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In this episode, Dr. Tim Bertelsman joins the podcast for the second time to discuss how AI is revolutionizing the chiropractic profession, particularly through its applications in Electronic Health Records (EHR). Dr. Bertelsman shares his excitement about the future of healthcare and the role data plays in improving patient outcomes and satisfaction. The conversation covers the challenges of documentation, the potential of AI to streamline administrative tasks, and the importance of adopting new technologies to remain competitive. Practical examples of how AI can assist in clinical decision-making and content creation are also explored. The episode concludes with insights on the ongoing development of an EHR system designed specifically for chiropractors, aimed at reducing overhead, enhancing efficiency, and elevating the profession.
About Mary Varghese Presti:Mary Varghese Presti is a transformational healthcare leader with over two decades of experience spanning clinical care, federal reform, biopharma, and health technology. As Corporate Vice President of Microsoft Health & Life Sciences, she drives growth in complex environments by creating clear strategy, aligning organizations, and operationalizing execution with discipline. Her prior roles include leading Nuance's Dragon Medical business, overseeing IBM Watson Health's Life Sciences portfolio, incubating new ventures at athenahealth, and driving digital-health transformation at Pfizer. She began her career as a pediatric nurse at Johns Hopkins and later helped shape national health IT and payment reforms at Booz Allen. Known for navigating complexity with optimism and rigor, she consistently turns ambiguity into strategy and strategy into measurable results.Things You'll Learn:AI in healthcare is evolving from simple assistants to agentic services that can independently execute predictable workflows, allowing clinicians to regain time and focus. This shift enables a hybrid workforce where human and digital colleagues work side by side.Dragon Copilot for nurses was designed specifically to support the way nurses document care, capturing structured inputs such as vitals, intake/output, and observations through natural speech. By reducing EHR time and ambiently recording bedside interactions, it helps turn “caring out loud” into complete documentation.Nurses spend more than a quarter of their 12-hour shifts documenting in the EHR, often feeling emotionally torn between screens and patients. AI that listens in the background can significantly reduce this burden while allowing for more presence at the bedside.New tools are starting to expose the “invisible work” nurses perform, from constant micro-assessments to coordination with ancillary departments. Making this work visible is a critical step toward properly valuing nursing labor and improving workforce planning.Real-world use cases, such as AI agents assembling data for tumor boards at academic centers, show that agentic workflows can compress decision timelines from weeks to days. These same principles can be extended to many clinical and non-clinical tasks, accelerating care while preserving clinician judgment.Resources:Connect with and follow Mary Varghese Presti on LinkedIn.Follow Microsoft on LinkedIn.Visit the Microsoft and Life Sciences website.Listen to Mary's previous interview on our podcast here.Watch Mary's keynote presentation at the HLTH conference here.
For Dr. Zak Kohane, this year's advances in AI weren't abstract. They were personal, practical, and deeply tied to care. After decades studying clinical data and diagnostic uncertainty, he finds himself building his own EHR, reviewing his child's imaging with AI, and re-thinking the balance between incidental and missed findings. Across each story is the same insight: clinicians and machines make mistakes for different reasons — and understanding those differences is essential for safe deployment. In this episode, Zak also highlights where AI is spreading fastest, and why: reimbursement. While dermatology and radiology aren't broadly using AI for interpretation, revenue-cycle optimization is advancing rapidly. Meanwhile, ambient documentation has exploded — not because it increases accuracy or throughput, but because it improves clinician satisfaction in strained systems. Yet the most profound theme, he argues, is values. Models already show implicit preferences: some conservative, some aggressive. And unlike human clinicians, no regulatory framework examines how those preferences form. Zak calls for a new form of oversight that centers patients, recognizes bias, and bridges clinical expertise with technical transparency. Transcript.
Human design can completely change how you understand yourself, your energy, and the way you build your business. In this episode of The Traveling Therapist Podcast, I sit down with Mel McSherry to talk about what it really means to honor your energy, trust yourself, and build success that actually feels sustainable.Mel shares their non-linear journey from fitness and network marketing to business coaching, and how discovering human design helped them reconnect with who they truly are and how they are meant to work. If you have ever felt successful on paper but disconnected on the inside, this conversation is for you.In This Episode, We Explore…What human design is and how it combines multiple systems into a personal operations manual.Why honoring your time and energy is key to sustainable success.How copying others in business can create burnout and disconnection.Redefining profitability beyond just money.Using human design to build trust, confidence, and clarity in your work and life.Connect with Mel:Website https://www.melmcsherry.com/Instagram https://www.instagram.com/mel_mcsherry/LinkedIn https://www.linkedin.com/in/melmcsherry/Facebook https://www.facebook.com/BtbByMel/_____________________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
If you're done wasting money on low-quality Facebook leads, this conversation is your wake-up call. Dr. Pete sits down with Dr. Nick Silveri of LVRG Media to unpack what it actually takes to attract high-quality new patients who show up ready for care. They break down why content is the real engine of trust, how to build a comprehensive presence across Google, social, and YouTube, and why long-term brand authority beats every short-term offer. You'll discover how to get your associates creating content, align your online experience with your in-office excellence, and use AI responsibly without hurting your SEO. It's a clear path to doing marketing the way you coach patients to do health: consistent habits, long-term thinking, and a message that makes you the obvious choice in your town. In this conversation you will:Learn why “quality new patients” start with your own expertise and message. See how content across Google, social, and YouTube works together to build brand and trust. Understand the difference between relevance and value in patient focused content. Discover how to scale content beyond the owner by using associates and team members. Get clear on smart ways to use AI for emails and nurture instead of blog spam. Episode Highlights01:32 – Hear why this conversation centers on quality new patients, content strategy, and AI as key drivers of growth.07:22 – Learn how Dr. Nick shifted from personality-driven marketing to a system-focused approach based on what chiropractors truly want.08:55 – See why most chiropractors bounce between agencies and why content-first marketing outperforms short-term tactics.09:58 – Understand why the only reliable path to quality new patients is leveraging your expertise across the platforms where patients search for answers.11:12 – Learn the difference between relevance and value and how patient priorities move from symptom relief to long-term wellness.14:12 – Hear the health-and-fitness analogy that illustrates why marketing shortcuts fail just like shortcuts in health.18:19 – See how to align your online presence with the in-office experience so patients know who you are before they ever meet you.19:55 – Discover how to remove yourself as the bottleneck and empower associates or team members to create content.23:40 – Learn how Leverage Media simplifies the process so doctors only follow the plan and record the content.27:23 – Explore what a comprehensive marketing plan looks like today across social, Google, YouTube, and emerging AI platforms.29:28 – Understand how long-term brand building makes people choose you even when you aren't the top search result.31:14 – Hear why patients ignore coupons and choose the doctor they already trust from their consistent content.32:24 – Learn why most clinics misuse AI for SEO and how search engines are already penalizing AI-generated blogs.38:20 – Get clear on using AI correctly for emails, nurture, and text instead of search-ranking content.40:29 – Take away a simple strategy: share real expertise consistently so your clinic becomes the obvious choice in your town.41:46 - Dr. Lona sits down with Success Partner Dr. Brian Capra of ClinicMind to talk about how one unified platform can replace the long list of tools most chiropractors' juggle. Dr. Brian explains how ClinicMind brings EHR, billing, AI-driven patient communication, scheduling, and marketing under one system so teams can stay focused on care instead of tech headaches. It's a smart look at how streamlined systems create space for clinics to grow, serve more people, and operate with far greater ease. Resources MentionedLearn more about the TRP Remarkable Business Immersion - March 6 - 7, 2026 in Phoenix, AZ and March 20 - 21, 2026 in Brisbane, AUS - https://theremarkablepractice.com/upcoming-events/ To learn more about the REM CEO Program, please visit: http://www.theremarkablepractice.com/rem-ceoFor more information about ClinicMind please visit: www.clinicmind.comBook a Strategy Session with Dr. Pete - https://go.oncehub.com/PodcastPCPrefer to watch? Catch the podcast on YouTube at: https://www.youtube.com/@TheRemarkablePractice1To listen to more episodes, visit https://theremarkablepractice.com/podcast or follow on your favorite podcast app.
This podcast is brought to you by Outcomes Rocket, your exclusive healthcare marketing agency. Learn how to accelerate your growth by going to outcomesrocket.com What if hospitals could reduce hours of administrative work to minutes, without ever compromising sensitive patient data? In this episode, Nicholas Lin, cofounder and CEO of Guava, explains that their company automates prior authorization for hospitals without accessing PHI or EHR data. Their AI agents handle up to 95% of time-consuming administrative tasks, like coverage checks and policy reviews, by performing automated calls and warm transfers to human specialists only when necessary. The solution arose from their personal healthcare backgrounds and conversations with providers, aiming to streamline workflows while addressing hospitals' strict data privacy concerns. Currently piloting with NewYork-Presbyterian, Guava hopes to scale nationally and sees education around AI's capabilities as key to overcoming provider hesitation. Tune in to hear Nicholas Lin explain how Guava's AI agents are revolutionizing prior authorization, helping specialists work faster, smarter, and stress-free! Resources Connect with and follow Nicholas Lin on LinkedIn. Follow Guava on LinkedIn and explore their website!
What if your biggest career advantage didn't come from your wins, but from the projects that didn't go as planned? Missy Krasner's career includes some of the boldest bets in healthcare: Google Health, Amazon Care, Box's healthcare vision. None went the way she originally envisioned. And she wouldn't change any of it. Because what she extracted from those experiences—being inside big tech's most ambitious healthcare ventures—gave her something more valuable than a conventional win: a clear understanding of what it actually takes to make change stick in the most regulated, fragmented industry in America. Now, as co-founder of Penguin AI, Missy is applying those hard-won insights to tackle the trillion-dollar administrative burden crushing healthcare. But this isn't another AI hype story. Missy has been at the forefront of healthcare innovation for over 20 years. She was building Google Health before meaningful use existed. She was evangelizing platform thinking when electronic health records were still competing with manila folders. She's witnessed three watershed moments transform the industry: meaningful use driving EHR adoption, COVID accelerating telehealth adoption, and now AI. And she believes this moment is fundamentally different. Why Missy's experiences at Google, Amazon, and Box taught her more about healthcare transformation than conventional success ever could What's really happening with the trillion-dollar administrative burden and how AI can finally address it at scale Why the current political and economic disruption will accelerate consumer-driven healthcare innovation Missy's candid assessment of the headwinds facing women leaders right now and what it means for advancement Why "nobody's coming to save us" and what that means for how women need to show up in leadership What fuels Missy after decades of innovation and her advice for anyone trying to push through when it's hard About the Guest: Missy Krasner brings 35+ years of healthcare experience spanning big tech (Amazon, Google, Box), government (helped launch the Office of the National Coordinator for Health IT), venture capital (Canvas Ventures, Redesign Health), and now as co-founder of Penguin AI, which recently closed a $30 million Series A. She serves on multiple digital health boards including Uplift, Overalls, and Syntax, and holds degrees from Stanford (M.A.) and UCLA (B.A.). Chapters 00:00 - Introduction at Health Conference 01:14 - Journey Through Google, Box, and Amazon 02:53 - Three Watershed Moments in Healthcare 06:59 - Penguin AI and the Trillion-Dollar Administrative Burden 10:34 - Women Healthcare Leaders for Progress Reflection 14:15 - Finding Innovation Opportunities in Chaos 16:45 - Advancing Women in Leadership 22:13 - Learning from Failure and What Drives Success Guest & Host Links Connect with Laurie McGraw on LinkedIn Connect with Missy Krasner on LinkedIn Connect with Inspiring Women Browse Episodes | LinkedIn | Instagram | Apple | Spotify
Quick Announcement for EHR listeners! For a limited time Matt Blackburn is giving Extreme Health Radio show listeners 25% off his line of products. Just enter code EHR25 at checkout while it lasts! Today we had some scheduling mishaps and I’ve been researching high blood pressure lately so I figured I’d jump on and kick […] The post FFAF – How To Beat High Blood Pressure, Listener Questions & More Fun appeared first on Extreme Health Radio.
Welcome solo and group practice owners! We are Liath Dalton and Evan Dumas, your co-hosts of Group Practice Tech. In our latest episode, we chat with Ben Cutler, CEO of Hushmail, about how a secure email service can be a crucial part of your practice's tech stack. We discuss: How secure email can complement the communication features of your EHR Communication gaps in EHRs that can impact your security circle Pairing secure forms with secure email to optimize the intake process Secure communications as a marketing asset Creating more efficient streamlined services for clients and providers Addressing burnout via efficient business systems Using Hushmail to customize forms and coordinate care Misconceptions around non-secure communications The difference between HIPAA friendly and HIPAA secure Listen here: https://personcenteredtech.com/group/podcast/ For more, visit our website. Resources Free Trial of Hushmail! Hushmail provides HIPAA-compliant secure email and encrypted online forms designed specifically for behavioral health professionals. It fills the critical gaps your EHR can't cover—especially during first contact, referrals, and communication with people outside your EHR's closed messaging system. With encrypted email, customizable secure forms, legally binding e-signatures, and ready-to-use templates, Hushmail helps therapists protect client information from the very first inquiry through the entire clinical journey. Clinicians can securely manage intake, collect sensitive documents, send referrals, and maintain compliant records—even during practice transitions or retirement. Hushmail's behavioral-health-specific plans include a signed BAA, automatic archiving to support HIPAA compliance, and access to a customer care team deeply familiar with the needs of therapy practices. Exclusive for listeners: Try Hushmail for Healthcare free for 14 days and explore secure email and forms tailored for your practice. PCT Resources PCT CE course: Smooth and Secure Use of Phone, Text, Email, and Video to Meet Modern Clients Where They Are: Legal-Ethical and Real-World Considerations (3 legal-ethical CE credit hours) PCT Podcast Episode: Episode 317: [Compliance] Can Clients Waive the Need for HIPAA Compliance? PCT's Sample Request for Non-Secure Communications Form
PointClickCare is a major EHR service with a 25-year history, originally focused on post-acute care settings such as skilled nursing and assisted living but has expanded to provide health it services to the full spectrum of healthcare provider organizations. As they've expanded their services, one of the areas they wanted to help was care transitions between acute care and post acute care and back. After a two-year investment in AI, they've enhanced the services they offer to make transitions go more smoothly and intelligently.Plus, they have recently unveiled a service named Chart Advisor within their skill nursing EHR. It looks through freeform documentation such as progress notes to find important information that isn't in the structured fields and could have an immediate impact on care. For instance, if the patient had a fall in the hospital, have the doctors performed the necessary assessments and accommodations to prevent more falls?According to Chief Revenue Officer Brian Drozdowicz, who we interviewed at the HLTH conference, searches through plain text documentation can help with both liability and reimbursement. Leveraging technology to search and sort through all the unstructured data in documentation is really the key to improving care and revenue.Learn more about PointClickCare: https://pointclickcare.com/Healthcare IT Community: https://www.healthcareittoday.com/
Send us a textDr. Justin T. Collier, MD is Healthcare CTO for North America at Lenovo ( https://www.lenovo.com/ ) where he brings his expertise in clinical informatics and technology together to help advance clinical outcomes and patient experience ( https://techtoday.lenovo.com/us/en/solutions/healthcare ). Prior to joining Lenovo, Dr. Collier served for nearly 6 years as the Healthcare and Life Sciences Industry Practice manager at World Wide Technology, the global technology solutions provider that offers digital strategy, supply chain, and IT services to large commercial and public sector organizations, supporting their healthcare ecosystem clients nationwide. Before that, Dr. Collier served HCA Healthcare as their TriStar Division Chief Medical Information Officer for over 7 years, tackling initiatives in EHR, data and analytics, telemedicine, and clinician mobility solutions. Dr. Collier has been a long-time member of the Tennessee HIMSS chapter, previously serving on their board and continuing to serve on their advisory council.Dr. Collier has a MD from the Medical College of Georgia and did his Residency in the Physical Medicine and Rehabilitation Residency Program, at The Ohio State University.Lenovo is a global technology company headquartered in Beijing, China, with operational headquarters in Morrisville, North Carolina (USA).#JustinCollier #Lenovo #Healthcare #Digitization #ElectronicHealthRecords #EHR #Interoperability #ApplicationProgrammingInterfaces #SmartHospital #Automation #ClinicalWorkflowModernization #Cybersecurity #EdgeAI #HumanCenteredTechnologyDesign #CaregiverSupport #ClinicalWellBeing #Burnout #DigitalTherapeutics #Biometrics #Robotics #RemoteMonitoring #VirtualCare #AgingInPlace #PhysicalMedicine #Rehabilitation #IoT #SmartDevices #EdgeComputing #AIEnableSolutions #CloudInfrastructure#ProgressPotentialAndPossibilities #IraPastor #Podcast #Podcaster #STEM #Innovation #Technology #Science #ResearchSupport the show
In this episode of The Gist Healthcare Podcast, we cover Senate Republican plans for the potential expiration of enhanced Affordable Care Act tax credits, a CDC advisory committee proposal that would shift vaccine recommendations for newborns, and new survey findings that connect clinician turnover to negative EHR experiences. Hosted on Acast. See acast.com/privacy for more information.
If you've been craving more freedom in your business, this episode is going to land in such a helpful way. In this episode of The Traveling Therapist Podcast, I chat with Nicole McCance about how she built and sold her group practice and now teaches therapists her five-step scaling method to create more space, ease, and possibility in their practices. She walks through the exact systems, hiring decisions, and marketing strategies that helped her grow to multiple seven figures.We also break down the biggest mistakes therapists make when trying to scale, the simple shifts that lead to better retention, and why following up with clients can create a surprising boost in revenue. Nicole shares so many takeaways that show how structure and support can open the door to more freedom.In This Episode, We Explore…How Nicole went from burnout to building and selling a multi-seven-figure practice.Why systemizing your solo practice is the crucial first step to scaling.What “hiring your mini me” actually means and why it matters for retention.The website updates every therapist needs before turning on digital marketing.Nicole's tips for converting consult calls and increasing retention with simple follow-ups.Connect with Nicole:Instagram https://www.instagram.com/nicole.mccancemethod/Podcast https://mccancemethod.com/podcast/Facebook Group https://www.facebook.com/groups/947689352498639Sign up for Nicole's FREE Masterclass- How to Build a 7-Figure Group Practice → https://mccancemethod.com/webinar-free-masterclass-from-solo-to-superteam/_____________________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
The Functional Nurse Podcast - Nursing in Functional Medicine
Sponsored by the Institute for Functional Nursing (IFN) www.fxnursing.com In this episode, Brigitte interviews Ryan Obermeier of Evexia Diagnostics to show nurses exactly how to streamline functional lab testing inside a holistic or functional nursing practice. We break down how Evexia centralizes thousands of functional and specialty tests, simplifies ordering, integrates with systems like Practice Better, and reduces the administrative burden that often slows down new and growing practices. Ryan explains Evexia's Internal Physician Network, which supports nurses who need physician authorization for specialty testing, as well as the Ask the Doctor program for clinical interpretation of advanced labs. We also cover Evexia's Functional Health Report, supply management, troubleshooting support, white-label marketing tools, and how nursing using the link below can access exclusive perks, waived fees, and discounted resources. Whether you're launching a functional nursing practice or scaling an established clinic, this episode gives you a clear roadmap for improving efficiency, patient outcomes, and clinical confidence through better lab workflows. What We Cover in This Conversation: • How Evexia centralizes thousands of functional & specialty lab tests • Streamlined ordering, processing, and automated reporting • EHR integration with Practice Better and other platforms • Functional Health Report for blood chemistry interpretation • Internal Physician Network for non-licensed or collaborating providers • Ask the Doctor program for specialty lab interpretation • Reducing hidden costs, operational friction, and admin overwhelm • White-label and marketing tools available through the link below • How nurses can register and access waived fees + bonus support Functional Nurses Offer: Register With Evexia Diagnostics Evexia is extending exclusive benefits for our functional nursing community of RNs and NPs, including waived fees and access to additional support tools. Create your account here: https://www.evexiadiagnostics.com/lp/brigitte-sager-landing-registration-page
This episode of The Dish on Health IT features Denny Brennan, Executive Director of the Massachusetts Health Data Consortium (MHDC), in conversation with host Tony Schueth, CEO of Point-of-Care Partners (POCP), and co-host Ross Martin, MD, Senior Consultant with POCP. Together, they examine how MHDC is translating national interoperability policy into practical, statewide action, specifically around the CMS-0057 rule.After brief introductions, the conversation quickly turns to MHDC's long history and why it matters. Founded in 1978, before the internet, MHDC guided Massachusetts through nearly every major health IT transition: HIPAA, Meaningful Use, ICD-10, and now interoperability and automation. Denny explains that this continuity has created something rare in healthcare: sustained trust across payers, providers, vendors, regulators, and associations. That trust, he notes, is what allows competitors to work through shared infrastructure problems that no single organization could solve on its own.From there, the discussion turns to why the MHDC community chose to coordinate and support members in their CMS-0057 compliance journey, versus just letting each member organization go it alone. Denny emphasizes that while healthcare is regulated federally, it functions locally. Each state has its own mix of insurers, hospital systems, rules, and market pressures. In Massachusetts, where long-standing relationships already exist, MHDC saw an opportunity to move faster, test real workflows, and generate lessons that could inform efforts far beyond the state.The discussion then moved to how work to improve prior authorization became such a high-priority focus. Denny describes how the process has grown into one of the most disruptive administrative burdens for clinicians. Rules vary by plan, criteria change frequently, and the information providers need is often hard to access in real time. The result is defensive behavior. Offices routinely submit prior authorizations “just in case,” often by fax or phone, simply to avoid denials and treatment delays. That inefficiency, he explains, ripples outward by slowing patient care, driving up providers' overhead, and requiring health plans to spend more time and resources processing and reviewing the required PA alongside the unneeded submissions.The financial impact quickly becomes apparent. Denny points to evidence showing that administrative costs consume a massive share of U.S. healthcare spending, with prior authorization playing a meaningful role. If automation is implemented through a neutral, nonprofit infrastructure, MHDC believes there is a much greater chance that savings will flow back into premiums and public program costs rather than being swallowed by inefficiency.Ross adds an important dose of realism. Prior authorization friction, he notes, is not always accidental. In some cases, operational complexity functions as a utilization control mechanism. That creates a built-in tension between access, cost containment, and patient experience, and helps explain why national reform has moved slowly despite widespread frustration.At that point, the conversation shifts from why this is broken to how MHDC is trying to fix it. Denny walks through MHDC's operating model: convene the full ecosystem early and often. In a recent deep-dive session, roughly 60 representatives from health plans, providers, and the state participated in a working session focused on what an automated prior authorization workflow could realistically look like. MHDC brought a draft framework to the table. The community pressure tested it and surfaced workflow conflicts, operational blind spots, and policy misalignments that no single organization could see on its own.That collaborative process, Denny explains, is the real engine behind adoption. When stakeholders help build the solution themselves, implementation becomes a shared commitment rather than a compliance exercise. It also reduces resistance later because decisions are not delivered top-down. They are constructed collectively.The discussion then turns to FHIR adoption and why, while real, progress has taken time. Denny traces the turning point back to the 21st Century Cures Act, which reframed patient access to health data as a legal right and categorized data blocking as a regulatory violation. That policy shift, combined with the growing maturity of API-based interoperability, created the conditions for real-time data exchange to finally move from theory to practice.Ross provides a historical perspective from the standards side. Earlier generations of health data standards were conceptually elegant but extremely difficult to implement consistently. FHIR changed that equation by aligning healthcare data exchange with the same API-driven architecture that supports the modern web. He points to accelerating real-world adoption, particularly from large EHR platforms, as evidence that FHIR has entered a phase of broad, practical deployment.Although pharmacy prior authorization falls outside the formal scope of CMS 0057, Denny makes clear that MHDC could not ignore it. For many physicians, especially in oncology, dermatology, and primary care, PA for prescriptions is far more frequent and far more disruptive than PAs for medical services. If MHDC solved only one side of the problem, much of the daily burden for clinicians would remain unchanged.Pharmacy prior authorization, however, introduces a new level of complexity. PBMs, pharmacists, prescribing systems, payers, and patients are all involved, often across fragmented workflows. Denny explains that the challenge looks less like a pure technology gap and more like an orchestration problem. It is about getting the right information to the right party at the right moment across multiple handoffs.Ross shares insights from the pharmacy PA research work conducted with MHDC and POCP. One of the most striking findings was the massive year-end renewal surge that hits providers every benefit cycle as authorizations tied to prior coverage suddenly expire. He also reflects on a recent national electronic prior authorization roundtable, where deep stakeholder discussion ultimately led most participants to conclude that today's technology alone still is not sufficient to fully solve pharmacy PA. The tools are improving, but the problem remains deeply multi-layered.As the episode winds down, the tone shifts toward practical calls to action.Denny challenges the industry to separate where competition belongs from where collaboration is essential. Contract negotiations may be adversarial by nature, he notes, but interoperability initiatives cannot succeed under the same mindset. Real progress depends on bringing collaboratively minded people into the room. These are people willing to solve shared infrastructure problems even when their organizations compete elsewhere.Ross builds on that message with a longer-term challenge: sustained participation in standards development. Organizations cannot sit back and hope others shape the future on their behalf. Active involvement in national standards organizations is critical. This is not for immediate quarterly returns, but to influence the systems everyone will be required to use in the years ahead.The episode closes with a clear takeaway. MHDC did not wait for perfect conditions. It moved when the pieces were good enough, tested real workflows with real stakeholders, adjusted in the open, and began sharing lessons nationally. In an industry often slowed by fragmentation and risk aversion, this conversation offers a grounded look at what forward motion actually looks like when collaboration, policy, and technology finally align.You can find this and other episodes of The Dish on Health IT wherever you get your podcasts, including Spotify and Healthcare Now Radio. If you found this conversation valuable, share it with a colleague and be sure to subscribe so you never miss an episode. Have an idea for a topic you would like us to cover in future episodes? Fill out the form and tell us about it. Until next time, Health IT is a dish best served hot.
Sean Cassidy, CEO and Co-Founder of Lucem Health, is applying AI to identify patients at high risk of undiagnosed conditions like cancer and diabetes. The goal is to facilitate earlier diagnosis and treatment by flagging patients that need screening based on the AI plaform's ability to analyze EHR data and demographics of diverse patient populations to ensure broad scalability. This technology was designed to integrate into existing clinical workflows for established screening procedures rather than making direct treatment recommendations. Sean explains, "The origin of the company, the idea for the company, originated within Mayo Clinic in about 2020. Mayo Clinic has faced a challenge, and I think sometimes continues to face a challenge that a lot of researchers in AI have faced, which is how do you get promising AI in a clinical context from the so-called bench to the bedside? How do you get it from the lab into clinical practice? And what they realized was that while the data science and the AI part of it is really interesting, what was needed was scaffolding around the AI to facilitate integration with data and integration with workflows, a measurement and monitoring system, and so on and so forth." "We are trying to facilitate, and you're going to see us begin to expand the aperture, if you like, or open the aperture of how we position the company. Because as we've gone on, we have realized that the opportunity here is to actually help healthcare provider organizations, health systems, and so on, create really high-impact care delivery programs that have at their core or feature at their core earlier diagnosis, accelerated treatment, earlier treatment and therefore better outcomes for patients and hopefully even saved lives. So that's the generic approach that we take." #LucemHealth #AIinHealthcare #HealthcareAI #HealthTech #EarlyDiseaseDetection lucemhealth.com Download the transcript here
Sean Cassidy, CEO and Co-Founder of Lucem Health, is applying AI to identify patients at high risk of undiagnosed conditions like cancer and diabetes. The goal is to facilitate earlier diagnosis and treatment by flagging patients that need screening based on the AI plaform's ability to analyze EHR data and demographics of diverse patient populations to ensure broad scalability. This technology was designed to integrate into existing clinical workflows for established screening procedures rather than making direct treatment recommendations. Sean explains, "The origin of the company, the idea for the company, originated within Mayo Clinic in about 2020. Mayo Clinic has faced a challenge, and I think sometimes continues to face a challenge that a lot of researchers in AI have faced, which is how do you get promising AI in a clinical context from the so-called bench to the bedside? How do you get it from the lab into clinical practice? And what they realized was that while the data science and the AI part of it is really interesting, what was needed was scaffolding around the AI to facilitate integration with data and integration with workflows, a measurement and monitoring system, and so on and so forth." "We are trying to facilitate, and you're going to see us begin to expand the aperture, if you like, or open the aperture of how we position the company. Because as we've gone on, we have realized that the opportunity here is to actually help healthcare provider organizations, health systems, and so on, create really high-impact care delivery programs that have at their core or feature at their core earlier diagnosis, accelerated treatment, earlier treatment and therefore better outcomes for patients and hopefully even saved lives. So that's the generic approach that we take." #LucemHealth #AIinHealthcare #HealthcareAI #HealthTech #EarlyDiseaseDetection lucemhealth.com Listen to the podcast here
T.H.E. Clinic, a federally qualified health center serving a low-income communmity in Los Angeles, recently reduced missed patient visits ("no-shows") from 25-28% to 13-14%. To learn more about this exceptional improvement, we sat down with CIO Wilson Santos who describes how the healow AI-Powered No-Show Prediction Model helped their clinic achieve this goal.Many factors create what Santos called an "unacceptable" rate of missed visits. People are tied down taking care of family members, forget visits, get busy, or simply get well before the time of their visit and fail to cancel.T.H.E. Clinic was one of first adopters of healow AI-powered no-show prediction model, and after implementing it saw the great results. The clinic now identifies the appointments most likely to be missed through predictive analytics on EHR data, and dedicates front desk staff to contacting them.Learn more about T.H.E. Clinic, Inc.: https://www.tohelpeveryone.org/Learn more about eClinicalWorks: https://www.eclinicalworks.com/Healthcare IT Community: https://www.healthcareittoday.com/
In today's Ask Allison, we're tackling a big one: how to start a private practice when ADHD makes organization feel impossible. The quickest way to get moving? The Getting Started Checklist. It breaks everything into clear, bite-sized steps so you can take action without the overwhelm. After that, it's all about working with your brain, not against it—body doubling, timeboxing, EHR automations, batching, and delegating the tasks you'll never do anyway. These simple supports keep things moving without burning you out. Bottom line: ADHD isn't the barrier. You just need systems built for how you work. Sponsored by TherapyNotes®: Looking to switch EHRs? Try TherapyNotes® for 2 months free by using promo code ABUNDANT at therapynotes.com. Links You'll Love: Grab my FREE weekly worksheet (plus other free tools to grow your practice) here: www.abundancepracticebuilding.com/links Ready to fill your practice faster? Join the Abundance Party today and get 75% off your first month with promo code PODCAST: www.abundancepracticebuilding.com/abundanceparty
In this episode, Dr. Steven K. Barnett of CAN Community Health explains how his organization improved access to long acting injectable PrEP by optimizing EHR workflows, strengthening payer authorization processes, and coordinating multidisciplinary teams to reduce barriers for patients and providers.
Online tutoring has become such a lifeline for therapists trying to navigate the pressure of licensure exams, especially when traditional studying just isn't enough. In this episode of The Traveling Therapist Podcast, I chat with Dr. Pam Turner about her journey from clinician and professor to running a thriving online tutoring company that helps therapists pass exams like the LCSW, LMFT, NCE, CPCE, and more.She shares how she built a program that meets therapists exactly where they are, especially those who have taken their exam multiple times or struggle with test anxiety and standardized testing. We also talk about how she blends travel, online work, and a deep passion for helping clinicians succeed in their careers. It is such an inspiring conversation, and I know so many listeners will relate to her story.In This Episode, We Explore…Dr. Pam's transition from teaching college to traveling the world while running her online tutoring business.How her company tutors therapists preparing for U.S. licensure exams through Academic Coaching for World Changers.The study strategies, test-taking skills, and accommodations she recommends for clinicians who struggle with standardized exams.Her inspiring story of reinventing herself after major life changes.The growth of her team and the process of scaling her tutoring company.Connect with Dr. Pam:Website https://academiccoachingforworldchangers.comLinkedIn https://www.linkedin.com/in/dr-pam-turner-b78529229/Instagram https://www.instagram.com/academic_coachingfwc/Facebook https://www.facebook.com/AcademicCoachingforWorldChangersYouTube https://www.youtube.com/@DrPamTurner/featured_____________________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
Although ambient voice transcriptions driven by AI are seeing widespread adoption in healthcare institutions, only 20%-40% of clinicians adopt it in each institution, according to Dr. Thomas Kelly, CEO & Co-Founder at Heidi. However, when Heidi's AI medical scribe is brought in, they achieve an average 60-70% adoption by clinicians.This is because they focus directly on how to help clinicians do their jobs, according to Kelly, although they don't ignore the larger issues such as compliance and integration with EHRs. By maintaining independence from the EHR, and by offering many different templates for each specialty, Heidi allows more customization.Learn more about Heidi: https://www.heidihealth.com/Healthcare IT Community: https://www.healthcareittoday.com/
This podcast continues the important conversation on osteoporosis, shining a spotlight on how health systems can leverage features within their Electronic Health Record (EHR) systems to improve care for postmenopausal osteoporosis patients.Christen Buseman, Health Systems and Key Accounts Marketing Director at Amgen for the US bone health franchise speaks with Barry Wendt, MD, of St. Elizabeth Healthcare about how health systems can leverage Diagnosis-Aware Notes (DAN) within EHR systems to improve postmenopausal osteoporosis care. This episode is sponsored by Amgen and the participants have been compensated for their time.This episode is sponsored by Amgen.
How do we build a healthcare system where physicians and healthcare professionals can not only survive but truly thrive? In this illuminating episode of Life Changing Moments, host Dr. Dael Waxman sits down with a pioneer in the field, Dr. Jonathan Ripp, Chief Wellness Officer at the Icahn School of Medicine at Mount Sinai and co-founder of CHARM (the Collaborative for Healing and Renewal in Medicine). Dr. Ripp traces his 25-year journey from studying physician identity formation in residency to leading a national movement focused on structural well-being. He provides a masterclass on the evolution of the physician well-being movement, explaining why we've moved beyond individual "resilience" to address systemic issues like work design, clerical burden, and organizational culture. We dive deep into the genesis and mission of CHARM, the professional society for healthcare well-being leaders, and explore its foundational charter that has become a blueprint for institutions nationwide. Discover the most promising interventions today, from the explosive growth of physician coaching to the potential of AI and ambient scribes to reclaim time for meaningful work. In this episode, you'll learn: The story behind the CHARM collaborative and how it creates community for well-being leaders. Why the CHARM charter remains a critical document for defining the principles of systemic well-being. The four key domains of effective well-being programs: mental health, individual strategies, leadership culture, and work design. Why physician coaching and AI tools are among the most exciting advancements for reducing burnout. Practical advice for medical students and early-career physicians on how to choose a workplace that will support their well-being. Dr. Ripp's vision for a future where addressing healthcare worker well-being is a consistent, standardized priority across all health systems. If you are a physician, healthcare leader, medical student, or anyone passionate about healing the healers, this conversation is a source of grounded hope and a clear-eyed look at the path forward. Mentioned in this episode: CHARM: The Collaborative for Healing and Renewal in Medicine Connect with Us: Subscribe to Life Changing Moments for more conversations on finding purpose and success in medicine. What is the most pressing well-being challenge in your organization? Share your thoughts in the comments below! Chapters: 0:00 - Meet a Pioneer in Physician Well-Being 3:22 - Dr. Ripp's 25-Year Journey from Resident to CWO 7:10 - The "Transformation" of Physicians in Training 12:16 - The Birth of the CHARM Collaborative 15:08 - The CHARM Charter: A Blueprint for Well-Being 18:47 - The State of Physician Well-Being Today 25:05 - Most Promising Interventions: Coaching & AI 27:22 - The Future of Healthcare Well-Being in 5 Years 29:47 - Advice for the Next Generation of Physicians 33:58 - Final Thoughts: Perseverance and Community Keywords: Physician Well-Being, Doctor Burnout, CHARM, Collaborative for Healing and Renewal in Medicine, Dr. Jonathan Ripp, Chief Wellness Officer, Mount Sinai, Physician Coaching, Healthcare Leadership, Physician Identity, Medical Resident Burnout, Structural Change, Work Design, Clerical Burden, Electronic Health Record, EHR, AI in Medicine, Ambient Scribing, Physician Retention, Healthcare Culture, Organizational Culture, Mental Health, Resilience, Life Changing Moments, MD Coaches, Dr. Dael Waxman, Joy in Medicine, ACGME, AMA, Lorna Breen Foundation. -+=-+=-+=-+= Join the Conversation! We want to hear from you! Do you have additional thoughts about today's topic? Do you have your own Prescription for Success? Record a message on Speakpipe Unlock Bonus content and get the shows early on our Patreon Follow us or Subscribe: Apple Podcasts | Google Podcasts | Stitcher | Amazon | Spotify --- There's more at https://mymdcoaches.com/podcast Music by Ryan Jones. Find Ryan on Instagram at _ryjones_, Contact Ryan at ryjonesofficial@gmail.com Production assistance by Clawson Solutions Group, find them on the web at csolgroup.com
The Healthtech Marketing Podcast presented by HIMSS and healthlaunchpad
Brand has become the B-word in our industry. It's almost viewed as a dirty word in certain C-Suites and marketing leaders bring it up at their peril.But let's face it, without a strong brand, your sales are going nowhere. And this is especially the case in healthcare technology, where buyers have favorites and start a 13+ month buyer journey with a shortlist in mind.In this episode, I sit down again with my friend and healthtech marketing leader, Lea Chatham, to unpack what it takes to create and build a strong brand.We discuss what it really takes to build a brand in the white-hot ambient AI/clinical scribe space. We start with the reality that large buying groups are overwhelmed with noise, and increasingly turn to a few trusted sources to quietly shortlist the top two or three vendors before they ever talk to sales. If you're not consistently showing up with credibility in those channels, you may never even make the long list, let alone the shortlist. Lea and I then dive into the specific brand challenges she's taken on at Heidi Health. Heidi began as a bottom-up, product-led, physician-led company with a very “sign up free and try it” feel. Lea walks through how they've repositioned Heidi to a broader “AI care partner” that can sit beside any clinician across organizations of all sizes, while still staying obsessed with physician experience and adoption. We also explore the broader competitive landscape in ambient AI. Lea describes two main camps: solutions tightly embedded in the EHR, and “untethered” scribes where integration is the last step rather than the first. From there we zoom out into brand strategy and execution. We talk about the constant push to create “branded demand,” where every brand investment also drives pipeline, and every demand gen motion reinforces the brand. Lea explains that you can't build a serious brand in this market purely organically. You have to spend selectively, like picking a few big bets (like going big with CHIME, co-authoring an award submission with marquee enterprise customers, or key analyst relationships) that can create outsized visibility and credibility quickly while your broader organic engine spins up. Key Topics Covered:"(00:00)" Setting the Stage: Ambient AI “Land Grab” & Buying Groups"(03:10)" Heidi as the “New Kid” & the Enterprise Brand Barrier"(06:20)" Measuring Brand Without a Six-Figure Budget"(10:20)" Mapping the Ambient AI Landscape & Heidi's Positioning"(16:20)" Global Brand, Local Markets: From Scribe to “AI Care Partner”"(19:30)" Tailoring Messaging for Personas, ICPs & Regions"(25:10)" Brand Consistency, Naming, and Product Architecture"(30:10)" Building the Heidi Brand in the US: Tactics & “Branded Demand”"(35:40)" Adapting SEO for the AI & Prompt Era"(38:00)" Final Advice: Strategic Spend & Big Bets (CHIME Case Study)If you are interested in discussing this or any other topic, let's have a chat. Reach out to me directly to schedule a no-obligation discussion. This isn't a sales call, but rather an opportunity to talk through your questions and challenges.Follow me on LinkedIn.Subscribe to The Healthtech Marketing Show on Spotify or watch us on YouTube for more insights into marketing, AI, ABM, buyer journeys, and beyond!Thank you to our presenting sponsors, HIMSS, a leader in advancing health equity, digital innovation, and data-driven care through technology, policy, and community collaboration. And also HealthcareNOW, 24/7 expert shows, interviews, and podcasts, powering healthcare leaders with innovation, policy, and strategy insights.
Staying healthy while traveling can feel almost impossible when you're constantly hopping between countries, Airbnbs, or time zones. In this episode of The Traveling Therapist Podcast, I chat with certified health and wellness coach Tess Cheng about how she helps people create sustainable routines no matter where they land.Tess brings over 13 years of experience as a health and wellness coach, a background in Clinical Nutrition from NYU, and a life spent living on multiple continents and traveling to all of them. Her global experiences and holistic approach help people build lasting habits that support their energy, balance, and well-being wherever they are in the world. We talk about the mindset shifts, planning strategies, and simple daily choices that make life on the road so much easier.In This Episode, We Explore…How Tess shifted from being a clinical nutritionist to becoming a holistic health and wellness coach.Why staying healthy while traveling often comes down to mindset and planning ahead.Easy ways to keep routines going when moving between Airbnbs, new environments, and different countries.Practical strategies for eating well, managing sleep, and finding balance when you're surrounded by new foods and travel temptations.Tips for accountability, healthy snacking, and staying grounded even with an unpredictable itinerary.Connect with Tess:Website https://glowithtess.com/LinkedIn https://www.linkedin.com/in/tess-cheng-msInstagram https://www.instagram.com/glowithtess/Facebook https://www.facebook.com/TessCheng888/ | https://www.facebook.com/GlowithtessGlo With Tess Download https://tinyurl.com/GWTTravelGuideSU_____________________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
Send us a textIn this episode Scott Tarde talks about how a lab breakthrough became a lifeline for families, and why immersive reminiscence, caregiver coaching, and data-driven collaboration can change dementia care. Tarde, is the CEO of the George G. Glenner Alzheimer's Family Centers, emphasizes the significance of collaboration over competition in business, particularly in the healthcare sector. He advocates for organizations to support one another and engage in meaningful discussions to foster community and transformation within healthcare. Tarde believes that there is ample opportunity for synergy among organizations, and that intentional conversations are crucial to prevent individuals from being left behind in the evolving landscape of healthcare. He also covers the incredible innovative model that the Glenner Alzheimer's Family Centers has implemented for dementia care and is now franchising nationwide as Town Square. Join us, it is a great listen.Be sure to subscribe to both of our podcast, Anatomy of Leadership and TCNtalks.If you're interested, you can check out the book, The Anatomy Of Leadership, it's on AmazonSome Highlights• Origins of Glenner Centers and caregiver-first mission• Town Square immersive reminiscence model and design• Virtual Glenner Care to upskill family caregivers• Reducing ER visits and hospitalizations with coaching• Franchising strategy with local adaptation and standards• Data, EHR, and AI for trend spotting and prevention• Leadership practices: expectations, accountability, consistencyGuest: Scott Tarde, CEO of the George G. Glenner Alzheimer's Family CentersHost: Chris Comeaux, President / CEO of TeleiosThe Anatomy of Leadership podcast explores the art and science of leadership through candid, insightful conversations with thought leaders, innovators, and change-makers from a variety of industries. Hosted by Chris Comeaux, each episode dives into the mindsets, habits, and strategies that empower leaders to thrive in complex, fast-changing environments. With topics ranging from organizational culture and emotional intelligence to navigating disruption and inspiring teams, the show blends real-world stories with practical takeaways. The goal is simple yet ambitious: to equip leaders at every level with the tools, perspectives, and inspiration they need to lead with vision, empathy, and impact. https://www.teleioscn.org/anatomy-of-leadership
In this episode Scott Tarde talks about how a lab breakthrough became a lifeline for families, and why immersive reminiscence, caregiver coaching, and data-driven collaboration can change dementia care. Tarde, is the CEO of the George G. Glenner Alzheimer's Family Centers, emphasizes the significance of collaboration over competition in business, particularly in the healthcare sector. He advocates for organizations to support one another and engage in meaningful discussions to foster community and transformation within healthcare. Tarde believes that there is ample opportunity for synergy among organizations, and that intentional conversations are crucial to prevent individuals from being left behind in the evolving landscape of healthcare. He also covers the incredible innovative model that the Glenner Alzheimer's Family Centers has implemented for dementia care and is now franchising nationwide as Town Square. Join us, it is a great listen.Be sure to subscribe to both of our podcast, Anatomy of Leadership and TCNtalks. Some Highlights • Origins of Glenner Centers and caregiver-first mission • Town Square immersive reminiscence model and design • Virtual Glenner Care to upskill family caregivers • Reducing ER visits and hospitalizations with coaching • Franchising strategy with local adaptation and standards • Data, EHR, and AI for trend spotting and prevention • Leadership practices: expectations, accountability, consistencyGuest: Scott Tarde, CEO of the George G. Glenner Alzheimer's Family CentersHost: Chris Comeaux, President / CEO of TeleiosTeleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast
Thibodaux Regional Health System, a Louisiana health system with both a hospital and clinics, has focused on process improvement to pursue what they call “patient-centered excellence.” In this video, CEO Greg Stock and CIO Bryan Samaha talk about their use of the MEDITECH EHR and how they are reducing errors and improving clinical quality.Advantages they cite for MEDITECH include the balance between a relatively low operating cost and proven results, as well as the ability to maintain their own autonomy over their EHR without being at the mercy of another health system. The latter advantage allows them to maintain control over downtime, updates, the flexibility of the EHR, and other operations. Stock refers to the partnership as a “marriage between a hospital and an IT system,” which now spans 24 years.Learn more about Thibodaux Regional Health System: https://www.thibodaux.com/Learn more about MEDITECH: https://ehr.meditech.com/
Join host Dr. Eve Cunningham in conversation with Dr. Anuj Mehta, Regional Chief Clinical Officer for the Southern Region of Hackensack Meridian Health's Physician Enterprise, as they discuss his journey from inner-city hospitalist work in the Bronx to senior system leadership. With over 15 years of experience leading crisis response, EHR transitions, operational turnarounds, and major quality improvement initiatives, Dr. Mehta shares how clinicians can grow their impact, build leadership capabilities, and shape the future of care delivery.Their conversation focuses on:How Dr. Mehta's definition of “impact” has evolved, and the core leadership skills clinicians need as they scaleWhy physicians should “test-drive” leadership before pursuing an MBA, and how to choose the right pathBuilding trust, earning buy-in, and spending political capital wisely amongst cliniciansFixing access as demand outpaces clinician supply, and using technology to augment rather than replace cliniciansThe future of care delivery, from eliminating the “stupid stuff” that drives burnout to deploying ambient documentation, virtual nursing, and EHR optimizersThe views expressed by Dr. Mehta are his own, and not associated with Hackensack Meridian Health. Hackensack Meridian Health is a partner of Cadence. Dr. Mehta was not compensated for this podcast.For more information on Cadence, visit https://www.cadence.care/
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
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/
Welcome to another episode of the Sustainable Clinical Medicine Podcast! In this episode, Dr. Sarah Smith sits down with Dr. Becket Mahnke, a pediatric cardiologist and seasoned Chief Medical Information Officer, to explore the evolving landscape of clinical informatics and practical strategies for making your clinical day more sustainable. Together, they dive into the complexities of electronic health record (EHR) systems—especially Epic—and discuss how thoughtful design, team-based approaches, and data-driven solutions can reduce physician burnout, enhance care efficiency, and foster more meaningful patient interactions. From leveraging AI-powered ambient dictation and chart summarization tools, to reimagining clinic workflows and setting healthy boundaries for clinicians, this conversation is packed with insights to help you reclaim time for yourself while delivering excellent patient care. Whether you're an EHR power user, an informatics enthusiast, or simply searching for ways to optimize your workday, you'll find actionable tips and a dose of inspiration in today's episode. Here are 3 key takeaways from this episode: Thoughtful EHR Design: Dr. Becket Mahnke emphasized that EHR systems, especially EPIC, are shaped by user requests—leading to many ways to do the same thing, but also plenty of opportunities to streamline workflows by standardizing processes at the organizational level. Teamwork for Efficiency & Wellness: Measuring teamwork (like tracking how many orders are started by team members rather than just physicians) can reveal powerful opportunities for redesigning clinical workflows. Taking a team-based approach relieves cognitive load and enables clinicians to spend more quality time with patients. AI & Ambient Documentation: Dr. Becket Mahnke shared how new AI-driven ambient dictation and chart summarization tools are true game changers, letting providers focus on real patient conversations—benefiting not just the clinician, but also the patient experience. Meet Dr. C. Becket Mahnke: Dr. C. Becket Mahnke is the Chief Medical Information Officer at Confluence Health and a practicing pediatric cardiologist. He is board‑certified in Clinical Informatics, an Epic‑certified Physician Builder, and serves on Epic's Physician Advisory Council. Under his leadership, Confluence Health has delivered measurable improvements in clinician experience—reducing EHR burden and after‑hours work, increasing patient portal adoption, and earning top‑quartile ARCH Collaborative EHR satisfaction, AMA Joy in Medicine™ Gold, and the WSMA Apple Award. His current focus is pragmatic, sustainable design and AI that protects clinician attention and improves care. You can find Dr. C. Becket Mahnke on: LinkedIn: www.linkedin.com/in/cbecketmahnke -------------- Would you like to view a transcript of this episode? Click Here **** Charting Champions is a premiere, lifetime access Physician only program that is helping Physicians get home with today's work done. All the proven tools, support and community you need to create time for your life outside of medicine. Learn more at https://www.chartingcoach.ca **** Enjoying this podcast? Please share it with someone who would benefit. Also, don't forget to hit “follow” so you get all the new episodes as soon as they are released. **** Come hang out with me on Facebook or Instagram. Follow me @chartingcoach to get more practical tools to help you create sustainable clinical medicine in your life. **** Questions? Comments? Want to share how this podcast has helped you? Shoot me an email at admin@reachcareercoaching.ca. I would love to hear from you.
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.
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