Podcasts about EHR

Exocrine pancreatic insufficiency (EPI) affects many patients with pancreatic cancer, yet it is often overlooked in this patient populations, which leads to malnutrition. In this episode, we are joined by Dr. Shelby Yaceczko, DCN, RDN, CNSC. Yacescko is a supporting author on a recently published White Paper on the topic, and she explains what EPI is, how to screen for and treat the condition, and the essential role of dietitians in an interdisciplinary care team managing these patients.  In this episode, we discuss: How overlapping GI symptoms, lack of standardized screening tools, and limited guidelines contribute to missed diagnoses and delayed treatment What inspired the development of the White Paper How to bring EPI management into everyday practice The ready-to-use checklists, screening forms, and EHR templates within the White Paper designed to standardize treatment Hosted by Kristin Houts Click here for the shownotes. The content, products and/or services referred to in this podcast are intended for Health Care Professionals only and are not, and are not intended to be, medical advice, which should be tailored to your individual circumstances. The content is for your information only, and we advise that you exercise your own judgement before deciding to use the information provided. Professional medical advice should be obtained before taking action. The reference to particular products and/or services in this episode does not constitute any form of endorsement. Please see here for terms and conditions.

About Nikhil Buduma:Nikhil Buduma is a San Francisco–based entrepreneur, scientist, and engineer working at the cutting edge of AI and healthcare. He is the co-founder and CEO of Ambience Healthcare, an AI platform built to supercharge every healthcare worker with intelligent automation. Under his leadership, Ambience has grown into one of the most well-funded AI healthcare startups in the world, raising over $343 million from top investors, including a16z, OpenAI, Kleiner Perkins, Oak HC/FT, Optum Ventures, and industry pioneers such as Jeff Dean and Pieter Abbeel. Before becoming CEO, Nikhil served as Ambience's Chief Scientist, leading the development of its core AI systems that streamline documentation, coding, and clinical workflows for healthcare systems, including the Cleveland Clinic and St. Luke's.Prior to Ambience, Nikhil co-founded Remedy Health, where he applied machine learning to advance value-based care models, backed by Khosla Ventures and Greylock. He also co-founded Lean On Me, a nonprofit organization that supports mental health and wellness across U.S. college campuses through anonymous peer-to-peer text support networks at institutions such as MIT, Duke, and UC Berkeley.A graduate and valedictorian of Bellarmine College Preparatory, Nikhil earned both his bachelor's and master's degrees in computer science and engineering from MIT. His career reflects a rare blend of technical mastery, compassion, and vision—using AI not to replace clinicians, but to restore the human joy in the practice of medicine.Things You'll Learn:Health systems often see low real-world usage of ambient tools; when daily adoption crosses most clinicians and visits, the ROI conversation becomes meaningful. This requires solving fundamentals across specialties, not just shipping features.If AI generates notes that don't align with payer rules and codes, organizations incur rework and risk. Integrating HCC, ICD-10, and CPT selection, along with supporting language, at the point of care helps prevent denials.Revenue integrity upside: Bringing CDI intelligence forward can reclaim large sums from work already done but not credited. This strengthens both financial sustainability and compliance posture.Continuous third-party auditing and domain-specific modeling are essential because general reasoning models often struggle with the nuances of revenue cycles. Independent validation builds organizational trust.Patient Summary anticipates questions and data needs before the visit, while Chart Chat answers complex, EHR-aware queries in seconds, helping to democratize top-tier standards of care in rural settings.Resources:Connect with and follow Nikhil Buduma on LinkedIn.Follow Ambience Healthcare on LinkedIn and visit their website. 

Ever felt like perfectionism is running your life? In this episode of The Traveling Therapist Podcast, I chat with Bianca Hughes about breaking free from perfectionism and how a bold sabbatical completely shifted her mindset. Bianca opens up about selling her house, buying a one-way ticket to Bali, and reconnecting with herself through deep rest, joy, and unexpected adventures.This conversation is full of raw honesty, major mindset shifts, and empowering reminders that you don't have to stay stuck in a life that doesn't feel aligned. Bianca shares how stepping away helped her get back to her true self, and how you can do the same. Plus, we explore how she's now redefining therapy work to better support new clinicians through the Soulful Clinician Collective.In This Episode, We Explore…What led Bianca to take a three-month sabbatical, and how she prepared.The healing power of slowing down and being present.How travel helped her reconnect with joy and clarity.Her journey of breaking free from perfectionism and comparison.The birth of the Soulful Clinician Collective and her mission to support new therapists.Connect with Bianca:Website https://www.authenticallybeyou.comSoulful Clinician Collective https://www.soulfulcliniciancollective.com/Instagram https://www.instagram.com/authenticallybeyou/LinkedIn https://www.linkedin.com/in/biancahughes/Threads https://www.threads.com/@authenticallybeyouFacebook https://m.facebook.com/authenticallybuMind The Gap 10 Lessons Every New Therapist Needs https://authentically-be-you.kit.com/de3ebb5b97_____________________Are you ready to take the plunge and become a Traveling Therapist? Whether you want to be a full-time digital nomad or just want the flexibility to bring your practice with you while you travel a couple of times a year, the Portable Practice Method will give you the framework to be protected! ➡️ JOIN NOW: www.portablepracticemethod.com/Connect with me: www.instagram.com/thetravelingtherapist_kym www.facebook.com/groups/onlineandtraveling/ www.thetravelingtherapist.com The Traveling Therapist Podcast is Sponsored by: Berries: Say goodbye to the burden of mental health notes with automated note and treatment plan creation! www.heyberries.com/therapists Alma: Alma is on a mission to simplify access to mental health care by focusing first and foremost on supporting clinicians. www.helloalma.com/kym Sessions Health: Built for traveling therapists with global EHR access, clean interface, and therapist-friendly pricing at just $39/month. www.sessionshealth.com/kym

Co-hosts Ryan Piansky, a graduate student and patient advocate living with eosinophilic esophagitis (EoE) and eosinophilic asthma, and Holly Knotowicz, a speech-language pathologist living with EoE who serves on APFED's Health Sciences Advisory Council, interview Evan S. Dellon, MD, and Elizabeth T. Jensen, PhD, about a paper they published on predictors of patients receiving no medication for treatment of eosinophilic esophagitis. Disclaimer: The information provided in this podcast is designed to support, not replace, the relationship between listeners and their healthcare providers. Opinions, information, and recommendations shared in this podcast are not a substitute for medical advice. Decisions related to medical care should be made with your healthcare provider. Opinions and views of guests and co-hosts are their own.   Key Takeaways: [:52] Co-host Ryan Piansky introduces the episode, brought to you thanks to the support of Education Partners GSK, Sanofi, Regeneron, and Takeda. Ryan introduces co-host Holly Knotowicz.   [1:14] Holly introduces today's topic, predictors of not using medication for EoE, and today's guests, Dr. Evan Dellon and Dr. Elizabeth Jensen.   [1:29] Dr. Dellon is an Adjunct Professor of Epidemiology at the University of North Carolina School of Medicine in Chapel Hill. He is also the Director of the UNC Center for Esophageal Diseases and Swallowing.   [1:42] Dr. Dellon's main research interest is in the epidemiology, pathogenesis, diagnosis, treatment, and outcomes of eosinophilic esophagitis (EoE) and eosinophilic GI diseases (EGIDs).   [1:55] Dr. Jensen is a Professor of Epidemiology with a specific expertise in reproductive, perinatal, and pediatric epidemiology. She has appointments at both Wake Forest University School of Medicine and the University of North Carolina at Chapel Hill.   [2:07] Her research primarily focuses on etiologic factors in the development of pediatric immune-mediated chronic diseases, including understanding factors contributing to disparities in health outcomes.   [2:19] Both Dr. Dellon and Dr. Jensen also serve on the Steering Committee for EGID Partners Registry.   [2:24] Ryan thanks Dr. Dellon and Dr. Jensen for joining the podcast today.   [2:29] Dr. Dellon was the first guest on this podcast. It is wonderful to have him back for the 50th episode! Dr. Dellon is one of Ryan's GI specialists. Ryan recently went to North Carolina to get a scope with him.   [3:03] Dr. Dellon is an adult gastroenterologist at the University of North Carolina at Chapel Hill. He directs the Center for Esophageal Diseases and Swallowing. Clinically and research-wise, he is focused on EoE and other eosinophilic GI diseases.   [3:19] His research interests span the entire field, from epidemiology, diagnosis, biomarkers, risk factors, outcomes, and a lot of work, more recently, on treatments.   [3:33] Dr. Jensen has been on the podcast before, on Episode 27. Holly invites Dr. Jensen to tell the listeners more about herself and her work with eosinophilic diseases.   [3:46] Dr. Jensen has been working on eosinophilic gastrointestinal diseases for about 15 years. She started some of the early work around understanding possible risk factors for the development of disease.   [4:04] She has gone on to support lots of other research projects, including some with Dr. Dellon, where they're looking at gene-environment interactions in relation to developing EoE.   [4:15] She is also looking at reproductive factors as they relate to EoE, disparities in diagnosis, and more. It's been an exciting research trajectory, starting with what we knew very little about and building to an increasing understanding of why EoE develops.   [5:00] Dr. Dellon explains that EoE stands for eosinophilic esophagitis, a chronic allergic condition of the esophagus.   [5:08] You can think of EoE as asthma of the esophagus or eczema of the esophagus, although in general, people don't grow out of EoE, like they might grow out of eczema or asthma. When people have EoE, it is a long-term condition.   [5:24] Eosinophils are a type of white blood cell, specializing in allergy responses. Normally, they are not in the esophagus. When we see them there, we worry about an allergic process. When that happens, that's EoE.   [5:40] Over time, the inflammation seen in EoE and other allergic cell activity causes swelling and irritation in the esophagus. Early on, this often leads to a range of upper GI symptoms — including poor growth or failure to thrive in young children, abdominal pain, nausea, and symptoms that can mimic reflux.   [5:58] In older kids, symptoms are more about trouble swallowing. That's because the swelling that happens initially, over time, may turn into scar tissue. So the esophagus can narrow and cause swallowing symptoms like food impaction.   [6:16] Ryan speaks of living with EoE for decades and trying the full range of treatment options: food elimination, PPIs, steroids, and, more recently, biologics.   [6:36] Dr. Dellon says Ryan's history is a good overview of how EoE is treated. There are two general approaches to treating the underlying condition: using medicines and/or eliminating foods that we think may trigger EoE from the diet.   [6:57] For a lot of people, EoE is a food-triggered allergic condition.   [7:01] The other thing that has to happen in parallel is surveying for scar tissue in the esophagus. If that's present and people have trouble swallowing, sometimes stretching the esophagus is needed through esophageal dilation.   [7:14] There are three categories of medicines used for treatment. Proton pump inhibitors are reflux meds, but they also have an anti-allergy effect in the esophagus.   [7:29] Topical steroids are used to coat the esophagus and produce an anti-inflammatory effect. The FDA has approved a budesonide oral suspension for that.   [7:39] Biologics, which are generally systemic medications, often injectable, can target different allergic factors. Dupilumab is approved now, and there are other biologics that are being researched as potential treatments.   [7:51] Even though EoE is considered an allergic condition, we don't have a test to tell people what they are allergic to. If it's a food allergy, we do an empiric elimination diet because allergy tests aren't accurate enough to tell us what the EoE triggers are.   [8:10] People will eliminate foods that we know are the most common triggers, like milk protein, dairy, wheat, egg, soy, and other top allergens. You can create a diet like that and then have a response to the diet elimination.   [8:31] Dr. Jensen and Dr. Dellon recently published an abstract in the American Journal of Gastroenterology about people with EoE who are not taking any medicine for it. Dr. Jensen calls it a real-world data study, leveraging electronic health record patient data.   [8:51] It gives you an impression of what is actually happening, in terms of treatments for patients, as opposed to a randomized control trial, which is a fairly selected patient population. This is everybody who has been diagnosed, and then what happens with them.   [9:10] Because of that, it gives you a wide spectrum of patients. Some patients are going to be relatively asymptomatic. It may be that we arrived at their diagnosis while working them up for other potential diagnoses.   [9:28] Other patients are going to have rather significant impacts from the disease. We wanted to get an idea of what is actually happening out there with the full breadth of the patient population that is getting diagnosed with EoE.   [9:45] Dr. Jensen was not surprised to learn that there are patients who had no pharmacologic treatment.   [9:58] Some patients are relatively asymptomatic, and others are not interested in pursuing medications initially or are early in their disease process and still exploring dietary treatment options.   [10:28] Holly sees patients from infancy to geriatrics, and if they're not having symptoms, they wonder why bother treating it.   [10:42] Dr. Jensen says it's a point of debate on the implications of somebody who has the disease and goes untreated. What does that look like long-term? Are they going to develop more of that fibrostenotic pattern in their esophagus without treatment?   [11:07] This is a question we're still trying to answer. There is some suggestion that for some patients who don't manage their disease, we very well may be looking at a food impaction in the future.   [11:19] Dr. Dellon says we know overall for the population of EoE patients, but it's hard to know for a specific patient. We have a bunch of studies now that look at how long people have symptoms before they're diagnosed. There's a wide range.   [11:39] Some people get symptoms and get diagnosed right away. Others might have symptoms for 20 or 30 years that they ignore, or don't have access to healthcare, or the diagnosis is missed.   [11:51] What we see consistently is that people who may be diagnosed within a year or two may only have a 10 or 20% chance of having that stricture and scar tissue in the esophagus, whereas people who go 20 years, it might be 80% or more.   [12:06] It's not everybody who has EoE who might end up with that scar tissue, but certainly, it's suggested that it's a large majority.   [12:16] That's before diagnosis. We have data that shows that after diagnosis, if people go a long time without treatment or without being seen in care, they also have an increasing rate of developing strictures.    [12:29] In general, the idea is yes, you should treat EoE, because on average, people are going to develop scar tissue and more symptoms. For the patient in front of you with EoE but no symptoms, what are the chances it's going to get worse? You don't know.   [13:04] There are two caveats with that. The first is what we mean by symptoms. Kids may have vomiting and growth problems. Adults can eat carefully, avoiding foods that hang up in the esophagus, like breads and overcooked meats, sticky rice, and other foods.   [13:24] Adults can eat slowly, drink a lot of liquid, and not perceive they have symptoms. When someone tells Dr. Dellon they don't have symptoms, he will quiz them about that. He'll even ask about swallowing pills.    [13:40] Often, you can pick up symptoms that maybe the person didn't even realize they were having. In that case, that can give you some impetus to treat.   [13:48] If there really are no symptoms, Dr. Dellon thinks we're at a point where we don't really know what to do.   [13:54] Dr. Dellon just saw a patient who had a lot of eosinophils in their small bowel with absolutely no GI symptoms. He said, "I can't diagnose you with eosinophilic enteritis, but you may develop symptoms." People like that, he will monitor in the clinic.   [14:14] Dr. Dellon will discuss it with them each time they come back for a clinic visit.   [14:19] Holly is a speech pathologist, but also sees people for feeding and swallowing. The local gastroenterologist refers patients who choose not to treat their EoE to her. Holly teaches them things they should be looking out for.   [14:39] If your pills get stuck or if you're downing 18 ounces during a mealtime, maybe it's time to treat it. People don't see these coping mechanisms they use that are impacting their quality of life. They've normalized it.   [15:30] Dr. Dellon says, of these people who aren't treated, there's probably a subset who appropriately are being observed and don't have a medicine treatment or are on a diet elimination.   [15:43] There's also probably a subset who are inappropriately not on treatment. It especially can happen with students who were under good control with their pediatric provider, but moved away to college and didn't transfer to adult care.   [16:08] They ultimately come back with a lot of symptoms that have progressed over six to eight years.   [16:18] Ryan meets newly diagnosed adult patients at APFED's conferences, who say they have no symptoms, but chicken gets caught in their throat. They got diagnosed when they went to the ER with a food impaction.   [16:38] Ryan says you have to wonder at what point that starts to get reflected in patient charts. Are those cases documented where someone is untreated and now has EoE?   [16:49] Ryan asks in the study, "What is the target EGID Cohort and why was it selected to study EoE? What sort of patients were captured as part of that data set?"   [16:58] Dr. Jensen said they identified patients with the ICD-10 code for a diagnosis of EoE. Then they looked to see if there was evidence of symptoms or complications in relation to EoE. This was hard; some of these are relatively non-specific symptoms.   [17:23] These patients may have been seeking care and may have been experiencing some symptoms that may or may not have made it into the chart. That's one of the challenges with real-world data analyses.   [17:38] Dr. Jensen says they are using data that was collected for documenting clinical care and for billing for clinical care, not for research, so it comes with some caveats when doing research with this data.   [18:08] Research using electronic health records gives a real-world perspective on patients who are seeking care or have a diagnosis of EoE, as opposed to a study trying to enroll a patient population that potentially isn't representative of the breadth of individuals living with EoE.   [18:39] Dr. Dellon says another advantage of real-world data is the number of patients. The largest randomized controlled trials in EoE might have 400 patients, and they are incredibly expensive to do.   [18:52] A study of electronic health records (EHR) is reporting on the analysis of just under 1,000. The cohort, combined from three different centers, has more than 1,400 people, a more representative, larger population.    [19:16] Dr. Dellon says when you read the results, understand the limitations and strengths of a study of health records, to help contextualize the information.   [19:41] Dr. Dellon says it's always easier to recognize the typical presentations. Materials about EoE and studies he has done that led to medicine approvals have focused on trouble swallowing. That can be relatively easily measured.   [20:01] Patients often come to receive care with a food impaction, which can be impactful on life, and somewhat public, if in a restaurant or at work. Typical symptoms are also the ones that get you diagnosed and may be easier to treat.   [20:26] Dr. Dellon wonders if maybe people don't treat some of the atypical symptoms because it's not appreciated that they can be related to EoE.   [20:42] Holly was diagnosed as an adult. Ryan was diagnosed as a toddler. Holly asks what are some of the challenges people face in getting an EoE diagnosis.   [20:56] Dr. Jensen says symptoms can sometimes be fairly non-specific. There's some ongoing work by the CEGIR Consortium trying to understand what happens when patients come into the emergency department with a food bolus impaction.   [21:28] Dr. Jensen explains that we see there's quite a bit of variation in how that gets managed, and if they get a biopsy. You have to have a biopsy of the esophagus to get a diagnosis of EoE.   [21:45] If you think about the steps that need to happen to get a diagnosis of EoE, that can present barriers for some groups to ultimately get that diagnosis.   [21:56] There's also been some literature around a potential assumption about which patients are more likely to be at risk. Some of that is still ongoing. We know that EoE occurs more commonly in males in roughly a two-to-one ratio. Not exclusively in males, obviously, but a little more often in males.   [22:20] We don't know anything about other groups of patients that may be at higher risk. That's ongoing work that we're still trying to understand. That in itself can also be a barrier when there are assumptions about who is or isn't likely to have EoE.   [23:02] Dr. Dellon says that in adolescents and adults, the typical symptoms are trouble swallowing and food sticking, which have many causes besides EoE, some of which are more common.   [23:18] In that population, heartburn is common. Patients may report terrible reflux that, on questioning, sounds more like trouble swallowing than GERD. Sometimes, with EoE, you may have reflux that doesn't improve. Is it EoE, reflux, or both?   [24:05] Some people will have chest discomfort. There are some reports of worsening symptoms with exercise, which brings up cardiac questions that have to be ruled out first.   [24:19] Dr. Dellon mentions some more atypical symptoms. An adult having pain in the upper abdomen could have EoE. In children, the symptoms could be anything in the GI tract. Some women might have atypical symptoms with less trouble swallowing.   [24:58] Some racial minorities may have those kinds of symptoms, as well. If you're not thinking of the condition, it's hard to make the diagnosis.   [25:08] Dr. Jensen notes that there are different cultural norms around expressing symptoms and dietary patterns, which may make it difficult to parse out a diagnosis.   [25:27] Ryan cites a past episode where access to a GI specialist played a role in diagnosing patients with EoE. Do white males have more EoE, or are their concerns just listened to more seriously?   [25:57] Ryan's parents were told when he was two that he was throwing up for attention. He believes that these days, he'd have a much easier time convincing a doctor to listen to him. From speaking to physicians, Ryan believes access is a wide issue in the field.   [26:23] Dr. Dellon tells of working with researchers at Mayo in Arizona and the Children's Hospital of Phoenix. They have a large population of Hispanic children with EoE, much larger than has been reported elsewhere. They're working on characterizing that.   [26:49] Dr. Dellon describes an experience with a visiting trainee from Mexico City, where there was not a lot of EoE reported. The trainee went back and looked at the biopsies there, and it turned out they were not performing biopsies on patients with dysphagia in Mexico City.   [27:13] When he looked at the patients who ended up getting biopsies, they found EoE in 10% of patients. That's similar to what's reported out of centers in the developed world. As people are thinking about it more, we will see more detection of it.   [27:30] Dr. Dellon believes those kinds of papers will be out in the next couple of months, to a year.   [27:36] Holly has had licensure in Arizona for about 11 years. She has had nine referrals recently of children with EoE from Arizona. Normally, it's been one or two that she met at a conference.   [28:00] Ryan asks about the research on patients not having their EoE treated pharmacologically. Some treat it with food avoidance and dietary therapy. Ryan notes that he can't have applesauce, as it is a trigger for his EoE.   [28:54] Dr. Jensen says that's one of the challenges in using the EHR data. That kind of information is only available to the researchers through free text. That's a limitation of the study, assessing the use of dietary elimination approaches.   [29:11] Holly says some of her patients have things listed as allergies that are food sensitivities. Ryan says it's helpful for the patients to have their food sensitivities listed along with their food allergies, but it makes records more difficult to parse for research.   [30:14] Dr. Dellon says they identify EoE by billing code, but the codes are not always used accurately. Natural Language Processing can train a computer system to find important phrases. Their collaborators working on the real-world data are using it.   [30:59] Dr. Dellon hopes that this will be a future direction for this research to find anything in the text related to diet elimination.   [31:32] Dr. Jensen says that older patients were less likely to seek medication therapy. She says it's probably for a couple of reasons. First, older patients may have been living with the disease for a long time and have had compensatory mechanisms in place.   [32:03] The other reason may be senescence or burnout of the disease, long-term. Patients may be less symptomatic as they get older. That's a question that remains to be answered for EoE. It has been seen in some other disease processes.   [32:32] Dr. Dellon says there's not much data specifically looking at EoE in the older population. Dr. Dellon did work years ago with another doctor, and they found that older patients had a better response to some treatments, particularly topical steroids.   [32:54] It wasn't clear whether it was a milder aspect of the disease, easier to treat, or because they were older and more responsible, taking their medicines as prescribed, and having a better response rate. It's the flip side of work in the pediatric population.   [33:16] There is an increasingly aging population with EoE. Young EoE patients will someday be over 65. Dr. Dellon hopes there will be a cure by that point, but it's an expanding population now.   [33:38] Dr. Jensen says only a few sites are contributing data, so they hope to add additional sites to the study. For some of the less common outcomes, they need a pretty large patient sample to ask some of those kinds of questions.   [33:55] They will continue to follow up on some of the work that this abstract touched on and try to understand some of these issues more deeply.   [34:06] Dr. Dellon mentions other work within the cohort. Using Natural Language Processing, they are looking at characterizing endoscopy information and reporting it without a manual review of reports and codes. You can't get that from billing data.   [34:29] Similarly, they are trying to classify patient severity by the Index of Severity with EoE, and layer that on looking at treatments and outcomes based on disease severity. Those are a couple of other directions where this cohort is going.   [34:43] Holly mentions that this is one of many research projects Dr. Jensen and Dr. Dellon have collaborated on together. They also collaborate through EGID Partners. Holly asks them to share a little bit about that.   [34:53] Dr. Jensen says EGID Partners is an online registry where individuals, caregivers, and parents of children affected with EGIDs can join.   [35:07] EGID Partners also needs people who don't live with an EGID to join, as controls. That gives the ability to compare those who are experiencing an EGID relative to those who aren't.   [35:22] When you join EGID Partners, they provide you with a set of questionnaires to complete. Periodically, they push out a few more questionnaires.   [35:33] EGID Partners has provided some really great information about patient experience and answered questions that patients want to know about, like joint pain and symptoms outside the GI tract.   [36:04] To date, there are close to 900 participants in the registry from all over the world. As it continues to grow, it will give the ability to look at the patient experience in different geographical areas.   [36:26] Dr. Dellon says we try to have it be interactive, because it is a collaboration with patients. The Steering Committee works with APFED and other patient advocacy groups from around the world.    [36:41] The EGID Partners website shows general patient locations anonymously. It shows the breakdown of adults with the condition and caregivers of children with the condition, the symptom distribution, and the treatment distribution.   [37:03] As papers get published and abstracts are presented, EGID Partners puts them on the website. Once someone joins, they can suggest a research idea. Many of the studies they have done have come from patient suggestions.   [37:20] If there's an interesting idea for a survey, EGID Partners can push out a survey to everybody in the group and answer questions relatively quickly.   [37:57] Dr. Dellon says a paper came out recently about telehealth. EoE care, in particular, is a good model for telehealth because it can expand access for patients who don't have providers in their area.   [38:22] EoE is a condition where care involves a lot of discussion but not a lot of need for physical exams and direct contact, so telehealth can make things very efficient.    [38:52] EGID Partners surveyed patients about telehealth. They thought it was efficient and saved time, and they had the same kind of interactions as in person. In general, in-state insurance covered it. Patients were happy to do those kinds of visits again.   [39:27] Holly says Dr. Furuta, herself, and others were published in the Gastroenterology journal in 2019 about starting to do telehealth because patients coming to the Children's Hospital of Colorado from out of state had no local access to feeding therapy.   [39:50] Holly went to the board, and they allowed her to get licensure in different states. She started with some of the most impacted patients in Texas and Florida in 2011 and 2012. They collected data. They published in 2019 about telehealth's positive impact.   [40:13] When 2020 rolled around, Holly had trained a bunch of people on how to do feeding therapy via telehealth. You have to do all kinds of things, like make yourself disappear, to keep the kids engaged and in their chairs!   [40:25] Now it is Holly's primary practice. She has licenses in nine states. She sees people all over the country. With her diagnosis, her physicians at Mass General have telehealth licensure in Maine. She gets to do telehealth with them instead of driving two hours.   [40:53] Dr. Jensen tells of two of the things they hope to do at EGID Partners. One is trying to understand more about reproductive health for patients with an EGID diagnosis. Only a few studies have looked at this question, and with very small samples.   [41:15] As more people register for EGID Partners, Dr. Jensen is hoping to be able to ask some questions related to reproductive health outcomes.   [41:27] The second goal is a survey suggested by the Student Advisory Committee, asking questions related to the burden of disease specific to the teen population.   [41:48] This diagnosis can hit that population particularly hard, at a time when they are trying to build and sustain friendships and are transitioning to adult care and moving away from home. This patient population has a unique perspective we wanted to hear.   [42:11] Dr. Jensen and Dr. Dellon work on all kinds of other projects, too.   [42:22] Dr. Dellon says they have done a lot of work on the early-life factors that may predispose to EoE. They are working on a large epidemiologic study to get some insight into early-life factors, including factors that can be measured in baby teeth.   [42:42] That's outside of EGID Partners. It's been ongoing, and they're getting close, maybe over the next couple of years, to having some results.   [43:03] Ryan says all of those projects sound so interesting. We need to have you guys back to dive into those results when you have something finalized.   [43:15] For our listeners who want to learn more about eosinophilic disorders, we encourage you to visit apfed.org and check out the links in the show notes below.   [43:22] If you're looking to find specialists who treat eosinophilic disorders, we encourage you to use APFED's Specialist Finder at apfed.org/specialist.   [43:31] If you'd like to connect with others impacted by eosinophilic diseases, please join APFED's online community on the Inspire Network at apfed.org/connections.   [43:41] Ryan thanks Dr. Dellon and Dr. Jensen for joining us today. This was a fantastic conversation. Holly also thanks APFED's Education Partners GSK, Sanofi, Regeneron, and Takeda for supporting this episode.   Mentioned in This Episode: Evan S. Dellon, MD, MPH, Academic Gastroenterologist, University of North Carolina School of Medicine   Elizabeth T. Jensen, MPH, PhD, Epidemiologist, Wake Forest University School of Medicine, University of North Carolina at Chapel Hill   Predictors of Patients Receiving No Medication for Treatment of Eosinophilic Esophagitis in the United States: Data from the TARGET-EGIDS Cohort   Episode 15: Access to Specialty Care for Eosinophilic Esophagitis (EoE)   APFED on YouTube, Twitter, Facebook, Pinterest, Instagram Real Talk: Eosinophilic Diseases Podcast apfed.org/specialist apfed.org/connections apfed.org/research/clinical-trials   Education Partners: This episode of APFED's podcast is brought to you thanks to the support of GSK, Sanofi, Regeneron, and Takeda.   Tweetables:   "I've been working on eosinophilic gastrointestinal diseases for about 15 years. I started some of the early work around understanding possible risk factors for the development of disease. I've gone on to support lots of other research projects." — Elizabeth T. Jensen, MPH, PhD   "You can think of EoE as asthma of the esophagus or eczema of the esophagus, although in general, people don't grow out of EoE, like they might grow out of eczema or asthma. When people have it, it really is a long-term condition." — Evan S. Dellon, MD, MPH   "There are two general approaches to treating the underlying condition, … using medicines and/or eliminating foods from the diet that we think may trigger EoE. I should say, for a lot of people, EoE is a food-triggered allergic condition." — Evan S. Dellon, MD, MPH   "I didn't find it that surprising [that there are patients who had no treatment]. Some patients are relatively asymptomatic, and others are not interested in pursuing medications initially or are … still exploring dietary treatment options." — Elizabeth T. Jensen, MPH, PhD   "We have a bunch of studies now that look at how long people have symptoms before they're diagnosed. There's a wide range. Some people get symptoms and are diagnosed right away. Other people might have symptoms for 20 or 30 years." — Evan S. Dellon, MD, MPH   "EGID Partners is an online registry where individuals, caregivers, and parents of children affected with EGIDs can join. EGID Partners also needs people who don't live with an EGID to join, as controls." — Elizabeth T. Jensen, MPH, PhD

[SPONSORED] Empty shelves in a hospital aren't just an inconvenience—they can delay care. Other industries solved this problem years ago with predictive tools and smarter supply chains.At the 2025 Oracle Health Summit, Kristen Miles, Vice President of Healthcare Product Strategy at Oracle, discusses how automation, robotics, and AI are reshaping supply chain management in healthcare. Miles explains how Oracle is adapting lessons from retail and logistics, integrating them directly with Oracle's EHR, and helping clinicians see inventory status at the bedside. Do you believe that the lessons from retail can be effectively applied in healthcare? Share your thoughts in the comment.

Mitchell Thornbrugh, CIO and director of the Office of Information Technology at the Indian Health Service (IHS), is leading a transformative effort to modernize health care delivery for Native American and Alaska Native communities. Patients at the Heart Electronic Health Record (PATH EHR) is an enterprise-wide initiative uniting more than 200 staff from federal, tribal and urban health facilities. At the core of Thornbrugh's vision is an understanding that rural and underserved areas face distinct health care challenges, including limited resources and workforce shortages. By approaching EHR modernization through the lens of community impact, IHS is positioning itself as a leader in redefining how digital health serves patients across vast and diverse regions. Thornbrugh emphasizes that the true breakthrough lies in data liberation — unlocking decades of health records to improve outcomes and guide smarter decision-making. This patient-first, data-driven approach ensures PATH EHR is not only a milestone for Native health systems today but also a blueprint for health care transformation for generations to come.

In this episode of Bright Spots in Healthcare, recorded live at the HLTH 2025 conference in Las Vegas, Eric Glazer sits down with Scott Arnold from Tampa General Hospital, one of the nation's leading academic health systems, to explore their ambitious digital transformation journey. The conversation dives deep into how TGH built a unified digital foundation across a large, geographically dispersed system, enabling them to scale AI solutions that deliver measurable impact on operations, patient care, and the clinician experience. Scott shares his blueprint for modernizing a major health system, moving AI from pilot project to enterprise-wide tool, and provides practical lessons for health system and health plan leaders seeking to reduce burnout, improve satisfaction, and bring innovation to scale. The conversation dives into: Why a single digital operating system, standardizing the EHR, analytics, and phone systems, is the non-negotiable foundation for scalable AI and consistent patient experience The function of TGH Ventures, the dedicated venture arm used to fund and rapidly implement market-vetted digital health solutions The strategy for prioritizing AI deployment by focusing on human-centric problems, such as clinician burnout and nursing staff turnover How TGH partnered with Palantir to create an AI-enabled Care Coordination Operating System (CCOS) that uses real-time data to optimize patient flow and predict risk The critical need for operational governance to prevent AI from being layered on fragmented infrastructure, which often leads to "faster chaos" Building a culture that is grounded in trust, speed, and experimentation to ensure the organization can keep pace with rapid technological evolution This discussion offers a pragmatic, replicable blueprint for any health system ready to modernize with intention and urgency, demonstrating how digital transformation can be grounded in practicality, not just hype. References: Charlie Munger's famous quote "Trust is one of the greatest economic forces on Earth" Learning from outside healthcare: Scott's view on "taking a page out of Apple" and applying consumer-grade principles to hospital system design Scott Arnold's Bio: https://www.tgh.org/about-tgh/tampa-general-hospital-leadership/scott-arnold Partner with Bright Spots Ventures: If you are interested in speaking with the Bright Spots Ventures team to brainstorm how we can help you grow your business via content and relationships, email hkrish@brightspotsventures.com About Bright Spots Ventures: Bright Spots Ventures is a healthcare strategy and engagement company that creates content, communities, and connections to accelerate innovation. We help healthcare leaders discover what's working, and how to scale it. By bringing together health plan, hospital, and solution leaders, we facilitate the exchange of ideas that lead to measurable impact. Through our podcast, executive councils, private events, and go-to-market strategy work, we surface and amplify the "bright spots" in healthcare—proven innovations others can learn from and replicate. At our core, we exist to create trusted relationships that make real progress possible. Visit our website at www.brightspotsinhealthcare.com. Visit our website:  www.brightspotsinhealthcare.com. Follow Bright Spots in Healthcare: https://www.linkedin.com/company/shared-purpose-connect/

About Charlie Harp:Charlie Harp is the CEO of Clinical Architecture, where he has led the company for over 16 years in its mission to revolutionize healthcare data quality and interoperability. Under his leadership, Clinical Architecture has become the industry's leading provider of healthcare terminology management solutions, empowering organizations to enhance the accuracy, usability, and value of clinical data across systems. With deep expertise in electronic health records (EHR) and healthcare information systems, Charlie has spearheaded the development of cutting-edge software products and driven major initiatives in process improvement, project management, and data strategy—boosting efficiency and profitability across the organization.Before founding and growing Clinical Architecture, Charlie held senior technology and leadership roles at First DataBank, Zynx Health, Medi-Span, Covance, and SmithKline Beecham Clinical Labs, where he consistently delivered innovative solutions that advanced healthcare IT infrastructure. Beyond his executive work, Charlie is a healthcare data quality evangelist and host of the Informonster Podcast, where he explores the evolving intersection of healthcare, technology, and data. A graduate of California State Polytechnic University–Pomona and the Hearst Management Institute, Charlie remains deeply committed to enhancing the healthcare ecosystem through improved data and advanced technology.Things You'll Learn:AI in healthcare is only as good as the data it's trained on; poor data leads to dangerous outcomes and lost trust.The Patient Information Quality Improvement Framework (PIQI) aims to measure and improve healthcare data quality through an open-source, industry-wide standard.Data quality has a direct impact on everything from reimbursement accuracy to clinical decision-making and patient safety.Healthcare's transformation won't come from disruption but from gradual, data-driven evolution focused on interoperability and usability.Investing in data quality is like adopting a healthy lifestyle; it's hard work, but the long-term benefits far outweigh the short-term effort.Resources:Connect with and follow Charlie Harp on LinkedIn.Follow Clinical Architecture on LinkedIn.Visit the Clinical Architecture website. Listen to Charlie's previous interview on the podcast here.Check out The Informonster Podcast here.

Meet Dominique Gross, CEO of Hart, a Kansas City–based health IT company focused on interoperability and data management across healthcare organizations. Dominique explains Hart's four core solutions—EHR-to-EHR data migration, compliant archival of clinical and financial data, real-time data streaming for population health, and disaster recovery—delivered via a technology-first middleware platform. She shares how a decade of configuration know-how across nearly 200 EHRs reduces human error and accelerates quality outcomes. On growth, Dominique details a dual LinkedIn strategy (account-based ads plus employee-amplified organic), partner co-marketing, and a website overhaul emphasizing clarity, education, A/B-tested copy, and conversion-ready landing pages. Practical takeaways: clear value propositions, helpful checklists/guides, transparent pricing, fewer form fields, and heat-map-driven UX improvements.   

What happens when old-school chiropractic passion collides with cutting-edge AI? In this episode, Dr. Lauryn sits down with Dr. Beau Pierce for a wildly compelling conversation that starts with the roots of chiropractic philosophy, advocacy, and identity — and ends in the fast-approaching future of AI-powered practice growth. From political battles to professional awakening, Beau's story reads like three careers compressed into one…and it reveals why chiropractic may be on the verge of its biggest evolution yet.Together, they dive into why the early “cult-like fire” of chiropractic mattered, how evidence is finally catching up to philosophy, and what AI tools are poised to transform everything from documentation to patient education. They also break down Beau's new AI projects, the rise of chiropractic-specific tech, and what the upcoming Virtual Chiropractic AI Summit will mean for every doctor who wants to grow smarter — not busier. If you want to understand where the profession is headed, this episode is your roadmap.Key Takeaways:Chiropractic's philosophical roots are resurging as younger and mid-career docs seek clarity, conviction, and identity in a rapidly shifting healthcare landscape.AI is the next major evolution of chiropractic, offering faster documentation, higher patient engagement, smarter EHR systems, and tools that finally demonstrate the neurological impact of adjustments.Advocacy is changing, and chiropractors must embrace both evidence and authenticity as they lead patients through an uncertain healthcare era.Future-ready practices will win, especially those that combine strong systems, AI-powered tools, and a bold voice rooted in chiropractic's original mission.About the Guest:Dr. Beau Pierce is a second-generation chiropractor, entrepreneur, filmmaker, and founder of multiple high-impact chiropractic ventures. With over 15 years of clinical experience, he blends classic chiropractic philosophy with modern systems and technology to help doctors build sustainable, profitable, and mission-driven practices. Beau is the creator of ChiroCoach.ai, co-founder of the Well-Rounded Agency, and producer of several documentary series including the landmark Vaccines Revealed project. Known for his advocacy, innovation, and bold leadership, he is currently spearheading the Virtual Chiropractic AI Summit to help practitioners understand and integrate the next wave of AI tools into everyday practice.Transform your business with Chiropractic Business AcademyCheck out ChiroCoach, the new AI tools for chiropractors from Dr. BeauFollow Dr. Beau on Instagram Resources:Join The Uncharted CEO: An 8-week immersive experience for clinic owners designed to increase revenue, maximize profits, and build cash flow systems that create freedom NOW, not at 65.Follow Dr. Lauryn: Instagram | X | LinkedIn | FacebookFollow She Slays on YouTubeSign up for the

Steve O'Neill joins Ethics Talk to discuss his article, coauthored with Dr Catherine M. DesRoches: "Whom Should We Regard as a Legitimate Stakeholder in the Accuracy of Information in a Patient's EHR?"  Recorded August 6, 2025.  Read the full article for free at JournalOfEthics.org

After 43 days, the longest federal government shutdown in history has ended. President Donald Trump signed the legislative spending package into law late Wednesday night after the House passed it 222-209. While the reopening of the government is certainly a step in a positive direction, it comes with lingering questions. First and foremost on that list is whether much of the government will be right back facing the threat of a second shutdown come the end of January, when the continuing resolution is set to expire for a large block of federal agencies. However some agencies, like the Department of Veterans Affairs, Agriculture and the Food and Drug Administration, as well as the legislative branch, will receive full appropriations through fiscal 2026 as lawmakers on the subcommittees that oversee them were able to pass full funding bills as part of the package. On top of that, though the government's doors are officially back open for business, there will be some lag in getting key services back online and returning workers to their posts. Issues that were key during the 43-day saga like air travel operations and SNAP benefits will take some time to return to normal. As will paying federal employees who were furloughed without pay during the shutdown. And, it's not clear yet what the end of the shutdown could mean for federal employees who were removed from their jobs via reductions in force since Oct. 1. The congressional package that reopened the government placed a caveat on funding for the Department of Veterans Affairs' Electronic Health Record system, putting new pressure on the agency to resolve its yearslong challenges with the rollout. The bill to fund the VA through fiscal 2026 will dish out $3.4 billion for the EHR rollout, but the full amount is contingent on the agency updating Congress on the revised timeline and cost estimates. The provision, tucked into the 394-page spending package, would withhold 30% of the funding until July of next year and gives the agency secretary until June 1 to hand over the requested information. This information includes an updated life-cycle cost estimate for the EHR Modernization program, based on the VA's announcement earlier this year to accelerate deployments in nine facilities. The Senate also requested a facility-by-facility deployment schedule for all facilities expected to receive the EHRM program, along with the projected federal VA staffing levels and required resources. The secretary is also expected to certify that all VA facilities using the EHR have exceeded or met health care performance metrics and certify that the department has at least four consecutive, successful site deployments without delays or patient harm. It comes after Senate staff was informed in 2023 that the rollout of the EHR system was linked to six cases of “catastrophic harm,” including four deaths. Later that year, the Biden administration paused the EHR rollout. The Daily Scoop Podcast is available every Monday-Friday afternoon. If you want to hear more of the latest from Washington, subscribe to The Daily Scoop Podcast  on Apple Podcasts, Soundcloud, Spotify and YouTube.

Building a group practice isn't just about scaling your business; it's about creating freedom. In this episode of The Traveling Therapist Podcast, I chat with Julia Nepini about how she built her thriving group practice from the ground up and learned to confidently step away, travel the world, and still keep everything running smoothly. Julia shares how she moved from burnout to balance and what it really takes to delegate, trust your team, and embrace the CEO role.In This Episode, We Explore…How Julia transitioned from solo therapist to group practice owner.The moment she knew she could step away and still generate income.Overcoming burnout and finding balance as a business owner and mom.How travel, retreats, and speaking opportunities became part of her business.Why delegation and trust are key to freedom in private practice.Connect with Julia:Website: https://www.compassionatecounselingcompany.com/Instagram: https://www.instagram.com/compassionateconsultingcompany/LinkedIn: https://www.linkedin.com/in/julia-nepini-licsw-29a7b5215/_____________________Are you ready to take the plunge and become a Traveling Therapist? Whether you want to be a full-time digital nomad or just want the flexibility to bring your practice with you while you travel a couple of times a year, the Portable Practice Method will give you the framework to be protected! ➡️ JOIN NOW: www.portablepracticemethod.com/Connect with me: www.instagram.com/thetravelingtherapist_kym www.facebook.com/groups/onlineandtraveling/ www.thetravelingtherapist.com The Traveling Therapist Podcast is Sponsored by: Berries: Say goodbye to the burden of mental health notes with automated note and treatment plan creation! www.heyberries.com/therapists Alma: Alma is on a mission to simplify access to mental health care by focusing first and foremost on supporting clinicians. www.helloalma.com/kym Sessions Health: Built for traveling therapists with global EHR access, clean interface, and therapist-friendly pricing at just $39/month. www.sessionshealth.com/kym

Anne Meneghetti, Executive  Director of epocrates, is focused on medication management and providing tools for clinicians to better handle challenges from the increasing population of patients who take multiple drugs and are treating a wide variety of conditions. The epocrates app provides access to drug information, pill identification, checks for interactions, and calculates dosing, reducing medication errors and patient confusion. Polypharmacy patients are further at risk when they are taking over-the-counter drugs and supplements, requiring regular medication reconcilation to avoid serious drug interactions. Anne explains, "So epocrates has been around since the late 1990s, and it's the number one mobile medical app in the country in terms of physician usership. And it's both a free model and a subscription model. The main reason why clinicians use epocrates is because of the drug information. So, quickly looking up a drug dose, for example, if a drug needs to be prescribed by weight, what is the calculation for that? And there's no way that clinicians can memorize 8,000 drugs. So having it in a quick, easy-to-use app is really crucial in modern times. And sometimes it's not that the clinician doesn't know the dose of the drug, it's just that validation. When you pick up an app and look and see, yep, that's what I thought it was. And that validation, that sense of confidence, is something really precious for a busy clinician. We also use it for drug interactions." "We find that clinicians really value drug interactions because you can't memorize 8,000 drugs interacting with 8,000 other drugs. And your EHR might tell you if you're trying to prescribe two drugs at the same time, your EHR might tell you, oh, red light, green light, yellow light. But a really good drug reference, like epocrates can tell you, if you're going to prescribe these two drugs together, you need to cut the dose of this one in half and you need to monitor the potassium levels. We find that clinicians really value drug interactions because you can't memorize 8,000 drugs interacting with 8,000 other drugs. And your EHR might tell you if you're trying to prescribe two drugs at the same time, your EHR might tell you, oh, red light, green light, yellow light. But a really good drug reference, like epocrates can tell you, if you're going to prescribe these two drugs together, you need to cut the dose of this one in half and you need to monitor the potassium levels."    #epocrates #MedicationManagement #Polypharmacy #DrugInteractions #DigitalHealth epocrates.com Download the transcript

Anne Meneghetti, Executive  Director of epocrates, is focused on medication management and providing tools for clinicians to better handle challenges from the increasing population of patients who take multiple drugs and are treating a wide variety of conditions. The epocrates app provides access to drug information, pill identification, checks for interactions, and calculates dosing, reducing medication errors and patient confusion. Polypharmacy patients are further at risk when they are taking over-the-counter drugs and supplements, requiring regular medication reconcilation to avoid serious drug interactions. Anne explains, "So epocrates has been around since the late 1990s, and it's the number one mobile medical app in the country in terms of physician usership. And it's both a free model and a subscription model. The main reason why clinicians use epocrates is because of the drug information. So, quickly looking up a drug dose, for example, if a drug needs to be prescribed by weight, what is the calculation for that? And there's no way that clinicians can memorize 8,000 drugs. So having it in a quick, easy-to-use app is really crucial in modern times. And sometimes it's not that the clinician doesn't know the dose of the drug, it's just that validation. When you pick up an app and look and see, yep, that's what I thought it was. And that validation, that sense of confidence, is something really precious for a busy clinician. We also use it for drug interactions." "We find that clinicians really value drug interactions because you can't memorize 8,000 drugs interacting with 8,000 other drugs. And your EHR might tell you if you're trying to prescribe two drugs at the same time, your EHR might tell you, oh, red light, green light, yellow light. But a really good drug reference, like epocrates can tell you, if you're going to prescribe these two drugs together, you need to cut the dose of this one in half and you need to monitor the potassium levels. We find that clinicians really value drug interactions because you can't memorize 8,000 drugs interacting with 8,000 other drugs. And your EHR might tell you if you're trying to prescribe two drugs at the same time, your EHR might tell you, oh, red light, green light, yellow light. But a really good drug reference, like epocrates can tell you, if you're going to prescribe these two drugs together, you need to cut the dose of this one in half and you need to monitor the potassium levels."    #epocrates #MedicationManagement #Polypharmacy #DrugInteractions #DigitalHealth epocrates.com Listen to the podcast here

If you've ever felt frustrated by missed client inquiries or uncertain about whether your marketing is actually working, you're not alone.  Many practice owners rely on spreadsheets, sticky notes, and scattered inboxes to manage new leads — and the result is lost revenue, inconsistent follow-up, and plenty of sleepless nights. In today's episode, I'm joined by Brent Stutzman, founder of TheraSaaS, a HIPAA-compliant CRM built specifically for therapists in private practice.  Brent brings years of experience helping practices scale through smarter marketing systems, and he's here to share how a CRM can completely transform your sales and marketing process. You'll learn how to bring all your leads, communications, and marketing efforts into one central place, so nothing falls through the cracks and you can make confident, data-informed decisions about your practice's growth. In this episode, you'll learn: The three levels of CRM implementation that save hours each week and boost conversions How to track exactly where your best clients come from — and why a 50/50 Google-to-referral ratio signals a healthy practice The difference between a CRM and your EHR, and why they're not interchangeable Why consistent, value-based follow-up sets your practice apart from the competition Simple automation ideas to respond faster, build trust, and stay connected with potential clients Links mentioned in this episode: TheraSaaS: therasaas.com 157. How to Position Yourself As the #1 Trusted Practice In Your Community Brent Stutzman   Watch The Video:   This Episode Is Brought To You By: RevKey specializes in Google Ads management for therapists, expertly connecting you with your ideal clients. They focus on getting quality referrals that keep your team busy and your practice growing.   Visit RevKey.com/podcasts for a free Google Ads consultation   Alma is on a mission to simplify access to high-quality, affordable mental health care by giving providers the tools they need to build thriving in-network private practices. When providers join Alma, they gain access to insurance support, teletherapy software, client referrals, automated billing and scheduling tools, and a vibrant community of clinicians who come together for education, training, and events.   Learn more about building a thriving private practice with Alma at helloalma.com/elevation. About Brent Stutzman After helping his wife successfully launch her counseling practice in 2016, Brent Stutzman saw a need to help other practice owners build powerful sales funnels to grow their brand and practices. Since then he's launched over 12 private pay practices across the country, a CRM software for therapists called TheraSaaS, and an eCourse called Private Pay Practice Program.   His mission is to help 30,000 private practice owners launch, grow, or scale their practices by 2030.   He's a former Storybrand Guide and lives in Chicagoland with his wife of 21 years, and their 4 beautiful children. About Daniel Fava Daniel Fava is the owner and founder of  Private Practice Elevation, a website and SEO agency focused on helping private practice owners create websites that increase their online visibility and attract more clients. Private Practice Elevation offers web design services, SEO (search engine optimization), and WordPress support to help private practice owners grow their businesses through online marketing.    Daniel lives in Atlanta, GA with his wife Liz, and two energetic boys. When he's not working he enjoys hiking by the river, watching hockey, and enjoying a dram of bourbon.  

This week's guest is Ryan Owens. Ryan spent years as a substance use disorder counselor before going into sales at ZenCharts to help addiction treatment centers implement better EHR systems. He then worked his way from AE → Sales Director at YAROOMS before joining his current company AutoNotes, where he is the Director of Sales. At AutoNotes they are helping over 75,000 therapists save time on Progress Notes. Outside of work, he holds the titles of son, brother, husband, soon to be father, as well as his own internal title of Recovery Alcoholic, and is over 4,000 days sober. His experiences allow him to have real conversations about what's broken for therapists and how they can fix it. In this week's episode, we discussed:Ryan's journey to recovery “Move a muscle, change a thought”Finding the right industry for youMental Health Industry TrendsMuch MorePlease enjoy this week's episode with Ryan Owens____________________________________________________________________________I am now in the early stages of writing my first book! In this book, I will be telling my story of getting into sales and the lessons I have learned so far, and intertwine stories, tips, and advice from the Top Sales Professionals In The World! As a first time author, I want to share these interviews with you all, and take you on this book writing journey with me! Like the show? Subscribe to the email: https://mailchi.mp/a71e58dacffb/welcome-to-the-20-podcast-communityI want your feedback!Reach out to 20percentpodcastquestions@gmdail.com, or find me on LinkedIn.If you know anyone who would benefit from this show, share it along! If you know of anyone who would be great to interview, please drop me a line!Enjoy the show!

Want a real look at how independent orthopaedic groups thrive while hospitals buy up urgent cares, primary care, and the referral rails? Dr. Doug Lundy, AOA host, sits down with Dr. Kimmerly, president at Peachtree Orthopedics in Atlanta, to unpack how a 44-physician practice stays nimble, patient-centered, and profitable in a market dominated by large systems and complex EHR ecosystems. The story isn't about being the biggest—it's about building a vertically integrated experience that moves patients from access to outcome with speed and clarity.If this resonated, follow the show, share it with a colleague who's weighing independence vs employment, and leave a quick review with your biggest takeaway. Your feedback helps more surgeons find conversations that matter.

[SPONSORED] Every vendor is talking about AI—but who's actually making it work in healthcare? At the Oracle Health Summit, we pressed Seema Verma on how Oracle plans to turn promises into real-world change for clinicians and patients.Seema Verma, EVP and GM of Oracle Health, sat down with us to go beyond the headlines. From automation in revenue cycle to clinical trial matching inside the EHR, she explains how Oracle Health is tying AI to its broader product suite—HR, supply chain, finance—and why the company is dedicating itself on being an ecosystem-friendly player (read: no walled gardens).What's your take? Do you think Oracle's new AI-first EHR will deliver as promised? Are you excited about the company's openness to partnering with other innovators? Drop your thoughts below.

Ever wondered how to create a thriving private pay practice that gives you freedom, flexibility, and the chance to travel the world? In this episode of The Traveling Therapist Podcast, I chat with Jessica Harris, a single mom and therapist who went from barely getting by after grad school to building (and selling!) a successful private practice. Now, she runs a coaching business teaching other therapists how to find cash pay clients and create the lives they dream about.Jessica shares her journey from working in agencies to launching her own business, traveling with her daughter, and discovering that mindset and strategy go hand in hand when it comes to success.In This Episode, We Explore…How Jessica transitioned from agency work to her own private pay practice.The steps she used to attract consistent cash pay clients.Scaling from solo practice to group practice and eventually selling it.Building a coaching business that helps therapists grow their income.Balancing travel, business, and motherhood as a single mom.Connect with Jessica:Website: https://www.empoweringtherapists.com/Instagram: https://www.instagram.com/empoweringtherapistsFacebook Group: https://www.facebook.com/groups/privatepaytherapy_____________________Are you ready to take the plunge and become a Traveling Therapist? Whether you want to be a full-time digital nomad or just want the flexibility to bring your practice with you while you travel a couple of times a year, the Portable Practice Method will give you the framework to be protected! ➡️ JOIN NOW: www.portablepracticemethod.com/Connect with me: www.instagram.com/thetravelingtherapist_kym www.facebook.com/groups/onlineandtraveling/ www.thetravelingtherapist.com The Traveling Therapist Podcast is Sponsored by: Berries: Say goodbye to the burden of mental health notes with automated note and treatment plan creation! www.heyberries.com/therapists Alma: Alma is on a mission to simplify access to mental health care by focusing first and foremost on supporting clinicians. www.helloalma.com/kym Sessions Health: Built for traveling therapists with global EHR access, clean interface, and therapist-friendly pricing at just $39/month. www.sessionshealth.com/kym

Dr. Neil Evans, Acting Program Executive Officer for the Department of Veterans Affairs' Electronic Health Record Modernization Integration Office, provided an update on the rollout of the common electronic health record (EHR). The VA paused the rollout in 2023 following optimization and reliability issues. Evans outlined plans to restart deployment in April 2026 at select sites in Michigan, with a target of full, enterprise-wide implementation by 2031. He described the VA's wave-based deployment schedule, which leverages user feedback and lessons learned from the National Oceanic and Atmospheric Administration and the War Department, both of which have deployed the common EHR. Evans discussed the challenges and opportunities the EHR presents for veterans and active military personnel alike.

Morris Hospital and Healthcare Centers is quite small: an independent, rural system of clinics including an 89-bed hospital. Yet the system is the largest employer in Morris, IL. In this interview, Kim Landers, their Vice President of Patient Care and Chief Nurse Executive, explains how they remain relevant and solvent, and the aid provided by moving to the MEDITECH Expanse online platform.While always having used MEDITECH as their EHR, Morris went online with Expanse in 2023. This move brought together all departments, which had previously used four different platforms. The unification of records was especially important in pulling together the ambulatory and in-patient settings.Learn more about Morris Hospital: https://www.morrishospital.org/Learn more about MEDITECH: https://ehr.meditech.com/Healthcare IT Community: https://www.healthcareittoday.com/

Same revenue, different life: EHR tells the truth. See why RPE needs context—and what to fix first.

Dr. Jeanette Benigas, SLP, sits down with Oregon SLP Kara Hayden, MS/SLP, to unpack how clinicians organized, lobbied, and helped pass a state law requiring hourly pay, ending pay-per-visit in home health and hospice. They cover timelines, productivity pressure, joining an existing nurses' union, building a small core team, securing a sponsor, writing testimony, and answering the big question: “Won't agencies just pay less?” If you're ready to push for change in your state, pay models, Medicaid rules, or workplace policies, this episode gives you the blueprint and the courage to start.Brought to you by Verse Therapy, the business-in-a-box solution for SLPs who want to start, run, and grow private practice with confidence. Verse Therapy makes private practice a realistic option by providing an AI-integrated EHR, marketing support, cohort trainings, and a team that helps you build your brand and run your practice like a pro. Learn more at versetherapy.com.Stop paying to track ASHA-approved CEUs. Save your money and set up for a FREE CEU/PDH tracker with Speech Therapy PD. While you are there, get $10 off a professional subscription with the code FixSLP10!

Balancing a therapy practice, parenting, and full-time travel might sound impossible, but for Fightress Aaron, it's a way of life. In this episode of The Traveling Therapist Podcast, I chat with her about how her family turned a spontaneous nine-day trip to Portugal into nine unforgettable weeks, and how that experience launched their worldschooling journey.We dive into the realities of raising and educating three kids on the road, running a therapy practice from anywhere, and creating a remote-friendly coworking space for clinicians. Fightress shares so many gold nuggets about flexible living, family connection, and building a business that supports your freedom.In This Episode, We Explore…How a spontaneous trip to Portugal sparked a worldschooling journey.Traveling with kids while homeschooling and running a therapy practice.Building a HIPAA-compliant coworking space for therapists.Tools for staying connected abroad (including Airalo and Spectrum Mobile).The difference between homeschooling and worldschooling.Connect with Fightress:New Beginnings Counseling - https://www.nbcounselingllc.comWellness Oasis​ Pike Road - https://www.wellnessoasispikeroad.comHomeschooling Conference - https://inspiredcalgary.com/speakers/_____________________Are you ready to take the plunge and become a Traveling Therapist? Whether you want to be a full-time digital nomad or just want the flexibility to bring your practice with you while you travel a couple of times a year, the Portable Practice Method will give you the framework to be protected! ➡️ JOIN NOW: www.portablepracticemethod.com/Connect with me: www.instagram.com/thetravelingtherapist_kym www.facebook.com/groups/onlineandtraveling/ www.thetravelingtherapist.com The Traveling Therapist Podcast is Sponsored by: Berries: Say goodbye to the burden of mental health notes with automated note and treatment plan creation! www.heyberries.com/therapists Alma: Alma is on a mission to simplify access to mental health care by focusing first and foremost on supporting clinicians. www.helloalma.com/kym Sessions Health: Built for traveling therapists with global EHR access, clean interface, and therapist-friendly pricing at just $39/month. www.sessionshealth.com/kym

What Keeps You Up at Night? – Tales from the Digital Frontier  Trust, Scale, and Strategy: What We Still Get Wrong About Digital Health Execution  Host and Guest: Russ Branzell, CHIME President & CEO  Phil Sobol, Chief Commercial Officer, CereCore Podcast DescriptionRuss Branzell, President and CEO of CHIME, sits down with Phil Sobol, Chief Commercial Officer at CereCore, to explore the real pressures and opportunities facing digital health leaders today. From navigating operational realities and scaling EHR innovations to separating hype from impact in data and interoperability, Phil shares candid insights from the frontlines of healthcare technology. Together, they explore the importance of trust, relationship-driven strategy, and bold investments in people and long-term growth.Key Takeaways:The operational complexities – including staffing shortages and large-scale tech transitions – that are challenging digital health leaders to rethink strategy and execution.Overhyped trends in digital health, and the solutions driving measurable impact inside health systems to improve interoperability and patient care.Strategies for scaling successful pilot programs to enterprise-wide adoption of EHR and other digital initiatives.Best practices for building trust and credibility with healthcare leaders in a crowded technology landscape.Bold leadership strategies to drive sustainable growth and innovation in healthcare services.

Over 3 million clinicians around the world depend on UpToDate to guide patient care, and now the gold standard in clinical decision support is integrating generative AI. But in a world where AI models often hallucinate, how do you build something that doctors can actually trust?In this episode, Halle talks with Dr. Holly Urban, VP of Business Development and Strategy at Wolters Kluwer Health, about UpToDate Expert AI, a new tool trained exclusively on UpToDate's physician-authored content — not the open internet — and what it means for the future of medicine.We cover:

This episode recorded live at Becker's 31st Annual The Business and Operations of ASCs features Carrie Marut, Administrator, Mentor Surgery Center. She shares insights on patient-driven ASC growth, the benefits of EHR adoption, and the importance of collaboration with hospitals and vendors to improve efficiency and patient experience.

In this episode, we explore RheumCode, a groundbreaking new initiative from the American College of Rheumatology (ACR) designed to build a common digital language for rheumatology. RheumCode aims to ensure that data means the same thing wherever it lives—whether in an EHR, a clinic, or a registry—enabling systems to seamlessly communicate and make better use of the medical information already being documented. We discussed how RheumCode began, the collaboration behind its development, and its potential to transform the way clinicians practice; researchers study disease, and patients experience their care.  This episode was sponsored by Pfizer  

CIO Report: Clinical Data Migration Challenges and Best Practice Advice On this episode, host Beth Friedman sits down with Darin Ryder, Senior Vice President at e4health and former IT executive at UF Health, Brookmeade Healthcare, and several national consulting firms. Recorded live at the Georgia HIMSS Annual Conference, their conversation centers on a recent CIO survey and roundtable led by e4health. They discuss beyond the buzzwords, tackling the realities of clinical data migrations during EHR implementations and IT consolidations. Ryder shares insights on what's changed in migration strategies, how to preserve clinical data integrity long-term, and why ignoring legacy systems is a CIO's ticking time bomb. If you're navigating EHR transitions, consolidations, or the never-ending headache of legacy data, this episode offers practical takeaways to keep your systems, and your sanity intact. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/

Disciplined, purpose-driven innovation, anchored in governance, data, and the human experience, beats shiny-object hype.In this mega-episode, Lisa Fry, Chief Strategy & Innovation Officer at SCP Health, discusses “purposeful innovation” that reduces clinician burden and elevates patient experience: ED-volume prediction to align coverage, early pilots of ambient scribing, and patient-preferred models like hospital-at-home. She explains the guardrails, an enterprise architecture review board, commitments to core platforms, and stage-gated pilots with predefined success metrics, to avoid the “tyranny of the urgent” and scale only what works. Nancye Feistritzer, DNP, RN—VP, Center for Care Delivery & Innovation at Emory Healthcare, talks about how bold initiatives, including the Apple hospital work and implementing Epic on Apple devices, succeed only when they explicitly align with an organization's strategy, mission, and values. Nick Yaitsky, Board Member for TAG Digital Health, urges outcome-first AI roadmaps: accept that healthcare data is imperfect, mitigate bias by fine-tuning models to local populations and even individual patients, and build trust in the same way we came to trust GPS, through consistent, measurable results and governance. Olga Ryzhikova, Founding Partner at Kepler Team, tackles adoption by starting integration where clinicians work (SMART on FHIR/SSO), designing modern user experiences, and favoring ambient, low-click workflows so tools remain in use. Ron Strachan, Global Healthcare CIO Advisor, addresses rural access, noting that resilient, low-bandwidth virtual care and platform economies can “meet patients where they are.” His own brain-tumor journey underscores how imaging precision and reliable infrastructure can change outcomes. Finally, Wes Whitaker, AVP of Growth Strategy & Data Analytics, shows population health at scale: unifying EHR, eligibility, claims, and ADT into a modern cloud/Databricks stack, then applying predictive models to anticipate ER visits, target outreach, drive attribution, and prove ROI, while tightening security with role-based access. Together, their message is clear: govern hard, integrate early, pilot fast, measure relentlessly, and scale empathetically. Tune in and learn how to innovate with rigor, scale with empathy, and deliver measurable value!ResourcesConnect with Lisa Fry on LinkedIn here.Follow SCP Health on LinkedIn here and visit their website here.Follow and connect with Nancye Feistritzer on LinkedIn.Learn more about Emory Healthcare on LinkedIn and their website.Connect with and follow Nick Yaitsky on LinkedIn.Discover more about the TAG Digital Health Society on LinkedIn and explore their website.Follow and connect with Olga Ryzhikova on LinkedIn.Learn more about the Kepler Team on their LinkedIn and explore their website.Connect with Ron Strachan on LinkedIn here.Explore Zoom's website and learn more about them on their LinkedIn.Follow and connect with Wes Whitaker on LinkedIn.Discover more about Premise Health on their LinkedIn and visit their website.

Send us a textThis Quick Tip breaks down Automation vs. Artificial Intelligence for private practices—what they are, where they overlap, and how to deploy each for maximum ROI. You'll learn how rule-based automation (think: EHR billing runs, appointment confirmations, Calendly/Acuity reminders, Zapier workflows, Keap/Infusionsoft logic trees) eliminates repetitive tasks, while AI (machine learning–driven tools like HIPAA-ready note-takers, smart chatbots, and content generators such as ChatGPT/Jasper/Scribe PT) adapts to data, drafts documentation, analyzes client trends, and improves over time. We cover real clinic use cases—scheduling, reminders, billing, compliance alerts, HR/licensure tracking—and a critical caution on data quality and HIPAA compliance when using AI for clinical or revenue-cycle decisions. Bottom line: Automate the predictable, add AI where nuance and analysis drive outcomes. If you want fewer no-shows, faster documentation, tighter cash flow, and better patient communication, this episode gives you a practical roadmap to implement both—safely, ethically, and profitably.Welcome to Private Practice Survival Guide Podcast hosted by Brandon Seigel! Brandon Seigel, President of Wellness Works Management Partners, is an internationally known private practice consultant with over fifteen years of executive leadership experience. Seigel's book "The Private Practice Survival Guide" takes private practice entrepreneurs on a journey to unlocking key strategies for surviving―and thriving―in today's business environment. Now Brandon Seigel goes beyond the book and brings the same great tips, tricks, and anecdotes to improve your private practice in this companion podcast. Get In Touch With MePodcast Website: https://www.privatepracticesurvivalguide.com/LinkedIn: https://www.linkedin.com/in/brandonseigel/Instagram: https://www.instagram.com/brandonseigel/https://wellnessworksmedicalbilling.com/Private Practice Survival Guide Book

Kerry Mello-Parker, Director of Rare Diseases and REMS programs at Shields Health Solutions, addresses the complexities and challenges faced by patients with rare diseases including diagnostic delays and limited access to medication. Using an integrated specialty pharmacy model, Shields works with pharmacists to have direct access to the EHR, enabling better patient monitoring, shorter time to initiate medication, tracking outcomes, and providing patients with a direct line of communication to their care team. Pharmacists treating rare diseases are also supported with specialized information on medication administration, side effects and complex billing.  Kerry explains, "Shields Health Solutions is a specialty pharmacy accelerator. We partner with over 80 health systems across the United States. We support them in establishing and growing a specialty pharmacy. We help them to access critical medications. Some of them are not available at traditional pharmacies, and we support them in managing clinical quality care programs for their patients." "I'd like to step back a little and talk about what a rare disease is and how we define it. Currently, it is defined as a condition that affects fewer than 200,000 people. However, over 7,000 rare diseases exist. So when we do the math, we come to see that they are not so rare. And some estimates show that up to 10% of the US population may actually have a rare disease. And what I've seen is that there are really three main complexities of treating rare diseases and challenges that patients may face. One of them is that there is a lack of available treatment options when compared with more common diseases. So, for example, only about 10% of rare diseases have an FDA-approved treatment option, but that is changing. We have the Orphan Drug Act, which has actually changed the landscape. It has incentivized and facilitated the development of medications to treat rare diseases." #ShieldsHealthSolutions #IntegratedCareModel #SpecialtyPharmacy #RareDiseases #MedicationAdherence shieldshealthsolutions.com Listen to the podcast here

Kerry Mello-Parker, Director of Rare Diseases and REMS programs at Shields Health Solutions, addresses the complexities and challenges faced by patients with rare diseases including diagnostic delays and limited access to medication. Using an integrated specialty pharmacy model, Shields works with pharmacists to have direct access to the EHR, enabling better patient monitoring, shorter time to initiate medication, tracking outcomes, and providing patients with a direct line of communication to their care team. Pharmacists treating rare diseases are also supported with specialized information on medication administration, side effects and complex billing.  Kerry explains, "Shields Health Solutions is a specialty pharmacy accelerator. We partner with over 80 health systems across the United States. We support them in establishing and growing a specialty pharmacy. We help them to access critical medications. Some of them are not available at traditional pharmacies, and we support them in managing clinical quality care programs for their patients." "I'd like to step back a little and talk about what a rare disease is and how we define it. Currently, it is defined as a condition that affects fewer than 200,000 people. However, over 7,000 rare diseases exist. So when we do the math, we come to see that they are not so rare. And some estimates show that up to 10% of the US population may actually have a rare disease. And what I've seen is that there are really three main complexities of treating rare diseases and challenges that patients may face. One of them is that there is a lack of available treatment options when compared with more common diseases. So, for example, only about 10% of rare diseases have an FDA-approved treatment option, but that is changing. We have the Orphan Drug Act, which has actually changed the landscape. It has incentivized and facilitated the development of medications to treat rare diseases." #ShieldsHealthSolutions #IntegratedCareModel #SpecialtyPharmacy #RareDiseases #MedicationAdherence shieldshealthsolutions.com Download the transcript here

Do you feel like you're working nonstop but still not getting ahead financially? In this episode of The Traveling Therapist Podcast, I chat with Maren Londahl-Smidt about how financial coaching can change your practice and help you actually enjoy the money you're earning. Maren shares how she moved from burnout to a balanced lifestyle and built a business that lets her travel, show horses, and coach therapists on their money systems.We dig into Profit for Keeps, reverse engineering your income, and how to finally make your numbers work for you. Whether you're drowning in business expenses or dreaming of taking more time off, this episode is packed with clarity and practical tips for taking control of your finances.In This Episode, We Explore…How Maren transitioned from traditional therapist to traveling coach.What Profit for Keeps is and why it's different from other systems.Reverse engineering your income based on your actual life goals.How to plan for travel and time off without financial stress.Creating a cash flow system that supports your dream lifestyle.Connect with Maren:Website - https://www.balanceandbeyondcoaching.com/Instagram - https://www.instagram.com/balanceandbeyondcoachingFacebook Group - https://www.facebook.com/groups/pfkprofitableclinicianYouTube - https://www.youtube.com/@BalanceandBeyondCoaching_____________________Are you ready to take the plunge and become a Traveling Therapist? Whether you want to be a full-time digital nomad or just want the flexibility to bring your practice with you while you travel a couple of times a year, the Portable Practice Method will give you the framework to be protected! ➡️ JOIN NOW: www.portablepracticemethod.com/Connect with me: www.instagram.com/thetravelingtherapist_kym www.facebook.com/groups/onlineandtraveling/ www.thetravelingtherapist.com The Traveling Therapist Podcast is Sponsored by: Berries: Say goodbye to the burden of mental health notes with automated note and treatment plan creation! www.heyberries.com/therapists Alma: Alma is on a mission to simplify access to mental health care by focusing first and foremost on supporting clinicians. www.helloalma.com/kym Sessions Health: Built for traveling therapists with global EHR access, clean interface, and therapist-friendly pricing at just $39/month. www.sessionshealth.com/kym

This episode recorded live at Becker's 31st Annual The Business and Operations of ASCs features Carrie Marut, Administrator, Mentor Surgery Center. She shares insights on patient-driven ASC growth, the benefits of EHR adoption, and the importance of collaboration with hospitals and vendors to improve efficiency and patient experience.

This episode recorded live at Becker's 31st Annual The Business and Operations of ASCs features Carrie Marut, Administrator, Mentor Surgery Center. She shares insights on patient-driven ASC growth, the benefits of EHR adoption, and the importance of collaboration with hospitals and vendors to improve efficiency and patient experience.

Ram Sahasranam, President and Co-Founder of Fold Health, has created a platform that integrates with the EHR to create an AI-driven interface that streamlines workflows, improves communication across the care team, and helps better manage patient care. Traditional EHR systems, while effective for documentation, were not built for proactive care and data sharing. With a focus on the patient and providers, Fold Health is integrating data sources and automating redundant administrative tasks helping to reduce clinician burnout and improve patient communication for scheduling and reminders. Ram explains, "The way to look at it is that empowering providers and patients need to go hand in hand. That is the fundamental reason why we called ourselves Fold Health, which is that healthcare needs to fold around the providers and the team supporting the providers and the patients and the families of the patients who are involved in the care. We have seen healthcare go from $1.6 trillion in spending to $5.3 trillion in spending this year. But in those 15 years, we haven't yet seen it fold around the two most important people, the provider or the patient, in terms of better outcomes or improving the burnout rates that clinicians and their teams face today." "So the fundamental challenge that we noticed was that multiple people were living in different systems and hence different silos from a data standpoint. So the clinician did not know what was happening with their care teams. The patient was living in a different system. If the patient goes to a specialist, the data comes in a compressed format to the physician in an easily digestible manner, which was a challenge. So what Fold does as a result of getting control of all these different nodes is that data can be used to summarize and provide things for the different teams in a quick, easily digestible manner."  #Foldhealth #CareCoordination #CareDelivery #ConnectedCare #HealthTech #AI #HealthAI Fold.Health Download the transcript here

Ram Sahasranam, President and Co-Founder of Fold Health, has created a platform that integrates with the EHR to create an AI-driven interface that streamlines workflows, improves communication across the care team, and helps better manage patient care. Traditional EHR systems, while effective for documentation, were not built for proactive care and data sharing. With a focus on the patient and providers, Fold Health is integrating data sources and automating redundant administrative tasks helping to reduce clinician burnout and improve patient communication for scheduling and reminders. Ram explains, "The way to look at it is that empowering providers and patients need to go hand in hand. That is the fundamental reason why we called ourselves Fold Health, which is that healthcare needs to fold around the providers and the team supporting the providers and the patients and the families of the patients who are involved in the care. We have seen healthcare go from $1.6 trillion in spending to $5.3 trillion in spending this year. But in those 15 years, we haven't yet seen it fold around the two most important people, the provider or the patient, in terms of better outcomes or improving the burnout rates that clinicians and their teams face today." "So the fundamental challenge that we noticed was that multiple people were living in different systems and hence different silos from a data standpoint. So the clinician did not know what was happening with their care teams. The patient was living in a different system. If the patient goes to a specialist, the data comes in a compressed format to the physician in an easily digestible manner, which was a challenge. So what Fold does as a result of getting control of all these different nodes is that data can be used to summarize and provide things for the different teams in a quick, easily digestible manner."  #Foldhealth #CareCoordination #CareDelivery #ConnectedCare #HealthTech #AI #HealthAI Fold.Health Listen to the podcast here

OxygenCare is delighted to announce the introduction of the Medanets integrated Point of Care Nursing app to its ever-expanding Digital Healthcare solutions portfolio. The collaboration brings together two companies with a shared vision for improving patient care through innovative digital healthcare solutions. Stephen Nicholson, Digital Health Manager, OxygenCare, explains: "Medanets simplifies nursing routines, supports decision making, complements and integrates with EHR systems, and releases time to care for patients.'The CE and MDR certified app was developed in collaboration with healthcare professionals. "OxygenCare is a multi-award-winning, family-owned business with over 50 years supporting healthcare throughout the island of Ireland. "Their dedicated digital health team and prior experience in delivering complex ICU and anaesthesia systems make them an ideal partner for us," says Medanets CEO Juha-Matti Ranta. "On top of that, their deep market knowledge and the impression made by their team further solidified our confidence in this partnership. It seems we are a natural fit in both values and working style." For over 30 years, OxygenCare has been transforming digital healthcare through clinical systems and working with innovative products and solutions throughout Ireland. The Medanets integrated nursing app supports point-of-care documentation and immediate access to key patient data, making it a natural fit with OxygenCare's digital portfolio. Combining OxygenCare's connectivity solutions with Medanets' mobile solutions can provide significant added value both to organisations already using an electronic health record (EHR) and to hospitals beginning their digital journey. "We can offer healthcare providers a fast-track way to modernise operations, even in settings where an EHR is not yet in place. For instance, Medanets supports "lightweight IT" approaches such as sending PDFs directly to a document archive - a direct impactful step forward in digital empowerment," Ranta explains. Maurice Moran, Managing Director of OxygenCare, adds: "This Medanets offering complements our portfolio, and we see strong market potential. Together, we are currently conducting exploratory efforts in the market to identify opportunities and tailor our approach to local needs. Through this new partnership, all care phases can be managed digitally through a single provider. This partnership marks a promising step toward improving healthcare outcomes in Ireland and underscores the strength of collaboration in driving innovation forward." See more stories here. More about Irish Tech News Irish Tech News are Ireland's No. 1 Online Tech Publication and often Ireland's No.1 Tech Podcast too. You can find hundreds of fantastic previous episodes and subscribe using whatever platform you like via our Anchor.fm page here: https://anchor.fm/irish-tech-news If you'd like to be featured in an upcoming Podcast email us at Simon@IrishTechNews.ie now to discuss. Irish Tech News have a range of services available to help promote your business. Why not drop us a line at Info@IrishTechNews.ie now to find out more about how we can help you reach our audience. You can also find and follow us on Twitter, LinkedIn, Facebook, Instagram, TikTok and Snapchat.

In this episode, nurse RaDonda Vaught tells the detailed, context-rich story of a medication error at Vanderbilt that led to criminal charges. She walks through the events, system issues (including a recent EHR rollout and medication-dispensing delays), distractions, and decision points that contributed to the mistake. RaDonda describes how workarounds, unclear documentation in radiology, drug supply changes, and interruptions combined to produce a tragic outcome, and she explains the immediate clinical response. The episode sets up a follow-up discussion about what was learned and how systems can be improved.

PRISM Enters the Chat & LTC Insurance in Pharmacy | TWIRx RxRated Version   

Health care data strategist Lee Ann McWhorter discusses her article "Why health care reform must start with ending monopolies." Lee Ann explains how monopolistic control by entities like GPOs, PBMs, EHR vendors, and MMIS platforms drives up costs, suppresses innovation, and undermines patient safety. She highlights how opaque contracts and data silos leave hospitals flying blind, why favoritism often trumps performance, and how COVID-19 revealed the dangers of centralized sourcing models. Lee Ann emphasizes that hospitals have the power to break this cycle by rejecting monopolistic contracts and investing in transparent, independent, and sustainable solutions. Listeners will learn why cost is not the true crisis—control is—and how restoring competition can protect patients and rebuild trust in the system. Our presenting sponsor is Microsoft Dragon Copilot. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Now you can streamline and customize documentation, surface information right at the point of care, and automate tasks with just a click. Part of Microsoft Cloud for Healthcare, Dragon Copilot offers an extensible AI workspace and a single, integrated platform to help unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise, and it's built on a foundation of trust. It's time to 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

Are you feeling burnt out from one-on-one sessions? If you've ever wondered how to shift into something more scalable and freeing, this episode is for you. In this episode of The Traveling Therapist Podcast, we dive into one-to-many offers with Carolyn Robistow, who shares how she transitioned from a packed private practice to life on a boat, while building a business that lets her serve more people in less time.Carolyn breaks down her framework for creating group programs, including the exact steps therapists need to follow before building a funnel (hint: it's not step one!). Whether you're curious about adding a new income stream or completely shifting how you work, Carolyn's insights are a goldmine.In This Episode, We Explore…What inspired Carolyn to leave her six-figure private practice and live on a boat.How she uses brainspotting in both private practice and group offers.Why “funnels are step four” when building one-to-many offers.Her framework: the Niche Nest, Offer Factory, and Validation Station.How therapists can get paid to test new ideas before scaling.Connect with Carolyn:Website - https://thescalabletherapist.com/Instagram - https://www.instagram.com/carolynrobistowBrain Unblocked: The Brainspotting Podcast_____________________Are you ready to take the plunge and become a Traveling Therapist? Whether you want to be a full-time digital nomad or just want the flexibility to bring your practice with you while you travel a couple of times a year, the Portable Practice Method will give you the framework to be protected! ➡️ JOIN NOW: www.portablepracticemethod.com/Connect with me: www.instagram.com/thetravelingtherapist_kym www.facebook.com/groups/onlineandtraveling/ www.thetravelingtherapist.com The Traveling Therapist Podcast is Sponsored by: Berries: Say goodbye to the burden of mental health notes with automated note and treatment plan creation! www.heyberries.com/therapists Alma: Alma is on a mission to simplify access to mental health care by focusing first and foremost on supporting clinicians. www.helloalma.com/kym Sessions Health: Built for traveling therapists with global EHR access, clean interface, and therapist-friendly pricing at just $39/month. www.sessionshealth.com/kym

This episode is sponsored by Lightstone Direct LLC. Lightstone Direct LLC connects you to institutional-quality real estate investments backed by a $12-billion AUM firm that co-invests alongside you—your partner in building lasting wealth. All investments involve risk.  Please visit LightstoneDirect.com for a full list of disclosures. _________ This Episode is also sponsored by Ryze Health Every minute counts in medicine—so why waste it on clunky admin work? With Ryze Health, practice management becomes effortless. Our all-in-one platform streamlines scheduling, patient communications, and insurance verification, giving you fewer no-shows, faster check-ins, and happier patients. Free yourself from paperwork and phone tag so you can focus on what truly matters: providing care. Visit RyzeHealth.com/BootstrapMD today and see how simple running your practice can be. _________ How can doctors launch their first practice in 2025—without going into debt or depending on outside investors? Host Dr. Mike Woo-Ming, shares his five-step launch blueprint for building a lean, profitable clinic from scratch. He begins by debunking the myth that doctors need investors, massive loans, or fancy offices to succeed. Instead, he emphasizes focusing on action, simplicity, and profitability from day one. Step one: pick a profitable niche by identifying exactly who you want to serve and the urgent problem you can solve now. Step two: build your Minimal Viable Clinic (MVC) — a streamlined version of your practice that allows you to start seeing patients quickly using low-cost tools like telemedicine, subleasing spaces, and affordable EHR systems.  Dr. Woo-Ming explains how to craft an irresistible offer centered around transformation, not just services—helping patients achieve measurable outcomes in 90 days or less. He shares proven marketing insights inspired by Alex Hormozi and offers examples of “unicorn offer statements.” Finally, he details how to attract your first patients, leverage partnerships, and systematize your operations through automation, virtual assistants, and tracking key business metrics. This episode is a must-listen for physicians seeking independence, sustainability, and control over their medical careers—without waiting for permission or capital. Three Actionable Takeaways:  Pick a Profitable Niche: Define exactly who you serve, what urgent problem you solve, and ensure you can deliver results profitably. Avoid broad audiences—clarity drives success.  Build Your Minimal Viable Clinic (MVC): Start lean using telemedicine, subleased spaces, and low-cost tech tools. Focus on momentum, not perfection—launch now, refine later. Automate and Scale Early: Use systems like EHR automation, virtual assistants, and follow-up sequences to streamline operations. Track metrics weekly to identify growth opportunities. About the Show: Bootstrap MD is the ultimate podcast for physician entrepreneurs looking to escape traditional healthcare and control their financial futures. Hosted by Dr. Mike Woo-Ming, a successful physician, entrepreneur, and investor, the show delivers actionable insights on starting businesses, creating passive income, and navigating healthcare entrepreneurship. Featuring interviews with industry leaders, physicians, and experts in telemedicine and digital health, it's your guide to building a profitable, fulfilling career.  Tune in weekly at  http://bootstrapmd.com   About the Host: Dr. Mike Woo-Ming has over 20 years of experience as a physician entrepreneur. He's built and sold multiple seven-figure companies and now leads Executive Medical, a group of clinics specializing in age management and aesthetics. Through BootstrapMD, he mentors physicians in business, content creation, and autonomy. Let's Connect: www.https://www.bootstrapmd.com   Want to start a podcast? Check out the Doctor Podcast Network!  

This episode features Jodie Hilliker, Senior Director at Healthrise, who discusses the concept of the Revenue Ripple and how empowering providers through EHR optimization can drive better patient outcomes, greater efficiency, and stronger financial performance. She shares strategies for overcoming common barriers and real-world results from organizations that have embraced provider optimization.This episiode is sponsored by Healthrise.

In this episode, you'll discover why the most powerful tool in your practice isn't your OCT or your EHR—it's your voice. Dr. Steve Vargo shares a personal story of the time he bombed his first big presentation. Months of preparation, flawless slides, and bullet-point perfection… and yet, the audience checked out. That failure became the turning point that taught him one truth every doctor needs to know: information doesn't inspire action—connection does. You'll learn how the same techniques great speakers use on stage—clarity, storytelling, and confidence—can transform the way you communicate in the exam room. Because every patient encounter is a performance, and the way you deliver your message determines whether patients tune out or take action.   Follow our Podcast on All Available Platforms Follow our Podcast on Instagram Follow IDOC on Facebook Follow IDOC on LinkedIn Watch our Podcast Video on YouTube

Ever wondered how to travel the world and feel financially secure? In this episode of The Traveling Therapist Podcast, we dive into financial literacy with Jackie Curry, a therapist turned global explorer who's passionate about helping others invest and build financial independence.Jackie shares how her love of travel started at 16 and how that journey led her from Portland to Mexico City, through the Himalayas, and now into launching her Financial Literacy Lab. Whether you're dreaming of a solo trek or want to better manage your retirement planning, Jackie's insights are a game-changer.In This Episode, We Explore…How Jackie created a virtual private practice to support her travels.The power of solo 401ks, SEP IRAs, and Roth IRAs for therapists.Jackie's top financial literacy tips for women and self-employed therapists.Travel hacking with credit card points (and why she swears by Capital One Venture X).How her Financial Literacy Lab helps therapists get retirement-ready.Connect with Jackie:Website - https://www.jackiectherapy.com/finlitlabInstagram - https://www.instagram.com/financial.literacy.lab/_____________________Are you ready to take the plunge and become a Traveling Therapist? Whether you want to be a full-time digital nomad or just want the flexibility to bring your practice with you while you travel a couple of times a year, the Portable Practice Method will give you the framework to be protected! ➡️ JOIN NOW: www.portablepracticemethod.com/Connect with me: www.instagram.com/thetravelingtherapist_kym www.facebook.com/groups/onlineandtraveling/ www.thetravelingtherapist.com The Traveling Therapist Podcast is Sponsored by: Berries: Say goodbye to the burden of mental health notes with automated note and treatment plan creation! www.heyberries.com/therapists Alma: Alma is on a mission to simplify access to mental health care by focusing first and foremost on supporting clinicians. www.helloalma.com/kym Sessions Health: Built for traveling therapists with global EHR access, clean interface, and therapist-friendly pricing at just $39/month. www.sessionshealth.com/kym

Behavioral health was left out of the digital revolution in healthcare; now a $20 million federal initiative is changing that story. In this episode, Talisha Searcy, Senior Advisor within the Assistant Secretary for Technology Policy, and Kacie Kelly, Chief Innovation Officer at the Meadows Mental Health Policy Institute, discuss the Behavioral Health Information Technology Initiative. Talisha explained that BHIT is a $20 million partnership between ASTP and SAMHSA focused on standardizing behavioral health data, advancing EHR adoption, and improving integration with physical health. Kacie highlighted that behavioral health was left out of the HITECH Act, creating long-standing gaps in infrastructure, funding, and data standards that BHIT now aims to address. Talisha emphasized the importance of interoperability and the USCDI+ for behavioral health, with pilots testing real-world data exchange and toolkits to help providers adopt these standards. Both emphasized the importance of collaboration across federal agencies to ensure alignment, as well as opportunities for innovators and the private sector to engage in shaping policies, particularly in areas such as interoperability and AI. Locally, Talisha noted how technology like telehealth is already improving access and care coordination in communities, despite workforce shortages. Tune in to hear from national leaders on how BHIT is setting new standards, driving innovation, and opening doors for providers and innovators in the behavioral health field! Resources: Connect with and follow Talisha Searcy on LinkedIn. Follow the Assistant Secretary for Technology Policy on LinkedIn and visit their website.  Connect with and follow Kacie Kelly on LinkedIn. Follow the Meadows Mental Health Policy Institute on LinkedIn and visit their website. Learn more about the HeadsUp service here.