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What's up everyone, today we have the pleasure of sitting down with Adam Greco, Field CTO / Product Evangelist at Amplitude. Summary: Adam is a leading voice in digital analytics and he unpacks event-based analytics and how it's transformed how marketers interact with data. Data tools are complicating the martech landscape with overlapping functionality and confusing terminology so Adam breaks down the nuanced difference between product analytics, customer data infrastructure and ETL. Adam also walks us through how his team combines marketing, product, and experience analytics getting a fuller view that informs smarter, more effective strategies. We also cover the shift to interactive dashboards as well as warehouse native martech and what it means for marketers. Marketers need to work closely with data teams to ensure these new tools are practical without being overwhelmingly complex, allowing them to lead confidently in their industries.About AdamAdam is one of the leading voices in digital analyticsHe's managed marketing and customer success teams at enterprise companies and consulting firmsHe's been Senior Director of Marketing and Analytics at Salesforce He spent nearly a decade as a Senior Partner at one of the best-known analytics consultancies in Analytics Demystified where he's advised hundreds of organizations on analytics best practicesHe's been a Board Advisor at various well-known startups, analytics associations, capital funds and universities He's authored over 300 blogs and one book related to analyticsHe's a frequent speaker at big-name analytics conferencesToday he's Field CTO at Amplitude, where he focuses on providing content, education, and strategic advice on how to build better productsUnderstanding Event Based AnalyticsAdam unpacks the shift towards event-based analytics, a concept that may seem confusing to those accustomed to traditional digital analytics. He explains that back when the internet was simpler and mostly about websites, tracking was straightforward: look at pageviews and sessions and hope for conversions. But as technology evolved—think smartphones and apps—the old methods became less effective.Mobile apps changed the game. Interactions on these platforms are brief and frequent, shifting the focus from long sessions to brief, meaningful interactions, each marked as an event. Adam points out that his company, Amplitude, was at the forefront of adopting this approach, realizing that tracking every tap and swipe gave a clearer picture of user engagement than the traditional methods.As both websites and apps became integral to user experience, the analytics field faced a choice: stick with the old or adapt to the new. The answer was overwhelmingly in favor of event-based analytics. Major players like Google and Adobe redefined sessions as just another event, creating a unified model that could track interactions across platforms, be they digital or physical, like visiting a store or calling customer support.This evolution means marketers can now see a fuller, more dynamic view of how users engage across different platforms. Understanding that a session is a collection of events, rather than a fixed time slot, offers a richer, more nuanced understanding of user behavior.Key takeaway: Embracing event-based analytics allows marketers to capture the full spectrum of customer interactions, offering a granular view that is vital for crafting targeted, effective marketing strategies. This approach not only keeps pace with the evolving tech landscape but also provides the insights needed to enhance customer engagement and satisfaction.Product Analytics vs Customer Data Infrastructure vs ETLAdam explains the evolving landscape of martech tools, focusing on how they intersect and differ, simplifying a topic that can be quite bewildering for even experienced marketers. Initially, the task for marketers was to employ simple tools provided by companies like Google or Adobe, which handled data collection via embedded codes on websites or apps. These tools offered convenience but at the cost of flexibility and depth in data manipulation.With the advent of more specialized tools, the dynamics changed. Customer Data Infrastructure (CDI) tools like Jitsu, MetaRouter, and Rudderstack focus mainly on collecting first-party data from apps and websites, pushing this information directly into data warehouses. They don't delve into analytics but excel at gathering clean, structured data.On the other hand, Extract, Transform, Load (ETL) tools such as Airbyte and Fivetran specialize in integrating data from various third-party tools into a central warehouse. They transform the data during this process to ensure it fits well within the existing structures and schemas of a company's database, enhancing the data's utility for comprehensive analysis.Customer Data Platforms (CDP) like mParticle and Segment represent a more holistic approach, incorporating features of both CDI and ETL. They not only aggregate and organize data but also enrich it, providing a robust platform that supports marketing automation and personalized customer experiences based on the unified data they help curate.Adam highlights that while CDI, CDP, and ETL tools are vital for data orchestration, they often lack robust analytical capabilities. This is where Product Analytics tools like Amplitude step in. Amplitude starts with some features of CDI but integrates extensive analytics and visualization capabilities, allowing marketers to not only collect and see their data but also to derive meaningful insights and build complex reports directly.Adam also emphasizes the importance of flexibility in Amplitude's approach to integrating with the broader martech ecosystem. Despite the overlap with features typically found in CDIs, Amplitude continuously expands its capabilities to better meet the needs of its users. Central to its philosophy is maintaining an open system. Unlike some platforms that might restrict interoperability with competitors' tools, Amplitude encourages its users to integrate as they see fit, whether that means using Amplitude in conjunction with other products or relying on it more heavily for certain functions. This openness not only provides users with the flexibility to tailor their data strategies precisely but also offers potential cost savings by allowing them to choose the most effective combination of tools for their specific needs. By listening to customer feedback and adapting its offerings, Amplitude aims to provide the most value, ensuring that clients have the best tools at their disposal, no matter the complexity of their data needs.Key takeaway: Marketers looking to refine their tech stacks should consider how each tool fits into their broader strategy. Integrating platforms like Amplitude that handle multiple functions—from data collection to visualization—can simplify operations and cut costs. This approach not only makes managing marketing technology easier but also ensures that teams can quickly adapt to changes and opportunities in the market, keeping them one step ahead.Converging marketing, experience and product analyticsWhen Adam penned his thoughts on the convergence of digital marketing, experience, and product analytics back in 2021, the concept faced skepticism. Fast forward to 2024, and the landscape validates his insights, showing a clear trend toward unified analytics platforms. The separation of marketing, product, and design analytics is becoming obsolete as companies recognize the inefficiencies of siloed data approaches.In his early career at companies like Salesforce,...
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Today, we're headed to (typically) sunny California where we're wandering through the avocado orchards of Carronada Farm--home to Kasey Cannon and the stunning Hanoverian Stallion, Diesel CF. While we were on the coast, we bumped into our friend, Nadine Schwartsman, who's enjoying some professional development time with her mentor, Sabine Schut-Kery, between the last two CDIs at the Desert Int'l Horse Park. Listen in...GUESTS AND LINKS DRESSAGE EPISODE 736:Co-Hosts: Reese Koffler-Stanfield and Noah RattnerGuest: Kasey Cannon | Facebook | InstagramGuest: Nadine Schwartsman | Facebook | InstagramHRN Merchandise! Find a complete line of screen printed stuff…. and The embroidered merchandise at…Follow Dressage Radio Show on Facebook, and follow Horse Radio Network on TwitterPlease visit our sponsors, who make all this possible: Kentucky Performance Products
Today, we're headed to (typically) sunny California where we're wandering through the avocado orchards of Carronada Farm--home to Kasey Cannon and the stunning Hanoverian Stallion, Diesel CF. While we were on the coast, we bumped into our friend, Nadine Schwartsman, who's enjoying some professional development time with her mentor, Sabine Schut-Kery, between the last two CDIs at the Desert Int'l Horse Park. Listen in...GUESTS AND LINKS DRESSAGE EPISODE 736:Co-Hosts: Reese Koffler-Stanfield and Noah RattnerGuest: Kasey Cannon | Facebook | InstagramGuest: Nadine Schwartsman | Facebook | InstagramHRN Merchandise! Find a complete line of screen printed stuff…. and The embroidered merchandise at…Follow Dressage Radio Show on Facebook, and follow Horse Radio Network on TwitterPlease visit our sponsors, who make all this possible: Kentucky Performance Products
A must-have resource for any coding or clinical documentation integrity specialist (CDIS) is the American Hospital Association (AHA) Coding Clinic. Each quarterly issue provides official guidance for ICD-10-CM and ICD-10-PCS coding for all healthcare settings.The third-quarter issue covers a variety of topics, from prescribed marijuana use for chronic pain during pregnancy to subcapsular hematoma, epidural hematoma, and several ICD-10-PCS procedures – Hemospray, HeRO® Graft, and NAVA among them, for example.The fourth-quarter issue contains details on the new codes for the 2024 fiscal year (FY), their use, and official guideline changes. In addition, this issue provides new insight into the coding of “intraoperative serosal tears,” which is extremely helpful. During the next live edition of Talk Ten Tuesdays, senior healthcare consultant Gloryanne Bryant will be the broadcast's special guest. As an accomplished webcast leader, she will walk you through the third and fourth quarters of the AHA coding clinic.The weekly broadcast will also feature these outstanding segments and thought leaders:Coding Report: Laurie Johnson, senior healthcare consultant with Revenue Cycle Solutions, LLC, will have the latest coding news.SDoH Report: Tiffany Ferguson, a subject-matter expert on the social determinants of health (SDoH), will report on the news that's happening at the intersection of coding and the SDoH.News Desk: Timothy Powell, CPA, will anchor the Talk Ten Tuesdays News Desk.TalkBack: Erica Remer, MD, founder and president of Erica Remer, MD, Inc., and Talk Ten Tuesdays co-host, will report on a subject that has caught her attention during her popular segment.
What's folks, today I'm pumped to be joined by Michael Katz, CEO and co-founder at mParticle, the leading independent customer data platform.Summary: In the contentious debate over Packaged and Composable CDPs, Michael delivers a clear-eyed perspective that cuts through the hype. Rejecting the idea that Pacakged CDPs are becoming obsolete, he emphasizes the continued importance of data quality, integrity, and privacy, and he warns against becoming entangled in marketing illusions. He also highlights the need for adaptability, dismissing some of the more pervasive myths in the martech landscape, such as the magic of zero copy data. With strategic acquisitions, mParticle is focusing on intelligence and automation, aiming to be more than just “simple pipes” in data management. Michael's insights provide a grounded roadmap, focusing on genuine value creation and thoughtful navigation of the complex industry that is Customer Data Platforms.About Michael Michael got his start as an analyst at Accenture and later focused on customer acquisition and marketing strategy for a mobile content company He entered the entrepreneurial world founding interclick in 2005, a data-valuation platform for advertisers He ran the company as President and took the company public in 2009 and sold to Yahoo in 2011 for $270M He's been on the Board of Directors for several companies including Adaptly and BrightLine He's a volunteer at Southampton Animal Shelter He's also a Mentor at Techstars After a year as VP of Optimization and Analytics at Yahoo after his company's acquisition, Michael took on his second venture, co-founding mParticle in 2013 mParticle is a global, remote-first company that provides a real-time AI customer data platform. They help get the highest quality customer data to any system that marketers or product managers use – ultimately improving customer experiences. They work with big players and small, fueling the customer success of brands like Paypal, Seatgeek, Venmo, Headspace, Lyft, McDonalds, and Airbnb. Unpacking the 8 Components of Customer Data PlatformsWhen asked about Arpit Choudhury's enumeration of the eight essential components of Customer Data Platforms (CDPs), Michael's response was swift and assertive. With an appreciative shoutout to Arpit for articulating the complex aspects of CDPs, he aligned himself with the eight facets laid out in the question.These eight components, according to Michael, indeed compose an end-to-end solution for the first generation of CDPs. They include: CDI, customer data infra, collect 1st party event data from customers from website and apps ETL, data ingestion, extract data from other tools and load it into DWH Data Storage/warehousing, store a copy of data collected Identity resolution, a solution for tying together a customer's various interactions with you across multiple platforms and devices Audience segmentation, drag and drop UI Reverse ETL, extract/activate from DWH to other tools Data quality, validity, accuracy, consistency, freshness, completeness… Data governance and privacy compliance, user consent, HIPAA compliance Emphasizing the integrated nature of these components, Michael asserts that the value of the whole system is greater than the sum of the individual parts. He proudly reflects on mParticle's reputation as a complete CDP and emphasizes that many existing CDPs lack strong stories around data quality and governance.The conversation with Michael reveals his confidence in the synergy that arises when these parts function together. He cautions against skipping any of these steps, underscoring that a weak foundation will undermine the entire system. Speed in data processing should not compromise quality and privacy protection, and mParticle's holistic approach ensures this balance is maintained.Takeaway: Michael's insights into the eight essential components of CDPs not only align with industry experts but also highlight the importance of a unified approach. By valuing integration, quality, and consumer privacy, mParticle positions itself as a leading player in the CDP landscape. The wisdom shared by Michael emphasizes that genuine value is derived not merely from the individual elements but from the careful orchestration of all parts into a coherent and resilient system.Debunking the Myths Around Reverse ETL and Composable CDPsReverse ETL and composable CDP proponents assert that the traditional CDP is becoming obsolete and that the future lies in Composable CDPs that leverage modern data warehouses and processes like Reverse ETL. Claiming that existing CDP vendors will have to adapt to this shift or risk becoming irrelevant.Michael's written extensively about this debate over the years. He argued that product marketing around the composable CDP is just modern day sleight of hand tricks…designed to dupe the buyer. To be fair, mParticle has adapted to the rise of the modern data stack by offering services like data warehouse sync and value-based pricing. Michael highlighted the rise of the Cloud Data Warehouse as an essential system within organizations, but he was quick to emphasize that the real challenges lie in maintaining data quality, integrity, and privacy. As he elaborated, legacy CDP vendors like mParticle deliver value not in the storage of data, but in the movement and activation of it. Michael stressed the importance of going beyond mere data collection to understanding the context and the “why” behind customer behavior.According to Michael, the true value in the CDP space has shifted towards enhancing context, improving understanding, and introducing an insights layer. For mParticle, this has translated into a focus on finding truth and meaning in their data, creating an infinitely optimizing loop. He vehemently argued against reverse ETL, characterizing it as “garbage in, garbage out,” and took aim at what he described as “sleight of hand” tricks in product marketing designed to distract from the real issues.Michael challenged several narratives in the debate, dismissing the importance of zero data copy, the vulnerability of CDPs to security threats, and the notion of faster deployment times leading to sustained value. He warned against getting enticed by aggressive product marketing, stressing that what might appear easy to implement could be hard to maintain.Takeaway: The transformation of CDPs isn't just about new technologies or marketing tactics but lies in understanding the true needs of customers. With a focus on integrity, context, and sustained value, Michael exposes the fallacies in current debates, emphasizing that real success comes from creating genuine value, not just noise.The Realities of Replacing Traditional CDPs with Reverse ETL ToolsWhen asked about the growing trend where some reverse ETL customers have found ways to replace their traditional Customer Data Platforms (CDP) with reverse ETL tools, Michael acknowledged that this represents only a very narrow subsegment of the market. He expressed a concern that the fragmented “Do It Yourself” approach isn't always a practical solution, particularly for most businesses within the enterprise sector.Michael pointed out that during the pandemic, certain habits had developed, often driven by data engineers working with limited perspectives and without a comprehensive understanding of the complexities of running successful digital marketing campaigns. This lack of integration and understanding has led to an increasing need for a return of the decision-making power to the marketers.Highlighting the importance of usability, Michael described how mParticle is designed to make it easy for marketers to contextualize and activate data in a low code, no code manner. This approach stands in contrast to other CDPs and modern data stack tools that require intricate knowledge of SQL scripts and schema. A significant portion of his argument revolved around the practical challenges of troubleshooting across multiple different systems. He explained that when a business relies on eight or more different systems to serve the purpose of an end-to-end CDP, it introduces a unique set of complexities. If something goes wrong, troubleshooting becomes an intricate web of challenges involving different account managers. In Michael's words, “the whole thing becomes a bit of a mess.”Takeaway: Michael's insight sheds light on the realities of replacing a traditional CDP with reverse ETL tools. The fragmented approach may work for some but presents complexities and challenges that might be impractical for the broader market. Usability, integration, and streamlined workflows are highlighted as essential elements for optimizing business value, suggesting that while there are different paths to success, a straight line is often the fastest and most efficient route. The emphasis on integration over “hobbyist” solutions presents a compelling argument for businesses looking to evolve in the ever-changing landscape of martech.Debunking the Myth of Zero Copy Data in MartechWhen Michael was asked about the notion of zero copy data, he didn't mince words, immediately cutting through the hype to lay bare the underlying realities. He expressed skepticism about the idea that zero copy data is a magical solution, pointing to the assumption that copying data creates inefficiency and additional access cost.Michael argued that the cost of storage isn't the main driver of expenses; it's the cost of compute. He believes that creating duplicate copies of data doesn't drastically change costs and, moreover, that there's considerable efficiency to be gained by replicating data for different uses and use cases.He also emphasized the importance of focusing on the value side of the equation. Minimizing costs is essential to maximizing investable resources for growth, but it shouldn't overshadow the primary goal of driving customer value. Michael expressed concern that focusing on zero copy data might lead businesses down the wrong path, solving for a non-existent problem.His perspective on the issue extended to a critique of some reverse ETL companies. He noted that they often face a churn problem, luring customers in with the promise of an “easy button” only to disappoint when reality doesn't meet expectations.Takeaway: Michael's dismantling of the zero copy data concept offers a vital reminder that not all that glitters is gold in the world of martech. By focusing on the practicalities of costs and the importance of efficiency and value, he encourages businesses to ask the right questions and prioritize what truly matters. His argument against zero copy data serves as a caution against getting swept up in appealing but potentially misguided solutions, emphasizing instead a thoughtful approach to data management that delivers real value.Examining the Warehouse Native Approach to MartechWhen Michael was asked about the increasing trend of warehouse native approaches in martech and its potential impact on companies with large volumes of non-revenue-generating users, his response was insightful. He broke down the question into specific elements, focusing on both the technological and practical aspects of this approach.He acknowledged the structure of a typical marketing tech stack, with various components like analytics, customer engagement platforms, experimentation tools, and customer support services. However, he questioned the real beneficiaries of having all these tools built natively on the Cloud Data Warehouse. He emphasized that the benefit might lie more with the data warehouse provider than with the customer.Michael also pointed out that as different vendors leverage multiple datasets and run their own compute cycles on the data warehouse, it's not necessarily clear if that would result in cost savings. He challenged the assumption that avoiding multiple copies of data would inherently save money, stating that there hasn't been enough side-by-side comparison to substantiate this belief.He concluded that whether it's through a company like Snowflake or mParticle, they are, in essence, reselling cloud compute in different forms. Simply assuming cost savings because of a lack of data duplication might not hold true in practical terms.Takeaway: Michael's analysis of the warehouse native approach in martech opens a nuanced conversation about the real-world implications of this trend. By examining who benefits from this strategy and challenging the common assumption that it leads to cost savings, he encourages a more critical evaluation. The discussion underscores that what might appear as an intuitive solution needs more robust evidence and careful consideration to understand its true value and impact.The Insights Layer of mParticle's Approach to Customer DataIt's getting harder and harder to track the packaged vs composable battle these days, there's a ton of overlap with so many tools: ETL tools adding rETL features while rETL tools and CDIs becoming composable CDPs CDPs adding product analytics and AI features while product analytic tools adding CDP and AI features CDPs adding marketing automation features while MAPs adding CDP features CDPs also adding “warehouse connectors” or “warehouse sync” Adding an interesting layer to the debate here is extending the capabilities of the CDP into new areas. mParticle made some interesting acquisitions over the last few years: Aug 2022 Vidora, AI personalization platform for customer data Jan 2022 Indicative, a customer journey analytics platform to address data entropy With these capabilities, mParticle is adding an intelligence layer that not many CDPs have. Not only are they capturing and helping customers move data around, they're helping them make sense of the data, look back to see what happened and also make predictions on what will happen.Initially, mParticle's efforts were directed at solving mobile data collection challenges, aiming to set up organizations on a durable and scalable API-based system. By addressing unique mobile data challenges that no one else was confronting, they sought to position themselves at the center of mass for many consumer brands.According to Michael, the solution to these challenges led to mParticle's focus on multi-channel data challenges, revolving around vital components like data quality, governance, and identity resolution. Identity resolution, Michael believes, remains one of the most misunderstood aspects of the whole process.But the vision didn't stop there. The evolution went beyond these challenges, aiming at what would come next: intelligence and automation. The acquisitions of Vidora and Indicative, as Michael revealed, probably accelerated mParticle's roadmap by four or five years.Michael brought to light mParticle's ambitious strategy to move beyond mere segmentation tools and “simple pipes.” As Michael argued, many existing tools are like “simple pipes” that do exactly what you tell them to do. However, mParticle's approach aims to be an intelligent force that moves the industry forward.Michael's discourse paints a picture of a company that's not just satisfied with optimizing first-generation capabilities. It's a story of looking ahead, focusing on intelligent pipes and striving to put customers in the best possible position to extract value from their first-party customer data.Takeaway: By focusing on next-generation capabilities and accelerating their roadmap through strategic acquisitions, mParticle is positioning itself as a leading force in the evolving landscape of martech. The compelling insight is their move towards intelligent pipes that can make sense of the data, not just move it around, guiding the industry into a new era of customer data understanding and utilization.The Vidora Acquisition: Empowering Marketers with Machine LearningWhen asked about the acquisition of Vidora and its integration into mParticle's CDP offering, Michael dove into the compelling dynamics behind this strategic move. The conversation revolved around AI tools like IBM's Watson Studio, Amazon SageMaker, and Google's AutoML, which are generally built for data scientists. What set Vidora apart, however, was its design to be accessible to knowledge workers and marketers, aligning with the founders' vision to democratize machine learning.Michael was keen to clarify that many tools in the market offer a single type of machine learning, often centered around propensity scores. But Vidora went beyond, impressing him with the building of diverse ML pipelines. The suite enabled regression testing, propensity scoring, uplift analysis, and more, without constraining the types of intelligence or automation that customers could access.According to Michael, the uniqueness of customer data demands tailored solutions, as no two customers' data look, shape, or behave the same way. With Vidora, now branded as Cortex, mParticle has extended a full suite to users that align with various channels. The seamless integration of models within mParticle allows marketers to create, sync, and activate models effortlessly, accommodating different channels from paid advertising to customer support.But what really resonated with Michael's view was how this acquisition tackled a common industry problem: the gap between the creation of cool models and their actual implementation into production. Most in-house models never see the light of day, and those that do are often channel-specific, failing to transcend their original context. Cortex, on the other hand, offers flexibility without channel dependency, backed by mParticle's robust and diverse set of connectors.Takeaway: mParticle's acquisition of Vidora, rebranded as Cortex, has redefined the machine learning landscape for marketers. It provides a versatile and accessible set of tools that break down conventional barriers and facilitate the practical application of models across diverse channels. By doing so, it empowers marketers to extract greater value from data and paves the way for a more intelligent and integrated approach to customer engagement.Innovating Martech Pricing: A Fresh Approach to Value-Based PricingWhen asked about the recent shift in mParticle's pricing structure, Michael delves into the exciting philosophy behind this change. He emphatically expresses that the change isn't merely superficial, but rather a product of innovation, something that's more than just a re-packaging of their pricing model. Michael explains the need for de-averaging or de-aggregating pricing, acknowledging that the traditional charging based on users or events is fairly straightforward, but it doesn't capture the full picture. According to Michael, not all events, users, or use cases hold equal value, and treating them as such creates a logjam through the system. This one-size-fits-all approach undermines the ability to provide marketers with appropriate solutions.The heart of the problem is that this logjam prevents Customer Data Platforms (CDP) from having access to all necessary data, typically due to how they are priced. Michael highlights that when they analyzed how customers were using mParticle, they discovered three distinct use cases: real-time event federation, data maintenance for historical lookup and redundancy, and targeting and personalization.With this fresh approach, mParticle managed to “unclog the pipes” of data, allowing it to flow where needed and at the right pace. This shift allowed for acceleration in audience calculation and refresh, and extended the look-back window on real-time audiences from a mere 90 days to perpetuity without sacrificing performance.Takeaway: Michael's insights into mParticle's new pricing structure reveal an innovative and necessary departure from traditional user or event-based pricing. By recognizing the unique value in different data points and use cases, mParticle has managed to not only create a more effective pricing model but also to enhance the functionality and efficiency of their platform. It's a lesson in understanding the complex dynamics of the martech space and the importance of aligning pricing models with actual value and functionality.Empowering Black Founders with TechnologyOne of the coolest discoveries when digging through Michael's socials is that he actually created Tech for Black Founders. He got together with a list of data vendors to provide free software to early-stage startups led by Black founders, as part of an initiative to support Black technologists and entrepreneurs, who currently make up only 1% of founders backed by venture capital in the US. In the midst of 2020, during a peak of social unrest, he found himself pondering how his company, mParticle, could serve the community better. It was more than a fleeting thought; it was a shower epiphany that would soon spark a wave of empowerment for black technologists and entrepreneurs.Michael's initiative, which might seem simple, was profound. Recognizing that black founders made up less than 1% of those backed by venture capital in the U.S., he set out to make a difference. The idea was to provide free software from leading tech companies to early-stage, black-led start-ups. The aim was to bridge the equity gap, offering services usually costing six to seven figures to those underrepresented.He texted friends and fellow founders from braze, amplitude, branch, and more. His proposal was met with instant approval, and a simple application page was launched. What happened next was nothing short of extraordinary. The initiative went viral, with 50 to 100 companies reaching out, eager to contribute, and the movement continues to grow, now encompassing hundreds of companies offering their services to black and other minority tech founders.Takeaway: Michael's leadership in rallying tech companies to offer free software to black and minority tech founders is a powerful example of how one person's idea can ignite a movement. It underscores the importance of community and collaboration, and showcases a tangible effort to close the equity gap in the tech industry. Simple, immediate, and impactful, it's a testament to what can be achieved when passion meets purpose.Finding Balance and Joy in a Multifaceted LifeWhen asked about how he remains happy and successful amidst his diverse roles as a founder, writer, sports fanatic, dad, animal shelter volunteer, mentor, and board member, Michael's response is a reflection of self-awareness, clarity, and wisdom. His take on balancing a life filled with various passions and responsibilities is both refreshing and deeply inspiring.First and foremost, Michael's priority is being a dad, a role he deems his most important job. Everything else, whether it's being a CEO or a board member, follows in sequence. He admits that although he doesn't always follow his own advice, the goal isn't merely about becoming proficient at navigating the ups and downs of company building and the entrepreneurial journey. Instead, it's about transcending these fluctuations and reaching a state of equanimity.Michael stresses that the pursuit isn't happiness itself; rather, the pursuit is happiness. Finding joy, meaning, and growth in whatever he's doing is what keeps him motivated and content. He measures his alignment with his work by his excitement every Monday morning and his anxiety every Friday for not getting enough done. If those feelings begin to reverse, that's his cue to reassess his path.Takeaway: Michael's philosophy on balance and happiness is a profound lesson in understanding one's priorities and embracing the journey itself as the source of joy. His words are a reminder to find contentment in the pursuit, to align passions with purpose, and to recognize the importance of self-awareness in living a fulfilling life. His perspective turns the conventional wisdom of “work-life balance” on its head, offering a unique insight into living a life filled with meaning and happiness.Michael Teases Exciting Announcements from mParticleWhen asked if there was anything he wanted to share with the audience or any exciting things launching soon, Michael's response was filled with enthusiasm and intrigue. He hinted at some compelling announcements coming from mParticle in September. Without divulging specific details, he provided a glimpse into what the company is focusing on.Michael mentioned that these new developments would continue to expand on their mission of creating value. They are looking to transpose their services and add value not just in their own data store but across any data store, including the data warehouse ecosystem. Though he kept the specifics under wraps, the anticipation in his voice was clear. The audience was left eagerly awaiting the “cool stuff” that mParticle has in store.Episode RecapThe martech industry is no stranger to bold claims and sweeping predictions, and the recent debate around Reverse ETL and Composable CDPs is no exception. The air is thick with assertions that traditional CDPs are going the way of the dinosaur, set to be replaced by sleek, modern solutions. Michael, however, has a more grounded take.For starters, he considers the buzz around Composable CDPs to be a well-executed marketing illusion, a sleight of hand rather than a genuine revolution. Sure, modern data warehouses and Reverse ETL processes are capturing attention, but at the core, the need for data quality, integrity, and privacy still reigns supreme. Michael doesn't view this shift as a death blow to existing CDP vendors like mParticle, but rather a call to adapt, focusing on the movement and activation of data.Adaptation is a theme that resonates throughout Michael's insights. While acknowledging that some Reverse ETL customers are indeed replacing traditional Customer Data Platforms, he emphasizes that this trend represents a narrow slice of the market. The fragmented “Do It Yourself” approach has its limitations, especially when applied to the complex landscape of enterprise-level marketing. Here, mParticle's approach stands out, prioritizing usability and enabling marketers to contextualize and activate data without becoming entangled in intricate coding.Michael doesn't shy away from debunking popular narratives in the debate, including the myth of zero copy data. Cutting through the hype, he directs attention to the real drivers of expenses and underscores the importance of focusing on customer value over cost-cutting.Perhaps the most intriguing aspect of Michael's perspective lies in the strategic evolution of mParticle. The company's recent acquisitions, including Vidora, an AI personalization platform, signal a commitment to intelligence and automation. Moving beyond simple data collection and segmentation, mParticle aims to become an intelligent force that drives the industry forward. Their tools aren't mere “simple pipes”; they're designed to meet the unique needs of customers and provide tailored solutions that enhance understanding and value extraction.All and all, Michael offers a refreshingly realistic and actionable perspective on the current CDP landscape. Rather than getting caught up in marketing tricks or chasing after the latest shiny object, he encourages a return to core principles and a commitment to intelligent, adaptable solutions. It's an approach that recognizes the complexity of the industry while providing clear pathways for growth, innovation, and genuine value creation.Whether you're a marketer, data engineer, or business leader, listen below for insights that offer a solid foundation for navigating the ever-complex world of martech and data platforms, without falling prey to illusions or unnecessary complexity.✌️--Intro music by Wowa via UnminusCover art created with Midjourney
Summary: Arun clarifies 'warehouse-native' and 'connected' concepts, positioning Castled.io as a flexible solution that caters to specific customer needs. He addresses challenges in traditional martech, such as the disparity between customer base size and value derived, and presents Castled.io's unique solutions like an alternative pricing model and immediate data access. Arun navigates the issues of a warehouse-native approach, providing strategies for handling real-time data and minimizing compute charges. He cautions against seeing warehouse-native adoption as merely an escape from reverse ETL, emphasizing its potential to resolve existing martech problems and enhance functionalities. Arun encourages a positive attitude towards new, complex technologies, recognizing their transformative potential.About Arun Arun is a data engineer by trade with over a decade of experience building and scaling systems in the startup ecosystem He started his career in software engineering roles at Applied Materials, an enterprise semiconductor manufacturer and later MiQ, a programmatic advertising media partner Arun then joined Flipkart, known today as India's largest e-commerce marketplace with a whopping 150 million customers He then moved to the startup world joining Hevo Data as one of the first tech hires, a No-code ETL Data Pipeline platform that enables companies to consolidate data from multiple software In 2021, Arun moved to San Francisco to co-found his first startup, Castled Data - A warehouse-native customer engagement platform that sits directly on top of cloud data warehouses Along with his team of founders Arun was selected by YC in the Winter 22 batch From Open Source Reverse ETL Tool to Warehouse Native CEPWhen asked about the transformational journey of Castled.io, Arun shed light on the genesis of the company's vision. It was a time when businesses wanted to move their data from warehouses to various tools, yet the market lacked the means to do this efficiently. Recognizing this gap, Arun embarked on the mission to develop an open source, reverse ETL solution. His concept was founded on the idea that no one-size-fits-all tool could cater to the wide range of companies' diverse requirements.This venture brought Castled.io a fair amount of traction, with many companies employing their open source solution in-house, and a growing clientele availing of their cloud-based offering. However, around this time, a critical analysis of the martech landscape provoked a pivot. Arun realized the long-term sustainability of reverse ETL solutions was questionable, especially with the burgeoning concept of warehouse-native apps. Other companies were beginning to develop their own reverse ETL tools.Arun observed that these ETL solutions were not truly designed for data teams but rather marketing growth teams, signaling a limitation in their scope. The need to constantly shift data to different platforms like Intercom was dwindling, given alternative and more efficient methods emerging in the martech ecosystem. In fact, he believed that the popularity of these reverse ETL solutions might begin to wane within a year.The most crucial feedback that inspired the transformation of Castled.io came directly from its target audience – the marketers. They indicated that a reverse ETL solution did not fully resolve their challenges, especially in scenarios where handling large amounts of data became a bottleneck for their existing tools. It became clear that simply copying data from warehouses to another tool wasn't an effective solution.Prompted by these revelations and the rising acceptance of the warehouse-native concept, Arun and his team decided to pivot. They transitioned from being an open-source reverse ETL tool provider to building Castled.io as a solution directly layered on top of data warehouses. This move allowed them to bypass data migration issues and directly cater to the marketers' needs.Takeaway: The journey of Castled.io highlights the importance of remaining adaptable and receptive to market changes and customer feedback. This awareness allowed the company to evolve from being an open-source reverse ETL tool to a robust, warehouse-native solution, directly addressing marketers' challenges. The company's pivot is a testament to strategic foresight and innovation in the martech space.The Similarities of Open vs Closed and Composable vs Packaged CDPsIn the fiery debate around composed versus packaged CDPs, Arun weighed in with his unique viewpoint. He likened the contrast between these two approaches to the difference between open source and closed source systems.From Arun's perspective, the appeal of composable CDPs lies in the flexibility they offer. This format enables innovation on top of the data warehouse, unlike the constraints potentially imposed by a packaged system. If something isn't quite right, with a composable CDP, you're able to add more tables, create more transformations, and even integrate external tools. Arun cited examples like Mutuality and Thing, tools that perform identity resolution on top of the data warehouse. These systems, instead of operating deterministically, utilize fuzzy resolution. They identify rows that may be the same and join them together - an innovative process executed directly within the data warehouse. Such possibilities underscore the value of composable CDPs. Being locked into a closed system inhibits the ability to incorporate these innovations into one's data warehouse, a limitation he finds less appealing. Though there are countless other arguments surrounding this topic, Arun emphasizes this angle as one often overlooked in the broader conversation.Takeaway: In the composable vs. packaged CDP debate, Arun highlights the flexibility and potential for innovation offered by composable CDPs. By likening them to open-source systems, he underscores the opportunities to customize and integrate additional tools directly on top of the data warehouse, an often overlooked yet crucial consideration in the martech space.Unpacking the Definition of Warehouse-Native MartechWhen asked about the varying definitions in the martech space, particularly 'warehouse-native' and 'connected', Arun addressed these terms with a refreshingly pragmatic viewpoint. He observed that while the industry is caught up in different terminologies, often what doesn't fit into these boxes is what the customer actually wants.Arun described his understanding of warehouse-native as akin to the framework offered by Snowflake, where everything runs atop the data. A connected app, in his view, is one that separates compute and data - the data resides in a warehouse, not in the SaaS app, providing the flexibility we've discussed before. The actual computations happen on internal clusters, streamlining operations by removing the need for API integrations, enhancing consistency and security, and reducing data movement.Yet, for Arun, the appeal of warehouse-native martech extends beyond these definitions. The true advantage lies in its potential to transform data into a goldmine of information that can fuel powerful reporting and analytics. The ability to write data back to the data warehouse creates a wealth of opportunities for customers, a feature he deems as a significant boon of connected apps and warehouse-native tech.Despite these perspectives, Arun chooses not to classify Castled.io strictly as a warehouse-native or connected app. Instead, he emphasizes meeting customer needs. For some enterprise customers, the security of not moving data to an external system like Breeze or Iterable is paramount. Here, he sees value in solving problems directly atop the data warehouse, utilizing its compute capabilities. However, he recognizes that this isn't a universal requirement, with many mid-market companies comfortable with moving data to different tools.Emphasizing flexibility, Arun noted that focusing solely on solving problems within the data warehouse could limit the potential for real-time or transactional use cases. To balance this, Castled.io allows users to create segments directly atop the data warehouse. Once a segment is created, it's cached to a segment architecture designed to power real-time use cases.Takeaway: While the martech industry grapples with terms like warehouse-native and connected apps, Arun emphasizes the need to focus on customer requirements. He sees the benefits of these concepts but underlines the importance of flexibility, using warehouse-native capabilities where they add value and enabling other options where they serve specific use cases better. This customer-centric perspective holds the potential to influence the way we think about the future of martech solutions.The Problems with Traditional MartechWhen asked about the challenges plaguing traditional martech and how his company, Castled.io, presents solutions, Arun had a wealth of insights to share. There's a significant disconnect, he explained, between the number of customers a company maintains and the actual value derived from them. This discrepancy was particularly noticeable among smaller B2C companies with millions of subscribers but limited income. Traditional martech solutions claim their pricing aligns with the value the customer extracts, but in Arun's view, this assertion doesn't hold water. Castled.io, however, he says, offers a more sensible alternative. Its pricing model doesn't center on the volume of data or compute capacity utilized. Instead, it correlates with the number of team members leveraging the tool, an arrangement Arun believes more accurately reflects the true value provided to the customer.He further unpacked the issue of data look-back periods, pointing out that especially for certain B2C companies, like travel agencies planning vacations, having only a six-month data retention limit makes re-engagement efforts nearly impossible. Traditional ecommerce companies could similarly benefit from having access to data from past holiday seasons, enabling them to strategize more effectively.Arun also criticized the inefficiency of marketers waiting for data engineers to fulfil their requests, a process that can take months. In contrast, Castled.io offers immediate access to data stored in the warehouse, overcoming this time-consuming hurdle.Takeaway: Traditional martech has its shortcomings, notably the disconnection between customer numbers and value derived, and restrictive data look-back periods. However, Arun emphasizes that Castled.io is leading the charge in overcoming these hurdles, with its unique pricing model based on team member usage and its efficient, immediate access to data.The Role of Clean Data Warehouses in Warehouse Native Martech ToolsWhen Arun was asked about the significance of clean data warehouses for operating any warehouse native martech tools, he agreed with the concept, but offered an intriguing observation. According to Arun, the common notion that only enterprises and mid-market companies maintain clean data warehouses doesn't hold water.He revealed that surprisingly, many small to medium-sized businesses (SMBs) also maintain high-quality data warehouses. Arun explained that this trend could be attributed to the increasing awareness among businesses about the importance of data quality. They understand that shoddy data quality could pose issues down the line, and therefore, they focus on data quality from day one.Arun mentioned an interesting phenomenon among SMBs. These companies, although smaller in size, often have a higher data quality than mid-market and enterprise businesses. Arun attributes this to the hands-on approach of the CTOs at these smaller companies who directly oversee these matters, implementing best practices such as data contracts.Arun also highlighted that warehouse-native tech isn't just for large B2C companies with loads of customers. Castled.io, while it primarily targets B2C customers, is also used by B2B customers for tasks like drip and email marketing.Arun concluded by emphasizing that a clean data warehouse is indeed a prerequisite for any warehouse native tech. This, he suggested, is evidenced by the popularity of reverse ETL tools, which send data from the data warehouse back to these tools.Takeaway: Clean data warehouses are critical for the effective operation of warehouse native martech tools. Interestingly, SMBs are often leading the pack in maintaining clean data warehouses due to a proactive approach towards data quality right from the get-go. It highlights the broader applicability of warehouse native tech beyond just large B2C companies, as businesses of all sizes strive to achieve better marketing results.Navigating the Challenges of the Warehouse-Native ApproachAccording to other industry experts, the key challenges faced by companies in adopting a warehouse-native approach include: Real time data: There's often a delay in getting data in the warehouse. Many marketers are faced with a nightly sync in their warehouse which makes real-time campaigns tricky Compute charges: For teams that are lucky enough to have real time data, there's the added cost of compute charges / creating a load on your DWH/Snowflake that can add up quickly Schema ownership: The data team usually owns the schema and it might not always be in a format that marketing can do something with it. Example: creating a table for every product event vs creating a product event table and having the events be columns DWH access: A lot of companies will block access to the data warehouse because it has sensitive info in it... even if you aren't reading it, they just don't want the access point Arun offered his in-depth insight and experiences to provide a well-rounded view of these complex issues.Real time data challengesArun explained that the real-time data challenges within a warehouse-native approach can be addressed by leveraging APIs and strategic data management. He split it up into two distinct use-cases of real-time data: reacting to events in real-time handling real-time data itself. The first scenario, reacting to real-time events, is already addressed by Castled.io. Arun provided an example of an e-commerce company sending a push notification or email when an order is shipped. By integrating with the Castled.io API, they're able to send these notifications within milliseconds, utilizing data directly from the data warehouse. This speed is enabled by caching user segment data on their end, catering to a majority of real-time use cases they encounter.The second scenario, real-time data management, involves cases like newsletter sign-ups, where data may not instantly exist in the data warehouse. Here, Arun shared how customers resolve this: when making the API call, they pass all the contextual data of the event. Since the data associated with a new user sign-up isn't scattered across multiple sources, this method provides a timely and efficient solution. The collected data can then be used for personalization and other activities.Computing Charges, The Hidden Pain Point of the Data WarehouseArun acknowledged this as a common problem in existing cloud data warehouses. He emphasized the potential adverse impacts these charges could have on the data warehousing ecosystem if not properly managed. But with strategic use of optimized SQL queries and warehouse-native applications, these costs can be minimized and optimized. Despite the associated costs, Arun maintained that many would still favor a data warehouse due to the immense value it brings. Particularly when it comes to marketing, where substantial budgets are often deployed, utilizing a data warehouse to its fullest extent becomes crucial.Arun explained that once a company decides to leverage its warehouse for marketing, it must choose the most efficient way to operate. Either data engineers can write queries to create segments and handle the data, or applications running atop the data warehouse can execute these queries. Arun pointed out that a key reason for the escalating compute charges is the hiring of inexperienced analytics engineers, whose lack of optimized SQL queries knowledge adds to these costs.Arun explained how his team prides itself on paying careful attention to even minor filter additions in their audience builder query tool. He noted that a thorough load testing process is carried out to ensure customers don't have to pay any unnecessary costs. For him, this is way more scalable. Despite the inevitability of compute charges, utilizing a warehouse-native application ensures these costs are minimized and optimized.Understanding the Intricacies of Schema Ownership and Data Warehouse Access Arun was frank about the limitations in addressing the challenges of schema ownership and data warehouse access. He acknowledged that these hurdles are more about facilitating an understanding among the people involved. He emphasized the need in educating the relevant parties about the potential value that's being left on the table. However, if a company insists on restricting marketer access to their data warehouse, the solution may be out of reach.Arun indicated that the number of companies unwilling to grant marketers access to their data warehouse is relatively small. He stated that even enterprise customers are not frequently faced with such restrictions.He admitted that beyond educating the individuals involved about the benefits of allowing marketers access to their data warehouses, there isn't much else they can do. He elaborated that Castled.io can show how they write optimized queries on a data warehouse compared to data engineers, but if a company is still hesitant to give marketers access to their data warehouse, the situation is beyond their control.Takeaway: Addressing these complex issues requires a deep understanding of the technical landscape and the value that real-time data, well-managed compute charges, and sensible schema ownership can bring to an organization. Arun's perspective illuminates the path to navigating these challenges, ensuring data is used optimally and efficiently.Playing the Fast-Paced Game of Overlapping Martech Data ToolsNavigating the current martech landscape can feel like a high-stakes game of chess, with tools shifting and overlapping in functions almost as quickly as one can keep track. ETL tools adding rETL features while rETL tools and CDIs becoming composable CDPs CDPs adding product analytics and AI features while product analytic tools adding CDP and AI features CDPs adding marketing automation features while MAPs adding CDP features CDPs also adding "warehouse connectors" or "warehouse sync" - basically acknowledging that the warehouse is essential, and they need to catch up on ETL and reverse ETL Arun presented a comprehensive view of the current state and predicted trajectory of the industry considering the labyrinthine tangle of martech data tools. Recognizing that consolidation is a looming certainty, he detailed the implications of such a shift in the landscape.Arun highlighted the inherent overlap between various data technologies, and spoke about how this redundancy is fueling an inevitable unification of tools. He recalled a conversation with a colleague who, after a detailed analysis of their tech stack, could potentially cut their toolset in half due to existing redundancies.Moving onto the complex interplay of transformations and Extract, Load, Transform (ELT) tools, Arun shed light on their evolution. He noted that transformation tools, such as DBT, are now included in data warehouse offerings like Snowflake, Google's data form, and many others. Simultaneously, ELT solutions are expanding their repertoire to include reverse ELT capabilities.In Arun's view, this overlap is driving a constant pruning of tools from the data stack. Every tool needs to adapt, evolve and carve its own unique position in the modern data stack to stay relevant. He noted that survival in this space might not always be a given.Expanding on the idea of consolidation, Arun brought up the evolution of tools that collect events like CDPs. He sees the possibility of these tools offering product analytics, thereby diversifying their functionalities. This continuous absorption of capabilities will lead to the shrinking of data stacks and trigger a battle between composable and single solution platforms.In Arun's vision of the future, the role of data warehouses could undergo a fundamental transformation. They could metamorphose into powerhouses of databases with the capability to store vast amounts of data. As this happens, vendors may pivot to building packaged CDPs around these data warehouses, heralding a shift in the industry's architecture.Takeaway: Martech is in a state of continuous flux, with data tool overlap and feature consolidation driving a relentless contraction of the data stack. This evolution may culminate in data warehouses morphing into mega-databases, around which packaged CDPs are built. In this scenario, every tool will need to adapt and find its unique niche within the modern data stack to remain relevant. The competitive landscape promises to be intriguing, with potentially transformative effects on the industry.Martech's Shift to Warehouse Native: A Threat to Reverse ETL?One question looms large: will the move to a warehouse native approach render reverse ETL and data pipelines redundant? Arun was asked about this potential change and how it could reshape the landscape for data-driven marketers. In a scenario where marketing and customer engagement tools sit atop the data warehouse, absorbing information directly from the source, the need for a third-party intermediary like reverse ETL might seem diminished. Arun's answer to this is as complex as it is insightful.While he acknowledged that a shift to warehouse-native solutions could, in theory, eliminate the need for reverse ETL, he urged caution. The impetus behind adopting a warehouse-native solution should not solely be to sidestep reverse ETL, he argued. Instead, the focus should be on solving existing issues in the martech stack, enhancing functionalities, and driving more value for the end-users.Arun referenced companies like Customer.io that have already started incorporating reverse ETL into their platforms. If the motivation behind warehouse-native tools is solely to eliminate reverse ETL, he believes their lifespan in the industry may be short. The way forward, according to Arun, lies in leveraging the power of warehouse-native approaches to overcome limitations of existing tools and to drive innovation in the martech space.Takeaway: Warehouse-native solutions might theoretically replace the need for reverse ETL, but a successful pivot relies on problem-solving and enhancing existing functionalities. In the evolving martech space, the focus should be on creating value and meeting user needs, rather than simply seeking to disrupt existing processes.Optimism, Apprehension, and The Pace of AI in MarketingArun was asked about one of the hottest topics in marketing today: artificial intelligence (AI). We inquired specifically about the challenges AI and machine learning (ML) pose in potentially transforming or even replacing current marketing roles. This is a topic that resonates with many early-stage marketers who find themselves caught between fear and optimism.Arun's viewpoint on this topic provides clarity, drawing from his understanding of the field. He referenced a past podcast episode where the host mentioned the threat of rapid AI innovation. Indeed, one significant worry is the potential obsolescence of innovations built on older AI models like GPT-2 as newer versions, such as GPT-5 or GPT-6, are developed.From Arun's perspective, this highlights a fundamental limitation of AI. While current AI models, like transformers, can solve problems related to natural language processing, the road to artificial general intelligence (AGI) is longer and more complex. AGI refers to a type of AI that can understand, learn, and apply knowledge across a wide range of tasks, closely mirroring human intelligence.When it comes to significant innovation in AI, Arun believes it's largely confined to big tech giants like OpenAI, Google, and Facebook. These entities have enormous resources at their disposal, making it challenging for smaller players to compete. The journey to disruptive AI innovations is arduous, and in Arun's view, it's likely to take more time than most people anticipate.While acknowledging ongoing AI innovations within many companies' internal systems, including marketing tools, Arun expressed skepticism about their sustainability. He pointed out that once the tech giants develop AGI, smaller innovations might be overshadowed or rendered obsolete. Therein lies a key issue: who should be innovating in AI, and why, given the rapid pace of change and the dominance of major players?Arun concluded by reflecting on the future of AI, considering it entirely possible that many roles, even podcast hosts, could be replaced by AI. But the crux of the matter, he stressed, is determining who will lead these innovations and when.Takeaway: While the advent of AI brings with it both challenges and opportunities, its path to replacing current marketing roles isn't straightforward. The question isn't merely what AI can achieve but who's driving its evolution and at what pace. Future changes will depend on advances in AGI and the balancing act between smaller innovations and the dominance of tech giants in the field.Striking Balance in Success and Happiness: Insights from a Founder's JourneyWhen asked about how he strikes a balance between all his roles - a CEO, co-founder, cricket fan, movie buff, and dad - and still manages to stay happy and successful in his career, Arun had some insightful thoughts to share.Arun recognized early on that a significant portion of the entrepreneurial journey involves learning from failures. He recalled a moment when a series of potential customers did not convert, sending him into a state of disappointment. However, he learned to adjust his mindset, understanding that things won't always go as planned, particularly for first-time founders.Today, he approaches his work with a different attitude, seeing each customer as an opportunity. If one doesn't convert, he simply moves on to the next, a sign of maturity and growth that has evolved over time.Yet, the life of an entrepreneur can be stressful and hectic. Arun has found ways to alleviate the stress and maintain balance. He spends quality time with his young daughter and friends. He recognizes that while his work is an important part of his life and career, it's crucial to separate personal life from professional pursuits. This, he believes, helps him to stay productive and manage his stress better.Takeaway: Success in one's career, especially in the high-stakes world of startups, isn't just about achieving business milestones. It's also about maintaining a healthy balance between work and personal life, learning from failures, and evolving as an individual. Arun's story underlines the importance of these facets in fostering both happiness and success.Embracing new Tech Even if It's ComplicatedWhen asked if there was anything he wanted to share with the audience, Arun urged everyone to be more open to the world around them, implying that not everything is as intimidating as it might seem at first glance.Arun acknowledged the common misconceptions about tech, specifically around emerging fields like warehouse native technology. However, he strongly encourages a more open-minded exploration of these advancements. He believes that understanding their potential and pushing past the initial fear and doubt is key.Highlighting his own faith in these technologies, Arun mentioned how he would not have left his high-paying job to pursue this venture if he did not believe in its feasibility. His faith in the technology's potential isn't based on blind optimism but a firm belief in its transformative possibilities.Takeaway: The world of tech, particularly emerging fields, can seem daunting. But Arun's experience underscores the importance of staying open-minded and pushing past initial misconceptions. Embracing change, after all, is often the first step to leveraging the opportunities that accompany it.Episode RecapArun provides a straightforward understanding of 'warehouse-native' and 'connected' in the context of martech. He explains 'warehouse-native' as akin to Snowflake's model, where all processes run on the data, highlighting its potential to turn data into valuable insights for powerful reporting and analytics. The 'connected' approach is where data resides in a warehouse, with computations happening on internal clusters, enhancing security and reducing data movement. However, Arun doesn't pigeonhole Castled.io as either; instead, he underlines the importance of catering to specific customer needs and balancing flexibility to allow for real-time and transactional use cases.Addressing traditional martech's challenges, Arun speaks of a significant mismatch between a company's customer base and the value derived. Castled.io proposes a solution through its unique pricing model that correlates with the number of team members using the tool rather than data volume or compute capacity. Additionally, he tackles the issue of data look-back periods, emphasizing the benefits of having access to past data for strategic planning. In contrast to traditional martech that makes marketers dependent on data engineers, Castled.io offers immediate access to data stored in the warehouse.Acknowledging the challenges of a warehouse-native approach, Arun discusses real-time data, compute charges, schema ownership, and DWH access. He offers solutions like leveraging APIs and strategic data management to address real-time data challenges, and optimized SQL queries and warehouse-native applications to minimize and manage compute charges. Arun believes that despite the costs, the value a data warehouse brings, especially for marketing, is immense.The shift towards warehouse-native martech raises questions about the future of reverse ETL and data pipelines. While acknowledging the potential redundancy of reverse ETL in a warehouse-native scenario, Arun stresses that the adoption of warehouse-native solutions should focus on solving existing martech issues, enhancing functionalities, and driving value for end-users. The key to the future, according to Arun, lies in leveraging warehouse-native approaches to overcome existing tool limitations and drive innovation in the martech space.Finally, Arun encourages openness towards new technology, despite its complexity. He dispels misconceptions about emerging tech like warehouse-native solutions and encourages pushing past initial fears and doubts to understand their potential. His faith in these technologies is based not on blind optimism but a conviction in their transformative possibilities.Listen for a comprehensive, nuanced, and accessible journey through the world of warehouse native martech, composable CDPs and reverse ETL.
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The term “DRG mismatches” is most often used to describe situations wherein the working diagnosis-related group (DRG) selected by the clinical documentation improvement specialist (CDIS) differs from the final coded DRG, signaling that the CDIS and the coder have arrived at different principal diagnoses. In other situations, a procedure may have been coded incorrectly by the CDI professional, causing the DRG mismatch.But here's good news: there's a new workflow for resolving inpatient DRG mismatches. With this new workflow, the CDIS and coder no longer have to spend countless hours reconciling DRG mismatches.During the next live edition of Talk Ten Tuesdays, Patty Chua, president of Innova Revenue Group, will report on the positive coding implications this new workflow has created.The live broadcast will also feature these other segments:Revenue Cycle Report: Susan A. Vestevich, JD, chief operations officer for Tia Tech USA, will report on the need for physician credentialing to ensure proper billing and reimbursement.SDoH Report: Tiffany Ferguson, a subject-matter expert on the social determinants of health (SDoH), will make her debut appearance on Talk Ten Tuesdays, having been a regular panelist on the long-running Monitor Mondays. Ferguson will report on the news that's happening at the intersection of coding and the SDoH.Journaling John, MD: John Zelem, MD, FACS, founder and CEO of Streamline Solutions Consulting, will continue with his journal entries.News Desk: Timothy Powell, CPA, will anchor the Talk Ten Tuesdays News Desk.Point of View: James S. Kennedy, MD, president of CDIMD, will serve as co-host, and will report on a subject that has caught his attention.
Artificial intelligence (AI) and Natural Language Processing (NLP) are taking over the health industry and renovating healthcare technology. It has for some time now being a Lodestar into improving and delivering quality healthcare. A ton of information is being collected but isn't being utilized simply because the existing technology doesn't know what to do with the data. A recent report from RBC Capital Markets states 30% of the world's data is generated in the healthcare industry, and it is expected to surpass 36% in the next three years. Handling this sort of information is a challenge as most healthcare AI technology relies on simple technologies like rules and checklists.On this episode, Lauren Hickey, the content strategist at Iodine, chats with Diana O'Connor, the clinical product consultant manager at Iodine, and Justin Geradot, the client service operations manager at Iodine, about their new flagship technology, CONCURRENT. Hickey, Diana, and Justin chat about...1. What can prevent CDIs from fully adopting concurrent.2. How auto-assignment works3. Barriers and quiet periods. "CONCURRENT is our flagship software that utilizes artificial intelligence and machine learning to prioritize patients concurrently while in-house. It uses, at a high level, different amount of misalignment of information between clinical evidence that support a certain condition and the actual expectation documentation of those conditions and uses the difference to prioritize," said Justin."CDI is complex. There is a lot of different workflow strategies that people use. CONCURRENT is more than just a technical implementation, we are taking account of different philosophies and workflows," said Diana. Lauren then asked Justin about auto-assignment and quiet periods, and he went on to say:"Auto assignment is a way concurrent distributes cases to CDS's for review. It is one of the oldest features for CONCURRENT specifically to address the problem that scope changes as a result of CONCURRENT. Before CONCURRENT, CDIs way to locate cases was through location or service line. When prioritization is added, balancing for caseloads gets more difficult. Auto assignment instead of using service line to distribute cases uses priority status, assigning cases with more priority first then working their way down.”“Quiet period is how much period a case must incubate before its considered for auto-assignment. This is a change for a lot of CDI departments. A lot of CDI teams want to see cases every two days at a minimum. With prioritization, we set a 24hr quiet period to get the necessary information. After a case has been reviewed, it goes into another quiet period for 12hrs to make sure it doesn't immediately get reprioritized again,” Justin continued. Lauren then talks about query hesitancy and asks Diana about CDSs not querying as much even when Iodine AI says a query is needed. Diana's reply:"One of the things we are looking for is a complete, intact medical record that tells the story of the patient and the sooner we get the documentation in, the better. And with denials coming up the way they are, you want continuity of them in the medical record. It's a shift from getting querying away as a penalty into more as a prompt and querying sooner."At the end of the episode, Justin says Iodine and Concurrent are always changing, adding new functionalities, platforms, and configurations—Retrospect being an example.
In this episode, Ayesha talked about the FDA approval of Ferring Pharmaceuticals' fecal matter-based therapy Rebyota for the treatment of recurrent C. difficile infections. While fecal matter transplants (FMT) have been a standard of care for recurrent CDIs, despite not having formal approval, Rebyota has become the first FDA approved FMT-based treatment for CDIs. Hear more about the drug and its approval in this episode. Ayesha also discussed a new CBD oral capsule being developed by PureTech Health for the treatment of epilepsy and potentially other indications as well. The drug will be going up against Jazz Pharma's Epidiolex, which was first approved in 2018 for the treatment of seizures associated with rare types of epilepsy. Hear about the advantages of an oral capsule formulation of CBD, including lower costs and not requiring the use of sesame oil.Read the full articles here:FDA Approves Rebyota as First Fecal Microbiome Therapy for Recurrent C. Difficile InfectionPureTech Reveals New CBD Pill to Rival Jazz's EpidiolexFor more life science and medical device content, visit the Xtalks Vitals homepage.Follow Us on Social MediaTwitter: @Xtalks Instagram: @Xtalks Facebook: https://www.facebook.com/Xtalks.Webinars/ LinkedIn: https://www.linkedin.com/company/xtalks-webconferences YouTube: https://www.youtube.com/c/XtalksWebinars/featured
Should educational development seek to define itself as a discipline? What are the urgent conversations around our research and practice? Is the academy improving? In today's episode, I am excited to share my conversation with Michael Palmer and Lindsay Wheeler, Co-Editors of To Improve the Academy (TIA for short), which is the flagship peer-reviewed journal of the POD Network. It is an open-access, electronic journal that focuses on educational development practice and research. TIA publishes two issues annually with occasional special issues that respond to the profession and moment: Link to the Journal. Michael Palmer and Lindsay Wheeler, colleagues in the Center for Teaching Excellence at UVA, became the first ever Co-Associate Editors of To Improve the Academy in 2020 and now serve as the journal's first co-Editors. Michael, a Chemist by training, leads the Center for Teaching Excellence and has won numerous awards and recognition for his educational development scholarship and innovations. Like many POD Network members, my first encounter with Michael Palmer was the "Measuring the Promise" student-centered syllabus rubric that we use to both model and assess student-centered syllabi from faculty who go through our CDIs each summer. Lindsay Wheeler, Assistant Director of Educational Development Research and Assessment, is a prolific and award-winning scholar in the field of educational research. Recently she was awarded the 2021 International Journal of Academic Development Article of the Year Award for her article, co written with Dorthea Back, titled: “Understanding the impact of educational development interventions on classroom instruction and student success”. Her approach to educational development research embraces collaboration as evidenced by some of her recent projects: the SoTL Collaboratory in Virginia, and the Pandemic Educational Development Research Collaboratory, which she co-leads with Eric Kaldor, in collaboration with educational developers from other four-year institutions, which focuses on documenting and reflecting on the work of educational developers during the pandemic This article by Jamiella Brooks, Heather Dwyer, and Marisella Rodriguez, published in Faculty Focus, is mentioned in the interview "A Call to Interrogate Educational Development for Racism and Colonization" Here is the transcript of our conversation.
WisBusiness: the Podcast with Tom Erickson, UW-Madison CDIS by wispolitics
Frank Jurcak, MSN, RN, CCDS, CCDS-O, the Chief Clinical Strategist for Iodine Software, brought the goods on the secrets of mid-revenue cycle management. With hospitals operating on tighter and tighter margins, clinical documentation improvement programs (CDIs) must optimize to take advantage of every savings opportunity.“Healthcare systems are truly on very tight margins now, and that requires real close attention to efficiency and appropriate utilization of resources,” Jurcak explained. “So, with the increasing demands put on accuracy and depth of documentation, records need to be reviewed daily to identify discrepancies between the clinical evidence and the accuracy of the documentation.”Because human resources are at a premium in healthcare, there are not enough people to keep up with the need for this type of daily review. Between documentation, changing regulations, and new evolving technology, it isn't easy to know what to do next Accuracy is the name of the game in all aspects of healthcare, especially in the documentation. “Documentation drives the final reporting of codes, and without that clear, consistent, and complete documentation, it's impossible to accurately code what's really happening and results in inaccurate reimbursement,” Jurcak said.So, what can healthcare organizations do to minimize documentation leakage and increase accuracy? “To solve this leakage issue, you got to focus first on documentation integrity across all records,” Jurcak said. “We can't be targeting a particular metric or particular condition to say this is how I'm going to solve all problems because it's only solving a very small problem.”According to Jurcak, AI technology could play a role in assisting by emulating the clinical brain of a provider and in the identification of the correct records.
Educational Objectives Discuss the role of disruptions in the gut microbiome in the development of Clostridioides difficile infection (CDI) and recurrent CDIs Review the efficacy, safety, and role of fecal microbiota transplantation and emerging microbiome-based drugs for treatment of CDIs and rCDIs Faculty: Kevin W. Garey, PharmD, MS Professor and Chair University of Houston College of Pharmacy Houston, Texas Kevin W. Garey, PharmD, MS, has the following relevant financial relationships with commercial interests to disclose: Grant/Research Support: Summit, Acurx, and Parakek Pharmaceuticals, and Seres Therapeutics Consultant: Ferring Pharmaceuticals Pharmacy Times Continuing Education™ is accredited by the Accreditation Council for Pharmacy Education (ACPE) as a provider of continuing pharmacy education. This activity is approved for 0.75 contact hour (0.075 CEU) under the ACPE universal activity number 0290-0000-22-048-H01-P. The activity is available for CE credit through January 31, 2023. This activity is supported by a medical education grant from Ferring Pharmaceuticals. Participants can claim credit for this CE activity by following the link below: https://www.pharmacytimes.org/courses/the-promising-role-of-microbiome-based-drugs-for-the-treatment-and-prevention-of-recurrent-clostridioides-difficile Learn more about your ad choices. Visit megaphone.fm/adchoices
Educational Objectives Discuss the role of disruptions in the gut microbiome in the development of Clostridioides difficile infection (CDI) and recurrent CDIs Review the efficacy, safety, and role of fecal microbiota transplantation and emerging microbiome-based drugs for treatment of CDIs and rCDIs Faculty: Kevin W. Garey, PharmD, MS Professor and Chair University of Houston College of Pharmacy Houston, Texas Kevin W. Garey, PharmD, MS, has the following relevant financial relationships with commercial interests to disclose: Grant/Research Support: Summit, Acurx, and Parakek Pharmaceuticals, and Seres Therapeutics Consultant: Ferring Pharmaceuticals Pharmacy Times Continuing Education™ is accredited by the Accreditation Council for Pharmacy Education (ACPE) as a provider of continuing pharmacy education. This activity is approved for 0.75 contact hour (0.075 CEU) under the ACPE universal activity number 0290-0000-22-048-H01-P. The activity is available for CE credit through January 31, 2023. This activity is supported by a medical education grant from Ferring Pharmaceuticals. Participants can claim credit for this CE activity by following the link below: https://www.pharmacytimes.org/courses/the-promising-role-of-microbiome-based-drugs-for-the-treatment-and-prevention-of-recurrent-clostridioides-difficile Learn more about your ad choices. Visit megaphone.fm/adchoices
Educational Objectives Discuss the role of disruptions in the gut microbiome in the development of Clostridioides difficile infection (CDI) and recurrent CDIs Review the efficacy, safety, and role of fecal microbiota transplantation and emerging microbiome-based drugs for treatment of CDIs and rCDIs Faculty: Kevin W. Garey, PharmD, MS Professor and Chair University of Houston College of Pharmacy Houston, Texas Kevin W. Garey, PharmD, MS, has the following relevant financial relationships with commercial interests to disclose: Grant/Research Support: Summit, Acurx, and Parakek Pharmaceuticals, and Seres Therapeutics Consultant: Ferring Pharmaceuticals Pharmacy Times Continuing Education™ is accredited by the Accreditation Council for Pharmacy Education (ACPE) as a provider of continuing pharmacy education. This activity is approved for 0.75 contact hour (0.075 CEU) under the ACPE universal activity number 0290-0000-22-048-H01-P. The activity is available for CE credit through January 31, 2023. This activity is supported by a medical education grant from Ferring Pharmaceuticals. Learn more about your ad choices. Visit megaphone.fm/adchoices
Conselho dos Direitos dos Idosos é um órgão permanente, normativo e deliberativo, ou seja, órgão integrante da administração pública de funcionamento constante e que tem capacidade de decidir sobre a formação de políticas dirigidas a pessoas idosas. Neste vídeo, você vai entender a história e a importância dos CDIs e o porquê é fundamental entender os direitos dos idosos para uma sociedade mais justa. _____________________ A SBGG-DF (Sociedade Brasileira de Geriatria e Gerontologia Seção Distrito Federal) tem como objetivo principal congregar profissionais de nível superior que se interessem pela Geriatria e Gerontologia, estimulando e apoiando o desenvolvimento e a divulgação do conhecimento científico na área do envelhecimento. Mais informações: Facebook: https://www.facebook.com/sbgg.dfInstagram: https://www.instagram.com/sbgg.df
This is Episode 10 of The Africans Heal Podcast.
In this episode, Ayesha talks about Nestlé's marketing of Seres Therapeutics' oral microbiome drug for recurrent C. Difficile infection (CDI). CDIs are the leading cause of hospital-acquired infections in the US, with recurrence being a common problem. It typically develops after the use of antibiotics which can wipe out the gut's healthy bacteria. Seres' microbiome drug SER-109 aims to restore the healthy bacteria via an oral capsule that contains a protective species of gut bacteria. Nestlé has been a big player in the gastrointestinal space and first partnered with Seres in 2016. The latest venture of the partnership will have the food and beverage giant utilize its global pharmaceutical business Aimmune Therapeutics to take on the role of lead commercialization party for the oral microbiome drug.The team also discussed the World Health Organization's (WHO) adding IL-6 receptor blockers to its treatment guidelines for severely and critically ill COVID-19 patients. This includes IL-6 blockers from Roche (Actemra) and Sanofi (Kevzara). While IL-6 receptor antagonists initially met with mixed results in COVID-19 trials, recent data suggests it can cut improve survival outcomes in critically ill patients. The WHO also called on manufacturers to reduce the cost of the IL-6 receptor monoclonal antibodies to help increase access to the drugs in low- and middle-income countries.Read the full articles here: Nestlé to Market Seres' Oral Microbiome Drug for C. Difficilev WHO Calls on Roche and Sanofi to Lower Costs for Life-Saving COVID-19 Treatment For more life science and medical device content, visit the Xtalks Vitals homepage.Follow Us on Social MediaTwitter: @Xtalks Instagram: @Xtalks Facebook: https://www.facebook.com/Xtalks.Webinars/ LinkedIn: https://www.linkedin.com/company/xtalks-webconferences YouTube: https://www.youtube.com/c/XtalksWebinars/featured
C'est Jasmine aujourd'hui et à mon micro, Antoine Filliaudeau. Pour le citer, "Mon parcours est assez décousu, il va falloir s'accrocher." En effet, Antoine en a vu de toutes les couleurs. Il est passionné d'art et de photographie mais se résigne, par défaut, à faire une école de commerce. Il teste en stages pleins de métiers et de secteurs, de la logistique à l'audiovisuel, en passant par la vente et les opérations. Il se fait viré de ces deux premiers CDIs pendant les périodes d'essais. Et il ne s'en cache pas, c'était très compliqué à gérer. Mais il s'en sort, grâce à la photo, à ses proches et au temps, et finit par rejoindre Dojo, une startup anglaise qui ouvrait des bureaux à Paris.Il découvre le marketing, la communication, l'événementiel et le digital et se régale. Après 1 an et demi, l'aventure s'arrête pour Antoine, la startup ferme le bureau français pour aller aux Etats-Unis et devient kyra.com. Antoine retrouve le chomage, et à nouveau, il ne tient pas en place et fait du freelance. Il se fait chasser en 2018 par JobTeaser. Aujourd'hui Antoine gère toute l'image de marque et la création de contenus de Jobteaser et depuis peu, il est responsable de la nouvelle agence intégrée. Pas mal d'intitulés qui cachent un métier passionnant. J'ai découvert pendant notre échange comment le marketing et la communication étaient chamboulés par la création de contenu et l'influence. Honnêtement, ca m'a permis de mettre des mots sur mes intuitions et confirmer les métiers que j'avais envie d'explorer. J'ai profité de ma conversation avec Antoine pour avoir son regard d'expert sur ce que l'on vivait aujourd'hui en tant que jeune, notamment dans notre rapport au travail. Que ce soit pour comprendre l'impact du covid, des nouvelles technologies pour tout simplement pour avoir les conseils d'un triple licencié sans filtre, je ne peux que vous recommander cet épisode. Les ressources d'Antoine : L'excellente newsletter de Digiday, https://digiday.com/, le must pour se tenir informé de l'évolution du marché des médias, du contenu et du marketing digital. La newsletter et les articles de Workingincontent, qui explore notamment tous les nouveaux métiers liés au contenu (UX content writer, Content Designer, Content Strategist...) : https://workingincontent.com/resources https://nowness.com pour la qualité des contenus hébergés, qui sont soient co-produit, soit le fruit d'une curation. Pour le reste, mon conseil ultime, c'est d'observer, en permanence. Des nouvelles formes de création graphique qui pop sur Insta, jusqu'à la façon dont votre voisin de métro a lacé ses chaussures. L'inspiration et l'information sont partout. Comme d'habitude, retrouvez-nous sur Instagram vocation.co et si vous voulez nous donner un vrai coup de pouce, n'hésitez pas à nous mettre 5 étoiles sur Apple Podcast.
our guest on Blind Abilities today is Sheila Koenig, Transition Services Coordinator for State Services for the Blind of Minnesota (SSB). Sheila talks about a variety of opportunities available to Transition Age students. Learn about the programs such as the Summer Transition Program (STP), Chill and Chat, Peer Educators, Blind and Socially Savvy and the Learning Ally College Success Program. There is something for everyone! Sheila also discusses the Spectacle Newsletter, where you can find all of the programs, events and connecting opportunities that you do not want to miss. . Jeff and Sheila also chat about the upcoming conventions, with NFB, ACB and others, once again holding their events virtually. They pointed out that even virtual conventions offer excellent opportunities for attendees to socialize and network, meet others, problem-solve, and juts interact with peers who share common interests, ideas and solutions. Sheila’s overarching message to students is to “"get involved and do some programs during the summer”, recognizing that they will probably be virtual, but pointing out that this is still a great way to meet and network with peer students who are also on their educational journey with a Blindness perspective. Parents and students are invited to reach out to Sheila Koenig with any questions, ideas or suggestions for summer programs or activities. You can contact her directly via email at Sheila.Koenig@State.Mn.US Here are some tidbits from the March 2021, Spectacle Newsletter: Chill & Chat We are excited to offer informal Zoom meet ups for students to connect with peers, problem solve, and support each other. Meet ups happen the first Tuesday of every month at 4pm. Email Sheila.koenig@state.mn.us for details and for the Zoom link. This workshop will be conducted in ASL. Captioning and voice interpreting will be provided. Streamtext will be available. A separate room will have access to CDIs. Registration is $25. For more information & registration. Visit www.dbsan.org/. College Shadow SSB’s College Shadow is similar to a job shadow. High school students can virtually tour a college, talk with college students, and sometimes attend a college class. Email Sheila.koenig@state.mn.us if you’d like to participate. SSB Communication Center The Communication Center is here to put your books into accessible formats that work for you. Custom audio, e-text, DAISY markup, and Braille - we can do it! The Communication Center is Minnesota’s Accessible Reading Source – we’re here for you. Email us at ssb.audioservices@state.mn.us Year-Round Programs for Students BLIND, Incorporated, Duluth Center for Vital Living, and Vision Loss Resources offer opportunities for students to build skills and connect with peers throughout the school year. Contact Sheila.koenig@state.mn.us with any questions. Helen Keller National Center-Summer Youth Programs In a time when distance learning ensures your safety, HKNC has adapted our New York programs to online so that you still have the opportunity to learn from other deaf-blind individuals and our experienced professionals. To learn more go to https://www.helenkeller.org/hknc/youth-programs Be sure to check out the entire March 2021 Spectacle Newsletter and stay up to date with all the latest news and information from State Services for the Blind. Contact Your State Services If you reside in Minnesota, and you would like to know more about Transition Services from State Services contact Transition Coordinator Sheila Koenig by email or contact her via phone at 651-539-2361. Contact: You can follow us on Twitter @BlindAbilities On the web at www.BlindAbilities.com Send us an email Get the Free Blind Abilities App on the App Storeand Google Play Store. Check out the Blind Abilities Communityon Facebook, the Blind Abilities Page, and the Career Resources for the Blind and Visually Impaired group
Guest: Maria I. Vazquez Roque, M.D. (@MVazquezRoqueMD) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Clostridium difficile is a toxin-producing bacterium that can result in a severe form of antibiotic-associated diarrhea known as clostridium difficile infection or CDI. Cases can vary from mild diarrhea to severe colitis that at times can be fatal. There's been a dramatic increase in the number as well as severity of CDIs in the U.S. over the past 20 years. Although CDI typically occurs following the use of antibiotics, it can also be spread from one individual to another, especially in hospitals and skilled nursing facilities. Antibiotics have been the traditional treatment for patients with CDI, however recurrent symptoms have been a problem. There's now a new treatment for CDI, felt to be effective in over 90% of patients with the illness. Our guest to discuss this topic is Dr. Maria Vazquez Roque, a gastroenterologist at the Mayo Clinic. We'll review the common presenting symptoms, laboratory tests needed to establish a diagnosis, and the current recommendations for treatment including the latest of fecal transplantation. Additional resources: Clinical Practice Guidelines for Clostridium difficile Infection in Adults and Children: 2017 Update by the Infectious Diseases Society of America (IDSA) and Society for Healthcare Epidemiology of America (SHEA): https://doi.org/10.1093/cid/cix1085 Specific topics discussed: The typical presentation of C. difficile infection Patients who are at increased risk for a C. difficile infection Laboratory tests to order to confirm a case of C. difficile infection Treatment options for C. difficile infection including fecal transplantation Potential benefit of probiotics for preventing a C. difficile infection Connect with the Mayo Clinic's School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
Start this journey with Dr. Ian Smith today. He's always been inspiring but this is another level. You'll hear from some people you know and others you'll be happy you now know. This is Conversations with Dr. Ian Smith the Podcast.See omnystudio.com/listener for privacy information.
Start this journey with Dr. Ian Smith today. He's always been inspiring but this is another level. You'll hear from some people you know and others you'll be happy you now know. This is Conversations with Dr. Ian Smith the Podcast.See omnystudio.com/listener for privacy information.
*Oncogenesis eventuates genetic mutation to epigenetic gene expression mechanisms with molecular signatures either inappropriately proscribed, incorrectly prescribed upon writing as dangerous and deleterious, or erasure; leaving a corrupted chromatin result. *Tumor cells obtain proliferative autonomy, autophagous –self-maintenance in growth and signaling, neovascularization for nutrient and oxygen supply, and resistance to anti-proliferative and apoptotic stimuli *In resting cells, the cell cycle is strictly managed by a set of regulatory proteins that control the various cell cycle checkpoints and this will become dysfunction during the early transforming stage of the tumorigenesis via the unregulated dismantling of tumor suppressor genes *Suppression is the programmed deliberative inhibition of biochemical events while repression is the unintentional inhibition of biochemical events *When a biochemical event is de-repressed it is brought back to register, regardless of valence *In effect this dismantling is a repression of tumor suppressor gene transcription and/or translation, post-translational modifications or final agency *This loss of gene suppressor “activity” can result from deletion, inactivating mutations, epigenetic silencing, incoherent post-translational modification(s) including glycosylation/acylation/prenylation/phosphorylation/aggregation etc.or lipid mediated transport aberrations as with membrane lipid rafts from Sphingomyelinase mediated ceramide synthesis. *The typical biomedical result is oncogenesis(transformative) and ultimately tumorigenesis (committed), metastasis (mobilized and transactional) and either death or repair to healthy state. *The progression of the mammalian cell cycle from G1 to mitosis is regulated by cyclins with their cogent catalytic subunits, the referred to as cyclin-dependent kinases (CDKs) *A family of cyclin–CDK inhibitor proteins (CDIs), which bind and inactivate the CDKs, includes the p16INK4a, p21CIP1, p27KIP1, and associated proteins p15INK4b, p18INK4c, p19INK4d and p57KIP2 *These proteins potentially act as tumor suppressors and their inactivation corresponds with human carcinogenesis. *Selective removal of CDK inhibitors may ablate senescent cell lineages in a process known as senolysis which may promote healthy cardiac muscle aging in the elderly * In balance the square of opposition logical conclusion is to distinguish between contrarion vs. contradictory physiological and pharmaco-therapies. Dr Daniel J. Guerra Authentic Biochemistry Published on 10 February 2021 Refs EBioMedicine 2016 830-39DOI: (10.1016) BMC Cancer volume 20, Article number: 882 (2020) J Cardiol. 2019 Oct;74(4):313-319 Front. Neurosci., 24 July 2019 | https://doi.org/10.3389/fnins.2019.00728 --- Send in a voice message: https://anchor.fm/dr-daniel-j-guerra/message Support this podcast: https://anchor.fm/dr-daniel-j-guerra/support
Ellesse Gundersen (Jordan) is a recognized international dressage rider that has competed in some of the biggest arenas and shows around the world including the FEI World Cup Finals 2018, FEI World Equestrian Games 2018 and several international CDIs where she has placed, won and represented Team Philippines. Based in Wellington, FL, Ellesse continues to pursue a career in international level sport while running a boarding, training and sales program and teaching around the US. Credit: ellessejordan.com
In Episode 5 of The Bantu Boyz Podcast, we interviewed Lukogho Kasomo, co-founder of the “Congolese Diaspora Impact Summit” (CDIS). The 1st CDIS was held September 21, 2019 in New York City with the goal of identify practical steps the Congolese diaspora can take to maximize its capital, human and financial, and make an impact in the DRC. Listen to find out how this historic summit went, what were the takeaways and how you can become a part of this movement! Make sure to like, subscribe and share on Itunes, Spotify, Podbean, Google Podcasts, Youtube, etc! Bantu Boyz Instagram: @bantuboyz Email: bantuboyz1960@gmail.com Lukogho Kasomo Instagram: @congodisummit CDIS Youtube Channel (which has full videos of all the panels at the summit) : https://www.youtube.com/channel/UCBYlad0Qkukwzer2_Rhih6g/videos
Bethsaida Hospital Dental Centre by Drg. Tb. Iman Wahyu Kusumadirja, PGDip.ALD, PGDip.Impl., MM, MSc.(OCeE), CDIS, MALD, FWCLI.
COMPACT DISC-USION: “It’s too late to podcast here we go” (1989) When most people talk about the Replacements, they tend to focus on “Let It Be” or “Tim” or the Keanu Reeves movie where he lives on a houseboat. But today, Bob and Tim are dissecting a less raved about album (and not just because of its 30th anniversary re-release). “Don’t Tell A Soul” introduced Tim to the most impactive band of his adolescence. But will this re-listen reveal it to be the least Replacements offering The Replacements ever offered? Wax up that hair and paint those shoes because you have to wear something to the midlife crisis. 00:00:00 PRE-SHOW PRATTLE - a hesitant hot take00:00:46 THE BAND WHO? - and referencing THIS EPISODE00:06:18 THE CD IS . . . DON’T TELL A SOUL - Tim’s introduction to the Replacements is not “Tim”00:10:41 TALENT SHOW - well polished amateurs00:15:41 BACK TO BACK - angsty anthems-a-go-go00:21:48 WE’LL INHERIT THE EARTH - an inclusive indifference00:27:44 ACHIN’ TO BE - this song gets not getting me00:35:08 THEY’RE BLIND - actin’ to be that last track00:36:47 ANYWHERE (IS BETTER THAN HERE) - what’s this an anthem for?00:43:26 ASKING ME LIES - a brief chance to talk about “Left Of The Dial”00:46:09 I’LL BE YOU - Tim’s Pop Culture origin story00:56:38 I WON’T - and Tim repeats a joke from EPISODE 03300:57:50 ROCK AND ROLL GHOST - Breaking Band01:01:57 DARLIN’ ONE - a coda of interpretation01:05:58 DO TELL A SOUL - and retooling the albums01:08:30 CLOSINGS - contacts, plugs and no catch phrase 01:11:09 BONUS FEATURE - Marcel has a nameHear what could have been (and sort of was) with the MATT WALLACE MIX OF TALENT SHOW as featured on the recently released Replacement’s Box Set DEAD MAN’S POP. Wonder if this slick, late 80s video shtick is some sort of clever joke with the ORIGINAL MUSIC VIDEO TO I’LL BE YOU.Sympathize, for once, with Kurt Loder as he struggles through this 1989 MTV INTERVIEW WITH PAUL WESTERBERG AND TOMMY STINSON.Catch Paul Westerberg contemplating that solo career with the ORIGINAL MUSIC VIDEO TO ACHIN’ TO BE.Look back at the last time the band was looking back with THE WORLD’S MOST UNSATISFIED BAND by Bob Mehr, originally published in SPIN magazine, May 2008.And, finally, witness a fan base aging a little less gracefully with Tod Goldberg’s WHY DO PEOPLE KEEP WRITING ABOUT THE REPLACEMENTS, A BAND THAT NEVER QUITE HAPPENED originally published in July 1st 2018 edition on the LA Times.The use of audio and video clips linked from YOUTUBE are for educational purposes and without the expressed permission of their legal holding companies. All rights remain with with their original distributor.This episode of 20TH CENTURY POP! was recorded by CAST, an online audio platform that lets you create and record a multi-guest podcast straight from your web-browser. It was then mastered by AUPHONIC, a web-based post-production service that makes it sound like Bob and Tim are worth listening to. Check out both sights for trial and subscription information.MUSIC FEATURED IN TODAY’S EPISODE:“Super Poupi” (opening theme) and "Poupi Great Adventures: The Arcade Game" (closing theme) performed by Komiku from the 2018 album POUPI'S INCREDIBLE ADVENTURES available at Freemusicarchives.org. Cleared for public domain use through Creative Commons under a CCO 1.0 Universal License. Subscribe to 20TH CENTURY POP! on APPLE PODCASTS, STITCHER and ANDROID or stream it at www.20popcast.com.Like, share and reminisce with 20TH CENTURY POP! on FACEBOOKFollow whats not 20th Century Fox with 20TH CENTURY POP! @20popcast on TWITTER.And crop a square snapshot with 20TH CENTURY POP @20popcast on INSTAGRAM.Contact the show with any questions, suggestions or possible topics at 20popcast@gmail.com or with #20popcast on Twitter.Follow ROBERT CANNING @rhcanning on TWITTER. Read his web-comic on Twitter @ExaggeratedMy and his music blog at superultramegamix.wordpress.com. Follow TIM BLEVINS @subcultist on TWITTER and as @subcultist on INSTAGRAM. Read his weekly bog NOT A HOLOGRAM right on the main website of www.20popcast.com.20TH CENTURY POP! will return next week with a wild and crazy … poster?This podcast is powered by Pinecast.
On the show this week we catch up with Grand Prix dressage rider Lauren Asher at her training base in The Netherlands. Lauren grew up in Colorado, and started riding at the age of five trying a few different disciplines such as Western riding and Hunter Jumping. By the time she turned eleven Lauren realized that she wanted to focus exclusively on dressage and competed up to FEI Juniors level, where she earned many regional and Rocky Mountain Dressage Society Championship titles. In 2014, Lauren and her two horses moved to San Diego, California for a wider selection of selection of competitions and dressage trainers. A year later she represented the USDF Region 5 at the FEI North American Young Rider's Championships riding Lysias. With De Noir she placed in many of the CDIs on the California circuit at Young Rider's level and in 2016 was selected to compete in the American Young Rider European Tour, competing in the CDI-Y Compiègne and CDIO-Y Hagen, in the Young Rider's Nations Cup. Lauren decided to be based in the Netherlands for most of the year then spending winters on the Florida circuit where she has achieved consistent results. In 2017, Lauren competed the mare Hønnerups Event at CDI Young Rider's level, with good placings in Europe and North America. In Compiègne, they earned the second place in the Young Rider Kür with a 74.000%. In July in Saugerties, New York, Lauren and her mare earned the silver medal in the kür at the FEI North American Young Rider Championships. For show notes and related links for this episode click HERE. For more conversations from the world of women’s sport including articles, blogs, videos and podcasts visit wispsports.com. WiSP Sports is the World’s Largest Podcast Network for Women’s Sport with more than 20 hosts, 1000+ episodes across 30+ shows and a global audience of over 3 million. WiSP Sports is on all major podcast players. Follow WiSP Sports on social media @WiSPsports. Contact us at info@wispsports.com.
Happy New Year! I am back to putting my petty on parade. This week we are talking about music. Who is in fact the King of R&B? King of Rap? We are asking the tough questions and still asking Jacquees to have several seats. Who was on your slow jams CD? Is neo soul a thing? Is Jermaine Dupri really the King of R&B? Babyface? Teddy Riley? Shades of Gray Podcast is also available on iTunes, Stitcher and Google Play! Subscribe, Rate, Review and Tell a friend! ~Contact Shades of Gray~ www.shadesofgraypod.com FB Group/Page: Shades of Gray Twitter: @shadesofgraypod IG: @shadesofgraypod Email: shadesofgraypod@gmail.com Carmen's IG & Twitter: @cdgray89 Chapter Chat Book Club January Read: The Breakdown by B. A. Paris https://www.facebook.com/groups/chapterchatbookclub/
Are you experiencing this dilemma at your facility? You ask your physicians to add linking verbiage to their documentation for accuracy, which in turn has a negative impact on their publicly reported scores regarding complications and other metrics. Should physicians exclude the linking verbiage? Should they enter “as expected,” or should they simply avoid addressing these issues? Reporting on this complex issue during the next edition of Talk Ten Tuesdays will be Sharon Savinsky, clinical documentation improvement specialist (CDIS) team manager at Winchester Medical Center in Winchester, Va.Other segments to be featured on the broadcast include:News Desk: Laurie Johnson will anchor the Talk Ten-Tuesdays News Desk. Johnson is a senior healthcare consultant with Revenue Cycle Solutions, LLC and an ICD10monitor contributor. Coding Report: Although the Centers for Medicare & Medicaid Services (CMS) has released the final rule on the 2019 Medicare Physician Fee Schedule (MPFS), Dr. Jeffrey Lehrman will report on one issue that CMS did not include in its extensive update.Tuesday Focus: Alarms are being sounded because of the clinical and privacy issues being raised as a result of offshore coding. Terry Fletcher, a nationally recognized professional physician coding consultant, educator and auditor, will report this developing story.TalkBack: Talk Ten Tuesdays co-host Erica Remer, MD, FACEP, CCDS, founder and president of Erica Remer, MD, Inc., will report on the recent decision by U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) to conduct DRG validation audits.
Don Hall, CDI Coordinator for University Medical Center in Las Vegas, Nevada reviews the success they are seeing since making recent changes in their CDI program
Interview with Heidi Hillstrom, reveals keys to her success with the CDIS program at St. Luke's in Duluth, Minnesota.
Scott Westlake is is a mortgage broker with Denova Group. He started in the industry working for RBC as a mortgage specialist but found the environment to be limiting. In 2003 he co-founded Denova Group & Denova Lending Solutions so he could better serve is clients. Scott talks about how he gets his mailbox to zero, and how his red wine marketing strategy keeps him connected with past clients. Stats 10 years in the industry Toronto, Ont Denova Group (Dominon Lending Centers) Scott's Quotes Work on your business not in your business. Good Stuff [4:15] I wanted to keep hiring people but the bank would not let me. [5:30] How did you keep 4 employees busy? [10:15] Leaving the bank meant losing the leads they were giving us. But the change in focus led to more flexibility for our clients. [12:00] When we started we knew how to sell but didn't have the processes in place. [13:00] Invest in people, not marketing. [16:00] If you do something that works; keep doing it. [16:25] For every bottle of wine I send to my clients I keep one for myself. When I drink it I'm reminded to follow up with them. [18:20] We send out 50 cards a week. [19:20] Everyone can do more. [19:45] Business networking is crucial to growing your business. [20:40] Scheduling time makes you more efficient. On Monday mornings I call my CDIs. [22:25] I never have an email in my inbox at the end of the week. [27:15] If you're not calling someone else will be. [28:00] Tells a story about using the bank's mail service. [31:00] Work with the right people. [The Life-Changing Magic of Not Giving a F*ck](https://www.amazon.ca/Life-Changing-Magic-Not-Giving-Spending/dp/0316270725) More About Scott Website: www.denovagroup.ca Email: info@denovagroup.ca Scott on Twitter: @https://twitter.com/scottiewestlake?lang=en Scott on LinkedIn Scott on Facebook Show References Host Scott Peckford More Shows See more notes and other episodes at the I Love Mortgage Brokering website.
1. Bossacucanova (Brazil) - "Balana (No pode parar!)" CD "Our kind of Bossa" (Six Degrees) 2. The Flesh Eaters (USA) - "Azami" CD "Miss Muerte" (Atavistic) 3. HHY & The Macumbas (Portugal) - "Reanima electrica" CD "Throat permission cut" (Silo/Cargo) 4. Rebekka Karijord (Norway) - "Kjaere gud jeg har det Godt" CD "Music for film and theatre" (Control freak kitten) 5. Viet Cong (Canada) - "Pointless experience" CD "Viet Cong" (Jagjaguwar) 6. Jane Weaver (UK) - "Dont take my soul" CD "The silver globe" (Bird/Finders keepers) 7. Locomondo (Greece/Germany) - "Diploreggaes" CD "New day rising" (Monopol) 8. Arthur H (France) - "Les Papous, cest nous!" CD "Soleil dedans" (Mystic Rhumba) 9. Race to Space (Russia) - "I see stars" CD "Is this home?" (Тёмные Лошадки) 10. The Sea Kings (UK) - "Moonlit range" CD "Woke in the Devils arms" (Iffy folk) 11. Shawn Lee (USA/UK) - "Muson Magic" CD "Golden age against the machine" (BBE) 12. Trio Mara (Turkey) - "Nazdar" CD "Deri/Behind the doors" (Ahenk muzik) 13. Cabaret Voltaire (UK) - "Do The Mussolini (Headkick)" CD "#7885 Electropunk to Technopop" (Mute) 14. Cabaret Voltaire (UK) - "Warm" CD "#7885 Electropunk to Technopop" (Mute) 15. LaVern Baker (USA) - "Voodoo Voodoo" CD "Voodoo Voodoo: Feisty Fifties Females" (Fantastic Voyage) Страница программы на оф. сайте Сообщество программы Вконтакте
With John Martin.This is one of a series of podcasts of talks from the London Cardiovascular Device Innovation Summit, January 2014, run by the Yale-UCL collaborative.View the programme here: bit.ly/1ghpxeQListen to the rest of the podcasts: soundcloud.com/tags/cdis%202014
By Perry Bridger.This is one of a series of podcasts of talks from the London Cardiovascular Device Innovation Summit, January 2014, run by the Yale-UCL collaborative.View the programme here: bit.ly/1ghpxeQListen to the rest of the podcasts: soundcloud.com/tags/cdis%202014
By Wayne Bartlett-Syree and Mark de Belder.This is one of a series of podcasts of talks from the London Cardiovascular Device Innovation Summit, January 2014, run by the Yale-UCL collaborative.View the programme here: bit.ly/1ghpxeQListen to the rest of the podcasts: soundcloud.com/tags/cdis%202014
This is one of a series of podcasts of talks from the London Cardiovascular Device Innovation Summit, January 2014, run by the Yale-UCL collaborative.View the programme here: bit.ly/1ghpxeQListen to the rest of the podcasts: soundcloud.com/tags/cdis%202014
By Jodi Black, deputy director, Office of Translational Alliances and Coordination, NIH.This is one of a series of podcasts of talks from the London Cardiovascular Device Innovation Summit, January 2014, run by the Yale-UCL collaborative.View the programme here: bit.ly/1ghpxeQListen to the rest of the podcasts: soundcloud.com/tags/cdis%202014
By Mirella Marlow.This is one of a series of podcasts of talks from the London Cardiovascular Device Innovation Summit, January 2014, run by the Yale-UCL collaborative.View the programme here: bit.ly/1ghpxeQListen to the rest of the podcasts: soundcloud.com/tags/cdis%202014
By Peter Weissberg, medical director, British Heart Foundation.This is one of a series of podcasts of talks from the London Cardiovascular Device Innovation Summit, January 2014, run by the Yale-UCL collaborative.View the programme here: bit.ly/1ghpxeQListen to the rest of the podcasts: soundcloud.com/tags/cdis%202014
This is one of a series of podcasts of talks from the London Cardiovascular Device Innovation Summit, January 2014, run by the Yale-UCL collaborative.View the programme here: bit.ly/1ghpxeQListen to the rest of the podcasts: soundcloud.com/tags/cdis%202014
By Michael Joner.This is one of a series of podcasts of talks from the London Cardiovascular Device Innovation Summit, January 2014, run by the Yale-UCL collaborative.View the programme here: bit.ly/1ghpxeQListen to the rest of the podcasts: soundcloud.com/tags/cdis%202014
By Pauliina Margolis, Keystone Heart.This is one of a series of podcasts of talks from the London Cardiovascular Device Innovation Summit, January 2014, run by the Yale-UCL collaborative.View the programme here: bit.ly/1ghpxeQListen to the rest of the podcasts: soundcloud.com/tags/cdis%202014
By Maurice Buchbinder.This is one of a series of podcasts of talks from the London Cardiovascular Device Innovation Summit, January 2014, run by the Yale-UCL collaborative.View the programme here: bit.ly/1ghpxeQListen to the rest of the podcasts: soundcloud.com/tags/cdis%202014
With Bart Segers and Christine Shan.This is one of a series of podcasts of talks from the London Cardiovascular Device Innovation Summit, January 2014, run by the Yale-UCL collaborative.View the programme here: bit.ly/1ghpxeQListen to the rest of the podcasts: soundcloud.com/tags/cdis%202014
By Ian Hudson, chief executive Medicines and Healthcare Product Regulatory Agency.This is one of a series of podcasts of talks from the London Cardiovascular Device Innovation Summit, January 2014, run by the Yale-UCL collaborative.View the programme here: bit.ly/1ghpxeQListen to the rest of the podcasts: soundcloud.com/tags/cdis%202014
This is one of a series of podcasts of talks from the London Cardiovascular Device Innovation Summit, January 2014, run by the Yale-UCL collaborative.View the programme here: bit.ly/1ghpxeQListen to the rest of the podcasts: soundcloud.com/tags/cdis%202014
By John Martin.This is one of a series of podcasts of talks from the London Cardiovascular Device Innovation Summit, January 2014, run by the Yale-UCL collaborative.View the programme here: bit.ly/1ghpxeQListen to the rest of the podcasts: soundcloud.com/tags/cdis%202014
By Mark Samuels, managing director, NIHR Office for Clinical Research Infrastructure.This is one of a series of podcasts of talks from the London Cardiovascular Device Innovation Summit, January 2014, run by the Yale-UCL collaborative.View the programme here: bit.ly/1ghpxeQListen to the rest of the podcasts: soundcloud.com/tags/cdis%202014
By Julian Huppert, Lib Dem MP for Cambridge.This is one of a series of podcasts of talks from the London Cardiovascular Device Innovation Summit, January 2014, run by the Yale-UCL collaborative.View the programme here: bit.ly/1ghpxeQListen to the rest of the podcasts: soundcloud.com/tags/cdis%202014
By Alexandra Lansky.This is one of a series of podcasts of talks from the London Cardiovascular Device Innovation Summit, January 2014, run by the Yale-UCL collaborative.View the programme here: http://bit.ly/1ghpxeQListen to the rest of the podcasts: https://soundcloud.com/tags/cdis%202014
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