UNLEASHED: Redesigning Health Care

UNLEASHED: Redesigning Health Care

UNLEASHED is the podcast that challenges every clinician listening to ask themselves … What would I do if I were unleashed? What would I do if I could reinvent care from scratch? The podcast also calls upon health care executives, thought leaders, and policy makers to do more to support innovation on the front lines. Most episodes spotlight clinicians who have developed a new model of care. Occasionally, hosts Glyn Elwyn and Chris Trimble interview experts on innovation in health care delivery. This podcast is sponsored by the The Dartmouth Institute for Health Policy and Clinical Practice at Dartmouth and by EBSCO Clinical Decisions, producers of DynaMed and Dyna AI.

Episodes

September 14, 2026 32 mins

What does a culture of safety in a hospital look like from the perspective of clinicians? How about from the perspective of patients? And how will that change with AI? Peter Lachman, an internationally recognized expert on hospital quality and safety and former CEO of the International Society for Quality in Healthcare (ISQua), shares his perspective.

Find more information, including additional resources and an excellent transcript...

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What’s important in modern day hospital quality improvement? Michael Calderwood, Chief Quality Officer at Dartmouth Health, emphasizes better coordination of care, better teamwork, and better conversations with patients and communities.

Find more information, including additional resources and an excellent transcript, at www.unleashedpodcast.org/#e24

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August 17, 2026 21 mins

Don Berwick, co-founder of the Institute for Healthcare Improvement, joins us to explore: What is the current state of hospital quality and safety in the United States? Are hospital boards of directors making it a priority? What impact might AI have? 

Find more information, including additional resources and an excellent transcript, at www.unleashedpodcast.org/#e23

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August 3, 2026 16 mins

How do mental health providers add value in a primary care setting? What does it take to make the model sustainable? Kate DeGeorge, a family medicine doctor at the University of Virginia, responds to Episode 21. 

Find more information, including additional resources and an excellent transcript, at www.unleashedpodcast.org/#e22

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July 20, 2026 32 mins

Patients discuss mental health with their primary care physicians all of the time. Staggeringly few, however, go on to receive care from mental health professionals. How much might that change if mental health professionals worked side by side with primary care physicians? It’s already happening in several locations around the country, especially in academic medical centers. Christina Moore, a psychologist, shares her experie...

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July 6, 2026 23 mins

In the previous episode, we discussed care for children with medical complexity from a clinician’s point of view. Now, we hear from Annie Hoen, an epidemiologist and health systems researcher at Dartmouth. She’s also a mother of a child with medical complexity. 

Find more information, including additional resources and an excellent transcript, at www.unleashedpodcast.org/#e20

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June 22, 2026 37 mins

How do you care for a high-needs population when every patient is unique? Nancy Murphy, a pediatrician at the University of Utah, has been grappling with the challenge for decades. 

Find more information, including additional resources and an excellent transcript, at www.unleashedpodcast.org/#e19.

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June 8, 2026 19 mins

What are the connections between the mind and, specifically, the heart? How should the health system respond? Roy Ziegelstein, cardiologist and editor-in-chief at DynaMed and DynaAI, offers a response to Episode 17.

Find more information, including additional resources and an excellent transcript, at www.unleashedpodcast.org/#e18.

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May 26, 2026 30 mins

The mind and the body are connected, but our system generally treats physical and mental health as two separate worlds. Sivan Rotenberg, a clinical psychologist at Dartmouth Health, is trying to change that, specialty by specialty. 

Find more information, including additional resources and an excellent transcript, at www.unleashedpodcast.org/#e17

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May 10, 2026 22 mins

What do elders really want and need? How must the health care system respond? Amber Barnato, director of The Dartmouth Institute for Health Policy and Clinical Practice, also a hospice and palliative care doctor, offers a response to Episode 15. 

Find more information, including additional resources and an excellent transcript, at www.unleashedpodcast.org/#e16

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April 27, 2026 40 mins

EPISODE 15 -  When Si France heard about the PACE program, a care model for nursing-home-eligible seniors, he thought it was the most amazing care model that he’d ever heard of in the United States. He went on to launch WelbeHealth, which serves seniors in thirteen locations in California … and growing.

Find more information, including additional resources and an excellent transcript, at www.unleashedpodcast.org/...

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April 22, 2026 14 mins

EPISODE 14 - We are introducing a new kind of episode, a response episode. Guests will offer reactions to the prior episode. Our first respondent, Roy Ziegelstein, comments on our story in Episode 13 about caring for people with serious mental illness.

Find more information, including additional resources and an excellent transcript, at www.unleashedpodcast.org/#e14

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March 25, 2026 35 mins

EPISODE 13:  Joe McDonough has a straightforward goal: Keep people with serious mental illness healthy and out of the hospital. He’s doing it with home visits.

Find more information, including additional resources and an excellent transcript, at www.unleashedpodcast.org/#e13.

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December 8, 2025 43 mins

EPISODE 12 - Our final episode in a four-episode series on primary care. Today: Artificial Intelligence. Is it possible that technology could actually restore humanity in health care? What other doors might AI open?

Find more information, including additional resources and an excellent transcript, at www.unleashedpodcast.org/#s2e6.

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December 1, 2025 35 mins

EPISODE 11 - Our third episode in a four-episode series on primary care. Today: Advanced Primary Care, sometimes called team-based primary care. What happens when you combine the advantages of Direct Primary Care with bigger clinical teams that include advanced practice providers, health coaches, behavioral health professionals, pharmacists, nutritionists, and more? What gets better for patients? What gets harder for clinicians?

Fi...

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November 24, 2025 33 mins

EPISODE 10 — Our second episode in a four-episode series on primary care. Today: Direct primary care. What happens when you take the middle man … the health plan … out of primary care? What happens when primary care clinicians no longer have to worry about billing and coding? What new services do they offer? What else do they do differently?

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November 17, 2025 34 mins

EPISODE 9 — Our first in a four episode series on primary care. Today: Full scope family medicine. Is it an unfortunate necessity in remote areas, or a model for primary care everywhere?

Find more information, including additional resources and an excellent transcript, at www.unleashedpodcast.org/#s2e3.

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April 29, 2025 30 mins

EPISODE 8 - Goran Henriks has spent decades leading innovation in the Swedish health system, and he’s gained an international reputation for his work. He shared three patient stories with us, each offering a conceptual building block for clinician-innovators.

Find more information, including additional resources and an excellent transcript, at www.unleashedpodcast.org/#s2e2.

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April 10, 2025 31 mins

EPISODE 7 - Winnie Henderson, a surgeon who focuses on breast cancer treatment at Oregon Surgical Wellness, describes how she deepens her connections with patients through empathy, education, and collaborative decision making. She also describes the benefits, for both patients and doctors.

Find more information, including additional resources and an excellent transcript, at www.unleashedpodcast.org/#s2e1.

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January 3, 2025 31 mins

EPISODE 6 - JoAnna Leyenaar, a pediatric hospitalist at Dartmouth Health, is developing mental health skill-building programs for teens who are boarding at the hospital, sometimes for several days,  after a mental health crisis. 

Find more information, including additional resources and an excellent transcript, at www.unleashedpodcast.org/#s1e6.

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