iiinova — where your digital self keeps evolving

Andrew M. Ibrahim MD, MSc @andrewmibrahim.bsky.social · 23/10/2025

Today in @NEJM AI : Chris Mansi and I lay out our vision for redesigning clinical workflows with Generative AI. We build on our decade of work across 1,800 hospitals and use our chart summarization tool (Viz Assist) as one illustrative example for a path forward. ai.nejm.org/doi/full/10.10…

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Andrew M. Ibrahim MD, MSc @andrewmibrahim.bsky.social · 04/09/2025

Grateful for the opportunity to testify today to the US Congress on a path forward for safe adoption of AI in healthcare. The potential upside is enormous, but we need the right safeguards and processes to capture the upside efficiently without unforced errors.

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Andrew M. Ibrahim MD, MSc @andrewmibrahim.bsky.social · 18/07/2025

Thanks to @CraigBrownMD and @KyleSheetz for leading today’s session in our 5th Annual @UMichCHOP boot camp for new fellows!

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Andrew M. Ibrahim MD, MSc @andrewmibrahim.bsky.social · 17/05/2025

Has there been a more pressing time to commit to robust evidence to guide health policy? Grateful to spend the evening celebrating our CHOP fellows who spend two years with us learning rigorous analytic approaches to inform how we better deliver care. #gratitude #healthpolicy

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Andrew M. Ibrahim MD, MSc @andrewmibrahim.bsky.social · 13/05/2025

“Bottom line: AI at the FDA is promising, but smart, proactive policy to guide safe, appropriate industry use that doesn't compromise ultimate FDA approval will drive timelines even faster." www.linkedin.com/posts/andrew...

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Andrew M. Ibrahim MD, MSc @andrewmibrahim.bsky.social · 07/05/2025

Hospitals Acquired By Private Equity Firms: Increased Postoperative Mortality For Common Inpatient Surgeries @DiazAdrian10 @jdimick1 @Health_Affairs @UMichCHOP www.healthaffairs.org/doi/abs/10.1...

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Andrew M. Ibrahim MD, MSc @andrewmibrahim.bsky.social · 30/03/2025

Walking up two flights if stairs is a common, low tech tool for surgeons to risk-stratify patients. But what if architects have been designing for the exact question all along? I explain the history of stairs, skyscrapers and your health, here: www.linkedin.com/pulse/stairc...

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Andrew M. Ibrahim MD, MSc @andrewmibrahim.bsky.social · 28/03/2025

"Staircases, Skyscrapers and Your Health" First except from the forthcoming book, "Building for Health." Full article: withstudioami.com

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Andrew M. Ibrahim MD, MSc @andrewmibrahim.bsky.social · 23/03/2025

I’m not part of many clubs - but the ‘I didn’t match into residency’ is my favorite one. There was a hidden gift in the prelim -> repeat intern year again cycle. Kindness goes a long way... I still remember who was kind to me my prelim year and pay it forward #match2025

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Andrew M. Ibrahim MD, MSc @andrewmibrahim.bsky.social · 19/03/2025

Many thanks to those of you who not only read the 5th edition of the Visual Abstract Primer, but also found some typos! Here it is again, updated, (hopefully) less typos, and links to videos and templates: www.surgeryredesign.com/resources #MedEd #MedSky #SurgSky

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Andrew M. Ibrahim MD, MSc @andrewmibrahim.bsky.social · 13/03/2025

4. Art's Principles amzn.to/3FCZRQs Arthur (Art) Gensler built a world class architecture firm and kept track of his pearls a long the way. There is a great chapter about "boomerangs" and how to handle your top talent always being recruited from competitors.

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Andrew M. Ibrahim MD, MSc @andrewmibrahim.bsky.social · 13/03/2025

3. Health Design Thinking amzn.to/43GpY2X I often have someone in medicine me, "I love design, but I don't know how it fits into medicine." If thats you, this would will help a lot. It's full of great examples where design can elevate processes, products and delivery.

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Andrew M. Ibrahim MD, MSc @andrewmibrahim.bsky.social · 13/03/2025

2. Healthcare Delivery in Surgery amzn.to/4kPPAAu Optimizing OR utilization? Standardizing quality across newly formed networks? Handling a surgeon with poor performance? This book is full of common clinical operation challenges and frameworks to solving them. #surgery #SurgSky #clinicaldelivery

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Andrew M. Ibrahim MD, MSc @andrewmibrahim.bsky.social · 13/03/2025

🧵/ I'm often asked about book recommendations. Here is a running list: 1. Clinical Scenarios in Surgery (3rd Edition): amzn.to/3XQu6cZ I used this for my oral and written prep. Because each section is quite short (usually 2-4 pages), I also give it the medical students rotating with us. #MedEd

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Andrew M. Ibrahim MD, MSc @andrewmibrahim.bsky.social · 26/02/2025

Great tips! Would add considering use of a visual abstract: www.surgeryredesign.com/resources

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Andrew M. Ibrahim MD, MSc @andrewmibrahim.bsky.social · 21/02/2025

5/ The #VisualAbstract has also gone beyond just research article dissemination, and I end with a nudge to hopefully encourage it as a tool to more directly impact patient care. Full download of the PDF and templates here: www.SurgeryRedesign.com/resources

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Andrew M. Ibrahim MD, MSc @andrewmibrahim.bsky.social · 21/02/2025

4 / The adoption of the #VisualAbstract has not been without scrutinity. There are now 6(!) RCT evaluating the #VisualAbstract and emerging guidelines on quality.

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Andrew M. Ibrahim MD, MSc @andrewmibrahim.bsky.social · 21/02/2025

3/ Creating a #VisualAbstract is now easier too. I add multiple videos (from 2min to 20min!) as well as a downloadable PDF with my top 5 templates.

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Andrew M. Ibrahim MD, MSc @andrewmibrahim.bsky.social · 21/02/2025

2/ Finding high quality examples is now easier with a growing number of #visualabstract libraries.

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Andrew M. Ibrahim MD, MSc @andrewmibrahim.bsky.social · 21/02/2025

1/ After many years of editing, I'm thrilled to release the 5th edition of the Visual Abstract Primer! Notably, its a lot short (11 pages, down from 56!) Full download here: surgeryredesign.com/resources Summary below... #VisualAbstract

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Andrew M. Ibrahim MD, MSc @andrewmibrahim.bsky.social · 12/02/2025

Today in @jama.com , @codymullens.bsky.social & team find it is increasingly harder for Medicare rural beneficiaries to get common operations done. In 2020, 44% of rural Medicare recipients had to travel >60min for care, up from 37% in 2010. x.com/JAMA_current...

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Andrew M. Ibrahim MD, MSc @andrewmibrahim.bsky.social · 31/12/2024

Incredibly proud of what we have been able to do at the Center for Healthcare Outcomes & Policy this past year. I'm even more excited about what is ahead for us, including launching our CHOP GBT analytic platform! You can read more about our Center here: medresearch.umich.edu/labs-departm...

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Andrew M. Ibrahim MD, MSc @andrewmibrahim.bsky.social · 13/12/2024

“Clinical Validation of Design. From a technical and billable hours perspective, this might be the highest value of a clinician for an architecture firm.” #medsky #surgsky www.linkedin.com/pulse/should...

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Andrew M. Ibrahim MD, MSc @andrewmibrahim.bsky.social · 13/12/2024

Architects missed opportunity in hospital design: www.linkedin.com/pulse/how-he...

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Andrew M. Ibrahim MD, MSc @andrewmibrahim.bsky.social · 11/12/2024

Heading to DC for @academyhealth.bsky.social board meeting - the urgency to keep advancing evidence for health is front and center! Grateful for the shared energy, vision and wisdom of the board. #MedSky #healthpolicy

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Andrew M. Ibrahim MD, MSc @andrewmibrahim.bsky.social · 07/12/2024

So great to have @academicsurgery.bsky.social President Dr. @drcnclarke.bsky.social visit us and share her R01 proposal: how do we retain our URM residents and prevent dismissal? @jdimick.bsky.social #SurgSky #R01review

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Andrew M. Ibrahim MD, MSc @andrewmibrahim.bsky.social · 04/12/2024

Clinical Operations Meets Architecture: How to Improve Quality Across a Newly Formed Health System www.linkedin.com/pulse/how-im...

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Andrew M. Ibrahim MD, MSc @andrewmibrahim.bsky.social · 23/11/2024

How we develop early-career physician scientists through their 3 phases of growth #medsky #surgsky #mentoring www.aasurg.org/blog/moving-...

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Andrew M. Ibrahim MD, MSc @andrewmibrahim.bsky.social · 22/11/2024

2/ The within star variation is really underscored in the supplement. Figure below shows 3 hospitals (orange dots) in the same metropolitan area, but the 2-star hospital actually has the best outcome. This phenomena recurs is metropolitan areas across the US limiting the value of star rating.

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Andrew M. Ibrahim MD, MSc @andrewmibrahim.bsky.social · 22/11/2024

1/ Do CMS star ratings track with surgical outcomes? On average, each start rating higher tracks with overall average lower mortality & complications. The catch? There's just as much variation within each star rating as across them. #SurgSky #MedSky #HealthPolicy jamanetwork.com/journals/jam...

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Andrew M. Ibrahim MD, MSc @andrewmibrahim.bsky.social · 22/11/2024

ADI and SVI often get discussed as potential forms of risk-adjustment. Important work out this month in @jamacurrent.bsky.social surgery led by Dr. KimRollingsPhD demonstrates how they stratify quite differently for surgical outcomes. #SurgSky #MedSky #healthpolicy jamanetwork.com/journals/jam...

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Andrew M. Ibrahim MD, MSc @andrewmibrahim.bsky.social · 21/11/2024

Come train with us under our T32 health services research program! Fellowships are two years along and may be for PhD post-docs or clinical residents doing two years of research. Applications due Dec 31st. Details here: medicine.umich.edu/dept/chop/tr... #SurgSky #MedSky #healthpolicy

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Andrew M. Ibrahim MD, MSc @andrewmibrahim.bsky.social · 21/11/2024

Still very cool to sit in grand rounds and see a #VisualAbstract after #VisualAbstract make it into the slide deck. Hard to underestimate how much good science AND good design helps dissemination. #medsky

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Andrew M. Ibrahim MD, MSc @andrewmibrahim.bsky.social · 20/11/2024

Trauma activation fees are not all equal. Our work out in Health Affairs demonstrates, "Proprietary hospitals posted fees that were 60 percent higher than those published by public, nonfederal hospitals." www.healthaffairs.org/doi/full/10.... #MedSky #SurgSky #HealthPolicy

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Andrew M. Ibrahim MD, MSc @andrewmibrahim.bsky.social · 20/11/2024

Mass Timber hospitals? Great proof of concept paper here from ZGF Architects with Swinerton outlining some potential advantages of mass timber in healthcare including sourcing, carbon footprint, better acoustics and better humidity regulation. www.zgf.com/ideas/7425-i... #sustainability #medSky

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Andrew M. Ibrahim MD, MSc @andrewmibrahim.bsky.social · 20/11/2024

Incredibly excited welcome this class of outstanding scientists and leaders to Michigan next year! hashtag #GoBlue #MedSky ihpi.umich.edu/2025-2027-nc...

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Andrew M. Ibrahim MD, MSc @andrewmibrahim.bsky.social · 20/11/2024

The Surgeon Incentive Program -did it increase surgeons working in shortage areas? Our work in @jamacurrent.bsky.social HealthForum Overall, appears no. But likely heterogeneity of policy effect with some counties having ⬆️ & others ⬇️. jamanetwork.com/journals/jam... #HealthPolicy #surgSky #medSky

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Andrew M. Ibrahim MD, MSc @andrewmibrahim.bsky.social · 19/11/2024

Nearly 1 in 3 Americans lack access to affordable, high-quality timely surgical care. All the gains we made from insurance coverage 2010->2020 offset by losses in timeliness and underinsurance. Our work in Annals: pubmed.ncbi.nlm.nih.gov/39502038/ #SurgEky #HealthPolicy #MedSky

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Andrew M. Ibrahim MD, MSc @andrewmibrahim.bsky.social · 17/11/2024

How to write a scientific paper in four slides. Full guide here: www.surgeryredesign.com/s/WritingFor... YouTube format here: youtu.be/fgeahUrXVaY?... #meded #medsky #research

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Andrew M. Ibrahim MD, MSc @andrewmibrahim.bsky.social · 17/11/2024

Recently ran a day long course on redesigning clinical operations. We follow a redesign framework with 5 components: 🎯 what’s the problem? 🤝 rallying your team 💰 resource ask 📐 measure and evaluate 🏁 maintain urgency to finish #healthcare #medsky

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Andrew M. Ibrahim MD, MSc @andrewmibrahim.bsky.social · 17/11/2024

3/ I keep my eyes and ears out for three specific kinds of research mentoring missteps. These usually are a sign that the faculty doesn't have the right training or enough time to take on a fellow. #MedEd #Research #MedSky

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Andrew M. Ibrahim MD, MSc @andrewmibrahim.bsky.social · 17/11/2024

2/ Naturally, many ask... "when can I start mentoring my own fellows?" Mentoring is a big jump beyond just working with a fellow. To mentor, you really need to have your shop up and running with resources to support the fellows growth. #MedEd #Research #MentorToTheMax

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Andrew M. Ibrahim MD, MSc @andrewmibrahim.bsky.social · 17/11/2024

1/ We spend a lot of time on the correct way to write a manuscript. Much like surgery, we believe it's also graduated independence and try to structure it that way. #MedEd #SurgSky #MentorToTheMax

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Andrew M. Ibrahim MD, MSc @andrewmibrahim.bsky.social · 16/11/2024

Seeing so many #IDSky people here, wanted to resurface the most widely shared #VisualAbstract in the first year we started making them. #MedSky (35k views in 7 days!) Antibiotic stewardship for surgeons in Annals. journals.lww.com/annalsofsurg...

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Andrew M. Ibrahim MD, MSc @andrewmibrahim.bsky.social · 16/11/2024

Above example is “active design.” An architectural strategy to encourage physical activity without too thinking. Many have written about it, one of the landmark reports came from NYC a decade ago. #HealthinAllDesign www.nyc.gov/site/plannin...

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Andrew M. Ibrahim MD, MSc @andrewmibrahim.bsky.social · 16/11/2024

#HealthinAllDesign Clever ZGF design in Colorado with active design on full display. Immediate view when you enter is an inviting stair case (with terraces) instead of an elevator (which is just around the corner.) Also, glass ceiling atrium gives interior & exterior offices natural light 👏

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Andrew M. Ibrahim MD, MSc @andrewmibrahim.bsky.social · 15/11/2024

Working at the interface of architecture and health, I get a lot of questions about how we can design and plan better for health. Among the most common: 1. How do we (hospitals) find the right architect? 2. Should architecture firms hire clinicians? My replies are here: www.withStudioAMI.com

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Andrew M. Ibrahim MD, MSc @andrewmibrahim.bsky.social · 15/11/2024

After 6 years as Senior Principal of a global design and architecture firm, I launched my own studio focused on a singular question: what if everything we design and build was done with health as a priority? www.withstudioami.com

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Andrew M. Ibrahim MD, MSc @andrewmibrahim.bsky.social · 15/11/2024

“How do we find the right architect?” I couldn’t resist. Here are 6 strategies… www.linkedin.com/posts/andrew...

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Andrew M. Ibrahim MD, MSc @andrewmibrahim.bsky.social · 15/11/2024

Many conditions treated by surgeons first require primary care screening and referral. Dr. Sara Schaefer in Health_Affairs connects primary care shortages to higher rates of emergency surgery for conditions that should be treated electively #SurgSky #MedSky www.healthaffairs.org/doi/full/10....

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