In this episode of PEMBA On Demand, host Dr. Norman A. Chapin speaks with Dr. Robert Flora, Chief Academic Officer at McLaren Health Care and Professor of Obstetrics & Gynecology at Michigan State University College of Human Medicine. Together, they explore why traditional quality improvement (QI) strategies often fall short—and what it will take to lead meaningful change in modern healthcare.

Dr. Flora highlights the historical and systemic roots of today’s QI limitations, explains how rigid approaches fail to reflect the complexity of patient care, and introduces innovative frameworks like his “Nested Rapid Cycle Logic Model.” This episode empowers physician leaders with tools and insights for driving real, measurable change.

• Why standard QI approaches are no longer sufficient

• Moving from binary to systems-level thinking in clinical training

• Integrating social and structural determinants of health into care models

• Embracing data-driven, team-based strategies in leadership

• The role of QI training in preparing the next generation of physician leaders

• Recognizing external influences on healthcare quality and patient outcomes

• Long-term outcomes vs. short-term metrics: what really matters

• A hopeful vision for the future of quality improvement in healthcare

• Dr. Robert Flora on LinkedIn

• Dr. Norman A. Chapin on LinkedIn

• PEMBA On Demand Podcast on Apple