Podcasts about electronic medical records

  • 161PODCASTS
  • 189EPISODES
  • 38mAVG DURATION
  • 1EPISODE EVERY OTHER WEEK
  • Oct 23, 2024LATEST
electronic medical records

POPULARITY

20172018201920202021202220232024


Best podcasts about electronic medical records

Latest podcast episodes about electronic medical records

The Medical Sales Podcast
A Dip Into Technological Medical Innovation With Justin Ramsaran

The Medical Sales Podcast

Play Episode Listen Later Oct 23, 2024 62:21


Join us as we welcome Justin Ramsaran, the dynamic VP of Digital Health at Fukuda Denshi America and CEO of R Group, who is shaping the future of healthcare with his expertise in remote patient monitoring and cardiac care innovation. Justin shares his unique journey of balancing leadership roles in two innovative companies and delves into the rich history of Fukuda Denshi, a pioneer in ECG technology since 1938. Through his insights, we explore the intersection of medical sales and technology, offering listeners a glimpse into how cutting-edge advancements are driving progress in healthcare. Our conversation takes a deep dive into the transformative power of AI in healthcare, highlighting its role in revolutionizing electronic medical records and diagnostic processes. Discover how AI is enhancing physician capabilities by providing rapid feedback and enabling alternative diagnostic approaches, paving the way for a more proactive model of care. We also tackle the potential for AI to augment healthcare jobs with insights from industry leaders like Jamie Dimon and discuss the challenges and future possibilities of integrating AI into medical image diagnostics. As our discussion unfolds, we examine the evolving landscape of healthcare technology, focusing on innovations like Medtronic's sensor technology that addresses diagnostic disparities and the crucial role of sales teams in improving healthcare workflows. We share the challenges of standardizing protocols across healthcare systems and the potential for a shared ecosystem akin to tech giants like Microsoft and Apple. To round off, we explore the power of deep work in fostering productivity and innovation and offer guidance for those aiming to break into the medical technology sector, emphasizing the importance of understanding technology and building strong industry relationships.   Meet the guest: Justin Ramsaran is an American digital health developer and entrepreneur who leverages cross-functional business strategies and digital transformation with artificial intelligence to empower individuals and advance healthcare systems. He is the CEO of R Group, a digital healthcare innovation company focused on developing next-generation clinical data systems to support future healthcare providers. Additionally, he serves as the VP of Digital Health Solutions for Fukuda Denshi, a Japanese medical device manufacturer dedicated to "transforming world-class technology into accessible healthcare for everyone." Justin is currently a doctoral candidate at Florida Tech, working on his dissertation at NYU Stern. At Florida Tech, he began developing the concept of integrating cross-functional business organization strategies from fintech, big tech, and AI companies into the healthcare system through an "Open Connected Architecture." In parallel, Justin continues to apply these cross-functional business strategies to other industries, including higher education and sports technology. Manifesto: - Augment Human Learning with Machine Learning: Especially for social good. - Utilize Unconventional Approaches to Complex Problems: Develop simple solutions. While these two ideas may seem disparate, they are interdependent. Humans often hold false notions about the world and encounter misinformation, yet we excel in learning within noisy environments. Augmenting human learning with machine learning requires a deeper understanding of learning in such environments. Across healthcare, agriculture, politics, economics, and transportation, our future as a species relies on the increasing synergy between machine learning and human learning. It is paramount that we develop tools to handle real-world uncertainty while ensuring our advancements in machine intelligence are directed toward social good. Connect with him: https://www.linkedin.com/in/justinramsaran/ https://www.rgrp.co/

The James Altucher Show
Unlocking the Power of AI in Healthcare | Hamed Shahbazi (Part 2)

The James Altucher Show

Play Episode Listen Later Oct 15, 2024 65:09


A Note from James:"I do think that the most important use case for AI is in extending our lifespans. And I think if this isn't five or ten years in the future—this is right now. Things are happening in AI that are going to change healthcare overnight. Today, I'm continuing my discussion with Hamed Shahbazi, founder of Well Health. This is a publicly-traded company in Canada, and it's already impacting millions of lives by applying AI to healthcare.HealWell, one of Hamed's companies, has processed over 18 million patient records. With this data, their AI can analyze symptoms and assist with diagnosis and treatment options faster than ever. Imagine calling your doctor, and before you even see them, AI has already pieced together potential diagnoses and suggested next steps. This is how we extend lives—prevention is the best cure, after all.In this episode, Hamed and I talk about healthcare AI and how it's poised to save millions of lives. I'll be sharing updates on AI and healthcare companies doing interesting things in the next few months. So, listen in, subscribe, and let's keep the conversation going. Here's Hamed, talking about AI in healthcare."Episode Description:James is joined again by Hamed Shahbazi, founder of Well Health, for an in-depth look at AI's role in transforming healthcare. They discuss how AI can process vast amounts of medical data to assist doctors in diagnosing and treating patients quickly and accurately. Hamed shares his insights on how HealWell's AI copilots help healthcare providers manage data and improve patient care. This conversation reveals how AI is poised to revolutionize healthcare and extend lifespans in previously unimaginable ways.What You'll Learn:The role of AI in accelerating diagnosis and treatment, potentially saving millions of lives.How HealWell's AI copilots enhance productivity and enable healthcare providers to focus more on patient care.The ethical and regulatory challenges in using AI in healthcare, especially concerning patient data privacy.The potential future of digital twins in healthcare, allowing doctors to simulate treatments on virtual models of patients.Insights into how healthcare AI could personalize supplements and treatment plans based on individual health data.Timestamped Chapters:[01:30] – James introduces Hamed Shahbazi and the current impact of AI on healthcare.[03:25] – How AI can prevent illnesses by providing rapid diagnosis and treatment options.[05:51] – Discussing the resistance from healthcare professionals toward AI.[13:27] – The use of AI for scribing medical notes and its benefits for healthcare providers.[19:05] – Ensuring patient data privacy and the role of consent in AI data processing.[27:13] – The future of healthcare AI, digital twins, and personalized medicine.[37:14] – Challenges in eliminating bias from healthcare AI.[47:56] – Potential for AI to improve life expectancy by supporting preventive care.Additional Resources:Oura Ring Official WebsiteWell Health TechnologiesHamed Shahbazi | LinkedIn ------------What do YOU think of the show? Head to JamesAltucherShow.com/listeners and fill out a short survey that will help us better tailor the podcast to our audience!Are you interested in getting direct answers from James about your question on a podcast? Go to JamesAltucherShow.com/AskAltucher and send in your questions to be answered on the air!------------Visit Notepd.com to read our idea lists & sign up to create your own!My new book, Skip the Line, is out! Make sure you get a copy wherever books are sold!Join the You Should Run for President 2.0 Facebook Group, where we discuss why you should run for President.I write about all my podcasts! Check out the full post and learn what I learned at jamesaltuchershow.com------------Thank you so much for listening! If you like this episode, please rate, review, and subscribe to “The James Altucher Show” wherever you get your podcasts: Apple PodcastsiHeart RadioSpotifyFollow me on social media:YouTubeTwitterFacebookLinkedIn

The James Altucher Show
Revolutionizing Medical Tech with AI | Hamed Shahbazi

The James Altucher Show

Play Episode Listen Later Sep 3, 2024 46:00


Episode Description:In this episode, James sits down with Hamed Shahbazi, the CEO of WELL Health Technology, who has been pioneering advancements in healthcare through technology. Hamed shares how AI is not just a tool for the future but a current reality that is reshaping the healthcare industry. From predicting diseases to optimizing treatments, AI is making healthcare more personalized and proactive. Hamed's insights reveal how these technological advancements are poised to dramatically improve patient outcomes, streamline medical processes, and ultimately save lives.This episode isn't just about the potential of AI in healthcare—it's about the actual changes happening right now. Hamed discusses the importance of data in healthcare and how AI uses this data to make life-saving decisions that were previously unimaginable. If you're interested in the future of medicine, this episode offers a clear view of what's coming and what's already here.What You'll Learn:The Role of AI in Diagnosing Rare Diseases: Discover how AI is capable of identifying rare diseases that even experienced doctors might miss, using complex data analysis.AI's Impact on Personalized Healthcare: Learn how AI personalizes healthcare by analyzing individual patient data against millions of other records to offer tailored health advice and treatment plans.Efficiency in Healthcare with AI: Understand how AI is reducing the workload for physicians by automating data entry and patient monitoring, allowing them to focus more on patient care.Healthcare as a Service: Explore the concept of Healthcare as a Service (HaaS), where AI-driven platforms provide continuous health monitoring and proactive care suggestions.The Future of AI and Healthcare: Get insights into how AI is set to transform healthcare, not just in the long term but in the immediate future, making healthcare more accessible and efficient.Chapters:00:00 - Introduction and the Evolution of Healthcare03:10 - How the Oura Ring Tracks and Measures Stress08:05 - The Impact of Continuous Health Monitoring12:15 - AI's Role in Health Data Analysis and Prediction19:35 - The Future of AI in Personalized Healthcare26:00 - Real-Life Examples of AI Diagnosing Rare Diseases35:20 - Challenges and Benefits of AI in Medical Diagnosis42:40 - The Concept of Healthcare as a Service46:55 - Future Predictions and Parting ThoughtsAdditional Resources:Oura Ring Official WebsiteWell Health TechnologiesHamed Shahbazi | LinkedIn ------------What do YOU think of the show? Head to JamesAltucherShow.com/listeners and fill out a short survey that will help us better tailor the podcast to our audience!Are you interested in getting direct answers from James about your question on a podcast? Go to JamesAltucherShow.com/AskAltucher and send in your questions to be answered on the air!------------Visit Notepd.com to read our idea lists & sign up to create your own!My new book, Skip the Line, is out! Make sure you get a copy wherever books are sold!Join the You Should Run for President 2.0 Facebook Group, where we discuss why you should run for President.I write about all my podcasts! Check out the full post and learn what I learned at jamesaltuchershow.com------------Thank you so much for listening! If you like this episode, please rate, review, and subscribe to “The James Altucher Show” wherever you get your podcasts: Apple PodcastsiHeart RadioSpotifyFollow me on social media:YouTubeTwitterFacebookLinkedIn

Portable Practical Pediatrics
Dr. M's Women and Children First Podcast #75 – Jeff Kessler, FACHE – Allergies and Therapy

Portable Practical Pediatrics

Play Episode Listen Later Aug 11, 2024 64:02


Jeff Kessler, FACHE Allergy Choices This week I sit down with Jeff Kessler to discuss allergies and sublingual immune therapy. Jeff Kessler is a business leader and a thought leader in the allergy therapy space. His relevant backstory goes back to 1999 when he had the fortunate opportunity to work on a project to select and implement an Electronic Medical Record system for the Allergy Associates of La Crosse (AAOL) clinic in La Crosse WI. Fortuitously for his daughter who at the time suffered profoundly with allergies, asthma and eczema, this opportunity presented a new course of therapy that would eventually be taken for the entire family leading to allergic disease modification. Enthralled with the therapy and company, Jeff dedicated his career in the healthcare industry from that point on to the allergy treatment approach that he witnessed change thousands of lives including his families. The growing AAOL organization became linked to Allergychoices, an education company dedicated to teaching healthcare providers around the U.S. on the protocol (La Crosse Method - LCM) that had been perfected since 1970. Jeff has served as President of Allergychoices since its formation and its services have grown to help providers deliver immunotherapy using the LCM to their patients directly at the primary care level. Bringing together AAOL, the most advanced allergy immunotherapy clinic in the U.S. and Allergychoices, capable of delivering the benefits of disease modifying allergy immunotherapy to anyone, anywhere, the distinctive competencies of these companies continue to help hundreds of thousands of allergy sufferers of all types, including foods. Jeff earned a bachelors in science from the University of Wisconsin LaCrosse before he received his MBA in Strategic Planning from University of Minnesota's Carlson School of Management in 1987. Please enjoy my conversation with Jeff Kessler, Dr. M

Medical Money Matters with Jill Arena
Episode 89: Making Your EMR Work Smarter: Thinking Through Tech Upgrades

Medical Money Matters with Jill Arena

Play Episode Listen Later Aug 6, 2024 15:00


Today we're covering a topic that can transform the efficiency and effectiveness of your clinic: tech add-ons for your Electronic Medical Records system. When we select an EMR, we frequently assume that it will handle everything for us. And, as we “move in” and start to really use the product, we can identify some things it doesn't do.For this episode, we've drawn from some of the best-selling add-on products on the AthenaOne Marketplace, although most of these products integrate with multiple different EMR platforms. We'll be discussing their costs, benefits, and sharing case studies to highlight their best uses across various subspecialties. And, we should note that we don't have commercial relationships with any of these companies, they simply came up on our web search of best in class products. We hope that you'll find this thought provoking as you consider the functionality that is available out there today to enhance your EMR. Please Follow or Subscribe to get new episodes delivered to you as soon as they drop! Visit Jill's company, Health e Practices' website: https://healtheps.com/ Subscribe to our newsletter, Health e Connections: http://21978609.hs-sites.com/newletter-subscriber Want more content? Find sample job descriptions, financial tools, templates and much more: www.MedicalMoneyMattersPodcast.com  Purchase your copy of Jill's book here: Physician Heal Thy Financial Self Join our Medical Money Matters Facebook Group here: https://www.facebook.com/groups/3834886643404507/ Original Musical Score by: Craig Addy at https://www.underthepiano.ca/ Visit Craig's website to book your Once in a Lifetime music experience Podcast coaching and development by: Jennifer Furlong, CEO, Communication Twenty-Four Seven https://www.communicationtwentyfourseven.com/

Date Night with Barbara & Teja
An "Epic" Transformation

Date Night with Barbara & Teja

Play Episode Listen Later Aug 6, 2024 37:20 Transcription Available


Are there monster truck rallies in Madison, Wisconsin? Maybe. But there's definitely Epic - and now Barbara's medical center has Epic too! Does that make us Epic?In this episode, Barbara and Teja talk about the two-year transformation of her medical center from the Southwest Airlines of medical technology into a jet fighter.Integration of all those systems feels good, but how should we prepare our clicker fingers for all the extra activity? How do patients benefit from it all? And why don't any of these systems talk to each other? What about AI.Be Epic with us today on Living Forward!Follow us on Instagram @wearelivingforward

Start Up Podcast PH
Start Up #167 (LIVE): SugboDoc - Global Cloud-based Electronic Medical Records Platform

Start Up Podcast PH

Play Episode Listen Later Jul 29, 2024 35:25


Ryan Michael Gelig is Founder and CEO at SugboDoc. SugboDoc is providing access to healthcare anywhere, bridging patients, doctors, and health providers. SugboDoc is doing this via its global cloud-based electronic medical records (EMR) platform. This episode is recorded at enspace Cebu. enspace Cebu is one of the largest global co-working spaces in Cebu, primarily for digital nomads, freelancers, and startups. IN THIS EPISODE | 00:42 Ano ang SugboDoc? | 01:12 What is the problem being solved? | 02:34 What is the solution of the startup? | 17:33 What is the story behind the startup? | 30:24 What is the vision? | 32:59 How can listeners find more information? SUGBODOC | Website: ⁠⁠⁠⁠⁠⁠⁠sugbodoc.com⁠⁠ | Facebook: facebook.com/sugbodoc⁠ ENSPACE CEBU | Website: ⁠⁠⁠⁠⁠⁠enspace.ph/en⁠⁠⁠⁠⁠⁠⁠ | Facebook: ⁠⁠⁠⁠facebook.com/enspacecebu⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ THIS EPISODE IS CO-PRODUCED BY SPROUT SOLUTIONS | Website: ⁠⁠⁠sprout.ph⁠⁠⁠ | Sprout Payroll Starter: ⁠⁠⁠bit.ly/SproutPayrollStarter⁠⁠⁠ CHECK OUT OUR PARTNERS | Ask Lex PH Academy: ⁠⁠⁠⁠asklexph.com⁠⁠⁠⁠ - Get 5% discount on e-learning courses & certifications! Code: "ALPHAXSUP" | ROC.PH: ⁠⁠⁠⁠roc.ph/ref/1706/?campaign=ROCPHXSUP⁠⁠⁠⁠ | OneCFO: ⁠⁠⁠⁠onecfoph.co⁠⁠⁠⁠ - Get 10% discount on CFO and financial services! Code: "ONECFOXSUP" | Enspace Cebu: ⁠⁠⁠⁠enspace.ph/en⁠⁠⁠⁠ | Twala: ⁠⁠⁠⁠twala.id⁠⁠⁠⁠ | Mommyki Super Pet App: ⁠⁠⁠⁠mommyki.com⁠⁠⁠⁠ | Marketmind Local: ⁠⁠⁠⁠marketmindlocal.com⁠⁠⁠⁠ | Mata Technologies: ⁠⁠⁠⁠mata.ph⁠⁠⁠⁠ | Hier Business Solutions: ⁠⁠⁠⁠hierpayroll.com⁠⁠⁠⁠ | Smile: ⁠⁠⁠⁠getsmileapi.com⁠⁠⁠⁠ | DVCode Technologies: ⁠⁠⁠⁠dvcode.tech⁠⁠⁠⁠ | Drive Manila: ⁠⁠⁠⁠www.facebook.com/drivemanilaph⁠⁠⁠⁠ | Ignite Careers: ⁠⁠⁠⁠ignitecareers.ph⁠⁠⁠⁠ | LookingFour Buy & Sell Online: ⁠⁠⁠⁠lookingfour.com⁠⁠⁠⁠ | NutriCoach: ⁠⁠⁠⁠nutricoach.com⁠⁠⁠⁠ | Benjoys Food Products: ⁠⁠⁠⁠benjoysfoodproducts.com⁠⁠⁠⁠ | Digest PH: ⁠⁠⁠⁠digest.ph⁠⁠⁠⁠ - Get 10% discount on legal services! Code: "DIGESTXSUP" | Contakt RFID Business Cards: ⁠⁠⁠⁠contakt-ph.com⁠⁠⁠⁠ - Get 10% discount on RFID Business Cards! Code: "CONTAKTXSUP" | Jur.ph | Big Giant Games | Founders Launchpad | Packetworx | Uplift Code Camp | Pareto Consulting | Agile Data Solutions - Hustle PH | Board Prep | Zayls | SeriousMD | Pahatid.ph START UP PODCAST PH | YouTube: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠youtube.com/StartUpPodcastPH⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ | Spotify: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠open.spotify.com/show/6BObuPvMfoZzdlJeb1XXVa⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ | Apple Podcasts: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠podcasts.apple.com/us/podcast/start-up-podcast/id1576462394⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ | Facebook: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠facebook.com/startuppodcastph⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ | Patreon: ⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/StartUpPodcastPH⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ | Website: ⁠⁠⁠⁠⁠⁠⁠⁠phstartup.online⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ This episode is edited by the team at: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠tasharivera.com⁠

Senior Housing Investors
Patient Voices Leading the Way in Healthcare

Senior Housing Investors

Play Episode Listen Later Jul 29, 2024 43:59 Transcription Available


Want to transform patient care through powerful storytelling? This episode features Greg Kotzbauer, co-founder of the About Me Institute, who shares his path from healthcare tech to championing value-based care at Dartmouth Institute for Health Policy and Clinical Practice. Discover how his efforts are steering organizations away from fee-for-service models towards systems that prioritize patient well-being and high-value care.In this enlightening episode, we unpack the concept of value-based care, where outcomes take precedence over costs. Learn how proactive screenings and preventive measures, inspired by Sweden's patient-centered approach, can transform healthcare. We also spotlight initiatives in North Carolina aimed at fostering meaningful provider-patient conversations, centering care around individual goals and preferences. Dive into stories and strategies that place the patient's voice at the forefront of healthcare.Explore innovative tools that are reshaping patient-centered care, including the introduction of the About Me Care Card by Greg Kotzbauer. We delve into the success of simple yet effective methods like patient concern cards and their integration into Electronic Medical Records. Understand how this tool enhances communication, improves care quality, and boosts resident satisfaction, especially in senior care settings. Whether it's through data-driven conversations or personalized patient engagement, this episode reveals the transformative power of human-centered tools in healthcare.

UK Health Radio Podcast
73: The Sports Doctor Radio Show with Dr Robert Weil - Episode 73

UK Health Radio Podcast

Play Episode Listen Later Jul 21, 2024 48:15


Episode 73 - Tosha Hayes, Fabric Specialist, Co-Founder of Hurdle Apparel High Tech Socks returns along with Chance Rodriquez, Founder of Populate, Electronic Medical Records and AI software for podiatrists and orthopedists. Disclaimer: Please note that all information and content on the UK Health Radio Network, all its radio broadcasts and podcasts are provided by the authors, producers, presenters and companies themselves and is only intended as additional information to your general knowledge. As a service to our listeners/readers our programs/content are for general information and entertainment only.  The UK Health Radio Network does not recommend, endorse, or object to the views, products or topics expressed or discussed by show hosts or their guests, authors and interviewees.  We suggest you always consult with your own professional – personal, medical, financial or legal advisor. So please do not delay or disregard any professional – personal, medical, financial or legal advice received due to something you have heard or read on the UK Health Radio Network.

Full Scope with Dr. Nicole Hemkes
Calculating Costs of Electronic Medical Records

Full Scope with Dr. Nicole Hemkes

Play Episode Listen Later Apr 26, 2024 19:38 Transcription Available


Qualitycast North
S3 Ep5: Have you tried turning it off and on again? Healthcare IT systems, interoperability, and quality - featuring Dr. Bill Clifford

Qualitycast North

Play Episode Listen Later Apr 19, 2024 28:39


In this episode we're talking about a topic which every practicing clinician seems to have an opinion on, whether good or bad. Healthcare IT systems and electronic medical records or ‘EMR's. Over the last few decades, we've seen a massive expansion in the number and reach of these IT systems into every aspect of medicine and across our entire healthcare infrastructure. And although bringing benefits to the care we provide to patients; a new IT system somehow always seems to receive a mixed reception from front line clinical staff.  Here today to talk about healthcare IT and EMRs, our guest today is Dr. Bill Clifford. Dr. Clifford is that rare combination of both physician and software developer, previously awarded the Order of BC and the Doug Cochrane Leadership in Quality Award for his leadership work as the (now retired) Chief Medical Information Officer for Northern Health and creator of the no. 1 ranked, Electronic Medical Record in Canada ‘MOIS' (which stand for medical office information system). Dr. Clifford shares his experiences with medical information and technology, which interestingly began with a career in forestry and inspiration from forestry growth and yield modelling. We also chat about the future role of emerging technologies such as AI (artificial intelligence) and machine learning in improving healthcare quality. You can read more about Dr. Clifford's work and achievements here: Bill Clifford - Health Quality BC 

The Catalyst: Sparking Creative Transformation in Healthcare
Making Your Practice a Holistic Office

The Catalyst: Sparking Creative Transformation in Healthcare

Play Episode Listen Later Mar 8, 2024 40:01


Healthcare practices are ready for innovative solutions with modern technology paving the way forward. Host Dr. Lara Salyer delves into how holistic practices can benefit from smarter, technology-driven solutions with Kristen Ford, CEO and co-founder of Holistic Office. Kristen, with her solid background in finance, accounting, and operations, brings critical insights to the table for any independent medical practice looking to evolve.   Their conversation centers around  “My Holistic Office," an app designed by Kristen to meet the specific needs of holistic healthcare practitioners. Drawing from her extensive experience, Ford developed this Electronic Medical Record system to help practices manage their operations seamlessly, while staying true to their holistic roots. From inventory management to scheduling, each feature is designed to simplify the day-to-day operations.   Kristen and Dr. Lara tackle the practicalities of integrating new technology into existing practices by pointing out the straightforward setup and personalized onboarding support that My Holistic Office offers. The system's integration with Zoom for telehealth sessions, Rupa Health for lab integration, and the newly added payment processing are highlighted as key benefits. Looking ahead, Kristen expressed enthusiasm for incorporating artificial intelligence to further ease practice management as Dr. Lara shares her hopes for features that could improve patient communication and help manage expectations.   Quotes • "I could have built an app for accounting professionals, for finance professionals, for operations professionals, but I really chose the folks who I feel are making the biggest difference in the world. And I mean that sincerely because it's been a big difference for me personally and for my family working with holistic healthcare providers. And I just wanted to support them because I know what it's like to run a small business." (04:50 | Kristen Ford)  • "What I try to do with Holistic Office is to, first of all, make it really easy to use. I feel like if you didn't have to be searching around to do basic things like find a patient, I'm not doing my job, you know. And so I really am trying to bring as many of the facets of running a practice under one umbrella that are easy to use." (07:54 | Kristen Ford)  • “With some of the older EHRs, it is a big deal to take old technology and completely bring it up to today's standards.” (15:49 | Kristen Ford) • "Our app's dashboard is designed to be kind of an all-in-one glance at what's going on in your world today. So any tasks that are outstanding are right there. Your schedule for today is right there. And then very easy to see boxes where it's like, here's patients, here's my products, here's the forms, here's reports, so that you can very easily start working on your day. There's no searching." (20:38 | Kristen Ford) • "I think incorporating AI is definitely at the top of the list because it can do so many things." (26:36 | Kristen Ford) • "Medicine has changed in my mind because it's not just conventional or allopathic. You can heal from so many different places. And I think that's where we're all trying to show patients that there are many ways to peel that orange, right? And you don't need to get your healing inside an exam room and the one-on-one visit." (33:07 | Lara Salyer)  • "When people want you, they will pay for your services, they will be there, they will make time for it, and they will prioritize that healing. And that's not to shame the other patients that are busy and have other things they're doing, but that's okay, too. You know, you do what you can. And providing that ecosystem of support is what it's all about." (37:08 | Lara Salyer)   Links Connect with Kristen Ford: Website: https://www.myholisticoffice.com/ Instagram: https://www.instagram.com/myholisticoffice/ LinkedIn: https://www.linkedin.com/company/holistic-office-inc/ Facebook: https://www.facebook.com/holisticoffice   Connect with Lara:  Website: https://drlarasalyer.com The Catalyst Way: https://drlarasalyer.com/catalyst Instagram: @drlarasalyer Facebook: https://www.facebook.com/drlarasalyer Linked-In: https://www.linkedin.com/in/drlarasalyer/ YouTube:  https://www.youtube.com/c/DrLaraSalyer TikTok: @Creativity.Doctor   Podcast production and show notes provided by HiveCast.fm

Passive Income Doctor
Doctors and AI (Interview with Claire, ScriptAI)

Passive Income Doctor

Play Episode Listen Later Feb 7, 2024 23:09


In this episode, I interview Claire Lim, medical student and co-founder of ScriptAI, an artificial intelligence tool to help doctors write notes. We discuss her entrepreneurial journey, including sourdough, Electronic Medical Records and AI tools.  Importance of pivoting, and creating solutions for challenges in everyday life and clinical medicine.Check out ScriptAI-scriptai.coMusic Credit: Bass Nation.Send in your questions to: passiveincomedoctors[AT]gmail.com

Dietitians in Nutrition Support: DNS Podcast
Improving Dietitian Productivity through Effective Electronic Medical Records featuring Val Chudzinski, MA, RD, LDN, CNSC

Dietitians in Nutrition Support: DNS Podcast

Play Episode Listen Later Jan 22, 2024 24:12


In this episode, we talk with us about improving dietitian productivity through effective electronic medical records platforms. Val Chudzinski, MA, RD, LDN, CNSC, is a Clinical Nutrition Manager with 9+ years of leadership experience and over 15 years as a registered dietitian. She is passionate about informatics, specializing in EMR optimization, quality improvement, and team development. Currently, she serves as the Regional Clinical Nutrition Manager at Northwestern Medicine and is an active volunteer in the Nutrition Informatics Clinical Nutrition Manager and Dietitians in Nutrition Support DPGs. This episode is hosted by Christina M. Rollins, MBA, MS, RDN, LDN, FAND and was recorded on 12/5/23.

Charting Pediatrics
Patient Information in a Changing Legal Landscape: Cures Act, Open Notes and Electronic Medical Records

Charting Pediatrics

Play Episode Listen Later Dec 19, 2023 31:02


In 2021, federal rules from the 21st Century Cures Act mandated that most clinical notes be made available in real-time, online and free of charge to patients. This practice, commonly known as “open notes,” was a significant step towards enhancing medical information transparency–– a vital step in reinforcing trust in the provider-patient relationship. However, it also introduced complexities, raising questions as to what to include in the notes. “The ethical analysis does not always align with the legal analysis, and these are conversations that ethicists are aware of,” Steven Bondi, MD, JD, says. Dr. Bondi, a lawyer turned doctor, is renowned for his expertise on the Cures Act, Open Notes and Electronic Medical Records. He specializes in pediatric medicine at Golisano Children's Hospital and is an associate professor within the Department of Pediatrics at the University of Rochester Medical Center. “I think that knowledge is important, and we need to know what the law says and what its parameters are and when we can use the exceptions,” Dr. Bondi says. Dr. Bondi recommends multiple resources on this topic. He suggests visiting healthit.gov and navigating to their information blocking section for informative FAQs and webinars. He also recommends the Guttmacher Institute as a source for general knowledge around adolescent health and privacy. Lastly, he explains that he was recently a part of the American Academy of Pediatrics' committee on medical liability and risk management where he helped produce a monthly column called ‘Pediatricians in Law.' This episode was recorded at the 2023 American Academy of Pediatrics National Conference and Exhibition. Some highlights from this episode include:  How to navigate difficult situations and avoid labels  The role that ethics play in this discussion Confidentially in adolescents by state Biggest pitfalls and gray areas  For more information on Children's Colorado, visit: childrenscolorado.org    

The Steve Gruber Show
Steve Gruber, You are being watched like you have never been watched before

The Steve Gruber Show

Play Episode Listen Later Dec 13, 2023 11:00


Live from STUDIO G- in the heart of America- I'm STEVE GRUBER- saying the things you wish you could -every day-  fighting for you from the Foxhole of Freedom and defending this great nation-- this is THE STEVE GRUBER SHOW!   Here are 3 big things you need to know right now—   Number One— The Democrats, you know the ones that keep saying they will never come after your guns and they support the 2nd Amendment—well here they come again, to turn gun owners into criminals—and yes, take your guns—   Number Two— A shocking new poll finds that 20% of Americans that were asked—now admit that they broke the rules and sometimes the law when they voted in 2020—so is that rigged? Sounds that way!   Number Three— You are being watched like you have never been watched before—and its happening at a rate that might even surprise the people who have accepted for a long time that we are under the constant eye of the government—   It all began with the Patriot Act following 9-11, and at the time, I was like a lot of you—I supported the idea of being able to go after terrorists—BUT I was naïve—I bought the lies that it would never be used on us—when in fact it is absolutely being used on us and it has been from day 1—   In fact, I can tell you it was going on long before 9-11—but that gave them the ability to move forward without anyone saying much for several years anyhow—   Almost a dozen years ago the Washington Post reported that in April of 2012—there were, get this, 3,984 federal, state and local organizations working on DOMESTIC counter-terrorism—that's right more than a decade ago the number of people trying to see what you were up to—was almost 4,000 and it has increased daily ever since—   And who is on the list of those spying on you every minute of every day?   The National Security Agency of course—the NSA, even though we are told they aren't supposed to; collects billions of emails, text messages and phone calls every single day—and is upgrading so it can sift through billions more—to see what it is you're up to at 3 in the afternoon or 3 in the morning—   Big Brother knows—and so do all of his brothers, sisters, cousins uncles and friends—   The FBI National Security Branch Analysis Center—or N-SAC had more than 1.5 billion government and private sector records about American citizens back then—   Want to hazard a guess as to how many it has now?   Of course you know—BUT it has been confirmed by the likes of the ACLU and the New York Times—that just by having a cell phone in your possession means you are being tracked in real time—all the time—and soon that may well become mandatory—I mean with more than 300 million smart phones and hundred of thousands of towers—that is a lot of coverage that they will demand to use—   65 million of us have fingerprints on file—140 million have fingerprints, pictures and biographical information in the system—   Is this you? Its me—I have been through background checks to interview the President of the United States—they have a full file on me—that I can guarantee—   And what I've outlined is really just the beginning—because if you talk to Alexa—then you're having a conversation with one of about 50 billion—that's right 50 billion machines that are connected now to the “system”—   Shocking—BUT the so-called internet of things is keeping track of you right down to what you watch on TV, what you ordered for lunch, what you laughed at cried at and yelled at during the course of the day—and it keeps records of this day after day—week after week and year after year—   You know the bureau of future crime sounds less and less science fiction—and more like science fact all of the time—   Now, you may not be on the Governments watch list or in its crosshairs—BUT you are certainly on its radar—we all are—   I mean let me ask a few questions if you don't mind—   Are you taking prescription medications or have you at any time in the last decade? Well congratulations the move to Electronic Medical Records back then—means you are in the system and don't worry, Hippa won't protect you one little bit—   Have you or anyone related to you—bought—and more importantly used a home DNA test and then sent it back? I mean how many true crime shows do you have to see where the killer is tracked down using that information that was given to the world voluntarily?   I can almost guarantee if you left the house today—and went just about anywhere—you walked, biked or drive by a surveillance camera—and likely a whole swarm of them—   If you have been on an airplane—pretty much anytime since 9-11; well, they got ya—and likely they got ya a whole bunch of times—   Ever been in the military? Been on food stamps? Have a criminal record for anything ever?  Been on welfare? Been hired or fired? Do you have a disability? And just exactly how much money do you have?   Of course, if you're one of the fringe right-wing zombies that tried to purchase a gun—well not only do they know that—and know exactly what you bought and took home—they know how much ammunition you bought then and since, for that gun and every other one too—so they can try to figure out how many rounds you have left at your disposal—   And if they don't have record of your gun—BUT you bought a certain kind of ammunition—well then, they know you bought a gun privately too now don't they?   If you buy hunting and fishing licenses—they can begin to evaluate your proficiency—and because most states are now requiring you to check in the animals you kill and sometimes the fish that you catch under the guise of conservation—well they get a pretty good idea if you're any good at it—   That is pretty handy information—can this guy shoot a gun and can he provide for himself if we try to order him to eat crickets—this is information they use—and cross reference—and build an ever more complete file on you—and the people around you—   They know what you eat, what you watch, what you drive, what you talk about; yes they are listening—through the phone, the TV, the computer—and probably about ten other things depending on what you brought into the house— I mean those home security cameras and webcams seemed to be very wise and very convenient—well the government thinks so too and thanks you for being such a loyal customer—   Of course we haven't even touched on social media—and all the things we put out to the electric world— who we like, dislike, admire and detest—   Think about how much information you have shoveled to the world—so they can now submerge it in A-I—to predict what you are going to do next—   Maybe you are a gun owner and a Catholic—I mean that is almost a lock that you are a domestic terrorist—and will certainly need to be dealt with at some point—   Even those that shy away from all this high-tech stuff have profiles the people in the shadows can review—I mean if Bob was in the army and is elderly, they know that—if he goes to the doctor and has insomnia and is incontinent—they know that—and if he has a propensity to look at pornography on-line from time to time—they know that too—   And for those of us—using these devices—they know more about you—than you probably do—they can make assumptions and predictions--  and remember—information is the ultimate power—and don't think for a second they are not willing to use it when it suits them best—   Remember—they have been doing this since the 1980's—maybe earlier—BUT they really started getting good at it in the 1990's and have been perfecting it ever since—   And then the government co-opted all the private companies to turn over hundreds of billions of files too; Google, Facebook, Twitter, Verizon and AT and T—among just the first ones to come to mind—and now they are dumping your information into the system too—   There really is no reason at all for the government—or private companies or both to have the kind of information they have—unless they intend to do something with it—and from where I stand—I just don't think anything good comes from any of this—BUT I will be honest—I don't have a single idea on what can be done about it—   That horse left the barn a long time ago—I know because he has a cell phone and I can tell you exactly where he is, right now!   Ok—   So, lets try to keep our heads on straight and talk about some other things too—   Lets talk about the border—and the intentional flooding of illegal aliens into our country—that is going on every single day—   And you know what's really weird about that? While they compile extensive profiles on every one of us—they don't seem to care at all about who is coming into the country illegally every single day—  

CCO Infectious Disease Podcast
PrEP Talks: Strategies for Advanced Practice Providers to Increase Uptake

CCO Infectious Disease Podcast

Play Episode Listen Later Dec 12, 2023 25:02


In this episode, Dr Tavell Kindall and Jona Tanguay discuss actionable strategies for advanced practice providers to increase the frequency at which PrEP is offered and initiated in primary care settings. Topics covered include:Available training resources on how to offer PrEP in primary careAffordable, accessible PrEP options, including patient assistance programsUsing electronic health records to identify candidates for PrEPOpportunities to offer PrEP during appointments regarding birth control, STIs, or any other sexual health concernsHow to offer 3-site STI testing at your facilityWrapping PrEP into primary careIncorporating navigators or care coordinators to reduce logistical barriers and reach underserved populationsRapid testing, mobile testing, and Tele-PrEP as ways to facilitate PrEP initiation and simplify routine PrEP visitsHealthcare professionals' personal biases as a potential barrier to PrEPUsing ICD-10 codes for HIV PrEP as a way to further destigmatize PrEP and simplify billingFaculty:Tavell L. Kindall, PhD, DNP, ARNP, FNP-BC, AACRN, AAHIVS, FAANPDirector, HIV Prevention and TreatmentSt. Thomas Community Health CenterNew Orleans, LouisianaJona Tanguay, MMSc, PA-C, AAHIVSMedical Program Lead - Substance Use Disorders at Whitman-Walker HealthAssociate Medical Director - Transgender Health at Amida CarePresident-Elect at GLMA: Health Professionals Advancing LGBTQ+ EqualityClinical Instructor at Yale School of MedicineFounder at ChemsexHarmReduction.orgWashington, DCContent is supported by independent educational grants from Gilead Sciences, Inc. and ViiV Healthcare.Link to full program: https://bit.ly/3PZGYdR

ASC Podcast with John Goehle
Episode 208 - Latest News, discuss Electronic Medical Record Adoption and in focus segment we discuss EMR Implementation with Katie Pierson - December 6, 2023

ASC Podcast with John Goehle

Play Episode Listen Later Dec 8, 2023 59:32


On this Episode of the ASC Podcast with John Goehle we discuss the latest news, talk about upcoming conferences, discuss Electronic Medical Record Implementation and interview Katie Pierson about how to survive software transitions.    This episode is sponsored by Surgical Information Systems.   Notes and Resources from this Episode: US News and World Report: Coming: Surgery Center Ratings, and Modified Timing of Hospital Rankings: https://health.usnews.com/health-news/blogs/second-opinion/articles/2023-11-27/surgery-center-ratings-modified-timing-hospital-rankings FDA – Plastic Syringe made in China Safety Alert https://www.fda.gov/medical-devices/safety-communications/evaluating-plastic-syringes-made-china-potential-device-failures-fda-safety-communication?utm_medium=email&utm_source=govdelivery FDA Recall of Saline and Sterile Water Products Manufactured by Nurse Assist, LLC.  https://www.fda.gov/medical-devices/safety-communications/do-not-use-certain-brands-saline-and-sterile-water-medical-products-nurse-assist-because-they-may USA Today Article on Covid https://www.usatoday.com/story/news/health/2023/11/29/covid-variant-ba-2-86-triples/71730552007/ Outpatient Surgery Magazine - EHR adoption https://go.aorn.org/NTQ1LUtDUC0xNjMAAAGP2lc0PEEgBiabc_uXM64Jcx99vM3wvgVXShs3xWY4-SOpwzpOZVsUIE46IjtTO8fSDccOXIM=   DON'T MISS OUR UPCOMING CREDENTIALING, PRIVILEGING AND PEER REVIEW VIRTUAL CONFERENCE! INFORMATION ABOUT THE ASC PODCAST WITH JOHN GOEHLE ASC Central, a sister site to http://ascpodcast.com provides a link to all of our bootcamps, educational programs and membership programs! http://asc-central.com Join one of our Membership Programs! Our Patron Program:Patron Members of the ASC Podcast with John Goehle have access to ASC Central - an exclusive membership website that provides a one-stop  ASC Regulatory and Accreditation Compliance, Operations and Financial Management resource for busy Administrators, nurse managers and business office managers.  More information and Become Member The ASC-Central Premium Access Program A Premium Resource for Ambulatory Surgery Centers including access to bootcamps, education programs and private sessions More Information and Become a Premium Access Program Members Today! Important Resources for ASCs: Conditions for Coverage: https://www.ecfr.gov/cgi-bin/text-idx?c=ecfr&rgn=div5&view=text&node=42:3.0.1.1.3&idno=42#se42.3.416_150 Infection Control Survey Tool (Used by Surveyors for Infection Control)https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107_exhibit_351.pdf Updated Guidance for Ambulatory Surgical Centers - Appendix L of the State Operations Manual (SOM)https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_l_ambulatory.pdf https://www.cms.gov/medicareprovider-enrollment-and-certificationsurveycertificationgeninfopolicy-and-memos-states-and/updated-guidance-ambulatory-surgical-centers-appendix-l-state-operations-manual-som Policy & Memos to States and RegionsCMS Quality Safety & Oversight memoranda, guidance, clarifications and instructions to State Survey Agencies and CMS Regional Offices. https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions Other Resources from the ASC Podcast with John Goehle: Visit the ASC Podcast with John Goehle Website Books by John Goehle Get a copy of John's most popular book - The Survey Guide - A Guide to the CMS Conditions for Coverage & Interpretive Guidelines for Ambulatory Surgery Centers

The Art of Medicine with Dr. Andrew Wilner
How to fix the healthcare system: An interview with James F. Jordan

The Art of Medicine with Dr. Andrew Wilner

Play Episode Listen Later Sep 17, 2023 26:31


It's a pleasure to welcome James F. Jordan to The Art of Medicine with Dr. Andrew Wilner. James Jordan is a Distinguished Service Professor of Healthcare and Biotechnology at Carnegie Mellon University's Heinz College and a Healthcare and Life Sciences Expert. He is the author of "Innovation, Commercialization, and Start-Ups in Life Sciences." Mr. Jordan is also the CEO of Stratactic, Inc, and hosts a podcast about business models, ChalkTalkJim.com. During this 25-minute program, we discuss the limitations of our healthcare system and how they might be improved. For example, patients suffer when their medical records from outside hospitals fail to arrive in time to help them. Complex reimbursement and data accountability systems are also forcing physicians out of private practice. Please watch our 25-minute discussion to hear Mr. Jordan's insights into these complex problems. You can learn more about James Jordan here: https://jfjordan.com/authorand at his academic website: www.heathcaredata.center Thanks for watching!If you enjoy an episode, please share with friends and colleagues. "The Art of Medicine with Dr. Andrew Wilner" is now available on Alexa! Just say, "Play podcast The Art of Medicine with Dr. Andrew Wilner!" To never miss a program, subscribe at www.andrewwilner.com. You'll learn about new episodes and other interesting programs I host on Medscape.com, ReachMD.com, and RadioMD.com. Please rate and review each episode. To contact Dr. Wilner or to join the mailing list: www.andrewwilner.com To support this program: https://www.patreon.com/andrewwilner Finally, this production has been made possible in part by support from “The Art of Medicine's” wonderful sponsor, Locumstory.com, a resource where providers can get real, unbiased answers about locum tenens. If you are interested in locum tenens, or considering a new full-time position, please go to Locumstory.com. Or paste this link into your browser: ...

The Art of Medicine with Dr. Andrew Wilner
Artificial Intelligence and Healthcare, an interview with Manuj Aggarwal

The Art of Medicine with Dr. Andrew Wilner

Play Episode Listen Later Sep 3, 2023 26:42


It's a pleasure to welcome Manuj Aggarwal to The Art of Medicine with Dr. Andrew Wilner. Manuj Aggarwal hosts the podcast "Bootstrapping Your Dreams" and is an expert in artificial intelligence (AI). Manuj has an engineering background and has worked with hundreds of start-ups. He has four patents in AI. Manuj was part of the team that built digital healthcare solutions for the Province of British Columbia. During this podcast, he lends his insights into how AI will affect the delivery of healthcare as well as the security of our jobs. Please watch our 25-minute discussion. You can learn more about Manuj Aggarwal here: https://manujaggarwal.com/ Thanks for watching!If you enjoy an episode, please share with friends and colleagues. "The Art of Medicine with Dr. Andrew Wilner" is now available on Alexa! Just say, "Play podcast The Art of Medicine with Dr. Andrew Wilner!" To never miss a program, subscribe at www.andrewwilner.com. You'll learn about new episodes and other interesting programs I host on Medscape.com, ReachMD.com, and RadioMD.com. Please rate and review each episode. To contact Dr. Wilner or to join the mailing list: www.andrewwilner.com To support this program: https://www.patreon.com/andrewwilner Finally, this production has been made possible in part by support from “The Art of Medicine's” wonderful sponsor, Locumstory.com, a resource where providers can get real, unbiased answers about locum tenens. If you are interested in locum tenens, or considering a new full-time position, please go to Locumstory.com. Or paste this link into your browser: ...

Michigan Business Network
Michigan Business Beat | Seth Ciabotti, MSU Health Care, Academic Health System of MSU.

Michigan Business Network

Play Episode Listen Later Aug 18, 2023 6:05


Chris Holman welcomes Seth Ciabotti, CEO, MSU Health Care, East Lansing, MI the academic health system of Michigan State University. A catalyst for change. The MSU Health Care at McLaren Greater Lansing Outpatient Imaging Center recently opened its doors. How does MSU Health Care's partnership with McLaren Greater Lansing benefit mid-Michigan? · How do you plan to navigate the current healthcare landscape, including changes in healthcare policies, technological advancements, and patient expectations? · How do you plan to ensure equitable access to services for all patients? · As the CEO of MSU Health Care, what strategies would you implement to enhance collaboration and foster strong relationships with other healthcare providers, community organizations, and stakeholders to improve patient outcomes and overall healthcare delivery? · MSU Health Care is committed to education, research, and innovation. How do you plan to leverage these aspects to drive continuous improvement, attract top talent, and position the organization as a leader in healthcare excellence? Up to Speed: · MSU Health Care's partnerships and collaborations with private and public companies in pathology, radiology, primary care, cardiovascular, neurosciences, ambulatory surgery, telehealth, cancer, and infusion has allowed Seth to advance MSU Health Care's mission of improving the health of the communities we serve. · Seth spearheaded the introduction of direct-to-employer primary care, remote patient monitoring, and remote physical therapy which has enhanced access and convenience for patients. · Seth was one of three MSU leaders to negotiate and secure our 30-year agreement with Henry Ford Health. · MSU Health Care's partnerships with Henry Ford Health, Sparrow Health System, and McLaren Greater Lansing have enabled MSU Health Care to offer a wider range of high-quality health care services, including comprehensive commercial insurance offerings and specialized services in neurosciences, imaging, and cancer treatment. · MSU Health Care has shifted to data-driven decision-making and automation to optimize our Electronic Medical Records and implement a robust health information technology infrastructure. This has enhanced operational efficiency and improved patient care outcomes. · MSU Health Care's plans to expand employer-based primary care clinics, laboratory services, and ambulatory surgical centers will allow MSU Health Care to increase access, lower costs, and improve health outcomes throughout Michigan. » Visit MBN website: www.michiganbusinessnetwork.com/ » Subscribe to MBN's YouTube: www.youtube.com/channel/UCqNX… » Like MBN: www.facebook.com/mibiznetwork » Follow MBN: twitter.com/MIBizNetwork/ » MBN Instagram: www.instagram.com/mibiznetwork/

Day Zero
A.I. & Precision Analytics

Day Zero

Play Episode Listen Later Jul 11, 2023 20:55


Meet Elliott GreenElliott Green is CEO and Co-founder of Dandelion Health AI. Experienced in healthcare, technology and finance, Elliott has demonstrated an ability to develop and implement complex business strategy—in particular, for international expansion and revenue growth. Key Insights:Elliott Green co-founded Dandelion Health to make data more accessible and innovation easier. Follow the money. If you work out the alignment of incentives, you can often get to the answer that's going to take you to the right place. Why A.I.?. Artificial Intelligence has the capacity to take an incredible amount of information and produce relatively simple outputs. This is a perfect fit for the healthcare industry.Change from within. Dandelion is partnering with hospital systems to produce one of the largest scalable data sets available to innovators.  Relevant Links:Read more about Dandelion HealthRead more about Elliott Green

ASC Podcast with John Goehle
Episode 192 - News Update, Joint Commission Study on Wrong Site Surgery, and an interview with Heather Hayes from SIS about Considerations in Choosing an EMR - June 30, 2023

ASC Podcast with John Goehle

Play Episode Listen Later Jul 4, 2023 57:05


On this episode of the ASC Podcast with John Goehle we discuss the latest news in the ASC Industry, discuss a recent study on wrong site surgery and in our focus segment, interview Heather Hayes from Surgical Information Systems about Considerations when choosing an Electronic Medical Record system.    This episode is sponsored by Surgical Information Systems   Resources from this Episode: Joint Commission Study about Wrong Site Surgeries (from OR Magazine article by Adam Taylor on 6/15/23)https://www.aorn.org/outpatient-surgery/article/the-big-three-wrong-site-specialties Becker's Hospital Review Article about nurses and degree scam (June 28):https://www.beckershospitalreview.com/nursing/more-nurses-claim-innocence-in-degree-scheme.html?origin=WomensE&utm_source=WomensE&utm_medium=email&utm_content=newsletter&oly_enc_id=0573H1191845C8E WPTV Article about Nurse who Stole Fentanylhttps://www.wptv.com/news/region-st-lucie-county/fort-pierce/former-surgery-center-nurse-sentenced-to-4-years-in-prison-for-tampering-with-fentanyl Becker's ASC Article about Physician Convicted of Illegal Opioid Distribution:https://www.beckersasc.com/asc-news/ohio-physician-convicted-of-illegal-opioid-distribution.html?origin=ASCE&utm_source=ASCE&utm_medium=email&utm_content=newsletter&oly_enc_id=0573H1191845C8E SIS Website:http://sisfirst.com   Important Resources for ASCs: Conditions for Coverage: https://www.ecfr.gov/cgi-bin/text-idx?c=ecfr&rgn=div5&view=text&node=42:3.0.1.1.3&idno=42#se42.3.416_150 Infection Control Survey Tool (Used by Surveyors for Infection Control)https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107_exhibit_351.pdf Updated Guidance for Ambulatory Surgical Centers - Appendix L of the State Operations Manual (SOM)https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_l_ambulatory.pdf https://www.cms.gov/medicareprovider-enrollment-and-certificationsurveycertificationgeninfopolicy-and-memos-states-and/updated-guidance-ambulatory-surgical-centers-appendix-l-state-operations-manual-som Policy & Memos to States and RegionsCMS Quality Safety & Oversight memoranda, guidance, clarifications and instructions to State Survey Agencies and CMS Regional Offices. https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions Other Resources from the ASC Podcast with John Goehle: Visit the ASC Podcast with John Goehle Website ASC Podcast with John Goehle Patron Program Benefits of Becoming a Patron Member Patron Members of the ASC Podcast with John Goehle have access to ASC Central - an exclusive membership website that provides a one-stop  ASC Regulatory and Accreditation Compliance, Operations and Financial Management resource for busy Administrators, nurse managers and business office managers.   Become a member today! The ASC-Central Premium Access Program A Premium Resource for Ambulatory Surgery Centers including access to bootcamps, education programs and private sessions https://asc-central.com/landing/plans/279136 Books by John Goehle Get a copy of John's most popular book - The Survey Guide - A Guide to the CMS Conditions for Coverage & Interpretive Guidelines for Ambulatory Surgery Centers 

The No Normal Show by ReviveHealth
The Future of Primary Care, Part 2 with Dr. James Jarvis from Northern Light Health

The No Normal Show by ReviveHealth

Play Episode Listen Later Jun 28, 2023 20:20


In the second part of our series on the Future of Primary Care, we shift our focus to the coming age of AI. How has tech reshaped the daily lives of PCPs? What's coming, and will it help or hurt patient communications? And, how will tech help primary care continue to save lives and prevent disease? Tune in for all these insights and more, straight from the mouth of a leading primary care physician: Dr. James Jarvis of Northern Light Eastern Maine Medical Center.

BS Free MD with Drs. May and Tim Hindmarsh
#136: The Importance of Support Systems for Working Mothers

BS Free MD with Drs. May and Tim Hindmarsh

Play Episode Listen Later Jun 22, 2023 78:46


In this episode of BS Free MD, Dr. Susan Landers, a retired neonatologist with over 35 years of experience, talks about her career and her book "So Many Babies". May, Tim and Dr. Landers discuss the challenges of burnout and overwhelm faced by women in the workplace, not just physicians. Dr. Landers shares her experience of getting to retirement and the struggle with burnout. She also talks about the rewarding aspects of practicing neonatology, and how she got to know patients and their families very well. After retiring, Dr. Landers wrote a book based on her NICU stories, "So Many Babies". About Susan Landers: Dr. Landers is a retired neonatologist who practiced in the NICU for thirty-four years. When she joined a practice of nine males in 1997 she slowly brought them into the modern medical world by changing schedules to be more family friendly, talking about coping with sick children, and proved the benefits of hiring other women physicians. Dr. Landers volunteered for the AAP and served on the Section on Breastfeeding's executive committee for six years. She took a slight detour in her career and worked as the medical director of the Mother's Milk Bank at Austin and joined the Academy of Breastfeeding Medicine. After she retired she wrote a memoir, “So Many Babies.” Are there any specific questions/talking points you would like to include?: What is a family friendly medical practice? How do women physicians accommodate breastfeeding after return to work? How do women physicians handle the demands of medical practice and burnout differently from men? Links! Https://susanlandersmd.com Https://instagram.com/drsusanlanders Www.linkedin.com/in/susan-landersmd Https://www.facebook.com/SLandersMD Looking for something specific? Here you go! [00:02:07] Rewarding NICU Specialist Career.  [00:04:33] Career moms and parenting struggles.  [00:09:05] Women in male-dominated fields.  [00:16:13] Balancing family and career.  [00:17:30] Working remotely during pandemic.  [00:21:26] Working mothers and burnout.  [00:26:05] Dealing with injuries as athletes.  [00:31:35] Importance of Support System.  [00:38:35] Donor milk sharing online.  [00:39:05] Contaminated donor milk.  [00:44:25] Pumping laws in the US.  [00:49:28] Breastfeeding guilt and shame.  [00:54:51] Breastfeeding controversies.  [00:57:20] Working moms and children's health.  [01:02:05] Tough ethical issues in medicine.  [01:05:40] Electronic Medical Record problems.  [01:10:00] A.I. in medicine. Our Advice! Everything in this podcast is for educational purposes only. It does not constitute the practice of medicine and we are not providing medical advice. No Physician-patient relationship is formed and anything discussed in this podcast does not represent the views of our employers.  The Fine Print! All opinions expressed by the hosts or  guests in this episode are solely their opinion and are not to be used as specific medical advice.  The hosts,  May and Tim Hindmarsh MD, BS Free MD LLC, or any affiliates thereof are not under any obligation to update or correct any information provided in this episode. The guest's statements and opinions are subject to change without notice. Thanks for joining us! You are the reason we are here.  If you have questions, reach out to us at doc@bsfreemd.com or find Tim and I on Facebook and IG. Please check out our every growing website as well at  bsfreemd.com (no www) AND sign up for our WEEKLY NEWSLETTER at bsfreemd.com/truthserum ! And don't forget our new weekly DOCTALES livestreaming on Facebook and YouTube where you get to be part of the party! GET SOCIAL WITH US! Website: bsfreemd.com YouTube:https://www.youtube.com/channel/UCiQ5Rm4eBWqbK5hSQ05--mw Rumble: https://rumble.com/search/video?q=bsfreemd Instagram:: https://www.instagram.com/bsfreemd/ Facebook: https://www.facebook.com/bsfree Newsletter: https://www.bsfreemd.com/truthserum

The Doctor’s Crossing Carpe Diem Podcast
How About A Job Improving The EMR?

The Doctor’s Crossing Carpe Diem Podcast

Play Episode Listen Later May 10, 2023 29:32


Have you ever wished you could make improving the EMR part of your job, but shrugged off the idea because you don't have a technical background? My guest today, Dr. Julie Hollberg, is a hospitalist and the CMIO of Emory Healthcare. She's here to discuss how she climbed the informatics ladder and why a technical background is not a prerequisite for this role. Dr. Hollberg will discuss the various ways physicians can be involved in improving the EMR, who might be best suited for this role, and how to pursue this path if it interests you.  You can find the show notes for this episode and more information by clicking here: www.doctorscrossing.com/episode129   In this episode we're talking about: How Julie got started working in the informatics field Why a desire to help her colleagues motivates Dr. Hollberg's work How our personality type may help determine which roles are best for us Different types of healthcare and industry informatics roles for physicians Why having some ongoing clinical work is important for physician informaticists How conflict management is an important skill for EMR leadership roles Where to learn more about informatics and typical compensation for these roles   Links for this episode: American Medical Informatics Association (AMIA)  AMIA 10 X 10 Virtual Courses Physician Transition Starter Kit - A “must have” when you're questioning your career path. This 25-page guide answers many of your questions about career transition, nonclinical options, and how to just get started.

eCW Podcast
Experience a More Efficient EMR with V12

eCW Podcast

Play Episode Listen Later May 10, 2023 10:20


In this episode of eCW podcast Dr. Seth Eaton from MedPeds in Laurel, Maryland, discusses the adoption of version 12 of eClinicalWorks Electronic Medical Records. The upgrade to version 12 was browser-based and a major cultural shift from the desktop version earlier. Some of the new features that have had the biggest impact on productivity are better-managed order sets and macros, and easier ways of communicating with patients through messenger, web, and text. The transition to version 12 not only brought about positive changes in billing but also took advantage of the educational components of the National Conference. 

Bowel Sounds: The Pediatric GI Podcast
Jennifer Lee - Informatics for Pediatric Gastroenterologists

Bowel Sounds: The Pediatric GI Podcast

Play Episode Listen Later Apr 24, 2023 59:32


In this episode, Drs. Temara Hajjat and Jason Silverman talk to Dr. Jennifer Lee about informatics. We discuss what it is, how it can be used in clinical care and research, EMR efficiency tips and avoiding informatics pitfalls.Dr. Lee is a pediatric gastroenterologist at Nationwide Children's Hospital with a clinical interest in EoE, as well as a position within the Division of Clinical Informatics, working with colleagues across her institution to meet their clinical, research and quality improvement goals through the appropriate use of information technology.This episode is eligible for CME credit!  Once you have listened to the episode, click this link to claim your credit.  Credit is available to NASPGHAN members (if you are not a member, you should probably sign up).  And thank you to the NASPGHAN Professional Education Committee for their review!Learning Objectives:Understand what informatics is, and how a clinical informatician can assist in clinical, research and quality improvement projects.Name 3 tips to improve personal efficiency in using an electronic medical record.Understand the impact of how data is entered and stored on usabilty for research and QI work.Produced by: Jason SilvermanSupport the showAs always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.Follow us on Twitter, Facebook and Instagram for all the latest news and upcoming episodes!

ITSPmagazine | Technology. Cybersecurity. Society
Cosmic Care: AI-Driven Healthcare, Space Medicine, And Their Role In the Future Of Space Exploration | The High Alert Institute Series | A Conversation With Dr. Maurice Ramirez and Allison A. Sakara | Redefining Society Podcast with Marco Ciappelli

ITSPmagazine | Technology. Cybersecurity. Society

Play Episode Listen Later Mar 28, 2023 49:17


GuestsAllison A. Sakara, Executive Director, High Alert Institute [@High-Alert-Inst]On ITSPmagazine | http://www.itspmagazine.com/itspmagazine-podcast-radio-hosts/allison-a-sakaraDr. Maurice A Ramirez, Founder and President, High Alert Institute [@High-Alert-Inst]On ITSPmagazine | http://www.itspmagazine.com/itspmagazine-podcast-radio-hosts/dr-maurice-a-ramirezHost Marco Ciappelli, Co-Founder at ITSPmagazine [@ITSPmagazine] and Host of Redefining Society PodcastOn ITSPmagazine | https://www.itspmagazine.com/itspmagazine-podcast-radio-hosts/marco-ciappelli_____________________________This Episode's SponsorsBlackCloak

Round Table China
Why is it so hard to unify electronic medical records?

Round Table China

Play Episode Listen Later Mar 20, 2023 53:48


Digital transformation has never been quick or simple. When it comes to creating digital medical records, the process can seem extremely daunting with complex regulatory compliance and security mandates. Do we need a unified electronic medical record system? Why is it so hard to share information among hospitals (01:52)? / Why are some capable people reluctant to lead (27:53)? / Motivational Monday (46:47)! On the show: Heyang, Huang Shan & Fei Fei

Lay of The Land
#109: Adam Fleischer (The Wine Spot & Entrepreneur's Organization Cleveland)

Lay of The Land

Play Episode Listen Later Mar 9, 2023 50:30


Lay of The Land's conversation today is with Adam Fleischer — President of Cleveland's Entrepreneurs' Organization and founder & co-owner of The Wine Spot here in Cleveland Heights.A proud product of Cleveland, Adam joined the United States Air Force just after graduating from Cleveland Heights High School and spent four years on active duty as a medic. After relocating back to Cleveland to attend Cleveland State University, Adam got a job at a local hospital's inpatient pharmacy, where he began implementation of one of the first clinical information systems (also known as an Electronic Medical Record) in the country — with that experience, Adam was hired on by the company, Cerner Corporation, which was recently purchased by Oracle. After 20 years of experience in corporate America, he decided to focus his energy on his passions — the Cleveland community, and wine!Adam and his wife Susan followed their dream of owning their own business and being entrepreneurs by opening The Wine Spot in Cleveland Heights on December 16, 2011. From the onset, they wanted to be part of the local food and beverage community and began partnering with like-minded entrepreneurs like: Restless Coffee, Brew Nuts, Mister Brisket, many local micro-breweries, and artists to create a relaxing destination where all feel welcome and can enjoy the fines wines, craft beer, and cocktails.In addition, Adam is active in the community as the creator and co-creator of The Heights Music Hop, The Cleveland Heights Happy 5K and 10K, 46 and 2 Brewing Cold Brewed Coffee now part of Six Shooter Coffee, Bitcoin Boulevard USA, and The Wine Spot Salami.It was a lot of fun to hear about Adam's journey to entrepreneurship, the work he's doing at the Wine Spot, and understanding the role of EO — the Entrepreneur's Organization — which we've heard mentioned many times throughout Lay of The Land but are finally making the space to talk about specifically today! Please enjoy my conversation with Adam Fleischer--Connect with Adam Fleisher on LinkedIn — https://www.linkedin.com/in/adamefleischer/Learn more about The Entrepreneurs' Organization (EO) Cleveland — https://www.eonetwork.org/cleveland/Learn more about The Wine Spot — https://thewinespotonline.com/ Follow The Wine Spot on Twitter @TheWineSpotCH — https://twitter.com/TheWineSpotCH--Connect with Jeffrey Stern on LinkedIn — https://www.linkedin.com/in/jeffreypstern/Follow Jeffrey Stern on Twitter @sternJefe — https://twitter.com/sternjefeFollow Lay of The Land on Twitter @podlayofthelandhttps://www.jeffreys.page/

PVRoundup Podcast
Boiled peanuts could be beneficial in peanut allergy desensitization

PVRoundup Podcast

Play Episode Listen Later Feb 14, 2023 4:48


Could boiled peanuts be beneficial in peanut allergy desensitization? Find out about this and more in today's PVRoundup podcast.

The Current
The push for patient access to electronic medical records

The Current

Play Episode Listen Later Feb 10, 2023 7:43


We talk to Tracie Risling, an associate professor in the University of Calgary's faculty of nursing, about calls for more Canadians to be able to access their own health records electronically.

Bedside Rounds
70 - A Doctor's Work

Bedside Rounds

Play Episode Listen Later Dec 19, 2022 49:14


What do doctors actually do? Are they Sherlockian detectives, hunting down obscure clues to solve intractable cases? Are they virtuosic experts, training for half a lifetime to bring the latest science to bear to cure disease? Or are they clerks, whose main job is to collect and enter data into the electronic health record? In this episode, Adam is joined by medical and cultural historians Lakshmi Krishnan and Mike Neuss to discuss the stories we tell about our own work – and how this often conflicts with the realities of clinical practice.

Product in Healthtech
Case Studies in Healthtech: University of California San Francisco

Product in Healthtech

Play Episode Listen Later Oct 20, 2022 41:04


Product in Healthtech is community for healthtech product leaders, by product leaders. For more information, visit www.productinhealthtech.com. Product in Healthtech is community for healthtech product leaders, by product leaders. For more information, and to sign up for our free webinars, visit www.productinhealthtech.com.

Unraveling Medical Coding
Bulletproof Documentation

Unraveling Medical Coding

Play Episode Listen Later Oct 18, 2022 14:16


Episode Summary: Medical Documentation has suffered a decline in integrity due to adoption of Electronic Medical Records and an incomplete understanding of Documentation Guidelines. Hosts Neal Sheth and Dr. Piyush Sheth explore this topic and provide solutions that can strengthen your medical record documentation and make them stand up to scrutiny during audits. Visit our blog: www.unravelingmedicalcoding.com Don't forget to subscribe to our podcast: Unraveling Medical Coding CODING SURGERY: General Surgery, 2022 available on Amazon.

Physician's Guide to Doctoring
Fixing the Electronic Medical Record Interoperability Problem with Troy Bannister of Particle Health

Physician's Guide to Doctoring

Play Episode Listen Later Sep 20, 2022 36:07


Troy Bannister is the CEO of Particle Health, a company that is shaping the new standard for healthcare data exchange with a user-friendly application programming interface platform. After spending years in the healthcare industry as an EMT, clinical researcher, and medical student, he decided to attempt the seemingly insurmountable task of fixing the interoperability problem of electronic medical records. Particle Health gives application designers, and therefore patients, access to their records. You'll get a better understanding when he explains it. We talk about how he came up with the idea for Particle Health, the precedent in the financial industry that most of us use, how the interface works, and why blockchain isn't necessary for portability and security.

Federal Drive with Tom Temin
Health providers and electronic medical records become interoperable

Federal Drive with Tom Temin

Play Episode Listen Later Aug 18, 2022 17:54


Federal agencies' electronic medical records are about to get a lot more interoperable with private sector health providers. Agencies like DoD and VA are already members of eHealth Exchange, the country's biggest health information exchange network. But they've now reached legal agreements that will let them start using a much broader health interoperability framework. That'll add another 20 networks to the federal interoperability picture. Alan Swenson is executive director of Carequality, the nonprofit that runs the framework. He talked with Federal News Network's Deputy Editor Jared Serbu.

LTC University Podcast
DAX AI, Dr. Lance Owens & Josh Wilda

LTC University Podcast

Play Episode Listen Later Aug 12, 2022 45:41


www.SCHouseCalls.comwww.HouseCallsGA.comwww.MainStreetPhysicians.comwww.SCHomeRx.comwww.thedisruptedpodcast.comwww.experiencinghealthcare.com

The Everyday MA
MA's & EMR's (Electronic Medical Records)

The Everyday MA

Play Episode Listen Later Aug 1, 2022 15:01


I received an email recently and this fellow Medical Assistant had a interesting concern about Electronic Medical Records. Today we embark on; Did your program heavily emphasize EMR training and if not, why not?!?! Did your employer train you adequately to face your new EMR system? Like this supporter you can reach me at TheEverydayMA@gmail.com with any questions, idea's, suggestions, and or MA stories. I'm always down for a good story time. Hope you enjoy this episode and don't forget to follow the new Instagram page @cortezeveryday --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app Support this podcast: https://anchor.fm/theeverydayma/support

ASCO Daily News
A Novel Approach to Address Financial Toxicity

ASCO Daily News

Play Episode Listen Later Jul 28, 2022 13:14


Host Dr. John Sweetenham, of the UT Southwestern's Harold C. Simmons Comprehensive Cancer Center, and Dr. Bridgette Thom, of the Memorial Sloan Kettering Cancer Center, discuss a novel intervention to address financial toxicity and social need using the Electronic Medical Record.   TRANSCRIPT Dr. John Sweetenham: Hello. I'm Dr. John Sweetenham, the associate director for clinical affairs at UT Southwestern Harold C. Simmons Comprehensive Cancer Center and host of the ASCO Daily News podcast. My guest today is Dr. Bridgette Thom, a researcher at Memorial Sloan Kettering (MSK) Cancer Center. We'll be discussing a novel approach to address financial toxicity that uses the electronic medical record to streamline referrals to financial assistance and counseling for high-risk patients. Our full disclosures are available in the show notes, and disclosures of all guests on the podcast can be found on our transcripts at asco.org/podcasts. Dr. Thom, it's great to have you on the podcast today. Dr. Bridgette Thom: Thanks so much for having me. Dr. John Sweetenham: Dr. Thom, the high costs of cancer care have caused major financial distress for many patients and their families. And this, of course, has been the subject of a great deal of literature in recent years. As you noted in your poster presentation at the recent ASCO Annual Meeting, there are limited interventions, despite a need for patient level and system-based solutions (Abstract 6596). Listeners to our podcast will remember a previous discussion that we had with Dr. Derek Raghavan from the Levine Cancer Institute, where they had instituted financial toxicity grand rounds to partially address this problem. Can you tell us about the novel approach that you and your colleagues explored using the electronic medical record to streamline referrals for financial assistance and counseling? Dr. Bridgette Thom: I first have to credit our team for this work. Dr. Emeline Aviki, who is a gynecological surgical oncologist with keen interest in affordability and payment models, founded the MSK affordability working group several years ago. The first priority of the group was to determine the scope of financial hardship at our institution. At the time, we were absent a systematic screening process. So she, our data analysts, and representatives from our Patient Financial Services Program, developed proxy measures to figure out which patients might be having financial issues. Looking through the medical record, we found those patients who had used one of our Patient Financial Services assistance programs, those who had billing issues, and those who had been referred specifically to social work for a financial issue. And in doing so, we found out that about 25% of our patients over a 2-year period were facing some sort of financial issue. Looking closer at that data, patients experiencing financial hardship weren't necessarily being connected to the resources that we had available, which include copay assistance programs, financial assistance programs, and support for non-medical essential needs. So, for example, we had about 1 in 6 patients who had some sort of payment issue, but only about 20% of them had applied for financial assistance. And we wanted to figure out why this was happening and review the process. In doing so, we discovered that too much burden was being placed on already burdened social workers who had to triage all those issues. So Dr. Aviki in her wisdom realized that care providers, physicians, advanced practice providers (APP), nurses needed to make direct referrals to the resources that we had. So we had a place for patients to go, we just needed an easier mechanism for them to get there. And that was the birth of the financial toxicity order set. And she and her team really powered through the developmental and testing phases working with IT, our strategy administration groups, clinical end users, our PFS team, that's Patient Financial Services. We built this order set that allows clinicians directly to refer to our resources. So clinicians, either through their discussions with patients or if patients bring up an issue, through the order set they can select a reason for a referral, the urgency of referral, the clinical location, etc. And then those orders go directly to our Patient Financial Services staff who then contact patients. We piloted this program in late 2020, early 2021 on 1 service, and then used that feedback to roll out the program first to our outpatient clinics and then to inpatient. That process involved a lot of educational efforts, getting the word out, and working with IT and our strategy team to stay on top of the data and monitor referrals over time. Dr. John Sweetenham: Thanks. Could you say just a little bit more about the educational process that you use? I noticed in looking at your poster that the bulk of referrals came either from the clinic nurse or from the APP. Did you tailor your education in any way to the specific provider that was involved? How did you do that piece? Dr. Bridgette Thom: Our affordability working group is an interdisciplinary team and we have nurses, social workers, physicians. So we did a lot of grand rounds work tailored to the audience be it by disease type or clinical role. Dr. John Sweetenham: Great, thank you. This is clearly great work. There's a lot of useful and helpful information in your abstract and in your poster. What would you say are the key takeaways from the intervention? What would you say about the scalability of this approach into community practice as opposed to a very large institution such as yours? Dr. Bridgette Thom: One key takeaway from a process perspective was the need, like I said, for an interdisciplinary approach to handling the issues. That might seem obvious, but it was really crucial to the success of the project to engage key departmental stakeholders and decision makers very early in the process and keep them informed throughout the development of the order set. That definitely helped us to smooth a potentially bumpy road when we're dealing with big systems change. From an outcomes perspective, a key takeaway is the importance of having actionable items to empower the care providers. So while our institution has this amazing program, our Patient Financial Services program which provides counseling, and connects patients to tangible resources, this type of intervention I think could be scalable or applicable to a community practice or smaller hospital, provided there's somebody, a social worker, patient navigator, [or] nurse, that can be a connection for patients and those potential resources that do exist out there. For us going forward, we're going to continue to evaluate the order set, both from the clinical end user and then also the Patient Financial Services staff to learn more about their perspectives and what can be adapted in the order. We also, of course, want to learn from our patients about their experience with the process, and so we have projects, both research and program evaluation, in the works to consider their perspective. Dr. John Sweetenham: Great, thank you. And I guess 1 of the other aspects of this where there is obviously substantial opportunity is that, of course, currently, you're still reliant upon the provider to place the order. And I wonder whether you feel that some form of screening for social need and financial hardship could be embedded within the electronic health record as a key next step, so that you proactively identify those high-risk patients. Dr. Bridgette Thom: Definitely. And that is, in fact, our next step. We are currently piloting our financial hardship screening tool on 4 large services at our institution. The objective here is to, like you said, proactively identify patients who might be at risk and connect them to resources, be it tangible resources, or just counseling or insurance guidance, [and] do that before the hardship can occur. And the goals of our pilot phase are to (1) develop and refine a tool that's both predictive, but also feasible to administer within a busy clinic setting. And then also (2) to work with our interdisciplinary team to adapt the workflow. We can have a great tool, but if we don't have a way to administer it in a clinic, it's not going to do us any good. So for us, that means listening to feedback from, first and foremost, our patients and then the key stakeholders in the process. Our nurses have been integral to this process. We also, of course, our Patient Financial Services, staff, the clinical operations staff, obviously, IT, social work. And once we have these processes figured out and we have our tool solid, we will hopefully expand the screening to all services, and then use data to figure out the optimal screening interviews by disease and treatment type because we feel that this could vary by a patient's treatment trajectory. Dr. John Sweetenham: You note in your poster that additional multilevel interventions are needed to address the problem of financial toxicity at a systems level, and of course, what you have done here is a really great and important step in helping to identify those patients. But identifying those patients who are at particular risk is only beginning of addressing the issue. Could you elaborate a little bit more on other areas that you're exploring in terms of the interventions that you're using? Dr. Bridgette Thom: Sure. And this idea of multi-level interventions comes from my social work training, where there's an emphasis on viewing the individual as being part of a series of dynamic and interconnected relationships and systems: the social ecological theory. So if we think of concentric circles with the patient at the center, there are cascading relationships that are going to impact the course of their care. We radiate out to families and caregivers, a patient's workplace if they're employed, the hospital and the providers there, and then look to bigger systems where a patient lives, their town. If it's in an urban setting or a rural setting, the type of insurance that they have, if it comes from their employer, or if it's a different insurance system, their community and then of course, broader, social, societal, more macro issues. My point and that of many others who work in this space is that we have to consider the context. We can't just build and test interventions that focus on a patient because the patient isn't existing in a bubble. They're existing in relationships with their caregivers, their health care providers, their health care system. And all of that exists in, for lack of a better word, a broken system of structural inequality, systemic racism, and conflicting values about health care as a right. Patient-level interventions are indeed important, but we can't place the burden solely on the patient. And we, as researchers and clinicians in this space, really need solutions that are going to reach across systems. I think, like you said, this project demonstrates that and this is something that I hear from patients in other work that I'm doing. For example, I'm working on a digital intervention to help young adult cancer survivors to build their financial capability and build their understanding of the health care system and insurance systems and financing and all of that. As I co-develop this intervention with patients and survivors, I'm hearing, 'This is great. I'm glad I'm learning these things, but at the same time, my co-pays are unmanageable,' Or, 'I might have to skip my survivorship appointment because I can't afford to take off work that day.' I think we have to really think about, like I said, the context and the bigger picture of the scope of the problem and build and develop interventions that acknowledge that. Dr. John Sweetenham: Well, as you say, very complex, multi-level problem and many interventions needed. But congratulations and kudos to you and your colleagues for addressing one component of this. And we're really looking forward to seeing how this develops and progresses in the coming years. And I'd like to thank you, again, for sharing your insights with us today on the ASCO Daily News podcast and telling us a little bit more about this great work. Dr. Bridgette Thom: Thank you so much for having me. I want to just acknowledge all of the work of our team. It has really been a team effort. We're looking forward to our next steps. Dr. John Sweetenham: And thank you to our listeners for joining us today. You'll find links to the poster discussed today on the transcript of this episode. Finally, if you value the insights that you hear on the ASCO Daily News podcast, please take a moment to rate, review, and subscribe wherever you get your podcasts. You can hear more about the MSK Affordability Working Group's efforts on the podcast, Cancer Straight Talk from MSK.   Disclosures: Dr. John Sweetenham: Consulting or Advisory Role: EMA Wellness Dr. Bridgette Thom: Stock and Other Ownership Interests (Immediate Family Member): Caladrius Biosciences, Mediwound, Sierra Oncology, Lipocine, MEI Pharma, Oncternal Therapeutics, Avadel Pharmaceuticals, Chimerix, Avidity Biosciences, Sutro Biopharma, Adma Pharma, Concert Pharmaceuticals, Processa Pharmaceuticals, Curis           An, IMV, Arcus Biosciences, Iovance Biotherapeutics, Qiagen, Revance Therapeutics, DermTech, Zimmer BioMet, Axonics Modulation, Halozyme, Autolus, Pavmed Inc       , Mereo BioPharma, and AADi Disclaimer: The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement.    

Obesity: A Disease
Episode 68: Article Reviews: Clinical Practice Statements for the Management of Obesity – Nutrition and Physical Activity, Part 1 of 2: Effective Patient Documentation; Electronic Medical Records (EMR’s) and Energy Expenditure

Obesity: A Disease

Play Episode Listen Later Jun 9, 2022 25:03


OMA Chief Science Officer, Harold Bays, MD, FOMA, FTOS, FACC, FNLA, FASPC interviews Karli Burridge, PA-C, MMS, FOMA about the Obesity Medicine Association (OMA) Clinical Practice Statement (CPS) for which she was first author, titled 'Nutrition and Physical Activity'. The CPS serves as a flexible guide for providers seeking to create or improve an obesity medicine program. Topics include personal history documentation; laboratory procedures; components of energy expenditure; non-exercise activity thermogenesis (NEAT); accurately assessing and understanding body composition; body fat cut-off levels and the inclusion of a "pre-obesity" category. In our article review podcasts, we have carefully selected recent articles included in the latest version of the Obesity Pillars, which is the official Gold Open Access online-only journal of the Obesity Medicine Association and is devoted to the publication of clinical and evidence-based research for physicians, nurse practitioners, physician assistants, and other health care clinicians in the field of obesity that can be found at https://www.journals.elsevier.com/obesity-pillars. We then discuss this new science with obesity experts. To access other resources from the clinical leader in Obesity Medicine, visit: www.obesitymedicine.org. In this episode, we analyze how obesity doctors can maximize patient documentation (EMR's) as well as the documentation of energy expenditure. Episode Guests Harold Bays, MD, FOMA, FTOS, FACC, FNLA, FASPC Karli Burridge PA-C, MMS, FOMA Resources Mentioned Obesity Pillars

Cancer Stories: The Art of Oncology

"A Soft Spot," by Rebecca Snyder: A surgical oncologist discusses the hidden emotional toll experienced by patients with cancer.   TRANSCRIPT Narrator: ‘A Soft Spot', by Rebecca A. Snyder, MD, MPH. I remember a day as a child when my father, a vascular surgeon, came home and immediately retreated to his bedroom. He did not emerge for some time, and when he did, he spoke very little to anyone. When I asked my mother why, she told me softly, ‘One of your father's favorite patients died today, and he is sad.' This surprised me at the time that my father felt so deeply for his patients that it affected him for hours after coming home from work. I understand it better now. I first met Gary after his medical oncologist asked me to consider operating on him for colorectal liver metastases. During our initial visit, I observed that he was a quiet man: nervous, kind, and polite, saying little unless prompted. Over time, I came to learn that he was a solitary person who found fulfillment and purpose in his work, enjoying hunting and fishing in his spare time. He lived almost an hour and a half away in a rural part of North Carolina. Outside of his visits, we communicated mostly via his brother, because his cell phone rarely had reception. In the months before our first visit, he had been treated heavily with chemotherapy and appeared to have had a good response to treatment. Although he had disease in both sides of his liver, it looked as though his disease was resectable with a two-stage operation. The first stage to remove the left part of his liver and the second stage to remove two metastases in his right liver. He was young, in his early 50s, and otherwise healthy - a good candidate for surgery. The first-stage operation went smoothly, but when I saw him back in the office to plan for the second, his imaging revealed significant growth in the two remaining metastases in his right liver. To make matters worse, his normal liver had failed to hypertrophy enough to allow for another resection. He silently stared at the floor, visibly disappointed when I shared this with him. I told him I was disappointed too. Together with his clinical team, we then embarked on a series of treatments, beginning with microwave ablation therapy to the growing tumors. Unfortunately, in the interim, he developed a new liver metastasis with resulting biliary obstruction. We attempted unsuccessfully to drain his liver with an endoscopic stent with the goal to restart systemic chemotherapy. At our most recent visit, I expressed my concerns that the endoscopic stent had not been effective and recommended a percutaneous drain to decompress his bile duct. His gaze drifted to the floor. Sensing he was upset, I placed a hand on his shoulder, hoping to convey a steadiness and confidence that might offer some reassurance. As tears formed in his eyes, I felt his discomfort at displaying emotion in front of me, so I offered him a few minutes of privacy with his brother. Although he had been willing to undergo repeated endoscopic procedures, it seemed as though the idea of having a drain outside his body, a visible and tangible reminder of his progressive cancer, was clearly distressing to him. When I re-entered the room, we reviewed our plan for him to have an external drain placed and then begin a modified regimen of chemotherapy next week, which he and I both knew would not be curative. We did not speak this aloud, but the eye contact he made with me communicated that we shared a common understanding. I silently hoped that it would buy him some time at least. Two weeks later, I unknowingly clicked open an automated message in the electronic health record stating very matter-of-factly that Gary had been brought in by emergency medical services, dead on arrival, from a gunshot wound. I called his medical oncologist, who reluctantly confirmed the news. He told me he had hoped that I would not find out because he knew I would not take it well. Suffice it to say, he was right. Although most of the cancers I treat, pancreatic, metastatic, colorectal, and cholangiocarcinoma, are aggressive malignancies with poor long-term survival, Gary was the first patient of mine to commit suicide. When I first learned of Gary's suicide, my mind immediately returned to my last visit with him. ‘Had I been too honest and direct, not buffering the concerns we discussed with enough hopefulness? Had he expressed signs of clinical depression that I had missed, misinterpreting his responses as a normal disappointment when in fact they reflected much deeper despair? Should I have confronted him more directly?' I called his older brother while the news still freshly stung, feeling a sense of urgency to make sure his family knew how much Gary mattered to me and to his treatment team. After we exchanged platitudes, I found myself telling him that I had always had a soft spot in my heart for Gary, which was true. I tried very hard then not to cry but failed. As a private person myself, I have always felt a particular sense of community with introverts like Gary, a shared experience of a need for privacy, an appreciation for quiet and aloneness, and a discomfort with being overly expressive among anyone other than close friends or family. Nature or nurture, I inherited this trait from my mother, who preferred pursuing her solitary artistic hobbies over small talk. Like Gary, my mother also became deeply depressed when she was diagnosed with metastatic lung cancer, a depression that worsened when she experienced debilitating side effects of treatment, only to learn that these treatments had not even been effective. As her daughter and one of her caregivers, it was not her physical suffering but her emotional suffering that was most agonizing to witness. During my mother's experience with end-stage cancer, I gained an intimate awareness of cancer's emotional toll in a way never afforded by my formal training or in my clinical practice. Stepping beyond awareness toward confident intervention with my own patients, though, has remained uncomfortable for me. I listen, offering empathy and understanding, explaining treatment options when there are any, and comfort when not. For some patients and families, I morph into a punching bag, offering them an outlet for their anger when I cannot offer them anything else. With Gary, I tried to communicate to him that beneath his displays of hesitancy and reservation, I recognized the struggle he was experiencing, his hopes, and perhaps more importantly, his disappointments. Now, I do not feel like this was enough. Losing patients to cancer is something I have experienced from both a professional and personal standpoint and unfortunately, with which I have grown all too familiar. Knowing that a timid and kindhearted patient of mine felt a sense of hopelessness and despair this deep, however, is acutely and newly painful. I imagine I will always carry a soft spot for Gary with me, a tender soreness that lasts. It may go unnoticed at times, forgotten temporarily with the distraction of another patient's triumph: a curative resection, a follow-up scan with no evidence of disease, or a grandchild's high school graduation witnessed. Yet, I expect it will sting again, just as a bruise does when pressed intentionally and gently, to confirm that it is still there. I will be reminded of him, feeling a familiar ache when I witness someone's growing despair. Next time, I will pause to ask, ‘Are you losing hope?' Perhaps you will ask too. Dr. Lidia Schapira: Welcome to JCO's Cancer Stories: The Art of Oncology, brought to you by the ASCO Podcast Network, a collection of nine programs covering a range of educational and scientific content and offering enriching insight into the world of cancer care. You can find all of the shows, including this one at podcast.asco.org. I'm your host Lidia Schapira, Associate Editor for Art of Oncology and Professor of Medicine at Stanford. With me today is Dr. Rebecca Snyder, Assistant Professor of Surgery and Public Health at Brody School of Medicine at East Carolina University. We'll be discussing her Art of Oncology article, ‘A Soft Spot'. Our guest has no disclosures. Rebecca, welcome to our podcast. Dr. Rebecca Snyder: Thank you, Lidia. Dr. Lidia Schapira: It's a pleasure to have you with us today. I'd love to start by asking you as a gifted storyteller - I've read some of your stories published also in other publications - tell me a little bit about your writing process. Why do you write? When do you write? What brings a story to the page for you? Dr. Rebecca Snyder: I would say that I don't have a very structured process. Typically, it begins with some ideas that percolate in my mind, oftentimes prompted by one specific event. And then I think once I have time to sort of bring in some other thoughts and start to formulate them, then it really happens when I have a moment to sit down where there's quiet, and my children are not interrupting me and my pager is not interrupting me, and have a few hours to really sit down and get something on the page. And then I do quite a bit of editing over time. I reread a lot and rethink about the way I say things until I get it just right. So, it takes me days. Dr. Lidia Schapira: That's very interesting. Let's go back to something you said. Let's chase after that a little bit. You said something that sort of stays with you or percolates; is it a moment of particular emotional resonance? Is it a difficult situation? Is it something that triggers a deep memory for you? Can you tell us a little bit more about what got you to write, say this piece about Gary, you've also written about your mother, you've written about being a petite surgeon in a sexist world, what are those ideas that stay with you, that then lead you to write about them? Dr. Rebecca Snyder: They're each a little bit different. So, I don't know that I have one answer to that. I think my experience with my mother took me a long time to be ready to write about it. It was something way too emotional for me to even confront for myself for a long time. And then eventually, I felt like I was in a place where I could put something on a page and that was very therapeutic for me. With Gary, that was really an acute event. And when it happened, and I processed it emotionally, I knew that it would help me to write about that. And so, I actually did that, I believe, either the same day or the next day that I learned of that event. At that point, I wasn't necessarily writing with the intention of publishing, but just to help me get through those feelings in that experience. Dr. Lidia Schapira: So, I'd like to talk a little bit about this idea of writing and sharing with others. One thing is to write to process a difficult experience, which you've so nicely stated. The other is to take the further step of writing for publication, which means putting something that's really private out in front of your colleagues, your peers, and so on. Tell us a little bit about that. What triggers you to say, 'Alright, I've written this to process but now I want to share it'? Dr. Rebecca Snyder: I write about how I consider myself an introvert. Some people who know me well aren't surprised to hear that. Some people say, ‘Oh, I wouldn't have expected that you consider yourself an introvert.' I think that for me, there are thoughts that I don't feel comfortable communicating, necessarily in a public forum, or with people that maybe I don't know as well. But when I can do it in written form, for some reason, that's more comfortable. So, it's a way for me to share things that I feel compelled to share that I think are important and relevant to other people and may resonate with them in some way, but that I might not be comfortable broadcasting to a large audience. And so, writing allows me to share those feelings within the comfort of my introversion. Dr. Lidia Schapira: What role does narrative and narrative medicine play in your professional portfolio? Do you read other narratives? Dr. Rebecca Snyder: Honestly, it's one of the things I enjoy the most, aside from operating. I don't have formal training in it. Although I imagined I would really enjoy taking some courses. I think my writing has been informed by my own amateur reading and writing over time, I've always been a big reader. I've written about my mother's love for books. And that was something she shared with me beginning when I was a young child. I think it's become part of how I see myself professionally. Although it still feels a bit like a hobby. I think that it should play a significant role in medicine. But I don't think that we have done a great job as a medical community of incorporating that into the dialogue. Dr. Lidia Schapira: I share that sentiment. It would be lovely to see narrative medicine in the mainstream of medical education, rather than perhaps at the margins or as an optional thing for some, I think stories that are enormously powerful. And so, with that, let me ask you another question, and that is, what have you read recently that you recommend to others? Dr. Rebecca Snyder: You asked if I read another narrative medicine? I read, A Piece of My Mind at JAMA every week, and I read the Art of Oncology. One of my other favorite weekly columns is Modern Love in the New York Times, I look for that every Sunday. And then I read a variety of books. I would like to say I read more than I do because I think my clinical reading takes up quite a bit of my time as well. The last novel I read was, The House in the Cerulean Sea by TJ Klein, which was a great, very magical, lovely story. I found with the pandemic that I can't read things that are really intense or distressing. So, I chose things that are uplifting in some way or positive, and that was a lovely fantasy-type book to read. And then I read some nonfiction. I'm reading a book about the Old Testament now because I wanted to learn more about that. So, I try to have a diversity of literature that I'm reading at a given time. Dr. Lidia Schapira: Do you read books or screens? Dr. Rebecca Snyder: Books, 100%. I don't like screens to read. I print off every peer review, I do. I have to print it. I can't read. Other than editing, I don't like to read on a screen. Dr. Lidia Schapira: Let's go back to your story about this patient, Gary, whom you met and operated on. And the need you had to talk about the emotional response you had to learning that he suicided, that is something that is so very difficult for all of us. So, first of all, my deep condolences to you for your loss. Tell us a little bit about the relationship you had with Gary. Dr. Rebecca Snyder: I don't know if we're supposed to admit, as physicians, that we have favorite patients sometimes, but he was one of my favorite patients. What I appreciated about Gary early on is he was very soft-spoken, he was very bashful, and he would blush easily. I could tell he never wanted to be a burden, even in my clinic. So, he didn't want to take up too much of anybody's time. He usually brought his brother with him and allowed his brother to speak for him. And he would speak up when I would ask him directly, but often would nod or use body language and was very quiet. The first time I saw him he had been treated for a long time with chemotherapy. I believe he was sort of under the impression that he did not have any surgical options. He'd never seen a surgeon before, but his medical oncologist approached me and said, ‘I know that you're willing to be aggressive, and he's healthy and young, would you consider it?' And I had reviewed his scans ahead of time and thought it was worth an attempt. And so, I met with him and in some ways, I feel like I probably gave him some hope at that point. Maybe he had already processed that, but I reignited that. I got to know him pretty well because I cared for him for a while. Obviously, I saw him several times prior to surgery, then I operated on him, and cared for him postoperatively. And then once he recovered, and we planned for the second stage. And so, I grew attached to him because he was in no way demanding or difficult, but very unassuming, very kind, and just a gentle soul. Dr. Lidia Schapira: And you talk about having moments of sort of shared silence or shared understanding, right? So, it sounds like you, you bonded with him. Most of the communication was done through his brother because he didn't have a cell phone or his cell phone was out of reach, right? And so, you hoped with him that you would be able to really help prolong his life. And then came the bad news that his cancer was growing. Bring us a little bit into the consultation room where you share that news with him. Dr. Rebecca Snyder: When we first talked about it. He was quiet. He looks at the floor a lot. And he didn't verbalize his disappointment, but I could see it. I validated that for him and told him I was disappointed too. But I think when I really saw a shift was when I told him that I thought he needed to have an external biliary drain placed. I think he was continuing to work through all this. And that was really important to his identity, and the idea that he might have to have a drain, I think for him was incredibly distressing. I think to him it kind of marked him as different, as this is permanent, and would mean that he might not be able to work, and that was a big blow for him and I could tell that. I could tell he was starting to tear up but he was very uncomfortable doing that in my presence. So, I told him I would give him a few minutes of privacy and left the room so that he could express his emotions more comfortably. Dr. Lidia Schapira: And that was the last time you saw him, right? Dr. Rebecca Snyder: That's right. Dr. Lidia Schapira: So, then he leaves and you received the news that he suicided, but you're not told directly. You read it in the chart. And you immediately called the medical oncologist and they said that they wanted to protect you from this news. How did that feel? Dr. Rebecca Snyder: It was shocking. You know the Electronic Medical Record has some wonderful things about it. It's easy to keep up to date with your patients, you get alerts anytime a patient of yours is admitted to the hospital or discharged from the hospital. But yet, it's obviously incredibly impersonal and abrupt. And so, I had a notification that he was deceased. My initial thought was, ‘Wow! He must have had cholangitis. And he didn't complain about his symptoms and he didn't tell me by the end, so he must have gotten really sick and septic. And then that must have been what had happened. But then when I looked at the chart, and I called his medical oncologist, and I read the details, I realized that's not what had happened, and that was very hard. Dr. Lidia Schapira: I imagine it must have been absolutely awful. Again, my deep condolences to you. How did you deal with that news? How did you get on with your day after that? Dr. Rebecca Snyder: I called his brother first. I wondered, maybe I shouldn't now because it shouldn't be about my grief - I'm the physician - it should be about his family's grief. But I still wanted to connect in some way pretty immediately with someone else, in addition to his medical oncologist. He was very gracious and appreciative. We didn't speak for long, but I just wanted to make sure that he understood that we all cared that that had happened because otherwise, I would never have spoken with him. If I don't reach out. There's no follow-up visit, there's no opportunity in the system to complete that conversation. That helped me a little bit, and then I had to try to turn it off. I had to go lead our GI tumor board and have afternoon clinic and go on with the rest of the day. Dr. Lidia Schapira: Well, I'm deeply grateful to you for having written about it and decided to share it with us. I think that losing a patient is terribly hard. We do connect with our patients and feel for them. But this, learning in this way that one of your patients suicided or found living unbearable, is probably the hardest thing. Fortunately, we don't deal with it often. And many of us have or have not had those experiences. So, thank you so much, Rebecca, for reflecting and sharing that reflection with us. Are there any other thoughts that you want to share with readers of the piece that may help them understand the story or the message here? Dr. Rebecca Snyder: I can say since it's been published, I've already heard from several colleagues that they have experienced something similar. One was particularly devastating because the patient had actually completed therapy but had lost his business and committed suicide because of the financial burden of his care. If you think about it, those are the patients with the greatest extent of distress. But that's not even touching the emotional burden that so many patients are experiencing that we never see. I don't think it's possible or it's on us to alleviate that because some of that is a normal reaction to a cancer diagnosis. But I do think that being aware of the depth of despair that patients can experience is important. And having witnessed my mother being on this side of the patient, even just that recognition and empathy from one's physician can mean a lot to a patient and their family. So, I hope that we can all at least bring that awareness into our clinical encounters and try to offer that empathy when we sense those feelings. Dr. Lidia Schapira: Well, I'd like to thank you for sending us your story, and thank you very much for participating in this conversation. I deeply enjoyed it. Dr. Rebecca Snyder: Thank you, Lidia! I really appreciate being here.   Dr. Lidia Schapira: Until next time, thank you for listening to this JCO's Cancer Stories: The Art of Oncology podcast. If you enjoyed what you heard today, don't forget to give us a rating or review on Apple podcasts or wherever you listen. While you're there, be sure to subscribe so you never miss an episode of JCO's Cancer Stories: The Art of Oncology Podcast. This is just one of many of ASCO's podcasts, you can find all of the shows at podcast.asco.org.   The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for you in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement.

Am I Dying?!
Should I look at my medical records?

Am I Dying?!

Play Episode Listen Later Mar 24, 2022 43:21


The 21st Century Cures Act made it mandatory to release scans and lab results to patients as soon as they are ready. Often, this means that they get released to patients before their doctors have seen them. While JL and Mark believe that patients should own their data, there are many sensitive situations when patients receiving their information without full understanding or explanation can have devastating results.Tweet us your questions @jeanlucneptune or @marklewismd or email us at isitserious@offscrip.com or call us at 855-283-4666.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

ASC Podcast with John Goehle
Episode 152 - ASC Podcast with John Goehle - CMS Guidance to States, Staffing and Focus on EMR - February 27, 2022

ASC Podcast with John Goehle

Play Episode Listen Later Feb 28, 2022 68:00


In this Episode of the ASC Podcast with John Goehle,   We discuss the latest news, review recent CMS Guidance to state agencies on the enforcement of the Medicare Regulations, discuss staffing challenges, the talk about smoke evacuation in operating rooms and in our focus segment talk to Todd Logan with SIS regarding Electronic Medical Records      This episode sponsored by Surgical Information Systems    Resources from this Episode: CMS Notifies SA that they need to enforce the regulations in the Conditions for Coverage - or risk losing funding for doing surveys.  . https://www.cms.gov/files/document/qso-22-12-all.pdf List of States that have smoke evacuation regulationshttps://www.boehringerlabs.com/blogs/what-states-are-smoke-free/ No Surprises Update:https://www.cms.gov/files/document/model-disclosure-notice-patient-protections-against-surprise-billing-providers-facilities-health.pdf https://www.cms.gov/nosurprises/policies-and-resources/overview-of-rules-fact-sheets Conditions for Coverage:https://www.ecfr.gov/cgi-bin/text-idx?c=ecfr&rgn=div5&view=text&node=42:3.0.1.1.3&idno=42#se42.3.416_150 Interpretive Guidelines for ASCshttps://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_l_ambulatory.pdf Policy & Memos to States and RegionsCMS Quality Safety & Oversight memoranda, guidance, clarifications and instructions to State Survey Agencies and CMS Regional Offices. https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions Other Resources from the ASC Podcast with John Goehle: Visit our website at ascpodcast.com for a list of all of our virtual conferences.  Get a copy of John's newest book - the 2020 Edition of The Survey Guide - A Guide to the CMS Conditions for Coverage & Interpretive Guidelines for Ambulatory Surgery Centers  Visit the ASC Podcast with John Goehle Website Benefits of Becoming a Patron Member Purchase John's Books Go to the ASC Podcast Store Patron Members of the ASC Podcast with John Goehle have access to ASC Central - an exclusive membership website that provides a one-stop  ASC Regulatory and Accreditation Compliance, Operations and Financial Management resource for busy Administrators, nurse managers and business office managers.   Become a member today!

University of California Audio Podcasts (Audio)
Data Mining in Epic with Judy Faulkner - Sanford Stem Cell Symposium

University of California Audio Podcasts (Audio)

Play Episode Listen Later Feb 13, 2022 15:20


How can electronic medical records be used to improve patient care and outcomes? Epic Systems Judy Faulkner explains how data systems are being used to analyze trends in healthcare, COVID-19 protocols, cancer rates and more. Series: "Stem Cell Channel" [Science] [Show ID: 37563]

Doctor Vs Comedian
Episode 45: Betty White / Electronic Medical Records (EMR's)

Doctor Vs Comedian

Play Episode Listen Later Jan 14, 2022 66:00


To start the episode, Ali talks about his new CBC show out now “Run the Burbs” and Ali's appearance on “Family Feud Canada”. Betty White would have been 100 years old on Jan 17, 2022, so to commemorate this, the guys go over her life and career (7:36). They discuss her roles in “The Mary Tyler Moore Show”, “The Golden Girls” and her devotion to civil rights and animal charities. Then Ali asks Asif about Electronic Medical Records (EMR's) by using Atul Gawande's 2018 New Yorker article on the topic as a jumping off point (24:46). Asif goes over the good and bad of EMR's and possible ways forward to make them useful to patients and physicians.    The opinions expressed are those of the hosts, and do not reflect those of any other organizations. This podcast and website represents the opinions of the hosts. The content here should not be taken as medical advice. The content here is for entertainment and informational purposes only, and because each person is so unique, please consult your healthcare professional for any medical questions.    Music courtesy of Wataboi and 8er41 from Pixabay   Contact us at doctorvcomedian@gmail.com   Follow us on Social media: Twitter: @doctorvcomedian Instagram:  doctorvcomedian Show Notes: Betty White on “The Golden Girls” -  “The Great Herring War”: https://www.youtube.com/watch?v=80q1x-EN9qM Live With it - Betty White defied racist demands with her 1954 variety show: https://www.washingtonpost.com/history/2021/12/31/betty-white-arthur-duncan-racism/ Betty White Dies: The Golden Girls and Mary Tyler Moore Show Star Was 99: https://people.com/tv/betty-white-the-golden-girls-and-hot-in-cleveland-star-dead-at-99/ Betty White, a Television Golden Girl From the Start, Is Dead at 99: https://www.nytimes.com/2021/12/31/arts/television/betty-white-dead.html How to support animal lover Betty White's favorite cause: https://www.cnn.com/2022/01/02/us/betty-white-animal-charities-iyw/index.html Why Doctors Hate Their Computers: https://www.newyorker.com/magazine/2018/11/12/why-doctors-hate-their-computers Electronic Medical Records, Burnout, And “Man's 4th Best Hospital”: https://www.forbes.com/sites/judystone/2019/11/12/electronic-medical-records-burnout-and-mans-4th-best-hospital/?sh=53501f171099 It's Time for a New Kind of Electronic Health Record: https://hbr.org/2020/06/its-time-for-a-new-kind-of-electronic-health-record The effectiveness of EMR implementation regarding reducing documentation errors and waiting time for patients in outpatient clinics: a systematic review: https://f1000research.com/articles/10-514

Elawvate
Unpacking the Electronic Medical Record and Audit Trail with Saira Pasha

Elawvate

Play Episode Listen Later Oct 11, 2021 50:39


Saira Pasha is an attorney who used to work for major hospital corporations handling the defense side of medical malpractice cases.  Now, she assists lawyers for patients and their families in medical malpractice cases.  We spend time with Saira discussing how to better understand the information that is available through the electronic medical record and audit trail kept by hospitals and other medical providers.  We learn that there is a lot of information that is available but will not be turned over unless you know how to ask for it.  And once you get the information, we talk about how you can use it to help prove your case.Ms. Saira Pasha is an attorney who has extensive experience managing complex medical malpractice litigation for a large Illinois healthcare system and a major multi-state malpractice insurance carrier. Now, her focus and passion have shifted towards advocating for victims of medical malpractice and their families in order to obtain answers and justice. In her prior roles, Ms. Pasha handled hundreds of malpractice claims, from ones filed directly by patients to those litigated by the most successful plaintiff firms in Chicago. She was responsible for evaluating liability, causation, and damages to develop an overall defense strategy for each claim. This required detailed reviews of medical records (including with the electronic medical record system) interviewing defendant physicians, nurses, and other witnesses to the incident, obtaining expert reviews to obtain standard of care opinions, assisting with written discovery, and attending critical depositions.Ms. Pasha has successfully negotiated the resolution of dozens of cases through mediation, pre-trial settlement conferences, direct discussions with plaintiff attorneys, and high-low agreements during trial. Many of these claims involved complex medical issues and catastrophic injuries, resulting in multi-million dollar settlements. Ms. Pasha also has significant experience monitoring medical malpractice trials in Cook County, IL, a venue known for record-setting verdicts. During these high-stakes trials, her employers relied upon her daily evaluations and recommendations to determine whether cases should be taken to verdict or resolved through direct settlement or a high-low agreement.As a claims professional, Ms. Pasha worked alongside top defense attorneys at the best defense firms in the city. These opportunities provided insight into how the most successful trial attorneys approach, analyze, and execute their cases. Similarly, Ms. Pasha learned a great deal about medicine and the complexities of malpractice cases directly from defendant doctors and nurses.Through these professional experiences, Ms. Pasha gained significant insight and knowledge about the medical malpractice industry. Combined with her exceptional intuitive abilities and investigation skills, Ms. Pasha stands out as a uniquely qualified medical malpractice attorney and one who will maximize results for her clients. About the Elawvate PodcastThe Elawvate Podcast – Where Trial Lawyers Learn, Share, and Grow is where the practice of trial law meets personal growth. To succeed as a trial lawyer and build a successful law firm requires practice skills, strategic thinking and some amount of business and entrepreneurial savvy. Elawvate is a place to learn and share skills and strategies for success.But it is also a place to dig deeper and achieve personal growth.Those who succeed as trial lawyers at the highest levels cultivate character, principle, integrity, leadership, courage, compassion and perseverance.  We learn and draw inspiration from those who have achieved this success.For more about Elawvate, visit our website at www.elawvate.fm.  You can also  join our Facebook Group at Elawvate | FacebookFor more information or to contact the hosts, see:(Rahul Ravipudi (psblaw.com) (Ben Gideon | Gideon Asen LLC)    

The Successful Male Podcast
Get My Marriage Back With Ola Abitogun

The Successful Male Podcast

Play Episode Listen Later Mar 9, 2021 54:41


Ola Abitogun | Entrepreneur, Author, Trainer, Coach & InvestorOla “Tux” Abitogun is the Creator of…myEmpirePRO – A Media, Publishing, Consulting and Training Company with Internet Marketing, Networking, Electronic Medical Records and Real Estate related services.He became a FULL TIME entrepreneur in October 2006.OLA is a Bachelor Degree Computer Engineering and a Master's Degree Engineering Management graduate, with a focus on Project Management from New Jersey Institute of Technology; (NJIT) class of 2004/5.Today, he is a marketing addict, author, content creator, trainer, marketing and business consultant, relationship and marriage coach, real estate investor and all around serial entrepreneur.Listen as Joseph and Ola talk all things "Get My Marriage Back"!