Attaining Comprehensive Health Care Improvement is Imperative

Attaining Comprehensive Health Care Improvement is Imperative


The Merging of the Work of Two Pioneers: Dr Weed & Dr Berwick

Lee Jacobs, MD

Spring 2009 - Volume 13 Number 2

How about sitting with Lawrence Weed, MD, and Donald Berwick, MD, in the same week? Granted my time with Dr Weed was one-on-one for three hours in his living room in Vermont and my time “with” Dr Berwick was as part of an audience of 6000 attendees at his National Forum on Quality Improvement in Heatlh Care in Nashville, TN (December, 2008). I felt privileged to listen to the journeys of these two men who have had such a dramatic effect on how medicine is practiced today.

Dr Weed and Dr Berwick have much in common. Both have a passion for and a vision of how to improve health care. Both have played major roles in improving health care over the past few decades. Both are pioneers and as such have for years endured the criticism of their skeptics and the accolades of their followers. Both are leaders of significant movements that have and will continue to affect health care in the US and around the world. Both provide real solutions to waste in health care. And, most importantly, both want to increase the likelihood of a positive outcome for each individual patient encountering the health care system while at the same time lessening the chances of being harmed.

etoc emailClick here to join the eTOC list or text TPJ to 22828. You will receive an Email notice with the Table of Contents of each issue.

The Permanente Journal advances knowledge in scientific research, clinical medicine and innovative health care delivery. It is a peer-reviewed journal of medical science, social science in medicine, and medical humanities.

The Permanente Press

The Permanente Press publishes The Permanente Journal and books related to health care. For information about subscriptions, missing issues, billing, subscription renewal, and back issues, Email:


27,000 print readers per quarter, 15,350 eTOC readers, and in 2018, 2 million page views of TPJ articles in PubMed from a broad international readership.


The Kaiser Permanente National CME Program designates this journal-based CME activity for 4 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

ISSN 1552-5767 Copyright © 2019

All Rights Reserved.