Podcasts about emr

I'd love to hear from you 'text the show'WelcomeHappy Christmas Eve and welcome back to the podcast. This episode is a little different to what I normally share. It is not about strategy, numbers, growth plans, systems, team, or leadership. It is more reflective and personal, and I wanted to share something I have been exploring quietly for months.Episode SummaryThis week I am sharing a Christmas Eve reflection on something that has been quietly changing the way I work, lead, and live: the energy of my environment.I have been reading The Calm and Happy Home by Kirsty Gallagher, and it has made me much more aware of how my home, desk, clinic, and even my car can either support me or drain me. Clutter can feel like unfinished business, and when a space feels busy or chaotic, your nervous system is still responding even if you are not consciously thinking about it.I talk about starting small with decluttering, asking whether your space supports the person you are becoming, and focusing on flow rather than perfection. I also share a few things I have been experimenting with around feng shui, plus a reminder that getting help at home is not indulgent, it is strategic.Key TakeawaysEverything is energy, and your environment influences you more than you realise.Clutter is like unfinished business and it creates an energetic drag.Start small: one drawer, one surface, one cupboard that would instantly make you feel lighter.Ask yourself: Does this support the person I am becoming?Organisation is about flow and ease, not perfection.Fixing small annoyances removes friction and frees up capacity.Your desk is your command centre. What is in your eye line matters.Getting support (cleaner, help at home, VA) can be a strategic way to protect your energy.Episode SponsorToday'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

Zowe Smith worked in the medical coding industry in management, education, and training for over a decade. While working on an EMR implementation program, she caught the attention of recruiters at Oxford and Stanford. Zowe's bachelors degree in science and her university laboratory expertise proved invaluable for investigating Covid-19 testing fraud. Zowe began to have a crisis of conscience as she witnessed the hospital was incentivize to kill patients and then bury Covid-19 vaccine injuries. She finally walked out over the vaccine mandate. Compelled to warn others, she began to document the Covid-19 fraud she witnessed from a unique insider perspective. She is now an whistleblower and author of The Covid Code: My Life in the Thrill Kill Medical Cult.ZOWE SMITHWebsite: https://thrillkillmedicalcult.com/ X: https://x.com/Zowe_TKMCSubstack: https://zowe.substack.com/Rumble: https://rumble.com/user/ThrillKillMedicalCultZoweOdysee: https://odysee.com/@Zowe:fTelegram: https://t.me/thrillkillmedicalcultTHE RIPPLE EFFECT PODCAST:WEBSITE: http://TheRippleEffectPodcast.comWebsite Host & Video Distributor: https://ContentSafe.co/SUPPORT:PATREON: https://www.patreon.com/TheRippleEffectPodcastPayPal: https://www.PayPal.com/paypalme/RvTheory6VENMO: https://venmo.com/code?user_id=3625073915201071418&created=1663262894MERCH: Store: http://www.TheRippleEffectPodcastMerch.comTHEORY 6 MUSIC: https://open.spotify.com/artist/1w91xRlB4b2MJYyXXhJcyFSPONSORS:OPUS A.I. Clip Creator: https://www.opus.pro/?via=RickyVarandasScott Horton Academy: https://scotthortonacademy.com/rippleeffectUniversity of Reason-Autonomy: https://www.universityofreason.com/a/2147825829/ouiRXFoLWATCH:RUMBLE: https://rumble.com/c/therippleeffectpodcastOFFICIAL YOUTUBE: https://www.youtube.com/@TheRippleEffectPodcastOFFICIALYOUTUBE CLIPS CHANNEL: https://www.youtube.com/@RickyVarandasLISTEN:SPOTIFY: https://open.spotify.com/show/4lpFhHI6CqdZKW0QDyOicJiTUNES: http://apple.co/1xjWmlFTHEORY 6 Music:Spotify: https://open.spotify.com/artist/1w91xRlB4b2MJYyXXhJcyFPandora: https://www.pandora.com/artist/theory-6/ARxrlZ2ldhqtP6kTHE UNION OF THE UNWANTED: https://linktr.ee/TheUnionOfTheUnwanted

Dr. David Avrin, MD, PhD, is a pioneering leader in medical imaging informatics with decades in digital biomedical imaging, twice serving as Chair of RISC/SCAR/SIIM during pivotal eras in PACS development and Imaging Informatics conception. A Professor Emeritus at UCSF, he helped integrate PACS and EMR systems, advanced clinical and educational workflows, and authored foundational work including numerous peer-reviewed papers. He created the first human dual-energy CT images, led major informatics initiatives as UCSF Vice Chair, founded UCSF's ACGME Clinical Informatics Fellowship, and served as Editor-in-Chief of the Journal of Digital Imaging. A Fellow of both ACR and SIIM and recipient of SIIM's inaugural Gold Medal, he remains one of the field's most influential innovators. Note: The is the first of two episodes. The second episode will release on January 14th, 2026 You can find our podcast on Spotify, Apple Podcast, or anywhere else you subscribe to podcasts. Please help us out by leaving a review! Visit us at https://siim.org/page/siimcast Special Thanks to @RandalSilvey of http://podedit.com for editing and post processing support.

In this episode of Better Edge, a Northwestern Medicine Ophthalmology panel including Paul Bryar, MD, Rukhsana G. Mirza, MD, and moderator Angelo P. Tanna, MD, discusses practical applications of artificial intelligence in eye care. Topics include point‑of‑care diabetic retinopathy screening with immediate results, oculomics and multimodal imaging, and collaborations using AI to identify biomarkers such as retinal ischemic perivascular lesions (RIPLs). The panel also reviews early experience with large language model triage and MyChart responses, EMR‑based risk scoring that incorporates social drivers of health and workflow optimization.

In this episode of Better Edge, a Northwestern Medicine Ophthalmology panel including Paul Bryar, MD, Rukhsana G. Mirza, MD, and moderator Angelo P. Tanna, MD, discusses practical applications of artificial intelligence in eye care. Topics include point‑of‑care diabetic retinopathy screening with immediate results, oculomics and multimodal imaging, and collaborations using AI to identify biomarkers such as retinal ischemic perivascular lesions (RIPLs). The panel also reviews early experience with large language model triage and MyChart responses, EMR‑based risk scoring that incorporates social drivers of health and workflow optimization.

What if the most dangerous health device in your home is the one you use without thinking. In this episode of The Healthier Tech Podcast, Dr. Beverly Jensen, founder of YouAndEMF.com, explains why modern EMF exposure is not just a fringe concern and how everyday tech habits may be quietly affecting fertility, brain health, childhood development, and long term wellbeing This is a practical, eye opening conversation that connects the dots between invisible radiation, chronic exposure, and the tech behaviors we have normalized. You will hear about: How sitting near a Wi Fi router for months triggered Dr. Jensen's EMF sensitivity and reshaped her life's work Why airplane mode alone can cut phone radiation exposure by roughly 95 percent The uncomfortable reason phones do not belong in pockets, bras, or on laps What more than 200 studies reveal about sperm damage, fertility decline, and phone placement The disturbing rise in colorectal cancer among children and why researchers are questioning constant device exposure Why women and children appear to be more vulnerable to EMFs and why mothers often lead behavior change How Hollywood once normalized cigarettes and how phones may be following the same path Simple low cost steps that dramatically reduce EMF exposure without abandoning modern technology This episode is not about panic or unplugging from life. It is about understanding cumulative exposure and making smarter choices with the devices you already use. If you care about digital wellness, fertility, brain health, or raising kids in a hyper connected world, this conversation will likely change how you think about your phone and your home. Connect With Dr. Beverly Jensen Dr. Beverly Jensen offers education, advocacy, and one on one guidance for families looking to reduce electromagnetic radiation exposure in practical, realistic ways. Websites www.YouAndEMF.com www.WomensMedicineBowl.com Consultations Phone and video consultations focused on reducing EMR exposure in the home https://youandemf.com/emf-consultation/ Helpful Resources How to choose an RF meter and why you need one https://youandemf.com/emf-meters-why-you-need-one/ Social Media Facebook: EMradiationAwarenessCampaign YouTube: @EMRadiationProtection Connect with R Blank: For more Healthier Tech Podcast episodes, and to download our Healthier Tech Quick Start Guide, visit https://HealthierTech.co and follow https://instagram.com/healthiertech  Additional Links: EMF Superstore: https://ShieldYourBody.com (save 15% with code "pod") Digital Wellbeing with a Human Soul: https://Bagby.co (save 15% with code "pod") Youtube: https://youtube.com/shieldyourbody Instagram: https://www.instagram.com/bagbybrand/  Tiktok: https://www.tiktok.com/@bagby.co  

In episode 63 of Going anti-Viral, Dr Mari Kitahata joins host Dr Michael Saag to discuss the role of outcomes research on clinical decisions for patient care. Dr Kitahata is a Professor of Medicine at the University of Washington (UW) in the Division of Allergy and Infectious Diseases. For more than 3 decades, she has directed the UW/Fred Hutch Center for AIDS Research (CFAR) Clinical Research Core. Dr Kitahata's research focuses on improving long-term outcomes for people with HIV and she has led studies demonstrating key determinants of increased survival in people with HIV including early initiation of antiretroviral therapy and care managed by physicians with greater HIV experience. Dr Kitahata discusses the significance of outcomes research in clinical settings, particularly in the context of HIV care. She explains the differences between efficacy and effectiveness, the challenges faced in observational studies, and the importance of statistical techniques to address biases. Dr Kitahata and Dr Saag discuss the role of electronic medical records (EMRs) in enhancing data collection and the necessity of data validation through adjudication processes. Additionally, the conversation touches on the importance of patient-reported outcomes and the limitations of EMR data, including issues of misclassification. Finally, Dr Saag and Dr Kitahata discuss the distinction between predictive modeling and etiologic modeling in research, underscoring the complexities of clinical care and the future directions for outcomes research.0:00 – Introduction2:30 – Efficacy versus effectiveness5:51 – Challenges in outcomes research8:27 – Statistical techniques in observational studies16:13 – The role of electronic medical records19:36 – Patient-reported outcomes and their importance22:18 – Data validation and adjudication28:30 – Limitations of observational data35:08 – The future of outcomes research __________________________________________________Produced by IAS-USA, Going anti–Viral is a podcast for clinicians involved in research and care in HIV, its complications, and other viral infections. This podcast is intended as a technical source of information for specialists in this field, but anyone listening will enjoy learning more about the state of modern medicine around viral infections. Going anti-Viral's host is Dr Michael Saag, a physician, prominent HIV researcher at the University of Alabama at Birmingham, and volunteer IAS–USA board member. In most episodes, Dr Saag interviews an expert in infectious diseases or emerging pandemics about their area of specialty and current developments in the field. Other episodes are drawn from the IAS–USA vast catalogue of panel discussions, Dialogues, and other audio from various meetings and conferences. Email podcast@iasusa.org to send feedback, show suggestions, or questions to be answered on a later episode.Follow Going anti-Viral on: Apple Podcasts YouTubeXFacebookInstagram...

Listen in as Jay H. Shubrook, DO, FACOFP, FAAFP, and Chrisopher Weber, MD, FAAP, FACP, CSCS, daBOM, FOMA, discuss the latest advances in caring for patients with overweight or obesity in the primary care setting, including:The Lancet Commission's new obesity definitions and diagnostic criteriaKey data on incretin-based antiobesity medications like semaglutide and tirzepatideBest practices for patient discussionsStrategies for incorporating new evidence in your primary care practicePresentersJay H. Shubrook, DO, FACOFP, FAAFPProfessor and DiabetologistDepartment of Clinical Sciences and Community HealthTouro University California College of Osteopathic MedicineVallejo, CaliforniaChristopher Weber, MD, FAAP, FACP, CSCS, daBOM, FOMABariatric Services Medical Director, Ascension WisconsinObesity Medicine Director, Ascension Columbia St Mary's Bariatric CenterTrustee, Obesity Medicine AssociationAdjunct Assistant Professor of PediatricsMedical College of WisconsinMilwaukee, WisconsinLink to full program:https://bit.ly/4rG7QQp Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Is your practice trying to grow—but your EMR or billing setup just can't keep up? Dr. Heather breaks down why the wrong system can silently drain revenue, increase denials, and stall growth. You'll learn:Which EMRs actually help practices thriveWhy letting your billing company control your software is a huge riskHow to protect your AR and get cleaner reportingThe simple setup that keeps your practice running like a well-oiled machineStop spinning your wheels—tune in and set your practice up to win the race!

Welcome to the Med Spa Success Strategies Podcast, presented by Ricky Shockley of Med Spa Magic Marketing. If you're ready to implement more efficient & effective marketing strategies for your practice, book your FREE strategy session & marketing plan: https://go.medspamagicmarketing.com/scheduleIn this episode, Ricky Shockley sits down with Corey Beale, former Chief Growth Officer and investor at MD Aesthetics, early HubSpot leader, and current Chief Revenue Officer at CorralData (https://corraldata.com/). Corey shares what it really takes to scale, systemize, and eventually sell a med spa in today's competitive landscape.Corey brings a rare operator and investor perspective. He has spent nearly 20 years in the SaaS world building high-performing sales teams, scaling companies from startup to IPO, and leading go-to-market strategy. He later entered the aesthetics industry as an operator, helped MD Aesthetics expand through multiple acquisitions, and played a key role in the group's successful PE exit. In this conversation, he breaks down the systems, processes, and data strategies that fuel sustainable growth for med spa owners.If you're a med spa or aesthetics practice owner who wants to expand, improve profitability, or prepare for an eventual exit, this episode is packed with tactical insights.In this episode, we cover:✅ How to scale a med spa using SaaS-inspired systems including funnels, KPIs, SOPs, and documentation✅ The inside story of MD Aesthetics' multi-location expansion and how to integrate acquisitions successfully✅ What private equity firms look for when valuing and acquiring med spas✅ The risks of opening a second location without a proven operational playbook✅ How to maintain consistency across providers and locations through training programs, checklists, and brand standards✅ The importance of rebooking and reactivation systems and why most practices overlook this revenue✅ Underrated marketing channels such as themed events, partnerships, and VIP nights✅ Service mix strategy including injectables, lasers, wellness services, and which trends are most profitable long term✅ Why PE roll-ups in aesthetics continue to accelerate and how this affects independent practices✅ How to use data to make profitable decisions and how Corral Data helps bring together EMR, CRM, ads, payroll, and financial dataThis episode offers a blueprint for med spa owners who want to operate more effectively, understand their numbers, and position their business for meaningful growth.About Corey Beale of CorralData (https://corraldata.com/)Corey is a seasoned sales and revenue executive with deep experience scaling SaaS, FinTech, and AI-powered companies from startup through IPO. After a decade at HubSpot and nearly 20 years in software leadership, he became an investor and Chief Growth Officer at MD Aesthetics where he helped lead the brand through rapid expansion and a successful private equity acquisition.Corey now serves as the Chief Revenue Officer at Corral Data, a HIPAA-compliant analytics platform that unifies EMR, CRM, ads, financials, and payroll into a single source of truth for aesthetics and wellness practices. Corral Data powers many of the leading PE-backed med spa groups and high-growth multi-location practices.Book a Demo with CorralData: https://corraldata.com/book-a-demo/Follow Corey on LinkedIn: https://www.linkedin.com/in/coreybeale/Follow us on social media: https://www.instagram.com/medspamagicmarketing/https://www.linkedin.com/company/med-spa-magic-marketing/https://www.facebook.com/MedSpaMagicMarketing/https://www.tiktok.com/@medspamagicmarketing

Can benchmarking data actually improve antibiotic prescribing for kids? In this episode of AJIC: Science into Practice, hosts Nicki and Jess talk with Dr. Rana El Feghaly and Dr. Matthew Kronman about how collaborative reporting, smart guidelines, and EMR nudges help reduce unnecessary prescriptions. Hear how 22 institutions are reshaping outpatient stewardship with one smarter antibiotic choice at a time. With special guests: Rana El Feghaly, MD, MSCI, CPHQ, Pediatric Infectious Diseases Physician, Infectious Diseases Clinical Director, Pediatric Department Director of Quality and Safety, Children's Mercy Kansas City Matthew P. Kronman, MD, MSCE, Professor of Pediatric Infectious Diseases and Associate Vice Chair for Education in the Department of Pediatrics, University of Washington

Medical record signatures are more than the macro “electronically signed by Dr. Jack Jones.” A provider's signature is a legal attestation that the physician or provider performed, reviewed, and/or agreed with the documentation. Is this actually true, or are your EMR auto-signatures taking over? Terry discusses this critical aspect of medical record documentation compliance, with a shout-out to NAMAS for an article that also addresses the topic. Plus, a bonus update on the G0136 add-on code for 2026. Subscribe and Listen You can subscribe to our podcasts via: Apple Podcasts – https://podcasts.apple.com/us/podcast/codecast-medical-billing-coding-insights/id1305926627 Spotify – https://open.spotify.com/show/1lA69Q7EnjSMuVr3sXVWlX TuneIn – https://tunein.com/radio/CodeCast–Medical-Billing-p1056702/ YouTube – https://www.youtube.com/channel/UCoNm5vs6PFMIEDa5Undidlg YouTube Music – https://www.youtube.com/playlist?list=PLQ8tk23yZroZslhtTVe-PEIjQsAoJZJIQ Pandora – https://www.pandora.com/podcast/codecast-medical-billing-and-coding-insights/PC:1000156874 Amazon Podcasts – https://music.amazon.com/podcasts/c9d8dc99-fced-45a2-82b4-0efdf144c897/CodeCast-Medical-Billing-and-Coding-Insights iHeart Radio – https://www.iheart.com/podcast/256-codecast-medical-billing-a-31135434/ The post MR Signature Compliance appeared first on Terry Fletcher Consulting, Inc..

The 2026 Home Health Final Rule is late—but the impact is already here. In this episode, Melissa Brown (COO) sits down with Devin Kassi, Gravity's VP of Home Health Operations, to break down what agencies should be doing right now to prepare for payment cuts, VBP changes, and rising operational demands.Together they unpack:What a 3–6% payment reduction really means for agency sustainabilityWhy your EMR might be costing you more than it's saving youHow AI-driven clean claims, documentation support, and automated intake can reduce labor needs and boost marginsThe organizational restructuring every agency should be evaluating before 2026How to prepare for the proposed Value-Based Purchasing changes—especially new OASIS measures for bathing and dressingWhy recurring training, ongoing Oasis auditing, and external quality support are now essentialPractical, actionable steps to future-proof your operations before the Final Rule arrivesThis is Part 1 of a two-part conversation designed to give home health leaders a roadmap for navigating reimbursement cuts without compromising care or burning out their teams.Because in today's environment, survival isn't about what you know—it's about how fast you can adapt.Support the show

The Hardest Hire: How to Nail Your First Staff Clinician in a Cash PT Clinic In this episode, Doc Danny Matta explains why your first staff clinician is the hardest hire you'll ever make—and how to do it the right way. He breaks down why your business looks risky from a candidate's perspective, why most PTs are wired for security (not startups), and how to sell the future vision of your clinic instead of apologizing for your current "shitty little room." Quick Ask If this episode helps you think differently about hiring and leadership, share it with another clinic owner who's gearing up for their first hire—and tag @dannymattaPT so he can reshare it. Episode Summary Clair keeps you present: AI scribe Clair lets you focus 100% on patients instead of your EMR, improving rapport and outcomes. Time and outcomes: Better attention in the session = better engagement, better buy-in, and better clinical results. Danny's background: Staff PT, active duty military officer, cash practice founder, seller, and now CEO of PT Biz, helping 1,000+ clinicians build cash practices. The hardest hire: Your first staff clinician is the toughest hire you'll ever make. Why it's so hard: Your business looks risky—small sublease, no track record, limited capital, and no big benefits. PT personality problem: Most PTs are risk-averse, security-driven, and not naturally entrepreneurial. The failed first hire story: Danny flew in a phenomenal clinician and his fiancée to see their rough CrossFit sublease in Atlanta—she wasn't impressed, and they turned down the job. Vision vs. reality: Danny saw a future seven-figure clinic; they saw one small room in a sketchy area. Why candidates say no: From their side, it means relocating, taking on more risk, and joining an unproven business. What you're really selling: Not "what the clinic is today" but "where the clinic is going in 5–10 years" and their role in that story. First hire profile: The person who says yes is usually more comfortable with risk—and more likely to eventually start their own thing. Turnover isn't a failure: Early clinicians who leave often still move the business forward and become success stories you're proud of. Credibility boost: Having more than one clinician builds brand trust, shows the clinic is bigger than one personality, and validates the model. Leadership mistake: Danny used to think "that's what the money's for" (Mad Men style) instead of appreciating the risk people were taking on him. Respect the risk: Your first hire is betting on your vision—treat that with gratitude, not entitlement. Hardest growth cycle: The most brutal stage is going from solo to first clinician and toward standalone space—not later multi-location growth. Cash flow and stress: Hiring, ramping up schedules, and surviving turnover during this phase can feel like a gut punch. Lessons & Takeaways Your clinic looks risky to candidates: No benefits, no track record, small space, and uncertain schedule feel like red flags to security-driven PTs. Don't take "no" personally: Risk-averse people saying no to a risky offer is normal, not a reflection of your worth. Sell the vision, not the room: You must paint a clear picture of what the clinic will become and how they'll be part of it. First hires may not stay long-term: Risk-tolerant people who join early often go on to open their own practices—and that's okay. Early hires still matter: They help build the brand, establish a second schedule, and prove your model works beyond just you. Appreciation beats "that's what the money's for": You're not doing them a favor—they're taking a chance on your unproven business. Growth requires new skills: The owner you are at solo stage is not the same owner you must become with staff. Mindset & Motivation Respect the leap: That first clinician is making a bigger jump than you think—especially if they're moving states. Stay future-focused: Your job is to keep your eyes—and theirs—on where the clinic is going, not just today's rough edges. Expect churn: Some early hires will leave; it's part of the entrepreneurial cycle, not a personal betrayal. See the hard stage for what it is: The first growth cycle is supposed to feel heavy; it builds your capacity as a leader. Be proud of those who outgrow you: Former employees who go on to open clinics are part of your legacy, not your failure. Pro Tips for Clinic Owners Use an AI scribe: Implement Clair so you and future staff can stay fully present with patients and avoid note fatigue. Practice your "vision pitch": Be able to clearly explain where your clinic will be in 5–10 years and what "employee #1" means. Be honest about the tradeoffs: Don't oversell security—sell autonomy, growth, impact, and the excitement of building something. Show appreciation early and often: Make it clear you understand and value the risk they're taking by joining you. Plan for turnover: Assume that some early hires will leave and build systems that outlast any one person. Notable Quotes "The hardest hire you'll ever make is your first staff clinician." "To most candidates, your business looks risky. Small space, no track record, no benefits—that's their reality." "You're not selling them on what the business is today. You're selling them on what it's going to be in 5 or 10 years." "Your first hire is taking a risk on you. Respect that. Appreciate that. Don't act like they owe you." "The solo-to-first-clinician growth cycle is where most people quit. It's also where you grow the most." Action Items Write out a clear, compelling vision story of where your clinic will be in 5–10 years. Audit your current offer: pay, benefits, schedule, growth—what's truly attractive to a candidate? Practice your "employee #1" pitch out loud before your next interview. List three ways you can show more appreciation to current or future staff. Consider using Clair to reduce documentation friction before you bring on your first or next clinician. Programs Mentioned PT Biz Part-Time to Full-Time 5-Day Challenge (Free): Get ultra clear on how much money you need to replace, how many people you need to see, and the strategies to go from side hustle to full-time practice owner. Join here. Resources & Links PT Biz Website Free 5-Day PT Biz Challenge MeetClair AI — Free 7-day trial for PTs About the Host: Doc Danny Matta — physical therapist, entrepreneur, and founder of PT Biz and Athlete's Potential. He's helped over 1,000 clinicians start, grow, scale, and sometimes sell their cash practices, and is committed to helping PTs build businesses that create true time and financial freedom.

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

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:

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  

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.

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

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.

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

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?”