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On this episode of Transmission Interrupted, host Jill Morgan of Emory University Hospital is joined by Jade Flinn from Johns Hopkins Hospital and waste management experts Ashley Perry from Daniels Health, and Alex Chapman and Cara Simaga from Stericycle. Together, they unpack the practical and regulatory challenges of managing “Category A” infectious waste generated during the care of patients with special pathogens like Ebola, Marburg, and Lassa fever.Drawing from real-world experience, including a recent Lassa fever case, the panel explores communication breakdowns, the complexities of regulatory compliance, and the critical importance of cross-functional preparedness. They clarify what qualifies as Category A waste, how it differs from routine medical waste, and the meticulous multi-step process required for safe containment, packaging, and disposal.The discussion also highlights key takeaways from recent Joint Commission standards, the necessity of engaging waste vendors before an incident occurs, and actionable strategies to reduce risk—from the patient's bedside to final disposal.Packed with practical guidance and expert insight, this episode is a must-listen for infection prevention, emergency preparedness, and clinical teams aiming to stay ready, protect staff, and safeguard their communities.Questions or comments for NETEC? Contact us at info@netec.org.Visit Transmission Interrupted on the web at netec.org/podcast.GuestsAlex ChapmanDirector of Regulatory AffairsStericycleJade Flinn, MSN, RN, CCRN, CNRN Director of Operations, Special Pathogens Center, Biocontainment Unit The Johns Hopkins Hospital Ashley PerryDirector, Hazardous Waste ServicesDaniels HealthCara Simaga, CHMMSenior Director, Regulatory AffairsStericycleHostJill Morgan, RNEmory Healthcare, Atlanta, GAJill Morgan is a registered nurse and a subject matter expert in personal protective equipment (PPE) for NETEC. For 35 years, Jill has been an emergency department and critical care nurse, and now splits her time between education for NETEC and clinical research, most of it centering around infection prevention and personal protective equipment. She is a member of the Association for Professionals in Infection Control and Epidemiology (APIC), ASTM International, and the Association for the Advancement of Medical Instrumentation (AAMI).ResourcesDaniels Health: Ebola & Other Category A Infectious Waste Daniels Health: Ebola Packaging Kit Instructions (PDF)PHMSADOT: Planning Guidance for Handling Category A Solid WastePHMSADOT: DOT Special Permit 16279Stericycle: Ebola Waste PreparednessStericycle:
Joining Jill and Doron on the 15th episode of the podcast, to tell us his story, is Ashley Perry (1986-92), a senior Israeli political and communications consultant and policy and election campaign advisor. Ashley consults for and advises international leaders, governments and companies globally. He is currently an external advisor to Israel's Minister of Intelligence, Minister of Agriculture and others in the Israeli government. He was named one of the top 50 Olim from the UK who have made a significant contribution to help shape the State of Israel, and regularly appears on the podcast 'Israel Insider'. Ashley lives in Efrat in Israel. Hear Ashley talk about nocturnal wheelchair parkour contests in Newnham, his record-setting 3 hours-long Shabbat afternoon romance, how his world has changed since October 7, and speculate about one of Carmel's great abiding mysteries: whatsoever is a ‘Reverend'?. Thank you, Ashley Perry, for turning us again to Carmel days! Dedication: at Ashley's request, this episode is dedicated to the memory of Reverend Mordechai “Motti” Berkovitch, who taught Jewish Studies at Carmel from 1984 to 1990, and lived in Ashley's neighborhood in Efrat in Israel; he passed away earlier this year. Personal mentions in this episode: Rabbi Rony Greenberg (Jewish Studies) Reverend Mordechai Berkovitch (Jewish Studies) Fred Zartz (Jewish History; cricket coach) Adam Perry Marc Katz Emma Katz Edward Cowen Ted (Edmond) Shama Joanna (Marcus) Landau Simon Jackson Ian Harris Feel free to leave a comment letting us know what you liked about this episode, and rate us on your favorite podcast platform
Ashley Perry, Chief Strategy and Solutions Officer at Socially Determined, highlights the problems created by the Medicaid redetermination process. Building on their SocialScape social risk intelligence platform, Socially Determined is providing a new risk score that will help state Medicaid agencies and Managed Care Organizations identify and prioritize members needing help navigating the redetermination. Ashley explains, "As many of your listeners will know, on April 1st of this year, we started redetermining eligibility for the 95 million Medicaid beneficiaries nationwide. And that's a year-long process during which we expect that up to 15 million of them may be disenrolled from the program. So far, we've seen that as of June 16th, we've had about 1.3 million Medicaid beneficiaries nationwide disenrolled across the 22 states that have reported data to date." "What's notable about that, though, is on average across those 22 states, 74% of those who've been disenrolled have been disenrolled for procedural reasons. This means one of two things: either number one, they did not return the paperwork period, or number two they did, but they did not include some of the required documentation. So overall, a very high percentage of those who've been disenrolled to date are not necessarily no longer eligible for the program but have not been able to navigate that recertification process on their own." "We've done that for the entire United States community level across a number of different domains, so things like the food landscape and the housing environment. We've also done it for hundreds of millions of Americans at the individual level for similar domains. And so all of that data and insights around the SDOH and social risk factors that influence healthcare utilization costs, outcomes and equity was built into our social state platform. We've been working with organizations to use that data to inform their strategies for years." @SocDetermined #SDOH #SocialDeterminantsofHealth #Redetermination #Medicaid #MCO #HealthEquity #SocialRisk #DataAnalytics SociallyDetermined.com Download the transcript here
Ashley Perry, Chief Strategy and Solutions Officer at Socially Determined, highlights the problems created by the Medicaid redetermination process. Building on their SocialScape social risk intelligence platform, Socially Determined is providing a new risk score that will help state Medicaid agencies and Managed Care Organizations identify and prioritize members needing help navigating the redetermination. Ashley explains, "As many of your listeners will know, on April 1st of this year, we started redetermining eligibility for the 95 million Medicaid beneficiaries nationwide. And that's a year-long process during which we expect that up to 15 million of them may be disenrolled from the program. So far, we've seen that as of June 16th, we've had about 1.3 million Medicaid beneficiaries nationwide disenrolled across the 22 states that have reported data to date." "What's notable about that, though, is on average across those 22 states, 74% of those who've been disenrolled have been disenrolled for procedural reasons. This means one of two things: either number one, they did not return the paperwork period, or number two they did, but they did not include some of the required documentation. So overall, a very high percentage of those who've been disenrolled to date are not necessarily no longer eligible for the program but have not been able to navigate that recertification process on their own." "We've done that for the entire United States community level across a number of different domains, so things like the food landscape and the housing environment. We've also done it for hundreds of millions of Americans at the individual level for similar domains. And so all of that data and insights around the SDOH and social risk factors that influence healthcare utilization costs, outcomes and equity was built into our social state platform. We've been working with organizations to use that data to inform their strategies for years." @SocDetermined #SDOH #SocialDeterminantsofHealth #Redetermination #Medicaid #MCO #HealthEquity #SocialRisk #DataAnalytics SociallyDetermined.com Listen to the podcast here
After several weeks off, the Knesset is back. Will the government push through legislation on judicial reform or will it compromise with the opposition?
Ashley Perry is the Chief Strategy and Solutions Officer at Socially Determined, a social risk analytics and solutions company working with payers, providers, and life science companies. Their Socialscope risk and data analytics platform helps organizations understand social determinants of health, identify and manage risk and advance equity for the populations they serve. These organizations are able to be data-driven and action-oriented to mitigate community and individual-level risk. Ashley explains, "The evidence is very clear from a multitude of sources that up to 80% of healthcare utilization, cost, outcomes, and, importantly also, equity are driven by non-clinical factors or non-medical cost drivers. That includes all aspects of everyday life. So, you think about factors like food insecurity and housing instability, transportation barriers, and health literacy challenges. We see consistently in the data that we look at every day the impact these factors have on those utilization costs and outcome measures. Our customers are ultimately focused on population health and the overall health and well-being of the communities and populations they serve." "Socialscape is a platform that assesses both community-level SDOH risk exposure for the entire United States as well as individual-level social risk factor scores for millions of adult Americans. Importantly, we do that across different domains. For example, on the community side, we look at factors like the economic climate, the housing environment, and the digital landscape. On the individual patient or member side, we look at factors like food insecurity, housing instability, and transportation barriers." "Across all of those different domains, we're able to quantify risk using a standardized one-to-five scale. One indicates little to no risk, five indicates severe risk. It empowers the organizations that we work with to be able to identify the contours and concentration of community-level risk for the markets that they're serving. As well as identify the segments of their overall population that they bear the risk for that face elevated risk across those different social domains." @SocDetermined #SDOH #SocialDeterminantsofHealth #ACOREACH #HealthEquity #SocialRisk #Data #DataAnalytics sociallydetermined.com Download the transcript here
Ashley Perry is the Chief Strategy and Solutions Officer at Socially Determined, a social risk analytics and solutions company working with payers, providers, and life science companies. Their Socialscope risk and data analytics platform helps organizations understand social determinants of health, identify and manage risk and advance equity for the populations they serve. These organizations are able to be data-driven and action-oriented to mitigate community and individual-level risk. Ashley explains, "The evidence is very clear from a multitude of sources that up to 80% of healthcare utilization, cost, outcomes, and, importantly also, equity are driven by non-clinical factors or non-medical cost drivers. That includes all aspects of everyday life. So, you think about factors like food insecurity and housing instability, transportation barriers, and health literacy challenges. We see consistently in the data that we look at every day the impact these factors have on those utilization costs and outcome measures. Our customers are ultimately focused on population health and the overall health and well-being of the communities and populations they serve." "Socialscape is a platform that assesses both community-level SDOH risk exposure for the entire United States as well as individual-level social risk factor scores for millions of adult Americans. Importantly, we do that across different domains. For example, on the community side, we look at factors like the economic climate, the housing environment, and the digital landscape. On the individual patient or member side, we look at factors like food insecurity, housing instability, and transportation barriers." "Across all of those different domains, we're able to quantify risk using a standardized one-to-five scale. One indicates little to no risk, five indicates severe risk. It empowers the organizations that we work with to be able to identify the contours and concentration of community-level risk for the markets that they're serving. As well as identify the segments of their overall population that they bear the risk for that face elevated risk across those different social domains." @SocDetermined #SDOH #SocialDeterminantsofHealth #ACOREACH #HealthEquity #SocialRisk #Data #DataAnalytics sociallydetermined.com Listen to the podcast here
Prime Minister Netanyahu has called for a compromise on the searing issue of judicial reform. While this move may appease reform's opponents, might it cause the government to fall?
The prospect of judicial reform has prompted unprecedented internal opposition in Israel. Why has a compromise not yet emerged? What needs to happen for that to happen?
PM Netanyahu is pulled one way by his coalition partners, another way by unprecedented protests and foreign critics. Can he reconcile these strains or might the government fall?
Senior leaders from Cigna, Independent Health, Regence, and Socially Determined join Eric to discuss how minimizing social risk helps plans garner higher quality and performance scores. Learn successful strategies for identifying, engaging, and addressing members with elevated social risks to drive gap closure and member retention. The session is full of bright spots you can implement in your organization! Panel: Kathleen Faulk, Senior Vice President & General Manager, Government Programs, Regence; Angela Kloepfer-Shapiro, MD, MBA, Regional Medical Executive, Northeast and West Regions, Cigna Medicare Advantage;Dawn Odzywolski, Vice President, Medicare Programs, Independent Health; Ashley Perry, MPH, Chief Strategy & Solutions Officer, Socially Determined Bios: https://www.sharedpurposeconnect.com/events/mitigating-social-risk-to-achieve-higher-star-ratings/ Summit Registration: https://www.eventbrite.com/e/469644799237 This episode is sponsored by Socially Determined Socially Determined is leading the transformation of healthcare delivery and payment through social risk analytics and solutions. Our SocialScapeⓇ SaaS platform, data and industry-leading expertise empower health systems, plans and other risk-bearing organizations to manage risk better, improve outcomes and advance equity at scale. Recently named by Fierce Healthcare as one of the 15 most promising healthcare companies, Socially Determined is headquartered in Washington, DC. Visit the website at www.sociallydetermined.com.
Increasingly, voices are predicting civil war in Israel over the judicial reform issue. Is such a scenario possible? Have Israeli politics ever been this divisive?
The Netanyahu government's judicial reform have come to dominate Israel's politics by including everyone from the country's president to the U.S. secretary of state. What is at stake and what are the reform's prospects?
How will Israel's new, right-wing government respond to repeated and deadly attacks by Palestinians?
Israel's Supreme Court ruled against Aryeh Deri, a senior minister in the new Netanyahu government, plus ideological gaps have emerged among the ruling parties and opposition demonstrations are growing; is the government in trouble?
CMS replaced the Global and Professional Direct Contracting (GPDC) Model with the redesigned ACO Realizing Equity, Access, and Community Health (REACH) Model in 2023. ACO REACH is the first accountable care model to directly address health equity and access to care, with a specific directive to meet the needs of patients from marginalized and underserved communities. Whether you are participating in ACO REACH, the model provides vital insights into the future of value-based care and care collaboration. This panel will discuss the incentives and requirements laid out by the new ACO REACH model and how organizations can develop action plans to identify differences or disparities in their members' health status. Panelists: Gary Jacobs, Executive Director, Center for Government Relations and Public Policy, VillageMD; Kate Casaday, MPH, Director of Market Operations, CareMount Health Solutions; Ashley Perry, MPH, Chief Solutions Officer, Socially Determined Bios: https://www.sharedpurposeconnect.com/events/aco-reach-advancing-equity-and-optimizing-performance/ This episode is sponsored by Socially Determined Socially Determined is leading the transformation of healthcare delivery and payment through social risk analytics and solutions. Our SocialScapeⓇ SaaS platform, data and industry-leading expertise empower health systems, plans and other risk-bearing organizations to manage risk better, improve outcomes and advance equity at scale. Recently named by Fierce Healthcare as one of the 15 most promising healthcare companies, Socially Determined is headquartered in Washington, DC. Visit the website at www.sociallydetermined.com.
Could cracks in Israel's coalition and attacks between ministers and parties pose problems for Prime Minister Netanyahu?
Israel's new government has officially described itself as "right-wing." What does this mean for both domestic and international affairs?
At last, Benjamin Netanyahu has formed a government. What are its priorities? Is it as extreme as some suggest?
Prime minister-designate Netanyahu has received a ten-day extension to form a government. What are the obstacles? Can he put the pieces together before running out of time?
International pressure is mounting before the incoming government has even started. How will this pressure affect building a coalition?
As Israel's Knesset (parliament) is sworn in this week, what are the implications of the country's prospective most right-wing and religious government ever?
Our guest on this episode was born in Alaska and is a 9-time Iditarod finisher. His best finish was 4th place in 2021 and 2016. He took a year off from the Iditarod and is excited to be back for the 2023 race. He also raises awareness for Turner Syndrome, a medical condition that affects his biggest fan, Ashley Perry, and also affects a classmate of ours here at Camanche Middle School. Enjoy this episode with Wade Marrs. https://www.stumpjumpinkennel.com/
Benjamin Netanyahu's decisive electoral win means he will be invited to form a government. What are its priorities? Who gets which positions?
The initial election results of Israel's Nov. 1 election are in. Do they provide an indication of what the next government will look like?
It's the final week before Israel's elections. Are there likely to be any last minute surprises? Could they tip the balance in favor of either bloc?
The U.S. government quietly brokered an agreement to an Israeli-Lebanese maritime border dispute that impeded the flow of natural gas for both countries. Now, that agreement has exploded into the central focus of Israel's election season. How did that happen and what does it signify?
Surprisingly, Prime Minister Lapid called for a two-state solution at the U.N. How will moving the Palestinian issue to the front burner likely affect Israeli's election on Nov. 1?
The parties and lists have been submitted to the Knesset. What surprises can be found and what significance do they have for the likelihood of a government following elections?
With summer over, Israel's election campaign begins in earnest. What are the main issues - and which should be but are not?
How do the electoral map and the issues look in advance of Israeli elections on Nov. 1, as party lists take shape in the Knesset and as party unions form and dissolve?
With a renewed nuclear deal with Iran looming, how are Israeli officials reacting? What are Israel's options?
With primaries behind us and former IDF Chief of Staff Gadi Eizenkot joining the Gantz-Sa'ar party, the elections are taking shape; is there a realistic chance that Israel's Nov. 1 elections will lead to a stable outcome?
What campaign issues will Israel's political parties focus on ahead of the Nov. 1 election? How prominent will the Palestinian conflict be?
What ramifications did President Biden's visit to the Middle East have? What does it indicate about the future of U.S. policy?
With Gantz and Saar uniting their two parties, are Knesset blocs starting to shift? When a personality such as Netanyahu's arouses more passion than economical and national security issues, do "Left" and "Right" have meaning?
With elections four months off, campaigns and intrigues have begun. We will review the fast-changing political map to explain who is doing what and why.
With Israeli elections finally in sight, on what issues will the parties focus?
The coalition is being ripped apart on the Left and Right. How much longer can it survive? What next when it collapses?
June 1, 2022 Israel Insider with Ashley Perry by Middle East Forum
With a Meretz MK gone and then back rapidly in the coalition, can the government accomplish any of its goals?
What are the real ramifications for Israel following the death and funeral of Al Jazeera journalist Shireen Abu Akleh?
May 11, 2022 Israel Insider with Ashley Perry by Middle East Forum
The Coalition running Israel's government believes it has achieved stability. Is this true or wishful thinking?
The government appears to be teetering on the brink with seemingly opposite demands from all directions. How long can the coalition survive?
Could differences in response to terrorism be the straw that breaks this coalition's back?
Tensions are high in Israel at the start of Ramadan. What is Israel's government doing to prevent the situation from escalating? Will it succeed?
Coalition crises on Ukrainian refugee policies and agricultural reform again threaten to tear the government apart, but it remains united in disappointment at U.S. policy toward Iran.
Prime Minister Bennett has a unique role as mediator between Russia and Ukraine. Whence comes this high profile role? What are its implications? In particular, might it signal a lesser reliance on the United States?
Israelis overwhelmingly sympathize with Ukraine but must keep good relations with Putin. How does Jerusalem balance its sympathies and its interests?