The HSJ interview: Anna Walker. Pastures new. Interview by Laura Donnelly.
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In April 1991, Dr. Bernadine P. Healy was appointed director of the National Institutes of Health--the largest biomedical research organization in the world. In assuming this position, Dr. Healy became the nation's premier woman in science and broadened the opportunities for women in an arena traditionally dominated by men. She has aggressively tackled the research agenda for NIH and assured the inclusion of women's health issues. Using her leadership, Dr. Healy has redefined the director's role, broadened women's visibility in science, and defended the extensive Women's Health Initiative and the Administration's stand on fetal tissue research.
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The partnership between the chief executive officer and chief nurse officer is vital for driving quality improvement and delivering outstanding patient care while containing or reducing costs. These two leaders must create and communicate a vision statement to lead and build a strong management team.
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When clinicians are aware of inappropriate variations in practice and have access to science-based recommendations for care, they usually change their practice styles and prescribing behavior. The first in a series of guidelines supported by the Agency for Health Care Policy and Research, "Acute Pain Management," was released in early March and recommended an aggressive, proactive, and collaborative approach to managing pain in patients recovering from surgery, medical procedures, or trauma cases. Co-chairs of the pain management panel, Drs. Daniel Carr and Ada Jacox, share their views on guideline design, the expert panel, consensus building, and their expectations for use by the clinical practice and research communities.