John J. Nance brings a rich and varied professional background to American
Healthcare and the cause of Patient Safety. A lawyer, Air Force and airline pilot, prolific
internationally-published author, national broadcaster, and professional speaker, he was
one of the founding board members of the National Patient Safety Foundation in 1997.
John is a native Texan who grew up in Dallas, holds a Bachelor's Degree from
SMU and a Juris Doctor from SMU's Dedman School of Law, and is a licensed Texas
attorney. Named Distinguished Alumni of SMU for 2002, and distinguish Alumni for
Public Service of the SMU Dedman School of Law in 2010, he is also a decorated Air
Force pilot veteran of Vietnam and Operations Desert Storm/Desert Shield and a Lt.
Colonel in the USAF Reserve, well known for his pioneering development of Air Force
human factors flight safety education, and one of the civilian pioneers of Crew Resource
Management (CRM). John has piloted a wide variety of jet aircraft, including most of
Boeing's line and the Air Force C-141, and has logged over 13,700 hours of flight time
since earning his first pilot license in 1965, and is still a current pilot. He was a pilot for
Braniff International Airlines and a Boeing 737 Captain for Alaska Airlines, and is an
internationally recognized air safety advocate, best known to North American television
audiences as Aviation Analyst for ABC World News and Aviation Editor for Good
Before joining ABC, John logged countless appearances on national shows such
as Larry King Live, PBS Hour with Jim Lehrer, Oprah, NPR, Nova, the Today Show, and
many others. He is also the nationally-known author of 19 major books, five of them
non-fiction: (Splash of Colors, Blind Trust, On Shaky Ground, What Goes Up and
Golden Boy); plus 13 international fiction bestsellers: Final Approach, Scorpion
Strike; Phoenix Rising); Pandora's Clock; Medusa's Child; The Last Hostage;
Blackout; Fire Flight; Saving Cascadia; and Orbit. Pandora's Clock and Medusa's
Child both aired as major, successful two-part mini-series on television.
He is also the author of the highly-acclaimed 2009 book for American Healthcare
entitled WHY HOSPITALS SHOULD FLY, which won the prestigious "Book of the
Year" award for 2009 from the American College of Healthcare Executives.
John J. Nance has become one of America's most dynamic and effective
professional speakers, presenting entertaining and pivotal programs on teamwork, risk
management, motivation, coping with competition, and other topics to a wide variety of
audiences, including business corporations and healthcare professionals. He and fellow
author Kathleen Bartholomew (Ending Nurse-to-Nurse Hostility - Why Nurses Eat their
Young and Each Other), present vital programs on Quality and Patient Safety to Hospital
Boards, Physicians and Physician Leaders and Hospital Management Nationally and
He is a pioneering and well-known advocate of using the lessons from
the recent revolution in aviation safety to equally revolutionize the patient safety
performance of hospitals, doctors, nurses and all of healthcare.
- Surviving the Affordable Care Act Earthquake: How To Incite the Changes You Need - in Time! - Whether we measure it in terms of reimbursement, patient safety, service quality, market share or provider satisfaction, there's no question that the landscape of healthcare delivery is being as violently reshaped as if a great earthquake were roiling the terrain. And though we hate to admit it, when your once-familiar world has been upended, it is very hard to be calm and methodical enough to ferret out the right path to survival - especially if those steps are non-traditional. That is why tough and confusing times demand voices and influence from outside the institution - calm, incisive voices that can dramatically boost the urgency of the wake up calls needed to spark a Renaissance.
Providing that energizing wakeup call is precisely what this Keynote (and any expanded seminar or half-day version of it) is designed to do: To spark, inspire, and incite the cultural and clinical, financial changes you need to surf this tsunami. It is, in other words, designed to be a powerful aide to your efforts to get your "army" marching in the right direction, and for the right reasons. The Return On Investment is immediate, especially considering how little time remains to make changes that depend on the buy in, and true ownership, of your rank and file.
- Why Hospitals Should Fly: The Ultimate Flight Plan to Patient Safety and Quality Care - This presentation builds on the reality that American Healthcare is, in fact, a gigantic and complex Non-System, and that to achieve real patient safety and quality of care in such a chaotic environment requires building healthcare for the first time into a coherent, interactive system. Inclusive in this revolutionary approach is the fact that the American Hospital cannot serve the patient's best interests as long as it continues in the tradition of Ben Franklin (the creator of the first American Hospital) as an institution built only for doctors, not patients. The hospital MUST become a true unified entity in which even the outside physicians consider themselves an integral and proud part of the team - rather than independent practitioners merely renting space for their patients in a farmer's market.
In addition, this lecture highlights the essential role of the physician as a leader (rather than a commander) in orchestrating the amazingly effective shift to Collegial Interactive Teamwork based on open communications, caring and trust. How the hospital board and C-suite become essential to this process of change - and how it can all be torpedoed by a chief financial officer who refuses to understand the broader human effects of each cost-cutting decision - will upend your previous understanding. Why Hospitals Should Fly has become a runaway best seller in healthcare worldwide, and this presentation - recommended for 1.5 to 2.0 hours - not only explains why, but rallies the troops for immediate change.
- TAKEOFF - Charting the Course: Launching Patient-Centric Healthcare - John's book Why Hospitals Should Fly ( ACHE's 2009 Book of the Year) sparked a nearly unanimous question across American Healthcare: "How? Agreed, we should be like the safe, happy, and cost-effective St. Michael's hospital depicted in the book, but how on earth do you begin the process of change? How do you start the journey?" That is precisely the question this lecture deals with - and answers - using specific methodologies, recommendations, and strategies to help you spark an energized internal determination to be the best.
This dynamic lecture takes you with great clarity into the heart of exactly what steps must be taken by senior and middle management to lead your people to break free of the "Way we've always done it" syndrome. It gives virtually everyone in the American Healthcare setting a crystal-clear understanding of what has to be done, and in what order, to create a unified institution whose members from bottom to top are truly dedicated to zero harm, the highest quality of care, communication, teamwork in its highest expression, and a common level of ownership.
- The Board's Pivotal Role in Patient Safety - The average board of directors of the average American Hospital is facing a forced revolution, inclusive of a measure called Sarbaines-Oxley that - when passed by Congress - will impose individual personal liability on each director. It is not enough by half for a board to be concerned about patient safety - boards are primarily and individually responsible for each and every medical decision made in their institutions, and contrary to traditional practice, attempting to simply hand that clinical responsibility to the physicians opens the entire institution to ruinous lawsuits and public condemnation. Few board members understand these things, because the medical world has been changing so fast beneath their feet.
This lecture will revolutionize the way your board looks at its duties and will delve deeply into the cause-effect relationship of the board's actions, or inactions, and the right of their hospitals' patients to be free from unreasonable risk of inadvertent harm. With patient safety disasters (i.e. medical mistakes) now the 4th leading cause of death in the United States, these issues must be faced and acted on, not just debated. This is a pivotal wakeup call presentation best utilized in off-site board retreat settings.
- Ending Medical Apartheid - Aimed at physicians, this lecture targets the traditional 4-thousand year history of keeping physicians separated from the rest of the healthcare community in ways that are ultimately the prime cause of poor communication, failed teamwork, toxic staff relations and patient safety disasters. The bottom line is that it will be forever impossible to have a safe and effective medical care system until Medical Apartheid is ended.
In dozens of lectures, John Nance has guided doctors in how to overcome this traditional prejudice, and how to redefine themselves as team leaders with no loss of authority but a significant gain in effectiveness and respect by simply changing the way they relate to their own potential for mistakes, as well as the mistakes of others. This has been, in the majority of instances, a career-changing presentation.
- The 8 Major Dysfunctionalities of America's Healthcare Non-System - This lecture covers in completely up-to-date fashion not only the national shift in insurance methods, but the particulars of why the overarching goal of reform will never work without changing from fee-for-service community. Healthcare must transition, and fast, to a true system that is compensated more when needed less by an increasingly healthy population.
The role of doctors, nurses and hospitals should be to improve health. The present system, however, cannot stay afloat financially if the number of patients needing its services drop significantly. Therefore, we have an upside down non-system that will only reward practitioners and hospitals if the public health does NOT improve (and the numbers of patients do not diminish). How we change that system into the "Firehouse Model" in which healthcare is compensated on an increasing basis for decreasing health problems resulting from their efforts is a key focal point of this talk, since the future of American Healthcare literally depends on finding the right answers (and methods).
- The Medical-Legal Mess and How it Indirectly Kills Patients - When someone is injured by a medical mistake, our legal system is ill-equipped to respond. The section of tort law known as Medical Malpractice has only one tool: the extraction of money for the wrongful hurting or killing of a patient. And the only means to apply that tool is a ruinously expensive and slow process that requires the lawyers to prove the medical professionals being sued were the most negligent, careless and outrageously unqualified oafs imaginable. Very seldom, however, do such persons exist. Most of the time those vilified in order to extract compensation are good doctors and nurses who have made a human mistake in a system ill-designed to catch it in time.
In reality, there are relatively few "Malpractice" cases in which the medical folk are bad actors or grossly negligent. In fact, more than 90% of the so-called MedMal cases have nothing to do with malpractice at all - rather they result from good people making uncaught mistakes in a flawed system. This lecture outlines how Mr. and Mrs. America have been completely disenfranchised by the current "Med Mal" system, and how the cure will require pulling the tort system completely away from incidents of medical MIS-practice - good people making human mistakes in an imperfect system. In the meantime, untold information that could save lives is kept sequestered from the rest of the medical community through paralytic fear of being sued.