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Believe it or not, 60% of healthcare payments in the US are tied to value. But it's still surprisingly hard to find examples of health systems that have been doing VBC at scale, successfully, over time. So that's what Advisory Board researchers set out to do. And across 66 conversations with 44 systems, we found four systems with approaches worth emulating. This week, we're unpacking the approach at one of those systems: Advocate Health. Host Abby Burns sits down with Don Calcagno, Chief Population Health Officer and President of Advocate's largest clinically integrated network, Advocate Physician Partners. Don lays out how putting operations at the center has led Advocate to become one of the top-performing systems in Medicare risk models, generate millions of dollars in savings, and, most importantly, improve quality of care. Not to mention, juggle over 100 VBC contracts across 13 accountable care organizations and clinically integrated networks, and carry $1 billion in capitated risk. Links: Read the case study: Inside Advocate Health's VBC approach that saved $136M VBC self-assessment: Find out where your organization stands 2025 Advisory Board Summit- Carlsbad, CA - join us for the full event, and check out our session featuring another VBC case study Registration is live for our VBC Roundtable in October: HOME - How to deliver the next era of VBC Ep. 243: What's now and what's next in value-based care How UNC Health made VBC sustainable in an academic health system Optum Advisory can help you create a VBC strategy for growth and profitability. Connect with an expert. How to succeed in VBC — according to Optum experts VBC success is possible. Here's how. A transcript of this episode as well as more information and resources can be found on RadioAdvisory.advisory.com.
Believe it or not, 60% of healthcare payments in the US are tied to value. But it's still surprisingly hard to find examples of health systems that have been doing VBC at scale, successfully, over time. So that's what Advisory Board researchers set out to do. And across 66 conversations with 44 systems, we found four systems with approaches worth emulating. This week, we're unpacking the approach at one of those systems: Advocate Health. Host Abby Burns sits down with Don Calcagno, Chief Population Health Officer and President of Advocate's largest clinically integrated network, Advocate Physician Partners. Don lays out how putting operations at the center has led Advocate to become one of the top-performing systems in Medicare risk models, generate millions of dollars in savings, and, most importantly, improve quality of care. Not to mention, juggle over 100 VBC contracts across 13 accountable care organizations and clinically integrated networks, and carry $1 billion in capitated risk. Links: Read the case study: Inside Advocate Health's VBC approach that saved $136M VBC self-assessment: Find out where your organization stands 2025 Advisory Board Summit- Carlsbad, CA - join us for the full event, and check out our session featuring another VBC case study Registration is live for our VBC Roundtable in October: HOME - How to deliver the next era of VBC Ep. 243: What's now and what's next in value-based care How UNC Health made VBC sustainable in an academic health system Optum Advisory can help you create a VBC strategy for growth and profitability. Connect with an expert. How to succeed in VBC — according to Optum experts VBC success is possible. Here's how. A transcript of this episode as well as more information and resources can be found on RadioAdvisory.advisory.com.
In this podcast episode, we dive deep into the world of practitioner efficiency and explore practical strategies for maintaining and enhancing it within your practice group. Laurie Bergeron, VP Product Management, PointClickCare, and Darcy Koehn, Chief Population Health Officer, Peak Healthcare, discuss specific strategies and tools, and the crucial role technology plays in streamlining workflows.
As Dr. Murthy prepares to conclude his term as Surgeon General, the moment is , the moment is bittersweet: serving as Surgeon General has been the honor of his lifetime, and saying goodbye is hard. For this second-to-last episode of House Calls, he calls on his my moai – friends and fellow physicians Dave Chokshi and Sunny Kishmore – to reflect on the issues he took and how serving as Surgeon General has shaped him. Dr. Murthy also shares his final act as Surgeon General: offering a Parting Prescription for America. It is a summary of what I have learned from my two terms, and what I believe will help heal the pain many people across our country are experiencing right now. (02:51) How is Dr. Murthy feeling days before his time in office ends?(04:59) What did it feel like to be asked to serve a second term as Surgeon General?(06:41) What was Dr. Murthy's approach to figuring out what he wanted to work on in his second term?(09:48) What aspect of his work as Surgeon General does Dr. Murthy feel particularly resonated with the people he has served?(15:47) What did Dr. Murthy learn from his first term as Surgeon General that he brought to his second?(19:37) What was the biggest challenge of being Surgeon General?(21:33) What does Dr. Murthy think his children will remember about this time?(23:53) How has Dr. Murthy influenced the role of Surgeon General?(25:53) What personally caused Dr. Murthy angst while he was serving as Surgeon General?(33:35) What was the impact of his work on his family?(39:17) What is the power of unconditional love?(43:41) What is U.S. Surgeon General Dr. Vivek Murthy's “Parting Prescription” For more episodes, visit www.surgeongeneral.gov/housecalls. For more episodes, visit www.surgeongeneral.gov/housecalls. Dr. Dave Chokshi, Physician & Public Health Leader Twitter: @davechokshi Dr. Sandeep (Sunny) Kishore, Physician-Scientist Twitter: @sandeep_kishore Instagram: @sunnyk5 About Dr. Dave Chokshi & Dr. Sunny Kishore Dr. Dave A. Chokshi is a practicing physician and public health leader who most recently served as the 43rd Health Commissioner of New York City. From 2020-2022, he led the City's response to the COVID-19 pandemic, including its historic campaign to vaccinate over 6 million New Yorkers. Previously, Dr. Chokshi was the inaugural Chief Population Health Officer at the largest public healthcare system in the nation. He has held successive senior leadership roles that span the public, private, and nonprofit sectors. A Rhodes Scholar and White House Fellow, he is nationally recognized as a transformational leader, a clinical innovator, a policy expert, and a fierce advocate for a stronger and more equitable health system. Dr. Sandeep (Sunny) Kishore is a physician-scientist at the University of California, San Francisco. He has worked on closing the “know-do” gap and translating scientific insights into real-world applications with focus on chronic disease prevention & control. Currently, he is focused on developing a scalable treatment algorithm for blood pressure control to improve cardiometabolic health for primary care clinics across the University of California. His work has led to the addition of over ten treatments to the Essential Medicines List of the World Health Organization (WHO) for cardiovascular disease, cancer, diabetes and mental illness. He also has provided technical guidance to Resolve to Save Lives with a focus on fixed dose combinations for blood pressure and led large global networks focused on reducing the toll of chronic illness worldwide. Dr. Kishore completed his medical and graduate training at Weill Cornell/Rockefeller/Sloan-Kettering Institute and Oxford, undertook his clinical training at Yale and Brigham & Women's Hospital/Harvard Medical School and has held fellowships at Harvard, Yale and the Dalai Lama Center at MIT. He currently resides in the Bay Area with his wife.
Optimal Health Series Central Ohio is home to global leaders in healthcare, but access to healthcare remains uneven in the region as it is for much of the country. What are the costs of uneven healthcare coverage to our region, and what are the factors that prevent many from getting the care they need? With a panel of passionate healthcare leaders, we dive into the true costs of uneven access to healthcare in Central Ohio and how the doors to quality healthcare can be opened for all. Featuring: Dr. Chyke Doubeni, Chief Health Equity Officer, The Ohio State University Wexner Medical Center Carrie Harris-Muller, Senior Vice President and Chief Population Health Officer, OhioHealth Amy Rohling McGee, President, Health Policy Institute of Ohio Kate Tullio, Associate Vice President for Health Equity, CareSource The moderator is Angela Dawson, Executive Director, Ohio Commission on Minority Health The presenting sponsors of CMC's long-running Optimal Health Series are The Ohio State University Wexner Medical Center, OhioHealth, and Nationwide Children's Hospital. This forum was also sponsored by AstraZeneca and Cardinal Health. The livestream presenting sponsor was The Center for Human Kindness at the Columbus Foundation. The livestream partner was The Columbus Dispatch. It was also supported by The Ellis. This forum was recorded before a live audience at The Ellis in Columbus, Ohio's historic Italian Village on October 23, 2024.
In this episode of Enabling Health Value, Dr. Julia Flax, Chief Population Health Officer at CoxHealth, shares her insights on integrating advanced primary care, the Quintuple Aim, and Lifestyle Medicine ...
00:00 Show open/ Angela Damon, Executive Director of LOSS Community Services on the programs they have to help loved ones of those who die by suicide and an upcoming fundraiser they have planned. 16:25 Leda Hoffman, Artistic Director of The Contemporary Theatre of Ohio (formerly CATCO) on the reason for the organization's name change, their current production, and the shows they are putting up for the 2024-2025 season. 26:30 Ray Santos- team captain and setter for the Columbus Fury professional women's volleyball team. 34:51 Face the State: Updates on House Bill 68 which would ban gender-affirming healthcare for minors and prohibit transgender girls and women from playing on girls and women's scholastic sports teams, the re-introduction of Aisha's law, and a report on the housing crisis in Ohio. 46:35 Face State: Discussion of Governor Mike DeWine's Outcomes Acceleration for Kids Learning Network with Maureen Corcoran, Director of the Ohio Department of Medicaid, Dr. Bruce Vanderhoff, Director of the Ohio Department of Health and Dr. Jeffrey Anderson, Chief Population Health Officer at Cincinnati Children's Hospital. Also, a report on a new gun violence task force at the Statehouse.
In this edition of PopHealth Week, we're excited to spotlight Dr. Mike Edgeworth, MD, MS, a distinguished neurologist and the Chief Population Health Officer at Octave Bioscience. Octave is at the forefront of transforming the care and treatment landscape for Multiple Sclerosis (MS), offering a groundbreaking precision care approach for those living with this condition. With a rich background that spans over two decades, Dr. Edgeworth has held roles ranging from academic and clinical settings to hospital administration and medical executive positions within a national health plan, before making his mark at Octave in 2021. Dr. Edgeworth's educational journey includes completing his neurology residency and fellowship at Vanderbilt University, where he also earned a Master of Science in Clinical Investigation. He embarked on his medical career after graduating from the University of Mississippi Medical School and holds a Bachelor of Science in Chemistry from Mississippi State University. Today, he resides in Nashville, TN, contributing significantly to the field of MS through his work at Octave Bioscience. Stay connected with Dr. Edgeworth's pioneering work in MS care by visiting Octave Bioscience online at www.octavebio.com and following him on Twitter @OctaveBio. Don't miss this insightful episode!
Today we welcome back Dr. Charles Raison to this Sauna Talk podcast part 2. I encourage you to check in with Part one, where Chuck and i work from the starting block about Sauna health benefits and research surrounding hypethermia and hot/cold contrast therapy. In this episode, by design we go deeper. We unpack hot cold therapy as a novel treatment for mental health. 101.3 101.3 isn't just the radio frequency for a hit music station in the Twin Cities. We have foundational research surrounding the effects on the body and the mind of achieving this core body temperature. Ashley Mason's work at University of California San Francisco is expanding upon the psychological and physiological effects of this level of heat stress when reaching this core body temperature. Physically, from, for example the standpoint of blood pressure and heart rate variability. Yet how do these physical changes affect people's moods? Specifically, as a possible novel treatment in the area of depression, anxiety, and other mental health issues. Totonu The Japanese have a word for that nirvana feeling we get after a few sauna rounds and cold therapy action. They call it Totonu. And there is actually a published study on the neuro effects of sauna bathing. We link to this study on the Sauna Research Institute website as well as on SaunaTimes websites. In the study, it is recognized that sauna is an activity that promotes relaxation and health. Three cycles of sauna, cold, rest lowers your heart rate and makes you feel more relaxed. Intense feelings of happiness have been reported shortly after enjoying a hot sauna and cold water, what is known in Japan as the “totonou” state. With this contrast therapy, we achieve a lower heart rate, changes of brain waves, and better metabolic health through the increase in brown fat production – known as “the good fat”. And one could argue that, for those horizontally challenged, sauna use raises heart rate to about the state we achieve with a fast walk. So there is a weight loss association to regular sauna use. But this is not something i'd get the scale out to rely upon. The Vail Project – Eagle Valley We discuss a “Top Flight Sauna” for Vail Health's Behavioral Health Innovation Center. Right now in development, the CHILL'D Study (“Cold and Heat Investigation to Lower Levels of Depression”) will explore ways to optimize the proven benefits of hyperthermia for depression, including whether adding cold to heat will improve outcomes and whether hyperthermia can be effectively combined with standard antidepressants. Vail Health is especially interested in thermic bathing within ancient practices. Many of us listening enjoy Nordic style sauna, where we pay homage to the origins of the word sauna (Finland). And sometimes many spend a lot of effort scolding its improper pronunciation. Yet, for those of us that share and know that good feeling, the definition of sauna is arguably much more important than its pronunciation. And for that matter, the definition of sauna is universal and straightforward: Sauna Definition: A room, often lined with wood, with a heat source that heats rocks to sufficient temperature to create steam when water is tossed on rocks. So, for example, Temascal, Native American Sweat Lodge, Banya and venik treatments, are all ancient sauna sweat bathing practices. Chris Lindley is Chief Population Health Officer, Vail Health and the Executive Director, Eagle Valley Behavioral HealthExecutive Director at Eagle Valley Behavioral Health. I will save his bio for what I hope to be a dedicated podcast interview with Chris. But a quick note: Chris's education and passion revolve around improving the population's health, emergency response, and wellness. Chris is a decorated combat veteran, receiving a Bronze Star and Presidential Citation while leading troops in Iraq in 2005. The convergence of the Sauna Research Institute, Vail Health, and the work happening with Charles through Ashley in San Francisco, Chris and team at Vail Health, as well as at Harvard are exciting examples for all of us, that right now, what we all know to be true is being studied and researched. Sauna is good for us! Soon, as we continue to unpack and understand how.. and why.. and how much.. I will say, I hope you enjoy my visit with Dr. Charles Raison.. and Sauna on!
This episode of PopHealth Week features Mike Edgeworth, MD, MS.. Dr. Edgeworth is a neurologist and the Chief Population Health Officer at Octave Bioscience a company that is involved in changing the paradigm of MS (Multiple Sclerosis) care and treatment, a company delivering an innovative, precision care solution for patients with multiple sclerosis. He has over 20 years of experience as a physician leader spanning from academic and clinical practice to hospital leadership and then as a medical executive for a national health plan prior to joining Octave in 2021. Dr. Edgeworth completed his neurology residency and fellowship training at Vanderbilt University, where he also obtained a Master of Science in Clinical Investigation. He attended the University of Mississippi for medical school and has a BS in Chemistry from Mississippi State University. He currently lives in Nashville, TN. Stay updated with Dr. Edgeworth work at Octave Biosicences via www.octavebio.com and on twitter via Twitter Mike Edgeworth, MD: @blackabbeymike and Octave Bioscience: @OctaveBio. Join us!
On the latest episode of PopHealth Week, we're joined by Dr. Mike Edgeworth, who brings over two decades of diversified experience in healthcare. Dr. Edgeworth's expertise as a neurologist has been honed through his time in academic and clinical practice, hospital leadership, and his role as a medical executive for a national health plan. Currently, he is at the forefront of innovative healthcare solutions as the Chief Population Health Officer at Octave Bioscience. At Octave, he is a pivotal figure in revolutionizing the management and treatment of Multiple Sclerosis (MS) with precision care approaches. His impressive academic background includes completing a neurology residency and fellowship at Vanderbilt University, where he also earned a Master of Science in Clinical Investigation. His foundational medical education was attained at the University of Mississippi, and he holds a Bachelor of Science in Chemistry from Mississippi State University. Nashville, TN, is where he calls home today. To learn more about Dr. Edgeworth's contributions to the transformation of MS care, visit Octave Bioscience at www.octavebio.com. Keep abreast of the latest developments and insights by following @OctaveBio on Twitter. Tune in to gain valuable insights from Dr. Edgeworth's extensive knowledge and experience in the field of population health and neurological care. ==##==
Lung cancer is the No. 1 cancer killer in the United States every year. And while smoking rates across the country are on a downward trend, the effects from smoking can linger for years. The American Cancer Society suggests there are over 5 million smokers or previous smokers who should undergo annual screenings for lung cancer – with early detection being the best shot at beating the deadly disease. Guests: Jonathan Fialkow, M.D., Chief of Cardiology at Baptist Hospital and Chief Population Health Officer at Baptist Health. Mark Dylewski, M.D., Thoracic and Robotic Surgeon, Miami Cancer Institute
Hosts Fred Goldstein and Gregg Masters MPH welcome Mike Edgeworth, MD, MS. Dr. Edgeworth is a neurologist and the Chief Population Health Officer at Octave Bioscience a company that is involved in changing the paradigm of MS (Multiple Sclerosis) care and treatment, a company delivering an innovative, precision care solution for patients with multiple sclerosis. He has over 20 years of experience as a physician leader spanning from academic and clinical practice to hospital leadership and then as a medical executive for a national health plan prior to joining Octave in 2021. Dr. Edgeworth completed his neurology residency and fellowship training at Vanderbilt University, where he also obtained a Master of Science in Clinical Investigation. He attended the University of Mississippi for medical school and has a BS in Chemistry from Mississippi State University. He currently lives in Nashville, TN. Stay updated with Dr. Edgeworth work at Octave Biosicences via www.octavebio.com and on twitter via Twitter Mike Edgeworth, MD: @blackabbeymike and Octave Bioscience: @OctaveBio. To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play Healthcare NOW Radio”. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen
Have you ever heard of someone being hit with a sudden headache -- but not just any headache -- one of an explosive and unexpected nature that is likened to a "clap of thunder?" When followed by vomiting and blurry vision, the odds are high that it's a brain aneurysm. And the individual should seek medical care immediately. A brain aneurysm is a weak or thin spot on an artery in the brain that balloons or bulges out and fills with blood. A ruptured aneurysm can cause very serious health emergencies such as stroke, brain damage, coma, or even death. Guests:Jonathan Fialkow, M.D., Chief of Cardiology at Baptist Hospital and Chief Population Health Officer at Baptist Health. Robert Wicks, M.D., Neurosurgeon and Co-Director of Cerebrovascular Surgery at Baptist Health.
This episode features Dr. Brian Silverstein, Chief Population Health Officer at Innovaccer. Here, he discusses his background & experience on both the payer & provider sides of healthcare, the importance of leveraging IT in order to improve healthcare as a whole, advice for physician leaders, and more!
Today we hear Advocate Health's Don Calcagno, Senior Vice President and Chief Population Health Officer for Value Operations and Terry Williams, Senior Vice President and Chief Population Health Officer for Partnerships and Strategy who provide insight into Advocate's participation in the Medicare Shared Savings Program and share with CHESS President and host, Dr. Yates Lennon, the successes that have been achieved along with some of the lessons learned.Well, Don, Terry, thank you for joining us on the Move to Value podcast today. Glad to have you. If you don't mind, Don, we will let you start and just take a few minutes to tell our audience a little bit about yourself. And then Terry, you go next and the role you play at Advocate Health.DC: All right, thanks Dr. Lennon. My name is Don Calcagno, I'm currently the Senior Vice President, Chief Population Health Officer for Value Operations for Advocate Health. I also serve as President of Advocate Physician Partners, which is a large, sophisticated, clinically integrated network in the Chicagoland area. Personally, I'm a lab tech by training, completed my schooling in 1992. I have an MBA as well from Northwestern Kellogg and I've been with Advocate for quite some time in various roles from lab tech to others. But I've been a vice President, Operations, Senior Vice President on OPS and I've been either the President or a Senior Vice President of Population Health at Advocate, Advocate Aurora Health since about 2015. So thanks for having me Dr. Lennon. Look forward to the conversation.Glad to have you. Look forward to it. Terry?TW: Hi, I'm Terry Williams, Chief Population Health Officer with focus on partnerships and strategy for Advocate Health. And in terms of background, I was Chief Strategy Officer at a couple of health systems for about a decade as well as started Population Health at one of them that we'll talk about a little later today and I'm also responsible for looking at how we can tie together the academic enterprise and some of the innovations that are happening there into what we're actually doing in population health. So, to give you one example, there was something called the EFI Electronic Frailty Index that was developed in the School of Medicine. It's the single best indicator we have found for predicting future utilization. And so, we use that to we think really do some unique work in our population health work by incorporating that measure.Yeah, familiar with the EFI and I think you just opened the door for a couple more podcasts right there in that one, one statement. So well, one of the things we wanted to do today with you all is to talk a little bit about the MSSP program and Advocate's participation in that. I know we look forward to hearing about some of the successes as well as the challenges that you all have and are facing. It's interesting the program now is what, 11-12 years old and NAACOS just recently at their fall conference released some stats and I'll read some of those to you. So since 2012, ACO's have saved Medicare 21 1/2 billion dollars in gross savings and 8.3 billion in net savings. So that's since the beginning of the program. For '22, It was the sixth straight year that ACO's delivered net savings to Medicare. 84% of ACO's in 2022 saved Medicare money and almost 60% of them were in two-sided risk arrangements. So when you think about where this program started and when it started, it sounds like success right, we're moving in the right direction. With that...
Breast cancer dates back more than a thousand years and is the world's most prevalent cancer. The dreaded C-word is one that strikes fear far too often. But the chances for survival are always improving. The past 20 years have seen advances in treatment regimens, bringing hope for millions of women and their families. Guests:Jonathan Fialkow, M.D., Chief of Cardiology at Baptist Hospital and Chief Population Health Officer at Baptist Health. Louise Morrell, M.D., Medical Director and Medical Oncologist at Lynn Cancer Institute at Boca Raton Regional Hospital.
In this episode of “Inside Health Care,” we meet two guests, in two interviews. Our first guest advocates for birth, racial and gender equity, driven by her own distressing experiences as a patient. Our second guest developed effective ways to implement virtual care on a large scale to improve equity and representation for rural communities.Sinsi Hernández-Cancio, JD, is a vice president at the National Partnership for Women & Families, where she leads the Health Justice team. Born in Puerto Rico, Sinsi is a national health and health care equity policy and advocacy thought leader dedicated to advancing equal opportunities for women and families of color. The Partnership worked with health care experts and partner organizations to develop a report that includes recommendations for improvement in resolving gaps in health equity that executive leaders can tailor to their organizations.Debbie Welle-Powell, MPA, is CEO of DWP Advisors and an Adjunct Professor at the University of Colorado Executive MBA. But Debbie is best and widely known in the health care world as the former Chief Population Health Officer at Essentia Health. Headquartered in Duluth, Essentia is an integrated delivery system of 14 hospitals and 1,500 providers spanning the states of Minnesota, North Dakota and Wisconsin. Debbie designed, built and operationalized Essentia's $2.5 billion transition from a primarily fee-for-service model of care to one that focuses on value.Later in our “Fast Facts” segment, we observe Breast Cancer Awareness month for October 2023. We discuss the CDC's guidance on how to help people with cancer "Stay Mentally and Emotionally Healthy.” We also discuss NCQA's Breast Cancer Screening HEDIS measure, which assesses women 50–74 years of age who had at least one mammogram to screen for breast cancer in the past 2 years.
This episode features Debbie Welle-Powell, Adjunct Professor at University of Colorado Business School & Former Chief Population Health Officer at Essentia Health. Here, she discusses her background, her focus on value-based care & information as a social determinant of health, advice for emerging leaders, and more.
Chest pain -- it's the warning bell that scares us. Sometimes, we accurately presume “heart attack.” But what if it isn't? While men are more likely to suffer heart attacks, and at a younger age, roughly 24% of women in emergency rooms for chest pain are found to have coronary artery disease. Women don't tend to think of themselves as at risk for coronary artery disease and heart attacks. And they don't often seek care for themselves, or as often as they push their partners to do so. Guests:Jonathan Fialkow, M.D., Chief of Cardiology at Baptist Hospital and Chief Population Health Officer at Baptist Health. Andrea Vitello, M.D., Cardiologist, Baptist Health Miami Cardiac & Vascular Institute
Henry and Endres focus on health and wellness as flu season approaches, also touch on physicals and Medicare on the WRAM Morning Show.
Dr. Kara Odom Walker, Executive Vice President, Chief Population Health Officer, Nemours Children's Health, discussed the health system's commitment to community health, the social determinants of health as well as food insecurity in the region. She spoke on the surprising three areas most Delawareans reported as impacting their health and security most – stable housing, food and internet access. Not only do these issues affect health, they impact education, employment and mental health. She discussed their unique National Office, their voice in DC, the only children's hospital to maintain an office to inform and lobby on behalf of health. Nemours is working to establish youth behavioral health care in emergency rooms, offer primary preventative care, create school-based Wellness Centers that address social services and health, and support the SNAP program for continuing food access for families. For more information go to Nemours.org
In this thought-provoking episode, we delve into the transformative world of value-based care, exploring the multifaceted facets that are reshaping the future of healthcare. Join us as we dissect the vital components of this paradigm shift, from tackling social determinants of health and championing health equity, to seamlessly integrating behavioral health into patient care. Discover how population health enablement is empowering communities, while bundled payments revolutionize the healthcare landscape. We'll also uncover the incredible role of technology and patient outreach, enabling unprecedented levels of personalized care and accessibility. And lastly, we navigate the critical importance of physician engagement, a driving force behind the success of value-based care. As we peer into the crystal ball, we envision the future role of hospitals, embracing change and embracing innovation. Joining us in the discussion this week are three important thought leaders in value-based care transformation: Dr. Caroline Goldzweig, Chief Medical Officer – Cedars-Sinai Medical Care Foundation Cynthia Deculus, Vice President and Chief Population Health Officer, Cedars-Sinai Dr. Michael Conseulos, Vice President Strategy, Growth, and Innovation Consulting at OptumInsight Get ready to be inspired as we illuminate the path toward a healthier, fairer, and more compassionate healthcare system. The journey starts now! This week's episode is brought to you by Edifecs – an EMR-agnostic, interoperable, and AI-enabled technology helps providers unify and utilize data for a more complete digital portrait of patient populations. The result: better clinical, financial, and compliance outcomes. To learn how Edifecs' applications can enhance prospective risk adjustment and value-based contract performance, visit edifecs.com today. This audio was re-purposed from a discussion that took place at the Pinnacle Value Based Care Symposium on April 24th, 2023. Episode Bookmarks: 01:30 To learn how Edifecs' applications can enhance prospective risk adjustment and value-based contract performance, visit www.edifecs.com today! 02:30 This we ek's episode is all about the VBC paradigm shift –from tackling SDOH and championing health equity, to seamlessly integrating behavioral health into patient care. 03:30 This week's guests are Dr. Caroline Goldzweig (Cedars Sinai Medical Foundation), Cynthia Deculus (Cedars Sinai) and Dr. Michael Consuelos (OptumInsight) 04:30 Support Race to Value by subscribing to our weekly newsletter and leaving a review/rating on Apple Podcasts. 05:15 “The true measure of any society can be found in how it treats its most vulnerable members.” - Mahatma Ghandi 06:45 “We are finally seeing major movement in the direction of healthcare providers addressing social determinants of health.” 09:00 “There is so much more to making people healthy than just writing a prescription. We must begin to impact how patients are living.” 11:00 Cynthia discusses how Cedars Sinai is helping patients navigate the totality of health and social needs, especially dual eligible Medicare patients. 14:00 Patients who have a chronic disease have a three to four times higher frequency of behavioral health comorbidities. 14:30 Cedars Sinai Collaborative Care Model – an overview of how Cedars Sinai is integrating behavioral health in the primary care setting. 16:45 How Care Teams at Cedars Sinai coordinate transitions of care and prevent ED overuse for patients dealing with a behavioral health condition. 18:00 Behavioral health provider workforce challenges and the role of technology and education to fill the void in providing whole-person care. 20:00 Depression screenings in primary care and the need for more inpatient psychiatry beds in the acute care setting. 22:00 34% of all deaths from cancer could be prevented if disparities in access to care were eliminated!
Left untreated, chronic hepatitis C can cause serious health problems, including liver damage, liver cancer, and even death. CDC estimates that more than 2 million people in the United States have hepatitis C, and those numbers don't include hepatitis A, B, D and E. Host:Jonathan Fialkow, M.D., Chief of Cardiology at Baptist Hospital and Chief Population Health Officer at Baptist Health. Guest: Seth Rosen, M.D., Gastroenterologist, Baptist Health Quality Network
Friendships don't just happen; they take nurturing to grow and deepen. This episode is dedicated to friendships and the meaningful ways friends make our lives better. In this episode, the Surgeon General is joined by his two pals Sunny and Dave. Together, they have what's called a moai. Moais are a friendship tradition from Okinawa, Japan – essentially, it is a friend circle that starts in childhood. Moais offer emotional and moral support, and the effect on people's health can be remarkably positive. In Okinawa, an island known for some of the longest life expectancy in the world, some moais have lasted for over 90 years! This episode is an invitation to a unique and deeply personal space, as Dr. Murthy and his friends talk about the power of being seen and valued for who you are. We hope this episode inspires you to build and strengthen connections in your life. Please share with others who are seeking the same. (05:45) What is a Moai? (10:51) How did their Moai begin? (17:39) How has the Moai made a difference in their lives? (32:06) How has being in the Moai impacted their families? (36:27) The power of an explicit friendship commitment (45:16) What exactly are we chasing in life? (48:02) How can you start your own Moai? Dr. Sandeep (Sunny) Kishore, Physician-Scientist Twitter: @sandeep_kishore Instagram: @sunnyk5 Dr. Dave Chokshi, Physician & Public Health Leader Twitter: @davechokshi About Dr. Sunny Kishore & Dr. Dave Chokshi Dr. Sandeep (Sunny) Kishore is a physician-scientist at the University of California, San Francisco. He has worked on closing the “know-do” gap and translating scientific insights into real-world applications with focus on chronic disease prevention & control. Currently, he is focused on developing a scalable treatment algorithm for blood pressure control to improve cardiometabolic health for primary care clinics across the University of California. His work has led to the addition of over ten treatments to the Essential Medicines List of the World Health Organization (WHO) for cardiovascular disease, cancer, diabetes and mental illness. He also has provided technical guidance to Resolve to Save Lives with a focus on fixed dose combinations for blood pressure and led large global networks focused on reducing the toll of chronic illness worldwide. Dr. Kishore has delivered remarks for United Nations General Assembly health sessions, WHO, TEDMED and his work has been featured in JAMA, The Lancet, Bulletin of WHO and Scientific American. He is a fellow of the New York Academy of Medicine, an Emerging Leader for the National Academy of Medicine and is a recipient of the Paul & Daisy Soros Fellowship for New Americans. He received the Raymond W. Sarber Award for top American graduate student in microbiology for doctoral research on anti-malarial strategies. He completed his medical and graduate training at Weill Cornell/Rockefeller/Sloan-Kettering Institute and Oxford, undertook his clinical training at Yale and Brigham & Women's Hospital/Harvard Medical School and has held fellowships at Harvard, Yale and the Dalai Lama Center at MIT. He currently resides in the Bay Area with his wife. Dr. Dave A. Chokshi is a practicing physician and public health leader who most recently served as the 43rd Health Commissioner of New York City. From 2020-2022, he led the City's response to the COVID-19 pandemic, including its historic campaign to vaccinate over 6 million New Yorkers. Previously, Dr. Chokshi was the inaugural Chief Population Health Officer at the largest public healthcare system in the nation. He has held successive senior leadership roles that span the public, private, and nonprofit sectors. A Rhodes Scholar and White House Fellow, he is nationally recognized as a transformational leader, a clinical innovator, a policy expert, and a fierce advocate for a stronger and more equitable health system.
Did you forget where you put your keys again? Forget to get eggs at the grocery store? These are common memory lapses. They happen with age. Absent-mindedness is one common and often unavoidable downfall of getting old. But, when you have noticeable memory difficulties like experiencing confusion about where you are, then your loved ones start questioning your lucidity. And then Alzheimer's or other forms of dementia become part of the discussion. Host: Jonathan Fialkow, M.D., Chief of Cardiology at Baptist Hospital and Chief Population Health Officer at Baptist Health. Guest: Raphael Wald, Psy.D., Neuropsychologist, Marcus Neuroscience Institute, at Boca Raton Regional Hospital part of Baptist Health
Skin cancer affects more than 3 million people in the U.S. every year, with sun exposure being the most common factor. But don't worry, there's a simple and safe solution: Sunscreen. Hats, clothes and properly applied sunscreen are vital for protection. Even then, no defense is perfect. But if skin cancer is found early enough, it can often be easily treated. Left unchecked? Well, that's when the real trouble starts. Host: Jonathan Fialkow, M.D., Chief of Cardiology at Baptist Hospital and Chief Population Health Officer at Baptist Health. Guest: Hina Saeed, M.D., Radiation Oncologist and Deputy Director of Radiation Oncology at Lynn Cancer Institute at Boca Raton Regional Hospital, part of Baptist Health.
Jared, Vanessa and Adam are joined by Chief Population Health Officer of Airrosti, Dr. Chris Cato. The team explores the current state of the musculoskeletal (MSK) industry and how virtual care has directly impacted strategies for employers. MSK conditions make up 19% of all healthcare visits and continue to evolve and impact other forms of care. Dr. Cato also dives into the indirect costs of MSK issues such as absenteeism, productivity, lost wages and behavioral health. Connect with the hosts: Jared Bowcutt Vanessa Longnecker Adam Compton
Is your child's sedentary lifestyle of playing videogames, watching TV or being on their phones affecting their waistlines? They're not alone. Diagnoses by pediatricians of high blood pressure, high cholesterol, type 2 diabetes and painful joint conditions have increased in recent years. The American Academy of Pediatrics released new guidelines for treating childhood obesity, and the report has some parents starting to realize that taking action now can save their children from a lifetime of health issues. Host: Jonathan Fialkow, M.D., Chief of Cardiology at Baptist Hospital and Chief Population Health Officer at Baptist Health. Guest: Anthony Gonzalez, M.D., Medical Director of Bariatric Surgery at South Miami Hospital
Imagine you've just come home from a stressful day, and there on the counter are those delicious cookies staring right at you. You know they've got artificial sweeteners in them, so -- no harm, no foul. Right? Not so fast. More and more, new research shows how fake sugars negatively affect your gut and metabolic health, and your heart. They boost food cravings and insulin resistance, which is a precursor to type 2 diabetes. So, it begs the question: Is your sweet tooth killing you? Host: Jonathan Fialkow, M.D., Chief of Cardiology at Baptist Hospital and Chief Population Health Officer at Baptist Health. Guests: Angel Alejandro, M.D., Endocrinologist, Baptist Health Medical Group Amy Kimberlain, RDN, Registered Dietitian and Diabetes Educator at Baptist Health Miami Cardiac & Vascular Institute
Chadwick Boseman, Oscar-award winning actor died at 43 of colon cancer. 44-year old superstar Ryan Reynolds gets a colonoscopy after losing a bet, revealing several polyps that were discovered and removed successfully. As if there aren't enough headlines about the dangers of colorectal cancer lately, listen up! Colorectal cancers are getting diagnosed more frequently at a younger age and prevention is key. If you turn to face it head on early enough you can beat it before it beats you. Host: Jonathan Fialkow, M.D., Chief of Cardiology at Baptist Hospital and Chief Population Health Officer at Baptist Health. Guest: Sarah Joseph, M.D., Medical Oncologist at Miami Cancer Institute who specializes in gastrointestinal cancers.
"Lub-dub" are the words often used to describe the sound of a normal beating heart. But when a swooshing sound is mixed in, the words "heart murmur" become a part of the conversation. To a doctor, questions arise: Is it an innocent, or an abnormal murmur? Is it a heart valve problem or a structural defect that could lead to real trouble? Host: Jonathan Fialkow, M.D., Chief of Cardiology at Baptist Hospital and Chief Population Health Officer at Baptist Health. Guest: Nish Patel, M.D., Interventional Cardiologist, Baptist Health Miami Cardiac & Vascular Institute
Henry navigates through the health care system by discusses Solvera's focus on seniors, referrals, billing, chronic care management, available care coaches, and more on the WRAM Morning Show.
There's a lot of buzz about AI these days, or artificial intelligence. But there's been very little talk about the brains of the whole operation -- ours. The human brain is the command center of everything we create and do. It is ever evolving as we grow from childhood through adulthood. The question is: What are those changes and how can we improve on them by helping and maintaining what life gave us? Host: Jonathan Fialkow, M.D., Chief of Cardiology at Baptist Hospital and Chief Population Health Officer at Baptist Health. Guest: Michael McDermott, M.D., Chief Medical Executive of Baptist Health Miami Neuroscience Institute
Are you ready to climb the mountain and reach new heights for a transformative future? In the “race to value”, the mountain climber must not be intimidated by the steep terrain of a broken healthcare system. Instead we must look within ourselves, while also finding inspiration from others, to keep climbing! The ultimate summit of value transformation is what drives us, but the climb itself is what matters. If you are looking for inspiration in your value journey, look no further than our guest this week, Debbie Welle-Powell. Debbie is a healthcare thought leader, educator, national speaker, and content expert in delivery systems, clinical models of care, population health, and digital care. She is also an avid mountain climber, having attempted three of the Seven Summits while also reaching the summit of all 58 of Colorado's 14,000 peaks. She has also climbed Mt. Rainer in in Washington and Grand Teton in Wyoming and, she has climbed peaks in Bolivia, Mexico, France, Argentina, and Mt. McKinley in Alaska. In this podcast, you will learn how taking the path least travelled is when you learn the most about yourself and why value transformation is a most noble journey to undertake in healthcare. As the former Chief Population Health Officer at Essentia Health – an integrated delivery system with 14 hospitals, and 1,500 provider health system spanning the states of Minnesota, North Dakota, and Wisconsin – Debbie Welle-Powell designed, built, and operationalized Essentia's $2.5 billion dollar transition from a primarily fee-for-service model of care to one that focused on value. She oversaw risk-based contracting with payers and care delivery transformation, resulting in forty-five percent of the system's fee-for-service revenue tied to financial and clinical performance which produced record earnings on shared savings. Debbie's exceptional experience and background in multi-state, large integrated delivery systems, coupled with industry involvement and insights into emerging opportunities, trends, and challenges, have been valuable to health systems and purchasers seeking to grow, diversity, and promote expertise in the development and implementation of data-driven strategies and solutions in population health and value-based care. Episode Bookmarks: 01:30 Introduction to Debbie Welle-Powell, a nationally-recognized leader in value-based care transformation. 03:30 Support Race to Value by subscribing to our weekly newsletter and leaving a review/rating on Apple Podcasts. 04:00 The grim statistics of American healthcare and the moral and economic imperative to reform it! 05:00 Recent article from Don Berwick about the excess profiteering and greed in healthcare: “Salve Lucrum: The Existential Threat of Greed in US Health Care” 06:30 Debbie discusses the current state of the healthcare industry and how she spent her career moving healthcare delivery to full-risk and globally capitated payments. 07:30 A leadership commitment to test models of care that address the moral imperative for improved outcomes. 08:30 Reflections on Dr. Berwick's article and the need to expand the conversation by focusing on solutions. 11:00 The Innovation Center Strategy Refresh is a stake in the ground for 100% of Medicare beneficiaries to be in an accountable care relationship. 12:00 The need for innovation in specialty care and new risk models that improve health equity. 13:00 “Medicare is a laboratory for change.” (e.g. alignment of quality measures, multi-payer approaches to improvement, expansion of access in rural areas) 13:45 Two-thirds of those in Medicare Shared Savings contracts are now taking risk. 14:00 Balancing the need to move fast while not being too aggressive (“people are exhausted!”) 15:00 In the last year, hospitals have seen their operating costs increase upwards of 10%, and their bottom lines are now hemorrhaging to the tune of billions of dollars.
Maybe you've had it. Maybe someone near and dear to you died from it, or you're dealing with long term effects from it. It was a global pandemic that impacted each and every one of us. Three years ago, COVID-19 was declared a global pandemic by the World Health Organization. More than 6.5 million have died from it, with 1.1 million of those right here in the United States. Is it over? No. But as we learn to live with the new normal, what is ahead of us? Host: Jonathan Fialkow, M.D., Chief of Cardiology at Baptist Hospital and Chief Population Health Officer at Baptist Health. Guest: Samer Fahmy, M.D., Chief Medical Officer at Boca Raton Regional Hospital and Associate Professor and Associate of Clinical Affairs at Florida Atlantic University
Atrial Fibrillation, or AFib, is the most common arrhythmia, a condition in which the heart beats with an irregular or abnormal rhythm. AFib affects more than 2.7 million yearly. Left unattended, it can lead to strokes or even heart failure. So, what causes AFib and what can be done to avoid or even correct it before it does damage? Host: Jonathan Fialkow, M.D., Chief of Cardiology at Baptist Hospital and Chief Population Health Officer at Baptist Health. Guest: Mario Pascual, M.D., Medical Director of Electrophysiology and Arrhythmia Management at Baptist Health Miami Cardiac & Vascular Institute
February is American Heart Month. Despite overall increased awareness over the years, heart disease is still the leading cause of death in the U.S., according to public health officials. The good news: You can do a lot to protect your heart and stay healthy. Understanding your risk factors for heart disease and how to live a heart-healthy lifestyle can reduce the risks -- and ultimately save your life. Host: Jonathan Fialkow, M.D., chief of cardiology at Baptist Hospital and Chief Population Health Officer at Baptist Health. Guests: Patrick Azcarate, M.D., Preventive cardiologist, Baptist Health Miami Cardiac & Vascular Institute Cardiology Group. Amy Kimberlain, RDN, Registered dietitian, Baptist Health Miami Cardiac & Vascular Institute Prevention Program.
With the start of Heart Month, it's important to review some of the tools that are readily available to save someone's life. What if that “someone” is somebody close to you? Are you prepared to jump to their rescue? Tools such as AEDs (automated external defibrillators) and CPR (cardiopulmonary resuscitation) can save lives. Unfortunately, not many people know how to put them to use. Here's what you need to know. Host: Jonathan Fialkow, M.D., chief of cardiology at Baptist Hospital and Chief Population Health Officer at Baptist Health. Guest: Eli Friedman, M.D., Medical Director of Sports Cardiology at Baptist Health's, Miami Cardiac & Vascular Institute.
Proper nutrition is vital for healthy living. It's important to be mindful of what we put in our bodies to manage weight and prevent chronic diseases. In terms of your health, the expression -- “You are what you eat.” – should be taken seriously. Host: Jonathan Fialkow, M.D., chief of cardiology at Baptist Hospital and Chief Population Health Officer at Baptist Health. Guests: Amy Kimberlain, R.D., Registered Dietitian at Baptist Health's Miami Cardiac & Vascular Institute George Sanchez, M.D., Gastroenterologist at Gastro Health. Lisa Davis, PA-C, Physician Assistant and leader in the Cardiac Prevention and Risk Reduction Program at Baptist Health's Miami Cardiac & Vascular Institute
The residual impact of the COVID-19 pandemic is a change in the way care is delivered in the U.S. With a growing demand for post-acute care, coupled with staffing challenges, providers face challenges and opportunities in care transition and coordination along the continuum of care. Hear our panel of experts discuss innovative and novel approaches to care coordination. Topics include: real-time transparency, streamlining and improving communication, and Interoperability between partner organizations Panelists: Cynthia Deculus, Chief Population Health Officer and Vice President, Population Health, Cedars Sinai; Margie Zeglen, MBA, RHIA, Vice President, Population Health, Carle Health; Jessica Hohman, MD, MSc, MSc, President and Medical Director, Cleveland Clinic Medicare Accountable Care Organization; Lissy Hu, M.D., MBA, President, Connected Networks, CarePort, powered by WellSky Bios: https://www.sharedpurposeconnect.com/events/novel-approaches-to-care-coordination-the-key-to-profitable-risk-models/ This episode is sponsored by CarePort, powered by WellSky CarePort is the leading care coordination network of 2,000 hospitals and 130,000 post-acute and community providers. The end-to-end platform bridges acute and post-acute EHRs, providing visibility into the patient journey for providers, physicians, payers and risk-bearing entities. With CarePort, healthcare professionals can efficiently and effectively coordinate patient care with visibility and intelligence to manage patients as they move through the continuum. Visit website at: www.careporthealth.com
A burning sensation when urinating can spell trouble -- UTI (urinary tract infection) to be specific. It happens to more than 3 million people a year in the United States. Women suffer UTIs the most, but it can also strike men. Symptoms include fever, pelvic and urination pain, and abdominal pain. Let untreated, UTIs can spread from the bladder to the kidney, causing a cascading event of health issues. So, what triggers UTIs and what can be done to avoid them? Host:Jonathan Fialkow, M.D., chief of cardiology at Baptist Hospital and Chief Population Health Officer at Baptist Health. Guest:Rafael Perez, M.D., Urogynecologist and Medical Director of the Pelvic Health and Continence center at South Miami Hospital
Menopause is a natural occurrence in the cycle of a woman's health, marking the end of the reproductive stage. While some women complete this stage free of symptom, most experience hot flashes, sleep issues, mood swings, pain during sex and/or depression. There are temporary solutions for these symptoms caused by an hormonal imbalance, but not all are effective or equal. Listen as our experts talk hormones and menopause on this edition of the Baptist HealthTalk Podcast featuring: Host: Jonathan Fialkow, M.D., chief of cardiology at Baptist Hospital and Chief Population Health Officer at Baptist Health. Guest: Natalia Echeverri, M.D., gynecologist and obstetrician at Baptist Health South Miami Hospital, as part of South Miami OB GYN Associates
Guests: Lharissa Jacobs, Executive Director, Fit Houston, Inc. Bettina Beech, Chief Population Health Officer, National Board of Health and Wellness Coaching Interview focuses on community health and the importance of movement. It discusses physical activity and the inclusion of having "walking meetings." Also discussed was the idea and concept of "fit lots" in communities. Record date: Dec. 9, 2022
We now have 60 years of studies to show which of the more than 5,000 chemicals inhaled by tobacco smokers can impact their health. But we're only just beginning to see the damage caused by vaping, the cigarette alternative. Diacetyl, formaldehyde and acrolein, a weed killer, are just a few of the chemicals found in vape pens, and ER cases and hospital stays are on the rise from vaping. Baptist Health experts discuss the dangers of vaping and what it can do to your lungs. Host: Jonathan Fialkow, M.D., Chief of Cardiology at Baptist Hospital and Chief Population Health Officer at Baptist Health. Guests: Brenda Gonzalez, M.D., Pulmonologist and Vice President of Medical Staff at Baptist Health Doctors Hospital. Harold Richter, M.D., Medical Oncologist at Lynn Cancer Institute at Boca Raton Regional Hospital.
Are you ready for the risk-based tsunami on the horizon? If you are a frequent listener to this show, you understand just how seismic this shift to value-based care really is and why we need the right culture, people, processes -- fueled by capital – to spawn care delivery innovation. It is in reimagining care delivery that we can truly deliver on the aims of improved outcomes, lower cost, better patient experience, and equity for all populations. Joining us in this Race to Value this week are two outstanding leaders in the value movement, Drs. Brian Silverstein and Yates Lennon. We discuss how organizations should be preparing for the risk-based tsunami on the horizon through care delivery innovation. Dr. Brian Silverstein is the Chief Population Health Officer for Innovaccer, a leading healthcare technology company committed to helping healthcare care as one. He is an expert in value-based care delivery and health system transformation with vast experience in helping providers improve population health initiatives. And joining him in this interview is Dr. Yates Lennon, the President of CHESS Health Solutions – a population health MSO empowering physicians and health systems to make the transition to value-based care. Dr. Lennon has extensive experience in quality, practice transformation, and physician engagement and has been instrumental in teaching health systems and providers across the country how to transform patient care and shift to value-based payment. If you are looking to understand the state and science of value-based care, look no further than this conversation with two of the leading minds in industry transformation! Episode Bookmarks: 01:30 The seismic shift towards value-based care and the risk-based tsunami on the horizon. 02:00 Introduction to Dr. Brian Silverstein and Dr. Yates Lennon 04:30 Progressing in the value journey by understanding the landscape 05:45 Dr. Lennon provides an overview of the value ecosystem with varying adoption of risk in provider organizations. 07:00 “The days of sitting on the sideline are running out. It is time to get started with value-based care if you haven't already.” 08:00 The State and Science of Digital Maturity at U.S. Healthcare Providers (a recent report from Frost & Sullivan, commissioned by Innovaccer) 09:30 Dr. Silverstein on the legitimacy of the value movement with perspective on how digital infrastructure impacts the pacing of adoption. 10:45 The differentiation of the technology stack utilized by providers accepting full risk-based payment. 12:00 Traversing the value landscape with emerging changes in payment model design focused on the reduction of health disparities. 13:30 Dr. Lennon on how VBP and population health technology tools are perfectly suited to address problems in health disparities. 14:00 Codifying the health equity design of the ACO REACH payment model into operational programs. 14:30 Ensuring access to care in a medical home – an example from Atrium Health Wake Forest Baptist 15:30 “Access is important in value-based care when attempting to address health equity.” 16:00 Focusing on the quality and performance improvement measures that can improve equity. 16:30 Clinical workflow optimization and the use of Community Health Workers to conduct patient outreach. 17:00 Leveraging community resources to address Social Determinants of Health (SDOH). 17:30 findhelp (formerly Aunt Bertha) and Unite Us as examples of technology platforms that can improve SDOH interventions and community partnerships. 18:15 Lifestyle coaching to improve health outcomes with dual eligible populations. 19:00 Dr. Silverstein explains how traditional healthcare will not able to improve population health outcomes in a silo. 20:00 The correlation between a patient's zip code and their overall health and wellbeing. 20:30 Dr. Lennon provides perspective on how the creativity of value-based care will improve models for patient engagement and care de...
According to the U.S. Centers for Disease Control & Prevention, diarrhea is the second leading cause of death worldwide among children under five, and even adults can experience bouts from time to time. Experts at Baptist Health discuss the different types of diarrhea – yes, there are more than one – and their causes. They also share tips on how you can self-treat diarrhea at home and when you should see your doctor.Host: Jonathan Fialkow, M.D., Chief of Cardiology at Baptist Hospital and Chief Population Health Officer at Baptist Health. Guest: Joel Calafell, M.D., General Surgeon at Baptist Health Medical Group specializing in colon and rectal surgery.
The term Population Health is widely used in this industry. We've talked about it from a health plan perspective and today I would like to look at population health from an employer/employee perspective. And I am thrilled that an accomplished physician and former colleague is with me today to share his deep expertise. On today's episode, Steve Goldberg, MD, Chief Health Officer of Employee and Population Health at Quest Diagnostics shares his perspective on population health from an employer perspective. Book: The Blue Zones: 9 Lessons For Living Longer From The People Who Have Lived The Longest by Dan Buettner
It's here again, that season of celebrations. Put on a sweater and a smile and pray that nobody sees the stress you're hiding inside. 38 percent of us describe the holiday season as a stress-inducing event. Whether it's holiday parties, children's holiday shows, cooking, shopping, and even shopping online, take…a…deep…breath. The reason for the season is to celebrate family and friends and that's what you and I should focus most on. But admittedly, it can be hard to not feel the stress that goes along with it. Guests: Jonathan Fialkow, M.D., Chief of Cardiology at Baptist Hospital and Chief Population Health Officer at Baptist Health. Eli Friedman, M.D., Medical Director of Sports Cardiology at Miami Cardiac & Vascular Institute Ladan Pourmasiha, D.O., Medical Director of Baptist Health Urgent Care Janelle Falcon, Behavioral Specialist and Baptist Health
Antibiotics have long been used as a powerful tool for fighting infections caused by bacteria. However, improper use can actually be detrimental to your health, defeating their life-saving, healing characteristics. The overuse and misuse of antibiotics are leading contributors to antibiotic resistance, a problem the World Health Organization has said is one of the biggest threats to global health, food security and development today. The resistance not only challenges treatment options but opens the door to superbugs or viruses that can overwhelm our population. While it may be easy to turn the other cheek to global issues, antibiotic resistance can mean longer hospital stays, higher medical costs and increased mortality risks to you. So, what role can you play to slow down the creation of superbugs and what's on the horizon in regards to new antibiotic treatment for infections? Guests: Jonathan Fialkow, M.D., Chief of Cardiology at Baptist Hospital and Chief Population Health Officer at Baptist Health. Timothy Gauthier, Pharm.D., Manager of the Antimicrobial Stewardship Clinical Program and Pharmacy Residency Program Director.
1 in 3 Americans are literally losing years off their lives every night by not getting enough sleep, are you one of them? For years the American Heart Association has provided guidance on 7-simple steps to good health. They included features such as managing weight, increased physical activity, nicotine exposure, controlling cholesterol, managing blood sugar and blood pressure, and eating better. However, in recent years cardiologists have been linking sleep health to heart health so much so that the American Heart Association has added an 8th step to healthy living. What used to be labeled as “Life's Simple 7” is now called “Life's Essential 8”. So, the question is are you literally dying to stay awake? Guests: Jonathan Fialkow, M.D., Chief of Cardiology at Baptist Hospital and Chief Population Health Officer at Baptist Health. Harneet Walia, M.D., Director of Sleep Medicine and Continuous Improvement at Miami Cardiac & Vascular Institute.
Acne, also known as pimples, or the proverbial zits, takes many forms and usually plagues teens and young adults, but can also affect people of all ages. There are effective treatments, but for some, acne can be persistent. Where one goes away others can pop-up creating embarrassment at times. Depending on its severity, the emotional stress and scarring left behind, can be socially stigmatizing. Questions that persist, do factors like hygiene, greasy foods or even cosmetics contribute to the problem are often brushed aside for one key question… how do I treat them? Guests: Jonathan Fialkow, M.D., Chief of Cardiology at Baptist Hospital and Chief Population Health Officer at Baptist Health.Judith Crowell, M.D., Dermatologist with over 30 years of experience and a member of the Baptist Health Quality Network.
This episode features Carrie Harris-Muller, Chief Population Health Officer at OhioHealth. Here, she discusses how population health strategy has evolved & will continue to evolve with an aging population, how she & OhioHealth are looking at competition, what she is currently most focused on going into the end of the year, and more.
Pre-diabetes is a diagnosis where your blood sugar levels are higher than normal, but not high enough to be considered diabetes. There are a lot of misconceptions and a general lack of concern around this condition because most people think they're not really diabetic. Just because you may not be considered diabetic, yet, there are reasons as to why you need to pay attention and take action now.Guests: Jonathan Fialkow, M.D., Chief of Cardiology at Baptist Hospital and Chief Population Health Officer at Baptist Health.Lisa Davis, PA-C, Certified, Clinical Lipid Specialist at Miami Cardiac & Vascular Institute and the Cardiology Group.
Virtual care solutions have come to be just as important, if not, more important than physical care options. How can we work to meet that need with many challenges including, affordability, accessibility, etc? How can we pioneer a new approach to health care that meets every aspect of one's total health?CVS Health and Chief Medical Officer, CVS Caremark, Sree Chaguturu and his team are working diligently to enhance the quality, affordability, and accessibility of health services provided to millions of patients virtually and physically.Prior to CVS Health, Sree was a Chief Population Health Officer at Mass General Brigham and previously was a healthcare consultant at McKinsey and Company.On this episode of HLTH Matters, Sree joins hosts Dr. Gautam Gulati, Dr. Jordan Shlain and Patricia Bradley to explain exactly how CVS Health is providing a new approach to total health for people in all communities. Sree describes how the team is providing new and improved resources, improving health equity, and taking every step possible to improve the total health of members and patients. Listen in for Sree's insight on the future of retail and consumer health and how CVS Health is leading people to better health as the leading health solutions company.Topics CoveredWhat CVS Health is doing to reduce costs of pharmaceuticalsHow CVS Health prioritizes trust over cost with their customersHow CVS Health is leveraging their ecosystem for the future with Health AdvisorWhat Health Advisor is, the areas that it targets and the data behind itHow CVS Health works to provide accessible and affordable healthcare in marginalized communitiesThe surprising data shown in low income communities compared to high income communitiesHow Sree defines health as staying true to living out your own definition of “living” and how that is the goal for CVS customers and patientsHow Sree defines health care as the delivery of services in achievement of health Connect with Sree ChaguturuSree Chaguturu of CVS Health Connect with Dr. Gautam Gulati & Dr. Jordan ShlainHLTHDr. Gulati on TwitterDr. Gulati on LinkedInDr. Shlain on TwitterDr. Shlain on LinkedIn ResourcesVirtual Care Solutions for CVS Health Introductory Quote[29:25–30:15]“We are the largest in home infusion provider. We have a home kidney care business. We have those capabilities across the country to be in patients' homes and then as we continue to grow, our clinical delivery services as an organization. We believe that it is going to be a combination of home, hub and hand. What I mean by that is, care at home, care in our health hubs, and in our retail stores and clinics, and care in hand, which is that virtual on the go. I'm really excited for our ability to bring virtual, physical care and that physical care can either be in our stores or at home. That is what's going to be exciting to talk about in upcoming conversations.”
In this episode, Dr. Liao speaks with Rob Fields, MD, MHA, the Chief Population Health Officer at Mount Sinai Health System in New York City.
Dr. Bill Johnjulio, Chief Population Health Officer at Allegheny Health Network, joined the podcast to talk about value-based care and big population health projects on the horizon.
Simi sits down with Dr. Sreekanth Chaguturu, Chief Medical Officer at CVS Health. Shortly after this episode was recorded, Sree ascended to this role, becoming CMO for all of CVS Health. He previously served as Senior Vice President and Chief Medical Officer for CVS Caremark — the patient benefits arm of CVS Health that ensures that patients have access to safe and affordable prescriptions. Before joining the company in 2019, Sree was the Chief Population Health Officer for Massachusetts General Brigham Hospital. Sree completed his residency at Massachusetts General Hospital, where he continues to practice internal medicine today. He also serves as a Lecturer at Harvard Medical School. After initially graduating from residency in 2007, Sree spent time as both a practicing physician and a healthcare consultant at McKinsey and Company, leading the firm's Hospital Institute. To date, his articles have appeared in publications such as the New England Journal of Medicine, Journal of the American Medical Association, and Health Affairs. He received his B.A. in biology from Brown and also his M.D. from Brown University's Medical School. In this episode, we traverse Sree's unique positioning a leader who's operated from the industry's 3 critical vantage points: that of business leader, practicing physician, and distinguished academic.For more episodes, visit southasiantrailblazers.com. Subscribe to our newsletter to get new episodes in your inbox. Follow us @southasiantrailblazers on Instagram, LinkedIn, Facebook, and Youtube.
Dr. Bill Johnjulio, Chief Population Health Officer at Allegheny Health Network, joined the podcast to talk about value-based care and big population health projects on the horizon.
Meet Niyum Gandhi:Niyum Gandhi is the Chief Financial Officer and Treasurer at Mass General Brigham. Previously, he was the CFO, EVP, and Chief Population Health Officer at Mount Sinai Health and a Partner of Health and Life Science at Oliver Wyman. Niyum is a co-founder and Board Chair for Dandelion Helath AI, and on the Board of Directors for HealthPass New York and Northeast Business Group on Health. He received an A.B. in Economics from Harvard University. Key Insights:Niyum Gandhi highlights the relationship between finance and strategy, and showcases how finance can support operations and further an organization's mission.Solving at Scale. Scale can be an asset and liability. It is harder to integrate at scale, but health systems have an obligation to do so, as it advances quality of care, fortifies the balance sheet, and can diversify sources of margin. (05:34)Fundamental Tradeoffs. Niyum describes that some healthcare services are high value but will never make margin. Margin is fundamental to financial health, but also providing those services is important to the local community; both are a part of the mission. It is important for health systems to balance those tradeoffs. (13:04)The Economics of Healthcare. Traditionally, health systems stay in the black by forgoing investments for the future. Recently, more systems are making more long-term investments; however, inflation is raising costs. A challenge for healthcare leaders is balancing between investing in the future, while effectively addressing the financial challenges of today. (15:54)Relevant Links: Listen to “Margin & Mission” with Niyum GandhiFollow Niyum on Twitter
Dr. Nichola Davis is Vice President and Chief Population Health Officer at New York City's Health and Hospitals. Dr. Davis' new project: The New York City Public Health Corps.Dayna Bell, Executive Director for Health Care Quality at Aetna/CVS Health, joins later. A long-time NCQA veteran, she reminds us of the importance of being prepared. We talk “Accreditation Readiness,” and delivers details on the webinar of the same name.
As the pandemic nears the two-year mark, we've come a long way in our fight against COVID-19 with vaccines for adults and kids, booster shots and anti-viral medications. With the omicron variant spreading rapidly, and new at-home drug treatments on the horizon, we take a look at what's in store for 2022 and beyond.Host: · Jonathan Fialkow, M.D., Chief of Cardiology at Baptist Hospital and Chief Population Health Officer at Baptist Health. Guests:· Madeline Camejo, Pharm. D., chief pharmacy officer at Baptist Health· Dr. Samer Fahmy, M.D., chief medical officer at Baptist Health's Boca Raton Regional Hospital.
This episode features Katherine Behan, Senior Vice President & Chief Population Health Officer at Thomas Jefferson University. Here, she discusses what works and doesn’t work in care navigation, the work that still needs to be done in population health, and more.
In this episode, you'll hear Sierra Langston, marketing manager, and Hannah Trum, marketing specialist, give their top takeaways from Paubox Spring Summit, Secure Communication During a Pandemic. Panelists from this event include:Hoala Greevy, Founder CEO, PauboxAnshul Pande, Vice President, and Chief Technology Officer, Stanford Children's HealthChris Lindley, Chief Population Health Officer, Vail HealthJulie Jackson, Director Applications and Informatics, Vail HealthSusan Ibáñez, Chief Information Officer, Vail HealthPaddy Padmanabhan, CEO, Damo Consulting, Inc.Aaron Collins, System Administrator, Developmental Center of the OzarkBrian Kline, Principal, Webb AdamsDan Dorszynski, Software Engineer, PauboxHoward Rosen, MBA, CEO & Founder, LifeWIREMatthew Wallace, Vice President of Strategic Initiatives and Partnerships, Easterseals LouisianaMichael Mead, BCPA, Chief Operating Officer, The Medical Cost Savings SolutionMichael Parisi, Vice President, Business Development & Adoption, HITRUSTNick Wong, Email API Specialist, PauboxTony UcedaVélez, CEO & Founder, VerSpriteFor a full recap of Paubox Spring Summit, click here. For more information about Paubox Spring Summit, click here.
Dr. Shiva Chandrasekaran, Chief Population Health Officer and ACO Executive Director at Einstein Healthcare Network in Philadelphia, joined the podcast to talk about new partnerships amid the pandemic and the rapid movement toward alternative payment models. He also discussed what clinical leaders need to succeed with transforming care models.
Dr. Shiva Chandrasekaran, Chief Population Health Officer and ACO Executive Director at Einstein Healthcare Network in Philadelphia, joined the podcast to talk about new partnerships amid the pandemic and the rapid movement toward alternative payment models. He also discussed what clinical leaders need to succeed with transforming care models.
Niyum Gandhi is the Chief Financial Officer and Chief Population Health Officer for Mount Sinai Health System in New York. With over 40,000 employees, Mount Sinai is the largest employer in New York City's five boroughs. In this episode, Niyum shares his perspective as the Finance leader and how that's changed from his days in the operations and clinical side of the business. He talks about how he evaluates investments, how they adjusted during the pandemic, and the healthy tension between Finance and Operations.Mentioned in this Episode:The Infinite Game - Simon Sinek Start with Why - Simon Sinek Timestamps:(3:27) - Niyum's high-level overview of Mount Sinai.(4:37) - How did your career path get you to the CFO seat for Mount Sinai?(9:21) - How does your experience outside of finance play a role in your approach as CFO? (12:18) - Do you have an example of a situation where you had to lean more into your CFO voice rather than your Operations Voice? (14:25) - How do you foster an environment where there's psychological safety amongst an executive team so you can create the right healthy tension? (18:31) - Was there anything done on purpose to create the relationship between the exec team or did it happen naturally? (23:07) - When you are making a strategic decision, how are you managing margin, mission, profit, and people?(32:54) - What is the purpose of business?(35:07) - Discussion on Shareholder Value (37:11) - Where is the balance between the tradeoffs of short-term value and long-term value and how do you keep a healthy ecosystem of happy employees, happy customers, and healthy margins? (43:20) - What were the key steps in making the change to value-based health care from pay for services in such a large organization? (50:48) - How do you keep your people energized and motivated during a big transition like that? (55:55) - What's the relationship been between the exec team and HR leaders during Covid? (1:00:15) - What lessons have you learned over the last year that you will carry forward with you?
It has been a few months since we have discussed workplace policies surrounding testing on this podcast. Since that time, testing has become much more widespread and available. In this episode, we will discuss what testing methods have been most effective, and what testing will look like next year. We are pleased to have back on the show today Dr. Sree Chaguturu, Chief Medical Officer for CVS Caremark (https://www.caremark.com/), the pharmacy benefits management business for CVS. He focuses on enhancing the quality of services provided to millions of its members and patients, while also contributing to the overall mission of CVS Health. Most recently, he was Chief Population Health Officer at Partners HealthCare. In this role, he led the system’s accountable care organization, one of the largest in the nation serving over 600,000 lives. Previously, he was a health care consultant at McKinsey and Company. Dr. Chaguturu is a practicing internal medicine physician at Massachusetts General Hospital and a Lecturer at Harvard Medical School. His articles have appeared in publications such as the New England Journal of Medicine, JAMA, and Health Affairs.
It has been a few months since we have discussed workplace policies surrounding testing on this podcast. Since that time, testing has become much more widespread and available. Recent news has also offered us perhaps our first breath of fresh air in quite some time: two viable vaccines have been successfully developed. In this episode, we will discuss what these vaccines mean for employers, what kind of time frames we are talking about, and to what extent the vaccines will mitigate COVID-19. We are pleased to have back on the show today Dr. Sree Chaguturu, Chief Medical Officer for CVS Caremark (https://www.caremark.com/), the pharmacy benefits management business for CVS. He focuses on enhancing the quality of services provided to millions of its members and patients, while also contributing to the overall mission of CVS Health. Most recently, he was Chief Population Health Officer at Partners HealthCare. In this role, he led the system’s accountable care organization, one of the largest in the nation serving over 600,000 lives. Previously, he was a health care consultant at McKinsey and Company. Dr. Chaguturu is a practicing internal medicine physician at Massachusetts General Hospital and a Lecturer at Harvard Medical School. His articles have appeared in publications such as the New England Journal of Medicine, JAMA, and Health Affairs.
This episode features Susan Mani, Chief Population Health Officer for LifeBridge Health. Here, she discusses her career journey, trends she’s seeing in population health, and more. Thank you to our sponsor, Coverys. Copyrighted. Insurance products issued by Medical Professional Mutual Insurance Company and its subsidiaries. Boston, MA. In CA, transacting business as Coverys Insurance Company (CA# 6122-6).
We're taking some time to get to know Nemours’ new Chief Population Health Officer, Dr. Kara Odom-Walker. Dr. Odom Walker came on board with Nemours in September after 2-and-a-half years as the top public health official in the State of Delaware, serving as Secretary of the Delaware Department of Health and Social Services. Delaware is also the state where she was born and raised, and where she discovered her love of the STEM-related fields (science, technology, engineering and mathematics). She was guided by supportive, loving parents in a world that wasn’t always kind. Carol Vassar, producer
As Providence St. Joseph Health System’s James Harker, Chief Population Health Officer, said, “…value-based care, though,” calling out that even though 2020 hasn’t been smooth, value-based arrangements are helping health care organizations. This week, we continue our focus on value-based care with him, discussing the opportunity for business model disruption in Medicare, Medicaid, and commercial payer segments and highlighting winning strategies for achieving success. Please share your feedback about this episode, or other comments with Trevor and Kelly at sg2perspectives@sg2.com
We all know it: 2020 has been a rough year so far. But as this week’s guest, Providence St. Joseph Health System’s James Harker, Chief Population Health Officer, said “…value-based care, though.” What he means: payment news in health care isn’t all bad, and those with value-based care arrangements are faring a bit better. In this episode, we discuss how value-based care models serve as a stable business model through a tumultuous time and have the ability to better align incentives and increase shared accountability between payers, providers and patients. Please share your feedback about this episode, or other comments with Trevor and Kelly at sg2perspectives@sg2.com
A public health crisis can create a sea of need--so deep and vast it can be difficult to know where to start. A pandemic is an emergency--no time or resources to waste. Dr. Susan Mani, Chief Population Health Officer of LifeBridge Health, tells us about the statewide ‘Task Force on Vulnerable Populations’ she leads. Its aim is to identify those who are at high risk for Covid-19 to pinpoint where to deploy information and resources.
Join Rob Fraiman, President of Cain Brothers, as he interviews Scott Hayworth, M.D., CEO of CareMount Medical, and Kevin Conroy, CFO and Chief Population Health Officer of CareMount in a ... The post COVID-19: CareMont Medical CEO & CFO talk with Rob Fraiman, Cain Brothers appeared first on 4sight Health.
Join Rob Fraiman, President of Cain Brothers, as he interviews Scott Hayworth, M.D., CEO of CareMount Medical, and Kevin Conroy, CFO and Chief Population Health Officer of CareMount in a discussion of the COVID-19 pandemic, its impact on the healthcare sector and how CareMount Medical is responding.
This week, John speaks with Debbie Welle-Powell, Chief Population Health Officer with Essentia Health. They discuss what it means to be a value-based organization and what services bring value to patients. They also identify opportunities for bending the cost curve for future value-based contracts and recognizing the need for coordinated care. Debbie shares some of her experiences in managing provider value to patients as well as maintaining patient engagement. She also touches on the positive impacts of telehealth during a global pandemic.
This episode of Tuning Healthcare features Niyum Gandhi, Executive Vice President and Chief Population Health Officer at New York’s Mount Sinai Health System. Niyum and Nigel Ohrenstein, Senior Vice President at Lumeris, discuss the importance of leadership buy-in for effective transformation, how to evaluate the right risk contracts and collaborative payers, the importance of engaging physicians, and why primary care needs to scale effectively to be successful in value-based care models. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/
MedAxiom HeartTalk: Transforming Cardiovascular Care Together
Tracking metrics and comparing them to external benchmarks is a critical part of assessing performance and monitoring how you rank against competitors and peers. Benchmarks give context to program gaps, help frame decisions, and aid in program design and planning to ultimately improve the delivery of patient care. The importance of cardiovascular services specific benchmarking is what led MedAxiom to develop our annual Cardiovascular Provider Compensation & Production Survey. The data are essential to practice and program leaders, and there is no other platform like it in our specialty.In this episode, we talk with the survey’s author and MedAxiom Executive Vice President of Consulting, Joel Sauer, and Jonathan Fialkow, MD, practicing cardiologist and group practice leader and Chief Population Health Officer at Miami Cardiac and Vascular Institute, Baptist Health South Florida, about the value of benchmarks and how to use the results of the annual survey in recruitment and planning efforts.Download the Survey: https://www.medaxiom.com/compsurveyWatch the Webinar: https://www.medaxiom.com/resource-center/administrative-and-clerical-operations/webinar-recording-what-does-the-2019-cardiovascular-provider-compensation-and-production-survey-mean-for-your-organization/Questions or feedback? Email: HeartTalk@medaxiom.com
This week, we are joined by Dave Chokshi. Dave is the Chief Population Health Officer of OneCity Health and Senior Assistant Vice President at New York City Health + Hospitals—the largest public health care system in the U.S. He practices primary care at Bellevue Hospital and is a Clinical Associate Professor of Population Health and Medicine at the NYU School of Medicine. We talk about what population health is, how it is distinct from public health, and what value it adds to our healthcare system. We also talk about how in some ways it might contribute to the erosion of relationships between primary care providers and patients, how that can be remedied, and how the small 1 or 2 doctor practice may fit into a population health management vision. We talk about a piece he wrote with Neil Calman and Diane Hauser about what they call the “expanded denominator,” and how that may further goals of public health and accountable care. Lastly, we talk about population health approaches in urban and rural settings, and how we should think about the opioid epidemic from a population health vantage point. We reference a few articles throughout our conversation: Christine Sinsky’s already classic Annals paper detailing that physicians spend two hours on administrative tasks for every hour they see patients, and our journal club on that paper. Robin Williams’ and colleagues Health Affairs blog on utilizing the HIV cascade of care to battle the opioid epidemic, and Lawrence Casalino and colleagues work calculating what we spend measuring the care we provide. In addition, we reference the Surgeon General Vivek Murthy’s landmark report on addiction. A quick note about a word we use frequently but didn’t pause to define for listeners – attribution. Attribution is the assignment of a specific patient to a specific primary care physician in a health system. Once a patient is attributed to a PCP or health system, that PCP and health system is held accountable for the patient’s quality measures and healthcare costs within ACOs or other alternative payment contracts. This still applies patients who do not frequently access the healthcare system through traditional channels or most frequently see specialists, who perhaps have never seen the assigned PCP, and is therefore at times controversial. A little more background on Dr. Dave Chokshi: He was Assistant Vice President of Ambulatory Care Transformation at NYC Health + Hospitals and director of Population Health Improvement at NYU School of Medicine. In 2012-13, he served as a White House Fellow at the U.S. Dept. of Veterans Affairs, where he was the principal health advisor in the Office of the Secretary. His prior work experience spans the public, private, and nonprofit sectors, including positions with the New York City and State Departments of Health, the Louisiana Department of Health, a startup clinical software company, and the nonprofit Universities Allied for Essential Medicines, where he was a founding member of the Board of Directors. If you enjoy the show, please rate and review us wherever you listen, and share us on social media. Tweet us your thoughts @rospodcast and check out our facebook page at www.facebook.com/reviewofsystems. Or, you can email me at audreyATrospod.org. We’d love to hear from you, and thanks for listening.
This week, we are joined by Dave Chokshi. Dave is the Chief Population Health Officer of OneCity Health and Senior Assistant Vice President at New York City Health + Hospitals—the largest public health care system in the U.S. He practices primary care at Bellevue Hospital and is a Clinical Associate Professor of Population Health and Medicine at the NYU School of Medicine. We talk about what population health is, how it is distinct from public health, and what value it adds to our healthcare system. We also talk about how in some ways it might contribute to the erosion of relationships between primary care providers and patients, how that can be remedied, and how the small 1 or 2 doctor practice may fit into a population health management vision. We talk about a piece he wrote with Neil Calman and Diane Hauser about what they call the “expanded denominator,” and how that may further goals of public health and accountable care. Lastly, we talk about population health approaches in urban and rural settings, and how we should think about the opioid epidemic from a population health vantage point. We reference a few articles throughout our conversation: Christine Sinsky’s already classic Annals paper detailing that physicians spend two hours on administrative tasks for every hour they see patients, and our journal club on that paper. Robin Williams’ and colleagues Health Affairs blog on utilizing the HIV cascade of care to battle the opioid epidemic, and Lawrence Casalino and colleagues work calculating what we spend measuring the care we provide. In addition, we reference the Surgeon General Vivek Murthy’s landmark report on addiction. A quick note about a word we use frequently but didn’t pause to define for listeners – attribution. Attribution is the assignment of a specific patient to a specific primary care physician in a health system. Once a patient is attributed to a PCP or health system, that PCP and health system is held accountable for the patient’s quality measures and healthcare costs within ACOs or other alternative payment contracts. This still applies patients who do not frequently access the healthcare system through traditional channels or most frequently see specialists, who perhaps have never seen the assigned PCP, and is therefore at times controversial. A little more background on Dr. Dave Chokshi: He was Assistant Vice President of Ambulatory Care Transformation at NYC Health + Hospitals and director of Population Health Improvement at NYU School of Medicine. In 2012-13, he served as a White House Fellow at the U.S. Dept. of Veterans Affairs, where he was the principal health advisor in the Office of the Secretary. His prior work experience spans the public, private, and nonprofit sectors, including positions with the New York City and State Departments of Health, the Louisiana Department of Health, a startup clinical software company, and the nonprofit Universities Allied for Essential Medicines, where he was a founding member of the Board of Directors. If you enjoy the show, please rate and review us wherever you listen, and share us on social media. Tweet us your thoughts @rospodcast and check out our facebook page at www.facebook.com/reviewofsystems. Or, you can email me at audreyATrospod.org. We’d love to hear from you, and thanks for listening.
In this episode Scott Becker interviews Debbie Welle-Powell, Chief Population Health Officer at Essentia Health.
In this episode, we welcome Niyum Gandhi, Executive Vice President and Chief Population Health Officer at Mount Sinai, to discuss health system transformation, and how he tackles it in one of the most diverse cities in the world. Niyum shares the story behind his transition from Oliver Wyman to Mount Sinai, and the role key questions and visionary leaders took in making his leap. Hear Niyum talk about finding the leader who wasn't afraid to be first to start the marathon of transforming a health system with a population health division to a population health management company that happens to own hospitals. He shares his insights on how we can shift from a health system designed to prevent death and treat illness to one designed to prevent illness and manage health. It starts with defining the problem differently. From there, we can design more creative and effective solutions. He'll also share the importance of people in this transformation process. Ultimately our models are all about those we serve, and they are powered by those we work alongside. Take a listen to one of the brightest minds in health care who is paving a way for a better future. You'll be both impressed and inspired! @niyumgandhi @SherpaPod @annsomerswh @TheBenReport #InnovationEngine@OWHealthEditorLab100 Overview - A Sherpa's Guide to Innovation is a proud member of the Health Podcast Network @HealthPodNet - Support the show (https://healthpodcastnetwork.com/)
Listening In (With Permission): Conversations About Today's Pressing Health Care Topics
Suzanne Delbanco, CPR's Executive Director, checks in with Debbie Welle-Powell, Chief Population Health Officer at Essentia Health, an integrated health system in the Midwest. Debbie and Suzanne discuss the definition of accountable care organizations (ACOs), how ACOs can impact the quality and cost of health care, patient experience in an ACO and the importance of incorporating risk. Listen in and learn!
In this episode of the Oliver Wyman Health Podcast, Niyum Gandhi, Executive Vice President and Chief Population Health Officer of Mount Sinai Health System, shares how Mount Sinai is providing value to its healthcare customers and creating consumer-centric healthcare services. For more information on our podcast, follow us on Twitter @OWHealthEditor, visit our online healthcare publication at health.oliverwyman.com, and see our full guest roster at https://www.oliverwyman.com/our-expertise/industries/health-life-sciences/oliver-wyman-health-podcasts.html. Questions or comments? Email Oliver Wyman Health's Editor, jacqueline.dichiara@oliverwyman.com.
Niyum Gandhi, EVP and Chief Population Health Officer at Mount Sinai discusses population health and the Sinai journey towards value in healthcare.
Today’s episode is the first in our new series on new models of Primary Care! Our first guest on the program is Niyum Gandhi, Executive Vice President and Chief Population Health Officer at Mount Sinai Health System. Niyum is responsible for leading Mount Sinai Health Partners and aligning clinical and economic transformations in support of Mount Sinai’s vision to be the leading population health manager in the region, as well as the best possible partner to the Health System’s broad physician community. His work includes fostering care management and clinical model redesign to ensure that high-value care is delivered by the Health System and its partners, and working with payers and self-funded employers to establish the new economic models that support the delivery of value-based care. Neil Patel, President of Healthbox, also joined this conversation. In this episode we cover: Niyum’s background, previous work around ACOs, and his role at Mount Sinai If Niyum thinks entrepreneurs trying to build standalone primary care models creates more fragmentation or less in the system How the Mount Sinai partnership with Oscar Health to open a primary-care clinic in Brooklyn came to be What success in this Oscar Health partnership looks like How Niyum is thinking about translating the benefits of this partnership to all of the Mt. Sinai patients Patient feedback and the process of scaling what Mt. Sinai have learned to date in this partnership If Niyum and Mt. Sinai feel these tight alignments with companies like Oscar Health is the way of the future The other areas of innovation and transformation at Mt. Sinai the Niyum is focused on Connect with Niyum: LinkedIn Twitter Connect with Mt. Sinai Health System: Website Twitter Connect with Oscar Health: Website News Connect with Healthbox Follow us on Twitter and @ChuckFeerick Subscribe and leave a review in iTunes Have guest suggestions or topic ideas for the podcast? Send them to us at ideas@healthbox.com Listen to this episode on iTunes, SoundCloud, or Libsyn