Podcasts about clinical standards

Send us a textPrimary care is the foundation of a strong healthcare system, but it faces mounting challenges, from workforce shortages to reimbursement struggles. Is advanced primary care the solution and what would that model look like?In this episode of CareTalk, David E. Williams and John Driscoll sit down with Dr. Kate Goodrich, Chief Medical Officer of Humana, to explore the critical role of primary care and how it must evolve to meet the growing demands of patients, providers, and the healthcare system as a whole.This episode is brought to you by BetterHelp. Give online therapy a try at https://betterhelp.com/caretalk and get on your way to being your best self.As a BetterHelp affiliate, we may receive compensation from BetterHelp if you purchase products or services through the links provided.TOPICS(0:21) Intro(0:34) Sponsorship(2:05) The Advantages of Primary Care(3:51) Understanding Primary Care(5:06) Why Is Primary Care Struggling(6:55) The Current State of Primary Care(7:57) How Primary Care Is Changing(10:18) The Promise of Care Coordination in Primary Care(12:51) What Does Advanced Primary Care Look Like(15:20) Measuring Success in Primary Care(18:32) What Is Direct Primary Care(19:51) The State of Medicare Managed Care(23:43) Why Are Primary Care Physicians Unhappy

In this episode of ABA Business Leaders presented by 3 Pie Squared, Alexandra Tomei, BCBA, joins us to discuss the intersection of public policy, clinical standards, and staff empowerment in ABA practices. As the Director of Clinical Standards at BlueSprig and a passionate advocate for public policy, Alexandra shares her insights on balancing operational efficiencies with individualized care, supporting RBTs and BCBAs, and fostering a culture that prioritizes quality and collaboration. We also explore the challenges faced by ABA providers, including compliance, rate negotiations, and maintaining high-quality services amid operational constraints. For those starting or managing an ABA practice, Alexandra offers actionable advice on how to build sustainable, ethical practices that truly empower both staff and clients. Guess what! We are offering FREE RBT training for the month of December for those who sign up at our new training platform! Check it out here- https://3piesquared.com/productDetails/ABA_Business_Leaders_Training_Program

Back by popular demand, our mythbusting team takes looks at two new health topics making headlines and compares popular beliefs to the latest evidence: Is exercise as effective as other treatments to help depression?Meta-analysis:  https://www.bmj.com/content/384/bmj-2023-075847Do tattoos cause lymphoma?Study: https://www.thelancet.com/journals/eclinm/article/PIIS2589-5370(24)00228-1/fulltextPlus a discussion on correlation vs. causation Guest: Dr. Ankita SagarSystem Vice President for Clinical Standards and Variation Reduction, Physician Enterprise and Associate Clinical Professor of Medicine, Creighton University Previous Myth-Busting EpisodesAre full body, preventative scans helpful or harmful for healthy individuals?https://www.buzzsprout.com/1903646/15388164Fasting and Statins: Do statins cause muscle aches and is it necessary to fast before labs?https://www.buzzsprout.com/1903646/13919434Water Consumption and Vegetarian Diets: How much water do we really need and are vegetarian or vegan diets truly healthy?https://www.buzzsprout.com/1903646/14691788

Evidence Based Perioperative Medicine (EBPOM)'s incredible World Congress in London continues and TopMedTalk is there bringing you exclusive interviews with delegates, guests and key opinion leaders. Here we have a much needed discussion regarding regulating artificial intelligence (AI) at the point of care, and the need for proper regulatory frameworks to ensure its safe and effective use. We stress the importance of clear policies and clinician training for AI implementation, highlighting the potential risks of misusing AI tools due to insufficient understanding of their outputs. How do we get transparency from AI manufacturers regarding the data sets used and the intended applications of their algorithms? Is there a need for independent verification bodies to assess the robustness of AI tools? The conversation concludes with a call for collaboration among clinicians, manufacturers, and regulators to harness the power of AI in healthcare while safeguarding patient outcomes, underscoring the exciting yet challenging future of AI in medicine. Presented by Andy Cumpstey and Joff Lacey with their guest Lee Fleisher, Emeritus Professor of Anesthesiology and Critical Care and Professor of Medicine at the University of Pennsylvania Perelman School of Medicine, Founder and Principal at Rubrum Advising, LLC, Senior Advisor of the Bipartisan Policy Center and FasterCures of the Milken Institute, Senior Fellow of the Leonard Davis Institute of Health Economics and Visiting Fellow of the Duke-Margolis Center. From July 2020-July 2023, he was the Chief Medical Officer and Director of the Center for Clinical Standards and Quality for the Centers for Medicare and Medicaid Services.

Learning Objectives (and corresponding articles): Identify medications best avoided by older adults in most circumstances or specific clinical scenarios (JAGS)Discern the benefits, harms, and efficacy of different smoking cessation pharmacotherapies and e‐cigarettes (Annals of Internal Medicine)Evaluate the effectiveness, harms, and benefits of newer diabetic medications on mortality, cardiovascular and renal outcomes (Cochrane Review)Understand the utilization of eGFRcr versus eGFR based on creatinine and cystatin C levels (eGFRcr-cys) in older adults (Annals of Internal Medicine)Quantify trends in racial/ethnic disparities in TB incidence among U.S.-born persons (Annals of Internal Medicine)Recognize the well-being and turnover rates of physicians and nurses as well as actionable factors on adverse clinician outcomes (JAMA)The benefits of puppies: https://psycnet.apa.org/fulltext/2023-97081-001.htmlPresenter:Ankita Sagar, MD, MPH, FACP, System Vice President, Clinical Standards and Variation Reduction, Associate Clinical Professor of Medicine at Creighton University School of MedicineGuests:Barbara Martin, PhD, System Senior Vice President, Advanced PracticeCorey Karlin Zysman, MD, System Senior Vice President, Physician Enterprise, Arizona and Nevada

Learning Objectives:-Review the history and flawed assumptions in the use of race and how race-specific PFT reference equations might lead to health disparities.-Understand the evidence behind the recommendation to use race-neutral reference equations.-Review the quantitative impact of switching from race-specific to race-neutral reference equations.-Assess the many remaining gaps in our understanding of how to use pulmonary function tests to improve health.Speakers:Nirav Bhakta, MD, Associate Professor of Medicine, Pulmonary and Critical Care at the University of California, San FranciscoDr. Bhakta is a national thought leader and Vice-chair of the American Thoracic Society Pulmonary Function Testing Committee. Dr. Bhakta co-chaired the ATS workshop on race and PFTs that led to the publication of the 2023 ATS Statement.Panelists:Thomas R. Vendegna, MD, Pulmonology and Critical Care, CMO French Hospital Medical Center (Facilitator)Jeff Sippel, MD, Critical Care Medicine, UC HealthRobert Wiebe, MD, CMO, CommonSpirit HealthSuchitra Pilli, MD, Interventional Pulmonology and Critical Care, Medical Director for Respiratory Therapy, CHI Health Omaha, Assistant Professor, Creighton UniversityGary Greensweig, DO, Chief Physician Executive, Physician Enterprise, CommonSpirit HealthAnkita Sagar, MD, System Vice President, Clinical Standards and Variation Reduction, Physician Enterprise, Associate Clinical Professor of Medicine at Creighton University School of Medicine

This is our 50th episode! Thanks to everyone that has participated as a guest or has watched our videos.In this episode of the 5-Minute Check In with Dr. McGinn, we take a closer look at CommonSpirit Health's updated breast cancer screening guidelines.Topics discussed in this episode include:- Reviewing screening best practices on risk stratification for breast cancer into average, intermediate, and high risk- Screening recommendations - Integrating the criteria into the process of care- Screening approach for patients with high density breast tissueThe episode also includes discussion of the ways in which CommonSpirit is leveraging technology to identify patients eligible for breast cancer screening.Guests:Ankita Sagar, MPH, FACP, System Vice President, Clinical Standards and Variation Reduction, Physician EnterpriseDr. Jessica Croley, Medical Oncologist, Co-lead OCI Breast Clinical Council, CHI St. JosephWatch other cancer screening videos here:Cancer Screening Overview: https://www.youtube.com/watch?v=VESsQ...Lung Cancer Screening: https://youtu.be/5czY2s3PblY?si=KdhYG...Colorectal Cancer Screening: https://youtu.be/CxJbXdGQCQU?si=88oIn...

Guests: Dr. Ankita Sagar, System VP for Clinical Standards and Variation Reduction and Dr. Suchitra Pilli, Interventional Pulonologist and Critical Care, Creighton University School of MedicineDiscussed: updated lung cancer screening guidelines including the move to risk-based screening, screening criteria recommendations, integrating the criteria into the process of care, and follow-up to positive screenings. Also covered: ways in which we're leveraging technology to identify patients eligible for lung cancer screening.Related podcasts:5-Minute Check In Lung, Breast, and Colon Cancer Screening Overview: https://www.buzzsprout.com/1903646/episodes/14402059Lung Cancer Screening Based on Risk Stratification Grand Rounds: https://www.buzzsprout.com/1903646/episodes/14144736

The FDA has approved the first cell-based gene therapies for sickle cell disease. In this extended episode, Dr. McGinn is joined by Creighton Geneticist and Bioethicist Fr. Kevin FitzGerald and Dr. Ankita Sagar, System Vice President for Clinical Standards and Variation Reduction, to dive into this significant milestone.Together they discuss CRISPR technology, treatment strategies, bioethics, and what this means for patients and providers alike in our battle against this devastating disease. Read more: https://www.fda.gov/news-events/press...

Drs. Cardinale Smith and Raymond Osarogiagbon discuss key research featured at the 2023 ASCO Quality Care Symposium, including the role of AI in quality measurement and solution-focused approaches addressing care delivery, financial toxicity, and clinician well-being. TRANSCRIPT Dr. Raymond Osarogiagbon: Hello. I'm Dr. Raymond Osarogiagbon, your guest host of the ASCO Daily News Podcast today. I'm the chief scientist at the Baptist Memorial Healthcare Corporation and director of the Multidisciplinary Thoracic Oncology Program and the Thoracic Oncology Research Group at the Baptist Cancer Center here in Memphis, Tennessee. I have the distinct delight of serving as co-chair of the 2023 ASCO Quality Care Symposium. And I am delighted to welcome my colleague, Dr. Cardinale Smith, who served as chair of the Symposium. Dr. Smith is a professor in the Department of Medicine and Geriatrics and Palliative Medicine at the Tisch Cancer Institute at the Icahn School of Medicine at Mount Sinai in New York. Today, we'll be discussing solutions and key research to advance high-value, high-quality cancer care that were featured at the Symposium. You'll find our full disclosures in the transcript of this episode, and disclosures of all guests on the podcast are available at asco.org/DNpod. Dr. Smith, it's great to be speaking to you today. Dr. Cardinale Smith: Thank you. I'm excited to be speaking with you as well. Dr. Raymond Osarogiagbon: The Quality Care Symposium featured many novel approaches in care delivery, including innovative ways to advance health equity through supportive oncology. As a specialist in geriatrics and palliative medicine, your work has focused on supporting the needs of patients with cancer. What are the innovations in supportive oncology that you were excited about at the meeting? Dr. Cardinale Smith: I think we had several really fantastic sessions [on supportive oncology] at the meeting. One of the key things that came up around innovations in palliative care delivery was a roundtable discussion (“Innovations in Palliative Care Delivery for Structurally Marginalized Populations: A Roundtable Discussion”), and the speakers really focused on community-engaged approaches to the delivery of palliative and supportive care interventions. During the discussion, the speakers talked about utilizing the community voice and incorporating that into work to describe and enhance models of care delivery.  Dr. Manali Patel discussed her work on the transformative impact of patient navigators who focused on palliative care skills, in particular, communication, symptom discussions, and how that contributed to the improved outcomes of patients with advanced cancer. They saw reductions in mortality, lower acute care use, greater palliative care and hospice use, and lower total costs. Dr. Mao discussed a virtual mind-body fitness program to reduce unplanned hospitalizations among patients undergoing active cancer treatments. And Dr. Irwin presented her results of a randomized trial of patient-centered collaborative care for adults with serious mental illness who were newly diagnosed with cancer. I think these discussions just really centered on centering patients and focusing on supporting their care. And then finally, I was really excited to hear Dr. Deborah Mayer of UNC Lineberger Comprehensive Cancer Center, who received the Joseph Simone Quality Care Award, and she spoke about her distinguished career and how we can do better for our patients and ourselves (“Reflections on Improving Cancer Care: How Can We Do Better for Our Patients and Ourselves”). And what stood out for me was her recognition of the importance of “teaming,” and she really talked about acknowledging that before there was terminology for it. And it struck me because it remains so critically important in terms of how we advance the science and delivery of cancer. Dr. Raymond Osarogiagbon: Yeah, that Joseph Simone Award was amazing; I've got to tell you that Manali Patel's presentation blew me away. The video of the veterans talking about end-of-life care and the tough decisions, how they got to work, man, chills down my spine.  Dr. Cardinale Smith: Yeah, and I think what's even more incredible is that the folks who were helping to lead those conversations were not people who spent an incredible amount of time going to school to learn how to do this. They were folks from the community who were just engaging with people and conversations about their values. Dr. Raymond Osarogiagbon: What an original way to tackle the wicked problem. Just amazing. So improving clinician well-being was also a key topic at the meeting. Speakers addressed oncology workforce shortages and novel approaches for improving team-based care delivery. So, Cardi, what are your key takeaways from these sessions (“Building Clinician Well-Being Through Team-Based Care Delivery”) Dr. Cardinale Smith: Improving team-based care delivery is essential as the health care system can feel fragmented for patients, and, honestly, for us as clinicians as well. I think my takeaway [from this session] is that there has to be an organizational and systems-based approach to really improving this issue if we're going to make meaningful and impactful change. We were presented with data that shows that this really isn't a one size fits all approach, and what might work for physicians as a group does not work for APPs or nursing. And we really have to think about all of these different groups based on what they need.   Caroline Schenkel from the ASCO Center for Research and Analytics (CENTRA) presented impactful data on the state of the oncology workforce. And that data really assessed changes in the well-being of US-based ASCO physician members and compared the responses today in 2023 to a decade ago. And unfortunately, burnout and satisfaction with work life integration appears to have significantly worsened. And while that's not really surprising, it's disappointing. There were some factors that contributed to joy in work life, and that was speaking with and advising patients, as well as enhanced practice support inclusive of administrative patient care and staffing. So I do think that gives us some information that we can use to go forward to focus on strategies we should be really encouraging and leaning in towards. Dr. Raymond Osarogiagbon: I think it was Dr. Subbiah in this session who made the point – it's not just yoga, right? Don't tell people, “Go do yoga and get happy at work again.” You have to tackle the fundamental cause of the problem, which is this crazy workload and additional tangential obligations that we have that have taken over the core mission of patient care. Dr. Cardinale Smith: Absolutely. No one needs another pizza party. Dr. Raymond Osarogiagbon: Isn't that the truth? Dr. Cardinale Smith: I want to ask you some questions. I'm going to turn the tables on you now.  Dr. Raymond Osarogiagbon: Sure. Dr. Cardinale Smith: So let's talk about some emerging technologies. We had a session on artificial intelligence at the meeting that specifically focused on how AI will potentially impact quality care. Ray, tell me, what are some of your takeaways from these presentations? Dr. Raymond Osarogiagbon: Yeah, so AI, obviously, is a hot topic in this day and age. I had the privilege of chairing the session, “The Promise and the Perils of Artificial Intelligence (AI) in Oncology.” So we had a nice group of speakers. We had Danielle Bitterman from Dana-Farber telling us what AI is and what it promises to be for us. And then Andrew Hantel, who co-chaired the session with me, did a wonderful job describing for us the perils of AI. And then Julian Hong told us how AI promises to do all kinds of wonderful things in radiation oncology, so the huge promise of AI from back office to front office across this full spectrum of oncology, be it radiology, radiation oncology and so on and so forth, were covered.  And I would strongly urge that anybody who listens to this podcast should go to that session. Andrew Hantel talked about perils, for example, this AI black box. We don't really understand when [the AI black box] tells us this is the thing, this is the answer to your question, how does it arrive at that? How can we tell that the answers we're getting are correct or incorrect? And if we were wanting to validate, how do we go back, to do so is a real problem. And then one of the take-homes was, “You can call it all the things you want, but it's still fundamentally garbage in, garbage out.” So this machine learning, if the material fed into the machine is garbage, the answers you'll get back will still be garbage. And we had Dawn Hershman present a wonderful panorama of how AI is just another tool. It's not a panacea. We've still got the same problems. It's a new tool and we're still going to have to apply it using the same frameworks as we have always applied in all of science today.  And then there was an abstract that was presented from the UK as the young lady Bea Bakshi presented a paper, Abstract 74, “Accuracy of an AI Prediction Platform in Predicting Tumor Origin in a Real-World Study.” I would urge anybody who's interested in this to go back and watch that. Dr. Cardinale Smith: I was waiting a bit for them to talk to me about how the bots were going to take over, but I guess we're not quite there yet. And Dr. Lee Fleisher also added a lot of commentary. He was the former chief medical officer and director of the Center for Clinical Standards and Quality at the US Centers for Medicare and Medicaid Services (CMS). And he gave the keynote lecture, “Measuring and Driving Quality in the Future.” What did you think about some of what he had to add to this conversation? Dr. Raymond Osarogiagbon: Yeah, it was an interesting keynote. It was certainly one of the highlights of the program. He talked about measuring and driving quality of care in the future. And the thing that struck me was how he covered the full spectrum of the topics that we dealt with in the Symposium, including AI, which was quite remarkable.  Dr. Cardinale Smith: Yeah, I agree. I think he really did add an incredible amount to the conversation, and I think as much as we think CMS has control over so much of what we do, so much of it is controlled and regulated that in the end, they are just a body that oversees. And I think he really talked about that and hit that home.  Dr. Raymond Osarogiagbon: The one thing that struck me one of the throw away comments he made was how few physicians there were at CMS. What was it he said? Was it 30 something, 40 something on the regulatory side? Dr. Cardinale Smith: Yeah, it was less than 40, high 30s. Dr. Raymond Osarogiagbon: Surprising.   Dr. Cardinale Smith: Yeah. There aren't that many physicians that actually work there and yet they are driving so much of the decision-making.  Dr. Raymond Osarogiagbon: Yeah. Wow. So Cardi, let's talk about the session, the very beginning. I think you introduced that session on day one, “The Perfect Storm of High Cost Novel Therapeutics: Are We Leaving Patients Out? Dr. Cardinale Smith: It was an incredible way, in my opinion, to start the conference. I think that the speakers really came out strong, setting the stage on really the perfect storm. I think as we are developing more high-cost novel therapeutics, the first speaker, Haley Moss, talked about how all of these approvals are leading to these accelerated pricing of drugs and how really this is unsustainable. We continue to get new and new drugs that are working, right? I mean, we have longer life expectancies for patients with cancer.  Dr. Raymond Osarogiagbon: That's the good news, but somebody has to pay for it. Dr. Cardinale Smith: Correct. And the longer you live, the harder it is to be able to sustain this and people are going into bankruptcy for it. And then Arjun Gupta came in and talked about really thinking about these supportive care drugs and supportive care meds, and how we tend not to think about those medications, but they are medications that are not highly regulated and yet also are very costly. And I think what stood out for me most from the panel and this discussion was really the patient herself, Dr. Kelly Shanahan. She is a physician, an OBGYN who no longer practices and was diagnosed with metastatic breast cancer. And she really talked about how cancer put her into near bankruptcy and the cost implications to someone who we would consider in the top echelon of the financial spectrum.  Dr. Raymond Osarogiagbon: Yeah. You want to know what my favorite abstract was at this? It was Abstract 300, titled “Nationwide analysis of legal barriers impacting patients with cancer and caregivers.” Dr. Cardinale Smith: Okay, tell me about it. Dr. Raymond Osarogiagbon: Qasim Hussaini talked about how he had access to a unique data set of patients calling in for free legal assistance after diagnosis of their cancer. I was in awe of the uniqueness of his [and his co-authors'] approach. I don't think I've ever seen anybody tackle this problem in such an original way. I learned a lot from it, and I would definitely recommend that people go take a look at this Rapid Oral Abstract.  Dr. Cardinale Smith: Yeah. In fact, while we were sitting there in the conference, I was texting the director of oncology social work at my own institution and asking her if she heard of the organization that he worked with.   Dr. Osarogiagbon:  Yeah.  Dr. Smith: I'd like to highlight the last great session for our listeners. And it was really the last session of the conference, “Promises and Pitfalls of Liquid Biopsy Cancer Detection Tests in the Asymptomatic Population.” And I know sometimes folks don't always get to see or hear the last session. So, I would strongly encourage folks to check it out. I liked the session because it highlighted where we are in terms of thinking about diagnosing cancers among those who are asymptomatic. And it also highlighted a lot of questions that we have in terms of what we do with those results and who should be the responsible parties for that information? Does it fall to the primary care group? Does it fall to oncologists? And I think it was good to know that this is something that's top-of-mind for NCI and that they're really putting together a toolkit to think through this and to package that together for clinicians.  Dr. Raymond Osarogiagbon: I have to give you credit, Cardi. This was fabulous. The meeting was from end to end, just superb, and the attendance was record-breaking. Congratulations.  Dr. Cardinale Smith: Thank you. You are a fabulous partner. We had wonderful committee members, and the ASCO staff, as usual, is amazing. Dr. Raymond Osarogiagbon: Yes. We have to do this again in San Francisco next year.  Dr. Cardinale Smith: I'm looking forward to it.   Dr. Raymond Osarogiagbon: Thank you, Dr. Smith, for coming on the podcast to give us these highlights from the 2023 ASCO Quality Care Symposium. Our listeners will find the links to the sessions that we discussed on the transcript of this episode. Dr. Cardinale Smith: Thank you, Ray. It was my pleasure. Dr. Raymond Osarogiagbon: And thank you to our listeners for your time today. If you value the insights that you hear on the ASCO Daily News Podcast, please take a moment to rate, review, and subscribe wherever you get your podcasts. Thank you.   Disclaimer:  The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement.   Follow today's speakers:  Dr. Cardinale Smith @cardismith Dr. Raymond Osarogiagbon @ROsarogiagbon   Follow ASCO on social media: @ASCO on Twitter ASCO on Facebook ASCO on LinkedIn   Disclosures: Dr. Cardinale Smith: Honraria: AstraZeneca Speakers' Bureau: Teva Dr. Raymond Osarogiagbon: Stock and Other Ownership Interests: Lilly, Pfizer, Gillead Honoraria: Medscape, Biodesix Consulting or Advisory Role: AstraZeneca, American Cancer Society, Triptych Health Partners, Genetech/Roche, National Cancer Institute, LUNGevity Patents, Royalties, Other Intellectual Property: 2 US and 1 China patents for lymph node specimen collection kit and metho of pathologic evaluation Other Relationship: Oncobox Device, Inc.

Myth vs. Fact: New series on mythbusting, comparing the culture of medicine with the evidence. Dr. Thomas McGinn and Dr. Ankita Sagar, System VP for Clinical Standards and Variation Reduction, tackle two commonly held beliefs and compare them to the data: 1) Statins and whether they cause muscle aches 2) Fasting before labs

Guests: Dr. Ankita Sagar, System VP for Clinical Standards and Variation Reduction, Physician Enterprise and Dr. Nick Stine, System SVP Population Health, Physician Enterprise.Overview: Screening and Treatment of Hepatitis C. CommonSpirit Health is pioneering clinical standards in the treatment of Hepatitis C to ensure our physicians and APPs are equipped with the necessary tools to identify and treat positive cases. During this 5-minute check in we discuss this important topic including:- Advancements and breakthroughs in treatment- Updated guidelines and resources available (including pharmacy and virtual screening tool)- The imperative to screen all adult patients at least once in their lifetimeWatch the Grand Rounds for an in depth conversation on this important topic with system experts covering screening, management, treatment, and our virtual screening tool through Baylor St. Luke's Project ECHO program. https://www.youtube.com/watch?v=4LceAEdoTcEPreview of upcoming topics:Flu/RSV/COVIDAsthmaMythbustingIn the headlines: Coffee consumption and impact on health as well as FDA panel says a common decongestant is ineffective

In this episode, Jennifer Kennedy from CHAP talks with Jennifer Hale, VP of Clinical Standards and Quality at Compassus, about the application of Age-Friendly Care in hospice. They explore the key factors that define the quality of life for patients and what holds significance for them.Register Now! This two-and-a-half-day workshop will focus on giving you all the tools you need for operational excellence with a goal of patient-centered care. This is a hands-on, skill-based workshop that is focused in on the Hospice industry and has a tailored approach to increasing agency success. Learn more about Age-Friendly Health Care Connect with us - LinkedIn, Twitter, YouTube, Facebook Leave us a Google Review Subscribe to our emails Visit our website

Topics Covered:Review the story behind this improvement initiative, focused on identifying the latest guidelines on diagnosis of CKD, the roadmap of improvement, stakeholders involved, and the challenges overcome by teamwork and collaboration across various teams.Acknowledge the needs of the community and the inequity addressed by this initiative.Share the community outreach efforts to ensure populations at risk of CKD are aware of and engaged in improving the early diagnosis of CKD.Recognize the importance of curbing the progression of CKD through the medications such as SGLT2 inhibitors.Our goal is to recognize the milestone of the 96% of CommonSpirit laboratories that have transitioned, with an eye toward the future of chronic kidney disease diagnosis and management.Guest Speakers:Khalid Bashir, MD, FACP, FASN, Associate Professor Department of Medicine, Chief Renal Division, Creighton University School of Medicine; Associate Director, CHI Nephrology, Omaha, NebraskaVictor Waters, MD, JD, FCLM, Chief Medical Officer, Dignity Health Arizona MarketE. Gaye Woods, MBa, System Vice President, CommonSpirit Health, Equity and InclusionNathan Ziegler, PhD, System Vice President, Diversity, Leadership and Performance Excellence; Office of Diversity, Inclusion, Equity, and BelongingAnkita Sagar, MD, MPH, FACP, System Vice President, Clinical Standards and Variation Reduction, Physician Enterprise

Today is the first of several conversations about policy updates and their impacts on patient care. On this 5-minute check in, we cover two major issues: the ending of the COVID-19 Public Health Emergency and Medicaid Redetermination. COVID-19 Public Health Emergency: implications for treatments/prescriptions, vaccines, and testing including coverage, cost, and availability. Medicaid Redetermination: what is happening, implications, and engaging with patientsNote: Information shared is as of April 17. We will continue to provide updates as they are available. Guests: Dr. Corey Karlin-Zysman, System SVP, Southwest Division, Physician EnterpriseDr. Ankita Sagar, System Vice President for Clinical Standards and Variation ReductionAlyssa Keefe, System SVP, Public Policy Advocacy

Josh and Brian are joined by Lee Fleisher, MD, Chief Medical Officer at the Centers for Medicare & Medicaid Services (CMS) and Director of the Center for Clinical Standards and Quality. They discuss a recent publication, “Aligning Quality Measures at CMS” in the New England Journal of Medicine which Dr. Fleisher co-authored, and the art and science behind the selection of health care quality measures.

Josh and Brian are joined by Doug Jacobs, MD, MPH, Chief Transformation Officer in the Center for Medicare at the Centers for Medicare & Medicaid Services (CMS), and Michelle Schreiber, Deputy Director for the Centers for Clinical Standards and Quality at CMS, and Director of the Quality Measurement & Value-Based Incentives Group at CMS. In the first part of this quality-focused series, they discuss the work they are doing to align quality measures across CMS and improve the system to benefit both clinicians and patients. 

The concept of behavioral economics or "nudging" and how nudging can help physicians and APPs adopt new evidence in a more rapid fashion.Guests:  Dr. Safiya Richardson, Assistant Professor, NYU Grossman School of Medicine and Dr. Ankita Sagar, System Vice President for Clinical Standards and Variation Reduction, Physician Enterprise Articles discussed:https://www.researchprotocols.org/2023/1/e42653https://jamanetwork.com/journals/jamacardiology/fullarticle/2798971

Physician Enterprise hosted a Grand Rounds Clinical update focused on the latest information and data on Long COVID. Guest Experts:Dr. Fidaa Shaib, Chief Medical Officer, Baylor College of Medicine, and Associate Professor, Pulmonary and Critical Care Medicine, Baylor College of MedicineDr. Maureen Tierney, Chair, Department of Clinical Research and Public Health, and Professor at Creighton University School of MedicineDr. Rob Quinn, Chief Executive Officer, Dignity Health Medical FoundationElissa Love, MS, PA-C, Assistant Professor, Physician Assistant Program, Baylor College of MedicineDr. Ankita Sagar, System Vice President for Clinical Standards and Variation Reduction, Physician Enterprise, CommonSpirit HealthDuring this session, Dr. Shaib discussed their team's approach to the management of Long COVID and lessons learned. Dr. Tierney spoke about her experience as an infectious disease physician and public health expert in addressing COVID-19, long COVID, and its implications on the population's health. Furthermore, we reviewed two manuscripts dedicated to furthering our collective understanding about Long COVID and vaccinations. Please find the links below for these manuscripts.JAMA: Association Between BNT162b2 Vaccination and Long COVID After Infections Not Requiring Hospitalization in Health Care WorkersJournal of Infectious Diseases: Global Prevalence of Post-Coronavirus Disease 2019 (COVID-19) Condition or Long COVID: A Meta-Analysis and Systematic Review

The Department of Veterans Affairs is at the forefront of advancing America's health care and using new capacities to improve patient outcomes. Dr. Priya Joshi discusses how the agency is developing a set of rigorous clinical standards to ensure technology is adopted in a safe, effective way to improve the treatment and quality of life for veterans nationwide.

CommonSpirit Health Physician Enterprise EVP, Dr. Thomas McGinn discusses Polio, Influenza/COVID Twindemic (Fall Predictions, Omicron Booster, 2022 Testing Algorithm), and Vaccine Rate DeclinesGuests: Dr. Renuga Vivekanandan, Division Chief of Infectious Disease and Associate Professor at Creighton University and Dr. Ankita Sagar, System VP for Clinical Standards and Variation Reduction.Links: Omicron Booster:Moderna:  https://investors.modernatx.com/news/news-details/2022/Moderna-Announces-Omicron-Containing-Bivalent-Booster-Candidate-mRNA-1273.214-Demonstrates-Superior-Antibody-Response-Against-Omicron/default.aspxPfizer:   https://www.pfizer.com/news/press-release/press-release-detail/pfizer-and-biontech-announce-omicron-adapted-covid-19 2022 COVID/Influenza Testing for SYMPTOMATIC Ambulatory Patients (note - let's just use this internally): https://docs.google.com/document/d/1fsmbWNFS5trBaOAVzfugDeEgpVCUC02qb-ym-8OjbP4/edit?usp=sharingPolio Vaccine: https://www.cdc.gov/vaccines/vpd/polio/public/index.htmlChildhood Vaccination Toolkit for Clinicians: https://www.cdc.gov/vaccines/hcp/childhood-vaccination-toolkit.html

Clinical Update: Hepatitis C Screening and ManagementDr. Cezarina Mindru, Assistant Professor of Medicine, Baylor College of MedicineDr. Nicholas Stine, SVP for Population Health at CommonSpirit HealthDr. Manasa Velagapudi, CHI Health Clinic Infectious Disease (CUMC - Bergan Mercy)Dr. Thomas McGinn, EVP,  CommonSpirit Health Physician EnterpriseDr. Ankita Sagar, System Vice President for Clinical Standards and Variation Reduction, CommonSpirit HealthDr. Gary Greensweig, System Senior Vice President / Chief Physician Executive, CommonSpirit Health Physician Enterprise

Dr. Lee Fleisher is the Chief Medical Officer & Director of the Center for Clinical Standards and Quality at the Center for Medicare and Medicaid Services. He is responsible for executing all national clinical, quality, and safety standards for healthcare facilities and providers, as well as establishing Medicare coverage determinations for services that improve health outcomes. An anesthesiologist by training, he is Professor Emeritus and Former Chair of Anesthesiology and Critical Care at the University of Pennsylvania Perelman School of Medicine.   Dr. Fleisher and I discuss how the pandemic impacted hospital and patient safety and what it says about our health care system's safety culture & infrastructure, and we dive into the details of CMS's ambitious new National Quality Strategy.     Learn more about CMS's National Quality Strategy here: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/CMS-Quality-Strategy 

On this week's CommonSpirit Health Physician Enterprise 5-Minute Check-In, Dr. Thomas McGinn discusses:- Omicron- Meta-Analysis: At-Home COVID Testing Sensitivity and Specificity Article: https://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1004011 Guests to discuss the meta-analysis: Dr. Renuga Vivekanandan, Division Chief of Infectious Disease and Associate Professor at Creighton University, and Dr. Ankita Sagar, System VP for Clinical Standards and Variation Reduction.- Kudos to our colleagues in Phoenix, Chattanooga, and Little Rock

New Research: Treating Mild Hypertension in Pregnancy Results in Improved Material and Neonatal OutcomesThe following NEJM articles were referenced in the session: Treatment for Mild Chronic Hypertension during Pregnancy (2022) and Less-Tight versus Tight Control of Hypertension in Pregnancy (2015).Speakers:Laurence Shields, MD, Maternal-Fetal Medicine Specialist, System Physician Vice President, Women and Infant Clinical InstituteAndrew Rubenstein, MD, Academic Chair of Women's Health, Obstetrics and Gynecology, Dignity Health Medical Group at St Joseph's Hospital and Medical Center, Associate Professor and Vice-Chair at the Creighton University School of Medicine-Phoenix CampusCurtis Cook, MD, OB/GYN, Medical Director Maternal and Fetal Medicine, St. Joseph's Hospital and Medical Center — Phoenix/East ValleyDr. Ankita Sagar, System Vice President for Clinical Standards and Variation Reduction, CommonSpirit HealthDr. Gary Greensweig, System Senior Vice President / Chief Physician Executive, CommonSpirit Health Physician Enterprise0 CommentsSORT BYAdd a comment...

CommonSpirit Health physicians discuss CT or Invasive Coronary Angiography in Stable Chest PainThe panel includes:Dr. Juan Plana Gomez, Baylor St. Luke's Medical Center, Cardiovascular HealthDr. Ankita Sagar, System Vice President for Clinical Standards and Variation Reduction, CommonSpirit HealthDr. Nezar Falluji, System Vice President, Cardiovascular Service Line, CommonSpirit HealthDr. Gary Greensweig, System Senior Vice President / Chief Physician Executive, CommonSpirit Health Physician Enterprise

CommonSpirit Health physicians discuss Evidence-Based Best Practices to Improve Care and Reduce Costs.The panel includes:Dr. Nicholas Stine, Senior Vice President for Population Health,  CommonSpirit HealthDr. Ankita Sagar, System Vice President for Clinical Standards and Variation Reduction, CommonSpirit HealthDr. Helena Moon, System Director, Clinical Programs, Enterprise Population Health, CommonSpirit HealthDr. Julian Mitton, System Director for Population Health Policy,  CommonSpirit HealthDr. Rosa Vicente-Soto, Executive Director, North State Quality Care Network (NSQCN), San Joaquin Quality Care Network (SJQCN), Central Valley Quality Care Network (CVQCN)Dr. Thomas McGinn, EVP, CommonSpirit Physician EnterpriseDr. Gary Greensweig, System Senior Vice President / Chief Physician Executive, CommonSpirit Health Physician Enterprise

In the latest episode of ABA Unfiltered, Tim is joined by BlueSprig BCBAs Alex Tomei and Jonathan Keefe to discuss the recent changes in the TRICARE Operations Manual – otherwise known as the TOM. Alex is the Director of Clinical Standards at BlueSprig, and Johnathan serves as the Associate Vice President of Clinical Compliance and QAPI.  Throughout the discussion, Alex and Johnathan offer insight for both families accessing ABA services through TRICARE as well as providers working with them.  This is a must listen to episode for both families and clinicians alike. 

Physician experts from CommonSpirit Health discuss updates in the care and treatment of MS including the role of Epstein-Bar Virus:Dr. Tom McGinn, EVP, Physician EnterpriseDr. George Hutton, Baylor College of Medicine, Dept of NeurologyDr. Ankita Sagar, System Vice President for Clinical Standards and Variation Reduction at CommonSpirit HealthDr. Gary Greensweig, Chief Physician Executive, Physician Enterprise

Karin Hartunian Koukeyan, M.S., CCC-SLP is currently the Head of Telehealth and Clinical Standards at SLPTELE, LLC., a nationwide provider of clinic-based telehealth services. Karin has over 20 years of experience as a Speech-Language Pathologist working in a variety of settings including Early Intervention, Home Health, Clinics, Private Practice, and Schools. Her experience growing up as a first generation immigrant in a multilingual home inspired Karin to pursue a career in Speech-Language Pathology.  After a brief hiatus from work in 2010, telepractice allowed her the opportunity to resume her career as a new working parent and paved a path of new possibilities.    Karin is a proponent of lifelong learning. Currently, she creates content and leads professional development seminars on telepractice both at the state and national level. She continues to serve as a subject matter expert and independent advisor on projects related to telepractice. Her professional interests include advocacy and improving access to healthcare through telepractice services for adults and underrepresented populations. Her personal endeavors including writing projects focused on her experiences growing up as an immigrant as well as her work in telepractice and remote management.

CommonSpirit Health physicians discuss updates in the evidence-based approach to renal function estimation: transitioning from race-based calculation.The panel includes:Dr. Parthassarathy Raguram, Medical Director, Inpatient Dialysis Services, Franciscan Medical GroupDr. Khalid Bashir, Chief Renal Division, Creighton University School of MedicineDr. Ankita Sagar, System VP, Clinical Standards and Variations, CommonSpirit Health Physician EnterpriseDr. Gary Greensweig, System Senior Vice President / Chief Physician Executive, CommonSpirit Health Physician EnterpriseDr. Thomas McGinn, EVP, CommonSpirit Health Physician Enterprise

Tim discusses the need for clinical standards with Rebecca Womack, BCBA, who is the Associate Vice President of Clinical Standards for BlueSprig. During the conversation, Tim and Rebecca talk about her work and how she collaborates with the Clinical Team by ensuring all clinicians engage in clinical activities that align with industry standards, research, payor policy requirements, and best practice guidelines. Rebecca outlines why her team's work is so important to BlueSprig leadership and how it sets BlueSprig apart. In addition to her role with BlueSprig, Rebecca also serves as the President-Elect for the Association of Professional Behavior Analysts (APBA), and is a member of the Council of Autism Service Providers (CASP) Public Policy Committee.  It's a must-listen-to episode for all BCBAs out there! 

Dr. Lee Fleisher is the chief medical officer and director of the Center for Clinical Standards and Quality at the Centers for Medicare and Medicaid Services. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. L.A. Fleisher and Others. Health Care Safety during the Pandemic and Beyond — Building a System That Ensures Resilience. N Engl J Med 2022;386:609-611.

Jan 5, 2022 - CommonSpirit Health Physician Enterprise EVP, Dr. Thomas McGinn shares his 5-Minute Check In discussing the Omicron variant, Influenza A, and chatting with special guest Dr. Ankita Sagar, System VP for Clinical Standards and Variation Reduction about diabetes screening.

Dr. Lee Fleisher, the CMS Chief Medical Officer and Director of the Center for Clinical Standards and Quality, speaks with host Dr. M Christine Stock, Managing Director of Medical Affairs at Health2047. Dr. Lee Fleisher is also a Professor of Anesthesiology, Critical Care, and Medicine at the University of Pennsylvania Perelman School of Medicine. They discuss how healthcare will change post-pandemic to ensure that it is more resilient to emergencies.

This panel discussion covers essential ground for any institution that is trying to make real and lasting change. What do we need to know? What do our patients need to know? Who is responsible for questions of safety? How important are checklists? What about "patient advocates"? Presented by Sol Aronson with Mike Ramsey, Chair of the department of Anesthesia and pain management at the Baylor University Medical Center in Dallas and Board Chair of the Patient Safety Movement Foundation, Lee Fleisher, CMO and director for the Center for Clinical Standards and Quality for the centers of Medicare and Medicaid, Sarah Lenz Lock, Senior Vice President for Policy Research and International Affairs for the AARP, Lili Brillstein, Director of Specialty Care Value Based Models for Horizon Blue Cross Blue Shield of New Jersey and Monty Mythen, Smiths Medical Professor of Anaesthesia and Critical Care at University College London.

Update on NSW personal injury compensation activities. Liane Steele, Manager of Clinical Standards and Practice with SIRA joins RACGP's Anne Davis. Resources: AMA Fees List contact: email at feeslist@ama.com.au or by phone on 02 6270 5400 Current SIRA fees: https://www.sira.nsw.gov.au/resources-library/list-of-sira-publications/accordion/workers-compensation-publications/_nocache#accordion-586766 and https://www.sira.nsw.gov.au/__data/assets/pdf_file/0010/951139/SIRA-rates-for-General-Practitioners-2021.pdf SIRA certificate of capacity/certificate of fitness: [https://www.sira.nsw.gov.au/__data/assets/pdf_file/0004/325579/SIRA08719-Certificate-of-capacity-certificate-of-fitness-for-work.pdf] SIRA CONTACT: SIRA at contact@sira.nsw.gov.au Report: [https://www.sira.nsw.gov.au/__data/assets/pdf_file/0008/950678/Healthcare-Review-Final-Report.pdf/_nocache ]

This panel discussion covers essential ground for any institution that is trying to make real and lasting change. What do we need to know? What do our patients need to know? Who is responsible for questions of safety? How important are checklists? What about "patient advocates"? This piece was generously supported by Massimo.com it follows on from this piece here: https://www.topmedtalk.com/ebpom-chicago-patient-safety-how-do-you-make-the-changes-that-change-culture/ Presented by Sol Aronson with Mike Ramsey, Chair of the department of Anesthesia and pain management at the Baylor University Medical Center in Dallas and Board Chair of the Patient Safety Movement Foundation, Lee Fleisher, CMO and director for the Center for Clinical Standards and Quality for the centers of Medicare and Medicaid, Sarah Lenz Lock, Senior Vice President for Policy Research and International Affairs for the AARP, Lili Brillstein, Director of Specialty Care Value Based Models for Horizon Blue Cross Blue Shield of New Jersey and Monty Mythen, Smiths Medical Professor of Anaesthesia and Critical Care at University College London.

In this episode, Mike & Julian interview Dr Graeme Eckford  BVSc MRCVS. In this episode, we switch the gin for whiskey as Graeme talks us through a professional tasting session while explaining how COVID has been affecting his practice and team.Graeme is the Director of Clinical Standards at Inglis Veterinary Centres and has spent his career working with small animals in the U.K. He's also a whiskey connoisseur and an avid cyclist, and was kind enough to be our first ever guest on Veterinary Ramblings!We are also pleased to announce that you'll be able to download your very own 'highly professional' CPD cerificate from this episode - visit our Facebook page for more information!

Getting started with quality improvement in practice can be daunting if you don't know where to start, and continuous quality improvement can often seem overwhelming. In this webinar produced for BSAVA 2020, Louise Northway, RVN, discusses why quality improvement is a staple in practice, how to get started with clinical audit and what your results might indicate for patient care.     Based on practical examples, including Lou's award-winning small animal neutering audit, find out how to use evidence to improve standards of care, and how QI can help promote a just culture.   - Louise Northway VNCertECC NCert(Anaesth) RVN   Download the transcript and presentation from the RCVS Knowledge website. Visit the RCVS Knowledge website for more free quality improvement resources.     

Anne Davis, RACGP NSW&ACT is joined by Liane Steele, Manager for Clinical Standards and Recovery at the State Insurance Regulatory Authority in NSW. Liane joins this episode to provide the latest workers compensation updates in response to COVID-19. This episode was recorded on Wednesday 22 April 2020. As information on COVID-19 changes daily, please note that some of the advice in this podcast may no longer be current by the time of listening.

IMPROVING STUDENT ACCESS TO SPECIAL EDUCATION SERVICES VIA TELE-THERAPY : For years I have been watching the growth of an amazing service company to education, PresenceLearning  , a company which has successfully worked with hundreds of thousands of children in school districts in certain fields of special ed. If you don't know PresenceLearning, you should. Listen to Kristin Martinez, our guest today, their  Head of Clinical Standards and Outreach.

IMPROVING STUDENT ACCESS TO SPECIAL EDUCATION SERVICES VIA TELE-THERAPY : For years I have been watching the growth of an amazing service company to education, PresenceLearning  , a company which has successfully worked with hundreds of thousands of children in school districts in certain fields of special ed. If you don't know PresenceLearning, you should. Listen to Kristin Martinez, our guest today, their  Head of Clinical Standards and Outreach.

The Discord is up and ready for people to interact with the crew 24/7. Matt and Michelle are prepping for ASHA this week!  As this goes live, Michelle will be in the air and Matt will be driving through the foothills of Tennessee. Are you making your plans to see the live taping at ASHA? Head over to Xceptionaled.com for more information to see the crew live in Florida.  Matt is presenting on the Ethics of Podcasting and Michelle is hosting a live Speech Science Event.   Teletherapy looks to be the future of speech and language pathology. What is the best way to handle the increase and demands? Michelle sat down with Kristin Martinez from PresenceLearning for a 3 part interview diving into the nuts and bolts of Teletherapy. This week on part 3, they talk about discharge and answering all of your questions about teletherapy. Kristin Martinez is the head of Clinical Standards and Outreach at PresenceLearning.      Did you know there may be a link between literacy and dementia.  Recent research shows that literate patients or patients that are life long readers may have a less chance at cognitive decline and dementia.  How does literacy impact your ability to correctly identify cognitive decline.  How comfortable would you be with a camera in your therapy session?  Who should or shouldn't access it?  A school district in Dallas wants cameras in every special education classroom.    The reading rate of speakers may be impacting people with Aphasia.  A study looked at rates of 120, 150, and 180 words per minute to identify the appropriate speed.  Could this impact receptive language students in the classroom?  It is ASHA week, what are your plans?  Make sure you tag #SSPOD in all of your ASHA podcasts and visit the hosts live on the show floor.      Email: speechsciencepodcast@gmail.com Voicemail: (614) 681-1798   Discord: https://discord.gg/3Tm5jrS   New Episode and Interact here: www.speechsciencepodcast.com podcast.speechsciencepodcast.com   Patreon – A Chance for Dinner at ASHA https://www.patreon.com/speechsciencepodcast   Rate and Review: https://podcasts.apple.com/us/podcast/speechscience-org-podcast/id1224862476?fbclid=IwAR3QRzd5K4J-eS2SUGBK1CyIUvoDrhu8Gr4SqskNkCDVUJyk5It3sa26k3Y&ign-mpt=uo%3D8&mt=2  ----more---- Show Links   Teletherapy https://www.presencelearning.com/   Literacy and the Brain https://www.scientificamerican.com/article/literacy-might-shield-the-brain-from-dementia1/?fbclid=IwAR3qiadfPiRJzb65qOGE27_bG8t5P2tQKfZSIJlM3CxZNerQmOAZevYlhuk https://www.dw.com/en/illiteracy-makes-dementia-three-times-more-likely-study/a-51223797?fbclid=IwAR15nzgzZ46DwuyFh1fRLYlPCt-3oMXx4gQVecPGF1T5YcabFx6f0vkC3Ew   Cameras in the Therapy Room https://www.educationdive.com/news/dallas-isd-trustee-wants-cameras-in-all-special-ed-classrooms/567207/?fbclid=IwAR1-UiQOYsSbz4M9uEHeaiuCpDWBVmTxlzkLybT4RbYcDhWESvxEdldg6FM   Text to Speech Rate and Aphasia https://pubs.asha.org/doi/10.1044/2019_AJSLP-19-00047?fbclid=IwAR0ttsx8LjejQOSVYPeJ3Y9V3J6bVs5GW5jSExB-uCRijkO6RMj0V_13LEg   Annie Glenn Award https://www.prweb.com/releases/asha_announces_recipient_of_its_prestigious_public_award/prweb16714556.htm?fbclid=IwAR1Dtdp5WVtsNrZ6QoL8Zzs3fXtxDwP-vTAfNYeSg_R1N9MJjkMLldZeDNc       Intro Music: Please Listen Carefully by Jahzzar is licensed under a Attribution-ShareAlike License. Bump Music: County Fair Rock, copyright of John Deku, at soundcloud.com/dirtdogmusic Closing Music: Slow Burn by Kevin MacLeod is licensed under a Creative Commons Attribution License.     Speech Science Powered by: You!

The Discord is up and ready for people to interact with the crew 24/7. Matt, Michael, and Michelle jump right into the topics this week as they prep the week before ASHA. Are you making your plans to see the live taping at ASHA? Head over to Xceptionaled.com for more information to see the crew live in Florida.   Teletherapy looks to be the future of speech and language pathology. What is the best way to handle the increase and demands? Michelle sat down with Kristin Martinez from PresenceLearning for a 3 part interview diving into the nuts and bolts of Teletherapy. This week on part 2, they discuss what therapy looks like and general questions about Teletherapy. Kristin Martinez is the head of Clinical Standards and Outreach at PresenceLearning.      Screen based media has risen many concerns in the realm of therapy and parenting.  The risks of increased ADHD or language deficits have always been a concern but now a study from Cincinnati Children's Hospital shows structural differences caused by screen time.    PDPM is back in the news, again.  If your patient has a modified diet, you will get more funding.  What strains does this put on a therapist in a SNF?  Could there be more pressure to put someone on a modified diet and they don't need it?   An SLP taught her dog to communicate using switches.  Matt dives into why he doesn't like the way switches or buttons are used in therapy and the crew discuss better ways to use them with a purpose.  Science continues to push bar and some days it feels like science fiction versus science facts.  A group of scientists have grown a Larynx using a persons stem cells.  Lastly, Speech and Language Pathology is listed as a top paying job where you don't have to work 40 hours, fact or fiction?      Email: speechsciencepodcast@gmail.com Voicemail: (614) 681-1798   Discord: https://discord.gg/3Tm5jrS   New Episode and Interact here: www.speechsciencepodcast.com podcast.speechsciencepodcast.com   Patreon – A Chance for Dinner at ASHA https://www.patreon.com/speechsciencepodcast   Rate and Review: https://podcasts.apple.com/us/podcast/speechscience-org-podcast/id1224862476?fbclid=IwAR3QRzd5K4J-eS2SUGBK1CyIUvoDrhu8Gr4SqskNkCDVUJyk5It3sa26k3Y&ign-mpt=uo%3D8&mt=2  ----more---- Show Links   Teletherapy https://www.presencelearning.com/   Structural Changes Caused by Screen Time https://www.sciencedaily.com/releases/2019/11/191104112918.htm?fbclid=IwAR34WyHM357AmDyvd2LyRsNKL-gc3FjTrpfCAo1nnkae2JSfEsrx_7qNyeo   PDPM and Diet Modification https://leader.pubs.asha.org/doi/10.1044/leader.BML.24112019.34?fbclid=IwAR0UJhUP9TqlFtUMpqa3g4XV-vJVcU6ayrqtsVGySbrp0bSPJVNdhk11t_8   Talking Dogs https://news.yahoo.com/dog-learns-to-speak-stella-christina-hunger-san-diego-speech-therapist-211834082.html   Stem Cells and Growing a Larynx https://www.mayoclinic.org/giving-to-mayo-clinic/philanthropy-in-action/features-stories/giving-them-their-voice?fbclid=IwAR02B80RUiXpwZtMxwRVabDnLBLMPC2x8JVhJRisa5aKbZLsyNmHbjXC3vE   Best Paying Jobs https://www.businessinsider.com/best-high-paying-jobs-that-let-you-work-less-than-40-hours-a-week-2019-5?utm_content=buffercf033&utm_medium=social&utm_source=facebook.com&utm_campaign=buffer-biuk&fbclid=IwAR2NGveHfew18VwxCJlbqcn2olkDLD3_FCkNA-r6W7OCXU9ArXHHB2Dyvdk#8-tax-preparers-work-an-average-of-376-hours-per-week-and-have-average-annual-earnings-of-53517-8       Intro Music: Please Listen Carefully by Jahzzar is licensed under a Attribution-ShareAlike License. Bump Music: County Fair Rock, copyright of John Deku, at soundcloud.com/dirtdogmusic Closing Music: Slow Burn by Kevin MacLeod is licensed under a Creative Commons Attribution License.     Speech Science Powered by: You!

Listen NowOn November 1st, the Centers for Medicare and Medicaid Services (CMS) published the agency's final 2020 Quality Payment Program (QPP) rule that announced beginning in 2021 CMS will begin instituting MVPs, or Merit-based Incentive Payment System Value Pathways.  These value pathways will be created to financially incent and reward, as CMS states, “high value clinicians.”  This means CMS will begin to measure and financially reward Medicare physician performance based on value or spending efficiency defined as outcomes achieved relative to spending.  MVPs may prove to be a significant Medicare payment policy reform.   This is because while Medicare program officials have implemented numerous "value-based payment" programs and demonstrations since the passage of the 2010 Affordable Care Act, these arrangements financially reward either quality - or - reduced spending growth, they do not reward “value” or spending efficiency.  In addition, as recently noted by Harvard's Ashish Jha and his colleagues in a October 9th JAMA "Viewpoint" essay, these current "value-based payment" programs have not had large effects on quality improvement.   (Listeners may recall I discussed measuring for health care value or spending efficiency with University of Michigan Professor Andrew Ryan this past May 11th and in later May posted on the podcast website a related essay I wrote for Bloomberg Law.)During this 30 minute conversation Dr. Goodrich discusses in sum CMS' proposal to implement beginning in 2021 Merit-based Incentive Payment System Value Pathways (MVPs).  She explains the rationale for using of global and population health measures and patient-reported outcome measures (PROMs) and how the agency will measure or evolve its MVP-related cost measures.  She discusses MVPs potential to increase provider productivity, the potential MVPs have in helping to harmonize Medicare three payment silos: fee for service, Accountable Care Organizations (ACOs); and, the Medicare Advantage (Part C) program, in influencing commercial insurance plans' payment policies through CMS' HCPLAN (the Health Care Payment Learning Action Network), and discusses the relevance or importance of social determinates or measures thereof in driving Medicare value. Dr. Kate Goodrich is currently the Director of the Center for Clinical Standards and Quality (CCSQ) and CMS Chief Medical Officer (CMO).   This Center is responsible for 18 quality measurement and value-based purchasing programs including the Quality Payment Program, quality improvement programs in all 50 states, clinical standards and survey and certification of all providers across the nation, and coverage decisions for treatments and services for CMS.  The Center budget exceeds $1.2 billion annually. Prior to being CCSQ director and CMO, Dr. Goodrich served as the director of the Quality Measurement and Value-based Incentives Group in CCSQ from 2012 through 2015. She graduated from the Robert Wood Johnson Clinical Scholars Program at Yale University in 2010.  From 1998 to 2008, Dr. Goodrich was on the faculty at the George Washington University Medical Center (GWUMC) and served as division director for Hospital Medicine from 2005 to 2008.  She went to medical school at Louisiana State University in Shreveport, Louisiana, and completed her internal medicine residency and chief medical resident year at GWUMC.  She continues to practice clinical medicine as a hospitalist and professor of medicine at GWUMC.The Quality Payment Program final 2020 rule that discusses MVPs is at: https://www.federalregister.gov/documents/2019/11/15/2019-24086/medicare-program-cy-2020-revisions-to-payment-policies-under-the-physician-fee-schedule-and-other. Information on the HCPLAN is at: https://hcp-lan.org/. The Bloomberg Law essay is, again, at: https://news.bloomberglaw.com/health-law-and-business/insight-containing-health-costs-requires-measuring-rewarding-spending-efficiency.  This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.thehealthcarepolicypodcast.com

The Discord is up and ready for people to interact with the crew 24/7.  Matt questions the ethical concerns of Spookily the Square Pumpkin due to watching Halloween Cartoons too much.  Michael is ramping up for the fall by increasing his pumpkin intake.  Michelle and family prepped for Halloween by having baby Speech Science dress as an Avocado.    Are you making your plans to see the live taping at ASHA?  Head over to Xceptionaled.com for more information to see the crew live in Florida.    Teletherapy looks to be the future of speech and language pathology.  What is the best way to handle the increase and demands?  Michelle sat down with Kristin Martinez from PresenceLearning for a 3 part interview diving into the nuts and bolts of Teletherapy.  This week on part 1, they discuss the ways to orchestrate evaluations using Teletherapy.   Kristin Martinez is the head of Clinical Standards and Outreach at PresenceLearning.      Students with disabilities or who receive special education services are more at risk for Juvenile Detention.  Would an increase in early intervention help to lower the risk of students ending up here?    Equine Therapy is a new approach for speech and language therapy and other related services.  A study in Nebraska looks at its positive affects for students on the spectrum.    Increases in vocabulary have shown an increase in language growth and reading comprehension, but could we grow vocabulary through games alone?  A recent student looked at this exact topic and the games through Vocabulary. Com.  There are multiple ways to see your students in the school setting and Push-In may be the most desirable.  However, only half of studied SLPs serve less than 25% of their students in a push-in model.      Email: speechsciencepodcast@gmail.com Voicemail: (614) 681-1798   Discord: https://discord.gg/3Tm5jrS   New Episode and Interact here: www.speechsciencepodcast.com podcast.speechsciencepodcast.com   Patreon – A Chance for Dinner at ASHA https://www.patreon.com/speechsciencepodcast   Rate and Review: https://podcasts.apple.com/us/podcast/speechscience-org-podcast/id1224862476?fbclid=IwAR3QRzd5K4J-eS2SUGBK1CyIUvoDrhu8Gr4SqskNkCDVUJyk5It3sa26k3Y&ign-mpt=uo%3D8&mt=2  ----more---- Show Links   Teletherapy with PresenceLearning https://www.presencelearning.com/   Special Education and Juvenile Detention https://www.wyomingpublicmedia.org/post/would-more-support-keep-special-education-students-out-juvenile-justice-system?fbclid=IwAR2lfHj0ZmppO-1WBQ1jLhpI26xnpePvGokO4-141m8Q0JlYJl4jhcGSnpM#stream/0   Equine Therapy and Autism http://netnebraska.org/article/news/1193369/unl-researcher-focuses-horse-therapy-adhd-and-autism?fbclid=IwAR2LQro6i7piEIOnS6JiuA4dvk-NgTqet1JT2wPShviupZreB4QT_FVnjGU   Games and Vocabulary https://pubs.asha.org/doi/10.1044/2019_LSHSS-VOIA-18-0121?fbclid=IwAR0cw-pMEu007i_dDeHibJimWbQzcB_ydd1ZjPHTphbMS0aIYWJ0C7iM02M https://www.vocabulary.com/   Push-In Therapy https://pubs.asha.org/doi/10.1044/2019_LSHSS-18-0101?fbclid=IwAR1amdNmzgrqbE1G6x4jkCz0K7VEhZjXZF7r_p2i_ZN42kJlvymKhYpc7gE       Intro Music: Please Listen Carefully by Jahzzar is licensed under a Attribution-ShareAlike License. Bump Music: County Fair Rock, copyright of John Deku, at soundcloud.com/dirtdogmusic Closing Music: Slow Burn by Kevin MacLeod is licensed under a Creative Commons Attribution License.     Speech Science Powered by: You!

Today's 5th edition of the Beyond the Policy podcast focuses on the first of the Centers for Medicare & Medicaid Services' 5-pronged strategy on strengthening oversight in nursing homes. This podcast features CMS Administrator Seema Verma, Dr. Kate Goodrich, CMS Chief Medical Officer and Director of our Center for Clinical Standards and Quality and Matt Hittle, Senior Advisor to the Administrator discussing agency efforts regarding nursing home oversight.

Confusion appears to be hampering important decisions when it comes to patient status, particularly the question of inpatient versus outpatient – and more specifically when it comes to the status of psychiatric patients who are waiting in the emergency department to be transferred to a psychiatric hospital. The subject is not only newsworthy but also one that seems to be causing consternation and frustration.Reporting our lead story during this edition of Monitor Mondays is Kathy Seward, MD, chief medical officer for qlēr Solutions Inc., a telemedicine company providing psychiatric care to patients throughout the United States in partnership with hospitals and health systems. Dr. Seward is a recent addition to the RACmonitor editorial board.Other segments to appear on the broadcast include: Program Integrity Issues: Healthcare attorney Andrew Wachler, a managing partner at Wachler & Associates, reports on Center for Program Integrity (CPI) priorities for 2018 and 2019, including remarks on the various contractors and their methodologies.Court Report: US WorldMeds (USWM) LLC has agreed to pay $17.5 million to resolve allegations that it violated the False Claims Act by paying kickbacks to patients and physicians to improperly induce prescriptions of its drugs, Apokyn®, and Myobloc®. USWM is a pharmaceutical manufacturer headquartered in Louisville, KY. Famed whistleblower attorney Mary Inman reports this developing story. Inman is a partner in the London office of Constantine CannonHot Topics: Monitor Mondays senior correspondent Nancy Beckley, president and CEO of Nancy Beckley and Associates, reports on all the latest hot topics and will also conduct the Monitor Mondays Listener Survey. Risky Business: Healthcare attorney David Glaser returns to Monitor Mondays with his popular segment, in which he reports on problematic issues facing providers. Links from Davids Segment Center for Clinical Standards and Quality/Quality, Safety & Oversight Group 4-4.000 - COMMERCIAL LITIGATIONMonday Rounds: Ronald Hirsch, MD, vice president of R1 RCM, makes his Monday Rounds with another installment of his popular segment.

The Centers for Medicare and Medicaid Services is out with its latest data set showing the performance of almost every hospital in the United States. But even as it updates the database that makes up the Hospital Compare tool, CMS is rethinking the methodologies it uses to assign ratings to those hospitals. CMS hopes to make the information more useful to health care consumers. The proposed changes are out for public comment until the end of this week. Kate Goodrich is the director of CMS' Center for Clinical Standards and Quality. She joined Federal Drive with Tom Temin to talk about how Hospital Compare works, and what might change.

Seeking treatment for a rare disease can be complicated by the poor understanding clinicians may have of a given condition and variations in the way they diagnose, treat, and monitor a specific disease. One way to ensure patients receive the best care is through the implementation of clinical standards. We spoke to Kathi Kinnett, vice president of clinical care for Parent Project Muscular Dystrophy, about the process of establishing clinical standards for a rare disease, the role patients should play in that process, and what steps can be taken to ensure that clinics adhere to them.

Host: Matt Birnholz, MD This discussion is dedicated to helping clinicians understand the “Pick Your Pace” option for Merit-Based Incentive Payment System (MIPS) participation.How should physicians navigate these new reporting options to avoid any payment penalties, and what are the most effective first steps? Host Dr. Matt Birnholz welcomes Dr. Kate Goodrich, Director of the Center for Clinical Standards and Quality under the Centers for Medicare and Medicaid Services. Dr. Goodrich also serves as CMS's Chief Medical Officer.

Host: Matt Birnholz, MD This discussion is dedicated to helping clinicians understand the “Pick Your Pace” option for Merit-Based Incentive Payment System (MIPS) participation.How should physicians navigate these new reporting options to avoid any payment penalties, and what are the most effective first steps? Host Dr. Matt Birnholz welcomes Dr. Kate Goodrich, Director of the Center for Clinical Standards and Quality under the Centers for Medicare and Medicaid Services. Dr. Goodrich also serves as CMS's Chief Medical Officer.

Host: Matt Birnholz, MD This discussion is dedicated to helping clinicians understand the “Pick Your Pace” option for Merit-Based Incentive Payment System (MIPS) participation.How should physicians navigate these new reporting options to avoid any payment penalties, and what are the most effective first steps? Host Dr. Matt Birnholz welcomes Dr. Kate Goodrich, Director of the Center for Clinical Standards and Quality under the Centers for Medicare and Medicaid Services. Dr. Goodrich also serves as CMS's Chief Medical Officer.

Host: Matt Birnholz, MD This discussion is dedicated to helping clinicians understand the “Pick Your Pace” option for Merit-Based Incentive Payment System (MIPS) participation.How should physicians navigate these new reporting options to avoid any payment penalties, and what are the most effective first steps? Host Dr. Matt Birnholz welcomes Dr. Kate Goodrich, Director of the Center for Clinical Standards and Quality under the Centers for Medicare and Medicaid Services. Dr. Goodrich also serves as CMS's Chief Medical Officer.

Medicare recently developed a star rating system to help consumers determine the quality of care delivered at various hospitals. This rating system was considered controversial by many. In this podcast we discuss the rating system with one of its critics, Karl Y. Bilimoria, MD, MS, and with Kate Goodrich, MD, the Director of the Center for Clinical Standards and Quality at Medicare. Article discussed in this episode: The New CMS Hospital Quality Star Ratings: The Stars Are Not Aligned  

Medicare recently developed a star rating system to help consumers determine the quality of care delivered at various hospitals. This rating system was considered controversial by many. In this podcast we discuss the rating system with one of its critics, Karl Y. Bilimoria, MD, MS, and with Kate Goodrich, MD, the Director of the Center for Clinical Standards and Quality at Medicare. Article discussed in this episode: The New CMS Hospital Quality Star Ratings: The Stars Are Not Aligned

Nursing Grand Rounds with Leigh Roche RN BSN MBA CPHQ

Guest: Sean Tunis, MD, MSc Host: Jack Lewin, MD The Institute of Medicine recently released a list of 100 priority topics for comparative effectiveness research. The first topic on the first page of the report calls for an evaluation of treatment strategies for atrial fibrillation, from surgery or catheter ablation, to pharmacologic therapy. How do we design research to produce an accurate comparison of these treatment options, and what other subjects should stand at the top of our priority list? Dr. Sean Tunis shares his perspective on these questions with host Dr. Jack Lewin. Dr. Tunis, the founding director of the Center for Medical Technology Policy in Baltimore and formerly the director of the Office of Clinical Standards and Quality and chief medical officer for the Centers for Medicare and Medicaid Services, says it may not be the spotless level 1 data that proves ideal for improving our evidence base, but rather a broader range of imperfect information that can be shaped for our clinical benefit.

Guest: Sean Tunis, MD, MSc Host: Jack Lewin, MD The Institute of Medicine recently released a list of 100 priority topics for comparative effectiveness research. The first topic on the first page of the report calls for an evaluation of treatment strategies for atrial fibrillation, from surgery or catheter ablation, to pharmacologic therapy. How do we design research to produce an accurate comparison of these treatment options, and what other subjects should stand at the top of our priority list? Dr. Sean Tunis shares his perspective on these questions with host Dr. Jack Lewin. Dr. Tunis, the founding director of the Center for Medical Technology Policy in Baltimore and formerly the director of the Office of Clinical Standards and Quality and chief medical officer for the Centers for Medicare and Medicaid Services, says it may not be the spotless level 1 data that proves ideal for improving our evidence base, but rather a broader range of imperfect information that can be shaped for our clinical benefit.