Podcasts about bidmc

This week we welcome Elliott Horner, PhD & Nicholas Nassikas, MD for a discussion about Indoor air: Guidelines, policies, and regulation from their Paradigms and perspectives article in the Journal of Allergy and Clinical Immunology (JACI). Nicholas Nassikas, MD is an attending physician in the Division of Pulmonary, Critical Care, and Sleep Medicine at BIDMC and an Assistant Professor of Medicine at Harvard Medical School. His research focuses on how weather and air quality affect the respiratory health of children and adults. Dr. Elliott Horner, Lead Scientist at UL Solutions has worked in the IAQ field for over 30 years, conducting research and field investigations, providing training, disaster response and litigation support and was director of an IAQ laboratory. He is a recognized expert on fungal allergens and the impact of moisture in buildings, and has published over 50 research papers and book chapters. He has served on committees for ASTM, the American Academy of Allergy, Asthma and Immunology, AIHA, and USGBC and served on the Board of IAQA. He is past chair of the ASHRAE Environmental Health Committee, and is currently on Standard 62.1 and 241 committees. He also holds a Healthcare Construction Certificate from ASHE, is a LEED AP, and is a Fellow of the Academy of Allergy.

Dr. Joyce Zhou, hospitalist at BIDMC, interviews Dr. Emily Gutowski, rheumatology fellow at NYU, about rheumatoid arthritis. They discuss a case of early RA, as well as important diagnostic considerations and first steps in managing this chronic condition.

In this episode of Caring Greatly, Daniele talks about the small and large actions that create diversity, equity, inclusion and belonging at the structural, institutional and individual levels. She shares the ways that privilege, in any form, can be leveraged to undo structural inequities and to create safety for individuals. She outlines the ways that BIDMC reaches out to the surrounding community to create pathways toward health equity as well as representation in healthcare careers. Daniele shares that equity and inclusion are rooted in healthcare data, and she closes with all of the ways to find hope and rise above political divisions toward inclusive service.   The views and opinions expressed in this podcast are those of the speakers and do not necessarily reflect the views or positions of Stryker.

Yasmeen Abu Fraiha is a medical doctor currently completing a clinical fellowship in critical care at BIDMC in Boston, combined with a research fellowship at the Middle East Initiative at Harvard Kennedy School. She is also a board member of the New Israel Fund, a progressive organization whose aim is to advance liberal democracy, including freedom of speech and minority rights, and to fight the inequality, injustice and extremism that diminish Israel.I our conversation she shares her experience working in the ER of the largest Israeli hospital near the Gaza border on October 7, and how that shaped her conviction that the real divide is between those who believe in a peaceful solution and those who believe in violence. She also shares where she goes to find hope that a solution will be found.Contact Dino at: dino@al4ep.comWebsites:al4ep.comNew Israel Fund - nif.orgAdditional Guest Links:New Israel Fund:LinkedIn:linkedin.com/in/yasmeen-abu-fraiha-a63450125/Guardian of Democracy - Yasmeen speech on YouTube Poem by Mahmoud Darwish "Think of Others" sung by Mira AwadAuthentic Leadership For Everyday People / Dino CattaneoDino on LinkedIn: linkedin.com/in/dinocattaneoPodcast Instagram – @al4edp Podcast Twitter – @al4edp Podcast Facebook: facebook.com/al4edpMusicSusan Cattaneo: susancattaneo.bandcamp.comThis podcast uses the following third-party services for analysis: Chartable - https://chartable.com/privacy

This week on *The Heart of Innovation* Hosted by Interventional Cardiologist Dr. John Philips and Emmy Award Winning Journalist Kym McNicholas, The focus is on groundbreaking treatment for hard-to-treat blood pressure. The featured guest is Interventional Cardiologist Dr Eric Secemsky, Director of Vascular Intervention at BIDMC and Section head of Intervetional Cardiology and Vascular research at the Richard. A. and Susan F. Smith Center for Outcomes Research in Cardiology at BIDMC. Dr. Secemsky delves into the prevalence of high blood pressure, affecting nearly half of American adults, with many being unaware of their condition or facing challenges in consistently accessing or adhering to medications. Shockingly only one in four individuals with high blood pressure have it under control, underscoring the urgency of addressing this public health concern. The discussion highlights the subset of patients facing treatment resistant hypertension, where standard medication prove ineffective or intolerable, posing increased risks of heart of disease, stroke, and cardiovascular complications. Dr. Secemsky introduces the pioneering procedure of renal denervation (RDN), which involves permanently disrupting the nerves, controlling the kidneys' arteries. This innovative approach, developed, offers a potential solution for bringing treatment resistant hypertension back under control, offering hope for patients facing persistent challenges in managing their condition. The episode provides a comprehensive exploration of the groundbreaking RDN procedure, offering valuable insights into a first-of-its kind treatment for high blood pressure. Dr. Secemsky's expertise and the innovative advancements in cardiovascular care showcased in this episode underscore the ongoing pursuit of transformative solutions in the field of interventional cardiology. Tune into * The Heart Of Innovation* for an in-depth discussions on this breakthrough treatment for hypertension and its potential impact on reshaping the landscape of vascular care.

MIT leaders and scholars have released a set of policy briefs outlining a framework for the governance of artificial intelligence (AI) in the US.https://news.mit.edu/2023/mit-group-releases-white-papers-governance-ai-1211 Physician-investigators at BIDMC found that a chatbot's probabilistic reasoning was comparable to human clinicians.https://medicalxpress.com/news/2023-12-ai-chatbot-potential-diagnostic-partner.html Microsoft is using AI to expedite the paperwork for setting up new nuclear power plants.https://futurism.com/the-byte/microsoft-ai-paperwork-nuclear The Ray-Ban Meta smart glasses are getting upgrades to the AI assistant, including real-time information and contextual capabilities.https://www.engadget.com/the-ray-ban-meta-smart-glasses-are-getting-ai-powered-visual-search-features-204556255.html Visit www.integratedaisolutions.com

Führungskräfte und Wissenschaftler des MIT haben eine Reihe von Policy Briefs veröffentlicht, die einen Rahmen für die Steuerung der künstlichen Intelligenz (KI) in den USA skizzieren.https://news.mit.edu/2023/mit-group-releases-white-papers-governance-ai-1211 Ärzte und Forscher am BIDMC fanden heraus, dass die probabilistische Argumentation eines Chatbots mit der von menschlichen Klinikern vergleichbar war.https://medicalxpress.com/news/2023-12-ai-chatbot-potential-diagnostic-partner.html Microsoft nutzt KI, um den Papierkram für die Errichtung neuer Kernkraftwerke zu beschleunigen.https://futurism.com/the-byte/microsoft-ai-paperwork-nuclear Die Ray-Ban Meta-Datenbrille erhält Upgrades für den KI-Assistenten, einschließlich Echtzeitinformationen und kontextbezogener Funktionen.https://www.engadget.com/the-ray-ban-meta-smart-glasses-are-getting-ai-powered-visual-search-features-204556255.html Visit www.integratedaisolutions.com

Podcast jest dostępny także w formie newslettera: https://ainewsletter.integratedaisolutions.com/ Liderzy i uczeni z MIT opublikowali zestaw wytycznych politycznych przedstawiających ramy zarządzania sztuczną inteligencją (AI) w USA.https://news.mit.edu/2023/mit-group-releases-white-papers-governance-ai-1211 Lekarze-badacze z BIDMC odkryli, że probabilistyczne rozumowanie chatbota jest porównywalne z rozumowaniem ludzi.https://medicalxpress.com/news/2023-12-ai-chatbot-potential-diagnostic-partner.html Microsoft korzysta ze sztucznej inteligencji, aby przyspieszyć formalności związane z konfiguracją nowych elektrowni jądrowych.https://futurism.com/the-byte/microsoft-ai-paperwork-nuclear Inteligentne okulary Ray-Ban Meta otrzymają ulepszenia w postaci asystenta AI, obejmującego informacje w czasie rzeczywistym i funkcje kontekstowe.https://www.engadget.com/the-ray-ban-meta-smart-glasses-are-getting-ai-powered-visual-search-features-204556255.html Odwiedź www.integratedaisolutions.com

In this episode of CMO, I talk with our Clinical ECMO Program Coordinator and nursing specialist, Malory Butera. She is someone who is heavily involved in the care of patients at BIDMC who are on ECMO support. She is also very involved in education around the speciality of mechanical circulatory support, including for my fellowship program and the days we spend in the simulation lab.

Join us for a conversation with Franklin King, is a psychiatrist with expertise in neuroscience and psychedelics. Hear him discuss his history of working in a psych ER and his perspectives on how public health interventions can help people attain greater wellness. Dr. King's unique experience in mental health care and research on psychedelic-assisted therapy leads to an engaging discussion about how psychedelic medicine is evolving in our current health care system. Dr. King is a psychiatrist at Mass General Hospital in Boston, were trained in residency and fellowships in Consult-Liaison Psychiatry and a research fellowship with the Cardiac Psychiatry Research Program. He is particularly interested in optimization of therapy paradigms within psychedelic research as well as the use of psychedelic-assisted therapies in disorders at the mind-body interface. Dr. King is currently the Principal Investigator in a pilot study exploring the feasibility of psilocybin-assisted therapy for irritable bowel syndrome and is the study psychiatrist for a neuroimaging study partnering with MAPS examining the effects of MDMA-assisted therapy for fibromyalgia (PI: Vitaly Napadow). He is also co-developing the Harvard Interdisciplinary Program in Psychedelics with friends colleagues at BWH and BIDMC, a program that will provide education and training in psychedelic-assisted therapies for clinicians across the various hospitals in the Harvard Medical School community.

This episode features registered dietitian nutritionists Alison Creeden and Jennifer Bryant, here to talk with us about their recent publication in National Home Infusion Association's magazine entitled Concurrent Enteral and Parenteral Nutrition Support. Alison Creeden, MS, RD, LDN, CNSC obtained a Bachelor of Science degree in Nutrition from Simmons University followed by a Master of Science degree in Nutrition from the University of Massachusetts, Amherst. Over the last eleven years, she has specialized in oncology nutrition, working at multiple Boston-based hospitals including Mount Auburn Hospital, Brigham and Women's Hospital and most recently Beth Israel Deaconess Medical Center (BIDMC).  In 2019, she became the outpatient head and neck cancer dietitian at BIDMC following her experience as an inpatient oncology dietitian and critical care dietitian and in January 2022, she transitioned to home infusion,  specializing in patients on home parenteral nutrition. Jennifer Bryant, MS, RD, CSO, LD, CNSC, is a registered dietitian, licensed nutritionist, nutrition support clinician, and board certified specialist in oncology nutrition.  She works alongside Alison caring for home infusion as well as holds adjunct faculty positions at Southern Maine Community College, The University of Southern Maine, and The University of New England where she has taught nutrition for the last 14 years. This episode is hosted by Christina M. Rollins, MBA, MS, RDN, LDN, FAND, CNSC and was recorded on 6/14/23.

This week I'm joined by Dr. Ritika Parris who is a primary care physician and head of GME wellness at BIDMC in Boston. We cover so much in this coversation from having her two babies prematurely, navigating roles and jobs with her partner who is also a physician, the mentors she had looking out for her along the way, and what she had to do when she was working an overnight in a community hospital without a maternity ward and she forgot her pump supples.Follow Ritika:- TwitterFollow Moms of Medicine:- Twitter- InstagramFollow Ali:- Twitter 

Like we've heard hundreds of times, “there's an app for that!” Mobile apps are ubiquitous in modern life. With the proliferation of mental health apps available in app stores, it can be difficult to determine which apps have been rigorously tested and validated. Additionally, the mental health app market is largely unregulated, meaning that many apps may make claims about their effectiveness without sufficient evidence to support them. This can be problematic, as using an app without evidence-based support may not only be a waste of time and money but also potentially harmful if it leads to delayed treatment or incorrect self-diagnosis. How is a mental health practitioner to find evidence-based apps to use in therapy? And what are the challenges to NOT considering utilizing mobile apps in clinical work? Join us in a fascinating discussion with Dr. Greg Reger about the current mental health mobile app landscape and you can integrate mobile app use in your clinical practice.Dr. Greg Reger is the Deputy Associate Chief of Staff for Mental Health at the VA Puget Sound Health Care System and Professor of Psychiatry and Behavioral Sciences at the University of Washington School of Medicine. He received his PhD in Clinical Psychology from Fuller Theological Seminary and completed his psychology internship at Walter Reed Army Medical Center. He served with the 98th Combat Stress Control Detachment at Joint Base Lewis-McChord and deployed to Iraq for a year prior to working for the Department of Defense National Center for Telehealth and Technology (T2). Dr. Reger's research is focused on the design, development, and evaluation of innovative technologies to support Service Member and Veteran psychological health.Resources mentioned in this episode: M-Health Index and Navigation Database Mobile Health Index and Navigation Database, App Evaluation Resources from the Division of Digital Psychiatry at BIDMC (mindapps.org)One Mind PsyberGuide One Mind PsyberGuide | A Mental Health App GuideVA Mental Health Applications VA App Store | VA MobileNo personal knowledge of accuracy but I am told this is the current library of DoD apps (including MH apps) DHA PWAs (health.mil)Psychiatry.org - The App Evaluation Model Calls-to-action: For example: Subscribe to the Practical for Your Practice PodcastSubscribe to The Center for Deployment Psychology Monthly Email

In this episode, host Dr. Sabeen Dhand interviews interventional cardiologist Dr. Eric Secemsky about the role of intravascular ultrasound in lower extremity interventions, and how he published a consensus document to standardize its use across specialties and provide a framework for new users. --- CHECK OUT OUR SPONSORS Philips Image Guided Therapy Devices Academy https://resource.philipseliiteacademy.com Philips SymphonySuite https://www.philips.com/symphonysuite --- SHOW NOTES Dr. Secemsky practices at BIDMC in Boston. His passions are pulmonary embolism intervention and intravascular ultrasound (IVUS) for peripheral vascular disease. He began using IVUS for coronary interventions, and then began incorporating it in arterial and venous peripheral interventions. The goal is to make procedures durable in the endovascular world, and IVUS is key for that. In the coronaries, there is a standardized way that all cardiologists use IVUS for. First, they cross the lesion with the wire, then use IVUS to measure lesion length and vessel diameter for stent sizing. They also evaluate plaque composition, which informs whether to use a plaque modifying device before stenting. They then balloon, stent, and use IVUS again to evaluate stent position and check for dissections. Dr. Secemsky measures an arterial lumen by identifying the 3 layers of the vessel wall, and finding the black stripe behind the intima, which corresponds to the elastic membrane. Dr. Secemsky tells us about a consensus article he published in the Journal of the American College of Cardiology. He collaborated with some colleagues to form a 12 person steering committee composed of interventional cardiology, interventional radiology, vascular surgery and vascular medicine specialists. The goal was to consolidate information from all these specialties to provide a single standardized document. This document can be used for those wanting to incorporate IVUS into their practice, but don't know where to begin. They established levels of evidence regarding where IVUS is most appropriate. They found that tibial arterial intervention has the highest support for use of IVUS across specialties. Furthermore, they established that the best practice for IVUS is to use it three times per case, for pre-intervention, middle-run and post-run. Using IVUS is safe, and offers so much information to make case a more efficient. In addition, you cut down on device utilization, contrast use and radiation exposure, while improving patient outcomes by getting better luminal gain and improved durability of your intervention. --- RESOURCES JACC Consensus Article: https://pubmed.ncbi.nlm.nih.gov/35926922/

"You end up finding yourself in this bubble of work, and childcare and survival mode, and I think a lot of us tend to feel alone when our focus is so narrow and our focus is on the work and on our child and it can feel very isolating, and it can feel like we're the only one going through the situation, not recognizing that it is so common and all new moms feel this way."Today's conversation is with Dr. Lika Targan, a primary care physician and medical educator at BIDMC. We talk about:- Balancing work and home life- Going through a divorce- Being a single mom- Egg freezing - logistics and the emotional and physical toll- Being forgiving of yourself when you can't give 110%

HRRP stands for Hospital Readmissions Reduction Program, by the way. I wanted to encore this episode with Dr. Rishi Wadhera because it's a great representation of a common root cause reason why quality metrics sometimes don't end well in real life. This root cause is otherwise known as Goodhart's Law, and we dig into Goodhart's law later on in this healthcare podcast. But the actual and ultimate impact of HRRP is also a pretty good representation of the consequences, what happens, when you create a blunt-force policy that assumes hospitals with very different circumstances are the same. Before we kick in to the episode, I asked Dr. Wadhera, my guest today as aforementioned, if there'd been any updates regarding HRRP since this show originally aired last year; and he told me that two key pieces have come out this past month in JAMA journals calling out CMS (Centers for Medicare & Medicaid Services) to move on from/retire this policy: A Decade of Observing the Hospital Readmission Reductions Program—Time to Retire an Ineffective Policy Readmission Reduction as a Hospital Quality Measure: Time to Move on to More Pressing Concerns? Thanks so much to Dr. Steve Schutzer and also BoneDoc66 for your really nice reviews this past month. So appreciated … thank you so much! And here is your encore. Today's guest is Rishi Wadhera, MD, MPP. Dr. Wadhera authored a retrospective analysis in the BMJ about the HRRP, which we will talk about in this healthcare podcast. Dr. Wadhera is a cardiologist at Beth Israel Deaconess Medical Center. He also has a master's in public policy at the Harvard Kennedy School of Government and also a master's in public health from the University of Cambridge. But here's the larger epiphany that pertains to all value-based care and all quality metrics which Dr. Wadhera brings up in this healthcare podcast and which my nerd heart could not love more: Goodhart's Law. This law is the root of so very many problems. Goodhart's Law is this (which I learned from Dr. Wadhera): “When a measure becomes a target, it ceases to be a good measure.” In other words, when we set a goal, people will try to take a shortcut to the goal, regardless of the consequences. And sometimes the consequences, paradoxically, are to do worse at the goal. Maybe because bean counters and admins and maybe even goal-oriented clinicians themselves will go right to the end goal, inadvertently skipping a whole bunch of (it turns out) rate-critical steps. For example, teaching to the test may not lead to students who deeply understand a subject. And anyone trying to achieve value-based care success, improve quality, form collaborations, or make sales might want to remember that old proverb, “Sometimes the shortest way home is the long way around.”   You can learn more at Dr. Wadhera's Harvard Catalyst profile and the Beth Israel Deaconess Medical Center Web site.   Rishi K. Wadhera, MD, MPP, MPhil, is an assistant professor of medicine at Harvard Medical School, a cardiologist at Beth Israel Deaconess Medical Center (BIDMC), and the associate program director of the cardiovascular medicine fellowship at BIDMC. He is also health policy and equity researcher at the Richard A. and Susan F. Smith Center for Outcomes Research in Cardiology. Dr. Wadhera received his MD from the Mayo Clinic School of Medicine as well as an MPhil in public health as a Gates Cambridge Scholar from the University of Cambridge. He completed his internal medicine residency and cardiovascular medicine fellowship at Brigham and Women's Hospital in Boston. During this time, he also received a master's in public policy (MPP) at the Harvard Kennedy School of Government, with a focus on health policy. Dr. Wadhera's research spans questions related to healthcare access, quality, and disparities, as well as understanding how local, state, and national policy initiatives impact care delivery, health equity, and outcomes. Dr. Wadhera has published more than 80 articles to date, and he receives research support from the National Heart, Lung, and Blood Institute (NHLBI) and the National Institutes of Health (NIH)   03:30 What was the Hospital Readmissions Reduction Program intended to do? 05:22 Why did the Centers for Medicare & Medicaid (CMS) think some readmissions were preventable? 06:02 “The spirit of the Hospital Readmissions Reduction Program was to incentivize hospitals to improve … discharge planning, transitions of care, and post-discharge follow-up and care.” 06:58 How has research in the last few years changed the thoughts on the effectiveness of the Hospital Readmissions Reduction Program? 08:16 “The 30-day readmission measure—it's an incomplete measure.” 11:48 “I think patients … are smart, and they know what's going on.” 13:34 “What's happening is, we're just increasing the number of times they need to come back to the ER within that 30-day period.” 13:55 “The weird thing about the HRRP is that when it evaluates hospitals' 30-day readmission rates, it's a yes-no phenomenon.” 15:03 “What CMS does is, it risk adjusts … and that is what we should be doing.” 18:30 “This program has been incredibly regressive.” 19:04 “Poverty, neighborhood disadvantage, housing instability—these factors are out of hospitals' control.” 21:50 “Blunt policies like this that are rolled out nationally probably elicit mixed behavioral responses.” 22:06 “It just makes no sense to take resources away from hospitals.” 22:32 EP295 with Rebecca Etz, PhD. 23:47 What's the way to improve quality of care globally? 25:37 “CMS's approach to improving quality of care has really anchored … [that] to payment.” 26:08 “It's time for us to rethink what our approach to quality improvement should be.” 29:22 “Policy makers have an obligation to rigorously test the impact of these types of policies before they roll them out nationally.” 31:41 Can you scale healthcare nationally?   You can learn more at Dr. Wadhera's Harvard Catalyst profile and the Beth Israel Deaconess Medical Center Web site.   @rkwadhera of @BIDMChealth discusses #HRRP on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc #hospitalreadmission What was the Hospital Readmissions Reduction Program intended to do? @rkwadhera of @BIDMChealth discusses #HRRP on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc #hospitalreadmission Why did CMS think some readmissions were preventable? @rkwadhera of @BIDMChealth discusses #HRRP on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc #hospitalreadmission “The spirit of the Hospital Readmissions Reduction Program was to incentivize hospitals to improve … discharge planning, transitions of care, and post-discharge follow-up and care.” @rkwadhera of @BIDMChealth discusses #HRRP on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc #hospitalreadmission How has research in the last few years changed the thoughts on the effectiveness of the Hospital Readmissions Reduction Program? @rkwadhera of @BIDMChealth discusses #HRRP on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc #hospitalreadmission “The 30-day readmission measure—it's an incomplete measure.” @rkwadhera of @BIDMChealth discusses #HRRP on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc #hospitalreadmission “What CMS does is, it risk adjusts … and that is what we should be doing.” @rkwadhera of @BIDMChealth discusses #HRRP on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc #hospitalreadmission “Blunt policies like this that are rolled out nationally probably elicit mixed behavioral responses.” @rkwadhera of @BIDMChealth discusses #HRRP on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc #hospitalreadmission “It just makes no sense to take resources away from hospitals.” @rkwadhera of @BIDMChealth discusses #HRRP on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc #hospitalreadmission What's the way to improve quality of care globally? @rkwadhera of @BIDMChealth discusses #HRRP on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc #hospitalreadmission “It's time for us to rethink what our approach to quality improvement should be.” @rkwadhera of @BIDMChealth discusses #HRRP on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc #hospitalreadmission Can you scale healthcare nationally? @rkwadhera of @BIDMChealth discusses #HRRP on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc #hospitalreadmission   Recent past interviews: Click a guest's name for their latest RHV episode! Ge Bai (Encore! EP356), Dave Dierk and Stacey Richter (INBW37), Merrill Goozner, Betsy Seals (EP387), Stacey Richter (INBW36), Dr Eric Bricker (Encore! EP351), Al Lewis, Dan Mendelson, Wendell Potter, Nick Stefanizzi, Brian Klepper (Encore! EP335), Dr Aaron Mitchell (EP382), Karen Root, Mark Miller, AJ Loiacono, Josh LaRosa, Stacey Richter (INBW35), Rebecca Etz (Encore! EP295), Olivia Webb (Encore! EP337), Mike Baldzicki, Lisa Bari, Betsy Seals (EP375), Dave Chase, Cora Opsahl (EP373), Cora Opsahl (EP372), Dr Mark Fendrick (Encore! EP308), Erik Davis and Autumn Yongchu (EP371), Erik Davis and Autumn Yongchu (EP370)

In this episode, we discuss the utility of veno-arterial extra-corporeal membrane oxygenation (VA-ECMO) for the temporary management of biventricular failure and cardiogenic shock requiring full cardiopulmonary support. Here, we define the types of ECMO and describe the unique physiology of this mechanical circulatory support platform, as well as review the potential complications and management strategies. Most notably, we highlight indications for and contraindications to the use of VA-ECMO and review the importance of patient selection.  Lastly, we discuss de-escalation and de-cannulation strategies for patients on VA-ECMO as a bridge to recovery. Join Dr. Amit Goyal (CardioNerds Cofounder and FIT at Cleveland Clinic), Dr. Yoav Karpenshif (Series Co-chair and FIT at University of Pennsylvania), and Dr. Megan Burke (Episode FIT Lead and FIT at University of Pennsylvania) as they learn about how to care for some of our sickest patients from Dr. Ann Gage, interventional and critical care cardiologist at Centennial Heart. At the beginning of the episode, enjoy a message from the very first CardioNerds Scholar, Dr. Katie Vaughan (Chief Resident and soon Cardiology Fellow at BIDMC). Episode notes were developed by Dr. Megan Burke. Audio editing by CardioNerds Academy Intern, Hirsh Elhence. The CardioNerds Cardiac Critical Care Series is a multi-institutional collaboration made possible by contributions of stellar fellow leads and expert faculty from several programs, led by series co-chairs, Dr. Mark Belkin, Dr. Eunice Dugan, Dr. Karan Desai, and Dr. Yoav Karpenshif. Pearls • Notes • References • Production Team CardioNerds Cardiac Critical Care PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls and Quotes - Biventricular Failure and the Use of VA-ECMO Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) is a form of temporary mechanical circulatory support that can do the work of both the heart and lungs. The ECMO circuit is a narcissist, i.e. cannulas are named in reference to the circuit and not the patient (“inflow” vs “outflow”). The decision to utilize ECMO should be made by a multidisciplinary shock team and patient selection is KEY! ECMO physiology rule #1: VA-ECMO increases LV afterload Patients on VA-ECMO should be monitored with a PA catheter and an arterial line in the right arm Show notes - Biventricular Failure and the Use of VA-ECMO Notes drafted by Dr. Megan Burke. 1. What is ECMO and what are the different types? Extracorporeal membrane oxygenation (ECMO) is a temporary form of mechanical life support that comes in two flavors: veno-arterial, or “VA” and veno-venous, or “VV.”  VV-ECMO supports extracorporeal gas exchange in the setting of acute respiratory failure VA-ECMO provides full circulatory support in addition to gas exchange, doing the work of both the heart and lungs.  2. What are the components and “anatomy” of the VA-ECMO circuit? The circuit is made up of the following major components: Venous (inflow) cannula Centrifugal Pump Oxygenator (also responsible for CO2 removal) Arterial (outflow) cannula The cannulas are named in reference to the ECMO circuit, not the patient. Dr. Gage suggests that we think of the ECMO circuit (and mechanical circulatory support in general) as narcissistic, i.e. flow is always in reference to the device. Gas exchange happens in the oxygenator. In the oxygenator blood flows through thin filaments that allow for diffusion of oxygen and carbon dioxide. Gas flows in the opposite direction of blood flow to maximize diffusion through the countercurrent effect. Oxygenation is determined by rate of blood flow through the oxygenator and FiO2 delivered. Carbon dioxide removal is determined by rate of countercurrent gas flow,

Welcome back to our Pulm PEEPs Fellows' Case Files series! We are joined this week by a fellow and the program director from the Harvard combined PCCM fellowship at Massachusettes General Hospital and Beth Israel Deaconess Medical Center. Listen in … Continue reading →

For the 34th episode of the CIO podcast hosted by Healthcare IT Today, we sat down with Leanne Harvey, CIO of Harvard Medical Faculty Physicians at BIDMC.  We dive into telehealth with Harvey to learn about where BIDMC is at 2 years post COVID.  She shares some of the lessons learned.  Plus, we ask her […]

In this episode, we welcome Joan Drevins(joan.drevins@gmail.com), the Education Program Coordinator at Beth Israel Deaconess Medical Center (BIDMC). Joan shared her work at BIDMC and the intriguing interdisciplinary nature of physical therapy and occupational therapy. As a Sargent College Alumnus (Sargent 1975), Joan also shared her experience as a Physical Therapy major. The moderator of the podcast is Dr. Karen Jacobs (kjacobs@bu.edu), who is the Associate Dean, Digital Learning and Innovation, a Clinical Professor and the Program Director for the online post-professional doctorate in the occupational therapy program at Sargent College. Marial Williams (marialw@bu.edu), a Boston University entry-level occupational therapy doctoral student, composed the music for the podcast.

Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Center have turned to health IT, from electronic medical records to telehealth, to aid providers and patients in the care setting. Our guests bring their modernization story to HealthCast and detail how these technologies have served as a boon for their medical center, especially amid COVID-19.

In this episode of the Award-winning PRS Journal Club Podcast, 2022 Resident Ambassadors to the PRS Editorial Board – Saïd Azoury, Emily Long, and Ronnie Shammas- and special guest Samuel Lin, MD, FACS, discuss the following articles from the March 2022 issue: “Are Perforators Reliable as Recipient Arteries in Lower Extremity Reconstruction? Analysis of 423 Free Perforator Flaps” by Power, Cho, Kwon, et al. Read the article for FREE: https://bit.ly/423FreePerfFlaps Special Samuel Lin, MD, FACS, is an Assistant Professor of Surgery at Harvard Medical School and Program Director of the Harvard Plastic Surgery Residency at BIDMC. He is also Co-Director at the Harvard Aesthetic and Reconstructive Plastic Surgery Fellowship at BIDMC and serves as the Outcome Section Editor for PRS.  READ the articles discussed in this podcast as well as free related content from the archives: https://bit.ly/PRSMarch22Collection

In this episode of the Award-winning PRS Journal Club Podcast, 2022 Resident Ambassadors to the PRS Editorial Board – Saïd Azoury, Emily Long, and Ronnie Shammas- and special guest Samuel Lin, MD, FACS, discuss the following articles from the March 2022 issue: “Training Surgery Residents to be Leaders: Construction of a Resident Leadership Curriculum” by Stein, Kelly, Useem, et al. Read the article for FREE: https://bit.ly/Residents2BLeaders Special Samuel Lin, MD, FACS, is an Assistant Professor of Surgery at Harvard Medical School and Program Director of the Harvard Plastic Surgery Residency at BIDMC. He is also Co-Director at the Harvard Aesthetic and Reconstructive Plastic Surgery Fellowship at BIDMC and serves as the Outcome Section Editor for PRS.  READ the articles discussed in this podcast as well as free related content from the archives: https://bit.ly/PRSMarch22Collection

In this episode of the Award-winning PRS Journal Club Podcast, 2022 Resident Ambassadors to the PRS Editorial Board – Saïd Azoury, Emily Long, and Ronnie Shammas- and special guest Samuel Lin, MD, FACS, discuss the following articles from the March 2022 issue: “Comparing Outcomes after Oncoplastic Breast Reduction and Breast Reduction for Benign Macromastia” by Marano, Grover, Peysakhovich, et al. Read the article for FREE: https://bit.ly/BreastReductionOutcomes Special Samuel Lin, MD, FACS, is an Assistant Professor of Surgery at Harvard Medical School and Program Director of the Harvard Plastic Surgery Residency at BIDMC. He is also Co-Director at the Harvard Aesthetic and Reconstructive Plastic Surgery Fellowship at BIDMC and serves as the Outcome Section Editor for PRS.  READ the articles discussed in this podcast as well as free related content from the archives: https://bit.ly/PRSMarch22Collection    

Setpoint theory describes a theory of weight maintenance in which one's weight is genetically predetermined in a preferred range, explaining that your body will do what it must in order to maintain this range. Diets fail because our bodies and our weights are genetically pre-determined, unable to be commodified by the harmful BMI metric, which ignores several crucial details in calculating a person's relative health. This episode dives deep into both of these concepts and their standing in the medical field, uncovering significant chasms of misleading information.    Bibliography (show notes):   Christensen, Jen. Calling BS on BMI: How Can We Tell How Fat We Are? | CNN. CNN, 16 Aug. 2017, www.cnn.com/2017/08/16/health/bmi-measure-fat-questions/index.html. Ghoshal, Malini. “Set Point Theory and How It Relates to Diet and Weight Loss.” Healthline, Healthline Media, 19 Mar. 2020, www.healthline.com/health/set-point-theory#summary. Müller, Manfred J et al. “Is there evidence for a set point that regulates human body weight?.” F1000 medicine reports vol. 2 59. 9 Aug. 2010, doi:10.3410/M2-59   Oliver, J.E. (2006). Fat Politics: The Real Story Behind America's Obesity Epidemic. (pp. 16-22). New York: Oxford University Press. Ratini, Melinda. “Set Point Weight: Why You May Regain Weight after Losing It.” WebMD, WebMD, 19 May 2021, www.webmd.com/diet/obesity/what-is-set-point-weight#2. “Set Point Theory: What It Is and How to Know If You're at It.” NourishRX, 21 Sept. 2021, nourishrx.com/set-point-theory/. “Week One: The Science of Set Point.” BIDMC of Boston, 12 Oct. 2017, www.bidmc.org/about-bidmc/wellness-insights/nutrition/week-one-the-science-of-set-point

How to spot supplement red flags with my amazing dietetic intern from BIDMC in Boston, MA, Madison MacFarland From Ronald Regan, to Senator Orrin Hatch, and Dietary Supplement Health and Education Act, known as DSHEA What to avoid, what to make sure you don't waste your money on, and how to tell the difference! For more, as always, head to majorleaguenutrition.com To submit questions, send them to admin@majorleaguenutrition.com or DM us on instagram @majorleaguenutrition Thanks for listening! Stay tuned for more! This content is FREE. All we ask is that you plan, "like", share, and repeat! Happy Healthy Holidays Everyone! - Nicole & The Major League Nutrition Team --- Send in a voice message: https://podcasters.spotify.com/pod/show/nicolechenard/message Support this podcast: https://podcasters.spotify.com/pod/show/nicolechenard/support

This talk features inspiring stories from Dr. Nancy Oriol's work with the Family Van and Dr. James O'Connell's work with Healthcare for the Homeless. Also featured are influential Native American leaders: Harvard Medical School student Victor Anthony Lopez-Carmen and acclaimed radio host Tiokasin Ghosthorse. The ancient understanding of healthcare rooted in compassion for people and planet, resonates deeply with mystic and visionary Sadhguru, who recently visited several Native American reservations. Sadhguru explains how to approach healthcare indiscriminately and offers wisdom from his groundbreaking social justice projects. Together, the panel brainstorms creative approaches to improve healthcare for Native Americans.

This talk features inspiring stories from Dr. Nancy Oriol's work with the Family Van and Dr. James O'Connell's work with Healthcare for the Homeless. Also featured are influential Native American leaders: Harvard Medical School student Victor Anthony Lopez-Carmen and acclaimed radio host Tiokasin Ghosthorse. The ancient understanding of healthcare rooted in compassion for people and planet, resonates deeply with mystic and visionary Sadhguru, who recently visited several Native American reservations. Sadhguru explains how to approach healthcare indiscriminately and offers wisdom from his groundbreaking social justice projects. Together, the panel brainstorms creative approaches to improve healthcare for Native Americans.Conscious Planet: https://www.consciousplanet.org Sadhguru App (Download): http://onelink.to/sadhguru__appOfficial Sadhguru Website: http://isha.sadhguru.orgSadhguru Exclusive: https://isha.sadhguru.org/in/en/sadhguru-exclusiveSee omnystudio.com/listener for privacy information.

Here's the context, friends: As you may have noticed over the past few episodes, we have been digging into value-based care here at Relentless Health Value corporate work-from-home headquarters. Many lessons have been learned, and it's important that we sit back and think hard every now and then about how we are going to use these learnings to improve. While this show tackles the Hospital Readmissions Reduction Program (HRRP)—and wow, I was glued to my seat during this interview—the show is really about more than that, which I'll get into in 30 seconds. But let's start here: HRRP was originally part of the Affordable Care Act in 2010. In 2012, HRRP began imposing penalties on hospitals with higher-than-expected 30-day readmission rates for three conditions: heart failure, myocardial infarction, and pneumonia. Spoiler alert: More recently, CABG, THA/TKA, and COPD were added to the list. So basically, if a patient is in the hospital for any of these six things and then is readmitted to the hospital for any reason within 30 days, penalties can happen. Today's guest is Rishi Wadhera, MD, MPP. Dr. Wadhera authored a retrospective analysis in the BMJ about the HRRP, which we will talk about in this health care podcast. His findings are fascinating and relevant on a number of levels.  Dr. Wadhera is a cardiologist at Beth Israel Deaconess Medical Center. He also has a master's in public policy at the Harvard Kennedy School of Government and also a master's in public health from the University of Cambridge. Dr. Wadhera works on policy at the Richard A. and Susan F. Smith Center for Outcomes Research in Cardiology.  But here's the larger epiphany that pertains to all value-based care and all quality metrics which Dr. Wadhera brings up in this health care podcast and which my nerd heart could not love more: Goodhart's Law. This law is the root of so very many problems. Goodhart's Law is this (which I learned from Dr. Wadhera): “When a measure becomes a target, it ceases to be a good measure.” In other words, when we set a goal, people will try to take a shortcut to the goal, regardless of the consequences. And sometimes the consequences, paradoxically, are to do worse at the goal. For example, teaching to the test may not actually lead to students who deeply understand a subject. Here's another example, and Rebecca Etz, PhD, talks about this in EP295: If you want PCPs to do an amazing job managing diabetes, for example, the best measures are ones that quantify the doctor's relationship with the patient and the amount of trust between them. The second you start using their panel's average A1C as the performance metric, A1Cs at best don't improve. Why? Bean counters and admins and maybe even goal-oriented clinicians themselves will go right to the end goal, inadvertently skipping a whole bunch of (it turns out) rate-critical steps. It doesn't go well. It's like salespeople who try to close before they build a relationship. Time to goal counterintuitively is slower, and performance is poorer. Anyone building value-based care or quality programs might really want to include Goodhart's Law in their thinking. And anyone trying to achieve value-based care success, improve quality, form collaborations, or make sales might want to remember that old proverb, “Sometimes the shortest way home is the long way around.” You can learn more at Dr. Rishi's Harvard Catalyst profile and the Beth Israel Deaconess Medical Center Web site. Rishi K. Wadhera, MD, MPP, MPhil, is an assistant professor of medicine at Harvard Medical School, a cardiologist at Beth Israel Deaconess Medical Center (BIDMC), and the associate program director of the cardiovascular medicine fellowship at BIDMC. He is also health policy and equity researcher at the Richard A. and Susan F. Smith Center for Outcomes Research in Cardiology. Dr. Wadhera received his MD from the Mayo Clinic School of Medicine as well as an MPhil in public health as a Gates Cambridge Scholar from the University of Cambridge. He completed his internal medicine residency and cardiovascular medicine fellowship at Brigham and Women's Hospital in Boston. During this time, he also received a master's in public policy (MPP) at the Harvard Kennedy School of Government, with a focus on health policy. Dr. Wadhera's research spans questions related to health care access, quality, and disparities, as well as understanding how local, state, and national policy initiatives impact care delivery, health equity, and outcomes. Dr. Wadhera has published more than 80 articles to date, and he receives research support from the National Heart, Lung, and Blood Institute (NHLBI) and the National Institutes of Health (NIH). 03:10 What was the Hospital Readmissions Reduction Program intended to do? 05:05 Why did the Centers for Medicare & Medicaid (CMS) think some readmissions were preventable? 05:46 “The spirit of the Hospital Readmissions Reduction Program was to incentivize hospitals to improve … discharge planning, transitions of care, and post-discharge follow-up and care.” 06:54 How has research in the last few years changed the thoughts on the effectiveness of the Hospital Readmissions Reduction Program? 08:14 “The 30-day readmission measure—it's an incomplete measure.” 12:12 “I think patients … are smart, and they know what's going on.” 14:01 “What's happening is, we're just increasing the number of times they need to come back to the ER within that 30-day period.” 14:22 “The weird thing about the HRRP is that when it evaluates hospitals' 30-day readmission rates, it's a yes-no phenomenon.” 15:30 “What CMS does is, it risk adjusts … and that is what we should be doing.” 19:16 “This program has been incredibly regressive.” 19:51 “Poverty, neighborhood disadvantage, housing instability—these factors are out of hospitals' control.” 22:56 “Blunt policies like this that are rolled out nationally probably elicit mixed behavioral responses.” 23:12 “It just makes no sense to take resources away from hospitals.” 25:22 What's the way to improve quality of care globally? 27:19 “CMS's approach to improving quality of care has really anchored … [that] to payment.” 27:49 “It's time for us to rethink what our approach to quality improvement should be.” 31:28 “Policy makers have an obligation to rigorously test the impact of these types of policies before they roll them out nationally.” 34:05 Can you scale health care nationally? You can learn more at Dr. Rishi's Harvard Catalyst profile and the Beth Israel Deaconess Medical Center Web site. @rkwadhera of @BIDMChealth discusses #HRRP on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc #hospitalreadmission What was the Hospital Readmissions Reduction Program intended to do? @rkwadhera of @BIDMChealth discusses #HRRP on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc #hospitalreadmission Why did CMS think some readmissions were preventable? @rkwadhera of @BIDMChealth discusses #HRRP on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc #hospitalreadmission “The spirit of the Hospital Readmissions Reduction Program was to incentivize hospitals to improve … discharge planning, transitions of care, and post-discharge follow-up and care.” @rkwadhera of @BIDMChealth discusses #HRRP on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc #hospitalreadmission How has research in the last few years changed the thoughts on the effectiveness of the Hospital Readmissions Reduction Program? @rkwadhera of @BIDMChealth discusses #HRRP on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc #hospitalreadmission “The 30-day readmission measure—it's an incomplete measure.” @rkwadhera of @BIDMChealth discusses #HRRP on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc #hospitalreadmission “What CMS does is, it risk adjusts … and that is what we should be doing.” @rkwadhera of @BIDMChealth discusses #HRRP on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc #hospitalreadmission “Blunt policies like this that are rolled out nationally probably elicit mixed behavioral responses.” @rkwadhera of @BIDMChealth discusses #HRRP on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc #hospitalreadmission “It just makes no sense to take resources away from hospitals.” @rkwadhera of @BIDMChealth discusses #HRRP on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc #hospitalreadmission What's the way to improve quality of care globally? @rkwadhera of @BIDMChealth discusses #HRRP on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc #hospitalreadmission “It's time for us to rethink what our approach to quality improvement should be.” @rkwadhera of @BIDMChealth discusses #HRRP on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc #hospitalreadmission Can you scale health care nationally? @rkwadhera of @BIDMChealth discusses #HRRP on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc #hospitalreadmission

Senthil Muthuswamy, PhD, director of the Cell Biology Program at the Cancer Center at BIDMC, discusses his use of organoid models to grow 3D cancer tumor cells and his current clinical trial "Harnessing Organoids for Personalized Treatment" (HOPE).

Dr. Robert Stretch is a specialist in Pulmonary, Critical Care & Sleep Medicine. After graduating from Yale School of Medicine in 2014, he completed subspecialty training at BIDMC in Boston and UCLA Medical Center in Los Angeles. He is board-certified by the American Board of Internal Medicine (ABIM).

Dr. Bala Subramaniam is director of BIDMC's Center for Anesthesia Research Excellence and the Ellison “Jeep” Pierce Associate Professor of Anesthesia at BIDMC. Dr. Subramaniam has built an extensive research program alongside his clinical career and has developed a deep understanding of the basic and clinical science that informs all areas of the Center's mission. His current research focuses on perioperative outcomes, with particular interest in postoperative neurocognitive function and the effect of meditation in the perioperative setting and on wellness resilience. Dr. Subramaniam is conducting pioneering research at the intersection of cardiac anesthesiology and neuroscience to determine how clinicians can reduce postoperative delirium, an acute state of confusion and inattention. He is also collaborating with BIDMC investigators to explore the role of meditation in reducing postoperative delirium. Dr. Subramaniam's track record and excellence in research and clinical care combined with his commitment to understand how meditation can transform our approach to consciousness and cognition forms a strong foundation on which the Center will be built and will thrive. https://www.bidmc.org/research/research-by-department/anesthesia-critical-care-and-pain-medicine/research-centers/sadhguru-center Perceived Stress and Meditation  Endocannabinoids and Meditation  Compliance and Mindfulness practices  Inner Engineering Online for professionals  Center for Consciousness, Cognition and Compassion at BIDMC/Harvard

WBZ NewsRadio's Shari Small reports.

Dr. Bala Subramaniam is director of BIDMC’s Center for Anesthesia Research Excellence and the Ellison “Jeep” Pierce Associate Professor of Anesthesia at BIDMC. Dr. Subramaniam has built an extensive research program alongside his clinical career and has developed a deep understanding of the basic and clinical science that informs all areas of the Center’s mission. His current research focuses on perioperative outcomes, with particular interest in postoperative neurocognitive function and the effect of meditation in the perioperative setting and on wellness resilience. Dr. Subramaniam is conducting pioneering research at the intersection of cardiac anesthesiology and neuroscience to determine how clinicians can reduce postoperative delirium, an acute state of confusion and inattention. He is also collaborating with BIDMC investigators to explore the role of meditation in reducing postoperative delirium. Dr. Subramaniam’s track record and excellence in research and clinical care combined with his commitment to understand how meditation can transform our approach to consciousness and cognition forms a strong foundation on which the Center will be built and will thrive

Dr. Bala Subramaniam is director of BIDMC’s Center for Anesthesia Research Excellence and the Ellison “Jeep” Pierce Associate Professor of Anesthesia at BIDMC. Dr. Subramaniam has built an extensive research program alongside his clinical career and has developed a deep understanding of the basic and clinical science that informs all areas of the Center’s mission. His current research focuses on perioperative outcomes, with particular interest in postoperative neurocognitive function and the effect of meditation in the perioperative setting and on wellness resilience. Dr. Subramaniam is conducting pioneering research at the intersection of cardiac anesthesiology and neuroscience to determine how clinicians can reduce postoperative delirium, an acute state of confusion and inattention. He is also collaborating with BIDMC investigators to explore the role of meditation in reducing postoperative delirium. Dr. Subramaniam’s track record and excellence in research and clinical care combined with his commitment to understand how meditation can transform our approach to consciousness and cognition forms a strong foundation on which the Center will be built and will thrive

Dr. Bala Subramaniam is director of BIDMC’s Center for Anesthesia Research Excellence and the Ellison “Jeep” Pierce Associate Professor of Anesthesia at BIDMC. Dr. Subramaniam has built an extensive research program alongside his clinical career and has developed a deep understanding of the basic and clinical science that informs all areas of the Center’s mission. His current research focuses on perioperative outcomes, with particular interest in postoperative neurocognitive function and the effect of meditation in the perioperative setting and on wellness resilience. Dr. Subramaniam is conducting pioneering research at the intersection of cardiac anesthesiology and neuroscience to determine how clinicians can reduce postoperative delirium, an acute state of confusion and inattention. He is also collaborating with BIDMC investigators to explore the role of meditation in reducing postoperative delirium. Dr. Subramaniam’s track record and excellence in research and clinical care combined with his commitment to understand how meditation can transform our approach to consciousness and cognition forms a strong foundation on which the Center will be built and will thrive

Dr. Bala Subramaniam is director of BIDMC’s Center for Anesthesia Research Excellence and the Ellison “Jeep” Pierce Associate Professor of Anesthesia at BIDMC. Dr. Subramaniam has built an extensive research program alongside his clinical career and has developed a deep understanding of the basic and clinical science that informs all areas of the Center’s mission. His current research focuses on perioperative outcomes, with particular interest in postoperative neurocognitive function and the effect of meditation in the perioperative setting and on wellness resilience. Dr. Subramaniam is conducting pioneering research at the intersection of cardiac anesthesiology and neuroscience to determine how clinicians can reduce postoperative delirium, an acute state of confusion and inattention. He is also collaborating with BIDMC investigators to explore the role of meditation in reducing postoperative delirium. Dr. Subramaniam’s track record and excellence in research and clinical care combined with his commitment to understand how meditation can transform our approach to consciousness and cognition forms a strong foundation on which the Center will be built and will thrive

Just-in-time COVID-19 leadership lessons with Greg Ciottone, Medical Preparedness Director, NPLI and Division of Disaster Medicine at Beth Israel Deaconess Medical Center, where he works clinically in the Department of Emergency Medicine. He's known around the world as an expert in disaster and crisis medicine.

Multiple Choice Question of the Day-20 (Patient Safety) Dr RR Baliga's 'Got Knowledge Doc' Podkasts from Chapter on Patient Safety in Baliga's Textbook of Internal Medicine with 1480 Multiple Choice Questions at www.MasterMedFacts.com authored by Anjala V Tess MD Associate Professor at Harvard Medical School Hospitalist at Beth Israel Deaconess Medical Center & Eric J. Alper, MD Professor of Internal Medicine UMass Medical School & Vice Presdient/Chief Clinical Informatics Officer UMass Memorial Health Care   Not Medical Advice or Opinion  

Multiple Choice Question of the Day-19 (Patient Safety) Dr RR Baliga's 'Got Knowledge Doc' Podkasts from Chapter on Patient Safety in Baliga's Textbook of Internal Medicine with 1480 Multiple Choice Questions at www.MasterMedFacts.com authored by Anjala V Tess MD Associate Professor at Harvard Medical School Hospitalist at Beth Israel Deaconess Medical Center & Eric J. Alper, MD Professor of Internal Medicine UMass Medical School & Vice Presdient/Chief Clinical Informatics Officer UMass Memorial Health Care   Not Medical Advice or Opinion  

Multiple Choice Question of the Day-18 (Patient Safety) Dr RR Baliga's 'Got Knowledge Doc' Podkasts from Chapter on Patient Safety in Baliga's Textbook of Internal Medicine with 1480 Multiple Choice Questions at www.MasterMedFacts.com authored by Anjala V Tess MD Associate Professor at Harvard Medical School Hospitalist at Beth Israel Deaconess Medical Center & Eric J. Alper, MD Professor of Internal Medicine UMass Medical School & Vice Presdient/Chief Clinical Informatics Officer UMass Memorial Health Care   Not Medical Advice or Opinion  

Multiple Choice Question of the Day-17 (Patient Safety) Dr RR Baliga's 'Got Knowledge Doc' Podkasts from Chapter on Patient Safety in Baliga's Textbook of Internal Medicine with 1480 Multiple Choice Questions at www.MasterMedFacts.com authored by Anjala V Tess MD Associate Professor at Harvard Medical School Hospitalist at Beth Israel Deaconess Medical Center & Eric J. Alper, MD Professor of Internal Medicine UMass Medical School & Vice Presdient/Chief Clinical Informatics Officer UMass Memorial Health Care   Not Medical Advice or Opinion  

Multiple Choice Question of the Day-16 (Patient Safety) Dr RR Baliga's 'Got Knowledge Doc' Podkasts from Chapter on Patient Safety in Baliga's Textbook of Internal Medicine with 1480 Multiple Choice Questions at www.MasterMedFacts.com authored by Anjala V Tess MD Associate Professor at Harvard Medical School Hospitalist at Beth Israel Deaconess Medical Center & Eric J. Alper, MD Professor of Internal Medicine UMass Medical School & Vice Presdient/Chief Clinical Informatics Officer UMass Memorial Health Care   Not Medical Advice or Opinion  

Multiple Choice Question of the Day-15 (Patient Safety) Dr RR Baliga's 'Got Knowledge Doc' Podkasts from Chapter on Patient Safety in Baliga's Textbook of Internal Medicine with 1480 Multiple Choice Questions at www.MasterMedFacts.com authored by Anjala V Tess MD Associate Professor at Harvard Medical School Hospitalist at Beth Israel Deaconess Medical Center & Eric J. Alper, MD Professor of Internal Medicine UMass Medical School & Vice Presdient/Chief Clinical Informatics Officer UMass Memorial Health Care   Not Medical Advice or Opinion  

Multiple Choice Question of the Day-14 (Patient Safety) Dr RR Baliga's 'Got Knowledge Doc' Podkasts from Chapter on Patient Safety in Baliga's Textbook of Internal Medicine with 1480 Multiple Choice Questions at www.MasterMedFacts.com authored by Anjala V Tess MD Associate Professor at Harvard Medical School Hospitalist at Beth Israel Deaconess Medical Center & Eric J. Alper, MD Professor of Internal Medicine UMass Medical School & Vice Presdient/Chief Clinical Informatics Officer UMass Memorial Health Care   Not Medical Advice or Opinion  

Multiple Choice Question of the Day-13 (Patient Safety) Dr RR Baliga's 'Got Knowledge Doc' Podkasts from Chapter on Patient Safety in Baliga's Textbook of Internal Medicine with 1480 Multiple Choice Questions at www.MasterMedFacts.com authored by Anjala V Tess MD Associate Professor at Harvard Medical School Hospitalist at Beth Israel Deaconess Medical Center & Eric J. Alper, MD Professor of Internal Medicine UMass Medical School & Vice Presdient/Chief Clinical Informatics Officer UMass Memorial Health Care   Not Medical Advice or Opinion  

Multiple Choice Question of the Day-12 (Patient Safety) Dr RR Baliga's 'Got Knowledge Doc' Podkasts from Chapter on Patient Safety in Baliga's Textbook of Internal Medicine with 1480 Multiple Choice Questions at www.MasterMedFacts.com authored by Anjala V Tess MD Associate Professor at Harvard Medical School Hospitalist at Beth Israel Deaconess Medical Center & Eric J. Alper, MD Professor of Internal Medicine UMass Medical School & Vice Presdient/Chief Clinical Informatics Officer UMass Memorial Health Care   Not Medical Advice or Opinion  

Multiple Choice Question of the Day-11 (Patient Safety) Dr RR Baliga's 'Got Knowledge Doc' Podkasts from Chapter on Patient Safety in Baliga's Textbook of Internal Medicine with 1480 Multiple Choice Questions at www.MasterMedFacts.com authored by Anjala V Tess MD Associate Professor at Harvard Medical School Hospitalist at Beth Israel Deaconess Medical Center & Eric J. Alper, MD Professor of Internal Medicine UMass Medical School & Vice Presdient/Chief Clinical Informatics Officer UMass Memorial Health Care   Not Medical Advice or Opinion  

Host Matt Fisher chats with Dr. Alexa Kimball, President and CEO of Harvard Medical Faculty Physicians at BIDMC. The discussion is on COVID-19 pandemic, including impact on how care is delivered; considerations around refining hospital use; strategies for helping limit spread of infection; potential timelines for treatment development. To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play HealthcareNOW Radio”. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/

Host Gayatri Aryan talks to Paul Levy. As CEO of Beth Israel Deaconess Medical Center (BIDMC), one of nation's preeminent academic medical center, Paul received national attention in 2009 for leading the workers at BIDMC to avoid hundreds of layoffs by engaging them in the crowdsourcing of ideas to save money as the hospital faced deficits due to the national recession.Paul, along with his colleagues, published the following HBR article recently articulating their thoughts on layoffs during crisis: https://hbr.org/2020/03/the-coronavirus-crisis-doesnt-have-to-lead-to-layoffs.-----Guests: Paul LevyProduced by: Dave LishanskyArtwork by: Vibha VermaMusic by: Marco Valentino

WBZ NewsRadio's Madison Rogers reports on local flower growers pitching in to create a floral thank-you to BIDMC healthcare workers.

WBZ NewsRadio's Madison Rogers reports on local flower growers pitching in to create a floral thank-you to BIDMC healthcare workers.

The CDC says a Coronavirus epidemic could be on our doorstep soon. What is the Coronavirus and should you be worried? As the President makes a national statement on the possibilities, Dr. Sharon Wright of Beth Israel Medical Center's Infectious Disease Department joins Dan to answer these questions.

What does it mean to know something in medicine? In this episode, we’ll explore this question by developing a historical framework of medical epistemologies in a journey that involves King Nebuchadnezzar, citrus fruit, leeches, water pumps, ICD-10, Socrates, skepticism, and 1970's computer programs designed to replace doctors. This is a version of a Grand Rounds given at BIDMC on October 25, 2019.    Sources:   Bothwell LE et al, “Assessing the Gold Standard -- Lessons from the History of RCTs,” NEJM June 2, 2016. Khushf G, “A Framework for Understanding Medical Epistemologies,” Journal of Medicine and Philosophy, 38: 461-486, 2013. Guyatt G and Tonelli M, Med Roundtable Gen Med Ed.;June 13, 2012 1(1): 75 - 84. Morabia A, A History of Epidemiologic Methods and Concepts, 2004. Tonelli MR, “Integrating evidence into clinical practice: an alternative to evidence-based approaches,” Journal of Evaluation in Clinical Practice, 12(3) 248-256.   Music from https://filmmusic.io "Tango de Manzana" and “Return of the Mummy” by Kevin MacLeod (https://incompetech.com) License: CC BY (http://creativecommons.org/licenses/by/4.0/)

Harry talks with Kevin Tabb, MD, the CEO and president of Beth Israel Lahey Health, the product of Lahey Health's merger this spring with Beth Israel Deaconess Medical Center (BIDMC) and several other hospitals in the Boston region. How does Dr. Tabb manage change inside a growing organization that—by his own admission—has to build and implement new tools, processes and the actionable data it needs to evolve beyond the fee-for-service era. Dr. Tabb was CEO of BIDMC before the merger, and previously served as chief medical officer at Stanford Hospital & Clinics in Stanford, CA, as well as head of the clinical data service division at GE Healthcare IT. Raised in Berkeley, CA, he emigrated to Israel at the age of 18, served in the Israel Defense Forces, studied medicine at Hebrew University's Hadassah Medical School, and served as a resident in internal medicine at Hadassah Hospital. Tabb says the most significant challenge for healthcare leaders is "figuring out how to calibrate the pace of change," in particular the gradual but accelerating change in business models from fee-for-service to outcomes-based global payments, and the shift toward "treating patients as people" and focusing on health rather than sickness. The big question, he says, is "How far ahead of the curve should we get, so that we’re ready for the significant changes to come, but not so far haead that we’ve shot ourselves in the foot and can't survive the interim period." The task requires "constant calibration" and "is more of an art than a science," Tabb says. But three key tools can help healthcare organizations manage the transition, he says: good, actionable information; incentives (monetary or otherwise) that are aligned among parties; and defined toolkits for change (which could include, but should never be limited to, new technologies). Check out the full show notes and other MoneyBall Medicine episodes at our website. Please rate and review MoneyBall Medicine on Apple Podcasts! Here's how to do that from an iPhone, iPad, or iPod touch: • Launch the “Podcasts” app on your device. If you can’t find this app, swipe all the way to the left on your home screen until you’re on the Search page. Tap the search field at the top and type in “Podcasts.” Apple’s Podcasts app should show up in the search results. • Tap the Podcasts app icon, and after it opens, tap the Search field at the top, or the little magnifying glass icon in the lower right corner. • Type MoneyBall Medicine into the search field and press the Search button. • In the search results, click on the MoneyBall Medicine logo. • On the next page, scroll down until you see the Ratings & Reviews section. Below that you’ll see five purple stars. • Tap the stars to rate the show. • Scroll down a little farther. You’ll see a purple link saying “Write a Review.” • On the next screen, you’ll see the stars again. You can tap them to leave a rating, if you haven’t already. • In the Title field, type a summary for your review. • In the Review field, type your review. • When you’re finished, click Send. • That’s it, you’re done. Thanks!

John Halamka, M.D., on data liquidity, artificial intelligence ... and barnyard animals.

Host Justin Barnes', aka @HITAdvisor, speaks with Ed Gillispie, Vice President & General Manager, Lenovo, John Halamka, MD, CIO at BIDMC, Professor, Medicine, Harvard Medical School, Paul Cerrato, Medical Editor & Author and Dan Munro, Author and Forbes Contributor at the HIMSS 18 Conference.

Winter is here: a discussion on the difficulties on building bundled payments based totally in reality.

Date: July 1, 2010 Featuring: Barry Silbaugh, MD, MS, FACPE, CEO, American College of Physician Executives Kevin Stewart, FRCP, Medical Director Winchester and Eastleigh NHS Trust; Health Foundation Fellow, IHI Charlotte Guglielmi, RN, CNOR, Perioperative Nurse Specialist, BIDMC; President, Association of periOperative Registered Nurses Gerald B. Healy, MD, Emeritus Healy Chair in Otolaryngology, Children’s Hospital (Boston); Senior Fellow, IHI Ron Wyatt, MD, MHA, General Internist, Huntsville Hospital (Alabama); Merck Fellow, IHI   Over the years, the positions held by doctors in health care organizations have unfortunately empowered some to behave unprofessionally towards other staff and practitioners, especially nurses. Giving a pass to belligerent or temperamental clinicians, even while many of those affected quietly seethe, has been tolerated in part because of the pecking order in medicine, and in part as a nod to the organization’s sources of revenue.   Well, the times are a changing…and not just because hospitals are worried about their reputation or retaining staff. Those in a position to confront a culture that’s permitted outbursts and intimidation now consider such behavior a contributor to medical errors, and a major disruption to the teamwork and robust communication that’s so critical to patient safety and quality improvement today. It’s a start. And nurses with a penchant for coming down hard on other, less senior RNs, or giving new interns and residents a hard time, are also being called out.   WIHI host Madge Kaplan gathers an expert panel to parse out these complicated and controversial issues, get a handle on what regulators have to say about unprofessional conduct, and learn about a new determination among professional societies and hospitals to face up to behavior that truly has no place in a safe, high performing organization. The guests have stories to share and, most importantly, are tracking the solutions and policies that show the most promise. There’s word that that newer generations of health professionals are more willing to stand up to inappropriate behavior of colleagues and superiors alike. That’s the right spirit… now we need the systems to back this up.

Date: November 1, 2012 Featuring: Tom Delbanco, MD, Richard and Florence Koplow–James Tullis Professor of General Medicine and Primary Care, Harvard Medical School Robert D. Harrington, MD, Professor of Medicine, University of Washington; Medical Director, Harborview Medical Center HIV clinic; Associate Section Chief of Infectious Diseases, Harborview Medical Center Richard Martin, MD, FAAFP, Department Director of Community Practice Service Lines (CPSL), Scranton and Monroe Counties; Director of Care Continuum, Geisinger Health System Michael Meltsner, AB, JD, Matthews Distinguished University Professor of Law, Northeastern University School of Law, Boston, MA Some changes in medicine are easier to contemplate than others. For a long time the notion that patients should be able to view what doctors write about them, following a visit, was unthinkable. It was a kind of “patient don’t ask, doctor don’t tell” policy. However, the growth of electronic health records, increased pressure for transparency, and the need to improve communication and understanding between patients and providers in every way possible are all tugging at information once considered off limits.Despite the fear that “physician notes” have a tendency to be brief, even glib, and might unintentionally insult or alarm the reader, some health systems, like Dartmouth Hitchcock, have been successfully offering patients easier access to these notes, along with the entire electronic health record, for several years. [See the December 2009 WIHI: OpenNotes and the Electronic Medical Record.]Still many more health systems have been on the fence, waiting for evidence that there’s value in doing so — and that the benefits outweigh the risks. Now that evidence seems to have arrived, and this WIHI digs into the experience of more than 13,000 patients and 100 primary care doctors who were part of a pilot study.The findings appear in the October 2, 2012, issue of the Annals of Internal Medicine, reporting on a one-year experiment with what have come to be called “open notes” at three major health care organizations: Beth Israel Deaconess Medical Center (BIDMC) in Massachusetts, Geisinger Health System in Pennsylvania, and Harborview Medical Center in the state of Washington.WIHI host Madge Kaplan welcomes lead author of the study, Dr. Tom Delbanco, one of the key innovators behind OpenNotes and their trial use at BIDMC, and two clinicians who helped lead the pilots at Geisinger and Harborview. By making notes accessible to patients in their own practices, both these clinicians came to better understand shared decision making and the ways in which transparency, rather than offend, increases trust. Michael Meltsner shares what mattered to him when he faced serious illness. A distinguished law professor, Meltsner’s “A Patient’s View of OpenNotes” also appears in Annals, and captures the brave new world of patient expectations and the need to level the playing field.

Date: October 24, 2013Featuring: Kelly McCutcheon Adams, LICSW, Director, Institute for Healthcare Improvement Lauge Sokol-Hessner, MD, Attending Physician, Beth Israel Deaconess Medical Center (BIDMC) Kate Lally, MD, Medical Director of Palliative Care, Kent Hospital and Medical Director, VNA of Care New England Donna L. Smith, MD, MBA, Medical Director of Virginia Mason Clinics at Virginia Mason Medical Center  For over a year, building on others’ great work, IHI has been engaged in two groundbreaking initiatives to reduce the confusion and improve the circumstances that surround end-of-life care for most Americans in the US. The Conversation Project, founded in collaboration with IHI, is a grassroots effort to encourage and enable every one of us to discuss our wishes regarding end-of-life care with our friends and loved ones, long before there’s a medical crisis. The second initiative, Conversation Ready, is designed to capture the ways in which health care organizations can effectively respect and respond to these wishes. Ten organizations have been working with IHI to share and refine their best practices, and this WIHI checks in on what they’ve learned so far. Three clinical leaders from notable health care systems were on hand for this WIHI, along with IHI’s Kelly McCutcheon Adams. You’ll hear about an effort underway at BIDMC to embed a system of “4 Rs” into all patient engagements: Reaching out to learn a patient’s end-of-life preferences and values, followed by processes to Record and reliably Retrieve and Respect the information. Care New England has a number of innovations underway, including the designation of a “conversation nurse” who ensures that the goals of patients and families stay at the forefront of all end-life decision making. At Virginia Mason Medical Center in Seattle, the electronic medical record is becoming an effective home base for important and visible information about preferences regarding end-of-life care.

Samuel Frank is a movement disorder neurologist at Beth Israel Deaconess Medical Center (BIDMC), a teaching hospital for Harvard Medical School. After completing his residency and fellowship at the University of Rochester, he joined the neurology faculty at Boston University from 2004 to 2015. Dr. Frank serves as the principal investigator for a Huntington Study Group study and on the HSG executive committee. He is a member of the HDSA Board of Trustee and locally serves as the director of the HDSA Center of Excellence at BIDMC. Dr. Frank is the inpatient neurology consultant for the specialized Huntington’s Disease service at Tewksbury State Hospital.

Episode 50 “Help With Celiac Disease Research” Features: Dr. Daniel Leffler of Beth Israel Medical Center speaks about a study that will help researchers better understand a new test for celiac disease. Learn how to participate from the comfort of your home! What do YOU think of the HTG Podcast? Leave your feedback wherever you download this podcast! Read the blog. Listen to the podcast. Educate yourself. Rock on Celiacs! Visit our site - http://HoldTheGluten.net

Soft warm bread, melt in your mouth donuts, soy sauce all have something in common, Gluten. And for millions of people this is a big problem, and they may not even know it. So what is gluten intolerance and celiac disease and what are the symptoms? Or is this the newest diet craze? This week Lisa and Philip talk with … Read more about this episode...

Lisa welcomes guests Kelly Wallace and Erin Wholey from Beth Israel Deaconess Medical Center in Boston and members of Grateful Nation, a vehicle for giving at BIDMC. Grateful Nation brings together patients, families, friends and staff of Beth Israel Deaconess Medical Center of Boston to support compassionate and quality care and groundbreaking research at the Medical Center. Tom DesFosses, cancer survivor and patient at BIDMC, joins the discussion as the founder of A Reason To Ride, an annual bike marathon that has grown since 2008, providing over $88,000 this year for cancer reasearch. For more information, visit www.gratefulnation.org

Lisa welcomes guests Kelly Wallace and Erin Wholey from Beth Israel Deaconess Medical Center in Boston and members of Grateful Nation, a vehicle for giving at BIDMC. Grateful Nation brings together patients, families, friends and staff of Beth Israel Deaconess Medical Center of Boston to support compassionate and quality care and groundbreaking research at the Medical Center. Tom DesFosses, cancer survivor and patient at BIDMC, joins the discussion as the founder of A Reason To Ride, an annual bike marathon that has grown since 2008, providing over $88,000 this year for cancer reasearch. For more information, visit www.gratefulnation.org