John Nance

Leader & Pioneer in Aviation and Medical Safety

John Nance, JD has been a dynamic and deeply dedicated member of the medical community for nearly two decades. A world-class speaker, consultant and best selling author, John brings a rich diversity of professional training and background to the quest of patient safety and medical practice improvement. His new book, Why Hospitals Should Fly: The Ultimate Flight Plan to Patient Safety and Quality Care (Second River Healthcare Press 2008), is reinventing the cultural foundations of healthcare and bringing clarity to the decade-long patient safety and quality care debate. One of the founding members of the National Patient Safety Foundation, John was a member of the Executive Committee and served on the Foundation’s board for 9 years.

He is a native Texan from Dallas who earned his Bachelor’s Degree from SMU (Southern Methodist University) and his Juris Doctor Degree from SMU School of Law before admission to the Texas bar. Installed as a Distinguished Alumni of Southern Methodist University in 2002, he is also a decorated Air Force officer-pilot veteran of Vietnam and Operations Desert Storm/Desert Shield—a Lt. Colonel in the USAF Reserve well known for his pioneering involvement in Air Force human factors flight safety education. As a professional pilot, John has piloted a wide variety of jet aircraft, including most of Boeing’s line, as well as the Air Force C-141, and has logged over 13,000 hours of flight time in his commercial airline (Braniff and Alaska ) and Air Force careers.

More important to his leading-edge role in healthcare, John Nance was one of the pioneers of the pivotal safety revolution in professional communication, teamwork, and leadership known in aviation as CRM (crew resource management). His book about safety in human systems entitled BLIND TRUST, published internationally in 1986, is widely credited with helping to spark not only the universal acceptance of CRM principles in aviation, but the earliest infusion of culture-changing lessons derived from aviation into medical practice. BLIND TRUST was pivotal in illuminating serious public issues in aviation safety for the American public, and WHY HOSPITALS SHOULD FLY follows in that tradition as a major wakeup call.

John has become a trusted and internationally recognized broadcast analyst and advocate for both medical/patient safety and aviation safety. Before joining ABC World News and Good Morning America in 1994, he had logged countless appearances on national shows such as Oprah, the PBS News Hour, Today, CNN, as well as most Canadian and English-speaking networks worldwide. In addition, his editorials have been published in newspapers nationwide, inclusive of the Los Angeles Times and USA Today, and he has been listed for more than a decade in Who’s Who in America .

John J. Nance is also the internationally-known author of 18 major books, (five non-fiction, 13 fiction), his latest fictional thriller being Orbit (Simon and Schuster) which released to rave reviews in March of 2006 and is in development by Fox 2000 studios as a major motion picture. Two other of his books, Pandora’s Clock and Medusa’s Child, were both made into major, successful two-part mini-series for NBC and ABC respectively, and still air periodically around the world.

With most of his busy schedule of consulting and speaking dedicated to the urgency of improving healthcare from patient safety to practice satisfaction, John has also emerged as one of the leading thinkers on matters of major change to America 's healthcare system. A dynamic and vocal advocate of completely removing the tort system from involvement in routine medical accidents and mistakes, he recently convened and hosted an unprecedented conference on the subject with the sponsorship of AHRQ, a conference of doctors and lawyers that spawned several very surprising and important realizations.

Already one of the nation’s most dynamic and energizing professional speakers, John J. Nance’s messages to medical practitioners have reached new heights of relevance and importance as seen in his presentations to such pace-setting entities as the Institute for Healthcare Improvement and a who’s who of healthcare organizations.

John’s unique ability to reach every member of the healthcare community comes from his unprecedented background mix of law, safety, aviation and even broadcasting. Physicians in particular resonate deeply with his powerful messages about leadership and the human propensity for mistakes even among the most tenured professionals, and his extensive experience working with hospitals and clinics nationwide has been documented by continuous client praise and the highest effectiveness ratings.

John J. Nance lives in Seattle , Washington , and travels among healthcare organizations nationwide.

See Below for Full Bio

  • Speaking Topics:

    Health & Wellness, Healthcare, Law, Leadership, Peak Performance, Safety, Teambuilding

  • Travels From:

    Montana

  • Price:

    $10,000 - $15,000

    Notes on Fees

  • Videos
  • Full Bio
  • Speech Topics
  • Books
  • Testimonials
  • News

John Nance Video
http://www.johnjnance.com/media/jnHRwin.wmv
John Nance

John Nance, JD has been a dynamic and deeply dedicated member of the medical community for nearly two decades. A world-class speaker, consultant and best selling author, John brings a rich diversity of professional training and background to the quest of patient safety and medical practice improvement. His new book, Why Hospitals Should Fly: The Ultimate Flight Plan to Patient Safety and Quality Care (Second River Healthcare Press 2008), is reinventing the cultural foundations of healthcare and bringing clarity to the decade-long patient safety and quality care debate. One of the founding members of the National Patient Safety Foundation, John was a member of the Executive Committee and served on the Foundation’s board for 9 years.

He is a native Texan from Dallas who earned his Bachelor’s Degree from SMU (Southern Methodist University) and his Juris Doctor Degree from SMU School of Law before admission to the Texas bar. Installed as a Distinguished Alumni of Southern Methodist University in 2002, he is also a decorated Air Force officer-pilot veteran of Vietnam and Operations Desert Storm/Desert Shield—a Lt. Colonel in the USAF Reserve well known for his pioneering involvement in Air Force human factors flight safety education. As a professional pilot, John has piloted a wide variety of jet aircraft, including most of Boeing’s line, as well as the Air Force C-141, and has logged over 13,000 hours of flight time in his commercial airline (Braniff and Alaska ) and Air Force careers.

More important to his leading-edge role in healthcare, John Nance was one of the pioneers of the pivotal safety revolution in professional communication, teamwork, and leadership known in aviation as CRM (crew resource management). His book about safety in human systems entitled BLIND TRUST, published internationally in 1986, is widely credited with helping to spark not only the universal acceptance of CRM principles in aviation, but the earliest infusion of culture-changing lessons derived from aviation into medical practice. BLIND TRUST was pivotal in illuminating serious public issues in aviation safety for the American public, and WHY HOSPITALS SHOULD FLY follows in that tradition as a major wakeup call.

John has become a trusted and internationally recognized broadcast analyst and advocate for both medical/patient safety and aviation safety. Before joining ABC World News and Good Morning America in 1994, he had logged countless appearances on national shows such as Oprah, the PBS News Hour, Today, CNN, as well as most Canadian and English-speaking networks worldwide. In addition, his editorials have been published in newspapers nationwide, inclusive of the Los Angeles Times and USA Today, and he has been listed for more than a decade in Who’s Who in America .

John J. Nance is also the internationally-known author of 18 major books, (five non-fiction, 13 fiction), his latest fictional thriller being Orbit (Simon and Schuster) which released to rave reviews in March of 2006 and is in development by Fox 2000 studios as a major motion picture. Two other of his books, Pandora’s Clock and Medusa’s Child, were both made into major, successful two-part mini-series for NBC and ABC respectively, and still air periodically around the world.

With most of his busy schedule of consulting and speaking dedicated to the urgency of improving healthcare from patient safety to practice satisfaction, John has also emerged as one of the leading thinkers on matters of major change to America 's healthcare system. A dynamic and vocal advocate of completely removing the tort system from involvement in routine medical accidents and mistakes, he recently convened and hosted an unprecedented conference on the subject with the sponsorship of AHRQ, a conference of doctors and lawyers that spawned several very surprising and important realizations.

Already one of the nation’s most dynamic and energizing professional speakers, John J. Nance’s messages to medical practitioners have reached new heights of relevance and importance as seen in his presentations to such pace-setting entities as the Institute for Healthcare Improvement and a who’s who of healthcare organizations.

John’s unique ability to reach every member of the healthcare community comes from his unprecedented background mix of law, safety, aviation and even broadcasting. Physicians in particular resonate deeply with his powerful messages about leadership and the human propensity for mistakes even among the most tenured professionals, and his extensive experience working with hospitals and clinics nationwide has been documented by continuous client praise and the highest effectiveness ratings.

John J. Nance lives in Seattle , Washington , and travels among healthcare organizations nationwide.

Charting the Course: Innovative Leadership in the Face of Healthcare Reform
In this dynamic program based on the book Charting the Course: Launching Patient-Centric Healthcare, co-authors and speakers Kathleen Bartholomew and John J. Nance explain which steps must be taken by senior and middle management to lead your people to break free of "the way we've always done it" syndrome. They provide a crystal-clear understanding for all who work in the American healthcare industry of what has to be done - and in what order - to create a unified institution in which all members are truly dedicated to zero harm, the highest quality of care, communication, teamwork in its highest expression, and a common level of ownership.

Participants will:
Articulate why a new set of leadership skills is required to lead healthcare reform
List two qualities required of today's leaders in order to ignite and sustain true cultural change
Understand the carbon-based system: how people in groups react to stress, change, and routine
Give two examples of how you can personally shift the power structure from a hierarchy to a team in your department/organization to create synergy and maximize power
In light of new knowledge, give one reason why attempts to create a reliable, safe patient culture have failed in the past

What Now? An Urgently Needed Dynamic & Cutting-Edge Program for Healthcare Leaders & Physicians
In a combined half-day format, speakers John Nance and Kathleen Bartholomew will take C-suites, boards, and physician leadership through the irreversible realities of the current healthcare system - what changes are needed, why, when, and how. The new paradigm of healthcare requires a totally different set of leadership skills and a radically different way of perceiving healthcare, as well as a new understanding that the difference between survival and extinction for any healthcare entity now depends entirely on its leadership.

Nance and Bartholomew explain that the healthcare system that will emerge and succeed will not necessarily be based on ACO's, medical homes, or any other nationally directed idea, but it will be one that understands how to include, empower, motivate, and inspire the people who are the organization, as well as deal happily with the inevitability of human and systemic mistakes.

Why Hospitals Should Fly: The Ultimate Flight Plan to Patient Safety & Quality Care
Speaker John Nance's mission is to convince people that patient safety and service quality can be dramatically improved only when the traditional, hidebound methods of handling a human institution are abandoned and the hospital is run to directly support and be extremely responsive to the needs and limitations of the people who actually take care of the patient. This is not theory, but fact, based on the hard-fought experience of other industries—most notably aviation. And it means the creation of a new type of patient-centered culture dependent on the professionals who are the hospital; in other words, a flip-flop of the old model in which people work for a hospital in favor of a paradigm in which the hospital's primary purpose is building and maintaining a structure that dynamically supports the teams that provide the care.

Doctors, nurses, CEOs, trustees, and every healthcare stakeholder must overcome the inertia that is anchoring hospitals to the failed cultural foundations of the past and embrace a new paradigm of patient-centered care. As Nance explains, "The reality is that hospitals are people, and when, as a team, they can climb free of the failed methods of the past, they indeed can fly, in both spirit and accomplishment."

How Hospitals Fly
John Nance's Why Hospitals Should Fly sparked a nearly unanimous question across American healthcare: "How?” Agreed: we should be like the safe, happy, and cost-effective St. Michael's Hospital depicted in the book, but how on earth do you begin the process of change? How do you start the journey? That is precisely the question this lecture, "How Hospitals Fly," deals with - and answers - using specific methodologies, recommendations, and strategies to help you spark an energized internal determination to be the best.

Based on the voluminous research underlying the soon-to-be-published How Hospitals Fly, (the sequel to hy Hospitals Should Fly), and targeted on 2012's tsunami of challenges and changes confronting the industry, this speech tackles the question of what to do now regarding increased dependency on HCAHPS and patient satisfaction metrics, CMS pressures and curtailed reimbursement, the expanding list of "Never" events, and the massive challenge of creating a unified organization from a collection of siloed fiefdoms.

This dynamic lecture takes you with great clarity into the heart of exactly what steps must be taken by senior and middle management to lead your people to break free of the "way we've always done it" syndrome. It gives virtually everyone in the American healthcare setting a crystal-clear understanding of what has to be done, and in what order, to create a unified institution whose members from bottom to top are truly dedicated to zero harm, the highest quality of care, communication, teamwork in its highest expression, and a common level of ownership.

The 8 Major Dysfunctionalities of America's Healthcare Non-System
This lecture covers in a completely up-to-date fashion not only the national shift in insurance methods, but the particulars of why the overarching goal of healthcare reform will never work without changing from a fee-for-service community. Healthcare must transition, and fast, to a true system that is compensated more when needed less by an increasingly healthy population.

The role of doctors and nurses and hospitals should be to improve health. The present system, however, cannot stay afloat financially if the number of patients needing its services drops significantly. Therefore, we have an upside down non-system that will only reward practitioners and hospitals if the public health does NOT improve (and the numbers of patients do not diminish). How do we change that system into the "firehouse model," in which healthcare is compensated on an increasing basis for decreasing health problems resulting from their efforts? The future of American healthcare literally depends on finding the right answers (and methods).

The Board's Pivotal Role in Patient Safety
This lecture will revolutionize the way your board looks at its duties, and will delve deeply into the cause-effect relationship of the board's actions (or inactions) and the right of their hospital's patients to be free from unreasonable risk of inadvertent harm. With patient safety disasters (e.g., medical mistakes) now the fourth leading cause of death in the United States, these issues must be faced and acted on, not just debated.

A pivotal wake-up call, this presentation is best utilized in an off-site board retreat setting. It has been repeatedly praised for rapidly educating hospital boards and for effectively redirecting efforts with their hard-hitting look at the realities of what it takes to protect patients.

Ending Medical Apartheid
Aimed at physicians, this lecture targets the traditional 4,000-year history of keeping physicians separated from the rest of the healthcare community in ways that are ultimately the prime cause of poor communication, failed teamwork, toxic staff relations, and patient safety disasters. The bottom line is that it will be forever impossible to have a safe and effective medical care system until medical apartheid is ended.

John Nance guides doctors in how to overcome this traditional prejudice, and how to redefine themselves as team leaders with no loss of authority but a significant gain in effectiveness and respect by simply changing the way they relate to their own potential for mistakes, as well as the mistakes of others. This has been, in the majority of instances, a career-changing presentation.

The Medical-Legal Mess & How It Kills Patients
When someone is injured by medical mistake, our legal system is ill-equipped to respond. The section of tort law known as medical malpractice has only one tool: the extraction of money for the wrongful hurting or killing of a patient. And the only means to apply that tool is a ruinously expensive and slow process that requires the lawyers prove the medical professionals being sued were the most negligent, careless, and outrageously unqualified oafs imaginable; very seldom, however, do such persons exist. Most of the time those vilified in order to extract compensation are good doctors and nurses who have made a human mistake in a system ill-designed to catch it in time.

This lecture outlines how Mr. and Mrs. America have been completely disenfranchised by the current MedMal system, and how the cure will require pulling the tort system completely away from incidents of medical MIS-practice – good people making human mistakes in an imperfect system.

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