Podcasts about critical access hospital

Internal medicine physician Edward Hoffer discusses his article, "Can rural health care be saved?" He outlines the significant health care disparities facing rural communities, including higher death rates from major diseases, increased opioid overdoses, ongoing hospital closures, and an aging physician workforce without adequate replacement. Edward questions the effectiveness of programs like the Critical Access Hospital designation, suggesting they may sometimes support lower-quality care, and shares a personal anecdote illustrating the dire consequences of specialist shortages in isolated settings. He proposes several potential solutions to improve rural health care: enhancing transportation, including establishing fairly-priced air ambulance services; expanding the use of telemedicine for specialty consultations and patient access; better utilizing EMTs and paramedics with remote support; considering strategic consolidation of rural hospitals for improved quality despite potentially longer travel; and focusing medical school recruitment on students from rural backgrounds. Edward underscores the complexity of the rural health care challenge and advises awareness of resource limitations. Our presenting sponsor is Microsoft Dragon Copilot. Want to streamline your clinical documentation and take advantage of customizations that put you in control? What about the ability to surface information right at the point of care or automate tasks with just a click? Now, you can. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Offering an extensible AI workspace and a single, integrated platform, Dragon Copilot can help you unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise and it's part of Microsoft Cloud for Healthcare–and it's built on a foundation of trust. Ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

This week on Rural Health Leadership Radio, we are wrapping up our series on NRHA's 2023 Fellows Program Policy Papers with Fellows Michelle Fortune and Abby Radcliffe. Michelle and Abby explored one of the hottest topics in healthcare, particularly impactful in rural – healthcare workforce shortages. The Fellows share short and long-term strategies in handling workforce shortages, as well as pragmatic and policy-based recommendations. “Everybody in every community can take some action in some way, and it doesn't have to be looking for that gigantic next step. The big is in the little, so do something.” – Michelle Fortune Michelle Fortune, MBA, BSN, FACHE is the President of Surgery and GI Service Line for Mercy Health in St Louis, MO. Prior to joining Mercy, Michelle led the Perioperative and Anesthesia Service Lines for Atrium Health and then served as a CEO for a Critical Access Hospital managed by the system which needed an operational turnaround. Michelle is a Certified Ambulatory PeriAnesthesia Nurse and a National Rural Health Fellow. She is currently participating in the NRHA Rural CEO Certification Program. Michelle has a passion for assuring the availability of high quality healthcare in rural communities. Her work in Rural Healthcare has brought her numerous honors, including being named the 2023 Rural Community Champion of the year by the North Carolina Rural Health Association for her work in advancing Cardiac Care in Rural North Carolina. Abby Radcliffe currently serves as the Senior Director of the Small and Rural Hospital Constituency Section at the Illinois Health and Hospital Association (IHA). She has worked with rural hospitals at IHA for over 17 years and has worked on several grant initiatives. In 2023, she served as a National Rural Health Association fellow and was also awarded the Rural Health Hero Award from the National Center for Rural Health Professions.  Abby graduated from Eastern Illinois University with a major in Speech Communication and a double minor in Business Administration and Public Relations. In 2005 she graduated from Miami University with an MA in Speech Communication. Abby has also worked in state government and development.

The Challenges and Rewards of Rural Pediatric Practice: A Conversation with Dr. Todd PetersThis episode features an in-depth conversation with Dr. Todd Peters, a pediatrician practicing in the small town of Winfield, Kansas. Dr. Peters shares his journey from a former IT professional to pursuing a career in pediatrics as a non-traditional medical student. He discusses the unique challenges of rural pediatric care, including establishing trust within the community, the difficulty of medical case management due to limited local resources, and the importance of maintaining a wide range of medical skills due to the absence of specialists and facilities. Dr. Peters also highlights the rewarding aspects of his job, such as making a significant impact on the community and the importance of forming relationships with patients and their families. Throughout the conversation, topics such as technology in rural healthcare, the importance of continuing education, and the critical role of rural pediatricians in providing comprehensive care are explored.00:00 Welcome and Introduction to Today's Guest01:08 Dr. Todd Peters: From IT to Pediatrics04:07 A Pediatrician's Life in Rural Kansas06:38 Challenges and Rewards of Rural Pediatric Practice07:23 Navigating Healthcare in a Small Town14:13 The Dynamics of a Rural Hospital16:29 Emergency Situations and Subspecialty Support22:54 Reflections on Rural Pediatric Care26:37 The Importance of Professional Networks in Medicine27:30 Challenges in Pediatric Emergency Care31:41 The Impact of Technology and Telemedicine in Healthcare32:58 Innovative Screening and Diagnostic Approaches33:54 Navigating Medicaid and Preventative Care39:28 The Role of Rural Healthcare Providers45:42 Reflections on Medical Education and Mentorship51:01 The Personal Journey of a Rural Pediatrician51:53 Engaging with the Medical Community and Future PlansSupport the Show.

On today’s program, I am talking with Washington County Hospital and Clinics Director of Marketing Greta Clemons about WCHC being named a Top 20 Critical Access Hospital in the Nation.  

Unlock the untapped revenue potential in Critical Access Hospitals (CAHs) with groundbreaking findings from 40 end-to-end RCM assessments with Ron Kero, Chief Development Officer, Ni2 Hospital Division. Explore actionable strategies for charge capture optimization, strategic pricing, and more. Brought to you by www.infinx.com

Explore the core principals and philosophy behind integrative and functional medicine, its roots, and how it differs from other traditional approaches.

When it comes to Critical Access Hospital projects, two themes reign supreme: affordability and strategic thinking. Working on these projects means getting creative in figuring out how to fine-tune design for a community's unique needs, maintaining the highest standards of planning and execution while balancing tight budgets.Hosted by: Matt Gerstner - BWBR Podcast Host and ProducerGuests:Brad Krump - BWBR, Principal and DirectorNick Smith - Wipfli, PrincipalMusic provided by Artlist.ioSiberian Summer by Sunny FruitDuDa by Ian PostIf you like what we are doing with our podcasts please subscribe and leave us a review!You can also connect with us on any of our social media sites!https://www.facebook.com/BWBRsolutionshttps://twitter.com/BWBRhttps://www.linkedin.com/company/bwbr-architects/https://www.bwbr.com/side-of-design-podcast/

High Reliability, The Healthcare FM Podcast is brought to you by Gosselin/Martin Associates. Our show discusses the issues, challenges, and opportunities within the Facilities Management (FM) function. John Babin, Director of Facilities Management, Bayou Region, Ochsner Health, joins us. John oversees St. Anne's, a Critical Access Hospital, and two other Ochsner Bayou Region hospitals. John's region is located about 60 miles southwest of New Orleans.In this episode, we discuss:The environment in a Critical Access Hospital, including the sense of community that is felt; St. Anne's  weathering Hurricane Ida, a powerful storm whose eye passed directly over St. Anne's in 2021; The meaning of the term  "funds confiscated by the clinical side;" Changing the organization's perception of facilities;The importance of communication;Attracting new employees;Implementing AIDET (Acknowledge, Introduce, Duration, Explanation, and Thank you) in the facilities department. As always, thank you for listening!Watch  the Healthcare Facilities NetworkCheck us out at https://gosselin-associates.com

The National Rural Health Association is hosting the Critical Access Hospital and Rural Health Clinic conferences in a few weeks, from September 26-29. Our colleagues from both Jarrard and Chartis will be there, digging into the issues facing rural providers today. They'll also be providing resources, research and education to rural healthcare leaders – content that will extend well beyond the conferences. With all of that coming up, we wanted to lay the groundwork by taking a broad look at the challenges facing rural healthcare today through the eyes of two people who spend their time studying and working with rural providers. Letitia Fecher is a Vice President at Jarrard and our Public and Community Health System Practice Lead. Michael Topchik is the National Leader of the Chartis Center for Rural Health. They're also spearheading the presentations at NRHA. In this conversation, Fecher and Topchik look at: ·      Regulation and policy ·      Workforce issues ·      Community engagement during operational change Key Points ·      Quality is job number one. But it's not just quality as defined by ratings organizations or regulatory agencies. It's the quality patients feel when they receive care at a hospital, and how employees feel when they come to work every day. ·      Communication with the community must be ongoing. A rural hospital's first message to its community should not be announcing a service line closure. Instead, rural healthcare leaders need to be regularly talking about the ways delivery of care are shifting and ways the hospital is changing to meet the community's needs. Nurse and staff engagement are vital. Retention is a major challenge for all provider organizations, with rural hospitals feeling especially pinched over the past few years. It's critical to find out what caregivers are looking for even when increased compensation may not be an option. Invest in relatively simple things – better engagement with leadership, more two-way communication, focusing on the mission, offering career development opportunities. Learn more about your ad choices. Visit megaphone.fm/adchoices

with special guest, James Jeffcoat

Susan Taylor, CFO at Nemaha County Hospital, chats with Associate Content Manager Amanda Norris about innovative ways Nemaha County Hospital has worked to optimize its workforce, provide revenue cycle education, and ensure financial stability as a small, critical access hospital.

with guest Anne Marie Pizzi from DNV SAI Team

with Nicole Hedeen SAI TEAM Member

with special guest, Clint Butts, DNV SAI Team

(Apr 27, 2023) A handful of hospitals in rural areas like the North Country get special status, and funding, for providing basic services far from other, larger hospitals. Malone's Alice Hyde Medical Center is seeking that "critical access" designation to better serve the community. Also: The spotted lanternfly hasn't been reported yet in the North Country, but officials encourage folks to be on the look out.

Today's show is a live recording from the 23rd of February with THE Kali Dayton. The team discussed the culture of sedation and immobility, and how you can implement change to get your patients awake and walking.  SHOW NOTES:Join the LIVE webinar on 28 Feb from 1-2 pm for 1 AARC CRCE and 1 Nurse Contact Hour by registering here. Watch it with your entire department! Join RT Sidebar's next live recording with Libby Perkins on Resource Management in a Critical Access Hospital by registering here. This is the Linkedin post Matt referred to and here's Kali's podcast, Walking Home from the ICU. If you have a suggestion for a guest speaker or topic, complete this form.Do you know of an RT who deserves a shoutout on the pod? Perhaps a promotion, birthday, or anniversary worth celebrating? We got a form for that too. 

Organizational culture is vital to the well-being of not only the organization but the community as well. Today we are talking with Dr. Bill Auxier, President, and CEO of the Dynamic Leadership Academy and Executive Director of Rural Health Leadership Radio. Bill will discuss organizational culture and the necessity for leadership to value their cultural identity. “By improving the culture of your organization, you can improve the culture of your community as well.” -  Dr. Bill Auxier Bill Auxier, Ph.D. is the Program Director of NRHA's Rural Hospital Certification Programs and an expert in rural health leadership development.  Dr. Auxier has worked with rural health leaders across the country to improve their organizations through more effective leadership, cultural transformation, and strategic plan development. Bill is President, and CEO of the Dynamic Leadership Academy™ and the Center for Rural Health Leadership, and Executive Director of Rural Health Leadership Radio™, a 501(c)3 non-profit that produces the podcast Rural Health Leadership Radio.  Bill started his career in healthcare as a nurse's aide at Hamilton Memorial Hospital, a Critical Access Hospital, in his boyhood hometown, McLeansboro, Illinois.  From there, he worked his way up to become the CEO of a surgical device manufacturer with global distribution. He is an Affiliate Member of the Institute of Coaching at McLean Hospital, Harvard Medical School, and recipient of the 2019 National Rural Health Association President's Award.

On today's episode, JK has a conversation with Lauri Brown, a Respiratory Care Practitioner in a Critical Access Hospital. This is a multi-layered and introspective conversation about Lauri's journey into the medical field, her experiences in navigating through 2 years of a pandemic, and her perspective on how the public's perception of medical professionals has changed. To connect with JK, find him on IG at @coachjk_themusclefeed and @helpmeunderstand_podcast --- Send in a voice message: https://anchor.fm/jk-mcleod7/message

Tia has been the Director of Nutritional Services, Certified Dietary Manager and Food Protection Professional at a local Critical Access Hospital for the last 12 years. Having been diagnosed with T2D, Metabolic Syndrome, Hypertension, Non Alcoholic Fatty Liver as well as Adrenal Insufficiency, she realized it was high time she engaged in Self-Management of her chronic illness. She needed to in effect, to take action to improve he her and to save her own life. Discovering Dr. Robert Cywes through a loving family member and adapting his mindset that carbohydrates are an addiction, to treat her T2D was a blessing that saved her life. It is abundantly clear now that she was a a carbohydrate addict. With the guidance from Dr. Cywes' as well as the rest of her family from Low Carb USA members, she has eliminated over 20 medications. She now has a passion for life and a desire to help others. From Tia: I have over 35 years of experience in service based environments. From owning a restaurant and hotel too currently working in a hospital setting as the Director of Nutritional Services. Because of my firsthand knowledge of how a LCHF lifestyle can help and even reverse NAFL, T2D, Obesity, Hypertension and Adrenal insufficiency. I am enthusiastic to give others the therapeutic option of LCHF Nutrition on their individual journeys to wellness, as a Nutrition Network Coach. You can contact Tia over Facebook: https://www.facebook.com/reidshh Contact Tracey: Web: https://www.traceymcbeath.com.au Check out the HUB: http://www.lowcarblifestylehub.com Facebook: https://www.facebook.com/traceymcbeat... Instagram: https://www.instagram.com/the.health.... Join the Low Carb Lifestyle Hub: https://www.lowcarblifestylehub.com Join Low Carb Melbourne on Facebook: https://www.facebook.com/groups/38715... Are you a health practitioner and interested in learning how to bring low carb in to your practice with confidence? The Nutrition Network has a number of programs to help. For GP's; Dietitians; Nurses and Health Coaches. The Nutrition Network is run by the Noakes Foundation. To learn more, click here: http://bit.ly/nutritionnetwork  

Burnett Medical Center set some pretty high goals for wellness visits, complete physicals, annual wellness visits, and welcome-to-Medicare visits. They also initiated a tier management program to follow up with patients to make sure they are doing well. We're talking about this and more with Tamra White, Burnett Medical Center's Medical Practice Administrator and Compliance Officer. “As much as we like to think we're pretty good at what we do, there's always room for improvement.” ~Tamra White Tamra White joined Burnett Medical Center in 2001. Burnett Medical Center is a 17-bed Critical Access Hospital, Rural Health Clinic, and 50-bed nursing home in Tamra's hometown of Grantsburg, Wisconsin. Throughout that time, Tamra has held various positions including medical transcriptionist, medical staff coordinator, HIM Director, and Compliance Officer. During those years she assisted with two EMR implementations, revenue cycle improvement, and planning for a $15 million building project. Since 2017 Tamra has served as the Medical Practice Administrator and Compliance Officer in addition to implementing an Emergency Preparedness program. In December 2018 Tamra was asked to co-lead the organization when the hospital's CEO had an unexpected three-month medical leave. Tamra is currently finishing her bachelor's degree in healthcare management through Regent University. After that, she plans to obtain a master's degree in healthcare administration. Tamra also holds a degree in health information management from Rasmussen College. Tamra's mission is to serve her community, friends, and family in humility and love while ensuring they have close-to-home access to high-quality healthcare. Her professional interests involve strategic planning, medical staff relations, compliance, and regulatory issues, and goal cycles and action plans. Tamra's personal interests include spending time with her husband and two daughters, reading, church activities, and Bible study small groups.

Rural Health Leadership Radio has been ‘on the air' for five years! Starting with 24 downloads of the first episode, we are fast approaching 100,000. Over these last five years, rural health leaders from around the country have shared what is working, what is not working, definitions of leadership, and other best practices in rural healthcare leadership. “I can't believe we've been on the air for 5 years!” ~Bill Auxier Bill Auxier, Ph.D. helps successful rural health leaders achieve lasting positive behavioral change. He accomplishes that through rural health leadership development that includes consulting, coaching, training and research. He is experienced working with rural health leaders across the country to improve their organizations through more effective leadership, cultural transformation and strategic plan development. Bill is the Program Director of the NRHA Rural Hospital CEO Certification Program, President and CEO of the Dynamic Leadership Academy™, and Executive Director of Rural Health Leadership Radio™, a 501(c)3 non-profit established to serve healthcare leaders serving the underserved in rural America. He is the creator and host of the Rural Health Leadership Radio podcast, a contributing author to the Wall Street Journal Best-seller Masters of Success, author of the award-winning best-seller To Lead, Follow, author/editor of What Rural Health Leaders are Saying, and 35-year veteran of the healthcare industry. Dr. Auxier is Adjunct Associate Professor in the Master's in Business Administration and Master's in Cybersecurity at the University of Maryland Global Campus teaching Communication, Decision Making and Leadership. Bill started his career in healthcare as a nurse's aide at Hamilton Memorial Hospital, a Critical Access Hospital, in his boyhood hometown, McLeansboro, Illinois. From there, he worked his way up to become the CEO of a surgical device manufacturer with global distribution. He is an Affiliate Member of the Institute of Coaching at McLean Hospital, Harvard Medical School and recipient of the 2019 National Rural Health Association President's Award.

We are exploring what it is like to work in a critical access hospital (CAH) with the small town SLP that does it all, Heather Riga. The post 191 – Small Town SLP: Working at a Critical Access Hospital – Heather Riga M.A. CCC-SLP appeared first on Swallow Your Pride Podcast.

We are exploring what it is like to work in a critical access hospital (CAH) with the small town SLP that does it all, Heather Riga. The post 191 – Small Town SLP: Working at a Critical Access Hospital – Heather Riga M.A. CCC-SLP appeared first on Swallow Your Pride Podcast.

The new administration created the Biden-Harris COVID-19 Health Equity Task Force and handpicked Dr. Tim Putnam to be a part of that team. Why? Because he has an incredible amount of experience as a healthcare leader, particularly rural health! Tim is not only the CEO of Margaret Mary Health, a Critical Access Hospital in Indiana, he is also Past-President of the National Rural Health Association (NRHA), an American College of Healthcare Executive Fellow, and involved in many other healthcare organizations and initiatives. One of those initiatives is the creation of the NRHA Rural Hospital CEO Certification Program. “There's a lot of things you don't learn in your master's program or an academic medical center on how to make it work in a rural community.” ~Tim Putnam Tim Putnam is President and CEO of Margaret Mary Health in Batesville, Indiana, and has over 30 years of healthcare experience. He received his Doctorate in Health Administration from the Medical University of South Carolina where his dissertation was focused on acute stroke care in rural hospitals. In 2015, Dr. Putnam was certified as an Emergency Medical Technician and serves on the Batesville Fire and EMS Lifesquad.

What would you do if you became the CEO of a Critical Access Hospital for the very first time in your career, and immediately had to deal with a global pandemic? All this after several years of blood, sweat and tears, turning around that same hospital from difficult times as the CFO/COO along with the entire leadership team. Hear one rural health leaders’ story who has weathered this and more along with his leadership team by listening to our conversation with Hunter Nostrant, CEO of Helen Newberry Joy Hospital. “It was the start of breaking down any barriers and silos in communication and really having more open dialogue to truly get down to the root of issues” ~Hunter Nostrant Hunter Nostrant, FACHE, RHCOC, is the Chief Executive Officer of Helen Newberry Joy Hospital & Healthcare Center (HNJH). HNJH is a 25-bed Critical Access Hospital with an attached 39-bed Long Term Care Facility and three Rural Health Clinics, located in the middle of the Eastern Upper Peninsula of Michigan. Prior to his promotion to CEO, he was the COO/CFO and responsible for a multitude of areas focusing on the ongoing day-to-day internal operations, financial strategies, and a strategic partner to the CEO. He earned his Bachelor Degree in Public Accounting from Hope College in Holland, MI, and a Masters of Healthcare Administration. Hunter is also a Fellow of the American College of Healthcare Executives and earned a Rural Hospital CEO Certification through the National Rural Healthcare Association, amongst other credentials.

In this episode of Rural Health Leadership Radio, we’re talking about some of the unique things Kevin DeRonde and his dynamic team are doing at Mahaska Health, a Top 100 Critical Access Hospital located in Oskaloosa, Iowa. “One of the first things we did at Mahaska Health is we reversed the organizational chart.” ~Kevin DeRonde Kevin DeRonde grew up on a farm in Iowa just north of Pella, where he still helps his dad on the farm. Kevin’s dad is a four-time cancer survivor, who is doing well now, and his cancer in remission. Kevin’s concern for his wellbeing provided the motivation to return to Iowa and to serve in healthcare. Kevin has a strong resumé of healthcare business management, professional leadership, and has been recognized for building high-performing, cohesive teams focused on delivering high-quality, compassionate care. He has led strategic initiatives to improve financial operations and enhance employee and physician recruitment and engagement. In his previous management and executive roles at Vanderbilt University Medical Center in Nashville, Tenn., UnityPoint Des Moines, John Stoddard Cancer Center in Des Moines and MHP, DeRonde led numerous capital improvement projects. Kevin holds a Master of Business Administration (MBA) and a Masters of Healthcare Management (MHM) from Middle Tennessee State University. Prior to earning his master’s degrees and playing football in the NFL, DeRonde earned his bachelor’s degree in business management from Iowa State University, completed the Pre-Optometry program, and served as a team captain for the ISU football team.

In this episode of Rural Health Leadership Radio, we’re talking about some of the unique things Hillsdale Hospital is doing to serve their community. We’re having that conversation with the hospital’s CEO, J.J. Hodshire. Located in southern Michigan near the Ohio and Indiana borders, Hillsdale Hospital is a Critical Access Hospital located in Hillsdale, Michigan. “Our philosophy is to take it right to the community.” ~J.J. Hodshire Love of God, love of family, love of community. Those three things drive Jeremiah “JJ” Hodshire, ’99, in his many roles: as the new president and CEO of Hillsdale Hospital, as a minister, as a community advocate, and as a husband and father. In a year when health care and hospitals have dominated the national conversation, JJ’s love of the Hillsdale community has motivated him to work tirelessly to bring attention to the importance of rural hospitals. A Hillsdale County resident since early childhood, JJ graduated from Camden-Frontier High School and matriculated to Hillsdale College, something he considers “the best decision of my educational career. Hillsdale College formed me into the man I am today.” A political economy major, he fondly recalls “passionate professors” such as Mickey Craig (politics), Ken Calvert (history), and Richard Ebeling (economics), as well as his senior thesis class with then-president George Roche. “The small classes, the access to guest speakers through CCAs, the wonderful things I learned about how free markets work and about our Judeo-Christian heritage—these all gave me a solid educational foundation,” he says. “Furthermore, Hillsdale taught me how to learn and how to write, and how to manage my time—all things I use in my career.” In 2010, JJ joined Hillsdale Hospital as director of organizational development, where he was responsible for human resources, staff education and training, safety, security, and governmental affairs. In 2018, he was promoted to vice president, then a year later, to chief operating officer. Last June, he took the helm upon former president Duke Anderson’s retirement. “Working in health care is the best job I’ve had,” JJ says. “Every day is different and dynamic, and it’s very rewarding.” It’s that spirit of the community that motivates JJ to volunteer his time in so many other ways beyond his job at the hospital. He currently serves on the boards of the Hillsdale County Community Foundation, Southeast Michigan Workforce Development, and the Local Development Finance Authority of the city of Hillsdale. “I want to see this community thrive,” he says. “So I want to be at the table to make decisions that will help direct the community.” JJ is also an ordained minister, and for 20 years, he has served in a pulpit supply capacity for local churches. “I’ve always had a passion for ministry,” he says. With such a demanding career and schedule, JJ is grateful for the love and support of his wife and their four children. He is also grateful for the foundation he received at Hillsdale College. “It all started with Hillsdale College,” he says. “I believe in the ideals of the College. I believe in this community. It’s a wonderful feeling to serve the College and the community.”

In part two of this special series, Dr. Bob speaks again with Dr. Karen Randall and Dr. Brad Roberts, emergency room physicians in Pueblo, Colorado. Doctors Randall and Roberts share more details and statistics about how marijuana use can ruin a community. This is a must listen episode! About Dr. Karen Randall: Residency trained in pediatrics, emergency medicine and family practice Academic teaching faculty at Henry Ford Department of Emergency medicine, former Teacher of the year - Henry Ford Hospital residency, Sinai Grace Hospital Member SAMHSA Marijuana Technical Expert Panel, 9/2019 Certified in Cannabis Science and Medicine, University of Vermont School of Medicine Co-President of Parents Opposed to Pot. About Dr. Brad Roberts: Professional Experience: Southern Colorado Emergency Medical Associates, Parkview Medical Center - 2015-Present. Pueblo, CO. Level 2 Trauma Center. 85,000 annual visits. Emergency Medicine Physician Miners Colfax Medical Center. Raton, NM. Frontier, Critical Access Hospital - 2015-Present. Staff Emergency Medicine Physician. UNM Hospital. Albuquerque, NM. Level 1 Trauma Center. 93,000 annual visits - 2015-Present. 21,000 pediatric. Assistant Professor of Emergency Medicine. Sandoval Regional Medical Center. Rio Rancho, NM. Level 3 Trauma Center - 2014-2015. 43,000 annual visits. Moonlighting Emergency Medicine Resident Presbyterian Hospital. Albuquerque, NM. Level 2 Trauma Center. 72,500 - 2014-2015. Annual visits. Moonlighting Staff Physician. UNM Hospital. Albuquerque, NM. Level 1 Trauma Center. 93,000 annual visits - 2012-2015. 21,000 pediatric. Emergency Medicine resident. Education: University of New Mexico: Emergency Medicine Residency - 2012-2015. Medical College of Wisconsin: Doctor of Medicine - 2008-2012. Brigham Young University: BS Exercise Science, Cum Laude - 2002-2008. How to contact Dr. Bob: YouTube Instagram  Facebook Seven Secrets Of The Newborn Website Pacific Ocean Pediatrics

In this episode, Dr. Bob speaks with Dr. Karen Randall and Dr. Brad Roberts, emergency room physicians in Pueblo, Colorado. Doctors Randall and Roberts first walk us through the process of how cannabis was legalized (and portrayed to be a positive, money maker) in their town of Pueblo, Colorado. The conversation then dives into how marijuana can not only get into the hands of innocent children, but can negatively impact an entire town. Don't miss part one of this riveting and important discussion. About Dr. Karen Randall: Residency trained in pediatrics, emergency medicine and family practice Academic teaching faculty at Henry Ford Department of Emergency medicine, former Teacher of the year - Henry Ford Hospital residency, Sinai Grace Hospital Member SAMHSA Marijuana Technical Expert Panel, 9/2019 Certified in Cannabis Science and Medicine, University of Vermont School of Medicine Co-President of Parents Opposed to Pot. About Dr. Brad Roberts: Professional Experience: Southern Colorado Emergency Medical Associates, Parkview Medical Center - 2015-Present. Pueblo, CO. Level 2 Trauma Center. 85,000 annual visits. Emergency Medicine Physician Miners Colfax Medical Center. Raton, NM. Frontier, Critical Access Hospital - 2015-Present. Staff Emergency Medicine Physician. UNM Hospital. Albuquerque, NM. Level 1 Trauma Center. 93,000 annual visits - 2015-Present. 21,000 pediatric. Assistant Professor of Emergency Medicine. Sandoval Regional Medical Center. Rio Rancho, NM. Level 3 Trauma Center - 2014-2015. 43,000 annual visits. Moonlighting Emergency Medicine Resident Presbyterian Hospital. Albuquerque, NM. Level 2 Trauma Center. 72,500 - 2014-2015. Annual visits. Moonlighting Staff Physician. UNM Hospital. Albuquerque, NM. Level 1 Trauma Center. 93,000 annual visits - 2012-2015. 21,000 pediatric. Emergency Medicine resident. Education: University of New Mexico: Emergency Medicine Residency - 2012-2015. Medical College of Wisconsin: Doctor of Medicine - 2008-2012. Brigham Young University: BS Exercise Science, Cum Laude - 2002-2008. How to contact Dr. Bob:   YouTube Instagram  Facebook Seven Secrets Of The Newborn Website Pacific Ocean Pediatrics

In this episode of Rural Health Leadership Radio, we’re talking about the ‘Grow Program,’ a new program that is trauma-focused on children who are involved in a foster care system. Nikki King and her behavior health and addiction services team found that in treating substance abuse patients, they were actually treating trauma, realizing that the vast majority of patients they were treating had adverse childhood events scores of over 8, more than double the high-risk scores. “They are just very little kids who are experiencing significant trauma mostly due to the unchecked substance abuse” ~Nikki King Nikki has been the Manager of Behavioral Health and Addictions Services at a rural Critical Access Hospital since September 2017. During that time, they doubled their number of providers and dramatically increased services across 4 locations in an extreme shortage area. In addition to her management role, she serves on the Board of Directors of the Indiana Rural Health Association where she is working to design and implement a leadership Fellows program for young professionals interesting in pursuing healthcare. Furthermore, she serves as the Chair of the Membership Committee and the Behavioral Health Task Force. Nikki worked in policy development as a member of the National Rural Health Association where she served on the Policy Congress and completed the Policy Fellowship in 2017. She co-authored policies on Medically Assisted Treatment for SUD, Congregational Health, Expansion of Practice for PAs, and Redesigning Reimbursements for Rural EMS. Prior to her current roles, she worked as a Clinical Data Analyst focusing primarily on predictive analytics for high-risk ACO patients. She is currently pursuing her Doctorate of Healthcare Administration.

The Michigan Center for Rural Health (MCRH) is one of only three non-profit State Offices of Rural Health (SORH) in the country. As Michigan’s SORH, MCRH plays a key role in rural health care by assisting in the creation and implementation of partnerships among organizations, health departments, hospitals, government, and academia. Those collaborations and alliances go on to create new opportunities in the areas of network development, quality of care, emergency medical services, continuing education, and recruitment and retention of rural health care providers. In this episode, we sit down with MCRH EMS Program Manager Andrea Abbas, to discuss the MCRH’s mission to continue to advocate for and advance rural health within the State of Michigan. The last Critical Access Hospital to close in Michigan was in 2012. None have closed since. The Northern Michigan University has a Center for Rural Health with whom the Michigan Center for Rural Health works closely.

In this episode or Rural Health Leadership Radio, we’re having a conversation with Melanie Richburg, CEO of Lynn County Hospital, a Critical Access Hospital in Tahoka, TX. Tahoka is about 30 miles south of Lubbock in the Texas Panhandle. Tahoka is primarily a farming community including wind farms. “My definition of leadership is, ‘Did I HELP?’ Did I Heal? Did I Empower? Did I Listen? Did I Persevere? Did I HELP?” ~Melanie Richburg Melanie grew up on a 180-acre cotton farm where she learned about hard work and perseverance, working her way through college through livestock farming. She and her twin sister would rise every morning at 5:00 am to feed the cattle and do it all over again at 5:00 pm. Raising cattle paid her tuition to get her BSN. After earning her BSN, Melanie went back to school to earn an MSN and become a Nurse Practitioner, continuing her education to receive her Doctorate in Nursing. Today she is the CEO of Lynn County Hospital where she started as a Nurse Practitioner working in one of the hospitals, a Rural Health Clinic that was barely making it. Today, both the clinic and the hospital have grown with her guidance, and simultaneously, Melanie has mentored many students looking for a career in rural health. Melanie is a daughter and a sister along with one of her favorite roles, being an Aunt. And according to Melanie, being a Great-Aunt is even better than just being an Aunt.

Ochiltree General Hospital is a critical access 25-bed hospital that does a little bit of everything. Ochiltree takes care of med-surg patients, surgical patients, provide OB services, ER services, and other outpatient services. They also have an assisted living center as part of their hospital district. The county has a population of about 9,000 people. The closest tertiary care facility is about a two-hour drive. The hospital is about 7 miles from the Oklahoma border and about 45 miles from the border with Kansas. “We deliver about 130 babies every year.” ~Kelly Judice Kelly Judice is a Registered Nurse at a Critical Access Hospital in the Texas Panhandle. She has been with Ochiltree General Hospital for 20 years, starting as an LPN, continuing her education to become an RN. Kelly worked as a floor nurse for 14 years before she took a management position as a trauma coordinator. Two years ago, she became the Chief Nursing Officer. Kelly has a passion to help others and loves taking care of people. She has always taken care of family and friends, sitting with her grandparents, doing whatever needed to be done. Kelly has always known that she wanted to do something that helped others.

Hosted by the ASHP Section of Inpatient Care Practitioners Advisory Group on Small and Rural Hospitals, today's episode focuses about the impact that COVID-19 had on a critical-access hospital’s pharmacy operations and the important role of critical-access pharmacists in caring for patients with COVID-19 in this setting. Dr. Dantonio will discuss lessons learned and how the department is preparing for the second wave of COVID-19.The information presented during the podcast reflects solely the opinions of the presenter.  The information and materials are not, and are not intended as, a comprehensive source of drug information on this topic. The contents of the podcast have not been reviewed by ASHP, and should neither be interpreted as the official policies of ASHP, nor an endorsement of any product(s), nor should they be considered as a substitute for the professional judgment of the pharmacist or physician.

This week on Rural Health Leadership Radio we are talking about the transformation of care. We are having that conversation with Josh Martin, CEO of Summit Pacific Medical Center, a Critical Access Hospital in Elma, Washington. “We set a very bold vision that through Summit Care, we will build one of the healthiest communities in the nation.” ~Josh Martin Josh Martin joined Summit Pacific Medical Center in 2016 with more than 18 years of healthcare experience in both large health systems and rural community hospitals. Josh has a Master’s Degree in Business Administration with an emphasis in Healthcare, and a Bachelor of Science Degree in Business Administration, both from Northwest Nazarene University in Idaho. He has a certification in Lean Process Improvement from the University of Washington and a Social Marketing certification from Boise State University. Josh currently serves on the Washington State Hospital Association Public Policy Committee as well as the Rural Health Committee. He is an active board member on the Washington Rural Health Collaborative, Greater Grays Harbor Regional Chamber of Commerce, and acts as Vice-Chair for CHOICE Regional Health Network. Josh understands the healthcare delivery system and enjoys the challenge of rural hospitals. He strives to create an organizational culture that embodies excellence, compassion, and quality while advocating at a state and national level to transform our healthcare delivery system. In his free time, Josh enjoys mountain biking, playing soccer, volunteering in the community, and spending time with his wife and 3 young children.

This week on Rural Health Leadership Radio we are talking about the importance of the relationship between the hospital board and the hospital CEO. We are having that conversation with Andrew “Drew” Hooper, Chairman of the Board at Summit Pacific Medical Center, a Critical Access Hospital in Elma, Washington. “There are generally two problems that organizations see when it comes to that relationship between Board Chair and CEO.” ~Drew Hooper Andrew “Drew” Hooper grew up in the Pacific Northwest and met his wife while auditioning for a college play in 1999. Little did they know that when they were married in the play it would bind them in a life-long commitment to one another. Five years after that amazing encounter they were married (by the same man who married them in the play!) and have worked as a team ever since. After college Drew worked in the retail sector prior to moving to financial services. Drew became self-employed when he opened his first financial services business in Montesano, Washington, eventually opening an office in Tacoma, and now calling Olympia the base of operations for Hooper Financial. Drew has been an active leader in the community through his involvement as a publicly elected hospital district commissioner to advocating for rural health care and financial services in Washington D.C.

Our topic is leadership and innovation in rural hospitals with Dr. Maria Ryan, CEO of Cottage Hospital in Woodsville, New Hampshire. “Create a vision, a realistic vision, and work towards it. Talk about it, because other people may be thinking about it, too.” ~Dr. Maria Ryan Dr. Maria Ryan worked in a variety of settings including for-profit, non-profit, and tertiary care and started her career in healthcare as a CNA. She later became a nurse practitioner where she developed both her clinical and leadership skills. Dr. Ryan would continue to become the Director of an Emergency Department, the Chief Nursing Officer, Chief Operating Officer and finally the Chief Executive Officer. She brings a high-integrity, energetic form of leadership as well as the ability to envision and create successful outcomes in the face of complex obstacles. “We have to work through others, we have to allow them to be experts in their field but also, we have to work through them to gain whatever it is we want to accomplish.” ~Dr. Maria Ryan Dr. Ryan has brought many accomplishments to Cottage Hospital including HealthStrong Award for Excellence in Efficiency, HealthStrong Top 100 Critical Access Hospital by iVantage Health Analytics, a Top 20 Critical Access Hospital - Best Practices in Quality designation by the National Rural Health Association and the 2015 Business of the Year Award from the Cohase Chamber of Commerce. Dr. Ryan has been recognized by multiple organizations for her achievement in healthcare and business, including Becker’s Healthcare Review, NH Business Magazine, and NH Business Review.

Ask Win is a podcast where you are a VIP. Win wants to focus and teach people more and Cerebral Palsy. You’re welcome to ask questions about anything that you want. CP questions but mainly life questions on how to deal with CP or not. Win can ask you base questions if you want. Please let us know or there will be no base questions. If you have any questions for Win please email her at askingwkelly@gmail.com. Please donate to Ask Win by going to https://www.paypal.me/WCharles. Patron Checkout: https://www.patreon.com/join/Askwin?. Simplecast's Brand Ambassador Program: http://refer.smplc.st/rtTvG. Check out Win's books at https://www.amazon.com/Win-Kelly-Charles/e/B009VNJEKE/ref=sr_tc_2_0?qid=1538951782&sr=1-2-ent. To buy Win’s new book, Smile with Dictation, go to https://books2read.com/Win. I, Win: http://books2read.com/Iwin Check out Danielle's books at https://www.amazon.com/Danielle-Coulter/e/B00OFIOY3C/ref=as_li_ss_tl?qid=1483655853&sr=8-2&linkCode=sl2&tag=paradimarket-20&linkId=8490a064c62cededb762ed5b949ed144. Check out Win’s YouTube channel at https://www.youtube.com/channel/UCGN0mfJdlpKG8IdJTBjKTow. On Ask Win today (Friday, May 3, 2019), Best-Selling Author, Win C welcomes Natasha Latta. Natasha grew up running wild in the backwoods of Alaska. She is an enthusiast of nearly all outdoor adventure sports, continually seeking the next “best day ever!” She earned her B.A. in History from the University of Alaska and B.S.N. from the University of Providence, spending countless hours flipping through endless stacks of meticulously crafted flashcards. She lives the base of the internationally renowned Thompson Pass with her husband Dale, daughter Gaea, miniature donkeys (Cabanilla & Barney) as well as Alaskan Malamutes (Vida & Butter) and Russian Bear Dogs (Gizmo & Bubbles). Natasha is a night Charge Nurse at a Critical Access Hospital serving 20,000 square miles of rural Alaska. Nursing experience in ED, OB, Med-Surg, Long Term Care, Case Management and Psych. She received the Providence Mission Spirit Award in 2018 for exemplifying Providence’s core values of compassion, excellence, stewardship, truth and justice. Owner of Medihacks 907, developer of innovative medical education games and apps. To learn more about Natasha visit https://medihacks907.wixsite.com/please-let-it-be/.

We’re having a conversation about Medicaid Expansion with Dr. Jeff Bacon, Chief Medical Officer at Banner Health Sterling Regional MedCenter, Miso Lee, Ph.D., a Health Disparities Analyst at the University of Texas Medical Branch, and Carey Rivinius, who holds a degree in Doctor of Nursing Practice and is a Certified Family Nurse Practitioner at Jacobson Memorial Hospital and Elgin Community Clinic.  Jeff, Miso and Carey were 2018-2019 Rural Health Fellows with the National Rural Health Association (NRHA), where they focused on Medicaid Expansion, culminating in a Policy Paper presented to and adapted by the NRHA Rural Health Congress. “Rural hospitals and rural clinics are so incredibly important and they serve a great purpose in each community and our nation.” Jeffery Bacon, D.O., is an experienced Family Physician with a demonstrated history of working in the hospital and healthcare industry.  He is skilled in Clinical Research, Medical Education, Pediatrics, Medicine, and Emergency Medicine, and a strong healthcare services professional who graduated from A.T. Still University of Health Sciences. Dr. Wei-Chen “Miso” Lee is a Health Disparities Analyst at The University of Texas Medical Branch. She completed her Ph.D. in Health Services Research (HSR) at Texas A&M Health Science Center. Her research interests lie in the area of rural health, ranging from discovering disparities in health outcomes to promoting workforce development. She is also a state-certified Community Health Worker (CHW) and CHW Instructor. She was honored to be the 2018 National Rural Health Fellow and currently, she serves as editorial board member for the Journal of Rural Health (JRH) as well as the advisory committee member for the Research on Care Community Health Equity Subgroup of the Association of American Medical Colleges (AAMC). Both doing research and serving in communities allow her to better understand the health issues and make a profound contribution to eliminating health disparities. Carey Rivinius, DNP, FNP-C, is a healthcare provider in Elgin, ND. She practices acute and emergent care at Jacobson Memorial Hospital, a Critical Access Hospital and Level 5 trauma center. She takes call for the emergency department and hospital. She also provides primary care services at the Rural Health Clinic. Carey is a member of the facility’s trauma and stroke committees. She also serves as the Grant County Coroner. She has worked in rural health her entire career. Carey grew up on a ranch near Carson, ND and has lived in the area most of her life. Additionally, Carey is adjunct faculty for the University of Mary DNP program. She is a member of the National Health Service Corps and completed a 2-year service commitment from 2009-2011. Carey received her MSN and FNP degree in 2008 from the University of Mary in Bismarck, ND, and her Doctorate of Nursing Practice degree in 2016 from Frontier Nursing University of Hyden, Kentucky.

We are talking about staffing a Critical Access Hospital with Physician Assistants and Nurse Practitioners.  We’re having that conversation with Mark Zellmer, Ph.D., PA.-C, who has been a PA since 1983 graduating from the University Iowa PA Program. “Having physicians is important and wonderful and necessary in rural communities, but there may need to be more than just physicians.” Mark became a PA after serving as a volunteer EMT while teaching high school chemistry and biology in a rural Iowa community that previously had no ambulance service.  Mark subsequently becoming a paramedic. Mark’s PA career has included practice in an Iowa county without a hospital or a stoplight, and in Minnesota in both primary care in Red Wing and later, a tertiary care practice at Mayo Clinic, Rochester. As a PA educator, Mark was the founding director of rural oriented PA programs at the University of South Dakota and the University of Wisconsin-La Crosse. He holds a Ph.D. in Public Health, Epidemiology emphasis. His current practice is as the lead hospitalist and an emergency room provider at a rural, Critical Access Hospital, Gundersen Tri-County, in Whitehall, WI.

Bob Peterson/Millinocket Regional Hospital Bob Peterson is the CEO of Millinocket Regional Hospital (MRH), a 25 bed critical access hospital that provides vital healthcare services to those who live, work and play in the Katahdin Region of Maine. The hospital is located at Mt. Katahdin which is the endpoint of the Appalachian Trail which starts […] The post LEADER DIALOGUE: Humanity at the Forefront with Millinocket Regional Hospital appeared first on Business RadioX ®.

The Finance 101 manual has been recently updated! This new manual expands on the former manual that was focused solely on Critical Access Hospitals. The new manual not only includes updates for the Critical Access Hospital but is expanded to include information and guidance for small rural PPS hospitals and rural health clinics. This session will provide an overview of the updates and how Critical Access Hospitals, small rural PPS providers and rural health clinics can utilize the information in this manual for their organizations. Objectives Learn about the Critical Access Hospital updates in the new manual Obtain a better understanding of small rural PPShospital issues and strategies Acquire information regarding the finances and operations of rural health clinics and strategies to improve performance

Katie Peterson, Chief Nursing Officer at Pender Community Hospital, a Critical Access Hospital in Pender, Nebraska, joins us this week. “Our nursing staff is mostly millennials, so short staffing comes from having multiple nurses on maternity leave at the same time, not open positions.” In addition to sitting on the senior executive team and providing nursing leadership, Katie also provides oversight to imaging, laboratory, pharmacy, behavioral health and quality. Katie has empowered her teams to improve quality and expand services in all areas. During Katie's time at Pender, the hospital has won numerous national awards in quality and patient satisfaction. Katie is a registered nurse with a Bachelor's degree in nursing from the University of Nebraska Medical Center.

Health care is on a path to value, regardless of health care reform uncertainties. Thus, critical access hospitals need to understand accountable care, especially if considering joining an ACO. This webinar will present a new Excel-based tool developed by the Rural Health Value team and Premier, Inc. The Critical Access Hospital Pro Forma for Shared Savings assesses the financial implications of joining a Medicare Shared Savings Plan Accountable Care Organization (ACO). The publicly available, free tool highlights five-year revenue and expense forecasts financial projections that compare current state to Medicare ACO participation and an easy to understand table and chart summary outputs, including hospital and physician financial projections. Download podcast slide decks from the SRHT website. Speakers: Clint MacKinney, MD, MS, Clinical Associate Professor in the Department of Health Management and Policy at the College of Public Health, University of Iowa and Deputy Director of the Rural Policy Research Institute (RUPRI) Center for Rural Health Policy and Analysis Jane Jerzak, CPA, RN, Partner, Wipfli LLP This project is/was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number UB1RH24206, Information Services to Rural Hospital Flexibility Program Grantees, $957,510 (0% financed with nongovernmental sources). This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.

Union General Hospital, located in Farmerville, Louisiana, is a non-profit, 20-bed Critical Access Hospital. The hospital identified teen pregnancy and STDs as being a primary concern impacting the health, well-being and future of their community. Union General Hospital created the program, "It's a Girl Thing", and are now seeing outstanding health outcomes and expanding the program. They have received a national award for the program. Speaker: Claudia Wade, Union General Hospital

The NOTICE ACT On August 6, 2016, The Notice of Observation Treatment and Implication for Care Eligibility Act, went into effect. (Sec. 2) This bill amends title XVIII (Medicare) of the Social Security Act to require a hospital or critical access hospital with an agreement with the Secretary of Health and Human Services(Medicre) to give each individual who receives observation services as an outpatient for more than 24 hours an adequate oral and written notification within 36 hours after beginning to receive (Observation Services) which: explains the individual's status as an outpatient and not as an inpatient and the reasons why; explains the implications of that status on services furnished (including those furnished as an inpatient), in particular the implications for cost-sharing requirements and subsequent coverage eligibility for services furnished by a skilled nursing facility; includes appropriate additional information; is written and formatted using plain language and made available in appropriate languages; and is signed by the individual or a person acting on the individual's behalf (representative) to acknowledge receipt of the notification, or if the individual or representative refuses to sign, the written notification is signed by the hospital staff who presented it.    Here is the link to the Federal Register, which explains in more detail Procedures Applicable to Beneficiaries Receiving Observation Services: https://www.gpo.gov/fdsys/pkg/FR-2016-04-27/pdf/2016-09120.pdf   Medicare Advantage Plans  “A beneficiary enrolled in a Medicare Advantage or other Medicare health plan would receive the required notice under the existing rules that apply to hospitals and CAHs under a provider agreement governed by the provisions of section 1866(a)(1)(Y) of the Act.”   If you are enrolled in a Medicare Advantage Plan, you are covered under the provisions of your plan. READ your plan’s Evidence of Coverage (EOC) to determine what your out-of-pocket expenses will be in this situation.   I am urging each of you to be Pro Active with your own Health Care! If you or a loved one goes to the Emergency Room or a Critical Access Hospital, be prepared to speak up! Speak to the Physician in the ER who is treating you. Ask the physician specifically…..”Am I being ADMITTED to the hospital as an INPATIENT?” If the answer is “Yes,” you will be covered under Medicare Part A benefits.  If the answer is…. “No…..you are UNDER OBSERVATION. OR……”No……you are receiving OUTPATIENT SERVICES.”  You WILL more than likely be responsible for co-payments, co-insurance or maybe ALL charges! Call your Primary Physician or Specialist. Tell the office or Answering Service that you or your Family member is in so and so Emergency Room, so and so hospital and you want your Doctor to either: Come to the hospital and examine you to determine if you should be admitted to the hospital as an inpatient                                            OR Have your doctor speak to the Emergency Room physician who is treating you, in order to determine if you will be admitted or able to be discharged from the Emergency Room.   You Should NOT have to be in an Emergency Room for up to 23 and a quarter hours UNDER OBSERVATION! Your Primary Doctor is the “Quarterback of your health team!” Your Primary Doctor is in charge of your health care! That is what they get paid to do all that extra paperwork for! Put them to work for you!   Do you have a Medicare Question? Send it to Support@TheMedicareNation.com Tell a friend or family member to SUBSCRIBE to Medicare Nation. They’ll get a new episode on their laptop, tablet, or phone every Friday so they won’t miss an episode Don’t know how to subscribe? Visit my short video to show you how to do it – step by step. Find all our shows on the Medicare Nation website – www.TheMedicareNation.com Finally, Medicare nation will be having its ONE YEAR Anniversary in a few weeks. I”d love for you to help me celebrate this past year of guests, topics and questions from listeners….by telling me what you’ve enjoyed most about Medicare Nation. Go to my website www.callsamm.com And “Click” on the contact tab. You’ll see a button that says “ Record Your Message Here.” Click on it and start talking! No equipment required! You’ll be able to leave a short message of what you’ve enjoyed over the past year on Medicare Nation. If you’d like me to announce your celebration message, leave me your first name & city & tell me “I want to be ON Medicare Nation.”     Thank you for being part of Medicare Nation’s Anniversary!