Podcasts about emr

Michael Bourke provides us with a great summary of our EMR series, summary and outlook

Hi - you're listening to QNEWS, most likely on Sunday, the 23rd of November 2025. I'm John VK4JPM, secretary of the Darling Downs Radio Club, with a helpful burst for members.. and everyone else interested in amateur radio west of Brisbane. But. I'm going to start with a repeat of last week's shout-out to all club officers and committees in greater Queensland and just across the border, because it's resonated... a bit. And it should resonate a lot. QNEWS is a great way to get club info to a wide audience, and it's surprised me that so few clubs use it. It's one of the things that we might address at a meeting of club officers in the future, but that's in the future, and we should start now. So I'll repeat my offer. If your club has meetings coming up, or if you have activities regularly scheduled - for instance, if everyone turns up on Saturdays for a natter, or if you are planning something for the end-of-year, why not tell everyone? People will travel from all over the state and beyond if the invitation is interesting enough. And don't forget that a listener might opportunistically be in your area and would love to join you. But they won't come if they don't know what you're doing. And even if you don't have a formal meeting in the works, trust me: other hams and shortwave listeners and even CBers are interested in what your club does. Anyone with a $30 Baofeng can listen to QNews, even if you don't hear them talk back. The key message is: let's all tell each other what's happening, and what's coming up. It's good for membership, good for cross-pollination of clubs, good for activities, and good for the hobby. Writing and voicing a segment isn't impossible, and doesn't need a recording studio. If I can help you get on board with the QNEWS process, drop me a line to secretary@ddrci.org.au and let's talk about how to get started. Probably this is a good time for the reminder that all the material from our EMR session with John VK4JBE is on the website, in the homepage rotator - that's the carousel on the home page just after the "Join our Club" button. And while you're grabbing the EMR templates and documentation, check out all the other activities that Darling Downs Radio Club has coming up! Our next in-person club member meeting and tech natter will be on Monday, 8 December at 1900. Details on the website, but expect a bit of discussion about Chinese 2m (and 70cm) handhelds, and some show and tell. For those of you joining remotely: this is another of those round-table sessions where we all learn from each other. What hand-helds are you using now? When you paid $300 for an old-school device, does it work better than the $30 cheapy? We'd all like to know. That's on Monday, 8 December at 1900 in person and online. If you need to upgrade or convert your licence, then Darling Downs Radio Club can help. Since there's no ACMA process to recognise prior qualifications (like if you have an overseas licence), redoing the exam is the simplest option, and we can help. There's no charge for the licence assessment - we run exams regularly because we're awesome and because we actively want more people to be involved in our hobby. Talk to us about how and when by sending an email to education@ddrci.org.au. The best way to be informed about club activity is to check the website or to register on our mailing list. Club members find out first, so there's an incentive to join - and individual membership is $30 or less right now. Go to the website ddrci.org.au and press the big red JOIN button. Until next week, thanks for listening. I'm John VK4JPM, secretary of the Darling Downs Radio Club.

Sponsored by Berries: Use code TherapyShow50 for $50 off your first month - CLICK HERE.   If you are a therapist or counselor looking for continuing education, check out my NBCC Approved $5 Podcourses and other continuing education offerings. Plus, get your first Podcourse half off. I'm thrilled to welcome back my good friend and brilliant multi-passionate entrepreneur, Kym Tolson. If you've ever wondered how therapists can use AI to streamline their work, generate new income streams, or simply stop drowning in admin tasks, you're going to love this conversation. Kym and I dive deep into her newest creation, The Thera AI Hub, a growing collection of over 35 done-for-you AI tools built specifically for therapists. From custom GPTs, to newsletter-building agents, to niche-finding and scalable-offer creators, Kym shows how therapists can reclaim their time, reduce burnout, and finally move toward the ideas they've been sitting on for years. We also explore the evolving role of AI in mental health care including the big news about Cigna using AI as a first-line support tool, and talk candidly about what this means for the future of our field. Kym shares how therapists can stay relevant, adapt intentionally, and develop specialties AI can't replace. Plus, she gives us an exciting look at upcoming features inside Berries, the AI-powered therapy note scribe where she serves as Clinical Director. Think smart treatment plans, automatic session summaries, homework suggestions, and even telehealth and EMR capabilities on the horizon. If you're curious about leveraging AI to enhance your clinical work, build new offers, or simplify your business systems, this episode is packed with inspiration, practical tips, and plenty of "oh wow" moments. I can't wait for you to listen. Kym always brings so much clarity, creativity, and encouragement. I know you'll walk away with at least one idea you're excited to try. Links mentioned in the episode:  Get my CE Course Builder for Mental Health Clinicians for FREE Thera AI Hub + Clinical AI Club: https://kymtolson.kartra.com/page/AI-Tools-for-Therapists AI Newsletter Opt In/Mastering AI Prompts for Therapists: https://kymtolson.kartra.com/page/Join-AI-Newsletter AI Powered Private Practice Giveaway: https://kingsumo.com/g/m88558m/ai-powered-practice-giveaway Check out all my Counselor Resources. 

Today I'm thrilled to host Dr. Kyle Fortinsky, an early to mid-career gastroenterologist in Ontario.Kyle and I share something in common - we deeply value our time and the ability to spend it with our families.With this in mind, Kyle co-founded Clever Consult - an AI-enabled software helping specialists automate and streamline the consultation process, saving many hours along the way.Join me as I dig into Kyle's entrepreneurial journey, unpacking lessons for everyone along the way.Discussion points:Kyle's introduction (1:40)Understanding Clever Consult (4:35)- basics, target audience, EMR integration, time savingsLearning through feedback (19:45)What it's like to build a company (23:12)Letting go of things to free up time (28:05)Lessons from an MBA (29:35)What would Kyle have done differently? (32:19)What did Kyle learn about himself? (35:45)Ideal split between clinical medicine & entrepreneurship (38:10)Advice to someone considering starting something (40:12)Kyle Fortinsky:Clever Consult: https://www.cleverconsult.ai/Yatin Chadha:website: https://www.beyondmd.ca/LinkedIn: https://www.linkedin.com/in/yatin-chadha/Amex referral: https://americanexpress.com/en-ca/referral/business-platinum?ref=yATINCnPBE&XLINK=MYCP

Can artificial intelligence drive the ability to be more human? This week on Medical Spa Insider, AmSpa founder Alex Thiersch sits down with Rachel Sanders, MBA, Chief Marketing Officer of Rhodium Software (Rhodium.is.beauty). Sanders, whose career evolved from investment banking to wellness entrepreneurship, describes how Rhodium uses AI to help clinics drive growth so they can focus on the human connection at the heart of every patient interaction. Listen for: What Rhodium is and how it makes your EMR smarter; Five core areas Rhodium automates: retention, loyalty, analytics, workflows, and communications; How Rhodium simplifies scheduling and campaign building; Why ease of use is critical for med spa tech adoption; Why AI-native platforms outperform retrofitted tech; Rhodium's growth and its mission to support human-first care; Using trained AI to answer aesthetic questions after hours; The future of aesthetics, women's health and the client experience. -- Music by Ghost Score

I'd love to hear from you 'text the show'WelcomeHello listeners, welcome back to the Treat Your Business Podcast. I am super excited you are here because today we are talking about something that can completely change how your clinic runs and how you feel about running it. If you have ever said things like “it is just quicker if I do it myself” or “I cannot find anybody who does it like me” or “I have tried and they do not get it right so I have taken the job back” then this episode is for you. I am joined by our COO in Thrive, Nichola, and we are diving into how to get the best out of your practice manager or business manager without micromanaging them.Episode SummaryIn this episode, Nichola and I unpack what a great practice manager actually does and how that role should sit alongside you as the CEO. We talk about the difference between a practice manager and an administrator, what you should never delegate as the owner and what you absolutely must let go of. We explore why so many clinic owners become the bottleneck, constantly firefighting and feeling exhausted, and how unclear roles and poor communication turn your practice manager into a reactive doer instead of a strategic partner. We also talk honestly about trust, identity, perfectionism and control, and why you have to be willing to hire people who are better than you in their area if you want the clinic and your life to grow.Key TakeawaysYour job as CEO is vision, leadership, culture and big financial decisions, not doing all the thingsA strong practice manager owns day to day operations, systems, team communication, tech and dataIf every decision has to go through you, you have already waited too long to hire for this roleTrust, clear outcomes, a weekly meeting rhythm and simple KPIs stop micromanagement for both of youResources & LinksToday's episode is sponsored by Jane, clinic management software and EMR. Jane's online bookings and secure client portal help you reclaim your evenings and weekends by taking admin off your plate. To see how Jane can support your clinic, head to the link in the show notes to book a personalised demo. If you are ready to get started, use the code Thrive one mo at the time of sign up for a one month grace period on your new account.Treat Your Business podcast is proudly sponsored by MBST, the groundbreaking technology revolutionising recovery and rehabilitation. Offering a non-invasive, drug-free solution for musculoskeletal conditions and nerve injuries, MBST works at a cellular level to stimulate regeneration. Expand your services and deliver long-term patient improvements without increasing your workload.Learn more at mbstmedical.co.uk. https://events.thrive-businesscoaching.com/cgl-waitlist-2026

Send us a textYou don't have “insomnia.”You have too much on your mind, too much on your plate, and a healthcare system that treats your sleep like an optional hobby.In this episode of Ending Physician Overwhelm, we're diving into sleep as a radical act of self-preservation for physicians. This is Week 4 of the 10-Week Recharge Challenge, and we're getting honest about why you're not sleeping—and what you can actually do about it.We'll talk about:

This episode explores the unique origins of electronic medical record (EMR) system Tamanu, with guests Edwin Monk-Fromont and Megan Lane from Beyond Essential Systems. Tamanu was designed with a people-first approach, aimed at enhancing healthcare delivery in low-resource settings across the Pacific. Learn how Tamanu's open-source, mobile-enabled technology and standards based approach to interoperability is transforming patient care throughout the region and beyond. Edwin and Megan also discuss the importance of co-design, and future integrations of AI.

Patient messaging has become more common across health systems, but few use it in a way that truly supports better health outcomes. Northwestern Medicine's Smart Outreach for Better Health is taking patient communication a step further by using automation to identify specific populations and send personalized clinically relevant messages. Our host Myesha Williams and Northwestern's Program Manager Dharmesh Patel share how this initiative bridges care gaps, boosts follow up rates and helps patients stay engaged in their own care.   Guest speaker: Dharamesh Patel Program Manager, Quality and Patient Safety Northwestern Medicine    Host: Myesha Williams SN, RN Fellow, Performance Improvement Programs Vizient   Show notes: [00:56] – Overview of the Better Health initiative and how patient messaging was deployed [01:53] – Collaboration between data and quality leaders that launched automated patient outreach [03:17] – Implementing a systemwide strategy to enhance outreach and care coordination [04:19] – Timing messages to reach patients when they're most likely to respond [06:32] – Role of patient and family advisors in driving success and credibility [07:40] – How the team increased follow-through rates, engaging 13% of patients [09:12] – Tackling challenges and leveraging EMR analyst expertise [09:54] – Addressing time constraints as a key project barrier   Links | Resources: Contacting Knowledge on the Go: picollaboratives@vizientinc.com   Subscribe Today! Apple Podcasts Spotify YouTube Android RSS Feed  

Our popular colonic EMR series with Michael Bourke comes to an end — this time, addressing postprocedural bleeding

Hi - you're listening to QNEWS for week of Sunday 16 November 2025 and I'm John VK4JPM with some info from the Darlin Downs Radio Club. But first a shout-out to all club officers and committees in Queensland. QNEWS is a great way to get club info to a wide audience, and it's surprised me that so few other clubs use it. It's one of the things that we might address at a meeting of club officers in the future, but how about an offer? If your club has meetings coming up, or if you have activities regularly scheduled - for instance, if everyone turns up on Saturdays for a natter, or if you are planning something for end-of-year: why not tell everyone. People will travel from all over the state and beyond if the invitation is interesting enough. And don't forget that a listener might opportunistically be in your area and would love to join you... but only if they knew what you're doing. And through QNEWS, our club now has members from all over the state and we have lots of distant members attending our meetings via telepresence. That's good for everyone, and a big help to gaining attention and focus on our hobby. If I can help you get on-board with the QNEWS process, drop me a line to secretary@ddrci.org.au and let's talk about how to get started. Truly, it's not hard. ==== Last week John VK4JBE did a really good session on EMR. It was well attended - probably thanks to QNEWS - and generated lots of questions. There are two areas that you really do need to be across: If you can't see the info you want, just wait and it will rotate past. And while you're there, check out all the other activities that our club has coming up! Speaking of which: our next in person club member meeting and tech natter will be on Monday 8 December at 1900. Details on the website, but expect a bit of discussion about Chinese 2m (and 70cm) handhelds, and some show and tell. For those of you joining remotely: this is another of those round-table sessions where we all learn from each other. What hand-helds are you using now? When you paid $300 for an old-school device, does it work better than the $30 cheapy? We'd all like to know. That's on Monday 8 December at 1900 in person and online. Also stay tuned for our end-of-year gathering, which we'll unfold next week. Finally, we've had some offers of gear and particularly towers and masts. Members and those on our mailing list will receive an email in the coming week. If you're not on the list, send an email to secretary@ddrci.org.au and we will add you. If you're not a member don't forget that it's now only $30 to join, with significant discounts for students, young people and pensioners. All at the website ddrci.org.au and press the big red JOIN button. Until next week thanks for listening. I'm John VK4JPM secretary of the Darling Downs Radio Club. 73s all. The Redcliffe and Districts Radio Club will be holding Redfest 2026 on the 11th of April 2026 at the Deception Bay North State School, 49 Old Bay Road, Deception Bay starting at 9am. For further information contact the Club Secretary

This week from the PT Breakfast Club, the crew breaks down what Prompt got right at PPS — and what the rest of the profession is still missing. From live streaming to message clarity, slippery UX, and how fuzzy slippers prove your EMR needs a rebuild. Plus, why AI is already reshaping SEO and why PTs need to lean into being experts — not just practitioners.Takeaways:Why emotion beats credentials in PT marketing (and how to use both)What Kelly Clarkson's fuzzy slipper segment teaches us about frictionless UXHow to become "the lift chair guy" and why it mattersWhy most EMRs are still built like it's 2014“Slippery” > Smart — The new bar for your PT clinic's customer experience

Send us a textThis quick-tip episode exposes the real truth behind EMR transitions—and why anything shorter than 60 days can cost your practice serious money, data integrity, and peace of mind.Discover why longer EMR transitions protect your team, your patients, and your cash flow. From payer enrollment and EDI setup to clean data migration, staff training, and 90-day overlap planning, this episode gives you a bulletproof framework to avoid chaos, burnout, and billing disasters.

I'd love to hear from you 'text the show'WelcomeAre you going to the Therapy Expo? If you are, I want to see you! We're going to be there with a bigger stand than ever before, and loads of my team will be joining. I'm presenting twice on the Wednesday at the STA stand, so make sure you come along. My talks are always fun, full of energy, and packed with great takeaways. Plus, we're running free short coaching sessions all day Wednesday and Thursday. You'll get one-on-one access to me and my team, so don't miss out – last year we ran out of slots really quickly!  Book your coaching session: https://events.thrive-businesscoaching.com/hot-seat-bookingEpisode SummaryToday, I'm joined by Liz Clare, Managing Director of MBST UK (now MBST Health), and Dr Anna, Chief Medical Officer at MBST Global. We dive into what MBST is, how it's transforming sports and physiotherapy, and why it's a game changer for clinics and patients. Anna shares her expertise as an orthopaedic and trauma surgeon, and we discuss the science behind MBST, its benefits for all ages, and the exciting growth of MBST Health.Key TakeawaysMBST is a non-invasive, pain-free therapy that works at the cellular level to support healing and long-term recovery.It's suitable for everyone – from professional athletes to older adults, and it fits alongside other modalities like shockwave and laser therapy.MBST clinics in the UK have grown organically through patient results and practitioner passion, not sales teams.The technology is innovative, with no known side effects since 1998, and it's supported by cutting-edge research and a strong professional community.Pricing models vary, but clinics typically charge £1,500–£1,700 for a full course, with aftercare and assessment included.MBST sets clinics apart, offering something unique and modern for patients, especially those with chronic conditions or osteoporosis.Resources & LinksConnect with Liz and Anna on LinkedIn and InstagramEpisode Sponsor:  Jane.appClinic management software and EMR that simplifies bookings, forms, and reminders so you can reclaim your evenings. Book a demo via the link in the show notes. Use code ThriveOneMo for a one month grace period.Treat Your Business podcast is proudly sponsored by MBST, the groundbreaking technology revolutionising recovery and rehabilitation. Offering a non-invasive, drug-free solution for musculoskeletal conditions and nerve injuries, MBST works at a cellular level to stimulate regeneration. Expand your services and deliver long-term patient improvements without increasing your workload.Learn more at mbstmedical.co.uk. therapy Transformation Course: https://join.thrive-businesscoaching.com/ttc-2025

A oração nos leva a níveis mais profundos de rendição, unção e poder, ultrapassando a superficialidade do ego e da opinião da multidão. A unção não é apenas perfume, mas poder que transforma destinos, abre novas estações e nos faz viver no padrão divino. Marizete Garcia é Professora do Rhema e EMR

In this episode of Move to Value, Emily Volk, Director of Quality, Risk, and Compliance at Northern Regional Hospital, returns to share how her team is navigating the operational realities of Medicaid managed care. From the early challenges of inconsistent documentation and payer confusion to building smarter EMR templates and leveraging care coordination through CHESS, Emily offers a grounded look at how one small hospital is tackling big problems. She discusses the importance of automation, proactive outreach, and the power of partnerships to streamline workflows, reduce hospitalizations, and improve continuity of care especially in a rural setting.

Is your safety program just a checkbox, or can it give you a competitive edge?In this week's Mobilization Mindset, Scott welcomes David Tibbetts, Chief Safety Officer at Highwire, for a frank conversation on how contractors move from “check-the-box” compliance to systems that prevent serious injuries and keep projects on track.You'll learn: - Why safety is both a moral obligation and good business  - What owners and GCs actually look at - incident rates, EMR, OSHA citations, fatalities, and the quality of your programs - When safety performance tips the bid, and what happens when low bidders carry risk - The big mindset shift - instead of stopping at recordables, focus on SIF potential and high-risk activities - Leadership that works - field engagement walks, clear roles, accountability, and worker empowerment - Real examples such as Skanska's “Care for Life” meetings, and a simple logistics change that boosted morale and safety on a 100-person site - How even small contractors can use tools like ChatGPT to design incentives, inspections, and goalsIf you want fewer surprises, safer jobs, and stronger bids, this episode shows how to turn safety data into action - and culture into results.Dive into the episode and upgrade your approach with SIF-focused practices.#ConstructionSafety #RiskManagement #JobsiteSafety #SIFPrevention #Highwire #MobilizationMindset

Hi there - welcome to news from the Darling Downs Radio Club. I'm Club Secretary John VK4JPM. Exciting few days coming up, and if it's Sunday, 9 November by the time you hear this, it's probably too late to leave home for the Gold Coast and the annual GCARS Hamfest. But if you're listening early or picked up the text edition of QNEWS, this is a reminder that some of us will be attending, so look for the well-identified club shirts and hats, and say hi. Tomorrow night, Monday, 10 November, is our monthly tech meeting and gathering. Special guest is John VK4JB,E up from the big smoke to talk about EMR, or electromagnetic radiation, or electromagnetic emissions in some quarters. EMR is non-ionising radiation; it's invisible; it's non-ionising, so the impact follows the inverse-square law; and generally speaking, the stuff we transmit isn't going to dissociate electrons in your body. But your transmissions do have the ability to heat things that are in proximity, so you can be very damaged if you're too close to a radiator. Check out the ARPANSA website - that's A R P A N S A.gov.au for some background. John will cover all this and more tomorrow at the club meeting. He has tips to help you follow what's happening, and advise on how to correctly document your operation so that you have adequate defence if someone chooses to complain about what you're doing on air. The meeting will be held at the Scout Hall, 2 Victory Street, Newtown in Toowoomba, and everyone is welcome. Last weekend I attended QTech 2025 in Chermside, and what a wonderful event that was. About 60 people in the room for a series of really great presentations, panels and discussions... not one was a dud. I was especially impressed with young hams Finn VK4II and Otto VK4OTZ, who opened the day with a well-researched presentation titled "Young Hams: yes, we exist!", and showed how their lives had been positively impacted by their involvement in amateur radio. And how did they get started? Playing with rockets and realising a need for communications. Amateur radio to the rescue. The event featured a small dealer space, plenty of muffins and lunch, and evidence of really solid planning and admin for the event - congratulations to the organising team. Two highlights stood out for me: a cross to the International Space Station in conjunction with students from a local school, and the corridor conversations - especially with the large contingent who had come from Adelaide, none of whom I had previously met. Anyone who goes to a conference knows that you get permission to attend based on the program, but a huge benefit is from social interactions. In this case, I learned all kinds of useful things about operating a successful club, and discovered some useful theory and experience along the way. There was much discussion about the present and future of amateur radio, and about how to grow this event. It definitely proved that there's an appetite for technical info and project work, and we were treated to several practical and home-brew developments brought along by participants. Everyone at QTech 2025 was bubbling with enthusiasm for what took place. Speaking of which: there's a strong rumour that you should hold the first weekend of November in 2026, and plan to be in Hobart. Truly: I can't wait. We've been advised of some tower and other gear being sold right now, and needing to move quickly, so a bargain is possible. Check VKclassifieds.net.au and search on vk2ri for the list of stuff. That's vkclassifieds.net.au and search vk2ri. If there's anything you missed, it's all on our website, or you can send an email to secretary@ddrci.org.au. Next week, we'll tell you about the December meeting on Monday, the 8th, our social plans for the end of the year, how to get some of the new club merch, and what we're doing about education and training.

In this episode, Brian Gallagher sits down with Tom Cooley, founder of Go Card Connect, to uncover what's really behind the credit card fees PT owners pay every month. Tom has spent over a decade working exclusively in the physical therapy space, helping private practice owners understand where their processing costs come from, how to spot hidden fees, and what to look for in their merchant statements. Together, they reveal how small, unnoticed charges can add up to thousands each year—and how a simple merchant audit can uncover quick savings without disrupting your EMR or billing system.  

When most people talk about AI in healthcare, the conversation gets crowded fast—hype, fear, jargon, and yet another “innovative solution.” But for Justin Mardjuki, CEO of Savant, the focus is simple: help urgent care teams deliver better care, faster, with less stress—and actually connect with patients again.In this episode, Michael and Nick sit down with Justin to explore how Savant is putting a truly human spin on clinical AI. From reducing documentation burdens and improving chart quality to making EMR integration less painful, Savant is doing more than just talk about outcomes—they're proving them, chart by chart, shift by shift.You'll hear how AI can empower clinicians, boost billing accuracy, and improve the patient experience—without taking over the exam room. We also talk about real adoption barriers, AI fatigue, and what it actually takes to change behavior in a system built on routine.This one's packed with smart takes, real examples, and a grounded perspective on the future of AI in urgent care.

I'd love to hear from you 'text the show'WelcomeThis week, I'm sharing a powerful reflection from our Activate Masters boardroom session. If you're a clinic owner who's constantly juggling business, family, and the never-ending to-do list, you'll find plenty to relate to here.Episode SummaryLet's get real about the hidden cost of doing it all. After our live strategy days, I sat down with our Activate Masters members for a boardroom session that got right to the heart of why so many of us feel stuck and exhausted. It's not just about needing help with social media or hiring someone for odd jobs. We talked about why we end up undervaluing our time, taking on every task at home and in the clinic, and why so many of us fall into the trap of trying to be superwoman.One member's “simple” marketing question turned out to be so much more. Together, we uncovered the real challenge and worked through practical steps to break the cycle. In this episode, I walk you through how to do a proper time analysis, the importance of outsourcing, and why saying “no” isn't selfish. I even share a few stories from my own world (including the infamous toilet roll saga) to show how the little things really do add up.Key TakeawaysThe real reason you might feel trapped and exhausted as a clinic ownerHow to uncover and tackle the hidden tasks draining your energyPractical ways to start valuing your time and letting go of “doing it all”Why saying no to rescuing everyone is a gift to yourself and your businessHow creating space in your week can lead to better decisions, more profit, and a happier youResources & LinksBook a demo of Jane clinic management software: [see show notes for link]Use code Thrive one mo for a one month grace period with JaneWant support and accountability from people who get it? Find out more about Activate and our boardroom sessions Episode Sponsor:  Jane.appClinic management software and EMR that simplifies bookings, forms, and reminders so you can reclaim your evenings. Book a demo via the link in the show notes. Use code ThriveOneMo for a one month grace period.Thank you for listening!If you're ready to step off the hamster wheel and start valuing your time, I'd love to hear what you're letting go of this week. Drop me a message—I'm always in your corner. Remember, you don't have to do it all to be a superwoman. Your time is valuable, and so are you.Subscribe for more honest conversations, practical tips, and a big cheer from me Treat Your Business podcast is proudly sponsored by MBST, the groundbreaking technology revolutionising recovery and rehabilitation. Offering a non-invasive, drug-free solution for musculoskeletal conditions and nerve injuries, MBST works at a cellular level to stimulate regeneration. Expand your services and deliver long-term patient improvements without increasing your workload.Learn more at mbstmedical.co.uk. therapy Transformation Course: https://join.thrive-businesscoaching.com/ttc-2025

If you've ever felt like your EMR slows you down instead of scaling you up, this episode is for you. In this episode of the Private Practice Owners Podcast, Adam Robin sits down with Craig Brasington, Director of Revenue Operations at Stride EMR, to unpack the evolution of healthcare tech — and what the next generation of EMRs really means for practice owners. Craig shares his 20+ years of experience in outpatient therapy tech, from his early days as a founding member of Clinicient to his current work with Stride. Together, he and Adam explore how EMR systems have evolved from basic record-keeping tools to intelligent, AI-powered platforms built to streamline every part of your clinic — from scheduling to billing to patient engagement. They dive into:The three generations of EMR technology (and why most practices are stuck in Gen 1 or Gen 2)How AI is transforming not just clinical documentation, but business efficiencyWhat to consider before switching EMRs — and how to make the transition as seamless as possibleWhy “thinking small to grow big” is the mantra behind Stride's success If you've ever wondered whether your EMR is holding your practice back, this episode breaks down what the next wave of healthcare tech really looks like — and how to make sure your systems are built for the future, not the past.

Summary:In this episode of the Critical Care Obstetrics Podcast, hosts Stephanie Martin, Julie Arafey, and Suzanne McMurtry Baird discuss their pet peeves in obstetrics. The conversation covers issues related to documentation, unnecessary interventions on low-risk patients, and the unrealistic expectations placed on nurses to make medical diagnoses. The hosts share their frustrations with electronic medical records (EMR) and advocate for a more streamlined approach to patient care that respects the natural processes of labor and the roles of healthcare professionals.The experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges encountered in caring for these vulnerable women. Dr Stephanie Martin is the Medical Director for Clinical Concepts in Obstetrics and a Maternal Fetal Medicine specialist with expertise in critical care obstetrics. Suzanne McMurtry Baird, DNP, RN is the Nursing Director for Clinical Concepts in Obstetrics with many years of experience caring for critically ill pregnant women. Julie Arafeh, RN, MS is the Simulation Director for Clinical Concepts in Obstetrics and a leading expert in simulation.Critical Care Obstetrics Academy: https://www.clinicalconceptsinob.com/Follow us: Patreon: patreon.com/CCOB YouTube: @CriticalCareOBPodcast Instagram: https://www.instagram.com/criticalcareob/ Dr Martin's LinkedIn: http://linkedin.com/in/stephanie-martin-65b07112a CCOB LinkedIn: https://www.linkedin.com/company/clinical-concepts-in-obstetrics/ Twitter/X: https://twitter.com/OBCriticalCare CCOB Facebook: ...

In this episode of our series on APAC countries' EMR implementation, Franklin Vibar, CIO of Asian Hospital and Medical Center in the Philippines, talks about how the hospital guided physicians and staff through the implementation of an EMR system and achieved 95% adoption. 

Shannon Rowan discusses her fascinating book "The Red Shoes: Our Devil's Dance with Technology and How We Can Stop It" on whether digital technologies have crossed the Rubicon from being mere tools to becoming our masters and whether they may even inherently be evil. From the harms of EMF and EMR, to the effects of screen technology on children and adult internet addiction, the internet is wrecking havoc on society. She also looks at some of the mysterious DARPA origins of this technology and little known facts, such as how the CIA's MKULTRA predecessor was known as Project Bluebird, and isn't it interesting how Twitter's initial logo was a bluebird? She also covers solutions which includes "rewilding ourselves". Watch on BitChute / Brighteon / Rumble / Substack / YouTube *Support Geopolitics & Empire! Become a Member https://geopoliticsandempire.substack.com Donate https://geopoliticsandempire.com/donations Consult https://geopoliticsandempire.com/consultation **Visit Our Affiliates & Sponsors! Above Phone https://abovephone.com/?above=geopolitics easyDNS (15% off with GEOPOLITICS) https://easydns.com Escape The Technocracy (15% off with GEOPOLITICS) https://escapethetechnocracy.com/geopolitics Outbound Mexico https://outboundmx.com PassVult https://passvult.com Sociatates Civis https://societates-civis.com StartMail https://www.startmail.com/partner/?ref=ngu4nzr Wise Wolf Gold https://www.wolfpack.gold/?ref=geopolitics Shannon Rowan Websites WiFi Refugee https://wifi-refugee.com Books https://wifi-refugee.com/books About Shannon Rowan Shannon Rowan is a "WiFi refugee," social commentator, fine artist, photographer, geopolitical and health author and researcher, and EMF-awareness educator.  She has a professional background in photojournalism and editorial writing, and is the author of WiFi Refugee: Plight of the Modern-day Canary, exploring the rise of "electro-sensitivity" among the general population (including her own struggle with the same) and the dangers of electromagnetic radiation, and author of Shots Fired: Vaccine Weapons, Medical Tyranny, and the War Against Humanity and also co-author with geopolitical author John Hamer of Welcome to the Masquerade: Prelude to the Coming Reset  Shannon is also a contributing author to Overcoming the Germ Theory Medical Myth (James McCumiskey, 2024), FAKE AWAKE: Cults, Psy-Op's, Psychosis & the Systematic Destruction of the Truth Movement (Nathan Lucius, 2024), Light Bulb Moments and the Power of Critical Thinking: Insights from Inquiring Minds and Literary Heroes (Moss/Armitage 2022) , and substantial contribter to The Falsification of Science (John Hamer, 2021) Shannon lives off-grid with her partner in the Northern California wilderness and spends her free time in healthy outdoor pursuits such as organic farming, sea kayaking and surfing. *Podcast intro music is from the song "The Queens Jig" by "Musicke & Mirth" from their album "Music for Two Lyra Viols": http://musicke-mirth.de/en/recordings.html (available on iTunes or Amazon)

In this episode, Sam Ashoo, MD and T.R. Eckler, MD discuss the October 2025 Emergency Medicine Practice article, Emergency Department Evaluation and Management of Patients With Adrenal InsufficiencyIntroduction Welcome and host introductions Brief overview of the episode's topic Resources and CME reminderArticle Overview Source: Emergency Medicine Practice, October 2025 Authors: The Simcoes Importance of evidence-based reviewClinical Context & Epidemiology Frequency and rarity of adrenal insufficiency Diagnostic challenges and statistics Importance of recognizing adrenal crisisPathophysiology Primary, secondary, and tertiary adrenal insufficiency Causes and mechanisms Key anatomical and physiological conceptsDifferential Diagnosis Overlap with other diseases (infections, autoimmune, endocrine, psychiatric, cardiac, GI, etc.) Importance of considering adrenal crisis in complex casesPrehospital Care EMS recognition and limitations Importance of medication history and emergency kits Legal and logistical barriers to prehospital hydrocortisoneEmergency Department Evaluation Recognizing symptoms and prioritizing care Role of EMR and clinical decision support Key history and risk factors (medications, steroid use, opioid use, comorbidities)Physical Examination Specific and nonspecific findings Cushingoid features vs. primary adrenal insufficiency signsDiagnostic Workup Laboratory studies (cortisol, ACTH, renin, aldosterone, TSH, etc.) Imaging considerations Gold standard tests and their limitations in the EDTreatment Immediate administration of hydrocortisone Dosing for adults and pediatrics Supportive care (fluids, glucose, treating underlying cause) Sick day dosing and home managementSpecial Populations Pregnancy considerations Septic shock and adrenal crisisCommon Pitfalls & Takeaways Delaying steroids for labs/diagnosis Importance of high suspicion and early treatment Key trivia and learning pointsClosingSummary and final thoughts Reminders for further reading and CME Farewell and next episode teaserEmergency Medicine Residents, get your free subscription by writing resident@ebmedicine.net

Mazin Gadir, a regional expert in digital health strategy, Director with Alvarez & Marsal Healthcare and Life Sciences in Dubai, reflects on the Middle East's evolution from early EMR adoption to AI-driven healthcare. From Dubai's innovation playground to Abu Dhabi's depth in research, he explains how rivalry between Gulf states fuels progress and why exporting tested models to Africa and beyond is the new norm. He also questions the myth of leapfrogging, pointing out that fragmentation and lack of research remain barriers. This candid conversation explores regulation, interoperability, and the role of academia in sustaining innovation. www.facesofdigitalhealth.com Newsletter: https://fodh.substack.com/ 00:00 – Introduction: blockchain hype and digital health evolution 01:00 – From EMRs to health information exchanges in the Middle East 03:00 – The impact of COVID-19 on digital transformation 04:30 – Rise of patient empowerment and consumerization of healthcare 05:30 – The missing role of academia and research in the region 07:00 – Comparing Abu Dhabi and Dubai's different innovation models 09:00 – Dubai as a playground for testing, Abu Dhabi for research depth 10:30 – Rivalry across GCC states as a driver of innovation 12:00 – Exporting Gulf digital health models to Africa and beyond 14:00 – Challenges of scaling across Middle Eastern countries 16:00 – Interoperability: current maturity and pilgrim use cases 18:00 – Opportunities and limits of leapfrogging 20:00 – The role of academia and sustainability of innovation www.facesofdigitalhealth.com https://fodh.substack.com/

In this episode of our series on APAC countries' EMR implementation, experts from three Indonesian hospitals discuss the complexities of digital migration, including securing clinician buy-in, integrating systems and connecting to SATUSEHAT. 

I sit down with Dr. Adam Stewart—rural Ontario family doc and self-described efficiency nerd—to swap real-world systems for making primary care saner. We dig into EMR hacks, delegation to people and tech, AI scribes, block fees, and the “reset the clock” approach to slashing prescription-renewal chaos. Adam walks through protected time, inbox-zero habits, and why tiny upstream tweaks compound into hours saved. We also peek at how Ontario's FHO+ might change behavior—and how to optimize without losing our souls (or evenings). Connect with Dr Adam Stewart: https://stewartmedicine.com/Learn more about Hippocratic Collective: https://hippocraticcollective.org/Connect on Instagram: https://www.instagram.com/joanchanmd

Most owners treat insurance like a once-a-year fire drill. Smart subcontractors use it as a competitive advantage.In this episode of The Mobilization Mindset, Scott sits down with Dylan Burns, partner at The Baldwin Group, to cut through the noise and explain what actually matters in your program - renewals, claims, brokers, captives, and how to turn your safety culture into revenue.If you lead a commercial subcontracting business, this is the plain-English playbook you wish you'd had at your last renewal.In this episode, you'll learn: - The “three-legged stool” of a healthy program: placement, risk mitigation, and claims advocacy - Why renewals are arriving later - and how to start 6 months out to get better options - How to use insurance to win work (EMR/mod, telematics, loss history, safety culture) - A simple decision tree for “Do we file the claim?” (frequency vs. severity, defense counsel, break-even) - The biggest mistake: choosing the cheapest quote while ignoring exclusions and endorsements - Subcontractor language that trips teams up (such as residential exclusions hiding in policies) - How to evaluate a broker (buying power, stewardship plan, policy wording - not just price) - Captives vs. guaranteed cost: who's a fit, how they work, and why transparency mattersThis isn't just some theory on paper. It's a full diagnostics instruction for your next renewal, and how to turn risk management into margin.

In this episode of the Critical Care Obstetrics Podcast, hosts Stephanie Martin, Julie Arafeh, and Suzanne McMurtry Baird discuss Suzanne's pet peeves in obstetrics. The conversation covers issues related to documentation, unnecessary interventions on low-risk patients, and the unrealistic expectations placed on nurses to make medical diagnoses. Suzanne shares her frustrations with electronic medical records (EMR) and advocates for a more streamlined approach to patient care that respects the natural processes of labor and the roles of healthcare professionals.The experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges encountered in caring for these vulnerable women. Dr Stephanie Martin is the Medical Director for Clinical Concepts in Obstetrics and a Maternal Fetal Medicine specialist with expertise in critical care obstetrics. Suzanne McMurtry Baird, DNP, RN is the Nursing Director for Clinical Concepts in Obstetrics with many years of experience caring for critically ill pregnant women. Julie Arafeh, RN, MS is the Simulation Director for Clinical Concepts in Obstetrics and a leading expert in simulation.Critical Care Obstetrics Academy: https://www.clinicalconceptsinob.com/Follow us: Patreon: patreon.com/CCOB YouTube: @CriticalCareOBPodcast Instagram: https://www.instagram.com/criticalcareob/ Dr Martin's LinkedIn: http://linkedin.com/in/stephanie-martin-65b07112a CCOB LinkedIn: https://www.linkedin.com/company/clinical-concepts-in-obstetrics/ Twitter/X: https://twitter.com/OBCriticalCare CCOB Facebook: ...

In this episode of the Business of Aesthetics podcast, host Adeesha leads an expert panel: Rebecca Landiault (Apex Aesthetic Consulting), Sean Duncan (CPA and Strategist), Naren Arulrajah (Aesthetic Marketing Strategist), and Amy Ingle (Aesthetic Consultant) to deliver a full-spectrum guide on Optimizing and Maximizing Revenue with Next-Gen, Long-Lasting Injectables. The discussion begins with Rebecca Landiault detailing the necessity of "lifetime treatment planning" and stacking modalities (injectables with energy devices) to secure superior clinical outcomes, while emphasizing the use of robust patient financing to overcome initial budget objections. Financial strategist Sean Duncan reveals powerful sales psychology by explaining The Decoy Effect a technique for framing treatment choices to make high-value plans more appealing. He also stresses the critical importance of collaborating with legal and financial experts to select the proper business entity for major tax savings and asset protection. Marketing expert Naren Arulrajah breaks down the most effective promotion strategies, focusing on creating authentic before-and-after content and positioning the provider as a subject matter expert on social media (Instagram and TikTok). He then instructs practices on how to set up dedicated tracking mechanisms to accurately measure marketing ROI, CPA, and LTV. Finally, Amy Ingle addresses the common operational pitfalls of launching new products, including managing expensive inventory, blocking appropriate time for comprehensive consultations in the EMR, and ensuring full team education. She concludes with strategies for value-based pricing and structuring patient loyalty programs, like the "cash and stash" concept, to drive long-term retention. This episode provides a complete, actionable roadmap spanning clinical, financial, operational, and marketing strategies to future-proof your aesthetics practice.

A patient rolls into the OR with a tracheostomy—do you maintain the current tube, intubate orally, or go through the stoma? We break down the decision tree that keeps patients safe, from assessing tract maturity and surgical needs to choosing cuffed vs uncuffed strategies and planning for positive pressure ventilation. Then we shift to a critical safety pivot: total laryngectomy. When the trachea is sutured to the skin, the mouth and nose no longer connect to the lungs, and attempts at oral intubation can be deadly. We explain how to recognize the anatomy fast, oxygenate at the neck, and advance through a stepwise algorithm that reduces risk in time‑sensitive emergencies.Drawing on practical pearls and human‑factors design, we highlight why bedside signs and EMR alerts matter, how standardized language improves handoffs, and where airway exchange catheters, bougies, and wire‑reinforced tubes fit into safe practice. You'll hear clear guidance on cuff placement relative to the stoma, avoiding mainstem intubation, using waveform capnography for continuous confirmation, and preventing false passages in fresh tracheostomies. We also review eye‑opening data on attempted oral intubations after laryngectomy, underscoring the need for staff education, patient engagement, and systems that make the right move the easy one.If you manage airways in perioperative or emergency settings, this conversation strengthens your mental models and your muscle memory. Tune in for concise, actionable steps, download the signage and algorithms from the show notes, and share the episode with your team. If this helped sharpen your airway plan, subscribe, leave a review, and tell us your go‑to approach for trach and laryngectomy cases.For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/275-tracheostomy-and-laryngectomy-patient-safety/© 2025, The Anesthesia Patient Safety Foundation

Megan Margherio is a trauma-informed coach, writer, speaker, and yoga instructor based in St. Louis. A survivor of childhood sexual abuse and intimate partner violence, she helps women reconnect to their bodies and inner wisdom through somatic practices, coaching, and storytelling. Her debut memoir, Everwoven: A Reckoning, comes out in October 2025.In This EpisodeMegan's websiteMegan on InstagramTikTok: @megan_margherioMegan's coachingA giant thank you to our sponsors:Jane App: A free data import? Now that's what we're talking about!

In this dynamic episode of The ASHHRA Podcast, hosts Luke Carignan and Bo Brabo chat with Maxine Carrington, Chief People Officer, and Matt Kurth, Deputy Chief People Officer at Northwell Health. Fresh from the ASHHRA Executive Summit in Savannah, they explore how Northwell—a powerhouse with 104,000 employees, 28 hospitals, and recent mergers like Nuvance Health—navigates massive changes while fostering a bold, people-first culture.Maxine and Matt discuss leadership transitions (including CEO Michael Dowling's retirement), Epic's largest-ever EMR rollout, UKG implementation, and digital transformation. They emphasize Northwell's mission as a "movement" to raise health standards, driven by curiosity, humility, and innovation. From HR overhauls to psychological safety via book clubs on Amy Edmondson's "The Fearless Organization," they share strategies for employee engagement and whole-family well-being.Key takeaways for healthcare HR leaders:Bold Leadership & Succession: Manage executive retirements with advisory roles and knowledge transfer for seamless transitions.Cultural Innovation: Embrace "just a little unsatisfied" mindset to drive progress; learn from failures and external partners.Employee Experience Elevation: Use AI, data nudges, and family-inclusive benefits to support whole-person health and proactive care.HR Transformation: Shift priority-setting to customers; align OKRs with operations for impactful solutions.Community Impact: Extend wellness education to households; incentivize healthy actions to catch issues early.Discover how Northwell turns challenges into opportunities, inspiring HR pros to demand innovation and accountability. A must-listen for those in healthcare leadership, employee well-being, and organizational culture.From Our Sponsors...Optimize Pharmacy Benefits with RxBenefitsElevate your employee benefits while managing costs. Did you know hospital employees fill 25% more prescriptions annually than other industries? Ensure cost-effective, high-quality pharmacy plans by leveraging your hospital's own pharmacies. Discover smarter strategies with RxBenefits.Learn More here - https://rxbene.fit/3ZaurZNStreamline HR Compliance with oneBADGEhealthcareSimplify screening, credentialing, and compliance for healthcare HR. oneBADGEhealthcare from ISB Global offers a tailored solution to keep your workforce compliant and efficient. Built for healthcare leaders, it's your all-in-one compliance tool.Get Started here - https://isbglobalservices.com/onebadgeunitedstates/ashhra/ Support the show

Karen Goslin has a Master of Social Work from the University of Toronto and in 1998, she founded Karen Goslin & Associates. Karen is passionate about guiding people toward transformation, helping them process depression, anxiety, conflicts, addiction, chronic illness, loss and trauma as invitations to change, and ultimately discover clear purpose and limitless potential.Karen is the author of Yellow Paint: Learning to Live Again in which she talks about The KG Method and how to take the first step toward personal accountability, healing, and transformation.Her work draws on evidence based therapeutic approaches and creates safe, deep spaces that enable the straight talk necessary for powerful accountability and meaningful healing. Now, Karen is sharing her insights with a broader audience. She speaks to us with compassion and insight, developed from her personal and professional experiences. In This EpisodeKaren's websiteA giant thank you to our sponsors:Jane App: A free data import? Now that's what we're talking about!

Robyn D. Walser, PhD, is a clinical psychologist, educator, and internationally recognized expert in trauma and Acceptance and Commitment Therapy (ACT), serving as Assistant Clinical Professor at UC Berkeley, Director of Research at Bay Area Trauma Recovery, and staff member at the National Center for PTSD. Darrah Westrup, PhD, is a clinical psychologist and ACT expert based in Durango, Colorado, known for her work with complex trauma, international training workshops, and leadership roles at the VA Palo Alto's women's mental health and trauma programs.Today we're going to be talking about their new book You Are Not Your Trauma: An ACT Guide for Healing from Within, Robyn D. Walser, Ph, and Darrah Westrup, PhD.In This EpisodeRobyn's websiteDarrah's website@walser.robyn (IG)@The Heart of ACT (FB)@Robyn D. Walser (LinkedIn)‪@robynwalser.bsky.social‬@Darrah Westrup (FB)@Darrah Westrup, Ph.D. (LinkedIn)@drdarrah.bsky.social‬A giant thank you to our sponsors:Jane App: A free data import? Now that's what we're talking about!

Trinity Lease is a memoir author from rural Minnesota whose writing is rooted in raw truth, resilience, and healing. Her debut book, Beneath the Silence, explores her personal journey through childhood trauma, addiction, and the long road to recovery. Trinity is a proud wife, mom to two amazing little boys, and caretaker to three beloved fur babies. When she's not writing, she's working toward her bachelor's degree in Social Work with plans to become a Licensed Alcohol and Drug Counselor (LADC). Through her story, Trinity hopes to give a voice to the unheard and inspire others to rise above their past.In This EpisodeTrinity's websiteTrinity's linksTrinity on SubstackTrinity's bookA giant thank you to our sponsors:Jane App: A free data import? Now that's what we're talking about!

James is a former Army combat veteran who, after serving in combat environments, began his own journey to understanding and treating trauma. Now a psychiatrist specializing in PTSD and trauma, James currently serves as the Director of Behavioral Health for ZEAM Health & Wellness. In addition to his clinical work, he co-founded the nonprofit Inner Depths Freediving, where he serves as the Mental Health Program Director. At Inner Depths, James supports trauma survivors in reconnecting with their bodies and regulating their nervous systems through the transformative power of water and breath, teaching freediving skills integrated with mental health support.In This EpisodeInner Depths FreedivingA giant thank you to our sponsors:Jane App: A free data import? Now that's what we're talking about!

How We Onboard New Patients (And Why It Matters So Much)When new patients call your clinic, they're often nervous, skeptical, and unsure. Many have never heard of pelvic PT—and nearly all have had negative healthcare experiences in the past.Onboarding isn't just logistics—it's your first chance to show them you're different. Done well, it builds comfort, trust, and confidence before they ever step into the treatment room.In this episode, we share:Why onboarding is so important in pelvic healthHow to handle the initial phone call to set expectationsWhat your welcome and reminder emails should include (and why generic EMR templates don't cut it)How to greet new patients when they arriveWhy the “new patient agreement” is like checking in at a high-end hotelThese small but intentional touches make a massive difference—not just for your patients, but for your therapists and your entire business.Business Accelerator ProgramAnd if you want to build systems like this for your own clinic, this is exactly what we teach inside the Business Accelerator Program. Apply now for the next cohort

Is that penicillin or amoxicillin allergy real? Probably not. In this episode, we explore how to assess risk, talk to parents, and refer for delabeling. You'll also learn what happens in the allergy clinic, why the label matters, and how to be a better antimicrobial steward. Learning Objectives Describe the mechanisms and clinical manifestations of immediate and delayed hypersensitivity reactions to penicillin, including diagnostic criteria and risk stratification tools such as the PEN-FAST score. Differentiate between low-, moderate-, and high-risk penicillin allergy histories in pediatric patients and identify appropriate candidates for direct oral challenge or allergy referral based on current evidence and guidelines. Formulate an evidence-based approach for evaluating and counseling families in the Emergency Department about reported penicillin allergies, including when to recommend outpatient referral for formal delabeling. Connect with Brad Sobolewski PEMBlog: PEMBlog.com Blue Sky: @bradsobo X (Twitter): @PEMTweets Instagram: Brad Sobolewski References Khan DA, Banerji A, Blumenthal KG, et al. Drug Allergy: A 2022 Practice Parameter Update. J Allergy Clin Immunol. 2022;150(6):1333-1393. doi:10.1016/j.jaci.2022.08.028 Moral L, Toral T, Muñoz C, et al. Direct Oral Challenge for Immediate and Non-Immediate Beta-Lactam Allergy in Children. Pediatr Allergy Immunol. 2024;35(3):e14096. doi:10.1111/pai.14096 Castells M, Khan DA, Phillips EJ. Penicillin Allergy. N Engl J Med. 2019;381(24):2338-2351. doi:10.1056/NEJMra1807761 Shenoy ES, Macy E, Rowe T, Blumenthal KG. Evaluation and Management of Penicillin Allergy: A Review.JAMA. 2019;321(2):188–199. doi:10.1001/jama.2018.19283 Transcript Note: This transcript was partially completed with the use of the Descript AI and the Chat GPT 5 AI  Welcome to PEM Currents, the Pediatric Emergency Medicine podcast. As always, I'm your host, Brad Sobolewski, and today we are taking on a label that's misleading, persistent. Far too common penicillin allergy, it's often based on incomplete or inaccurate information, and it may end up limiting safe and effective treatment, especially for the kids that we see in the emergency department. I think you've all seen a patient where you're like. I don't think this kid's really allergic to amoxicillin, but what do you do about it? In this episode, we're gonna break down the evidence, walk through what actually happens during de labeling and dedicated allergy clinics. Highlight some validated tools like the pen FAST score, which I'd never heard of before. Preparing for this episode and discuss the current and future role of ED based penicillin allergy testing. Okay, so about 10% of patients carry a penicillin allergy label, but more than 90% are not truly allergic. And this label can be really problematic in kids. It limits first line treatment choices like amoxicillin, otitis media, or penicillin for strep throat, and instead. Kids get prescribed second line agents that are less effective, broader spectrum, maybe more toxic or poorly tolerated and associated with a higher risk of antimicrobial resistance. So it's not just an EMR checkbox, it's a label with some real clinical consequences. And it's one, we have a role in removing. And so let's understand what allergy really means. And most patients with a reported penicillin allergy, especially kids, aren't true allergies in the immunologic sense. Common misinterpretations include a delayed rash, a maculopapular, or viral exum, or benign, delayed hypersensitivity, side effects, nausea, vomiting, and diarrhea. And unverified childhood reactions that are undocumented and nonspecific. Most of these are not true allergies. Only a very small subset of patients actually have IgE mediated hypersensitivity, such as urticaria, angioedema, wheezing, and anaphylaxis. These are super rare, and even then they may resolve over time without treatment. If a parent or sibling has a history of a penicillin allergy, remember that patient might actually not be allergic, and that is certainly not a reason to label a child as allergic just because one of their first degree relatives has an allergy. So right now, in 2025, as I'm recording this episode, there are clinics like the Pats Clinic or the Penicillin Allergy Testing Services at Cincinnati Children's and in a lot of our peer institutions that are at the forefront of modern de labeling. Their approach reflects the standard of care as outlined by the. Quad ai or the American Academy of Allergy, asthma and Immunology and supported by large trials like Palace. And you know, you have a great trial if you have a great acronym. So here's what happens step by step. So first you stratify the risk. How likely is this to be a true allergy? And that's where a tool like the pen fast comes. And so pen fast scores, a decision rule developed to help assess the likelihood of a true penicillin allergy based on the patient's history. The pen in pen fast is whether or not the patient has a self-reported history of penicillin allergy. They get two points if the reaction occurred in the past five years. Two points if the reaction is anaphylaxis or angioedema. One point if the reaction required treatment, and one point if the reaction was not due to testing. And so you can get a total score of. Up to six points. If you have a score of less than three. This is a low risk patient and they can be eligible for direct oral challenge. A score greater than three means they're higher risk and they may require skin testing. First validation studies show that the PEN FFA score of less than three had a negative predictive value of 96.3%. Meaning a very, very low chance of a true allergy. And this tool has been studied more extensively in adults, but pediatric specific adaptations are emerging, and they do inform current allergy clinic protocols. But I would not use this score in the emergency department just to give a kid a dose of amoxicillin. So. For low risk patients, a pen fast score of less than three or equivalent clinical judgment clinics proceed with direct oral challenge with no skin testing required. The protocol is they administer one dose of oral amoxicillin and they observe for 62 120 minutes monitoring for signs of reaction Urticaria. Respiratory symptoms or GI upset. This approach is safe and effective. There was a trial called Palace back in 2022, which validated this in over 300 children. In adolescents. There were no serious events that occurred. De labeling was successful in greater than 95% of patients. And skin tested added no benefit in low risk patients. So if the child tolerates this dose, then you can remove that allergy immediately from the chart. Parents and primary care doctors will receive a summary letter noting that the challenge was successful and that there's new guidance. Children and families are told they can safely receive all penicillins going forward. And providers are encouraged to document this clearly in the allergy section of the EMR. So you're wondering, can we actually do this in the emergency department? Technically, yes, you can do what you want, but practically we're not quite there yet. So we'd need clearer risk stratification tools like the Pen fast, a safe place for monitoring, post challenge, clinical pathways and documentation support. You know, a clear way to update EMR allergy labels across the board and involvement or allergy or infectious disease oversight. But it's pretty enticing, right? See a kid you diagnose otitis media. You think that their penicillin allergy is wrong, you just give 'em a dose of amox and watch 'em for an hour. That seems like a pretty cool thing that we might be able to do. So some centers, especially in Canada and Australia, do have some protocols for ED or inpatient based de labeling, but they rely on that structured implementation. So until then, our role in the pediatric emergency department is to identify low risk patients, avoid over document. Unconfirmed reactions and refer to allergy ideally to a clinic like the pets. So who should be referred and good candidates Include a child with a rash only, especially one that's remote over a year ago. Isolated GI symptoms. Parents unsure of the details at all. No history of anaphylaxis wheezing her hives, and no recent serious cutaneous reactions. I would avoid referring and presume that this allergy is true. If they've had recent anaphylaxis, they've had something like Stevens Johnson syndrome dress, or toxic epidermolysis necrosis. Fortunately, those are very, very rare with penicillins and there's a need for penicillin during the ED visit without allergy backup. So even though we don't have an ED based protocol yet. De labeling amoxicillin or penicillin allergy can start with good questions in the emergency department. So here's one way to talk to patients and families. You can say, thanks for letting me know about the amoxicillin allergy. Can I ask you a few questions to better understand what happened? This is gonna help us decide the safest and most effective treatment for your child today, and then possibly go through a process to remove a label for this allergy that might not be accurate. You wanna ask good, open-ended questions. What exactly happened when your child took penicillin or amoxicillin? You know, look for rash, hives, swelling, trouble breathing, or anaphylaxis. Many families just say, allergic, when the reaction was just GI upset, diarrhea or vomiting, which is not an allergy. How old was your child when this happened? Reactions that occurred before age of three are more likely to be falsely attributed. How soon after taking the medicine did the reaction start? Less than one hour is an immediate reaction, but one hour to days later is delayed. Usually mild and probably not a true allergy. Did they have a fever, cold or virus at that time? Viral rashes are often misattributed to antibiotics, and we shouldn't be treating viruses with antibiotics anyway, so get good at looking at ears and know what you're seeing. And have they taken similar antibiotics since then? Like. Different penicillins, Augmentin, or cephalexin. So if they said that they were allergic to amoxicillin, but then somehow tolerated Augmentin. They're not allergic. If a patient had rash only, but no hive swelling or difficulty breathing, no reaction within the first hour. It occurred more than five years ago or before the kid was three. And especially if they tolerated beta-lactam antibiotics. Since then, they're a great candidate for de labeling and I would refer that kid to the allergy clinic. Generally, they can get them in pretty darn quick. Alright, we're gonna wrap up this episode. Most kids labeled penicillin allergic or amoxicillin allergic, or not actually allergic to the medication. There are some scores like pen fasts that are validated tools to assess risk and support de labeling. Direct oral challenge for most patients is safe, efficient, and increasingly the standard of care. There are allergy clinics like the Pats at Cincinnati Children's that can dela children in a single visit with oral challenges alone, needing no skin testing, and emergency departments can play a key role in identifying and referring these patients and possibly de labeling ourselves in the future. Well, that's all for this episode on Penicillin Allergy. I hope you learn something new, especially how to assess whether an allergy label is real, how to ask the right questions and when to refer to an allergy testing clinic. If you have feedback, send it my way. Email, comment on the blog, a message on social media. I always appreciate hearing from you all, and if you like this episode, please leave a review on your favorite podcast app. Really helps more people find the show and that's great 'cause I like to teach people stuff. Thanks for listening for PEM Currents, the Pediatric Emergency Medicine podcast. This has been Brad Sobolewski. See you next time.

Estefana Johnson is a Licensed Clinical Social Worker and experienced trauma therapist with over two decades of experience in mental health.  As the Director of Clinical Training for ARISE Alliance Institute, Estefana oversees the professional development and training of clinicians on Critical Memory Integration (CMI™). Her role involves designing and implementing comprehensive training curricula for mental health professionals to enhance clinical skills, particularly in trauma-focused care, PTSD treatment, and therapeutic interventions. Estefana also develops and delivers trauma-informed programming tailored to the needs of at-risk populations, bringing these services directly into community-based settings to ensure accessible, responsive care where it's needed most.She is currently a practicing clinician and Dosing Session Monitor at Lighthouse Psychiatry and TMS in Gilbert, Arizona, contributing both to clinical care and research trials exploring the therapeutic use of psychedelics. In This EpisodeEstefana's websitehttps://www.instagram.com/ariseallianceinstitute/ https://www.youtube.com/channel/UC5MyzV9KBg0eJ0uY88N-zCwhttps://www.facebook.com/AriseAllianceInstitute/https://www.linkedin.com/in/estefanajohnsonlcsw/A giant thank you to our sponsors:Jane App: A free data import? Now that's what we're talking about!

Dr. Robert C. Smith is a nationally recognized leader in evidence-based mental health care and doctor-patient communication. A University Distinguished Professor of Medicine and Psychiatry at Michigan State University, Dr. Smith developed the first patient-centered method to train medical professionals to build strong partnerships with their patients.  His expertise and dedication to reforming mental health care make his book, Has Medicine Lost Its Mind? essential reading for policymakers, health care professionals, and anyone concerned about the future of mental health in America. In This EpisodeDr. SmithDr. Smith's book: Has Medicine Lost Its Mind?: Why Our Mental Health System Is Failing Us and What Should Be Done to Cure It@robertcsmithX https://x.com/RobertCSmithMDFacebook https://www.facebook.com/RobertCSmithMDLinkedIn https://www.linkedin.com/in/robertcsmithmd/A giant thank you to our sponsors:Jane App: A free data import? Now that's what we're talking about!

Welcome to the Sustainable Clinical Medicine Podcast! In this episode, Dr. Sarah Smith sits down with Dr. Marcia Kashani, a nurse and experienced healthcare improvement advisor, to explore practical strategies for making your clinical day more efficient, effective, and—most importantly—sustainable. Drawing on years of experience facilitating primary care transformation and team-based initiatives, Dr. Kashani shares stories of real-world success: from leveraging the strengths of every team member, to optimizing clinic workflows, and even reimagining how tasks get delegated to maximize value for both clinicians and patients. If you've ever felt overwhelmed by a never-ending list of tasks, long wait times for appointments, or the challenge of figuring out what you can hand off—and to whom—this is an episode you won't want to miss. Dr. Smith and Dr. Kashani offer actionable insights into improving access, reducing unnecessary physician workload, and embracing change as a path to better care and a better work-life balance. Whether you're part of a large clinic or running a small practice, you'll find inspiration and hope for positive change right here. Tune in and take one step closer to reclaiming time for your patients—and yourself! Here are 3 key takeaways from this episode: Empower Your Team: Distinguish between physician, nurse, and administrative tasks. When tasks are thoughtfully delegated—like patient screening calls or form-filling—clinicians can reclaim time for patient care and improve office efficiency. Reduce Unnecessary Visits: Examine return visit rates and consider whether clinical follow-ups always require physician attention. Thoughtful use of nurses, pharmacists, and even patients' support networks can safely reduce visit volumes and waiting times. Leverage Process Improvement: Document and map out workflows to highlight inefficiencies, duplications, and points of delay (like EMR optimization or referral processing). Even simple changes—like consistently titling scanned documents—deliver significant time savings for clinicians. Meet Dr. Marcia Kashani: Marcia has over 40 years of front-line nursing and progressive leadership experience in primary care, community care and acute care. Notable accomplishments include involvement in the business planning and governance of multiple Primary Care Networks in the Edmonton Zone. In 2005 her focus turned to Quality Improvement and System Redesign where she became the first non-physician AIM faculty, participating in several AIM collaboratives. She completed the Improvement Advisor Program through the Institute of Healthcare Improvement and continued as a facilitator for the program. Most recently, Marcia has been a project manager with the Edmonton Zone Primary Care Networks team and North Zone Primary Care Business Unit, including work with Transitions of Care, Specialty Access and Referral teams, and assisting Practice Facilitators with improvement initiatives. You can find Dr. Marcia Kashani on: LinkedIn: https://www.linkedin.com/in/marcia-kashani-44898638/ -------------- Would you like to view a transcript of this episode? Click Here **** Charting Champions is a premiere, lifetime access Physician only program that is helping Physicians get home with today's work done. All the proven tools, support and community you need to create time for your life outside of medicine. Learn more at https://www.chartingcoach.ca **** Enjoying this podcast? Please share it with someone who would benefit. Also, don't forget to hit “follow” so you get all the new episodes as soon as they are released. **** Come hang out with me on Facebook or Instagram. Follow me @chartingcoach to get more practical tools to help you create sustainable clinical medicine in your life. **** Questions? Comments? Want to share how this podcast has helped you? Shoot me an email at admin@reachcareercoaching.ca. I would love to hear from you.

In this episode, Aidan Hettler, CEO of Sedgwick County Health Center, shares how his team is modernizing care delivery in a frontier community. He discusses their EMR transformation, strategies for financial sustainability, workforce development, and the cultural leadership needed to keep rural healthcare thriving.

Making the most of the electronic health record (HER) is not just a win for the CIO—it's a non-negotiable for sustaining your business, supporting your workforce and serving your patients effectively. The EHR is a mainstay of our digital healthcare infrastructure. It's a massive ongoing investment with the potential for enormous operational and strategic returns. But the fact is, most organizations are not reaping the kinds of returns they could be. This week, host Abby Burns invites Advisory Board digital health and AI expert Ty Aderhold and Optum Advisory Vice Presidents of Provider Technology Carol Chouinard and Jonathan Cooper to break down the missed opportunities, and why under-leveraging the EHR now matters for an AI-enabled future. We're here to help: 6 pitfalls to avoid when planning an EHR implementation How to effectively prepare for (and implement) an EHR switch 4 questions to ask yourself before an EHR data conversion Electronic Health Records (EHR) Data | Optum Business Want support assessing, optimizing, or converting your EMR? Get in touch with Optum Advisory's EHR Services team here, https://optum.co/65a7hn. Or we can help you reach out directly. Email us at podcasts@advisory.com with the subject line "Help with EHR". Research Membership A transcript of this episode as well as more information and resources can be found on RadioAdvisory.advisory.com.

Most clinics don't fail because they're bad at treatment—they stall because their tools don't talk. EMR here. Scheduler there. Email somewhere else. A texting app. A CRM you meant to set up “one day.” In the gaps between them? Patients and leads fall through. This week's episode gives you a simple, durable way to fix it—without another fancy platform, without months of setup, and without you doing more. What You're Getting Today The hidden trap: Platform sprawl → missed follow-ups → lost revenue The fix: A single Google Sheet + one “quarterback” to run it How to scale it: SOPs your whole team can follow Your next step: Grab the free Sheet + video walkthrough that can completely transform your follow-up process—and the impact you have with your practice. The Lead Management and Patient Follow-up Tracking Sheet and Training is the same tool I use in my own clinic. It makes it easy to track follow-ups, set timely reminders, and stay top-of-mind with the people most likely to say yes down the road—so no one, and no revenue, slip through the cracks. Grab your copy here. USEFUL INFORMATION: Check out our course: How to answer, “Do you take my insurance?”  

Send us a textCredit card processing is a necessity for every aesthetic practice, but the fees behind each swipe aren't always as simple as they seem. Hidden costs can eat away at profitability without you even realizing it. In this episode, host Jay Shorr sits down with Tim Ryan, Founder and CEO of Blueswipe, to uncover how payment processing really works in the aesthetic industry. You'll learn how to identify and eliminate hidden charges, avoid overpriced EMR-integrated systems, and negotiate transparent, cost-effective solutions that protect your bottom line.  Schedule your free consult with our expert, Jay Shorr, here. To sign up for our Conversion Cascade 2.0 online course, click here. Don't forget to enter code PODCAST at checkout for 20% OFF! Connect with us:Website: https://shorrsolutions.com/Instagram: https://www.instagram.com/shorrsolutionsFacebook: https://www.facebook.com/shorrsolutionsLinkedIn: https://www.linkedin.com/company/shorrsolutionsYouTube: https://www.youtube.com/user/TheBestMBS1/featured

Hakeem Adebiyi and Jason Bryll (Parable Associates) unpack how to turn scattered data into usable insight that speeds decisions, aligns KPIs across teams, and drives real ROI. We cover BI vs. stock EMR/CRM charts, culture and UAT champions, common mistakes, costs/tools for SMEs, and what AI will realistically change next.Still running on gut feel? Learn BI tactics that speed decisions and prove ROI—without a massive team.EMR charts aren't strategy. Build BI that aligns KPIs, fixes bottlenecks, and grows your practice. 

Dr. Monique Diaz, Chief Medical Informatics Officer at CommonSpirit Health, unpacks the intersection of big data, clinical care, and healthcare innovation. She shares how informatics transforms resource allocation, patient engagement, and system efficiency—while offering a behind-the-scenes look at the daily responsibilities of a CMIO, from EMR coding to AI integration. Dr. Diaz also explores the evolving relationship between informatics and AI, and how future advancements hinge on ethical frameworks and responsible governance. Check out Chadi's website for all Healthcare Unfiltered episodes and other content. www.chadinabhan.com/ Watch all Healthcare Unfiltered episodes on YouTube. www.youtube.com/channel/UCjiJPTpIJdIiukcq0UaMFsA