• COVID-19 is creating a paradigm shift that is realigning every system in every industry across the globe at once.
• Domains of quality of care – Safe, timely, effective, efficient, equitable, patient-centered and sustainable.
• Medical education involves basic sciences, clinical sciences and health systems sciences.
• According to the Value Equation 

 Value = Quality (Outcomes + Safety + Service)/Total cost

• There is the triple aim – 1) Improve the health of a defined population 2) Enhance the patient care experience, including quality, access and reliability 3) Control and reduce the per capita cost of care.
• The AMA Education Consortium says, “We will never transform the prevailing system of healthcare management without transforming the prevailing system of education. They are part of the same system.”
• Health systems science is rapidly becoming a crucial third pillar of medical science, requiring a practical, standardized curriculum with an emphasis on understanding the role of human factors, systems engineering, leadership and patient improvement strategies that will help transform the future of healthcare and ensure greater patient safety.
• Maslow’s hierarchy of needs: Basic needs – Physiological needs: food, water, warmth, rest; Safety needs: security, safety. Psychological needs – Belongingness and love needs: intimate relationships, friends; Esteem needs: prestige and feeling of accomplishment. Self-fulfilment needs – Self-actualization: achieving one’s full potential, including creative activities.
• Team work and culture is important. On the day you are not there, is there anyone in the team who does your work as good as you or better than you? If the answer is yes, you are doing well. If no, start working on it.