Podcasts about ahrq

With news blasting from Washington like a firehose, it feels impossible to take it all in — to stay on top of all the changes the Trump administration has been trying to make. But for health care, one person is probably closer to anyone than to understanding the full picture: KFF Heath News Chief Washington Correspondent Julie Rover. In this episode, Julie helps us see that picture, by telling us two stories: The first concerns a teeny part of the health care system — an obscure federal agency, one of many that the Trump administration has taken a chainsaw to. The other is anything but obscure: Possible cuts to Medicaid —which Julie thinks Republicans will actually find very difficult to make. Plus, reporting from Julie’s KFF Health News colleague Arthur Allen. And a cameo from one of Julie’s beloved corgis. Check out Julie’s weekly health policy news podcast: What the Health? Read more from Arthur Allen on cuts to AHRQ in KFF Health News: What’s Lost: Trump Whacks Tiny Agency That Works To Make the Nation’s Health Care Safer Trump HHS Eliminates Office That Sets Poverty Levels Tied to Benefits for at Least 80 Million People Here’s a transcript of this episode. Send your stories and questions. Or call 724 ARM-N-LEG. Of course we’d love for you to support this show.See omnystudio.com/listener for privacy information.

April 10, 2025: Sarah Richardson and Kate Gamble examine the proposed merger of the Agency for Healthcare Research and Quality (AHRQ) with the Assistant Secretary for Planning and Evaluation to create the new Office of Strategy. They explore expert concerns about potential reductions in safety research and disruptions to quality initiatives, including AHRQ's goal to reduce patient and workforce harm by 50% by 2026. X: This Week Health LinkedIn: This Week Health Donate: Alex's Lemonade Stand: Foundation for Childhood Cancer

April 8. 2025: Sarah Richardson and Kate Gamble discuss critical strategies to address emergency department boarding, a significant patient safety concern. They explore key recommendations from the AHRQ summit, including public reporting standards, real-time regional bed tracking systems, payment incentives, and alternatives for psychiatric patients. X: This Week Health LinkedIn: This Week Health Donate: Alex's Lemonade Stand: Foundation for Childhood Cancer

In this episode, join moderator Brea Burmeister and experts Dr. Scott Weiner and Dr. Arjun Venkatesh as they explore how quality measures can transform opioid use disorder (OUD) care in emergency departments. Discover innovative metrics, quality improvement initiatives, and EHR data integration to optimize patient outcomes. Learn about overcoming barriers like stigma and resource shortages and get key recommendations from recent OUD treatment studies. Perfect for healthcare professionals and anyone interested in advancing OUD care.What You'll Learn:Challenges and opportunities of addressing the opioid epidemic in emergency medicineACEP's work on metrics and the development of quality improvement measuresKey quality initiatives to enhance OUD care and reduce harmThe barriers to adopting these initiatives and strategies to overcome themRecommendations based on recent studies in OUD treatment and medicationMODERATOR: Brea BurmeisterMember, CHIME Opioid Task ForceBio: With 23 years in healthcare, Brea specializes in managing relationships within Integrated Delivery Network (IDN) Health Systems, regional Group Practices, and Specialty Pharmacy accounts. She strengthens value-based care models by developing strategic plans, analyzing performance data, improving care coordination, and implementing process improvements. Brea's work enhances patient outcomes and experiences while reducing costs. Additionally, her volunteer work with the Opioid Task Force reflects her commitment to public health advocacy and community well-being.GUEST: Scott Weiner, MD, MPH, FAAEM, FACEP, FASAMEmergency and Addiction Medicine Physician, Brigham and Women's HospitalAssociate Professor, Harvard Medical SchoolCo-chair, Clinical Advisory subcommittee, CHIME Opioid Task ForceBio: Dr. Weiner is the McGraw Distinguished Chair in the Department of Emergency Medicine at Brigham and Women's Hospital and an Associate Professor of Emergency Medicine at Harvard Medical School. He is board-certified in emergency medicine and addiction medicine. He is an active researcher, working on multiple projects that focus on prevention and treatment of opioid use disorder.GUEST: Arjun Venkatesh, MD, MBA, MHSChair, Department of Emergency Medicine, Yale University School of MedicineChief, Emergency Medicine, Yale New Haven HospitalBio: Dr. Venkatesh is Chair and Chief of Emergency Medicine at the Yale University School of Medicine and Yale New Haven Hospital. He has received over $ 12 million in funding by the NIH, CMS, AHRQ, and CDC to develop measures and interventions that improve acute care outcomes and value. He has supported CMS's development of the Overall Hospital Quality Star Ratings, has led the development of quality measures for the Clinical Emergency Data Registry, and is PI of the Emergency Quality Network (E-QUAL). His work has produced over 200 publications and been implemented in numerous national quality and value programs. He is a graduate of Northwestern University School of Medicine, a proud graduate of the HAEMR Class of 2012 often referred to as the Greatest Class Ever, and completed the RWJF Clinical Scholars Program at Yale.Additional Resources:ACEP E-QUAL opioid initiativeCedr

In this episode, our hosts break down the latest health care news, from the cancellation of a long-running diabetes study to the rising number of measles cases across the U.S. They also discuss the nomination of Dr. Oz to lead the Centers for Medicare and Medicaid Services (CMS), potential Medicaid cuts tied to tax policy changes, and major layoffs at a key health research agency. Tune in to hear what these developments mean for patients and how they could impact access to care. Among the highlights in this episode: 00:35: Steven Newmark, Chief of Policy at GHLF, highlights the Trump administration’s decision to cancel funding for a 30-year diabetes study 01:09: Zoe Rothblatt, Director of Community Outreach at GHLF emphasizes the importance of long-term studies for chronic disease research 02:10: Steven shifts the conversation to the rising number of measles cases, noting over 300 reported cases so far this year 02:36: Zoe explains why the measles outbreaks are concerning, especially for immunocompromised individuals 03:27: Zoe advises those with chronic illness to monitor outbreaks and adjust travel plans accordingly 03:41: Steven discusses former CDC Director Dr. Rochelle Walensky’s call for a third MMR vaccine dose for certain infants aged 6-11 months traveling to high-risk areas 04:46: Steven transitions to discussing Dr. Oz’s nomination to lead CMS and his past support for Medicare Advantage plans and points out Dr. Oz’s openness to reducing Medicaid spending, which could limit access for low-income and disabled individuals 05:48: Steven discusses how Republican efforts to extend Trump-era tax cuts may lead to Medicaid budget cuts 07:41: Zoe reflects on how much uncertainty exists in health policy, emphasizing the need for advocacy Join GHLF’s 50 State Network, share your story, and get involved in advocacy to make a difference, email us at advocacy@ghlf.org 08:16: Steven shares news about potential layoffs at AHRQ, a lesser-known but critical health research agency and highlights AHRQ’s research on ultra-processed foods, childhood obesity, and diabetes-related hospitalizations 09:59: Zoe expresses concern that cutting such research undermines broader public health goals 10:11: Steven ends on a positive note, reporting that flu rates are dropping and COVID cases remain low in the U.S. Contact Our Hosts Steven Newmark, Chief of Policy at GHLF: snewmark@ghlf.org Zoe Rothblatt, Director of Community Outreach at GHLF: zrothblatt@ghlf.org A podcast episode produced by Ben Blanc, Director, Digital Production and Engagement at GHLF. We want to hear what you think. Send your comments in the form of an email, video, or audio clip of yourself to podcasts@ghlf.org Catch up on all our episodes on our website or on your favorite podcast channel.See omnystudio.com/listener for privacy information.

Chris Hoekstra, PT, DPT, PhD, OCS, FAAOMPT Chris received his PhD in biomedical informatics from Oregon Health & Science University, School of Medicine, his Masters of Science and Doctor of Physical Therapy degrees from Pacific University and undergraduate degree in biology from Willamette University.  He is board certified in orthopedics and Fellow of the American Academy of Orthopedic Manual Therapy.  Additionally, he completed a post-doctoral fellowship in clinical informatics through the National Library of Medicine.   He has worked as a physical therapist, clinic director, Health IT consultant, and more recently Chief Clinical Transformation Officer for Therapeutic Associates Inc.  In that role he has overseen the company's strategy related to the use of organizational data in business and clinical decision making, clinical and business information systems selection and optimization, quality improvement efforts, and value-based care initiatives. With Hychara Health, Chris oversees product development, program and project management, and sales and marketing strategy.  Additionally, he has worked with company subject matter experts to create an advisory services practice.   He is also an Assistant Professor in the Department of Medical Informatics and Clinical Epidemiology of the Oregon Health & Science University School of Medicine, where he teaches courses in organizational behavior and qualitative research.  He also continues his research focused on usability and end-user adoption of health information technology.  Additionally, he is a member of a multi-disciplinary AHRQ and NLM- funded research team with research focused on establishing safe training and effective use of medical scribes.   Chris has dedicated his career to improving clinicians' and business leaders' use of information in their daily decision making.  His work and research focus on refining a sociotechnical framework that integrates information systems with organizational strategy, team dynamics, workflow design, and information visualization to allow practices and providers to thrive in the changing value-based healthcare landscape.   Outside of his professional work, Chris has been active as a youth football coach for > 14 years, a Reserve Deputy Sheriff for nine years, and most recently an operations officer with a Military Police battalion of the Tennessee State Guard.  Additionally, he has served on numerous community and professional advisory boards. 

Dr. Colin Orr interview Dr. Salam Abdus from AHRQ regarding his recent piece, "Racial and Ethnic Disparities in Attendance to Well-Child Visit Recommendations during COVID-19" which documented widening disparities in well child attendance by race and ethnicity in during the pandemic. Full article online here: https://www.academicpedsjnl.net/article/S1876-2859(24)00146-3/abstract  

In this episode, Jewel Mullen, MD, MPH, MPA, FACP, discusses strategies for implementing RSV vaccines into practice, with an emphasis on:Understanding the reasoning for Advisory Committee on Immunization Practices RSV vaccine recommendations Factors that influence vaccine uptake and patient decision-makingConsiderations for patient and healthcare professional vaccine hesitancy Building vaccine confidence in both patients and healthcare professionalsUsing shared decision-making models (eg, SHARE approach)Faculty:Jewel Mullen, MD, MPH, MPA, FACPAssociate Dean for Health EquityAssociate Professor of Population Health and Internal MedicineUniversity of Texas at Austin Dell Medical SchoolAustin, TexasContent based on a CME program supported by an educational grant from GlaxoSmithKline.Follow along with a downloadable slideset at:https://bit.ly/44vCnFuLink to full program:https://bit.ly/3WvSY9ZTo get access to all of our new podcasts, subscribe to the CCO Infectious Disease Podcast on Apple Podcasts, Google Podcasts, or Spotify.

America hasn't found a cure or even a treatment for Long Covid. Today I explain why. It's about money, but it's more complicated than just money.Links:RECOVER https://recovercovid.org/https://www.statnews.com/2023/08/09/long-covid-nih-trials/#:~:text=Among%20the%20trials%20announced%20so,along%20with%20several%20behavioral%20options.AHRQ  https://www.ahrq.gov/coronavirus/long-covid.htmlPAHPA https://aspr.hhs.gov/legal/pahpa/Pages/default.aspxFollow me on X @doctor_zeest

Congressional support for Long Covid research influences all of us, but can be hard to understand. I researched so you don't have to, and in this episode I tell you what I've learned.On January 18, 2024 the US Senate HELP Committee held a hearing "Addressing Long Covid: Advancing Research and Improving Patient Care." I'll explain the who/what/where and why and explain what Long Covid research funding exists today. Follow me on X @doctor_zeestLinks:https://www.help.senate.gov/hearings/addressing-long-covid-advancing-research-and-improving-patient-careBernie Sanders Op-Ed: "US Is Turning its Back on Long Covid"https://www.usatoday.com/story/opinion/voices/2024/01/26/long-covid-paxlovid-costs-plaguing-american-healthcare/72337750007/Senators Kaine/Young/Inhoff Advocate for LChttps://thehill.com/opinion/congress-blog/4181662-after-the-pandemic-ends-long-covid-still-needs-congressional-attention/Young, Kaine Introduce Bill to Support Americans Living with Long Covidhttps://www.young.senate.gov/newsroom/press-releases/young-kaine-introduce-bill-to-support-americans-living-with-long-covidRECOVER Initiativehttps://recovercovid.org/AHRQ funding for Long Covidhttps://www.ahrq.gov/coronavirus/long-covid.htmlLong Covid Moonshothttps://longcovidmoonshot.com/Long Covid Action Project Media Releasehttps://longcovidactionproject.com/long-covid-activists-disrupt-senate-hearing/Follow me on X @doctor_zeest

This episode of “Inside Health Care: a Podcast by NCQA” features three interviews recorded live at our Health Innovation Summit in October 2023. Among many panels and presentations was an incredible session titled “Health Equity Trailblazers: Where Vision Meets Commitment.” Health equity leaders discussed their organizations' health equity strategies, vision and lessons learned, delving into how leaders can commit to and advance health equity priorities. Each of this episode's guests sat on that panel then sat with me for a deeper dive. These leaders, each in their own way, want to inspire us to action.Dr. Joneigh Khaldun is Vice President and Chief Health Equity Officer for CVS Health. In this role, she advances the company's data-driven strategy to improve access to services, address social determinants of health and decrease health disparities. She is a sought-after speaker and thought leader who has appeared on Meet the Press, MSNBC and CNN, among others, and she has testified before Congress.In her past work, as the top doctor leading Michigan's COVID response, she is credited with the state's early identification of and actions to decrease disparities, and in 2021 was appointed by President Biden to the national COVID-19 Health Equity Task Force. She is a practicing emergency physician who earned her MD from the Perelman School of Medicine at the University of Pennsylvania.Dr. Ronald M. Wyatt is a renowned global health care quality and safety expert with a passion for advancing health equity worldwide. Dr. Wyatt is Founder and CEO of Achieving Health Equity, LLC. As a distinguished Senior Fellow with the Institute for Healthcare Improvement, he holds pivotal roles as Chief Science Officer and Chief Medical Officer at the Society to Improve Diagnosis in Medicine, an organization dedicated to enhancing diagnostic accuracy in health care. As an expert in hospital safety oversight, Dr. Wyatt holds a significant role in shaping the National Patient Safety Goal on Health Equity. His contributions to the National Patient Safety Plan, authored by AHRQ and IHI, underscore his commitment to advancing health care on a global scale.Dr. Bryan O. Buckley moderated the Health Care Trailblazers panel at NCQA's 2nd annual Health Innovation Summit. Dr. Buckley is NCQA's Director for Health Equity Initiatives. In this position, he plays a key role in developing partnerships with funding and research organizations, care delivery systems, the managed care industry and communities to translate research knowledge and real-world evidence into development of equity-oriented products and programs. These include NCQA's Health Equity Accreditation programs.

The Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators (PSIs) affect Leapfrog's ubiquitous reputation scores and contribute approximately 15 percent to the Centers for Medicare & Medicaid Services (CMS) Hospital-Acquired Condition (HAC) penalty determinations of 1 percent of a hospital's total inpatient reimbursement. AHRQ finally released its PSI methodology for the 2023 fiscal year (FY) on Aug. 14, and it involves a significant expansion of the risk-adjusted universe to now include COVID and flag any fracture, not just hip fractures, not present at the time of the inpatient order as a patient safety event. Dr. James Kennedy will join the long-running Talk Ten Tuesdays Internet radio broadcast this coming Tuesday to report on what you need to do to protect your facility's reputation and reimbursement.All this and more will be covered during the next edition of the weekly broadcast, which will also feature these outstanding segments and thought leaders:Coding Report: Laurie Johnson, senior healthcare consultant with Revenue Cycle Solutions, LLC, will be on board with the latest coding news.SDoH Report: Tiffany Ferguson, a subject-matter expert on the social determinants of health (SDoH), will report on the news that's happening at the intersection of coding and the SDoH.News Desk: Timothy Powell, CPA, will anchor the Talk Ten Tuesdays News Desk.TalkBack: Erica Remer, MD, founder and president of Erica Remer, MD, Inc., and Talk Ten Tuesdays co-host, will report on a subject that has caught her attention during her popular segment.

Contributor: Nicholas Tsipis, MD Educational Pearls: What study was Dr. Tsipis talking about? In December of 2022, the Agency for Healthcare Research and Quality (AHRQ) put out a study titled “Diagnostic Errors in the Emergency Department: A Systematic Review.” This study triggered many news stories from prominent outlets with headlines such as, “More than 7 million incorrect diagnoses made in US emergency rooms every year, government report finds,” from CNN, and “E.R. Doctors Misdiagnose Patients With Unusual Symptoms,” from the New York Times. What was the response? Matt Bivens, MD from Emergency Medicine News responded to the original study in an article titled, “AHRQ Errors Report was ‘Outright Unconscionable.'” Dr. Bivens points out that AHRQ's biggest claims – including that 5.7% of patients are misdiagnosed in the ED and 2.0% suffer an adverse event as a result – were based only on three small studies out of Canada, Spain, and Switzerland (combined n=1,758). Spain and Switzerland did not have emergency medicine residency-trained physicians at the time of the studies. The Swiss study looked at when the diagnosis changed significantly between admittance and discharge to which Bivens responded, “Are we describing errors in this study or just an ongoing collaborative process?” The Canadian study looked at 503 high-acuity patients of which one died of a missed aortic dissection. Bivens notes that this is too small of sample size to be generalized to the American ER population which includes a mix of low and high acuity. Moral of the story? Mistakes do happen in the ED and they do negatively impact patients but be careful in how you interpret studies and news articles that report on them. References Newman-Toker DE, Peterson SM, Badihian S, Hassoon A, Nassery N, Parizadeh D, Wilson LM, Jia Y, Omron R, Tharmarajah S, Guerin L, Bastani PB, Fracica EA, Kotwal S, Robinson KA. Diagnostic Errors in the Emergency Department: A Systematic Review. Comparative Effectiveness Review No. 258. (Prepared by the Johns Hopkins University Evidence-based Practice Center under Contract No. 75Q80120D00003.) AHRQ Publication No. 22(23)-EHC043. Rockville, MD: Agency for Healthcare Research and Quality; December 2022. DOI: 10.23970/AHRQEPCCER258. Kounang, N. (2022, December 16). More than 7 million incorrect diagnoses made in US emergency rooms every year, government report finds. CNN. https://www.cnn.com/2022/12/15/health/hospital-misdiagnoses-study/index.html Abelson, R. (2022, December 15). E.R. Doctors Misdiagnose Patients With Unusual Symptoms. The New York Times. https://www.nytimes.com/2022/12/15/health/medical-errors-emergency-rooms.html?searchResultPosition=3 Bivens, Matt MD. Evidence-Based Medicine: AHRQ Errors Report was ‘Outright Unconscionable'. Emergency Medicine News 45(3):p 1,21, March 2023. | DOI: 10.1097/01.EEM.0000922716.51556.31  Summarized by Jeffrey Olson, MS1 | Edited by Meg Joyce & Jorge Chalit, OMSII

Biography Dr. Bratberg is well acquainted with the challenges community pharmacists and pharmacies face regarding opioid safety, overdose, harm reduction, and addiction pharmacotherapy. In 2012, Dr. Bratberg, along with a URI student pharmacist, co-developed an overdose education and naloxone training program for pharmacists in the first-in-nation statewide Collaborative Pharmacy Practice Agreement for naloxone.   He is an unpaid consultant for prescribetoprevent.org and prevent-protect.org, websites devoted to opioid overdose education and naloxone training for health professionals, community members, and health departments. In 2015, he was selected to serve as a member of the RI Governor's Overdose Prevention and Intervention Task Force, to create and implement a plan that addresses prevention, treatment, overdose reversal, and recovery of citizens affected by opioid use disorders. He has been a consultant or co-investigator on federal grants from NIDA, CDC, AHRQ, NIGMS, RI EOHHS, and the URI Foundation. Dr. Bratberg is the 2016 NASPA National Cardinal Health Generation Rx Award winner. The Generation Rx Champions Award honors a pharmacist who has demonstrated outstanding commitment to raising awareness of the dangers of prescription drug misuse among the general public, as well as the pharmacy community. Finally, Dr. Bratberg is the guest editor of the first ever Special Issue on Opioid Safety and Naloxone of the Journal of the American Pharmacists Association (Mar/April 2017). Reference  https://www.statnews.com/2023/02/08/addiction-pregnancy-treatment-not-criminalization/ 

In this JAMA author interview, Peter J. Pronovost, MD, PhD, Chief Quality & Clinical Transformation Officer, University Hospitals, Cleveland, and an internationally recognized expert in patient safety, discusses his recent article in JAMA on “Misdiagnosis in the Emergency Department.” A new report from AHRQ underscores the seriousness of this problem. Related Content: Misdiagnosis in the Emergency Department

Ryan Gorman hosts an iHeartRadio nationwide special featuring Dr. Robert Otto Valdez, Director of the Agency for Healthcare Research & Quality. Dr. Valdez explains AHRQ's work, including its role in the national response to the COVID-19 pandemic and the battle against Long COVID. Plus, Dr. Valdez describes how the agency addresses issues of patient safety. Mindfulness Expert and Host & Founder of the Self-Help Podcast New Mindset, Who Dis, Case Kenny, also joins the show. Case offers strategies and tips for prioritizing mental and physical health in the new year, including ways to work yourself out of difficult times and achieve goals set for 2023.

This is a special episode of The Frontline breaking down the recent report from the AHRQ entitled "Diagnostic Errors in the Emergency Department: A Systemic Review". We discuss 10+ critical flaws in the report and how good intention may result in more harm than good. We chat with Dr. Gabe Kelen, Professor and Chair of Emergency Medicine at Johns Hopkins who takes us through the report, uncovering a number of critical errors the produce an incredibly flawed and likely grossly inaccurate publication.

Dr. Schmidt is active in research, specializing in the intersection between mathematics and medicine, with a special interest in mapping the n-dimensional spaces of clinical data. Schmidt serves as an advisor to several government, industry, and foundation initiatives. He has been involved in several national-scale quality initiatives including with the US National Quality Forum and the Fresco Network in Italy. Schmidt has recent or current advisory engagements in wearable sensors, telemedicine, remote monitoring, and clinical trial design. He has contributed to AHRQ and Commonwealth Fund publications and has been an invited speaker for NIH and diverse international patient and professional conferences. Schmidt previously worked in corporate finance-focused on healthcare innovation, created chronic disease management systems, and served as Chief Operating Officer of a joint venture of Oxford, Stanford, and Yale delivering online education. Educated at Harvard and Cornell, he had a fellowship

Episode page: https://valuecapturellc.com/he67 Welcome to Episode #67 of Habitual Excellence, presented by Value Capture. Joining us today as our guest is Denise Cardo, MD. Dr. Denise Cardo is the director of the Division of Healthcare Quality Promotion (DHQP), National Center for Emerging and Zoonotic Infectious Diseases (NCEZID) at the Centers for Disease Control and Prevention (CDC). Dr. Cardo joined CDC in 1993 as a medical epidemiologist in the Hospital Infections Program (later named as Division of Healthcare Quality Promotion). After holding several leadership positions in DHQP, she was selected as division director in 2003. Her interests include patient safety, occupational health, prevention of healthcare-associated infections, and antimicrobial resistance. She's recently the co-author of a NEJM Perspectives piece: Health Care Safety during the Pandemic and Beyond — Building a System That Ensures Resilience In today's episode, Dr. Cardo talks with host Mark Graban, about topics and questions including: Why should we aim beyond merely “getting better” and why should we be aiming for Zero Harm? Aim for “perfect healthcare with no harm? What are some practices that are not evenly distributed across the US? Working previously with PRHI - Ken Segel and Paul O'Neill? 70% decrease in harm showed what's possible Preventing preventable infections or ALL infections?? What is the role of CDC in promoting and partnering with healthcare organizations on patient safety? How has that evolved? Policies to incentivize - transparency and accountability Aligning payment to results… most countries aren't there yet Please tell us how the CDC partners with CMS, AHRQ, and other federal agencies? With private advocacy groups? Focusing on Americans, CDC is a global leader — Collaboration or learning from similar organizations in other countries that are focused on patient safety? Lessons from the Covid pandemic? As you wrote about in the NEJM, why have we seen more patient safety problems recently, including more falls, more infections, more pressure ulcers in hospitals and SNFs? You and your co-authors wrote the recent trends “severely suggests that our health care system lacks a sufficiently resilient safety culture and infrastructure.” Disparities and equity - not just access to care, but “quality care” Moving forward, what evidence would you expect to see if we DID have a “sufficiently resilient safety culture and infrastructure”? Click to visit the main Habitual Excellence podcast page.

This episode demystifies clinical medical care ‘best practices' — clinical guidelines & outcome measures. These are regularly created, validated & updated, by expert teams and organizations. This rigorous, evidence-based process provides the USA with a quality and up to date clinical health care system.  [261 characters].   Guest:  John L. Gore, M.D. Professor of Urology, Professor of Surgery, Health Services Researcher, University of Washington. Urologist, surgeon, clinician, researcher, educator and expert in clinical care guidelines and outcomes. Dr. Gore is the PI of a large pragmatic trial in bladder cancer, and a quality of care expert. He previously served as the American Urological Association (AUA) representative to the National Quality Forum, which endorses national health care performance measures, and has been on guidelines panels for the National Comprehensive Cancer Network (NCCN) for kidney cancer, and the AUA for bladder cancer.   Resources: Avedis Donabedian — author of a classic core framework for evaluating the quality of medical care, laid out 50 years ago; the basis of our system today. This link is to a recent article about Donabedian and his work, and is helpful for understanding how and why outcome measures and clinical guidelines are needed and beneficial for quality health care. American Urological Association (AUA) Guidelines for Urology Care — find current health care guidelines for prostate conditions, bladder cancer, erectile dysfunction, etc. National Quality Forum  (NQF)— nonprofit US organization that sets standards for quality health care, and provides other services that advance quality health care. National Committee for Quality Assurance (NCQA)— nonprofit US organization that works to improve health care quality through the administration of evidence-based standards, measures, programs, and accreditation. Agency for Health Care Research and Quality (AHRQ) — lead US Federal agency charged with improving the safety and quality of healthcare for all Americans. AHRQ develops the knowledge, tools, and data needed to improve the healthcare system and help consumers, healthcare professionals, and policymakers make informed health decisions   Podcast Webstie & Social Media: Podcast Website: theoriginalguidetomenshealth.org Facebook Page: https://www.facebook.com/theoriginalguidetomenshealth/ Twitter: https://twitter.com/guide2menshlth LinkedIn: https://www.linkedin.com/company/the-original-guide-to-mens-health/

Join Dr. Steve Gard, editor-and-chief for the Journal of Prosthetics and Orthotics, as he chats with Brian Kaluf about his research surrounding hydraulic- and microprocessor-controlled ankle-foot prostheses for limited community ambulators with unilateral transtibial amputation. The two discuss the experimental protocol of the research, data collection, primary findings, unanticipated surprises, and clinical takeaways.    Show Notes JPO article: Hydraulic- and Microprocessor-Controlled Ankle-Foot Prostheses for Limited Community Ambulators with Unilateral Transtibial Amputation: Pilot Study   Dr. Gard and Mr. Kaluf alludes to the body of evidence regarding microprocessor-controlled knees and transfemoral amputees with a K2 functional level classification. Here's the full article: The effect of microprocessor controlled exo-prosthetic knees on limited community ambulators: systematic review and meta-analysis (tandfonline.com)     Mr. Kaluf mentions a previous study he conducted with a similar protocol with transtibial amputees in the K3 and K4 functional levels: Comparative Effectiveness of Microprocessor-Controlled and Carbon-Fiber Energy-Storing-and-Returning Prosthetic Feet in Persons with Unilateral Transtibial Amputation: Patient-Reported Outcome Measures     Mr. Kaluf speaks about a systematic review that was published around the time of the design of the study described in the podcast. That review was performed by AHRQ and one of the aims was "comparison of component effects by subgroups": Lower Limb Prostheses: Measurement Instruments, Comparison of Component Effects by Subgroups, and Long-Term Outcomes | Effective Health Care (EHC) Program (ahrq.gov)

Care coordination is defined as the process of organizing patient care and any activity for that patient to improve health outcomes (AHRQ.GOV).  In this podcast episode, we go over the basics of what that means and I provide you with an overview of how this works. We are also setting the stage for effective communication in the doctor's office. This brings me to a bonus! I'm so excited to share that my health journal is available digitally! Grab yours here: https://www.joyfulebony.com/product/health-journal/ https://soulabeautyco.com/collections/health-and-wellness/products/digital-health-journal  

TeamSTEPPS is a curriculum designed for health care professionals that emphasizes good communication and teamwork. This toolkit is evidence based and available for free from the AHRQ and we use it at UC Davis to improve communication, teamwork and patient safety. In this episode we talk with our TeamSTEPPS champions about the curriculum and how we can be better team members. Share with us on @empulsepodcast if you use team steps and if so what your favorite tool is.  Hosts: Dr. Julia Magaña, Associate Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Associate Professor of Emergency Medicine at UC Davis Guests:   Dr. David Barnes, Professor of Emergency Medicine at UC Davis, TeamSTEPPS Physician Champion Leigh Clary, RN, UC Davis Emergency Department TeamSTEPPS Nurse Champion Resources: Contact us @empulsepodcast to connect with Dr. David Barnes or Leigh. About TeamSTEPPS. Content last reviewed June 2019. Agency for Healthcare Research and Quality, Rockville, MD. https://www.ahrq.gov/teamstepps/about-teamstepps/index.html Morey, J. C., Simon, R., Jay, G. D., Wears, R. L., Salisbury, M., Dukes, K. A. (2002). Error reduction and performance improvement in the emergency department through formal teamwork training: Evaluation results of the MedTeams project.Health Services Research 37(6), 1553-81 Mazzocato, P., Forsberg, H., & Schwarz, U. (2011). Team behaviors in emergency care: a qualitative study using behavior analysis of what makes team work. Scandinavian Journal Of Trauma, Resuscitation And Emergency Medicine 19:70 Patel, P., & Vinson, D. (2005). Team assignment system: expediting emergency department care. Annals of Emergency Medicine 46(6), 499-506 Patterson, M. D., Geis, G. L., et al. (2013). In situ simulation: detection of safety threats and teamwork training in a high risk emergency department. BMJ Quality and Safety 22(6), 468-77 Turner, P. (2012). Implementation of TeamSTEPPS in the emergency department. Critical Care Nursing Quarterly 35(3), 208-12

When it comes to healthcare, it should be about people first, right? In this episode, we speak with Dr. David Fisman, a professor of epidemiology, Internal Medicine Physician and Infection Diseases Consultant we ask him all the tough questions:  When it comes to modelling pandemic data, how screwed are we? Is Covid Airborne? Should I send my child/children to school? How does a disease go from being acute to endemic? What's a likely timeline for COVID-19 to become endemic? Will wave 4 be the most deadly? Will this shit end? Vaccines have done most of the heavy lifting, but we need honesty, transparency, strong public health policy and working collectively as a community to end this pandemic.  Dr. David Fisman is a professor of epidemiology at the Dalla Lana School of Public Health at the University of Toronto and a practicing internist. His areas of expertise include Infectious diseases, public health, and epidemiology. He is interested in developing and applying novel methodological tools that allow physicians and public health experts to make the best possible decisions around communicable disease control, using the best available data.   Dr. Fisman completed a residency in internal medicine at both McGill and Brown Universities, before completing a fellowship at the Beth Israel Deaconess Medical Centre in Boston, and a Master of Public Health from Harvard School of Public Health. Dr. Fisman was also an AHRQ fellow in health policy at the Harvard Centre for Risk Analysis.  

William O. Cooper, MD, MPH, is the Cornelius Vanderbilt Professor of Pediatrics and Health Policy, Associate Dean for Faculty Affairs, and Director of Vanderbilt's Center for Patient and Professional Advocacy. We discuss the Co-worker Observation Reporting System (CORS) and Patient Advocacy Response System (PARS), which use co-worker and patient unsolicited complaints to give physicians feedback. It turns out that a few outlying physicians get the bulk of the complaints, and these physicians also account for a large percentage of complications and malpractice lawsuits. They have a system for making sure the physicians are getting this feedback, and learn about it in a constructive way such that most of them stop being those outliers, or the toxic systems that caused them to be such outliers are addressed. If you were being a jerk to your patients or your staff, would you know it? Would you know if you were the outlier? Would you course correct? Dr. Cooper is an internationally recognized expert in medication safety in children. The results of his research, published in journals including The New England Journal of Medicine and JAMA, have led to changes in policy for prescription drugs at the US Food and Drug Administration, Health Canada, and the European Union and have influenced prescribing practices for multiple specialties, including pediatricians, obstetricians, and psychiatrists. He has served as a member of the Food and Drug Administration's Drug Safety and Risk Management Advisory Committee and recently provided testimony to the US Senate Committee on Health, Education, Labors, and Pensions on the use of psychotropic medications in children. Dr. Cooper received an M.D. degree from Vanderbilt, completed his pediatrics residency at the University of Cincinnati and served as a pediatrics chief resident and then completed his M.P.H. at Vanderbilt as a fellow in Academic General Pediatrics, where he stayed on as faculty. Dr. Cooper has directed an active research program in pediatric pharmacoepidemiology funded by NIH, AHRQ, FDA and the Robert Wood Johnson Foundation. In 2008, Dr. Cooper founded the Department of Pediatrics Office for Faculty Development, where he leads efforts to recruit and retain faculty, address issues of diversity, and foster skills development of faculty related to academic success. Are you burned out or need a change of pace, or looking to supplement your income? Then maybe locum tenens is for you. Reach out to doctorpodcastnetwork.com/locumstory to learn more. 

  Join ECHO-Chicago for our podcast series where we share stories and information from our program! Today we're sharing the final episode of our series highlighting our AHRQ nursing home ECHO project: ECHO-Chicago & the AHRQ Nursing Home Project! In... The post ECHO-Chicago & the AHRQ Nursing Home Project, Part 5 appeared first on Echo Chicago.

  Join ECHO-Chicago for our podcast series where we share stories and information from our program! This week, we're back to highlighting our AHRQ nursing home project ECHO series in parts 3-5 of our episode series: ECHO-Chicago & the AHRQ... The post ECHO-Chicago & the AHRQ Nursing Home Project, Part 4 appeared first on Echo Chicago.

  Join ECHO-Chicago for our podcast series where we share stories and information from our program! This week, we're back to highlighting our AHRQ nursing home project ECHO series in parts 3-5 of our episode series: ECHO-Chicago & the AHRQ... The post ECHO-Chicago & the AHRQ Nursing Home Project, Part 3 appeared first on Echo Chicago.

In this episode of WOCTalk we sit down with Madeline Cafiero, EdD, FNP-BC, CWOCN, to discuss health literacy as it relates to wound, ostomy, and continence (WOC) nursing and patients. Dr. Cafiero helps define the types of health literacy, overviews health literacy strategies, explains factors that impact low health literacy, and more! Episode Resources:Click here to read the Agency for Healthcare Research and Quality's (AHRQ) health literacy definitionClick here to read the Centers for Disease Control and Prevention (CDC) Health Literacy definitionClick here to read the World Health Organization (WHO) health literacy definitionClick here to access AHRQ Health Literacy Universal Precautions ToolkitClick here to access a health literacy slide presentation by Rima Rudd from Harvard UniversityClick here to access the Health Literacy Tool ShedClick here to access Pacific University LibGuides on health literacyClick here to read Dr. Cafiero’s article “Nurse Practitioners' Knowledge, Experience, and Intention to Use Health Literacy Strategies in Clinical Practice” in the Journal of Health Communication 

Recorded on April 20th, 2021, hosted by Elyse Hallett with Myrtede Alfred. Dr. Myrtede Alfred is a Research Assistant Professor in the Department of Anesthesia and Perioperative Medicine at the Medical University of South Carolina (MUSC). She conducts research on surgical instrument reprocessing, anesthesia medication safety, robotic-assisted surgery, and maternal health disparities. In her role, she also reviews patient safety incidents and provide human factors expertise on quality improvement efforts. She has over 10 peer-reviewed journal articles and serves as PI or Co-I on several AHRQ-funded grants. She enjoys outdoor activities, good coffee, and David Attenborough documentaries. In her free time she also runs a STEAM education nonprofit, called Marie’s Kids, in North Charleston. | Follow Elyse: https://www.linkedin.com/in/elysehallett/ - Follow Myrtede: https://www.linkedin.com/in/mcalfred/ - Join us on Discord:https://go.humanfactorscast.media/Discord - Join us on Slack: https://go.humanfactorscast.media/Slack | Thank you to our Human Factors Cast Honorary Staff: Michelle Tripp | Support us on Patreon: https://www.patreon.com/humanfactorscast - Buy us a coffee: https://www.buymeacoffee.com/hfactorspodcast - Human Factors Cast Merchandise Store: https://www.humanfactorscast.media/p/Store/ - Follow us on Twitch: https://twitch.tv/HumanFactorsCast - Follow us on YouTube: https://www.youtube.com/HumanFactorsCast - Follow us on LinkedIn: https://www.linkedin.com/company/humanfactorscast - Follow us on Twitter: http://www.twitter.com/HFactorsPodcast - Follow us on Facebook: https://www.facebook.com/HumanFactorsCast - Our official website: www.humanfactorscast.media | Our tools and software: https://www.humanfactorscast.media/p/resources/ - Our Ethics Policy:https://www.humanfactorscast.media/p/ethics-policy/ - Logo design by E Graphics LLC: https://egraphicsllc.com/ - Music by Kevin McLeod: https://incompetech.com/music/royalty-free/ | Take a deeper look into the human element in our ever changing digital world. Human Factors Cast is a podcast that investigates the sciences of psychology, engineering, biomechanics, industrial design, physiology and anthropometry and how it affects our interaction with technology. As an online source for human factors, psychology, and design news, Human Factors Cast is your essential resource for new, exciting stories in the field. | Disclaimer: Human Factors Cast may earn an affiliate commission when you buy through the links here. |

A key (and occasionally overlooked) role of the physician advisor is advocacy: advocacy for physician partners, advocacy for quality patient outcomes, and advocacy for clinical medicine represented on committees, in board rooms, and to agencies defining national standards.During the next live edition of Talk Ten Tuesdays, Dr. Drew Updike, medical director of coding at UCHealth, and Dr. Debra Anoff, senior medical director of clinical documentation improvement (CDI) for UCHealth, will offer a blueprint on how they solved a local problem on a national level.They identified a blind spot in Agency for Healthcare Research and Quality (AHRQ) criteria that was negatively impacting their organization's PSI-06 Quality ranking, as a result of their being a regional referral center for a highly specialized congenital corrective surgery (the “Nuss” procedure).After collaborating cross-sectionally within their organization, they engaged in advocacy to AHRQ; the result was successful modification of PSI-06 criteria, based in sound clinical reasoning.The live broadcast will also feature these other segments:Coding Report: Laurie Johnson, senior healthcare consultant with Revenue Cycle Solutions, LLC, will have the Talk Ten Tuesdays Coding Report, along with the broadcast’s weekly Listeners Survey.News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, will anchor the Talk Ten Tuesdays News Desk.TalkBack: Erica Remer, MD, founder and president of Erica Remer, MD, Inc. and Talk Ten Tuesdays co-host, will report on a subject that has caught her attention during her popular segment.This episode is sponsored by:AHIMA, MRA and AHDAM

Susan Ryan sits down with Alice Bonner, a geriatric nurse practitioner who has been caring for older adults and their families for over 30 years. She is currently adjunct faculty and director of strategic partnerships for the CAPABLE program at the Johns Hopkins University School of Nursing and senior advisor for aging at the Institute for Healthcare Improvement. Bonner describes how she has used her clinical, government, and community experiences to inform her work and perspectives on how to create age-friendly ecosystems in her quest for quality and coordination across the continuum. She further shares her work at IHI and the significant role the organization has played amid the pandemic: from early on in convening virtual huddles, to their current work in collaboration with Project ECHO and AHRQ to support nursing homes. Alice is a thought and action-oriented leader who approaches problems head on by tapping into her network to identify and mobilize solutions.  Bonner provides a well-articulated vision for eldercare, with a clear and compelling call to action.   Find out more about CAPABLE here: https://nursing.jhu.edu/faculty_research/research/projects/capable/ 

Today’s guests are Dr. Vinny Arora (@FutureDocs) and Chase Corvin (@ChaseCorvin) from the University of Chicago. Dr. Vineet Arora is the Herbert T. Abelson Professor of Medicine at the University of Chicago Medicine. As Associate Chief Medical Officer for the Clinical Learning Environment, she bridges education and clinical leadership to engage trainees and staff into the institutional quality, safety, and value mission. She is an elected member of the National Academy of Medicine whose work improving care and learning in teaching hospitals has been funded by NIH, AHRQ and the Macy Foundation, and has been cited over 10,000 times. Dr. Chase Corvin is a general surgery resident at the University of Chicago Medicine. In addition to his medical training, Dr. Corvin has degrees in economics and business administration. He is currently completing two years of dedicated research and collaborating separately with the University of Chicago Booth School of Business and the Federal Aviation Administration’s Air Traffic Organization to study quality improvement and efficiency within high reliability organizations. He also studies methods for improving interprofessional teaming within healthcare. “Prior to the COVID-19 pandemic, our institution has aimed to improve interdisciplinary teaming in the care of our patients by increasing face-to-face communication between nursing and physicians/advanced practice providers. By engineering a standard communication console in patient rooms to display a novel MD/APP-in-Room button, physicians messaged nursing staff when they were at the bedside. After successful implementation on a pilot unit with improvements in length of stay and patient experience, we scaled up the implementation hospital-wide to address interprofessional communication challenges that occurred as a result of the COVID-19 pandemic. We present our findings that this innovation has had on our efficiency and collaboration in patient care as well as the challenges to interprofessional communication in a pandemic. Our work in hospital-wide implementation is ongoing, but we are seeing promising results similar to what we previously saw on our pilot-unit.” Sections from this episode include: Developing the “MD/APP In Room” button to improve patient experience and strengthen team communication How medical students can be better utilized and integrated into healthcare teams The importance of health systems science and using it to identify and remedy inefficiencies within healthcare teams With support from Elsevier, and produced in collaboration with the American Medical Association, the HSS series seeks to broaden students’ understanding of the nature of medicine, medical education, and what separates them from other human endeavors. Medicine is not a “pure science,” a kind of “applied biology.” Rather, it is fundamentally an art that uses science. As a discipline, Health Systems Science considers those ideas and concepts which are integral to medicine as a profession but don’t fall under the domain of the clinical or basic sciences. The National Board of Medical Examiners includes HSS topics in its USMLE Content Outline and even offers a dedicated Health Systems Science subject examination. Each episode of this series will include on-the-go learning with practice exam questions explained by expert guests.  This series is sponsored by Panacea Financial: Banking Built for Doctors, by Doctors. ITB and Panacea share a common goal which is to make med school better. Panacea Financial is designed to handle the unique situation of medical students. We hope you will check them out to see how they can make your life easier. Learn more about the series and view the content outline on the ITB website. https://insidetheboards.com/Health-Systems-Science/. You can also listen to episodes in the ITB app organized into an HSS Playlist.

Guests: Dr. Mark Cicero, Dr. Clare Wallner Which has a longer attention span? A goldfish or an average adult?  Mark X. Cicero, MD, FAAP, is an associate professor of pediatric emergency medicine (PEM) at the Yale School of Medicine, the director of the pediatric disaster preparedness program, an EMS physician and an attending physician at Yale-New Haven Children's Hospital. Mark has designed experiential and didactic curricula in pediatric disaster medicine, and has numerous publications about triage and prehospital response.  He is a member of the National Biodefense Science Board and the principal investigator for the Pediatric Research In Disaster Education (PRIDE) network, which has received funding from HRSA and the AHRQ. Clare Wallner is an assistant professor and clinician educator at McMaster University and associate medical director for the Centre for Paramedic Education and Research in Hamilton, Ontario. She works as an EMS and emergency medicine physician. In addition to innovative curriculum design and medical leadership, she dabbles in research and advancing equity, diversity, and inclusion in medical education. Show Highlights Gamification education and pandemics Disadvantage of “pouring information into our students” Experience over lecture Locus of internal control Buy-in from instructors Goldfish and adults Engaging students What the 1840 Prussian army has to do with modern education “Practice the way you play” Overlap of entertainment and education Gamification resources for instructors Virtual and mixed-use reality Instructor as the dungeon master

  Join ECHO-Chicago for our podcast series where we share stories and information from our program! This month, we’re highlighting our AHRQ nursing home project ECHO series in another three-part episode series: ECHO-Chicago & the AHRQ Nursing Home Project! In... The post ECHO-Chicago & the AHRQ Nursing Home Project, Part 1 appeared first on Echo Chicago.

  Join ECHO-Chicago for our podcast series where we share stories and information from our program! This month, we’re highlighting our AHRQ nursing home project ECHO series in another three-part episode series: ECHO-Chicago & the AHRQ Nursing Home Project! In... The post ECHO-Chicago and the AHRQ Nursing Home Project, Part 2 appeared first on Echo Chicago.

Chris received his PhD in biomedical informatics from Oregon Health & Science University, School of Medicine, his Masters of Science and Doctor of Physical Therapy degrees from Pacific University and undergraduate degree in biology from Willamette University.  He is board certified in orthopedics and fellowship trained in manual physical therapy.  He has worked as a physical therapist, clinic director, and more recently Director of Knowledge Management for Therapeutic Associates Inc.  In that role he has overseen the company’s strategy related to the use of organization data in business and clinical decision making, quality improvement efforts, and value-based care initiatives.  In 2014, Chris returned to school to study biomedical informatics, in hopes of applying the concepts that were focusing personalized medicine and evidence-based practice in the field of medicine, to the field of PT.  He was awarded a post-doctoral fellowship from the National Library of Medicine and a PODS I scholarship from the Foundation for Physical Therapy for his research related to the facilitators and barriers to PT managers’ use of clinical information systems to oversee clinical quality.   Chris has applied his informatics training as a consultant to the APTA relative to health IT interoperability and a member of the PT Outcomes Registry Scientific Advisory Panel.  He has also worked as a consultant to large health systems focused on data analytics strategy and improved organizational use of information for decision making. More recently he received an Assistant Professor appointment with Oregon Health and Science University, School of Medicine, Department of Medical Informatics and Clinical Epidemiology where he teaches courses in qualitative research methods and organizational behavior.  He also continues his research now focusing on usability of patient reported quality of life measures and is a member of a multi-disciplinary team on and AHRQ-funded study to establish safe training and use of medical scribes.  This has allowed him to develop a model of and training process for the use of scribes in PT.  He is also a member of a research team exploring the use of PROMIS measures to support clinicians’ use of a bio-psycho-social approach to PT intervention.    Chris has dedicated his career to improving clinicians’ and business leaders’ use of information in their daily decision making.  His goal is to refine a sociotechnical framework that integrates information systems with organizational strategy, workflow design, and information presentation to allow practices and providers to thrive in the coming value-based healthcare landscape.  

Introducing the AHRQ ECHO National Nursing Home COVID-19 Action Network  "The goal of the COVID-19 Action Network is to collaboratively advance improvements in COVID-19 prevention and infection management.”— Alice Bonner, Ph.D., RN Covid-19 exacerbated nursing homes' conditions; everyone was taken aback and did not anticipate the virus's overwhelming spread. It brought unprecedented challenges to nursing homes, considering older adults and immunocompromised patients are more vulnerable to the virus.   With that, the call for nursing homes to adapt changes in administering care amidst the pandemic is necessary and urgent.  In this episode, Alice Bonner will share with you what the Covid-19 Action Network is doing to advance improvements in COVID-19 prevention and infection management in nursing homes during this pandemic. Discover how they are actively recruiting training centers (health systems) and nursing homes worldwide to join in on promoting health and well-being of residents and staff.  Part One of 'National Nursing Home COVID-19 Action Network’  What Is Covid-19 Action Network All About? Alice Bonner is a senior adviser for the aging at the Institute for Health Care Improvement (IHI) in Boston, Massachusetts, and is also an adjunct faculty at Johns Hopkins University.   With her expertise in the field, Alice Bonner in collaboration with IHI and Project ECHO and with the support from the CARES Act Provider Relief Fund for Nursing Homes, and the Agency for Healthcare Research and Quality (AHRQ) launched the COVID-19 Action Network.  “Supported by the federal Agency for Healthcare Research and Quality (AHRQ) and in collaboration with the Institute for Healthcare Improvement (IHI), Project ECHO is launching a National Nursing Home COVID-19 Action Network.” -Alice Bonner, Ph.D., RN What Are The Goals Of the Covid-19 Action Network? The Covid-19 Action Network program aims to promote the health and well-being of nursing home residents and staff.  Towards that end, they've been recruiting Training Centers to provide interactive training to nursing home staff.  The primary goal of which is to advance improvements in COVID-19 prevention and infection control.  Specifically, the program implement evidence-based best practices to help nursing homes;  Keep the  Coronavirus out.  Identify residents and staff who have been infected with the virus early. Prevent the spread of the virus among staff, residents, and visitors.  Provide safe, appropriate care to residents with mild and asymptomatic cases.  Ensure staff practice safety measures to protect residents and themselves.  Reduce social isolation for residents, families, and staff. Part Two of 'National Nursing Home COVID-19 Action Network’  How Are The Covid-19 Action Network Goals Achieved? Alice highlighted that Covid-19 Action Network is not a model where a bunch of experts swoop in and say, "We're going to do all these webinars and give you all this important information." Instead, it's an all teach and all learn style of interacting among nursing homes.  Thus, to achieve their goals, the collaborators walked the extra mile to;  Provide no-cost training and mentorship to thousands of nursing homes nationwide. Create a virtual learning community where nursing home staff can learn from experts and each other to expand the use of proven best practices. The COVID-19 Action Network's Approach  The team comes up with a COVID-19 Action Network's Approach, which includes weekly sessions over 16 weeks. The virtual sessions are in concise presentation coupled with case-based learning and discussion. Essentially, these sessions are facilitated by small interprofessional teams of subject matter and quality improvement experts.  On top of that, there will be a sharing of best practices that nursing home staff can implement immediately. Furthermore, the sessions follow a standardized curriculum updated regularly to reflect new evidence and best practices.  The highlights of the curriculum are; PPE current practices Infection management practices COVID-19 testing Clinical management of asymptomatic and mild cases Minimizing the spread of COVID-19 Managing social isolation "What nursing home staff need is the skill set of how to talk with families, how to think about the questions to ask, and how actually to improve systems of care and workflow." — Alice Bonner, Ph.D., RN Why Should Nursing Homes Participate? Alice believes that nursing home staff are stretched and strained because of the pandemic.  Project ECHO and Covid-19 Action Network inspires and motivates people who work in long-term care to take charge and be the champions and be the leaders.  They're encouraged to participate so they can gain practical information, skills, and resources to deal with the prevention and management of the Coronavirus. In joining the program, they'll be a part of a virtual learning community of specialists and peers.  Plus, the good thing about it is that participation is free and voluntary. Moreover, nursing homes that participate will receive $6,000 to compensate for staff time. Nursing homes can join through their local training center or by using The Project Echo form through January 2021. If you have enrolled with a training center, there is no need to fill out our form.  Nursing homes, sign up here if you haven’t already enrolled with a Training Center: https://hsc.unm.edu/echo/institute-programs/nursing-home/pages/ Questions? Email Alice Bonner: abonner@ihi.org Resources Mentioned In Podcast:   CDC Long-Term Care Facility Toolkit AHCA/NCAL's #GetVaccinated Campaign Leading Age Vaccination Toolkit   About Melissa Batchelor, Ph.D., RN, FNP, FAAN: I earned my Bachelor of Science in Nursing ('96) and Master of Science in Nursing ('00) as a Family Nurse Practitioner (FNP) from the University of North Carolina Wilmington (UNCW) School of Nursing (SON). I genuinely enjoy working with the complex medical needs of older adults. I worked full-time for five years as FNP in geriatric primary care across many long-term care settings (skilled nursing homes, assisted living, home, and office visits), then transitioned into academic nursing in 2005, joining the faculty at UNCW SON as a lecturer. I obtained my Ph.D. in Nursing and a post master's Certificate in Nursing Education from the Medical University of South Carolina College of Nursing ('11) and then joined the faculty at Duke University School of Nursing as an Assistant Professor. My family moved to northern Virginia in 2015 and led to me joining the faculty at George Washington University (GW) School of Nursing in 2018 as a (tenured) Associate Professor, where I am also the Director of the GW Center for Aging, Health, and Humanities. Find out more about her work at https://melissabphd.com/.

Eric B. Larson, MD, MPH and Joseph E. Gaugler, PhD continue the topics discussed during their Grand Rounds on the AHRQ and Lancet Reports on dementia interventions, interpretation and implications for embedded pragmatic trials with IMPACT Executive Director Jill Harrison, PhD.

William B. Weeks, MD, PhD, MBA, is a Principal Researcher at Microsoft Healthcare NExT. Dr. Weeks has published a book and over 200 peer-reviewed manuscripts examining economic and business aspects of health care services utilization and delivery, physicians’ return on educational investment, health care delivery science, and healthcare value.  Dr. Weeks has been honored with the 2009 National Rural Health Association Outstanding Researcher Award, the 2016 Jerome F McAndrews award for excellence in research from the National Chiropractic Medical Insurance Corporation Group, and the 2016 Fulbright-Tocqueville Distinguished Chair at Aix-Marseille University.Dr. Weeks’ research that has been funded by CMMI, NIH, the Commonwealth Fund, the National Chiropractic Medical Insurance Corporation Group, the VA, AHRQ, and Bupa. John Marchica, CEO, Darwin Research GroupJohn Marchica is a veteran health care strategist and CEO of Darwin Research Group, a health care market intelligence firm specializing in health care delivery systems. He’s a two-time health care entrepreneur, and his first company, FaxWatch, was listed twice on the Inc. 500 list of fastest-growing American companies. John is the author of The Accountable Organization and has advised senior management on strategy and organizational change for more than a decade.John did his undergraduate work in economics at Knox College, has an MBA and M.A. in public policy from the University of Chicago, and completed his Ph.D. coursework at The Dartmouth Institute. He is a faculty associate in the W.P. Carey School of Business and the College of Health Solutions at Arizona State University and is an active member of the American College of Healthcare Executives.About Darwin Research GroupDarwin Research Group Inc. provides advanced market intelligence and in-depth customer insights to health care executives, with a strategic focus on health care delivery systems and the global shift toward value-based care. Darwin’s client list includes forward-thinking biopharmaceutical and medical device companies, as well as health care providers, private equity, and venture capital firms. The company was founded in 2010 as Darwin Advisory Partners, LLC and is headquartered in Scottsdale, Ariz. with a satellite office in Princeton, N.J.

In this episode of the Knowledge Cast, EK CEO Zach Wahl speaks with Polly Alexander, Senior Manager, Knowledge Management at HealthStream. Polly Alexander is a knowledge management professional with an extensive background in public health and informatics in a critical care and hospital setting. She has extensive experience identifying and defining taxonomies to be used for organizing and searching complex data sets across online environments and content types. Prior to joining HealthStream, Polly was part of a nationally recognized medical informatics organization at Vanderbilt University and a National Library of Medicine Informatics Fellow. She has collaborated with researchers and published evidence-based systematic reviews through Vanderbilt's AHRQ funded/Evidence-Based Practice Center (EPC) and the Department of Emergency Medicine. In her current role, Polly contributes vision and thought leadership towards information architecture development and standardization at HealthStream. She is the knowledge expert for taxonomy creation and metadata application to business processes and is focused on growing customer and internal stakeholder satisfaction with content discovery and management using semantic technologies.

In this episode, we are joined by Dr. Michael Furukawa, Senior Economist at the Agency for Healthcare Research and Quality, to discuss their study on provider consolidations into health systems from 2016-2018.  Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: Background on AHRQ’s study on Read More

Finding trusted evidence-informed guidance in worlds of chronic illness, clinician, researcher. Inclusion, equity, choices, community. iConquerMS. Conversation with Cherie Binns. Blog subscribers: Listen to the podcast here. Scroll down through show notes to read the post. Subscribe to Health Hats, the Podcast, on your favorite podcast player Please support my podcast. CONTRIBUTE HERE Episode Notes Prefer to read, experience impaired hearing or deafness? Find FULL TRANSCRIPT at the end of the other show notes or download the printable transcript here Contents with Time-Stamped Headings to listen where you want to listen or read where you want to read (heading. time on podcast xx:xx. page # on the transcript) Proem 00:55. 1 Introducing Cherie Binns 03:19. 1 Navigating for what ails you 05:58. 2 Peer groups, lived experience? 09:04. 3 iConquerMS 12:00. 3 Health equity in research 21:12. 5 Mismatch between questions and evidence 23:51. 6 Community-based research 25:45. 6 Evolution of PCORI and patient voice 29:05. 7 Shift to public health 32:10. 7 CDS Connect 34:26. 8 Reflection 37:36. 9 Please comments and ask questions at the comment section at the bottom of the show notes on LinkedIn via email DM on Instagram or Twitter to @healthhats Credits Music by permission from Joey van Leeuwen, Boston Drummer, Composer, Arranger Sponsored by Abridge Thanks to these fine people who inspired me for this episode: Libby Hoy, Harvey Hellerstein, Greg Merritt, Charlene Setlow, James Pantelas, Alexis Snyder, Janice Tufte, Apriani Oendari, Ed Lomotan, Lacy Fabian Links Multiple Sclerosis Foundation MSFOCUS magazine iConquerMS PCORI (Patient-Centered Outcomes Research Institute) PCORnet Engagement Committee PFCC Partners. Related podcasts and blogs I started a webpage for CDS, Clinical Decision Support, Making Health Choices. About the Show Welcome to Health Hats, learning on the journey toward best health. I am Danny van Leeuwen, a two-legged, old, cisgender, white man with privilege, living in a food oasis, who can afford many hats and knows a little about a lot of healthcare and a lot about very little. Most people wear hats one at a time, but I wear them all at once. We will listen and learn about what it takes to adjust to life's realities in the awesome circus of healthcare. Let's make some sense of all this. To subscribe go to https://www.health-hats.com/ Creative Commons Licensing The material found on this website created by me is Open Source and licensed under Creative Commons Attribution. Anyone may use the material (written, audio, or video) freely at no charge. Please cite the source as: ‘From Danny van Leeuwen, Health Hats. (including the link to my website). I welcome edits and improvements. Please let me know. danny@health-hats.com. The material on this site created by others is theirs and use follows their guidelines. The Show Proem Regular readers and listeners, you likely sense a theme these past few weeks.  Yes. Health Hats exists to learn on the journey toward best health to make health choices and decisions. The journey in constellations of information, personality, technology, culture, and life constantly swirl, seldom aligning. We, individuals, like planets, seem to orbit as well, somewhat habitual, hit with occasional inertia-busting forces. I’m not currently tripping on acid, instead these COVID-19 days feel like meteors that keep hitting and busting our inertia, blasting our strengths and weaknesses in high relief. Without desperately missed federal leadership and rare episodes of alignment, pods of entrepreneurs and connectors rush to fill the vacuum for profit or good works. One of my many projects is working with AHRQ (the Agency for Healthcare Research and Quality), part of the federal Health and Human Services Department,

Finding trusted evidence-informed guidance in worlds of chronic illness, clinician, researcher. Inclusion, equity, choices, community. iConquerMS. Conversation with Cherie Binns. Blog subscribers: Listen to the podcast here. Scroll down through show notes to read the post. Subscribe to Health Hats, the Podcast, on your favorite podcast player Please support my podcast. CONTRIBUTE HERE Episode Notes Prefer to read, experience impaired hearing or deafness? Find FULL TRANSCRIPT at the end of the other show notes or download the printable transcript here Contents with Time-Stamped Headings to listen where you want to listen or read where you want to read (heading. time on podcast xx:xx. page # on the transcript) Proem 00:55. 1 Introducing Cherie Binns 03:19. 1 Navigating for what ails you 05:58. 2 Peer groups, lived experience? 09:04. 3 iConquerMS 12:00. 3 Health equity in research 21:12. 5 Mismatch between questions and evidence 23:51. 6 Community-based research 25:45. 6 Evolution of PCORI and patient voice 29:05. 7 Shift to public health 32:10. 7 CDS Connect 34:26. 8 Reflection 37:36. 9 Please comments and ask questions at the comment section at the bottom of the show notes on LinkedIn via email DM on Instagram or Twitter to @healthhats Credits Music by permission from Joey van Leeuwen, Boston Drummer, Composer, Arranger Sponsored by Abridge Thanks to these fine people who inspired me for this episode: Libby Hoy, Harvey Hellerstein, Greg Merritt, Charlene Setlow, James Pantelas, Alexis Snyder, Janice Tufte, Apriani Oendari, Ed Lomotan, Lacy Fabian Links Multiple Sclerosis Foundation MSFOCUS magazine iConquerMS PCORI (Patient-Centered Outcomes Research Institute) PCORnet Engagement Committee PFCC Partners. Related podcasts and blogs I started a webpage for CDS, Clinical Decision Support, Making Health Choices. About the Show Welcome to Health Hats, learning on the journey toward best health. I am Danny van Leeuwen, a two-legged, old, cisgender, white man with privilege, living in a food oasis, who can afford many hats and knows a little about a lot of healthcare and a lot about very little. Most people wear hats one at a time, but I wear them all at once. We will listen and learn about what it takes to adjust to life's realities in the awesome circus of healthcare. Let's make some sense of all this. To subscribe go to https://health-hats.com/ Creative Commons Licensing The material found on this website created by me is Open Source and licensed under Creative Commons Attribution. Anyone may use the material (written, audio, or video) freely at no charge. Please cite the source as: ‘From Danny van Leeuwen, Health Hats. (including the link to my website). I welcome edits and improvements. Please let me know. danny@health-hats.com. The material on this site created by others is theirs and use follows their guidelines. The Show Proem Regular readers and listeners, you likely sense a theme these past few weeks.  Yes. Health Hats exists to learn on the journey toward best health to make health choices and decisions. The journey in constellations of information, personality, technology, culture, and life constantly swirl, seldom aligning. We, individuals, like planets, seem to orbit as well, somewhat habitual, hit with occasional inertia-busting forces. I'm not currently tripping on acid, instead these COVID-19 days feel like meteors that keep hitting and busting our inertia, blasting our strengths and weaknesses in high relief. Without desperately missed federal leadership and rare episodes of alignment, pods of entrepreneurs and connectors rush to fill the vacuum for profit or good works. One of my many projects is working with AHRQ (the Agency for Healthcare Research and Quality), part of the federal Health and Human Services Department, and the MITRE Corporation to create and populate ...

How can we scale patient-caregiver engagement in CDS (Clinical Decision Support)? CDS as learning health systems? Interview with Lacy Fabian at MITRE and Ed Lomotan at AHRQ. CDS Connect a library of medical recommendations made useful for programming into electronic records, apps, and software so patients, caregivers, and clinicians can use them as they make choices together. Blog subscribers: Listen to the podcast here. Scroll down through show notes to read the post. Subscribe to Health Hats, the Podcast, on your favorite podcast player Please support my podcast. CONTRIBUTE HERE Episode Notes Prefer to read, experience impaired hearing or deafness? Find FULL TRANSCRIPT at the end of the other show notes or download the printable transcript here Contents with Time-Stamped Headings to listen where you want to listen or read where you want to read (heading. time on podcast xx:xx. page # on the transcript) Proem 00:52. 1 Introducing Lacy Fabian and Ed Lomotan 05:20. 2 Bring the patient-caregiver voice 08:33. 3 Scaling patient-caregiver engagement 10:57. 3 Learning through using 14:16. 4 Mismatch between questions asked and evidence 19:15. 5 How new is new? 22:30. 5 So what? 28:41. 6 It's so hard to do 31:44. 7 The Camino de Santiago 35:49. 8 Reflection 38:00. 9 Please comments and ask questions at the comment section at the bottom of the show notes on LinkedIn via email DM on Instagram or Twitter to @healthhats Credits Music by permission from Joey van Leeuwen, Boston Drummer, Composer, Arranger Sponsored by Abridge Thanks to these fine people who inspired me for this episode: Laura Marcial, Barry Blumenfeld, Sharon Sebastian, Ken Kawamoto, Joshua Richardson, Rob McClure, Ginny Meadows, Blackford Middleton, Jerry Osheroff, Geri Lynn Baumblatt, Jonathan Wald, Pat Mastors Links HealthIT.gov Clinical Decision Support CDS Connect AHRQ's Digital Healthcare Research Program Related podcasts and blogs I started a webpage for CDS, Clinical Decision Support, Making Health Choices. About the Show Welcome to Health Hats, learning on the journey toward best health. I am Danny van Leeuwen, a two-legged, old, cisgender, white man with privilege, living in a food oasis, who can afford many hats and knows a little about a lot of healthcare and a lot about very little. Most people wear hats one at a time, but I wear them all at once. We will listen and learn about what it takes to adjust to life's realities in the awesome circus of healthcare. Let's make some sense of all this. To subscribe go to https://health-hats.com/ Creative Commons Licensing The material found on this website created by me is Open Source and licensed under Creative Commons Attribution. Anyone may use the material (written, audio, or video) freely at no charge. Please cite the source as: ‘From Danny van Leeuwen, Health Hats. (including the link to my website). I welcome edits and improvements. Please let me know. danny@health-hats.com. The material on this site created by others is theirs and use follows their guidelines. The Show Proem We make decisions about our health every day, whether we name it a decision or not. Just this morning, it's 11 am as I'm writing this intro, I've made many health decisions. At 2 am, I decided to get out of bed, eat something, and take ibuprofen for hip and leg pain. I chose waffles over granola for breakfast. I drank coffee rather than water to quench my thirst. We decided to drive to a boardwalk for a hike, and I decided to stop sooner than I'd have liked because I'm feeling weaker, and my balance is more unstable. I decided to stop taking high dose Biotin because my friend Cherie Binns, next week's podcast guest, sent me some new research saying that Biotin has little or no effect on MS. Phew! 6 health care decisions I can remember in 12 hours. According to HealthIT.gov,

How can we scale patient-caregiver engagement in CDS (Clinical Decision Support)? CDS as learning health systems? Interview with Lacy Fabian at MITRE and Ed Lomotan at AHRQ. CDS Connect a library of medical recommendations made useful for programming into electronic records, apps, and software so patients, caregivers, and clinicians can use them as they make choices together. Blog subscribers: Listen to the podcast here. Scroll down through show notes to read the post. Subscribe to Health Hats, the Podcast, on your favorite podcast player Please support my podcast. CONTRIBUTE HERE Episode Notes Prefer to read, experience impaired hearing or deafness? Find FULL TRANSCRIPT at the end of the other show notes or download the printable transcript here Contents with Time-Stamped Headings to listen where you want to listen or read where you want to read (heading. time on podcast xx:xx. page # on the transcript) Proem 00:52. 1 Introducing Lacy Fabian and Ed Lomotan 05:20. 2 Bring the patient-caregiver voice 08:33. 3 Scaling patient-caregiver engagement 10:57. 3 Learning through using 14:16. 4 Mismatch between questions asked and evidence 19:15. 5 How new is new? 22:30. 5 So what? 28:41. 6 It's so hard to do 31:44. 7 The Camino de Santiago 35:49. 8 Reflection 38:00. 9 Please comments and ask questions at the comment section at the bottom of the show notes on LinkedIn via email DM on Instagram or Twitter to @healthhats Credits Music by permission from Joey van Leeuwen, Boston Drummer, Composer, Arranger Sponsored by Abridge Thanks to these fine people who inspired me for this episode: Laura Marcial, Barry Blumenfeld, Sharon Sebastian, Ken Kawamoto, Joshua Richardson, Rob McClure, Ginny Meadows, Blackford Middleton, Jerry Osheroff, Geri Lynn Baumblatt, Jonathan Wald, Pat Mastors Links HealthIT.gov Clinical Decision Support CDS Connect AHRQ's Digital Healthcare Research Program Related podcasts and blogs I started a webpage for CDS, Clinical Decision Support, Making Health Choices. About the Show Welcome to Health Hats, learning on the journey toward best health. I am Danny van Leeuwen, a two-legged, old, cisgender, white man with privilege, living in a food oasis, who can afford many hats and knows a little about a lot of healthcare and a lot about very little. Most people wear hats one at a time, but I wear them all at once. We will listen and learn about what it takes to adjust to life's realities in the awesome circus of healthcare. Let's make some sense of all this. To subscribe go to https://www.health-hats.com/ Creative Commons Licensing The material found on this website created by me is Open Source and licensed under Creative Commons Attribution. Anyone may use the material (written, audio, or video) freely at no charge. Please cite the source as: ‘From Danny van Leeuwen, Health Hats. (including the link to my website). I welcome edits and improvements. Please let me know. danny@health-hats.com. The material on this site created by others is theirs and use follows their guidelines. The Show Proem We make decisions about our health every day, whether we name it a decision or not. Just this morning, it’s 11 am as I’m writing this intro, I’ve made many health decisions. At 2 am, I decided to get out of bed, eat something, and take ibuprofen for hip and leg pain. I chose waffles over granola for breakfast. I drank coffee rather than water to quench my thirst. We decided to drive to a boardwalk for a hike, and I decided to stop sooner than I’d have liked because I’m feeling weaker, and my balance is more unstable. I decided to stop taking high dose Biotin because my friend Cherie Binns, next week’s podcast guest, sent me some new research saying that Biotin has little or no effect on MS. Phew! 6 health care decisions I can remember in 12 hours. According to HealthIT.gov,

Episode Summary During this episode of Real World Talk, host Emily Di Capua leads a discussion with Jess Federer, a COTA confidant, advisor and board member for several healthcare and technology companies. Jess talks about some of her past experiences, including a role as the first ever Chief Digital Officer at Bayer. Jess covers topics around the innovation of “older” companies like Bayer, the impact real world data has on healthcare and the changes we're seeing with healthcare data as a result of the pandemic. Episode Highlights Jess Federer starts off the podcast with an introduction to her background and provides context on how she became a sought after corporate board member and advisor. Jess mentions how the primary way she made it to the board was through data and a relentless commitment to public health. She highlights how she convinced her undergraduate university to create a program for Public Health and subsequently became the first graduate at George Washington University with a Bachelor's of Science in Public Health. After periods of time with HHS and AHRQ, Jess went and obtained her Master's in Public Health at Yale. Jess moved to Germany and was part of the first team to roll out market access globally in her company. After spending some time in communications and policy, Jess ultimately made her way to become the first ever Chief Digital Officer at Bayer. When asked about Bayer's innovation, Jess discusses how larger, older businesses do not get enough credit for their innovation. According to Jess, the CDO is responsible for two primary things: 1) Cleanup of heterogeneous data and 2) Innovation. Emily asks Jess about the most exciting areas of development within the health tech sector today and Jess mentions how interoperability is one of the biggest areas of innovation. Jess talks about the rollout of EHRs did not lead to the expected innovation in the industry and now, with the current administration, there are efforts in place to unlock the data again. Jess is most excited about data coming together where it can be connected across healthcare systems (across prescribers, prescription data, wearables and more). Jess talks about the challenges of working with real world data and where advanced analytics are really the key to understanding unstructured data. The ability to use natural language processing to understand what's in the information. Emily poses a question to Jess about how the U.S. compares to other countries when it comes to fragmented healthcare data. Jess talks about how countries such as Germany or areas of Korea that have rebuilt their healthcare systems after wars and have more integration. Jess talks about how COVID has shifted the risk paradigm for healthcare companies. Traditionally, big pharma companies were very risk averse, but now everyone in the industry has to move much faster and innovate more quickly. As startups get to move quicker in this climate, the big challenge will be delivering on those promises in the marketplace. Jess mentions how she's never seen regulators move this fast and wonders if this speed is the “new normal”. Jess breaks down the process she used to become the first CDO at Bayer and standout among 120,000 global employees. Jess offers a few key pieces of advice for those building their careers. 1) Pick your boss, not the job. 2) Map up and build a roadmap for your career. 3) Hold the door open for others. Jess recommends listening to the Epidemic podcast led by Dr. Celine Gounder. Episode Key Points After graduating with a Master's from Yale, Jess joined industry. She mentions “I started in industry and regulatory affairs, which I can't recommend enough for anyone interested in drug development. Regulatory affairs gives you an incredible overview of the entire life cycle of both innovation and of the product. From when you're doing the research and working with regulators on the study design all the way through to when you have to stop making a product or maybe just continue making a product because it helps an underserved area in one country.“ As the first Chief Digital Officer at Bayer, Jess felt it was “really about using digital enablers to change a company, transform a company and not only improve the existing business models, but also create new ones.” According to Jess, “we now have the technology capabilities to analyze all of that [healthcare] data and make sense of it. Because of course you got to find the signal through the noise because nobody has time to go through all that information.” When talking about real world data, Jess highlights “This is a pretty fundamental evolution. This progression has been in the works for decades. This is a very meaningful, a very sustainable development with the right safeguards and the right management. This is going to be transformative, both for research and for care.” According to Jess, “I think we're starting to see some changes in how we view healthcare data in the U.S. that's going to bring us closer to the way healthcare data is seen and viewed, and actually secured and protected as well.” Jess mentions how startups are making fast moves in light of the pandemic, “And so we're seeing companies that used to have to knock on doors for 18 months, get deals done in seven days. And so the speed with which the technology is being adopted and integrated and put into strategic plans and put into operational studies is remarkable. I've never seen it moved this fast.” Resources Jess Federer Boston Millennia Partners Epidemic podcast

Day 7, the final day of NPHW 2020 is focusing on Economics. On this episode, I interviewed Professor Anthony LoSasso of DePaul University (Alma Mater!) Anthony T. LoSasso is an economist whose research spans several dimensions of health and labor economics, health policy and health services and outcomes research. LoSasso is keenly interested in how government policies affect private sector decisions. An area of particular interest for LoSasso is the effects of health insurance benefit design on health care utilization and health outcomes. This work includes an AHRQ-funded research grant to study so-called narrow network insurance plans; a National Institute of Mental Health (NIMH) funded study to examine the impact of an expansion of mental health benefits on cost and quality of care at a large manufacturing firm; and ongoing work examining the effects of high deductible health insurance on health care use. Additionally, LoSasso has served as co-investigator on an NIH-funded study examining the effects of corporate wellness programs on the use of preventive services and health outcomes. With training in labor and health economics and extensive experience studying the effects of insurance in both the private and public sectors, LoSasso is a nationally recognized leader in the field...Episode ResourcesYoutube, Crash Course: Intro to Economics https://www.youtube.com/watch?v=3ez10ADR_gMSupport the show (https://www.buymeacoffee.com/phfortheculture)

In this episode, we're talking about measuring safety culture in healthcare, particularly in light of an updated Culture of Safety Survey released by the Agency for Healthcare Research and Quality (AHRQ). The changes affect how organizations will be able to use the results of past surveys to track their own growth and how they'll be able to compare results to AHRQ's national database. We'll talk about why and how safety culture should be assessed, some common pitfalls we've seen in helping organizations do an assessment, and strategies for a successful initiative. ECRI’s Proactive Risk Assessment team works with hospitals, medical offices, ambulatory surgery centers, and nursing homes to develop surveys that not only assess safety culture, but also assess clinical and operational risks. Interested in learning more? Contact us at (610) 825-6000 or clientservices@ecri.org.

Welcome to our final episode of 2019! In this installment, we revisit snippets from interviews taken from the five most popular episodes of 2019.0:11-7:01 Ramzy and Eric discuss what you can expect on this final episode of the year.7:14-15:29 Hear the bulk of our conversation with Chellie DeVries, MPH, CIC, VA-BC™ and Dr. Rahul Pathak about a recent AHRQ report and infection prevention from Episode 5.15:44-26:10 Part of our interview with Dennis J. Ernst, NCPT (NCCT), founder of the Center for Phlebotomy Education, about how phlebotomy and vascular access go hand in hand from Episode 12.26:22-40:31 Eric spoke with Lauren Backe, the mother of Everly Backe, a pediatric IV infiltration patient for Episode 7.40:42-59:44 After ECRI denoted infections from peripheral IVs on its top-10 patient safety list for 2019, we welcomed Dr. Marcia Ryder and Jim Davis on Episode 6 to discuss it.59:56-1:09:19 Nancy Moureau and Nancy Trick kicked off our Vessel Health and Preservation series in Episode 8 with a discussion on the genesis of a project that turned into a must-have textbook for clinicians.Support the show (https://www.avainfo.org/donations/donate.asp?id=12834)

Dominate the most common in-flight emergencies with tools and tips from this classic Curbsiders episode. Our guest, Angelica Zen MD, (formerly an IM Chief Resident at UCLA), recounts a harrowing tale of heroism at 30,000 feet and schools us on how to throw down in an in-flight emergency. We review what’s available in the standard medical kit, common conditions encountered, and the medical legal implications of responding to in-flight emergencies. This episode is a must listen before you next step on a plane. Original air date November 21, 2016. Full show notes https://thecurbsiders.com/episode-list. Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com. Credits Written, produced and edited by: Matthew Watto MD, FACP Cover Art by: Matthew Watto MD, FACP Hosts: Stuart Brigham MD; Paul Williams MD, FACP; Matthew Watto MD, FACP Guest: Angelica Zen MD Partners Win a prize! Celebrate National Internal Medicine Day and tell us why you’re I.M. Proud. Tell us why you are I.M. Proud and enter the contest by visiting acponline.org/improud to submit your story today! Answer one of the three questions below and share your story on social media using the hashtags #IMProud #NationalInternalMedicineDay, and tag @acpinternists. Prizes will be given out 3 times through June of 2020. The first group of winners will be announced on the first ever National Internal Medicine Day October 28, 2019! What makes you proud to practice internal medicine or one of the I.M. subspecialties?  What recent patient experience made you proud to be an internist or subspecialist? How is internal medicine unique from other subspecialties? See us at the CHEST 2019 Annual Meeting in New Orleans! We’ll be doing two live interviews on stage, plus recording two recap episodes to bring you high yield clinical pearls from the conference. Look out for us in our red Curbsiders shirts and say hello. Take a picture with Stuart! Give Paul a hug! Register today https://chestmeeting.chestnet.org/ !!!! Time Stamps 00:00 Cold open; Disclaimer 00:50 Sponsor: ACP’s National Internal Medicine Day 2019 www.acponline.org/improud  01:10 Intro, Guest Bio 02:50 Guest onliner; Wellness tips; Tips for staying up on the literature Pick of the Week*: How Doctors Think (book) by Jerome Groopman; MDCalc app; AHRQ app; Physician’s First Watch 07:30 Sponsor: ACP’s National Internal Medicine Day 2019 www.acponline.org/improud  09:08 Dr. Zen tells her story 19:27 Monitoring your patient in-flight 20:05 Contents of the standard in-flight medical kit 22:10 What Dr. Zen would have done differently 23:05 How to use available resources in-flight 24:20 Medical legal implications 28:07 How to respond to common in-flight emergencies and how to respond 29:35 Syncope and presyncope 31:55 Hypoxia altitude simulation test (HAST) 33:15 Altered mental status 33:52 Anaphylaxis 35:34 Stroke and acute coronary syndrome 36:55 Dr. Zen’s take home points 38:50 Outro *The Curbsiders participates in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising commissions by linking to Amazon. Simply put, if you click on my Amazon.com links and buy something we earn a (very) small commission, yet you don’t pay any extra. Goal Listeners will comprehend their role and potential liabilities during in-flight emergencies and effectively utilize available resources for triage, patient care, and decisions about diverting the plane. Learning objectives By the end of this podcast listeners will: Be familiar with the contents of the standard medical kit Think outside the box to identify, improvise and utilize the available resources for patient care Recognize the medical legal consequences of providing emergency medical care on a plane Confidently evaluate and manage common in-flight emergencies using the available resources Disclosures Dr. Zen reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures. Citation Zen A, Brigham SK, Williams PN, Watto MF. “#19 In-Flight Emergencies.” The Curbsiders Internal Medicine Podcast https://thecurbsiders.com/episode-list. Original air date November 21, 2016.

The Sheridan family knows first hand the devastation caused by medical error. Sue and Pat’s newborn son Cal, due to misdiagnosing his jaundice, was brain damaged. Cal now lives with significant cerebral palsy. Years later, Pat was correctly diagnosed with cancer, but for 6 months a pathology report failed to be communicated to the doctor or Pat. Pat died of cancer at age 45. In this episode of Medical Error Interviews, I chat with documentary filmmaker Mike Eisenberg about his film To Err Is Human and about the Sheridan family and the state of patient safety. Mike is the son of late patient safety pioneer Dr John M Eisenberg, and as you will hear Mike say, when he started looking into medical errors and patient safety, he felt compelled to carry on his father’s legacy. Mike Eisenberg Show Notes Following his Father's footsteps   0:07:00 Mike was born in Philadelphia - childhood mostly in Maryland - but as a child was not interested in health care, even though his father was a patient safety advocate - as documentary filmmaker he wanted to tell stories otherwise not seen - fiction is harder and more expensive to make into film - the documentary path led down the path to make "To Err is Human" 0:09:30 About 3.5 years ago it started with a short film on AHRQ: Agency for Health Research and Quality, the organization Mike's father started and was the Director until he passed away in 2002 - there was annual debates over AHRQ's budget and attempts to slash it - but AHRQ has far less money they should given their role 0:10:30 Started the documentary by driving to DC, pay out of pocket, and interview his father's old colleagues about AHRQ's role that the public knows nothing about - themes of medical error, patient safety and improving care emerged - it was evident to Mike that conversation was no longer being had - if felt to Mike it was his responsibility to carry on his father's work 0:11:30 We, including his production partners Matt Downe and Kailey Brackett try to stay positive in tone and show what happens when people take this seriously - focus on the process to make things better 0:12:45 Report in late '90s titled To Err is Human, Building a Safer System - a report that used research that determined how bad medical error was - the data was shocking - it said 44,000 to 98,000 died each year from medical error - that was brand new concept, made new headlines, President Clinton said it would be tackled 0:14:00 At the time, those numbers were questioned - but today one study, Marty Macquarrie out of John Hopkins that says 251,000 die each year - and John James's study that says between 240,000 and 440,000 die each year from medical error - hard to quantify because CDC (Centre for Disease Control) doesn't have a box to tick for 'death by medical error' - even conservative estimates have medical error as 3rd leading cause of death 0:16:00 We compare how many plane crashes, 7 or 8, would happen each day to equal medical error deaths each day - a staggering number, almost the same as the opioid epidemic - the important question is not accuracy of numbers, but how to get accurate numbers     The Sheridan family and medical errors   0:18:00 There is not a consensus around medical error death numbers - sometimes people die at home from hospital errors - part of the reason we've not seen more solutions is that the public, especially Americans, have been trained to treat the medical system: that physicians don't make mistakes, they are right all the time 0:19:45 The real reason we've not seen change in patient safety is because physicians have not embraced the patient in this process - some health care systems have, they visited over 250 health care systems - many of them doing interesting things to help curb error, but only a few have really engaged the patient 0:21:00 If a Hospital engages patients in a patient safety process, then the Hospital is admitting it makes mistakes, and that admission is considered guilt - but Med Star Health, especially out of Georgetown, show promise: they had a public facing explanation of an error that was prevented - great message that most of these errors are preventable 0:22:30 It is easy to say to public we are humans too and make mistakes, and most are not egregious or intentional - most hospital surgeries have a practice called 'stop the line' and reasses if things are organized correctly, a bean counter will say it is not efficient and costs money, but it costs less then lawsuits 0:24:15 Regarding body cameras worn by physicians for patient safety, Mike considered including that aspect but thought it was too touchy subject - solutions for other societal problems can be embraced by health care - aviation is the most obvious, they interviewed Sully Sullenburger of the water landing in the Hudson River - vital health care takes a look outside its own walls 0:25:45 In Toronto we found a surgical team using video and other data to show when errors are most likely to occur and to use that data for better safety - 'hand offs' to other staff is obvious time things can go wrong 0:27:45 Improving patient safety is more than preventing law suits - the real 'bottom line' is about lives not profit - we expect health care to do what it is supposed to do and not cause new problems - what's important is communication with the patient 0:29:15 One of the stories in our film is about Sue Sheridan - her family experienced 2 medical errors - the 1st was her son Cal who has cerebral palsy and got that at 5 days old because of a small over sight by not performing an available and cheap test when he was born with jaundice - the other case is about the father Pat who was diagnosed with cancer - they thought it was benign but sent sample for pathology examination     Aviation Culture vs Medical Culture   0:30:15 The results showed it was malignant, dangerous and needed to be removed - but those results didn't get through for 6 months because it was an over looked fax - so Pat didn't get treatment and died of cancer - but what doesn't go on the death certificate is that he lost 6 months of treatment 0:31:30 Organizations like the Society for Diagnostic Error in Medicine (SDIM) is leading the charge on diagnostic errors 0:33:00 The biggest difference between airline industry culture and medical industry culture is the lack of transparency of the latter - recently an airplane window cracked and fell off and sucked a woman out the window, that was the 1st aviation accident that lead to a death in years - studies have found that most plane tragedies are not accidents 0:34:00 Recently Boeing had 2 large plane crashes and they've been open about determining what went wrong and how to fix it - the same thing should happen in health care 0:35:00 In aviation pilots have to re-take their test every 5 years to prove their competence - don't do that with driving cars, just give licenses when people are 17 and assume they'll good for the rest of their life - same thing with health care - we need to be honest about where health care is weak and where it can be improved 0:36:30 In aviation, airlines work together globally to improve safety for all airlines - but this is not the practice in most hospitals - but there are exceptions that share their research and date like Inter Mountain Heath Care in Utah, and some in Boston that have embraced imperfection - when an error happens they gather the team to learn how to prevent it in the future, as opposed to how avoid bad PR (public relations), or blaming someone and firing them - that's not how you fix the problem 0:38:15 In the documentary, Sue's family engaged in litigation, they 'won' in one instance of medical error, but not in the other - Mike chose not to focus on the litigation angle in the documentary - for the medical error to Sue's son, they did not get a resolution - Sue has turned her entire life into advocacy - one of her achievements is that the test her son should have received - bilirubin - is now a requirement 0:39:45 For Sue's husband's medical error - been about 18 years since her husband died, and the hospital recently had a screening of the documentary and a panel discussion afterward - the first time the hospital had openly discussed the case with its own staff - the pathologist had told Sue that it was not his responsibility to make sure the info he sent got through to the receiver     Physicians have highest suicide rate   0:41:45 The US will have a shortage of physicians by 2024 often due to burnout - because they are also enterpreneurs - they have one of the most challenging jobs in the world 0:43:00 Physicians have highest suicide rate of all professions - rampant in physician culture, especially clinicians - Mike's friends that are doctors are over worked and its scares him - they needed to be treated right - but its hard to expect humans to be perfect all the time when they are not treated that way - when things go wrong, the hospital worries more about its image then the people, its a systems vs people problem - it promotes volume and that is not conducive to reliability 0:45:30 Mike calls upon patients to be a voice, its not just a hospital problem - don't have to go to school for many years, just need to listen and look - can avoid a lot of these mistakes if they listened to patients, and patients felt empowered to engage 0:47:00 Re physician suicide, it is an individual choice - wouldn't be surprised if financial problems are a factor - many start with 6 figure deaths, have families, and witness trauma every day, its a tough job - Mike has screened his film a lot in hospitals and he hears staff worried about losing job if point out errors - there is heirarchy in health care that is not healthy - old gaurd is not embracing new reality 0:50:00 One hospital claimed they had solved physician burnout by mandating that there was at least 6 hours between shifts - but that is still not reasonable - lessen to learn is suicide is individual, but common is that they feel their profession is not respected, appreciated - the message is that its been working for 70 years, why change now - but now is the time to change to take patient safety seriously 0:52:00 Fixing patient safety is about how care is delivered, and how we treat health care workers 0:53:00 In aviation, they do not permit pilots to fly if they haven't had a specific number of hourss of sleep, or if they've had even one drink of alcohol - some hospitals have similar standards, but why is that not a federal mandate? The Agency for Healthcare and Research Quality (AHRQ) is important to learn where to get better - but not much done with that info because they are underfunded but could cause huge change 0:55:00 This is not new issue, its been around for 20 years - need to have discussions about access to care, about diversity and care - but they are only improved if thought from a patient safety perspective     Media and its messages   0:56:15 Aviation has done it well because they've collaborated globally, but in the US hospital are autonomous and its hard to develop a plan that all will follow - while aviation has an organization that investigates crashes, that doesn't exist in health care - why is that not happening in health care? Because one person dies at a time. 0:58:00 In aviation, they 2 or 3 hundred at a time and those stories are on all the front pages - but when someone dies from communication breakdown there isn't the same collective impact or response - it boggles the mind 0:59:00 Since his documentary released, seen a documentary on HBO called Bleed Out, made by a comedian who tells about his family's experience with medical error over the years - also Bleeding Edge on Netflix about tthe FDA's lackadaisical approval of medical devices - 3 documentaries coming out in 1 year is progress - but how to make progress on the national stage? Mike working collaboratively on a project to put patient safety on the map 1:01:30 Media has a responsibility in patient safety too - Mike says every day there are 4 or 5 stories on gun violence in Chicago, where he lives - and that problem persists despite local government action to fix it - in health care errors will always occur, but can learn from errors to prevent future harm - but to fix the problem requires engaging the public 1:03:15 Media is hugely responsible for what people care about - the media has all the power about what people care about - essentially telling the political atmosphere what it should care about - Americans choose what they want to protest about - we need a better way to show the scope and scale of medical error without blaming doctors and nurses - there is no villain in patient safety - malpractice is different from patient safety 1:05:00 We need a villain, somebody to blame - last year at Vanderbilt, a nurse was thrown under the bus for making an error that resulted in death, but it was actually a system failure that allowed her humanness to make an error, it was not her fault - instead of the hospital changing the system, they throw an employee under the bus, and she went to jail - then we wonder why people don't report errors when they see them 1:06:45 A culture shift in health care is needed, and it must come from the top - by working together we can send a message to 'the top' to make a change 1:08:00 Most patients want to be treated with honesty and transparency and will work together if something goes wrong - but that's not usually how it happens, it is usually a cover up, or denial, or this is how health care works and sucks to be you - but a culture of lawsuits has emerged as the way to get info out of hospitals - its not about money for most of these people       Less money, more transparency   1:09:15 In Sue's case, she sued for less money in exchange for greater transparency - we should get away from lawsuit culture and move toward working together 1:10:20 Mike has been fortunate to travel around the country to talk to people who knew his father {Founder of AHRQ} and sharing the film - a lot of people share the sentiment and passion he had still inspires them today - it is really cool as his son to hear that 17 years after passed away that he still has an impact on the health care system 1:11:00 Mike feels that a lot of the work that his father did - you can see clips of him on Youtube addressing Congress - is gone - don't why - was it because of his leadership, or because it was the right time? Mike thinks we need another leader who has the ability to bring people together - the way culture is set up, we need a celebrity - Dennis Quaid, famous actor, almost had his 2 sons die due to medical error and he made a short documentary and started a foundation 1:12:30 There are other examples, Serena Williams who nearly died due to preventable harm and racism - problem is 'medical error' is a very scary term and it is applied to all doctors, nurses, surgeons and it shouldn't be that way - there is resistance by the health care industry to embrace the terms 'patient safety' etc and not as an offensive term 1:14:00 Mike is proud of father's legacy, but worries that it has been forgotten by the people who spearheaded it in the first place - we need a superhero who can jump up and say these are issues we should be talking about 1:15:00 Mike is now balancing promoting To Err is Human and speaking at medical conferences and symposiums and screened the film hundreds of times - we need to go one person at a time, change one mind at a time 1:17:00 There will be a screening of the film in Ottawa on World Patient Safety Day {Sept 17th} and for the first time there will a free online screening of the movie - to find link for free online screening check out his website ToErrIsHumanFilm.com and through twitter @ToErrIsHumanDoc 1:18:20 Website also lists other screenings in local areas - if you're interested in hosting a screening for your community, contact Mike - they tried to make the film so it is a conversation starter - but this issue is not solved, so we need to remind people where we are at, so we can continue in the right direction   Connect with Mike   Twitter: To Err is Human @ToErrIsHumanDoc   Facebook: https://www.facebook.com/ToErrIsHumanDoc   Documentary Website: https://www.toerrishumanfilm.com     ______________________________________________   Podcast Host and Counsellor Scott Simpson   Do you need an experienced counsellor for your medical error trauma?   Or for living with a chronic illness?   You can book an online video counseling appointment with me at RemediesCounseling.com           

It's Part One of the Vein of Contention episode of the ISAVE That Podcast! On Season 2, Episode 10, sponsored by Velano Vascular, Dr. Jack LeDonne leads a panel of experts in answering tough questions on PIV placement and more. Here's the plan:0:00-0:27 A word from Episode 10 sponsor Velano Vascular.0:40-3:43 Ramzy Nasrallah and Dr. LeDonne provide a quick intro to the episode and its genesis. Why are we here?3:44-4:29 Another message from Episode 10 sponsor Velano Vascular.4:30-41:21 We welcome our panel of experts into the conversation: Jocelyn Hill, MN, RN, CVAA(c), Jon Bell, RN, MSN, VA-BC™, Sheila Hale, RN, MSN, CRNI®, VA-BC™, Judy Thompson, MSNEd., RN, VA-BC™, Peter Carr, PhD, MMedSc, BSc, H Dip A&E Nurs, Dip HE Nurs, and Nicole Marsh, BN join to dissect the intricacies of this subject.45:22-46:46 Upcoming AVA network events.Support the show (https://www.avainfo.org/donations/donate.asp?id=12834)

Susan Peschin, MHS, is president and CEO at the Alliance for Aging Research.  The Alliance for Aging Research is dedicated to accelerating the pace of scientific discoveries and their application to vastly improve the universal human experience of aging and health. For more than 30 years, the Alliance has guided efforts to substantially increase funding and focus for aging at the NIH, FDA, AHRQ, and CDC; built influential coalitions to guide groundbreaking regulatory improvements for age-related diseases; and created award-winning, high-impact educational materials to improve the health and well-being of older adults and their family caregivers.--- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app

Susan Peschin, MHS, is president and CEO at the Alliance for Aging Research. The Alliance for Aging Research is dedicated to accelerating the pace of scientific discoveries and their application to vastly improve the universal human experience of aging and health. For more than 30 years, the Alliance has guided efforts to substantially increase funding and focus for aging at the NIH, FDA, AHRQ, and CDC; built influential coalitions to guide groundbreaking regulatory improvements for age-related diseases; and created award-winning, high-impact educational materials to improve the health and well-being of older adults and their family caregivers. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app

Episode 5 of Season 2 of the ISAVE That Podcast – sponsored by Access Scientific – brings Dr. Rahul Pathak and Michelle DeVries, MPH, CIC, VA-BC™ into the fray to break down a recent AHRQ report that demonstrates how vascular access is an important arm of infection prevention, open up a discussion on device policies and procedures and much more!0:00-0:30 A word from Episode 5 sponsor Access Scientific0:45-2:35 There is A LOT going on with AVA! Judy, Ramzy and Eric break down an incredibly busy month of March.2:54-40:10 Hello, Dr. Pathak and Chellie! Calling in from sunny Orlando, Florida, where Dr. Pathak practices, he and Chellie discuss the recent improvements in CLABSI rate and highlight how they navigate things at their healthcare institutions. Where do central lines and midlines fall? How do we continue to reduce infections moving forward?40:14-41:33 Upcoming AVA network events. This spring will be busy!Support the show (https://www.avainfo.org/donations/donate.asp?id=12834)

David A. Nace, MD, MPH, CMD Dr. Nace is an Associate Professor whose research focuses primarily on infectious disease in long-term care. His interest in antibiotic stewardship is funded by three AHRQ studies: two, for which he serves as co-investigator, are designing and testing a national antimicrobial stewardship toolkit for nursing facilities; the third, for which he serves as PI, will update guidelines for urinary tract infection (UTI) management and then implement a program to improve its management in 40 nursing homes in four states.   References: Dr. Theresa Rowe, 2018 NHSN LTCF Training - Epidemiology and Prevention of UTI Cohen CC, Choi YJ, Stone PW., Costs of Infection Prevention Practices in Long-Term Care Settings: A Systematic Review., Nursing Economics, 2016 Dr. David A. Nace, et. al. The Improving Outcomes of UTI Management in Long-Term Care..., JAMDA, 2018

We break down recent announcements from the APTA, the Agency for Healthcare Quality released its report on hospital acquired conditions, and Rachel Jermann breaks down the vote for sections in the House of Delegates. Talus Media News is a subsidiary of Talus Media: PT Views & PT News. You can find all interviews mentioned in this newscast on our sister channel, Talus Media Talks. Check us out on Twitter & Facebook @TalusMedia, and head to our website at talusmedia.org for more information.

How do you work through your caregiving situations at work? Geri Lynn Baumblatt, Executive Director of Patient Engagement at Emmi Solutions, will share her perspectives on how caregiving affects the workplace, drawing on her experiences as she cared for her dad and now cares for her mom. Geri will also share her perspectives as a panelist at our Caregiving and the Workplace Summit on June 2 in Chicago. Register to join us in person or virtually. About Geri Geri Lynn Baumblatt, MA is the Executive Director of Patient Engagement at Emmi Solutions, which produces interactive programs and calls to empower, engage and educate patients and family caregivers. She regularly speaks at patient experience, health literacy, shared decision making, and patient advocate conferences and panels for organizations like AHRQ, The Institute for Healthcare Advancement, Stanford Medicine X, the Society for Medical Decision Making, the Cleveland Clinic, the Beryl Institute, Duke, the Brookings Institute, the ONC, and the Center for Plain Language. She is on the editorial board for the Journal of Patient Experience, a regular contributor to the Association for Patient Experience, hosts an annual Health Literacy blog series, and is an advisor for Roobrik and Helpsy Health. --- Send in a voice message: https://anchor.fm/caring-conversations/message

How do you work through your caregiving situations at work? Geri Lynn Baumblatt, Executive Director of Patient Engagement at Emmi Solutions, will share her perspectives on how caregiving affects the workplace, drawing on her experiences as she cared for her dad and now cares for her mom. Geri will also share her perspectives as a panelist at our Caregiving and the Workplace Summit on June 2 in Chicago. Register to join us in person or virtually. About Geri Geri Lynn Baumblatt, MA is the Executive Director of Patient Engagement at Emmi Solutions, which produces interactive programs and calls to empower, engage and educate patients and family caregivers. She regularly speaks at patient experience, health literacy, shared decision making, and patient advocate conferences and panels for organizations like AHRQ, The Institute for Healthcare Advancement, Stanford Medicine X, the Society for Medical Decision Making, the Cleveland Clinic, the Beryl Institute, Duke, the Brookings Institute, the ONC, and the Center for Plain Language. She is on the editorial board for the Journal of Patient Experience, a regular contributor to the Association for Patient Experience, hosts an annual Health Literacy blog series, and is an advisor for Roobrik and Helpsy Health. --- Send in a voice message: https://anchor.fm/caring-conversations/message

Hey guys! This podcast, Dr. Wheatley and Dr. Osborne discuss some of the newest literature as it pertains to obs. Instead of butchering these innocent people's names, we put the info here! First we discussed this hot hot article from NEJM. Prevalence of Pulmonary Embolism among Patients Hospitalized for Syncope. N Engl J Med. 2016 Oct 20;375(16):1524-1531. Prandoni P Then we talked about this correlating study. Short-term Prognosis and Current Management of Syncopal Patients at Intermediate Risk: Results from the IRiS (Intermediate-Risk Syncope) Study. Acad Emerg Med. 2016 Aug;23(8):941-8. doi: 10.1111/acem.13013. Epub 2016 Aug 1. Numeroso F Then we talked about this interesting abstract. This is from the forum at ACEP and you can click the link to the PDF. It's abstract 76. Effect of a Sickle Cell Vaso-occlusive Crisis Observation Unit Pathway on the Admission Rate for Frequent Emergency Department Users Loeffler P, Sturgis L, Muelller T, Gibson R, Lyon M/Augusta University, Augusta, GA Then we finished with AHRQ study. It's also free can be found here! We hope you enjoy!

Listen NowMeasuring health care quality and outcomes effectively and efficiently remains a daunting task.  Quality measures are largely seen as too process versus outcome focused, substantially irrelevant to patients and insufficiently aligned between and among payers.  Measuring care or care quality, ironically, can and does detract from actual care delivery, can have no relationship to spending efficiency and on its own is costly.  A recent article published in Health Affairs found physician practices spent over $15 billion in 2014 in reporting quality measures.  Concerning the Medicare program's quality measurement activities, MedPAC in a 2014 report to the Congress went so far as to state, "Medicare's current quality measurement approach as gone off the rails." During this 23 minute conversation Dr. Burstin briefly describes the work of the National Quality Forum (NQF), the work done by the CMS-led Core Measure Collaborative, quality measurement under the CMS proposed MACRA (Medicare Access and CHIP Reauthorization Act) rule, risk adjusting measures for socio-demographic factors, the role of PREMS and PROMS or patient reported experience and outcome measures and correlating care quality and spending or measuring for healthcare value.  Dr. Helen Burstin is the Chief Scientific Officer at the NQF.  Prior to serving in her current position, Dr. Burstin was NQF's Senior Vice President for Performance Measurement.  Prior to NQF Dr. Burstin was the Director of the Center for Primary Care at the DHHS Agency for Healthcare Research and Quality (AHRQ).  Prior to AHRQ, Dr. Burstin was an Assistant Professor at Harvard Medical School and the Director of Quality Measurement at the Brigham and Woman's Hospital in Boston.  Dr. Burstin has published more than 80 articles and book chapters on quality, safety and disparities.  She was recently selected as a 2015-2016 Baldridge Executive Fellow.  She currently is also is a Professorial Lecturer in the Department of Health and Policy and a Clinical Associate Professor of Medicine at George Washington University and serves as a preceptor in internal medicine.For information concerning NQF go to: http://www.qualityforum.org/Home.aspx This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.thehealthcarepolicypodcast.com

[intro music]   Host – Dan Keller Hello, and welcome to Episode Twenty-one of Multiple Sclerosis Discovery, the podcast of the MS Discovery Forum. I’m your host, Dan Keller.   This week’s podcast features an interview with Dr. Paul Matthews about imaging in multiple sclerosis. But to begin, here’s a brief summary of some of the latest developments on the MS Discovery Forum at msdiscovery.org.   We recently reported on a draft of a review released by the Agency for Healthcare and Research Quality about discontinuing disease-modifying therapies in patients with MS. Though the report’s main conclusion was that little evidence is available to assess the risks and benefits of discontinuing therapies, several MS groups came together to criticize the report during the open comment period. Groups like the National MS Society and Medical Partners 4 MS raised concerns that the review was not conducted properly and that insurance providers may use it as justification to reduce coverage of DMTs for MS. The AHRQ told Multiple Sclerosis Discovery Forum that they would consider the comments carefully and make any necessary revisions.   MSDF’s parent organization, the Accelerated Cure Project, is launching a new research resource called iConquer MS. Hollie Schmidt, Vice President of Scientific Operations at the Accelerated Cure Project, recently wrote a blog post explaining that the new initiative aims to take data and biosamples from 20,000 people with MS and make them open-access to researchers. We want your input about what you may want to do with such a resource. If you’re interested, go to the blogs section of MS Discovery Forum under the “News and Future Directions” tab and click on the blog post titled, “Invitation to Share Your Thoughts on a New MS Research Resource.”   Our list of meetings and events is ever-growing. We’ve posted multiple meetings of all shapes and sizes sprinkled throughout 2015 and even into 2016. And if you know of a meeting that’s not yet listed, please do submit what information you have. We’ll take care of the rest. Just go to “Meetings and Events” under the “Professional Resources” tab on our website and click on the “submit new item” button to tell us about your event. We’re even willing to list local departmental seminars and journal clubs.   [transition music]   Now to the interview. Professor Paul Matthews is at Imperial College London in brain sciences. He met with MSDF to talk shop about imaging in MS.   Interviewer – Dan Keller Welcome, Professor Matthews. What do you see now as new modalities or new ways of doing imaging, and what’s coming along?   Interviewee - Paul Matthews Thanks, Dan. Imaging continues to reinvent itself in areas particularly like MS. Magnetic resonance is becoming more and more powerful with use of particularly multiband techniques, allowing multiple coils to be used to accelerate the imaging process, and because of that being able to collect much more data to enhance particularly diffusion images. So, for example, within the Human Connectome Project, development of new multiband techniques has accelerated imaging to the point where very high resolution diffusion tensor images can be acquired in spaces of 15-20 minutes. The implications of this for MS are that we can begin to develop powerful approaches to expression of the diffusion tensor information in terms of diffusion parallel to the fibers, perpendicular to the fibers, and free diffusion that is anisotropic. This means that potentially we’re going to be able to separate out free-water contributions from those contributions arising from myelin and axonal loss, providing a very powerful complement to magnetization transfer images.   A second area of major development in magnetic resonance is the increased use of ultra-high field systems at 7T, and potentially higher, for applications in MS. The first advantage this has brought is for increased spatial resolution that can be used to begin to image cortical lesions with a really impressively enhanced sensitivity. The second area has been new kinds of contrast. The high magnetic fields allow new susceptibility-weighted contrast to be generated which provides a powerful way of visualizing vessels. It’s very clearly defining the vessels at the center of most of the inflammatory lesions, helping a little bit with differential diagnosis, but even more importantly helping us understand what the microvascular architecture is in and around lesions.   A second potential advantage of the ultra-high field is simply increasing the sensitivity of MR for applications in magnetic resonance spectroscopy. We’ve known for a long time that signals from myo-inositol can help us understand glial components of inflammatory lesions, but there’s increasing interest in applying this kind of tool to measurements of glutathione, to provide indices related to reactive oxygen species generation, and potentially also to measuring excitotoxic neurotransmitters such as glutamate.   In a completely different space, positron emission tomography (PET) has begun to play a renewed kind of role in MS. I’ve always been a little bit disappointed that more wasn’t done with it over the last decade or so since pioneering studies that demonstrated that assessments of energy metabolism based on simply the fluorodeoxyglucose signal not only discriminated people with MS from healthy volunteers, but, more importantly, began to show discrimination between different stages of the disease and a relationship to cognitive impairment, with potentially reversible components with treatment. Now, that still is an area of potential work.   But more recently focus has shifted particularly to use of ligands that bind to the 18 kilodalton translocator protein which provides a marker of microglial inflammation in the brain. While it’s not entirely specific and with the caveat that we have little understanding of the relationship between the TSPO expression and the microglial phenotype, it clearly is highlighting some very interesting things. First, we found that the TSPO binding by ligands is increased multifocally in brains of people with MS; it’s increased multifocally in the white matter and in the grey matter. Moreover, increases in binding in both regions are related to degrees of disability; patients with higher disability show increased binding particularly in the cortex.   There’s emerging evidence, driven first by elegant preclinical studies done by the Finnish group and some human studies yet to be fully reported, that there are also strong treatment effects with powerful amino modulators. So because this provided us a window that is clearly giving us information distinct from that provided by T2 hyperintense lesions on MRI or by gadolinium enhancement on MRI, it promises a powerful adjunct.   And, finally, just to kind of round that idea out, it’s clear that it will be the combination of MR and PET that’s powerful rather than PET replacing MR in some way in our diagnostic or monitoring armamentarium for treatment. One manufacturer has already started supplying commercially integrated MRI-PET systems. Another manufacturer is expected to do so very soon, and potentially a third. This may become a platform for brain imaging that is very powerful for disorders like MS that have multifocal manifestations where the registration – the precise registration – between the MRI and the PET becomes important. Moreover, the potential to use dynamic MRI acquisitions where we’re just imaging very, very rapidly throughout the entire PET scanning period to follow the position of the head within the PET scanner may allow a new kind of precision of special resolution in the PET scan that allows MS studies where we rely on this very much to be done with far greater precision than it’s been possible in the past. So with these developments in MR, with the new radioligands in PET, and with this new technology for integrated MRI-PET, I think the brain imaging is off in incredibly new spaces.   Now I can’t close the discussion of imaging without at least making a mention of the revolution in applications of optical coherence tomography that have been conducted over the last five years in particular for MS. This is really exciting, too. It’s an inexpensive examination that can be performed very rapidly in any clinic that provides very high-resolution measures of optic nerve fiber layers, of multifocal edematous regions within the nerve fiber layer, all of which can provide measures to stage MS and its associated neurodegeneration, and potentially to usefully monitor it in assessing the progress of patients on treatments. It’s an exciting time for imaging.   Interviewer - MSDF Now just to clarify, this is optical coherence tomography of the retina and its surrounding structures.   Interviewee - Dr. Matthews Yeah, Dan, thanks for clarifying that. Absolutely. So it’s an eye examination, but it’s an adjunct because the retina is just an extension of what we study in the brain.   Interviewer - MSDF Either using metabolic markers or following metabolism with PET or something else, or using other ligands and markers, can you discern or image where remyelination is occurring?   Interviewee - Dr. Matthews So, of course, the world of PET is a big one because what we can observe changes with the type of radiotracer that we use. Recently, Yanming Wang, who I had the privilege of collaborating with at Case Western, published, I think, a really groundbreaking paper. Although it was a preclinical study, I think it shows the way we could be moving in this space. Using a novel radiotracer that he developed called MeDAS – MeDAS for short – this carbon positron-emitting isotope-incorporated tracer allows specific myelin proteins to be imaged, and thus provides a marker of myelin integrity in life. Yanming has shown how it can selectively image myelin, it can image both established myelin and new myelin being formed, and he demonstrated in a proof of concept study in rodents that the dynamics of demyelination and remyelination following therapeutic intervention can be followed, and moreover, that the therapeutic effect can be quantified relative to an untreated control group.   Really exciting and a potentially important adjunct to MTR or diffusion measurements in human studies. The trick of moving a tracer from preclinical studies into humans is not without some need for care, but because only microdoses of these tracers are used for the human imaging experiment, Yanming, myself, and colleagues believe we can make this transition rapidly. We’re watching closely to see what happens next.   Interviewer - MSDF Pretty good. I appreciate it.   Interviewee - Dr. Matthews Thanks, Dan.   [transition music]   Thank you for listening to Episode Twenty-one of Multiple Sclerosis Discovery. This podcast was produced by the MS Discovery Forum, MSDF, the premier source of independent news and information on MS research. MSDF’s executive editor is Robert Finn. Msdiscovery.org is part of the non-profit Accelerated Cure Project for Multiple Sclerosis. Robert McBurney is our President and CEO, and Hollie Schmidt is vice president of scientific operations.   Msdiscovery.org aims to focus attention on what is known and not yet known about the causes of MS and related conditions, their pathological mechanisms, and potential ways to intervene. By communicating this information in a way that builds bridges among different disciplines, we hope to open new routes toward significant clinical advances.   We’re interested in your opinions. Please join the discussion on one of our online forums or send comments, criticisms, and suggestions to editor@msdiscovery.org.    [outro music]

1) Palliative care and neurology: Time for a paradigm shift and 2) Topic of the month: Contemporary alternative medicine therapies. This podcast for the Neurology Journal begins and closes with Dr. Robert Gross, Editor-in-Chief, briefly discussing highlighted articles from the print issue of Neurology. In the second segment Dr. Alex Bragg interviews Dr. Benzi Kluger about his paper on palliative care and neurology: Time for a paradigm shift. Dr. Adam Numis is reading our e-Pearl of the week about intravascular B-cell lymphoma. In the next part of the podcast Dr. Rebecca Wells interviews Dr. Pushpa Narayanaswami about complementary alternative medicine therapies for patients with multiple sclerosis. The participants had nothing to disclose except Drs. Kluger, Numis, and Narayanaswami.Dr. Kluger serves as an editorial board member of Frontiers in Movement Disorders; received speaker honoraria from Teva Pharmaceutical Industrials Ltd., Parkinson's Association of the Rockies and National Parkinson's Foundation; receives research support from the US Army Research Laboratory and US Army Research Office, Veterans Affairs Medical Center CRICC Program, Michael J. Fox Foundation, University of Colorado Hospital Clinical Effectiveness and Patient Safety Program and the NIH.Dr. Numis serves on the editorial team for the Neurology® Resident and Fellow Section. Dr. Narayanaswami serves as an editorial board member of Neurology® Level of Evidence Review Team; is a consultant for Blue Cross Blue Shield of Massachusetts, Pharmacy and Therapeutics Committee, Advanced Medical and Boston Clinical Research Institute; performs EMG in her clinical practice (35% effort); receives research support from Merz Pharmaceuticals, Inc., Solstice Pharma and AHRQ; received research support from the NIH.

The health care needs of people who are lesbian, gay, bisexual or transgender (LGBT) are receiving attention from the IOM and AHRQ to address disparities that result from lingering social stigma. AJN’s editor-in-chief Shawn Kennedy talks with lead author Fidel Lim about the issues and how nurses can help provide culturally competent care.

Listen Now(This podcast is a companion to the November 13th interview with Infectious Diseases Society of America's Amanda Jezek.)  As previously noted, conservative estimates show hospital-acquired infections (HAIs) alone sicken two million Americans, directly kill 23,000 and contribute to a total of 100,000 deaths each year.  The bacterial infection C. diff (Clostridium difficile) alone causes 250,000 people to be hospitalized annually.  The US has some one of the highest infection resistant rates among developed countries and within the US infection rates are highly variable.     During this 25 minute conversation Dr. Anthony Harris discusses why comparatively US infection resistance rates are high, why hand hygiene compliance rates remain persistently high (despite the fact hand contamination contributes substantially the the spread of infections), what acute care providers can do to reduce infections, what activites SHEA is pursuing to help reduce infection rates and what more can be done nationally, specifically regarding quality metrics, to lower rates. Dr. Anthony Harris is currently a Professor of Epidemiology and Public Health at the University of Maryland's School of Medicine and is the President-Elect of SHEA.  His research interests include emerging pathogens, antimicrobial-resistant bacteria, hospital epidemiology/infection control, epidemiologic methods in infectious diseases and medical informatics.  He has published over 100 research papers and currently receives funding from the NIH, CDC and AHRQ to study antibiotic resistant infections and hospital epidemiology.  Dr. Harris received his medical degree from McGill Univesity and his MPH from Harvard. For information on SHEA's compendium of strategies to prevent health care associated infections see:  http://www.shea-online.org/HAITopics/CompendiumofStrategiestoPreventHAIs.aspxFor information on SHEA's research network of 200 hospitals see:  http://www.shea-online.org/Research/SHEAResearchNetwork/SRNStudiesandResources.aspx This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.thehealthcarepolicypodcast.com

Listen NowThe lowlight during the 2009-2010 ACA debate was Governor Palin's invention of "death panels" (PolitiFact's 2009 "Lie of the Year") in response to a proposal to allow Medicare to pay physicians whom voluntarily counsel patients about advanced care planning or directives.   The fear mongering was so convincing the proposal was dropped by the Congress and later, via rule making, by the White House.  The facts remain that while far and away most Americans die of a long term chronic, eventually fatal ilness/es, according to AHRQ, Pew and others only approximately twenty to thirty percent of Americans have an advanced directive or a living will including those severely or terminally ill.  During this 28-minute discussion Mr. Sabatino discusses the importance and benefits of advanced care planning and the various types of advanced care directives (living wills, durable power of attorney, POLST, and others), reasons for our hesitancy in planning for advanced illness and completing directives, limitations (e.g., portability problems) and operational challenges.  He notes specifically advanced care planning is not a one time conversation or a check the box exercise.  He describes what steps are being taken to improve advanced care planning, for example through opportunities presented via the movement towards electronic health/medical records.        Charlie P. Sabatino is the Director of the American Bar Association's Commission on Law and Aging where he is responsible for research and education in health law, long‑term care, guardianship and capacity issues, surrogate decision‑making, legal services delivery for the elderly and professional ethics.  He has written extensively on capacity issues, surrogate decision-making and advance care planning.  Mrs. Sabation is also an Adjunct Professor at Georgetown University Law Center, currently serves as a legal consultant to the National POLST Paradigm Task Force and is a board member of the Coalition to Transform Advance Care.  Mr. Sabatino is a Fellow and former president of the National Academy of Elder Law Attorneys.  He received his A.B. from Cornell, his J.D. from Georgetown and is a member of the Virginia and D.C. bars.For ABA information on advanced care planning and directives see:  http://www.americanbar.org/groups/law_aging/resources/consumer_s_toolkit_for_health_care_advance_planning.html and for Respecting Choices information see: http://www.gundersenhealth.org/respecting-choices. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.thehealthcarepolicypodcast.com

Guest: Joanna Jiang, MD Host: Bruce Japsen The new health reform law will take steps to encourage patients to use preventive tests and screenings to head off chronic conditions, like diabetes, that extract a huge toll on the nation's medical care budget. Exactly how much does diabetes care cost the medical system, and where is the money going? Dr. Joanna Jiang, senior research scientist at the AHRQ (the Agency for Healthcare Research and Quality), tells host Bruce Japsen about the origin of hospital costs and its surprising toll on the system.

Guest: Joanna Jiang, MD Host: Bruce Japsen The new health reform law will take steps to encourage patients to use preventive tests and screenings to head off chronic conditions, like diabetes, that extract a huge toll on the nation's medical care budget. Exactly how much does diabetes care cost the medical system, and where is the money going? Dr. Joanna Jiang, senior research scientist at the AHRQ (the Agency for Healthcare Research and Quality), tells host Bruce Japsen about the origin of hospital costs and its surprising toll on the system.

The most controversial aspect of healthcare reform is the possibility of rationing. The Federal government's Agency for Healthcare Research and Quality (AHRQ) is already supporting guidelines and studying efficiencies. Is that code for developing ways to ration our healthcare? Dr. Carolyn Clancy, Director of AHRQ tells us what the Agency is really doing. The post Getting Better Health Care – A government agency devoted to improving healthcare quality? appeared first on WebTalkRadio.net.

Lieut. Karen Ho, with the US Public Health Service, the Agency for Healthcare Research and Quality (AHRQ) and the Center for Quality Improvement and Patient Safety, speaks about the data just published by AHRQ on the trends, quality, and disparities in the delivery of health care regarding obesity.