Podcasts about better outcomes

In this episode, Dr. Ali Khan, Chief Medical Officer, Aetna Medicare, discusses new findings showing how value-based care improves clinical outcomes, preventive care and hospital utilization for Medicare members. He also shares how Aetna is supporting providers with risk-based arrangements, interoperability and care coordination.

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Professor Karen O'Connor, HSE National Clinical Lead

What if better data did not have to mean more paperwork? In this episode of Manager Minute, Sarah Leonard from the South Carolina Commission for the Blind and Pamela Clayton-Johnson from Maryland DORS join Carol Pankow to talk about their National Rehabilitation Leadership Institute research on the RSA-911. Their project takes a hard look at the growing administrative burden of federal reporting and asks a timely question: Are we collecting the right data for the right reasons? Sarah and Pamela discuss their recommendation to remove 71 data elements they believe exceed statutory requirements, while still maintaining accountability and protecting the integrity of VR data. The conversation also explores the importance of involving frontline staff, using data to improve services, and creating space for counselors to spend more time doing what matters most: helping individuals with disabilities achieve meaningful employment. Tune in for a thoughtful, practical, and refreshingly candid conversation about smarter data, stronger services, and leadership that challenges the field to think differently. Listen Here   Full Transcript {Music} Sarah: That's kind of my whole philosophy of who I am as a person. I'm always looking for how we can do things better and questioning, like why we're doing things like, why are we reporting this? Why are we doing that? And so I think that kind of shows up in the paper. Pamela: I think we chose to focus on streamlining the RSA nine over 11 report, because we recognize how much time and energy staff spend on administrative tasks and reporting requirements. Sarah: Were spending all this time to report this data. It must be important. It must be being used somewhere. but, I am not seeing that for some of this. Intro voice: Manager minute, brought to you by the Vocational Rehabilitation Technical Assistance Center. Conversations powered by VR. One manager at a time, one minute at a time. Here is your host, Carol Pankow. Carol: Welcome to the Manager Minute. Today, we're joined by Sarah Leonard, planning and reporting director from South Carolina Commission for the Blind, and Pamela Clayton-Johnson, program manager for the Eligibility Unit at Maryland DORS. So how are you doing today, Sarah? Sarah: Good. I'm doing great. How are you? Carol: Awesome. And Pamela, how about you? Pamela: I'm good. Enjoying all this rain that we had within the last week. Carol: Oh, nice. Well, we're in a heat wave. I'm in Minnesota, and, boy, it's been smoking hot. Sarah: It's been hot here. Carol: So Sarah and Pamela recently published a cohort project through the National Rehabilitation Leadership Institute that takes a thoughtful and timely look at the RSA 911. Their paper, Smarter Data, Better Outcomes, explores how reporting requirements have evolved over time, and the growing administrative burden on agencies, and what it would mean to streamline data collection in a way that would better support the core mission of vocational rehabilitation, which is helping individuals achieve employment and strengthening America's workforce. Their work raises important questions for the field about the balance between compliance, data, and outcomes, and offers practical ideas for rethinking how we can approach federal reporting moving forward. So let's dig in. So let's start with each of you. How did you get into vocational rehabilitation and what drew you to this work. And Pamela, I'm going to go to you first. Pamela: Okay. My interest in vocational rehabilitation began in 1999, after one of my close friends sustained a gunshot wound and became a quadriplegic. He was no longer able to do the work he had done before, but he still had a strong desire to work and remain independent. I began to help him research for programs and resources that could support him. And during that process, I discovered the Division of Rehabilitation Services DORS. So that experience changed my life and inspired me to pursue a career helping individuals with disabilities achieve their goal and match their full potential. I later earned my graduate degree in adult Education with a minor in Rehabilitation counseling, which allowed me to combine my passion for education, advocacy and services to others. Carol: That is an amazing story. You are the first person I've heard with like a story like that. And how is your friend doing today? Pamela: He is doing great. He is living independently. He has services in place for him. It's been so many years and he is doing well and he's thriving. So oh. Pamela: Yes. Carol: He's lucky to have a friend like you. I think that's awesome. Pamela: Yes. Carol: Sarah, how about you?How'd you get involved in VR? Sarah: My journey to VR is a recent one. I just started in VR in 2023, and I actually started my career as a public education teacher. And when I was looking to kind of make a career change, I was looking to kind of stay in the public service realm and ended up finding some job openings with the Commission for the blind and kind of my experience as an educator and everything. It just was kind of a natural fit. So I really enjoyed kind of the past three years now, and I'm excited for what's to come. Carol: Very cool. I remember when you first started, I feel like it was longer ago than three years. Time passes really fast. Sarah: It does. Carol: You both participated in NRLI live, and I just want to know a little bit about what that experience was like. And how did it shape your thinking as an emerging leader? And Sarah, I'll ping you first on that. Sarah: NRLI was an amazing experience and I learned so much from the staff from NRLI, but also just from connecting with so many VR professionals across the US. The way it's structured, you meet four times over the course of almost a year. And I think kind of as the year progresses, you are in different places in like kind of what you're doing at work. So when you come together each time as a group, you're kind of experiencing something different and everyone else kind of brings their own experiences and their different kind of situations currently occurring in their agencies to those conversations. So as like an emerging leader. It's just really helped me kind of see the bigger picture of VR on the national scale and how I kind of fit into that on the state level. Carol: Yeah, I love that so much because you see people from start to end because I get to help participate, at least in one of the weeks with doing some of the training, but really seeing how kind of the light bulbs are going on for you guys with that whole bigger national picture. I think that's awesome. Sarah: Yeah. Pamela: Right. Carol: How about you, Pamela? Pamela: Well, participating in the National Rehabilitation Leadership Institute was a very rewarding and eye opening experience for me. It gave me the opportunity to connect with rehabilitation professionals across the country, and who all share the same passion for helping individuals with disabilities succeed. The experience helped shape my thinking as an emerging leader by teaching me the importance of collaboration, advocacy and being servant leadership. I learned that leadership is not just about managing people, it's about listening and supporting others, creating positive change of course, and making sure the voice of the people we serve are heard. The institute also encouraged me to think bigger about the future of vocational rehabilitation and the impact we have in helping individuals achieve independency, employment and a better quality of life. It strengthened my confidence as a leader, and it also reminded me that growth happens when you are willing to learn from others and step outside of your comfort zone, and being a part of the group really helped me step outside my comfort zone. So it was an amazing experience for me. Carol: I love that, and I know they have that coaching component. And so you each get a like a mentor coach that is with you throughout the whole time. And that I just think adds an extra element, like a personal touch for you specifically and all of that. So it really is a great, great program. NRLI is about building leadership capacity and driving change. How did that show up in this project that you chose to take on? And I'll throw that to either of you. Sarah: I mean, that's our whole project. Pamela: right. Sarah: Our whole goal was to kind of advocate for some changes in terms of reporting, specifically the 911. So I think that's kind of my whole philosophy of who I am as a person. I'm always looking for how we can do things better and questioning like why we're doing things like, why are we reporting this? Why are we doing that? And so I think that kind of shows up in the paper. Carol: So what led you guys specifically to go after the RSA 911 for your project? I know you went through some iterations of different topics you were going to pick. Pamela: Yes. I think we chose to focus on streamlining the RSA 911 report because we recognize how much time and energy staff spend on administrative tasks and reporting requirements. Our goal was basically to look at ways to reduce the burden, so vocational rehabilitation staff could spend more time focusing on what truly matters, which is helping individuals with disabilities prepare for, obtain and maintain employment. We wanted to help shift the focus to building America's workforce and improving outcomes for the people we serve. This project taught me that leadership is about identifying the challenges and working together to find solutions, and being willing to advocate for meaningful change that benefit both the staff and consumers. It also showed me the importance, of course, of innovation and thinking about how systems and processes can work more effectively while still meeting federal requirements. So we ponder over a lot of different topics, and this is the one that we end up with. So I'm happy with all that we did with this particular paper and all that I have learned in this process. Carol: So Sarah, you specifically, I know have lived this burden of the RSA 911 every day. How would you describe it to other folks that may not understand? Like, what's the big deal about that? Sarah: I think what people don't realize is how much that report really drives like agency processes, just like day to day. The data that we collect as VR agencies as a part of the intake process, the closure process, all of that that gets reported on the 911. And then for those who aren't kind of in it every day, kind of one of the biggest shocks when they start kind of looking at what is all involved, especially, I think Pamela did this. She went to her person in Maryland who oversees the 911 and asked to see kind of the whole data file that gets submitted up to RSA. And I think that's kind of what puts it into perspective. So for those that haven't seen that, there's a line for every single consumer at your agency who has an open case or was applying for services that quarter or who has closed within the past six quarters. And they stay on that report for those six quarters after they close. And for each of those participants, those individual people, there's a ton of columns of data that gets reported for each of those consumers. And those are the data elements of the 911. And so for those that haven't seen that, I would really encourage them to just ask the person at their agency who is in charge of the 911 just to kind of it puts things in perspective. I think that all of those entries into the case management system, like all of that gets reported out in some sort of fashion on that 911. And so there's stuff that has to go on in the background too. Like our field staff, of course have to collect the data, but most agencies have a whole case management system team who kind of keeps their case management system running. And those data elements all have to be maintained with coding in the back of the system, so that it can get reported out correctly on that report. So there's field staff hours that go into this report. There's technical staff hours that go into this report. And then of course there's data collection that may be involved as well that has to go into the report. So that's a collaboration between technical and people in positions like myself, but then also the field staff to make corrections if those are needed on the 911. So. Carol: And how many data elements are there exactly? Sarah: Over 300. Yeah. Pamela: Yes, it was over 300. And we understand how important that report is for the vocational rehabilitation industry. So we recognize that the counselors and employees spend a large amount of time entering and reviewing data, which can sometimes take away from the direct services to consumers. So we just wanted to explore ways to make the process more efficient. Carol: Well, you guys make the point because you say in your paper the reporting requirements expanded beyond what's required in statute. And so why does that matter to the field right now? Sarah: Well, it's just extra work. Like if we're going to expand the requirements beyond what is like actually legally required, there should be a reason for that. And some of these data elements that are beyond kind of legal requirements, you know, like with the rehab act and everything, some of those data elements, I don't see them being used by RSA. I don't see them being used by Congress in any way. So RSA puts out an annual report to Congress every year, and the amount of data that actually goes into that report is very small, compared to the over 300 data elements that are reported for each consumer at every VR agency in the country. Pamela: And it just increased the workload for staffing agencies. You know, when reporting requirements continue to grow for the counselors and staff, they can spend more time focusing on paperwork instead of the data entry and working directly with the consumers and employees. You know, this can impact, of course, you know, the efficiency, staff morale and overall ability to provide timely services. So it's especially important because the VR agencies, which is us, are focused on helping build America's workforce by supporting individuals with disabilities in reaching their employment goals. So the field wants to make sure that the focus stays on serving people. That's the main goal, creating opportunities and improving employment outcomes, not becoming overwhelmed by administrative tasks, you know? So that was our main focus. Carol: Yeah, I hear that a lot. You know, people are like, I'm just pushing paper now. Pamela: Right? Carol: I'm the data collector. Instead of having time to actually talk to the people. So was that like your biggest realization that all that data wasn't actually going into the reported to Congress? Sarah: That was one of them for me. I think because I just would expect, if we're giving this data out, it would be being used in some sort of way. We're spending all this time to report this data. It must be important. It must be being used somewhere. But I'm not seeing that for some of this. When I kind of came to that realization, I was like, well, then why are we doing all this work? Why are we doing this to ourselves? Yeah, that for me, it was. Pamela: Yeah, we still understand that equity and good data are important, but there also needs to be balanced so agencies can effectively carry out the mission and the best support the people that we serve. So that's our main focus. We want to make sure that we're providing, you know, services to consumers instead of spending a lot of time on paperwork and things that, you know, they're not even looking at or is not meaningful. So it's just like, we're just trying to focus on what matters and balance out the workload. Carol: You did a really thorough job on being super specific on the data elements you recommended that got removed. I mean, it was like, I'm like, holy cow, because it was like you went through the whole entire directory and there were a lot, I don't even know how many, but how did you guys go about doing that to decide the elements that you were recommending to remove? Sarah: We spent a lot of time reading the laws and the regulations. I read the Rehab Act and spent time kind of analyzing that to determine like, what is actually required by the Rehab Act for us to report on. And after doing that review, I came to the conclusion that these 71 data elements that we proposed in our paper. There's no kind of legal requirement for those to be reported in the way that they're currently asking us to report them. Pamela: Right. Sarah: So most of the data elements that we propose to remove are related to service provider type. And the Rehab Act stipulates that only aggregate data on the types of providers and agency uses needs to be reported in some sort of fashion, but it does not stipulate that it needs to be reported on an individual case level for each of the services every quarter, which is what we're essentially doing right now through the 911. Pamela: And Sarah has so much experience because this is what she does every single day. So she was very, very helpful in teaching me about all the different data elements and what is used and things like that. So it was very informative. I had learned so much throughout the process when we were researching this paper and just trying to make sure that we're accurate on what we're reporting. Carol: Yeah, I liked it because I felt like you guys were very thoughtful and you approached this in a really good way and did an extremely thorough job. I would think RSA would be super interested in what you did. Have you spoken to RSA and maybe if you did, like what was that conversation like? You're kind of calling their baby ugly, you know? Pamela: We actually met with them. We met with Michael Quinn and he provided great insight and was very open to hearing our ideas and concerns regarding the RSA 911 report process. One of the biggest things that we learned was the importance of collaboration and having honest conversations about the challenges VR agencies face. It was encouraging also to hear that he believed our paper and research were realistic and thoughtfully developed. He also shared that his team will review our paper and take our recommendations into consideration, which showed us that there's value in bringing forth ideas that could improve processes within the vocational rehabilitation system. For me, it reinforced the idea that meaningful change starts with research, communication, and a willingness to work together to find practical solutions. Of course, that benefits both agencies and the individuals we serve. So meeting with his team was very informative and he was very realistic with the expectations and things like that. It was good. Sarah: We actually met with him twice, so we met with him once while we were kind of developing the paper. And that's what really shaped kind of our approach to writing the paper and research that we did. He told us in a bit of a cryptic way. He told us that we needed to think inside the box first and then think outside of it. So he encouraged us to read the laws, read the regulations. So that's kind of what shaped our method to collecting all of the research and the knowledge that we needed in order to be able to propose these changes. And then just meeting with him and his team kind of after the paper was done, when we went to DC for the final session of NRLI, It was really encouraging because him and his team were really open to the recommendations that we were making. And also, they said it was like getting public comment before the public comment period. So as everyone knows, the RSA 911 is up for renewal and was recently posted for public comment through the OMB. So they, I think, genuinely are looking for feedback on their reports and things like that. And I would really encourage agencies to take advantage of the public comment period on these reports, not just on the 911, but on the RSA 17, the 15, all of those different reports that we have to do, because RSA genuinely, I think, wants our feedback and wants to know the burden that it's putting on agencies and our ideas for streamlining. Carol: So I'm sure you're quoting this paper in the public comment, correct? Pamela: Yes. Sarah: Yes. Carol: Yeah, that's great. Well, you both bring up a really good point about being able to like do the research and speak up because I have heard for years people complaining about the 911, but I have never seen anyone do the job that you two did to dig in deep, do your research, do all the homework, and I'm glad Michael steered you down that path. Like read the rehab act... Pamela: right. Carol: ...look at the things, what's required, and then going back and meticulously, like coming up with 71 data elements. Wasn't 78 or 69. You came up with 71. You go, these are the ones. We don't need them. And I think a lot of times in VR, we kind of complain about things, but we don't always bring it up to the source that could do something about it because they just hear us anecdotally like, oh, you know, it's too much. But what exactly and what exactly could be removed? I think you did the work. People are going to be super happy about this if you get some success with that. Pamela: Yes. Carol: So if your recommendations were implemented. What do you think would be the biggest shift agencies would feel in their day to day operations? Pamela: I believe the biggest shift for VR agencies will feel is having more time and flexibility to focus on serving consumers, instead of spending so much time on administrative tasks and data entry. You know, counselors and staff will likely experience a reduction in paperwork as well and reporting burden, which could improve efficiency, reduce stress and allow more attention to be placed on counseling, job placement, employee engagement, and consumer support. I think agencies will still be able to collect important data and maintain accountability, because that's still important, but the process could become more streamlined and meaningful. The goal is not to remove the reporting, but to make sure the information being collected truly adds value and support that better outcomes. So overall, the biggest change will be shifting more time and energy back to the mission of vocational rehabilitation, which is helping individuals with disabilities prepared for, obtain and maintain meaningful employment while supporting America's workforce. Sarah: I think as well, like we call for removing those 71 data elements, but we also call for RSA to take a genuine look at the number of burden hours through the Paperwork Reduction Act and determine a more accurate estimate of those hours. And then also, we call for them to explore some opportunities to develop some centralized federal databases and data sharing systems, so that information on other WIOA program involvement and things like post-exit wages and credential data, that data could be more easily obtained by agencies. So a lot of agencies right now, they have to kind of manage these individual agreements with these... Carol: Right. Pamela: Right. Sarah: ...different entities to obtain some of this data. And so if we could in some way centralize that, so that whole process is easier. Agencies wouldn't have to kind of independently maintain these agreements with separate Agencies or organizations. Pamela: Right. Carol: Yeah, I thought that was a very interesting point. Thinking about that centralized data collection, I know like DDS, Pamela, you worked in that, you know, Pamela: yes. Carol: There is our centralized system. I used to manage DDS. And so thinking about kind of that nationwide database or whatever that you could possibly have. Now, I suppose people would say it's a little easier said than done, but nothing ventured, nothing gained. Was there any traction? Did you get to talk to Michael about that concept at all? Sarah: We did, and his comments back were kind of similar to what you just said, that it's easier said than done. But, you know, we have things like the Swiss data right now for wages. So I think it could be done. It just wouldn't be, you know, at the snap of your fingers, it would take some time to develop those. Carol: Well, you guys can be part of something like magnificently great. That could happen with your recommendations. I love it. Pamela: Yes. Carol: So stepping back as emerging leaders, what advice would you give others about like balancing compliance, data collection and achieving those real employment outcomes? What advice would you give agencies as they're facing all this? Pamela: I would say that it's important to remember that compliance data collection and employment outcomes all matter, but the mission should always stay centered on the people we serve. Data reporting are important because they help show accountability, measure progress, and tell the story of the work being done. However, we have to be careful that the process does not become overwhelming, that it takes away from direct services and meaningful engagement with consumers. My advice would be to focus on balance, use data as a tool to improve services and outcomes, not just a task to complete. Encourage teamwork, open communication and innovation when looking at processes and systems. It is also important for leaders to listen to frontline staff because they often understand where the biggest challenges exist and most importantly, never lose sight of the ultimate goal, which is helping individuals with disabilities achieve independency, meaningful employment, and success in their lives. Sarah: Pamela, I think you summed that up beautifully. Pamela: Thank you. Sarah: Yeah. I think my biggest advice to agencies is to start looking at your data and looking at your data with your front line workers who are in it every day and doing the job. They deserve to see that data and be involved in conversations surrounding that data. And it's a culture shift to kind of get your agency talking about that data, especially if you've not done it before. Some field staff, I'm sure, have never heard of the RSA 911 before in some agencies. So I think they deserve to be in those conversations and those conversations. I think it equips them to do their jobs more efficiently and effectively. Carol: I think people get so exhausted. I feel like sometimes with the collection of the data and making sure it's accurate, and then you submit it. And then on the other end, I know when we go on and do TA and you ask people about like the data or the observations, this isn't everywhere, but I think sometimes it gets so exhausted by the process, you forget to, on the other end, actually like use it and take a look at what the data is telling you. And I love that you said, you know, to involve your frontline staff because there have been different times we have like, say we look at the data dashboards and we're doing a little training with an agency and we have the field staff in there. They've never seen any of it. They don't know where this goes. They just know they have to do this thing where they're collecting all this stuff and it goes to some mysterious place, but they have no idea what it says. And it really is the story of your agency that does get communicated to Congress. Otherwise, they don't have any way to know about the anecdotal, awesome, wonderful things that are happening and getting people into employment unless you have something you can share. So we don't want to fall down at the very last minute and go, okay, we did all the thing, but we're not letting anybody know internally about what's going on with our data and then making changes as a result of it. You know, when you see different trends or things happening, being able to go in and go like, hey, what's up? You guys and the frontline people are sometimes, well, not sometimes they are the best people to talk to. They see what's happening and it comes out in the data. And everybody's sitting in central office like, mm, what's going on in that region? Go talk to that region and find out what's happening. Pamela: Exactly. The frontline staff, we need them. We need to get feedback from them because they are important in the decision making regarding things that, you know, the input and things like that for the different data elements. And I had a conversation with some of my staff because I work, you know, on the front line, just getting answers regarding, you know, different data entries at the time that they spend gathering information. So it was a lot of information that I learned. And just looking at the RSA 911 for the first time, it was overwhelming because I didn't even know all that information was being collected and used. So it was eye opening for me. Carol: And bless her heart, she does it all day, every day, I know. Are you sure you're happy you left public to do this? Sarah: And I think talking with our field staff about like the 911 data, for instance, like that, like just like NRLI, how we kind of came to this realization of how we fit into this bigger kind of national picture. I think for our staff, having conversations around our data and things like that can help them see that as well. Carol: Yeah. That's cool. So one last thing for you all. What about a little plug for NRLI, is there any like if we have listeners out there going like, what's this thing you all participated in? Do you have any kind of little plug you want to tell them about why they should do that program? Pamela: It was a leadership program, a leadership program where all people from all over the world, different walks in their career path participated. And I learned so much from people networking in itself. We still stay in contact, and their system sometimes may be a little different from how we do our things in Maryland. But just being around those folks that we are passionate about, the vocational rehabilitation process was just amazing and very fulfilling for me, and I think it will be an amazing experience for anyone that wants to be a part of this career path to participate. It was an awesome experience for me. Carol: I love that. Sarah: I really appreciated how, I guess intentional the whole entire experience like is designed like. So I think it's really intentional that it happens over the course of like basically a whole year. And then the different sessions or each week has kind of like a different almost like theme, I guess, or concept that you're learning that week. And then by the time you get to the final session in DC, it's kind of the culmination of everything that you've learned. But since time has passed and it's not just kind of like a one and  done thing, you have also kind of matured in your career. At least that's kind of how I felt as I went through it. I also started supervising two new people during that time period. So it was all very relevant and very, I guess, eye opening. But then also there's something I think, really important about it being a leadership program that's also in the lens of VR, right? Like there's tons of leadership programs out there, but they're not kind of tailored towards being a leader in VR. And so I think that's what makes NRLI so unique and different. Pamela: Most definitely. Carol: Yeah, I've seen over time, you know, those cohorts, you make those networks of friends, you guys have, you know, chat groups and all different things and getting together when you're at a conference or, you know, just people to call on and get ideas. If you run into trouble at your agency. You're like, oh, I'm gonna pick up the phone, I'm calling Pamela now, or I'm calling Sarah because they might have a different perspective on that. And I just love that transplanting of ideas across the country. There's such great benefit in that. I'm so glad you guys had a great experience. Pamela: I did, it was amazing. Carol: Thank you both today for this conversation. I'm expecting great things from your paper. I'm really hoping that it is the start of some cool changes. And thank you for joining me. Appreciate you both. Sarah: Thank you. Pamela: Thank you so much. {Music} Outro Voice: Conversations powered by VR, one manager at a time. One minute at a time. Brought to you by the VRTAC. Catch all of our podcast episodes by subscribing on Apple Podcasts, Google Podcasts, or wherever you listen to podcasts. Thanks for listening.

In this episode, David N. Bernstein, MD, PhD, MBA, MEI, Harvard Orthopaedic Surgeon, shares his perspective on the future of orthopedic care, discussing value-based healthcare, ambulatory surgery centers, AI, and why measuring the outcomes that matter most to patients will shape the next generation of care delivery.

In this episode, David N. Bernstein, MD, PhD, MBA, MEI, Harvard Orthopaedic Surgeon, shares his perspective on the future of orthopedic care, discussing value-based healthcare, ambulatory surgery centers, AI, and why measuring the outcomes that matter most to patients will shape the next generation of care delivery.

In this episode, David N. Bernstein, MD, PhD, MBA, MEI, Harvard Orthopaedic Surgeon, shares his perspective on the future of orthopedic care, discussing value-based healthcare, ambulatory surgery centers, AI, and why measuring the outcomes that matter most to patients will shape the next generation of care delivery.

Healthcare organizations are under increasing pressure to improve patient outcomes while controlling costs—but doing both requires more than new technology or payment models. In this episode, Stewart Gandolf speaks with Michele Paige, Chief Growth Officer at Strive Health, about how patient-centered design, proactive care navigation, predictive analytics, and AI-powered engagement are helping healthcare organizations deliver more personalized care, reduce unnecessary hospitalizations, and improve the patient experience. Using value-based kidney care as a real-world example, Michele shares practical lessons that healthcare leaders can apply across virtually any specialty or care setting.

The future of treasury depends not just on speed and innovation, but on interoperability, transparency and trust.

In this Tyler Tech Podcast episode, recorded live at Tyler Connect 2026 in Las Vegas, Chris Fabian (Tyler Technologies), Nick Mastronardi (Polco), and Liz Stewart (Envisio) explore how local governments are rethinking budgeting in a time of fiscal pressure, rising expectations, and rapid technological change. Drawing on insights from workshops and readiness assessments conducted with public sector organizations, the conversation highlights how leaders are moving beyond traditional budgeting processes toward more outcomes-driven, data-informed decision making. At the center of this shift is a broader industry focus on rethinking budgeting, shaped in part through ongoing collaboration with the Government Finance Officers Association (GFOA). Working together, these organizations have contributed to frameworks and tools that help governments better align resources with community priorities, incorporate data and resident input, and improve transparency. One example is the jointly developed readiness assessment, which enables organizations to benchmark their current budgeting practices, identify strengths and gaps, and establish a clearer path forward. From practical frameworks like priority-based budgeting to emerging AI-enabled tools, the episode highlights how governments can reduce complexity, accelerate analysis, and spend more time focusing on strategic decisions rather than manual processes. The guests also emphasize the importance of starting with structure — using assessments to establish a baseline, build cross-departmental alignment, and prioritize where to take action first. This episode also highlights City Hall Selfie Day, an annual initiative celebrating public service and civic pride. The campaign encourages local governments and community members to showcase the places and people behind public service, helping build awareness, engagement, and appreciation for the work happening across cities, counties, and agencies. Download: AI for Impact: Proven Results for Government Watch: How to Transform Budgeting Processes for Uncertain Times Watch: A Transformative Partnership for Priority-Based Budgeting Read: Tyler, Envisio, Polco: Transformative Budgeting Partnership Read: How Rethinking Budgeting Builds Trust, Agility, and Results Read: When Budget Pressure Forces Leaders to Change Tactics Listen to other episodes of the podcast. Let us know what you think about the Tyler Tech Podcast in this survey!

In this ID Health Matters podcast episode, David Toback discusses how to put person-centered thinking into daily practice when supporting people with intellectual and developmental disabilities. He emphasizes that person-centered support means seeing individuals as whole people rather than focusing only on diagnoses, and describes several practical tools: the Learning Log, which captures meaningful observations about what worked and did not work during everyday experiences; the Two-Minute Drill, a simple technique for encouraging participation and generating ideas in meetings and conversations; and Branching Conversations, which use curiosity and thoughtful follow-up questions to better understand what matters to a person. Toback also stresses the importance of "guess, ask, write" — avoiding assumptions, verifying understanding with the individual, and documenting their intentions rather than staff interpretations. Throughout the discussion, he highlights that listening first, acting with people rather than upon them, and ensuring their voices are heard can improve relationships, quality of life, and support outcomes while promoting dignity, inclusion, and genuine human connection.

Let us know your thoughts, questions, and who you want to hear from next!In this episode of The Exchange, Ryan Loehr sits down with Perry Cross and Tom Ray, Co-Founders of Accessible Homes Australia, to explore one of the most overlooked corners of Australian social infrastructure, specialist disability accommodation. Perry sustained a spinal cord injury at 19 and spent decades in a system that wasn't built for him. Today he lives independently in a purpose-designed, voice-activated apartment on the Gold Coast. It's not just a better home. It's a different life. Together, Perry and Tom break down how their clustered independent living model can save the NDIS up to $75,000 per person per year compared to conventional care arrangements, a counterintuitive finding the system has been slow to embrace. They also walk through their newest development in Hervey Bay: a self-sufficient village with onsite hydrotherapy, adapted gymnasium, and 24-hour care, built for people who want independence, not an institution. If you've ever thought about impact investing, social infrastructure, or simply what it means to build something that matters, this episode is for you. Disclaimer: The information in this podcast series is for general financial educational purposes only, should not be considered financial advice and is only intended for wholesale clients.  That means the information does not consider your objectives, financial situation or needs.  You should consider if the information is appropriate for you and your needs.  You should always consult your trusted licensed professional adviser before making any investment decision. 

What do population growth rates and movement among the states have to do with one another? More than you might think.00:00 Introduction and Episode Preview00:56 Thomas Massie on Congress and Presidential Power03:34 A Promising New Alzheimer's Treatment07:03 Foolishness of the Week: California's Town Council Refuses to Leave Office08:40 America's Population Slowdown and Why It Matters11:03 Immigration, Social Security, and Demographic Challenges12:11 States Competing for Residents17:19 Technical Difficulties17:55 Does Bigger Government Lead to Better Outcomes?20:20 Why Americans Are Leaving High-Tax States23:26 Government Growth, Incentives, and Long-Term Stability26:19 Immigration, Welfare, and Population Policy28:38 Remote Work Is Reshaping State Economies30:36 Competition Between States and the Future of America31:51 Final Thoughts and Closing Remarks

While the podcast team is taking a Radical Sabbatical, Kim is interviewing authors of the books that have had a big impact on her in the past two years.  Building high-performance teams, especially in dynamic industries, can be one of the biggest challenges a leader faces.  Sometimes passionate founders or senior leaders can go from passionate advocate to authoritarian autocrat.  Left unchecked, this can lead to organizations underperforming in the long term and missed opportunities.  So where is the balance?   In this episode, Kim speaks with Liz Wiseman, the author of multiple New York Times bestsellers.  Liz and Kim explore the pitfalls of authoritarian leadership, the power of multipliers, and how leaders can foster environments where everyone does the best work of their lives and builds the best relationships of their careers. Liz does point out that there are certain, limited instances where a top down, “command and control” approach is the right choice (for example, during an acute crisis), but these instances should be rare and targeted.  They also discuss practical strategies for managing diminishing leaders and creating impact regardless of leadership style. They also talk about the importance of understanding power dynamics in leadership.   Guest Background: Liz Wiseman is a researcher and executive advisor who teaches leadership to top organizations worldwide. She wrote the New York Times bestsellers Multipliers, The Multiplier Effect, and Wall Street Journal bestsellers Rookie Smarts and Impact Players. CHAPTERS (00:33) Introduction to Radical Sabbatical and Guest Liz Wiseman (02:06) The Flaws of Authoritarian Leadership (06:06) Diminishers vs. Multipliers: Leadership Styles (12:16) When Authoritarian Leadership is Necessary (20:27) The Balance of Command and Collaboration (23:36) The Impact of Leadership Styles (26:34) Navigating Innovation and Crisis (29:30) The Balance of Authority and Collaboration (32:35) Lessons from Great Leaders (36:38) Understanding Accidental Diminishers (45:03) The Impact of Perfectionism on Team Dynamics (46:09) Understanding Accidental and Intentional Diminishers (47:26) The Drive to Contribute: Empowering Impact Players (48:56) Leading Through Influence: The Role of Impact Players (51:06) Strategies for Thriving Under Diminishing Leadership (52:26) Multiplying Up: Turning Diminishment into Empowerment (55:47) The Power of Listening and Adapting (01:01:04) Leveraging Bosses' Strengths for Better Outcomes (01:03:01) Building Relationships on a Level Playing Field (01:03:55) Understanding and Sharing Power in Leadership Connect with the Radical Candor team: ⁠⁠⁠⁠⁠⁠Website⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠LinkedIn⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠YouTube⁠⁠⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

Digital assets, real-time payments and agentic AI promise a financial system that is faster, smarter and always on. But for CFOs and treasurers, the real question is whether they deliver better decisions, stronger controls and greater confidence.  Phil Carmalt and Sid Gupta (Bank of America) alongside Sharon Toh (Swift) discuss why the future of treasury depends not just on speed and innovation, but on interoperability, transparency and trust, transforming emerging technologies into practical tools which facilitate sharper liquidity management, stronger resilience and better business outcomes.

In this episode, host Seth O'Brien, CP, FAAOP(D), welcomes Jessica Corso, CO/L, FAAOP, orthotist at Children's Healthcare of Atlanta and chair of the Academy's Craniofacial Society, for a conversation recognizing National Cleft Palate and Craniofacial Awareness Month. Jessica discusses current efforts to improve cranial remolding orthosis care through standardized training, consistent clinical practices, and ongoing outcomes research. She also explores the importance of evidence-based care in expanding insurance coverage, emerging advances such as 3D-printed helmets, and the Academy's initiatives to support clinician education, collaboration, and high-quality patient care.   O&P Clinical Care Insiders is produced by Association Briefings.

In this episode, Karla Mills, Vice President of Product Innovation, Surescripts, discusses how health plans can use medication data as an early signal to identify risk, prioritize new members, and improve care management. She shares practical strategies for preparing ahead of enrollment surges and leveraging existing programs to drive better outcomes and operational performance. For more information, please check out our website: https://surescripts.com/who-we-serve/health-plans

Learn strategies to address barriers, disparities, and inequities in shingles vaccination. It also reviews the effectiveness of clinical interventions—such as reminder systems and standing orders—in improving completion of the two-dose zoster vaccine series. To Claim CE Credit: https://bit.ly/4xMAodX  

In this episode, Karla Mills, Vice President of Product Innovation, Surescripts, discusses how health plans can use medication data as an early signal to identify risk, prioritize new members, and improve care management. She shares practical strategies for preparing ahead of enrollment surges and leveraging existing programs to drive better outcomes and operational performance. For more information, please check out our website: https://surescripts.com/who-we-serve/health-plans

In this episode, Karen Covy explains to Claire Pedrick MCC  how divorce coaching shifts the traditional legal approach by empowering clients to take control of their emotional and practical decisions. She discusses the importance of coaching skills in helping clients manage high emotionality and act with integrity, ultimately leading to less pain and conflict.    We explore the distinction between mediation and coaching, emphasizing that coaching enhances client agency, which benefits both the individual and the legal process. Karen shares insights on the universal principles of divorce—responsibility, control, and karma—that transcend borders and legal systems. Additionally, she advises coaches to acquire specialised knowledge and coaching skills to serve clients effectively and ethically. Learn how integrating coaching into legal or personal contexts can transform the experience from overwhelming to empowering, benefiting everyone involved.   Contact: Contact Karen through Linked In https://www.linkedin.com/in/karencovy/ or https://karencovy.com/  Contact Claire by emailing info@3dcoaching.com  or join our coaching community where you can talk with other listeners. Further Information: Subscribe or follow The Coaching Inn on your podcast platform or our YouTube Channel to hear or see new episodes as they drop. Find out more about 3D Coaching and get new ideas and offers in our weekly email. Keywords: divorce coaching, client empowerment, legal transformation, coaching success, empathy in law, coaching principles, global relevance, lawyer to coach, client satisfaction, coaching innovation, divorce empowerment, legal coaching, coaching outcomes, professional transition, coaching insights, coaching journey, coaching expertise, coaching empathy, coaching strategies, coaching impact   We love having a variety of guests join us! Please remember that inviting someone to participate does not mean we necessarily endorse their views or opinions. We believe in open conversation and sharing different perspectives.

"Demand planning is the thing which everybody seems to focus on, because it's kind of theoretical. You come up with a forecast and it doesn't really influence anything. It's when you look at the supply side, that's when it becomes real." Most supply chains are supported by investments in demand planning tools, sales and operations planning systems, and MRPs… so why is the supply plan being 'fixed' by a person with a spreadsheet and a hunch? Mark Robinson is the CEO of Orchestr8, an enterprise supply chain planning platform. He has spent more than two decades helping global organizations including Shell, BT, 3M, and Boots improve their supply chain planning performance.  He has always maintained a particular interest in the gap between supply planning theory and the realities of execution - one that AI may just be ready to help bridge. In this episode of the Art of Supply podcast, Kelly Barner and Mark discuss why: -Bigger budgets don't buy better outcomes -Supply planning can't be waved away as a background task -A love of 'firefighting' may be half the problem with supply planning   Links: Mark Robinson on LinkedIn: https://www.linkedin.com/in/mark-robinson-3a470211/  Kelly Barner on LinkedIn: https://www.linkedin.com/in/kelly-barner-6884443/  Art of Supply LinkedIn newsletter: https://www.linkedin.com/newsletters/art-of-supply-6895142546301960193  Art of Supply on AOP: http://www.artofsupply.com  Subscribe to the Art of Procurement Newsletter: https://resources.artofprocurement.com/art-of-procurement-podcast-subscribe   

Renters are facing record-low vacancy rates, while property managers are under growing pressure as workloads and expectations intensify. Against this backdrop, tenant education is emerging as a potential reset for how the industry supports long-term stability, benefiting both renters and property managers alike. In this episode of the REB Podcast, host Liam Garman speaks with Paul Tommasini, chief executive officer of inCommunity and the Tenancy Skills Institute, about how structured education pathways for tenants could deliver better outcomes across the rental ecosystem – covering budgeting, maintenance and responsibilities. The discussion explores how stable tenancies are becoming increasingly critical in a tight rental market, and how education-led programs are helping tenants build the skills needed to sustain long-term rental relationships while easing pressure on property managers. Tommasini shares how the Tenancy Skills Institute has evolved from supporting young people experiencing homelessness into a broader national initiative, with more than 27,000 participants completing its tenancy education programs. The conversation also examines how early intervention tools like PM Assist are helping property managers identify issues sooner, connect tenants with support services, and reduce the likelihood of disputes escalating to the tribunal. Finally, the discussion challenges common misconceptions around tenancy breakdowns, highlighting the complex mix of financial stress, communication issues and knowledge gaps that often sit beneath rental disputes. Did you like this episode? Show your support by rating us or leaving a review on Apple Podcasts (REB Podcast Network) and by liking and following Real Estate Business on social media: Facebook, X and LinkedIn. If you have any questions about what you heard today, any topics of interest you have in mind, or if you'd like to lend a voice to the show, email editor@realestatebusiness.com.au for more insights.

How does it feel to live with CIDP? Bridge the gap between metrics and patient reality. Align goals and improve outcomes via shared decision-making. Credit available for this activity expires: 6/4/27 Earn Credit / Learning Objectives & Disclosures: https://www.medscape.org/viewarticle/chronic-inflammatory-demyelinating-polyradiculoneuropathy-2026a1000g2n?ecd=bdc_podcast_libsyn_mscpedu

Our guest on the podcast today is Don Phillips. Don is a managing director for Morningstar. He joined the company in 1986 as its first mutual fund analyst and soon became editor of the flagship print publication Morningstar Mutual Funds, establishing the editorial voice for which the company is best known. He helped to develop the Morningstar Style Box, the Morningstar Rating, and other distinctive proprietary Morningstar innovations that have become industry standards. Don has served in a variety of leadership roles at Morningstar, most recently head of global research, before paring back his schedule to take on a part-time nonmanagement role. He holds a bachelor's degree from the University of Texas and a master's degree from the University of Chicago. Episode Highlights 00:01:57 Viewing Investing From 100,000 Feet Up 00:08:20 The Role of the Manager, From Salesmanship to Stewardship 00:11:18 What Indexing and AI Make Easier—and What They Risk 00:17:50 Private Credit and Private Equity Risks for Retail Investors 00:28:01 Finding the Unmet Needs in Asset Management 00:35:47 Fixed-Income Funds as the Industry's Achilles' Heel 00:43:42 The Value of a Liberal Arts Education and the Power of Storytelling More From Morningstar Morningstar's Why Don Phillips: We're All in the Behavior Modification Business Private Equity Funds Step Into the Spotlight If you have a comment or a guest idea, please email us at TheLongView@Morningstar.com. Follow Christine Benz (@christine_benz) and Ben Johnson (@MstarBenJohnson) on X, and Christine Benz, Amy Arnott, and Ben Johnson on LinkedIn. Visit Morningstar.com for new research and insights from Christine, Ben, and Amy. Subscribe to Christine's weekly newsletter, Improving Your Finances. If you want more Morningstar podcasts, check out The Morning Filter and Investing Insights. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

America Out Loud PULSE with Dr. Angelina Farella – Whether you're working for a company, running your own business, raising a family, or planning for retirement, healthcare costs seem to touch every part of our lives. Premiums continue to rise, deductibles are often higher than we'd like, and many people wonder whether they can truly afford the care they need...

Ambulatory Surgical Centers (ASCs) have been around in concept for the past fifty years, but their recent explosion has caught the attention of healthcare systems and, frankly, patients. Why? Today's guest, Adnan Qureshi, is a Managing Director with the Mergers and Acquisitions practice at Kaufman Hall. He provides strategic advisory services for healthcare providers and investors around the merger or acquisition of ASCs. The benefit he's seen in partnership with his clients perhaps explains the answer to this question. The “DNA”, as Adnan puts it, of the ASC is rooted in independent physicians who, as an extension of their practice, saw the benefit of doing lower acuity surgeries in an outpatient setting. As pain management and technology improved over time, the use case also evolved to the point where there are now few specialty areas where uncomplicated surgeries cannot be performed in an ASC. Without the overhead and operating costs of a hospital, ASCs allow for far more transparent pricing, lower costs, greater efficiency, and often better outcomes, all driving towards higher patient satisfaction. And that's a win we should all be paying attention to. Adnan Qureshi has over fifteen years of healthcare transaction experience. Prior to joining Kaufman Hall, he was a Director of Development at SCA Health, a subsidiary of Optum/UnitedHealth Group. In that role, Mr. Qureshi led market entry strategy across several geographies, and sourced, structured, and executed ambulatory surgery center acquisitions.

America Out Loud PULSE with Dr. Angelina Farella – Whether you're working for a company, running your own business, raising a family, or planning for retirement, healthcare costs seem to touch every part of our lives. Premiums continue to rise, deductibles are often higher than we'd like, and many people wonder whether they can truly afford the care they need...

Find out when to plan your joint surgery, what to expect and how to make your experience as successful as possible — so you can get back to doing the things you love. *Visit the Live Yes! With Arthritis Podcast episode page to get show notes, additional resources and read the full transcript: https://www.arthritis.org/liveyes/podcast/episodes/joint-surgery-insights-154 * We want to hear from you. Tell us what you think about the Live Yes! With Arthritis Podcast. Get started by emailing podcast@arthritis.org.Special Guest: David Mayman, MD.

Matt is the CEO of Westlake. Over the past 20 years, he has worked on over 140 completed transactions totaling over $5 billion in private placement and M&A value. Matt has gained in-depth experience working with companies from the lower middle market up to public companies with market capitalizations in excess of $1.5 billion. Since joining Westlake in 2014, Matt has advised companies with a combined annual revenue of over $1.8 billion in the areas of strategy, capital, finance, and M&A. He currently sits on the board of three companies. In past roles, Matt has had full operational and P&L responsibility for a NYSE-listed company division with $15 million of EBITDA, led a multi-million dollar revenue geographic territory for a privately held company, and oversaw a multi-million dollar revenue product line for a NYSE-listed company. Matt has an MBA in banking and has attended executive programs at Harvard and the University of Chicago. Matt holds Series 6, 7, 63, 65, 24, 27, and 79 FINRA licenses. Connect with Matt Andersen:Website: https://westlakesecurities.com/ LinkedIn: https://www.linkedin.com/company/westlake-securities/,https://www.linkedin.com/in/matt-andersen-8861811b/ Check out Matt Andersen's book, “Intentional Growth: A Proven Guide to Higher Performance and Better Outcomes for Your Company”: https://www.amazon.com/Intentional-Growth-Performance-Outcomes-Company/dp/1639081879/ TurnKey Podcast Productions Important Links:Guest to Gold Video Series: www.TurnkeyPodcast.com/gold The Ultimate Podcast Launch Formula- www.TurnkeyPodcast.com/UPLFplusFREE workshop on how to "Be A Great Guest."Free E-Book 5 Ways to Make Money Podcasting at www.Turnkeypodcast.com/gift Ready to earn 6-figures with your podcast? See if you've got what it takes at TurnkeyPodcast.com/quizSales Training for Podcasters: https://podcasts.apple.com/us/podcast/sales-training-for-podcasters/id1540644376Nice Guys on Business: http://www.niceguysonbusiness.com/subscribe/The Turnkey Podcast: https://podcasts.apple.com/us/podcast/turnkey-podcast/id1485077152

A short bonus episode showcasing a few standout moments from this week's guest interview with Elana Rudick ~Daring Creativity. Podcast with Radim Malinicdaringcreativity.com |  desk@daringcreativity.comBooks by Radim Malinic Paperback and Kindle > https://amzn.to/4biTwFcFree audiobook (with Audible trial) > https://geni.us/free-audiobookBook bundles  https://novemberuniverse.co.ukLux Coffee Co. https://luxcoffee.co.uk/  (Use: PODCAST for 15% off)November Universe https://novemberuniverse.co.uk (Use: PODCAST for 10% off)

Lt. Gov. Tony Venhuizen provides an update from the governor's Corrections Rehabilitation Task Force.

For many women, trying to get a clear answer to their health problems can be challenging, if not downright frustrating. But it doesn't have to be this way. Joining us today is Priyanka Jain, co-founder and CEO of Evvy, a women's health technology company focused on closing the gender health gap by decoding the vaginal microbiome. In this conversation, Priyanka shares how her own experiences with unanswered symptoms led her to question the limits of traditional testing and explore overlooked areas of female biology. She explains the role of the vaginal microbiome in protecting reproductive health, how imbalances can contribute to inflammation and fertility challenges, and why many conditions are still misdiagnosed or missed entirely. They also discuss how Evvy's at-home testing works, what makes it more comprehensive than standard approaches, and where it can support patients across the fertility journey, from early planning to IVF. Tune in for an informative and empowering conversation about an often-overlooked factor in women's health! 

Velocity can help a team plan, but it creates problems when leaders use it to judge performance. In this episode, Brian Milner and Scott Dunn explain why that shift happens so often and what leaders should pay attention to instead.   Overview Velocity is one of the most misunderstood metrics in Agile. Used well, it helps a team forecast and make planning decisions. Used poorly, it becomes a productivity score that encourages inflated estimates, unhealthy comparisons, and a focus on output rather than value. In this episode, Brian and Scott discuss why leaders often reach for velocity, why it gives them the wrong signal, and how teams can reconnect measurement to outcomes, learning, and business impact. They also explore how AI is making this issue more urgent by increasing delivery speed while putting even more pressure on leaders to ask whether teams are building the right things.   References and resources mentioned in the show: Scott Dunn #35: Metrics with Lance Dacy Rethink the Refinement Session: Less Time, Better Outcomes by Mike Cohn The Cost of Change Curve Is Outdated by Mike Cohn Subscribe to the Agile Mentors Podcast    Want to get involved? This show is designed for you, and we'd love your input.   Enjoyed what you heard today? Please leave a rating and a review. It really helps, and we read every single one.   Got an Agile subject you'd like us to discuss or a question that needs an answer? Share your thoughts with us at podcast@mountaingoatsoftware.com   This episode's presenters are: Brian Milner is a Certified Scrum Trainer®, Certified Scrum Professional®, Certified ScrumMaster®, and Certified Scrum Product Owner®, and host of the Agile Mentors Podcast training at Mountain Goat Software. He's passionate about making a difference in people's day-to-day work, influenced by his own experience of transitioning to Scrum and seeing improvements in work/life balance, honesty, respect, and the quality of work.  Scott Dunn is a Certified Enterprise Coach and Scrum Trainer with over 20 years of experience coaching and training companies like NASA, EMC/Dell Technologies, Yahoo!, Technicolor, and eBay to transition to an agile approach using Scrum. 

Only about 20% of employees strongly agree that their performance is managed in a way that motivates them to do outstanding work. That is the finding from Gallup's research on performance development systems and it tells you something important about the opportunity sitting inside every firm right now. In this episode of Building the Billion Dollar Business, financial advisor coach Ray Sclafani makes the case that the quality and consistency of feedback inside your organization are directly tied to engagement, and engagement is directly tied to performance. Better performance reviews do not just evaluate people. They develop them. And when done well, they drive better outcomes for everyone on the team and every client they serve.What you will learn in this episodeWhy only 20% of employees feel their performance is managed in a way that motivates outstanding workWhy the purpose of a performance review matters as much as the process and how high performing firms reframe reviews as learning conversations rather than evaluation exercisesWhat curiosity-driven feedback looks like in practice and why it changes the quality of the conversation for both the leader and the team memberThe 48-hour rule: why setting your reviews aside before sharing them significantly improves the quality of feedback deliveredHow total team leadership, where everyone plays a role as leader, changes the responsibility both leaders and team members carry into the review processKey insight from this episodePerformance reviews when approached thoughtfully are not about scoring people or checking a box. They are about creating alignment, strengthening accountability, and developing the capabilities of people within the firm. Over time this compounds into better performance, stronger relationships, and more consistent outcomes for clients.Coaching questions for reflectionHow could you approach your next performance review cycle in a way that creates greater clarity about your role, your priorities, and your contribution to the firm's success?What would change in your performance over the next 90 days if you actively sought out feedback and applied what you learned with intention?How might cultivating curiosity in both giving and receiving feedback improve the quality of your relationships and the outcomes your firm produces?What specific actions will you take before your next review cycle to prepare thoughtfully, contribute meaningfully, and help elevate the performance of those around you?Building the Billion Dollar Business is hosted by Ray Sclafani, founder and CEO of ClientWise, the financial services industry's leading executive coaching and team development firm for elite advisors and wealth management teams.Find Ray and the ClientWise Team on the ClientWise website or LinkedIn | Twitter | Instagram | Facebook | YouTube

While agtech often celebrates breakthrough technologies that can slash costs for farmers, what if the real value of innovation lies somewhere else entirely? In this episode, Mark Trzaskoma joins Dr Madeline Mitchell to explore what agtech adoption actually looks like on the ground at Battunga Orchards, a 180-hectare orchard operating across three sites in Victoria. From mechanised harvest platforms to canopy redesign and data collection tools, each decision at Battunga is guided by a “test, measure, learn” approach, focused on yield, quality, and long-term performance rather than short-term efficiency gains. Mark also shares a cautionary insight: optimizing for cost can actually reduce productivity. His experience of hitting cost targets in pruning, only to see production decline, highlights a broader challenge in agriculture: efficiency is not the same as effectiveness. Mark and Maddie discuss: Why agtech often delivers value through better outcomes, not lower costs. Why cost-cutting can undermine productivity in biological systems. The realities of working with early-stage, evolving agtech products. Labor constraints and their role in driving automation in horticulture. Bridging the growing disconnect between producers and consumers Useful Links: Battunga Orchards from the air, Warragul, Victoria, Australia Future Orchards® | Apple and Pear Australia Limited (APAL) Food Traceability QR Codes Investment Notes: Agovor How small growers think about agtech - Tenacious Ventures  Getting agtech ready - Tenacious Ventures For more information and resources, visit our website.  The information in this post is not investment advice or a recommendation to invest. It is general information only and does not take into account your investment objectives, financial situation or needs. Before making an investment decision you should seek financial advice from a professional financial adviser. Whilst we believe the information is correct, we provide no warranty of accuracy, reliability or completeness. [00:7:20] Agtech drives better outcomes, not just lower costs.  [00:10:30] Cost-cutting can reduce yield. [00:26:30] Why growers and consumers are disconnected.

What if the most important moment in Alzheimer's care happened not in a neurologist's office, but at a routine primary care visit? That is the premise behind Cx Precision Medicine ( https://profiles.startuphealth.com/company-profile?recordId=rec7LQkap3...

If you are trying to grow your building business, this episode will challenge how you think about your process. Mike Lee shares how one development created demand and forced him to rethink how he builds homes and runs his company. He reveals his strategies for passing inspections, working with trade partners, and shares best advice for home builders. Gain insights into where small decisions create bigger outcomes across every project. In this episode you will learn: How to structure trade partner relationships for optimal results What investors look for in a building opportunity Strategies for value engineering a home without losing quality How Lee's unique approach to production home building helps his business The single phrase you should never say to customers and one to use instead Listen to the episode to learn more. Resources: Learn more about Tributary Homes here.

What You'll Learn in This Episode:In this episode, Patrick Adams sits down with Cindy Darnell to explore how behavioral assessments like DISC can transform leadership, communication, and team performance.You'll learn how understanding personality styles helps leaders adapt their communication, reduce conflict, and build stronger relationships across teams. Cindy shares practical examples of how small shifts, like adjusting your level of detail or getting straight to the point, can dramatically improve collaboration and outcomes.The conversation also highlights the importance of self-awareness, recognizing strengths over weaknesses, and understanding that behavior is often influenced by unseen factors. Leaders who take the time to understand both themselves and others are better equipped to drive engagement and continuous improvement.If you've ever struggled with communication challenges or wondered how to better connect with different personalities on your team, this episode provides a practical and insightful starting point.Key Takeaways:Self-awareness is the foundation of effective leadership and communicationAdapting your communication style improves collaboration and resultsThere is no “right” personality—diverse styles strengthen teamsFocus on strengths, not just weaknesses, to unlock better performanceLinks: Lean Solutions SummitLean Solutions Website Cindy Darnell's LinkedIn

The ability to have difficult conversations is one of the most essential skills of an effective leader. Whether addressing performance, navigating conflict, or working through disagreements, the way the conversation begins often determines how it will end. This episode of the Forward Thinking Podcast features FCCS SVP of Marketing and Communications Stephanie Barton and Jeannie Clinnkenbeard, Director and Senior Leadership Consultant at FCCS. Their conversation is centered around the importance of approaching these moments with greater intention and skill. They explore practical ideas that can help turn tense conversations into productive dialogue, and highlight the value of brave conversations for individuals, teams, and organizations.   Episode Insights Include: What to think about before a critical conversation The 60-second gamechanger asks, 'What do I want out of this conversation?' Positive intent focuses on a win-win scenario. Share your intent with the other person to set the right tone.  If you focus only on winning, you will not have much success. Consider how you can learn, solve and grow together.  Defensiveness might result if your intent isn't framed in a mutually positive way.    Next step, share facts After stating your intent, share the facts surrounding the situation.  Separate your perceived stories and emotions from the facts.  You can reduce the temperature in the conversation with your words. Spiraling stories can escalate conflict.    Check the stories you're telling yourself Our stories drive our emotions, so tell them carefully.  The villain story blames the other person.  Question what you are making up to tell the story. Challenge your assumptions about your stories.  Stop MSU- Making Stuff Up- and stick with the facts.    Strategies for constructive engagement The 50/50 approach invites the other person to share their thoughts and concerns.  Ask neutral, open-ended questions.  When emotions are high, it can be hard to engage.  If the other person is shutting down, pause the content and focus on empathy and understanding.  Ask clarifying questions to keep the other person engaged.  Stick with the conversation even if it gets uncomfortable, within reason.    Encouraging difficult conversations in others If you see that a difficult conversation needs to happen between two other people, encourage the first steps.  Volunteer to role-play through the conversation.  The impact of difficult conversations can be critical to a team's success.  The ability to have tough conversations respectfully is a gamechanger.  The person who has the ability to speak up is the most useful person in the room.   This podcast is powered by FCCS.   Resources   Connect with Jeannie Clinnkenbeard – Jeannie Clinnkenbeard   Get in touch – info@fccsconsulting.com   "The more your conversation is focused on a win-win scenario, the more likely the outcome is going to be positive." — Jeannie Clinnkenbeard   "When going into tough conversations, our words don't have to be perfect, they just have to be positive." — Jeannie Clinnkenbeard   "Every human being has the fundamental need to be heard." — Jeannie Clinnkenbeard   "The person who has the ability to speak up is the most useful person in the room." — Jeannie Clinnkenbeard

You spend your entire week in meetings. Status updates. Decision meetings. Alignment meetings. Problem-solving sessions. By Friday, you have been in back-to-back calls for 30 hours and accomplished almost nothing strategic.Most productivity advice tells you to just say no to meetings or block focus time. But that does not solve the underlying problem: your business needs meetings because information does not flow any other way.The meeting problem is not a calendar problem. It is a systems problem. When you do not have clear decision rights, documented processes, or asynchronous communication norms, meetings become the default solution for everything.In this episode, you will learn why meetings proliferate, what they actually cost your business, and the six tactics that cut meeting time in half while getting better outcomes.IN THIS EPISODE:Why Meetings ProliferateWhat Meetings Actually CostThe Meeting AuditSix Tactics To Cut Meeting Time In HalfThe Four Meeting Types That Should ExistKEY TAKEAWAYS:Meetings are a symptom, not the disease—fix the underlying systemsMost meetings exist because information does not flow any other wayDefault to async; meet only when real-time collaboration adds valueRequire agendas, outcomes, and decision authority before schedulingYour goal is not zero meetings—it is high-value meetings onlyRESOURCES:Take the free Leadership Assessment (3 min)Book a Strategic Discovery Audit ($997 engagement)Learn more at thedevaincollective.comCONNECT WITH THE DEVAIN COLLECTIVE:LinkedInInstagramWebsite: thedevaincollective.comCONNECT WITH SHEENA:LinkedInInstagramSupport this show http://supporter.acast.com/beautifullycomplicated-podcast. Hosted on Acast. See acast.com/privacy for more information.

What if claims processing could be 10x faster without sacrificing accuracy? In this episode of Technovation, Pravina Ladva, Group Chief Digital and Technology Officer at Swiss Re, shares how one of the world's leading reinsurers is using AI to transform claims processing, unlock insights, and redefine how work gets done across the enterprise. Key highlights include: How AI is reducing claims processing time from ~40 days to 4–5 days Why data ingestion is the biggest unlock for AI in insurance The importance of building “AI-ready” data foundations How Swiss Re achieved ~60% enterprise AI adoption Why AI transformation is more about people and process than technology

Doug Golub is a seasoned thought leader in the healthcare technology and human services sector with over 20 years of pioneering experience. As a founding member of Microsoft Health Solutions Group, Doug has been pivotal in promoting person-centered practices, Medicaid transformation, and data-driven solutions. Currently, he leads Data Potato LLC, focusing on responsible technology and data utilization, while serving on the AI Committee for Access and as a board member of the Anchor Foundation.Episode Summary:In this insightful episode of DSP Talk, host Asheley Blaise delves into the transformative landscape of AI in human services with esteemed guest Doug Golub. The discussion centers around how AI is reshaping the future of the direct support workforce with a strong emphasis on person-centered care and technological innovation. Doug Golub, drawing from his vast experience, shares invaluable insights on the inclusion of Direct Support Professionals (DSPs) in AI dialogues, highlighting the importance of integrating their hands-on experience for developing effective AI tools.With a focus on the potential of AI in enhancing rather than displacing the workforce, Doug outlines practical applications of AI in human services. The conversation reflects on the transformation of administrative and documentation tasks through AI to facilitate more meaningful support relationships. This episode offers a balanced exploration of AI's possibilities, alongside ethical and practical considerations, underscoring the critical role of DSPs in shaping AI advancements.Key Takeaways:The potential of AI lies in its ability to assist, not replace, DSPs by automating documentation and administrative tasks, allowing more time for direct support.DSPs' inclusion in AI development discussions is essential to ensure technology reflects real-world support and avoids biases.Training for DSPs should extend beyond utilizing tools to encompass understanding biases, ethical use, and empowering them to question AI's outputs.AI tools can help identify trends and provide valuable insights, but they must be interpreted and mediated by humans to maintain effective support.Notable Quotes:"If we understand how the software works, we call it software. If we don't understand how it works and we think it's magic, we call it AI." – Doug Golub"The tools that are emerging have to help make it more fulfilling, more opportunity, more robust to be able to make that difference in people's lives." – Doug Golub"These tools are changing the way that we work, they are changing the way that agencies are operating." – Doug Golub"What makes it better is when we actually involve the people that know what they're talking about, which are the frontline staff." – Doug GolubResources:Data Potato LLCThe New York Alliance AI CommunityAnchor FoundationListen to the full episode to dive deeper into a conversation intertwined with innovation and empathy, and to better understand how AI can partner with human expertise to transform the future of human services. Hosted on Acast. See acast.com/privacy for more information.

In this episode of The Addicted Mind, host Duane Osterlind sits down with Dr. Judy Rosenberg, founder of the Psychological Healing Center, to dive deep into the psychology of smoking addiction.Dr. Rosenberg shares her journey from the early days of aversion therapy at the Schick Center to developing her transformative "Mind Map" for healing. They move beyond the surface-level habit of nicotine to explore the "hole in the soul"—the childhood wounds and narcissistic injuries that often drive us to "fill" ourselves with substances rather than finding true "fulfillment."Key Highlights & ThemesThe Failure of Aversion Therapy: Why "shocking" people out of a habit often leads to high relapse rates if the underlying psychological cause isn't addressed.The "Hole in the Soul": Identifying the childhood wounds—physical, sexual, verbal abuse, neglect, or narcissistic injury—that create a void we try to fill with cigarettes.Filling vs. Fulfilling: A powerful distinction between using a substance to temporarily plug a hole (the "vampire effect") versus generating internal light and generative health.The Narcissistic Cigarette: How we assign value to an object that drains our health, money, and power, much like a toxic relationship.The Three Smoking Personalities: * The Comfort Smoker: Seeking the attunement and nurturing missed in early childhood.The Control Smoker: Using the cigarette to manage a chaotic or unpredictable environment.The Performance Smoker: Using nicotine to "show up," create, or please others, often rooted in narcissistic wounds.Destination Disgust: How to use the emotion of disgust as a protective mechanism to "unhook" from the addiction and view the substance as the poison it truly is.The Oxygen Trick: Recognizing that the "relief" of a cigarette often comes from the deep breath of the inhale, which the cigarette then "hijacks" and takes credit for.The Mind Map for HealingIdentify childhood wounds and the "cracked lens" of perception.Decode the "poison" of negative core beliefs (e.g., "I don't matter").Recode the psyche into a state of health, power, and self-causality.Guest ResourcesWebsite: Psychological Healing CenterBooks: * Kick It: Stop Smoking and Be the Cause of Better Outcomes for Your LifeBe the Cause: Healing Human DisconnectYouTube: Dr. Judy WTF (What the Freud) – Over 500 episodes on healing from narcissistic abuse and addiction.If you live in California and are looking for counseling or therapy please check out Novus Mindful Life Counseling and Recovery CenterNovusMindfulLife.comWe want to hear from you. Leave us a message or ask us a question: https://www.speakpipe.com/addictedmindDisclaimerSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Dr. Roy Perlis, editor-in-chief of JAMA AI and psychiatrist-researcher at Mass General Brigham, joins to explore the evolving intersection of artificial intelligence and healthcare. Drawing on his deep experience and expertise working in neural networks, genetics, and electronic health records, Roy outlines where AI is genuinely delivering — like ambient scribes and clinical decision support — while urging clinicians to stay skeptical, look for clinically meaningful outcomes, and resist the de-skilling that comes with over-reliance on automation. We also discuss mental health stigma among physicians, the promise and peril of AI chatbots in psychiatric care, and the looming psychiatry workforce crisis, leaving listeners with one essential question: will AI actually make things better? Wish to help the show? Leave ⭐⭐⭐⭐⭐ on Apple. Subscribe here and send it to a friend.

Do you want better communication, understanding, and productivity for yourself and your team? A Strengths-based approach can help you, your team, and your organization do all of that and more. In this episode, I give listeners several personal and professional that illustrate how understanding one's own and others' talent themes can lead to better self-regulation, improved delegation, and more effective collaboration. If you want to learn more about how CliftonStrengths can help you manage performance, resolve conflicts, and enhance well-being, be sure to listen. If you're ready to start (or resume) your Strengths journey, here's three great ways to dive in...CliftonStrengths Basics Online Course https://learn.strengthsuniversity.org/strengths101courseStrengths Accelerator Academy https://learn.strengthsuniversity.org/acceleratoracademySupervisor Strengths Institute https://learn.strengthsuniversity.org/Institute Will you join us this summer? Registration for the Supervisor Strengths Institute and Strengths Accelerator Academy are open! Take advantage of Early Bird Rates and get $150 instant savings through April 30, 2026. Strengths Accelerator Academy https://learn.strengthsuniversity.org/acceleratoracademySupervisor Strengths Institutehttps://learn.strengthsuniversity.org/InstituteIf you're listening to this podcast, you take your role as a leader seriously. You want to be more effective. You want to lead your team to greater success. And you probably want less stress. This podcast has great information and tips to get you started. But if you're ready for the next step – one that will give you the guidance and structure to take you to the next level of success – Strengths University has you covered. Have questions? Email Anne at anne@strengthsuniversity.org or set up a meeting with her HERE. Want more information about Strengths University? Check out our website at https://www.strengthsuniversity.org/

More Techniques Alone Don't Lead to Better Outcomes with Dr. Tom TeterWhy do smart clinicians still get inconsistent results?In this AI-assisted audio training based on a recent article by Dr. Tom Teter, we explore a critical idea in modern clinical practice: more techniques alone do not lead to better outcomes.This episode challenges the belief that collecting more methods automatically improves care. Instead, it makes the case for stronger clinical reasoning, clearer progression, and a more complete model for bridging rehab and performance.Featuring the original ideas and framework of Dr. Tom Teter, developer of Rehab to Fitness and the Clinical Human Performance Practitioner (CHPP) Program.If you want to sharpen your thinking, improve consistency, and move beyond technique collection, this episode is for you.Key Topics: Why smart clinicians can still get inconsistent resultsWhy more techniques alone do not automatically improve outcomesThe difference between collecting tools and developing a true clinical modelHow inconsistency shows up in real-world patient careWhy the “gray zone” is where clinical reasoning matters mostHow rehab, progression, and performance are more connected than many clinicians realizeWhat it takes to think more clearly and practice more confidently under pressure

Omari Richins, MPH of Public Health Careers podcast talks with Alexander Bonano, MPH, a Health Equity in All Policies Project Manager at Boston Public Health Commission.In this episode, Alexander Bonano, MPH, shares how he's advancing racial equity within public health systems at the Boston Public Health Commission. We explore what “Health Equity in All Policies” looks like in practice, common misconceptions about equity work, and how authentic community engagement can drive real systems change. This conversation offers honest insights for anyone looking to build a meaningful career in public health.

Host Michael Blankstein, MD chats with paper author Michael DeRogatis about the findings of his research: "Periprosthetic Femur Fractures in Hemiarthroplasty Are Correlated With Stem Type: An Analysis From the American Joint Replacement Registry " in the first part of the episode. In the second part, Dr. Blankstein discusses study findings with paper author Héctor J Aguado, MD, PHD, from the paper entitled: "Proximal Femur Cut-Out Management, Re-Fixation or Arthroplasty, Which Yields Better Outcomes? Insights from 143 Patients from the PIPPAS Study." Live from the 2025 OTA Annual Meeting. For additional educational resources visit OTA.org