Dr. Leape has enhanced the importance of “respect” in general to improve health care.

He considere The spectrum of Disrespectful Behavior:
A. Overt: disruptive/demeaning Behavior of physicians
B. Covert: Passive resistance: “the major cause of failure of QI and safety projects is a lack of physician participation”.
C. Institutional Disrespect: of workers ( workplace environment,workloads, psychological disrespect) and of patients(sharing decisions,)

In a brave speech he enumerates  the FIVE transforming concepts to change medical practice:

1. Reforming Medical Education

2. Integrating Health Care

3. Finding Joy and Meaning in Work

4. Consumer Engagement

5. Transparency