and skills for physicians to become effective, compassionate leaders for improving and transforming health care to deliver on what patients want, need, and deserve.
UNDER HIS LEADERSHIP as the Executive Director (CEO) of the Permanente Federation, Kaiser Permanente was recognized as a national leader in clinical quality by multiple institutions including the Medicare Star program and the National Committee for Quality Assurance (NCQA). The Federation represents the national interests of the regional Permanente Medical Groups, which employ 20,000 physicians who care for more than 10 million Kaiser Permanente members.
“Jack is a passionate leader in health care who has demonstrated his commitment to Kaiser Permanente and to our members and patients. As a partner in his role with The Permanente Federation, he advocated his support of health care reform and for providing care and coverage to millions more Americans on his watch.” Bernard J. Tyson, Chairman & CEO, Kaiser Foundation Health Plan, Kaiser Foundation Hospitals, Inc.
Prior to his selection of Executive Director of the Permanente Federation, Dr. Cochran served as Executive Medical Director, President, and Chairman of the Board of the Colorado Permanente Medical Group (CPMG) for Kaiser Permanente and led physicians through change that resulted in the transformation of the culture that in the 90’s was faced with financial challenges as well as declining membership, physician morale, and patient satisfaction. By the mid-2000’s satisfaction rates recovered, and by 2007 Kaiser Permanente Colorado increased membership, earned a margin, and boosted its morale. Dr. Cochran’s “Listening Tour” was integral to the turnaround.
“It was a humbling experience and very unique privilege to work with my Health Plan colleagues to help create a collaborative ‘can do’ culture in which we faced challenges together,” — reflected Dr. Cochran.
HIS RECORD OF SUCCESS while working extensively with national health policy development, integrated care, innovation and physician leadership Dr. Cochran earned Modern Healthcare’s “50 Most Influential Physician Executives and Leaders” (2009, 2010, and 2012). During that time Kaiser Permanente attained national status for excellence in clinical quality and completed the largest civilian deployment of a clinical information system.
A NATIONAL & INTERNATIONAL ADVOCATE FOR HEALTH CARE Dr. Cochran addressed the National Governors Association Annual Meeting, testified before the Congressional Committee on Health, Education, Labor, and Pensions, and presented at the Senate Finance Committee’s Health Reform Summit.
Philanthropy has long been a part of Dr. Cochran’s life. For more than three decades, in addition to his financial support he has volunteered his reconstructive surgery and consulting services in Third World countries, aiding underserved populations in Nicaragua, the Philippines, Ecuador, Tanzania, and Nepal. He is also a past president of the Consortium for Community Centered Comprehensive Child Care (C6), a foundation that has built hospitals in East Africa. He is a vocal advocate for nurses and oversees the Lois and John Cochran Education Award, an annual scholarship given to oncology nurses at the Lutheran Medical Center in Denver, Colorado.
Dr. Cochran is a frequent speaker and author on a broad range of health care topics including health care delivery system reform, integrated care delivery, and health information systems. His insights gained from decades of work on the front lines of health care provide a unique perspective which he shares in his first book The Doctor Crisis: How Physicians Can, and Must Lead the Way to Better Health Care.
Dr. Cochran earned his medical degree from the University of Colorado and served residencies at Stanford University Medical Center and the University of Wisconsin Hospital. He is board certified in otolaryngology (head and neck surgery) and in plastic and reconstructive surgery.
Health care continues to improve the quality and predictability of care outcomes so patients can experience improved health and decreased suffering. But we still see daily examples of uneven quality and access and an increasing problem of affordability for patients and families. Physicians are not more important than all of the other stakeholders in health care, but we do have disproportionate impact on outcomes due to the many touch points where we significantly impact the process and/or outcome. This disproportionate impact should engender disproportionate accountability to “opt in” to all the ways health care touches our patients and families : physically, socially, psychologically, and financially. We track the evolution of health care from both the patients view and that of the physician. We follow the rapid growth in knowledge, technology , and both diagnostic and therapeutic options. This marvelous increase in knowledge nd capability has also created major increases in complexity that are radically forcing change that is pressing on both patients and physicians. We bring the past as a source of learning to the present and offer a clear eyed view of the impact of complexity as described , but add more development of added complexity as patients are cured or stabilized from difficult illnesses and go on to develop additional conditions. All of this lands in the middle of the doctor-patient relationship and has made many aspects of the experience better, but other aspects very difficult. We show how the current state for both patients and physicians must change and improve and outline how physicians must not become victims to all the change, but become leaders in improving care in this age of technology and information explosion.. Details of how the model of one doctor, one patient, and one paper chart can be enthusiastically changed into care that is delivered using technology, information, and teams to create excellent and personal care is demonstrated. Tangible examples add proof points to this very positive future state that can create a health care system that patients want, need, and deserve but also provide physicians a growing sense of professional confidence and pride in their work and being the kind oh healing physician they believe has been and should be their standard.
“Structure matters, but the ability to optimize the function of the
structure are differentiating.” ~ Jack Cochran, MD
Health care continues to create advances and breakthroughs in knowledge, understanding, technology, therapeutics and outcomes. In this keynote, Dr. Cochran focuses on the growing challenge of the complexity of this knowledge and technology. He highlights how organizational systems can begin to leverage such structural advances as group practice, integration, and technology to coordinate care, both real and virtual, at a highly reliable level. Questions arise around the limitations these systems produce and how to leverage these systems and the resulting journey of learning as well as developing the people, leadership and culture to create reliable outcomes and consistent improvements. Dr. Cochran delivers the answers by showcasing examples of how organizations became competent, and even enthusiastic, toward measurement and improvement and leading change. He identifies the elements needed to bring about clarity of vision and focused and substantive investment in time and training for this change. His approach to identifying early adopter targets and building of trust through peer credibility all assist in creating an organizational culture that embraces measurement, acknowledgement, reflection, learning and improvement.
At a time when we regularly hear about the advances, breakthroughs, and even cures in health care too many patients are suffering and too many physicians and other health care workers are suffering. Physicians have a disproportionate impact on health care and can no longer be silent bystanders to what is happening to too many of our patients and colleagues. In this keynote Dr. Cochran challenges physicians by unpacking four questions that surface answers and actions to finally address the true breadth and depth of the impact of our health care system:
#1 “Is Excellent Good Enough?
In spite of the improvements and even miracles in health care, our patients experience uneven quality and access to care and affordability at an individual and family level. Even with outstanding care being delivered daily, we still have many examples of underuse, overuse, misuse, and error impacting our patients and families, so what are physicians to do?
#2 “What Kind of Ancestor Will I Be?
Very disturbing trends are surfacing and when surveyed a significant number of physicians, answered “No,” when asked if they would recommend their child become a physician. Why did we want to become physicians and what happened to the hope and passion of that 21 year old idealist? The calling of the physician remains noble, so what are physicians to do?
#3 – How Big is Our Ambition?
A good quality outcome for our individual patients is the ideal but there is a rapidly growing awareness of the financial impact of health care as an agent of wealth transfer. Governments, corporations, and families are increasingly faced with tradeoff decisions involving health care costs. Over $.80 of every health care dollar is spent on care delivery, so what are physicians to do?
#4 – How Broad is My Responsibility?
When two competing hospitals continue to invest in and build services and structures with NO consideration for looking at disciplined collaboration, there is a likelihood that over capacity in the name of competition is at work. Is it OK for competition and business success to keep us from collaboration and shared learning? Dr. Cochran agrees that we can’t treat our way to affordable health care, and we can’t legislate our way, so what are physicians to do?
Invite Dr. Cochran to come alongside and empower physicians to be a part of the solution.
“With compassion, practicality and a dose of self-deprecation, Dr. Cochran offers an inspiring vision for the future.”
"In this very insightful book Dr. Jack Cochran dissects the evolving healthcare landscape while illuminating the essential role of the physician as a leader, healer and partner. A great read for the public as well as all healthcare professionals."
“Dr. Cochran inspires us with his practical ideas for a clear path to a new system.”
KEYWORDS: Business of Healthcare, Care Delivery Systems, Change, Communication, Competition, Corporate Culture, Customer Service, Future of Healthcare, Governance, Healthcare Reform, Innovation, Leadership, Service strategy, Trust, Vision, Workforce Issues