Podcasts about emr

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

I'd love to hear from you 'text the show'Welcome back to the Treat Your Business podcast. It's just me, Katie Bell, with you for the next three weeks as I kick off a little solo series I'm calling “Beyond the Treatment Room.” I'll be honest, I was tempted to record a full episode reflecting on the first six weeks of being a mum, but I realised I'm still very much in the trenches. So, I'm parking the parenting wisdom for now and focusing on something that's really hit home for me lately, defining what success really means.If you've been running a clinic for any amount of time, you'll know how easy it is to get swept up in someone else's version of success. Instagram will have you believing you're not even a business owner unless you're hitting seven figures. But let's get real - success looks different for everyone. Whether your goal is to work three days a week and pick the kids up from nursery, or you want to smash through to seven figures and travel the world, your version of success is yours alone.In this episode, I'm sharing my own journey of redefining what success means, especially now I'm a mum. I'll talk about the trap of chasing borrowed success, how easy it is to get caught up in the hustle, and the real truth behind those shiny Instagram numbers. Spoiler alert: more revenue doesn't always mean more happiness.We'll dig into three big questions:What do you want your life to look like right now, in this season?How do you want to feel in your business?What impact do you want your clinic to have on your clients, your team, and your community?I'll also share some honest stories from my own business and maternity leave, including the reality of “maternity pay” as a business owner (spoiler: it's basically nothing), and why I've had to make my business work for my life, not the other way round.So, grab a cuppa, take 15 minutes this week to think about your own success statements, and let's start building a business that actually works for you.Key Takeaways:Your definition of success is unique to you - don't get caught chasing someone else's dream.Revenue is only one piece of the puzzle. Focus on profit, time, and how your business supports your life.Ask yourself what you want your life and business to look like, how you want to feel, and what impact you want to make.Build your business around your own version of success, not Instagram's.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.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.

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!

En este episodio del podcast de ACHO hematología, la Dra. Virginia Abello, hematóloga del CTIC en Bogotá, y el Dr. Luis Salazar, hematólogo de la Clínica Foscal Internacional en Bucaramanga, ambos de Colombia, abordan los avances más destacados en el tratamiento de la Leucemia Linfocítica Crónica (LLC) presentados en el congreso de la Asociación Europea de Hematología 2025. La dinámica gira en torno a la evolución del manejo de esta enfermedad, centrándose en terapias dirigidas, la importancia de la enfermedad medible residual (EMR), y la posibilidad de alcanzar tratamientos finitos e incluso hablar de curación en ciertos subgrupos de pacientes. Con un enfoque profundo, los ponentes analizan datos recientes de estudios clínicos clave como GAIA (CLL13), FLAIR, CAPTIVATE y AMPLIFY, reflexionando sobre el impacto de estos hallazgos en la práctica clínica actual y futura.Durante la conversación, se discutieron las estrategias emergentes de desescalonamiento terapéutico guiado por biomarcadores, el rol de la EMR como objetivo terapéutico y como potencial herramienta para suspender tratamientos de forma segura. Se destacaron los resultados de combinaciones libres de quimioterapia, como venetoclax con ibrutinib u obinutuzumab, las diferencias entre pacientes con biomarcadores de alto riesgo como IGHV no mutado o TP53 aberrado, y la relevancia de los inhibidores de BTK de nueva generación como acalabrutinib. La conclusión fue clara: tratar menos puede significar lograr más, siempre que sepamos identificar adecuadamente a qué pacientes aplicar estas estrategias, en qué momento y con qué herramientas de seguimiento clínico.Dentro de su conversación, se plantearon las siguientes preguntas:¿Cómo se pueden usar los biomarcadores para guiar el desescalonamiento del tratamiento en LLC?¿Qué nos mostró el estudio GAIA (CLL13) sobre la profundidad de la respuesta y su impacto en la progresión de la enfermedad?¿Cuáles son los beneficios y limitaciones del uso de la EMR como objetivo terapéutico?¿Qué diferencias observamos entre los pacientes con mutación del IGHV y los no mutados en los estudios analizados?¿Qué aprendimos del estudio CAPTIVATE sobre las terapias finitas y su efectividad a largo plazo?¿Qué aporta el estudio FLAIR en términos de comparación con la quimioinmunoterapia tradicional?¿Qué hallazgos nos deja el estudio AMPLIFY sobre el uso de acalabrutinib en combinación y su impacto en EMR?¿Cuáles son los retos actuales para aplicar estos avances en países latinoamericanos?¿Podemos hablar realmente de curación en LLC con las combinaciones actuales?¿Qué implicaciones clínicas tiene la cinética de la EMR en la toma de decisiones terapéuticas?¿Cómo debería cambiar la práctica clínica cotidiana frente a estos nuevos datos?¿Qué tipo de pacientes deberían aún recibir tratamientos continuos y por qué? Fecha de grabación: 20 de agosto de 2025.  Referencia:Este contenido se basa en la interpretación crítica de la evidencia científica disponible, así como en la experiencia clínica del o los ponentes como profesionales de la salud en instituciones de referencia.Para profundizar en los conceptos discutidos, se recomienda al profesional de la salud consultar literatura científica vigente, guías clínicas internacionales y la normatividad aplicable en su país.

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!

Most chiros don't hire physios, and most physios avoid working with chiros. But what if that mindset is costing you millions? In this episode of The Clinic Boss Show, Rick Lau interviews Aaron Binstock, chiropractor and co-founder of Strive Health & Performance, who built a 35-person multi-disciplinary team that scaled from $500K in year one to over $1M by year three. Aaron breaks down exactly why patients quit after just 3 visits, how he fixes it with treatment plans, and the real reason most new grads fail to implement them. You'll also learn why your EMR is more than software (and how Jane helps him recruit), the top 3 money leaks killing clinic profits, and why waiting until you're fully booked before hiring is a huge mistake. Aaron also shares how shadowing new hires before day one changed his onboarding, why second-service bookings drive patient lifetime value, and how building a diverse, ego-free team unlocked growth that solo practices can't replicate. If you're scaling to $1M or building a real clinic business, not just a caseload, this episode is your tactical playbook. >> Free training for clinic owners: clinicowner.com >> Follow me on IG at: @thericklau >> Join the community: clinicaccelerator.com >> Stop missing calls with CallHero's advanced phone system: mycallhero.com Chapters (01:00) Introduction to Aaron Binstock and Strive Health (10:05) The Importance of Treatment Planning (16:56) Recruitment Strategies for a Successful Practice (29:30) Mentorship and Recruitment Strategies (38:02) Tech Stack and EMR Utilization (46:58) Implementing Treatment Plans

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.

I'd love to hear from you 'text the show'WelcomeHi, Katie Bell here, and if you're new here, a massive welcome to the Treat Your Business podcast. Whether this is your first listen or you're a regular, I'm so glad you're tuning in. This week, I'm diving into something that so many of us need to hear: what to do when you're feeling overwhelmed, distracted, and a bit frazzled, like your brain's running on too many tabs.Episode SummaryEver look at your browser and realise you've got 65 tabs open? That's how life as an entrepreneur or clinic owner can feel. Tired but wired, working hard but not really moving forward. If you're doing all the things but none of them seem to be working, let me reassure you: you're not broken, you're not failing, and you're definitely not behind. You're simply in the middle of a big shift.In this episode, I'm talking about what's really going on when you feel this way, and more importantly, what you can do about it. Grab a cuppa and settle in.Key Takeaways✨ Overwhelm often isn't about how much you're doing, but about how much change you're experiencing.✨ Growth and change can feel uncomfortable, but that's totally normal.✨ The cure for overwhelm isn't more information or more ideas, it's focus and action.✨ Pick one thing that matters most right now and give it your full attention.✨ You don't need another idea, you need to implement the ones you already have.✨ Trust yourself to go deep, not wide. Consistency and commitment win the day, even when it's boring or uncomfortable.Practical Steps to Reclaim FocusMute the Noise: Step away from social media or mute accounts that trigger comparison or doubt.Set a Consumption Limit: Cap your learning time each week. Spend more time doing than consuming.Pick Your Lane: Decide what season of business you're in and choose one focus for the next 90 days.Revisit Your Strategy: Go back to your plan, check your 30-day goals, and let them ground you.Seek Clarity: Reach out to your coach or a buddy for a sense check and support.Resources & LinksThis episode is sponsored by Jane, the clinic management software and EMR. If you want to reclaim your evenings and weekends, check out the link in the show notes for a personalised demo. Use code Thriveonemo when you sign up for a one month grace period.Final ThoughtsIf you're feeling frazzled, you're not weak or failing, you're just in motion, doing the brave work of change. Be kind to yourself. Turn down the noise, pick one goal, and remember that clarity comes from committed action, not constant input. You've totally got this, and if you work with us, we've got youTreat 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.

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.

I'd love to hear from you 'text the show'WelcomeWelcome back to the Treat Your Business podcast! This week, I'm diving into the recruitment crisis we're all feeling in the clinical world – but I'm not just here to moan, I'm here to shine a light on the opportunities as well. I'm joined by the fabulous Carys Roberts from Swan Physio and Cygnet, who's back by popular demand. We're unpacking how student placements can transform not only your clinic but also the careers of the next generation of clinicians. Trust me, if you're overwhelmed with recruitment or just fancy a fresh approach, you'll want to listen in!Episode SummaryIn this episode, we get real about the challenges facing clinic owners – from the lack of hands-on experience in new grads to the ever-changing employment rights. Carys shares her journey from juggling five jobs to running a thriving, multidisciplinary clinic and supporting student placements for over 15 years. We talk through how bringing students into your business (yes, funded placements!) isn't just about giving back – it's a strategic move to help you grow, recruit confidently, and future-proof your clinic. Expect practical tips, a few laughs, and honest chat about what actually works in the real world.Key Takeaways✨ There's a recruitment challenge, but also a huge opportunity if you're open to student placements✨ Funded placements can be a game-changer for your business – you get to “try before you buy”✨ Building the right processes and onboarding is crucial for success (yes, Carys is the spreadsheet queen!)✨ Student placements aren't just for physio clinics – there are options for everyone✨ It's all about finding the right fit: attitude and values matter more than clinical skills at first✨ Students can add value in surprising ways – from running classes to bringing fresh ideas✨ Start the conversation now, even if you're not ready yet – it takes time to build the right infrastructure✨ You're not alone: bespoke support and resources are available to help you every step of the wayResources & Links

This week on The BRAVE OT Podcast: So many neurodivergent OTs like us have spent our careers trying to squeeze ourselves into systems that weren't designed for how our brains work, for our sensory needs, or for how our values need to align deeply with our work. It is a brave move to one day say "I'm going to create something that actually works for me." Join me as I talk with Breanna James, an OT from Alaska who's been part of my ACTivate Vitality program and community for almost a year. Breanna specializes in supporting neurodivergent adults, and what I love about this conversation is how she talks about creating her private practice as her own accommodation - a way to work that honors both her neurodivergent brain and her values around authentic, client-centered care. You'll hear how she moved from traditional settings that didn't quite fit into building something that works for her life as a parent, as a business owner, and as someone who needs flexibility and play in her work. We dive into why neurodivergent adults desperately need our OT services, how to bring play and creativity back into the mundane parts of business, and why you don't need another certification to start helping the people who need you most. This conversation is for any OT who's been feeling like they need to practice differently, who's struggling with the loneliness of solo practice, or who's wondering if they're qualified enough to work with adult populations. If you've ever felt like you're trying to squeeze yourself into a mold that wasn't made for you, this episode will give you permission to create something that actually fits. Key Topics We Discuss: Creating private practice as your own accommodation for neurodivergent needs Permission to practice OT authentically without fitting traditional molds The power of community and connection for solo practitioners Bringing playfulness back into business and clinical work Why neurodivergent adults need OT services (beyond coaches or counselors) Moving from burnout to sustainable, values-driven practice Using AI tools to support clinical work Breaking free from the "shoulds" and finding what actually works Building teams and having vulnerable leadership conversations Who This Episode Is For: OTs feeling stuck in traditional employment settings Solo practitioners experiencing loneliness and isolation Neurodivergent OTs seeking accommodations in their work Anyone questioning whether they're qualified to work with adult populations OTs interested in supporting neurodivergent adults Links Mentioned: Breanna's website: authenticlivingot.com Contact Breanna: info@authenticliving.com Free Play (book mentioned by Breanna) Comment with your favourite comfort shows. Here are ours: Schitt's Creek Grey's Anatomy Friends 30 Rock True Crime Shows and Podcasts Keep the conversation going in the The BRAVE OT Facebook group. Download the 2025 ACTivate Vitality Analysis Report to see what we are talking about. We are currently accepting new OT business owners into the program so we'd love to hear from you. Book a Clarity Call today. Ready to meet Jane and try out the AI Scribe? As a listener of The BRAVE OT Podcast, we invite you to check out our favourite EMR, Jane.app and use the code VITALITY on your new Jane account for a one month grace period.   Questions OTs Are Asking: How can I create a private practice that works for my neurodivergent brain? What support is available for OT business owners? How can I improve my mindset as a business owner? How do I overcome loneliness as a solo practitioner? What's the difference between OT and coaching for neurodivergent adults? How do I bring more play and creativity into my business? Can occupational therapists help adults with executive functioning? Do I need special certifications to work with autistic adults? How do I start working with neurodivergent adults as an OT? What does occupational therapy look like for adults with ADHD? #OTBusiness #NeurodivergentOT #ADHDTherapist #AutismOT #OccupationalTherapy #BRAVEOTPodcast #OTLife #EntrepreneurOT #ACTivateVitality #SustainableBusiness #OTCommunity #PrivatePracticeOT #BusinessOwnerLife #OTSupport #AuthenticPractice  

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.

Aashi Arora specializes in helping practices and health organizations turn difficult dynamics into aligned, high-performing teams. Most business problems are people problems. If you don't define your culture and values, they get defined for you, creating conflict, misaligned expectations, and stalled decisions. Some of the key takeaways are:Culture first, not last: Clarify mission, vision, and a few lived values before problems arise.Recruit for fit, not just skill: Screen for soft skills and emotional intelligence against your stated values.Name the right problem: Surface issues (billing, EMR burden, payer mix) often mask root causes (misalignment, unclear expectations, unsafe communication).Strengths-based change: Focus on what's working, using positive psychology to reach outcomes faster.Structure matters: Build measurable Individual/Team Development Plans.Leaders must thrive to lead: Invest in well-being across financial, career, physical, community, social; poor emotional regulation from burnout cascades to teams.Even top performers need help: Like elite athletes, great leaders surround themselves with complementary support and asking for help is a strength.

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

Dr. Ray Foxworth sits down with billing and compliance powerhouse Lisa Maciejewski-West to unpack the biggest pitfalls tripping up practices today—copy-forward EMR notes, cash-practice compliance (including Medicare realities), and when to outsource admin so you can grow. You'll also hear what's coming next in reimbursement (episode-based care) and get practical fixes you can use right away to protect revenue and stay audit-ready.

No dia que você descobrir que quem manda é você, a coisa acontece. Passamos muito tempo esperando Deus fazer alguma coisa por nós, quando, provavelmente Ele está esperando uma resposta de fé e coragem da nossa parte. Marizete Garcia é Professora da EMR e Rhema

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. 

Interview with Tim Harrison, Managing Director of Ionic Rare EarthsOur previous interview: https://www.cruxinvestor.com/posts/ionic-rare-earths-asxixr-us-attracted-to-magnet-recycler-7488Recording date: 2nd September 2025The rare earth metals market has entered a new era following China's April 2025 export restrictions on seven critical rare earth elements, creating unprecedented opportunities for alternative suppliers. Australian-listed Ionic Rare Earth (ASX:IXR) has emerged as a strategic beneficiary of this supply chain disruption through its advanced magnet recycling technology.China's export ban demonstrated its monopolistic control over materials essential for modern technology and defense applications, immediately creating supply shortages and price volatility. Ionic Rare Earth's Managing Director Tim Harrison reports the company has been "inundated on requests to access the dysprosium and terbium" from their Belfast demonstration plant, with dysprosium commanding three times Chinese quoted prices in European markets.The geopolitical catalyst has triggered massive government and corporate investment in supply chain security. The US Department of Defense invested $400 million in MP Materials, establishing a $110/kg floor price for neodymium-praseodymium, effectively doubling available prices to non-Chinese producers. Apple followed with a $500 million investment in recycling infrastructure, signaling corporate recognition of supply chain vulnerabilities.Ionic Rare Earth's competitive advantage lies in its proprietary recycling process that produces high-purity separated oxides using 85% less capital than traditional mining. The technology focuses on separating four elements representing 85-90% of rare earth supply chain value, enabling rapid deployment across multiple jurisdictions without mining permits or social license challenges.With comprehensive patent protection, strategic partnerships providing feedstock access through EMR, and government support across the US, UK, and Europe, Ionic Rare Earth is positioned to capitalize on the structural shift toward recycling-based supply chains. The European Critical Raw Materials Act mandates 25% of rare earth supply from recycling by 2030, creating additional policy tailwinds for the company's expansion strategy.View Ionic Rare Earths' company profile: https://www.cruxinvestor.com/companies/ionic-rare-earths-ltd

Personalization in healthcare often stops at broad labels like “diabetic” or “post-op patient.” But what if every person's care prompts were based on their exact needs, timing, and preferences? That's the N of 1 approach- and it's already becoming achievable. In this interview, Mike Serbinis, Founder & CEO of League, explains how his team is building technology to engage patients and members as true individuals. From combining EMR, claims, wearable, and self-reported data, to acting, rather than waiting for datasets to be “perfect,” Serbinis shares how League is making personalized health guidance actionable at scale. For IT leaders, his insights reveal why starting with the data you already have is the fastest route to better engagement and healthier outcomes.Do you think N of 1 personalization is realistic in your organization? What's the biggest barrier you face? Share your thoughts in the comments.

It's not marketing's fault—you're probably losing most of your opportunities at the front desk. That first call matters, and you need someone who knows how to guide the right patients through.When your front desk knows your technology, your treatments, and how to handle tough questions, they're more likely to turn inquiries into appointments.To set the front desk up for success, Mara Shorr of ACG Practice Partners shares her best tips: fast but effective onboarding, solid scripting, and tools to help your team speak with confidence.About Mara ShorrMara Shorr has 15 years of experience guiding aesthetic practices across toward their strongest operational, administrative, and financial health. She has served as an editorial board member for DERMASCOPE magazine, writes for numerous aesthetic industry publications, and is a respected international speaker and key opinion leader for nearly a dozen aesthetic industry conferences annually, as well as a proud textbook chapter author for The Business of Plastic Surgery: Volume 2.Learn more about ACG Practice PartnersFollow Mara on Instagram @marashorrConnect with Mara on LinkedInGuestMara Shorr, Senior ConsultantACG Practice PartnersHostRobin Ntoh, VP of AestheticsNextechPresented by Nextech, Aesthetically Speaking delves into the world of aesthetic practices, where art meets science, and innovation transforms beauty.With our team of experts we bring you unparalleled insights gained from years of collaborating with thousands of practices ranging from plastic surgery and dermatology to medical spas. Whether you're a seasoned professional or a budding entrepreneur, this podcast is tailored for you.Each episode is a deep dive into the trends, challenges, and triumphs that shape the aesthetic landscape. We'll explore the latest advancements in technology, share success stories, and provide invaluable perspectives that empower you to make informed decisions.Expect candid conversations with industry leaders, trailblazers and visionaries who are redefining the standards of excellence. From innovative treatments to business strategies, we cover it all.Our mission is to be your go-to resource for staying ahead in this ever-evolving field. So if you're passionate about aesthetics, eager to stay ahead of the curve and determined to elevate your practice, subscribe to the Aesthetically Speaking podcast.Let's embark on this transformative journey together where beauty meets business.About NextechIndustry-leading software for dermatology, medical spas, ophthalmology, orthopedics, and plastic surgery at https://www.nextech.com/ Follow Nextech on Instagram @nextechglowAesthetically Speaking is a production of The Axis: theaxis.io Theme music: I've Had Enough, Snake City

AI is being added to everything — from your EMR to your phone system — but adding technology alone doesn't guarantee better results. For private practices, the real question isn't “Should we use AI?” but rather “Will it actually solve the root problems holding us back?” In this episode, Zed breaks down how to evaluate AI tools the right way. You'll learn how to separate hype from true value, identify whether your challenges are system or human-based, and set clear metrics to measure success before you commit. If you've ever wondered whether AI can actually improve your practice — or just add another layer of complexity — this episode will give you the framework to decide. Request a Practice Review: https://www.physiciangrowthaccelerator.com/connect  Take the Vitals Diagnostic: https://www.physiciangrowthaccelerator.com/vitals-diagnostic 

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

SLP malpractice insurance without ASHA Membership (or the CCC), fact or fiction? In this Fix SLP Summer School episode, Dr. Jeanette Benigas, SLP, and Preston Lewis, MS/SLP, discuss affordable liability coverage options for licensed SLPs who choose not to maintain ASHA membership or the CCC. They explain the ProLiability/AMBA partnership, why it's not your only option, what policies and riders are important (malpractice, general liability, E&O, license defense), and how to shop smart for rates that fit your risk and setting.Plus: our first sponsor, ⭐️ Remedy ⭐️, an EMR built by SLPs, offering early access with 50% off your first two months. Check them out! PLUS, a quick Michigan update: Health Policy Committee vote scheduled for HB 4484.New here? Subscribe, share with a colleague, and call the Minivan Meltdown line at fixslp.com to add your voice.

Where are you wasting money in your business — and where are you not investing enough?In this episode, we break down the biggest money mistakes we see pelvic business owners make. Spoiler: it's not about whether something feels “expensive,” it's about Return on Investment (ROI).

Growth and profitability all starts with having solid financial data. Without it, you're basically flying blind.Financial expert Jessica Nunn shares the top five best and worst things aesthetic practices can do when it comes to their bottom line. When you understand your finances, you can actually be profitable instead of just hoping for the best.Jessica breaks down some of the most common mistakes she sees from her work with hundreds of aesthetic professionals of all sizes and stages of growth. About Jessica NunnJessica Nunn founded Maven Financial with a vision to make strategic financial advice accessible to every small business owner. She understands that her clients carry the responsibility of maintaining a business, meeting their goals, paying their employees, paying themselves, and providing for their families. Her job is to make the complex world of revenue, profitability, and key performance indicators clear and simple. Learn more about Maven Financial PartnersFollow Maven Financial Partners on Instagram @mavenfinancialGuestJessica Nunn, Founder & CEOMaven Financial PartnersHostRobin Ntoh, VP of AestheticsNextechPresented by Nextech, Aesthetically Speaking delves into the world of aesthetic practices, where art meets science, and innovation transforms beauty.With our team of experts we bring you unparalleled insights gained from years of collaborating with thousands of practices ranging from plastic surgery and dermatology to medical spas. Whether you're a seasoned professional or a budding entrepreneur, this podcast is tailored for you.Each episode is a deep dive into the trends, challenges, and triumphs that shape the aesthetic landscape. We'll explore the latest advancements in technology, share success stories, and provide invaluable perspectives that empower you to make informed decisions.Expect candid conversations with industry leaders, trailblazers and visionaries who are redefining the standards of excellence. From innovative treatments to business strategies, we cover it all.Our mission is to be your go-to resource for staying ahead in this ever-evolving field. So if you're passionate about aesthetics, eager to stay ahead of the curve and determined to elevate your practice, subscribe to the Aesthetically Speaking podcast.Let's embark on this transformative journey together where beauty meets business.About NextechIndustry-leading software for dermatology, medical spas, ophthalmology, orthopedics, and plastic surgery at https://www.nextech.com/ Follow Nextech on Instagram @nextechglowAesthetically Speaking is a production of The Axis: theaxis.io Theme music: I've Had Enough, Snake City

This episode is sponsored by: My Financial CoachYou trained to save lives—who's helping you save your financial future? My Financial Coach connects physicians with CFP® Professionals who specialize in your complex needs. Whether it's crushing student loans, optimizing investments, or planning for retirement, you'll get a personalized strategy built around your goals. Save for a vacation home, fund your child's education, or prepare for life's surprises—with unbiased, advice-only planning through a flat monthly fee. No commissions. No conflicts. Just clarity.Visit myfinancialcoach.com/physiciansguidetodoctoring to meet your financial coach and find out if concierge planning is right for you.———————In this episode, Dr. Bradley Block  welcomes Dr. Michael  Hersh, to explore the common challenge of career stagnation in medicine. After years of routine patient care, Dr.  Hersh found himself questioning, “Is this it?” Through coaching, he rediscovered joy by embracing new ventures like podcasting and coaching other physicians. He discusses strategies to combat burnout, including learning new skills, setting firm boundaries, and practicing self-compassion to balance work and family life. As host of Better Physician Life: How to Get Unstuck in Your Medical Career, Dr.  Hersh offers practical tools to help physicians redefine success, stay present, and find fulfillment. This episode is a must-listen for doctors feeling stuck and seeking renewed purpose.Three Actionable Takeaways:Embrace New Challenges – Combat stagnation by learning something new, like a hobby, side project, or podcasting, to reignite the joy of growth and keep your career dynamic.Set Firm Boundaries – Establish clear work-life boundaries, like reserving family time or managing EMR tasks strategically, to reduce stress and enhance presence at home.Practice Self-Compassion – Forgive yourself for missing occasional events (e.g., a child's concert) by focusing on your consistent presence, ensuring balance without guilt.About the ShowSucceed In Medicine  covers patient interactions, burnout, career growth, personal finance, and more. If you're tired of dull medical lectures, tune in for real-world lessons we should have learned in med school!About the GuestDr. Michael Hersh is a full-time gastroenterologist, physician coach, and host of Better Physician Life: How to Get Unstuck in Your Medical Career on the Doctor Podcast Network. With over 16 years in practice, he helps physicians overcome burnout, set meaningful goals, and achieve work-life balance through his coaching practice, Better Physician Life Coaching. Dr. Hersh's journey from career stagnation to renewed purpose inspires doctors to rethink success and embrace new opportunities.Website: betterphysicianlife.comPodcast: Better Physician Life: How to Get Unstuck in Your Medical CareerLinkedIn: https://www.linkedin.com/in/michael-hersh-mdInstagram: https://www.instagram.com/betterphysicianlifeAbout the hostDr. Bradley Block – Dr. Bradley Block is a board-certified otolaryngologist at ENT and Allergy Associates in Garden City, NY. He specializes in adult and pediatric ENT, with interests in sinusitis and obstructive sleep apnea. Dr. Block also hosts The Succeed In Medicine  podcast, focusing on personal and professional development for physiciansWant to be a guest?Email Brad at brad@physiciansguidetodoctoring.com  or visit www.physiciansguidetodoctoring.com to learn more!Socials:@physiciansguidetodoctoring on Facebook@physicianguidetodoctoring on YouTube@physiciansguide on Instagram and Twitter   This medical podcast is your physician mentor to fill the gaps in your medical education. We cover physician soft skills, charting, interpersonal skills, doctor finance, doctor mental health, medical decisions, physician parenting, physician executive skills, navigating your doctor career, and medical professional development. This is critical CME for physicians, but without the credits (yet). A proud founding member of the Doctor Podcast Network!Visit www.physiciansguidetodoctoring.com to connect, dive deeper, and keep the conversation going. Let's grow! Disclaimer:This podcast is for informational purposes only and is not a substitute for professional medical, financial, or legal advice. Always consult a qualified professional for personalized guidance.

Send us a textMost of us go to the doctor, get labs drawn, maybe even have a scan — and then never see the full picture of our own health. That's changing.In this episode of The Daily Apple, Kevin talks with Travis Bond, founder of Bio Insights, about the future of electronic medical records (EMRs) and why they're not just for doctors. EMRs are becoming the backbone of how patients can actually see, understand, and act on their health information.This isn't a tech episode for physicians. It's a conversation about how you can be more connected, informed, and in charge of your own health journey. From making sure your care team is on the same page, to finally having your results and history in one place, EMRs are making it possible to move from confusion to clarity.In this episode:Why electronic medical records matter for patients, not just providersHow EMRs make it easier to track your own progress over timeThe difference between “data overload” and “actionable information”How a more connected record leads to better conversations with your doctorWhat the future looks like when patients actually own their health storyIt's not about replacing your doctor. It's about having the tools to understand what's happening — and make decisions with confidence. Prime Health Associates

Dr. Wilner would love your feedback! Click here to send a text! Thanks!Many thanks to Rashie Jain for joining me on this episode of The Art of Medicine with Dr. Andrew Wilner!  Rashie is an engineer and Co-Founder of Marvix.AI, her second start-up. Rashie observed that many physicians struggle with high administrative burdens, especially medical specialists who spend more time with patients and deal with complex cases. With the advent of large language models, she created an "ambient scribe" that takes notes during a patient encounter, organizes them, and presents them for review as a finished product. With just a little tweaking, doctors can embed these notes into the electronic medical record (EMR). I tried out Rashie's software at the recent American Academy of Neurology meeting in San Diego, CA. Her Co-Founder played the role of a migraine patient, and we chatted for about 10 minutes. Truth be told, the ambient scribe did a great job capturing the essential details. I could have edited it in just a couple of minutes, which would save time compared to typing it into the EMR myself! To learn more about Marvix.AI, or to try it in your own office, please contact Rashie Jain at https://www.marvixapp.ai#AI #ambientscribe #largelanguagemodel #womenentrepreneurPlease click "Fanmail" and share your feedback!If you enjoy an episode, please share with friends and colleagues. "The Art of Medicine with Dr. Andrew Wilner" is now available on Alexa! Just say, "Play podcast The Art of Medicine with Dr. Andrew Wilner!" To never miss a program, subscribe at www.andrewwilner.com. You'll learn about new episodes and other interesting programs I host on Medscape.com, ReachMD.com, and RadioMD.com. Please rate and review each episode. To contact Dr. Wilner or to join the mailing list: www.andrewwilner.com Finally, this production has been made possible in part by support from “The Art of Medicine's” wonderful sponsor, Locumstory.com, a resource where providers can get real, unbiased answers about locum tenens. If you are interested in locum tenens, or considering a new full-time position, please go to Locumstory.com. Or paste this link into your browser: https://locumstory.com/?source=DSP_directbuy_drwilnerpodcast_ph...

In a business climate shaped by rapid technological disruption, shifting geopolitical landscapes, and evolving customer expectations, strategy cannot remain static. JD Carter, Chief Strategy Officer at Vasion, believes the key to success lies in constantly aligning vision with execution while adapting to market realities in real time. In this conversation, JD shares how his role involves continuously monitoring external signals such as technology shifts, regulatory changes, and economic pressures, then translating those insights into operational action. We explore his approach to looking beyond the company vision by breaking it down into achievable missions that link long-term goals with day-to-day work across cross-functional teams. A major focus of the discussion is AI readiness and how organisations can move beyond hype to real impact. JD outlines a five-stage process for becoming AI-ready, starting with digitising and centralising documents and data, followed by cleaning and structuring information for use with large language models. He explains how automating repetitive workflows, modernising infrastructure, and ensuring interoperability across systems such as ERP and HR platforms create the foundation for orchestrated automation at scale. Governance and access controls complete the picture, ensuring that AI deployment meets both internal and regulatory standards. We also look at how Vasion balances short-term market needs with a long-term platform vision. JD describes how leveraging the company's market-leading print infrastructure products supports current growth, while investing in R&D drives the development of a multi-product SaaS platform designed to integrate AI across the enterprise. A customer-first mindset shapes every decision, from pricing to product development, with continuous engagement through advisory boards, surveys, and direct conversations ensuring that partner strategies align with customer priorities. To illustrate these principles in action, JD shares how Vasion responded to market demand for system-generated print job support by developing a SaaS-based output automation product. This pivot addressed a gap created by ERP and EMR vendors moving customers to the cloud and positioned Vasion at the start of its multi-product journey. We discuss the signals leaders should watch to keep strategy relevant, including shifts in customer behaviour, the pace of technology adoption, and internal friction that may indicate misalignment. JD likens strategy to a GPS system, with vision as the destination and constant recalibration required to navigate roadblocks and changing conditions. The conversation closes with a focus on embedding strategic agility into company culture. JD explains Vasion's Missions of Aspirational Performance system, which connects corporate values directly to execution by breaking down strategic goals into work that individuals can see contributing to the bigger picture. He also shares his personal three-pronged approach to continuous learning, combining formal education, informal learning, and mentor-driven guidance. This episode offers practical insight for leaders navigating uncertainty, balancing present-day demands with future opportunity, and embedding adaptability into the DNA of their organisations.

In this bonus episode of Leaders in Medical Billing, we're bringing you the full replay of our most recent, live webinar: AI for Patient Billing. Hosted by Chanie Gluck, this session features a deep dive into how artificial intelligence is transforming one of the most overlooked — and increasingly critical — parts of the revenue cycle. You'll hear from two seasoned RCM leaders actually using AI in the field: Jeff Robertson, CEO of Nexus, shares how AI tools like Raxia helped one client double monthly patient payments and reduce average days to payment by over 50%. John Gwin, CEO of Auctus Group, walks us through his experience using Inbox Health and other platforms to boost collection velocity while maintaining a strong patient experience. They break down: The shift in revenue mix and why patient payments can no longer be ignored How to evaluate and select AI tools based on EMR integration, pricing models, and long-term ROI The importance of front desk processes — from capturing contact details to coaching staff on payment conversations Real-world metrics, implementation timelines, and what to expect as these platforms evolve Whether you're new to AI or already exploring automation, this episode is packed with tactical insights and hard-won lessons to help you stay ahead.

In this episode of Healthcare Americana, host Christopher Habig talks with Dr. Shannon Decker, CEO of VBC One, about what value-based care (VBC) really means and how it differs from traditional fee-for-service models. Dr. Decker explains that VBC focuses on prevention, quality measures, total cost of care, and accurate risk adjustment. She discusses payment approaches like capitation with quality bonuses and highlights the practical needs for success, including strong EMR documentation, risk coding, clinician and patient engagement, interoperable data, and effective workflows. The conversation also covers pitfalls such as underreported chronic conditions, challenges with global risk contracts like ACO REACH, and the importance of contract protections and ongoing education. Dr. Decker emphasizes that with the right systems and trust between clinicians and patients, value-based care can improve outcomes and reduce costs, but it requires careful planning and implementation.More on Freedom Healthworks & FreedomDoc HealthSubscribe at https://healthcareamericana.com/More on Dr. Shannon Decker & VBC OneFollow Healthcare Americana: Instagram & LinkedIN

In the second episode of our conversations with APAC health IT leaders on their EMR experience, we dive into the complexities of the technology's implementation down under. Our guests share insights on navigating challenges like interoperability, third-party integrations and data exchange journeys. They also discuss the impact of statewide consultations and regional alliance groups on feature implementation and provide their perspectives on the evolution of My Health Record.

Send us a textEver had an amazing IVF cycle followed by one that made you question everything? You're not alone—and no, your ovaries didn't suddenly revolt. In this episode of Taco Bout Fertility Tuesday, Dr. Mark Amols breaks down the statistical concept of regression to the mean—why extreme fertility outcomes often return to average over time.From IVF cycles to PGT results, hormone levels to semen analysis, you'll learn why bouncing numbers aren't always bad—and why your “worst cycle ever” might just be math doing its thing. Packed with analogies, real patient stories, and just enough nerdy data to make you feel smarter than your doctor's EMR, this episode is for anyone riding the emotional rollercoaster of fertility treatment.

In this episode of The Dish on Health IT, Tony Schueth and Rob Dribbon are joined by Neikisha Charles Director of Quality Improvement and Risk Management of Bedford Stuyvesant Family Health Center (Bed-Stuy), a federally qualified health center (FQHC) in Brooklyn, NY. Together, they dig into common misconceptions about FQHCs and shine a spotlight on the opportunities they present for strategic engagement across the healthcare ecosystem—especially for health IT and life sciences organizations.Neikisha opens with her personal journey: starting as a data analyst at Bed-Stuy in 2021 and quickly rising into her current leadership role because of her knack for using data to drive quality improvement. Her story illustrates the increasing sophistication of FQHCs and sets the tone for a broader conversation about how these organizations are evolving.To help orient listeners who may not fully understand the role of FQHCs, Neikisha provides a clear definition: FQHCs are federally funded community-based providers mandated to offer care to all residents in underserved areas, regardless of insurance status. They are deeply attuned to social determinants of health and committed to removing access barriers for vulnerable populations.Rob adds context from his years in pharma, highlighting the unique value proposition of FQHCs—namely, their holistic and integrated approach to care. He urges listeners not to overlook these organizations simply because they've historically focused on commercial health systems.Neikisha then debunks a major myth: that FQHCs only serve uninsured or homeless patients. In fact, Bed-Stuy primarily serves Medicaid-managed populations, but also sees commercially insured and uninsured individuals, offering services on a sliding scale. Services range from primary care and mental health to dental, podiatry, and optometry, along with extensive care coordination and social support services.When asked what health IT vendors and life sciences companies may be missing, Neikisha makes it clear: FQHCs are not tech or data-poor. Bed-Stuy uses a robust EHR (eClinicalWorks), the Azara DRVS population health platform, and Artera for two-way patient communication. These tools aren't just window dressing—they are integrated into care delivery to close gaps, improve compliance, and monitor population health in real time.She offers a compelling case study: When colorectal cancer screening rates began to drop, Neikisha led a data-driven campaign using Azara to identify noncompliant patients, Artera to send targeted outreach texts, and a partnership with Exact Sciences to offer Cologuard kits to patients by mail. The result? A 12.3% increase in screening compliance over 18 months.Rob underscores the significance of this approach—not just the smart use of technology, but also the community-level relationships and the trust that make this kind of intervention effective.The discussion then shifts to interoperability. Neikisha notes the complexities of data exchange and the importance of dedicated roles like a Director of Health Integration to manage relationships and reporting. Bed-Stuy is connected to a regional health information organization (RHIO), uses platforms like Azara to track transitions of care, and maintains read-only EMR access with key partners to streamline care coordination. While true vendor-agnostic interoperability remains elusive, FQHCs are actively working with what's available.Tony brings the conversation back to the bigger picture: What gaps do vendors and life sciences partners need to close? Neikisha points to the need for better education about what FQHCs actually do and who they serve. She challenges companies to co-create solutions with FQHCs—offering tools that reflect real-world workflows and support sustainable partnerships rather than transactional engagements.The episode wraps with both Rob and Neikisha emphasizing the untapped potential of FQHCs. With over 30 million Americans relying on them for care, these organizations are not fringe players—they are essential infrastructure. And as Neikisha puts it, they're “here to stay.” To partner successfully, the first step is simple: reach out, learn what's needed, and build something meaningful together.Related ContentWhat Are FQHCs, & Should Life Sciences Manufacturers Even Care About Them?HIT Perspectives May 2025: FQHC Myth vs Fact Bedford Stuyvesant Family Health Center Brooklyn NY - Primary Care Services 

Summary In this conversation, the panel discusses various challenges in the healthcare industry, focusing on the roles of students in medical practices, the complexities of Medicaid, and the implications of proposed CMS regulations on skin substitutes. They emphasize the importance of compliance, accurate documentation, and the need for providers to be aware of the evolving landscape of healthcare regulations and billing practices.TakeawaysStudents cannot perform or do any work that is billable and reimbursable.Documentation is key to halting audits and investigations.Medicaid faces challenges with enrollment and funding.Providers must understand the billing rules for students and graduates.AI can lead to cloning in documentation if not used carefully.Vendors must be held accountable for their products and claims.The EMR is a tool that requires proper management and understanding.Medicaid managed care plans can be poorly managed and lead to issues.Providers need to be cautious of schemes in billing practices.Skin substitutes are becoming a focal point for compliance and billing scrutiny.

Clinical Practice Guidelines (CPGs) are an incredible resource for clinicians of all experience levels—synthesizing all the research on a topic and packaging it into bite-sized recommendations and flow charts. But how often are clinicians adhering to these guidelines? In today's episode, Dr Maggie Horn (Duke University) walks us through her research team's work to assess if, how, and when clinicians follow CPG recommendations. The team worked with clinicians in their hospital system to embed templates in the EMR, and used self-report strategies to answer these questions, specifically for the neck pain CPG. Dr Horn reviews the neck pain CPG, how the research team evaluated adherence, and what the findings mean for CPGs and clinicians. ------------------------------ RESOURCES Neck pain clinical practice guideline (revised in 2017): https://www.jospt.org/doi/10.2519/jospt.2017.0302 Translating the neck pain CPG into practice framework: https://www.jospt.org/doi/10.2519/josptopen.2025.0101

What if a Marketing Company Designed an EMR?

Bald endet sie, diese EM 2025, die zum Schweizer Fussballfest wurde. Volle Stadien überall, ein gigantischer Fanmarsch und die Dramaturgie passte auch noch. Man denke nur an das späte Tor von Riola Xhemaili in der Gruppenphase, das das Stade de Genève in Ekstase stürzte. Oder an die vielen Spiele, die in der Verlängerung oder im Penaltyschiessen entschieden wurden. So dass Freud und Leid immer besonders nah beieinander waren. Am Sonntag tragen die Spanierinnen und die Engländerinnen die letzte Partie dieser EM aus. Es geht nur noch um eines: diesen Pokal zu gewinnen. Bevor aber alles endet und sich der Schweizer Fussball wieder dem Alltag widmet, blicken wir in der 299. Folge unseres Fussball-Podcasts zurück auf die letzten vier Wochen.Wir tun das mit Noa Schärz, seit kurzem ehemalige Fussballerin. Mit YB wurde sie vor einigen Wochen Schweizer Meisterin, dann entschied sie sich für eine Auflösung ihres Vertrags. Sie sagt, warum sie das tat. Und erklärt, warum diese EM nicht nur eine sportliche, sondern auch eine politische und gesellschaftliche Komponente hat. Hosts: Marcel Rohner und Loris BrasserProduzent: Noah FendDie Themen:00:00 Intro02:44 Noa Schärz' Karriereende12:15 EM-Rückblick47:50 Vorschau EM-Final In der Dritten Halbzeit wird über den Schweizer Fussball diskutiert.

Welcome to the Sustainable Clinical Medicine Podcast! In this special cross-pollinated episode, Dr. Sarah Smith sits down with Dr. Siobhan Key and Dr. Jessie Mahoney—two fellow physician coaches and long-time collaborators—for a candid conversation about reframing life and work in medicine for greater sustainability. As the panel reflects on the past year and looks forward to 2025, they open up about personal growth, big life transitions, and how each of them is intentionally crafting a more fulfilling and balanced life both inside and outside the clinic. Listen in as Dr. Smith shares her journey of returning to Australia and embracing new adventures, Dr. Mahoney discusses building a retreat center and leaning into new opportunities, and Dr. Key explores the importance of replenishment, self-reflection, and pursuing passions beyond medicine. Together, they offer practical insights on adapting to change—whether it's integrating new technologies like AI scribing or simply surviving a new EMR rollout—and they speak honestly about the discomfort, excitement, and learning that comes with growth. This episode is filled with tips for creating sustainable routines, reflections on personal and professional development, and encouragement to embrace both the challenges and rewards of transformation. Whether you're a seasoned physician or just starting your practice, you'll find reassurance and inspiration in the stories, strategies, and camaraderie shared in today's discussion. Let's dive in! Here are 3 key takeaways from this episode: Embrace Change at Your Own Pace: Whether it's new technology like AI scribing or a shift in your clinical environment, remember that adapting is a process—not a race. Give yourself grace and patience as you work through the inefficiencies and discomfort that accompany change (you're not alone in feeling overwhelmed at times!). Intentional Reflection Fuels Growth: Instead of traditional resolutions, try reflecting on the past year—what you're proud of, what challenged you, and what you truly want in the year ahead. For us, themes like connection, adventure, belonging, and “more me” set the tone for 2024. Connection & Coaching Matter: Sharing your struggles and wins—whether in group coaching, with a colleague, or through community—reduces isolation and leads to creative solutions. Investing in yourself (through coaching or peer support) isn't just valuable, it's transformative for your career and well-being. Letting Go of Frustration and Embracing Change Dr. Jessie Mahoney, a mindfulness coach and yoga instructor, shared a powerful analogy from her life. She recently moved to the countryside, where a creek outside her home serves as a daily reminder of how life ebbs and flows. Some days, the creek is calm and quiet; other days, it's noisy and chaotic. She's learned to embrace these shifts, recognizing that frustration only makes the hard moments harder. For physicians, this perspective is invaluable. Whether it's navigating a new workflow or dealing with workplace changes, letting go of frustration and focusing on what you can control can make all the difference. Asking for What You Need Dr. Sarah Smith has been adjusting to life and work in a new country, and she shared a simple but effective strategy: step back and ask yourself, What do I need to make this work for me? Whether you're facing a new team dynamic or adapting to technological shifts in your practice, pausing to evaluate your needs—and advocating for them—can help you approach change with confidence instead of overwhelm. -------------- 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 **** If you would like more information on the other two doctors on this podcast episode. Jessie Mahoney can be found at www.jessiemahoneymd.com Siobhan Key can be found at https://weightsolutionsforphysicians.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.

Episode 197: Continuous Glucose MonitoringWritten by William Zeng, MSIII, and Chris Kim, MSIII. University of Southern California.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.Will: IntroToday we're exploring Continuous Glucose Monitoring, or CGM. We'll break down what CGM is, who benefits, how to access it, options available for our patients, the pros and cons, and a few final reflections on where this technology is heading. Chris, So what is CGM?Chris:Continuous glucose monitoring refers to the use of a small wearable sensor placed just under the skin to track glucose levels in real time throughout the day and night. These sensors measure glucose in the interstitial fluid and transmit readings to a receiver or smartphone at regular intervals, allowing for 24/7 glucose trend tracking. Will:CGM has been shown to improve glycemic control, increase “time in range,” and reduce hypoglycemia. Let's review some evidence.Chris:A 2023 meta-analysis published in Diabetes Technology & Therapeutics reported a mean Hemoglobin A1c reduction of 0.43% across multiple trials. Will:In people with Type 1 diabetes, the IMPACT and DIAMOND studies showed sustained improvement in Hemoglobin A1c and hypoglycemia reduction over 6–12 months. CGM use in insulin-treated Type 2 diabetes patients also resulted in significant benefits, including reduced variability and fewer severe glucose excursions. Chris:Clinically and economically, CGMs help prevent long-term complications such as cardiovascular disease, nephropathy, and retinopathy. Chris, What patients specifically benefit the most from CGM?Will: CGMs are most commonly indicated for people with Type 1 diabetes and for those with Type 2 diabetes who are using intensive insulin regimens—typically defined as multiple daily injections or insulin pump therapy. Chris:And what are the qualifications in order to be covered by insurance?Will:In the United States, Medicare covers CGM as durable medical equipment for qualifying patients, and coverage requires a prescription, documentation of insulin use, and regular follow-up. Most major private insurers—including Blue Cross, Aetna, UnitedHealthcare, Cigna, and Kaiser—follow similar guidelines. Coverage is generally granted for patients with Type 1 diabetes or insulin-requiring Type 2 diabetes who monitor glucose at least four times daily or use an insulin pump. Chris:Some plans require demonstration of hypoglycemia unawareness or frequent glucose variability. For patients not on insulin, OTC CGMs may be an option, but coverage is typically not provided. That said, new FDA decisions are allowing over-the-counter access to CGMs like Abbott's FreeStyle Libre and Dexcom's Stelo, expanding availability for lifestyle or preventive purposes.Will:[There are a lot of products on the market. Which are the main products and how are they different?]Chris:The three main players in the CGM space are Dexcom, Abbott (FreeStyle Libre), and Senseonics (Eversense), each with unique offerings.Let's start with Dexcom. Dexcom G7 is a real-time CGM system approved for both Type 1 and Type 2 diabetes. It combines a sensor and transmitter into one compact wearable patch worn on the abdomen or upper arm for up to 10 days. It updates glucose readings every 5 minutes and connects directly to a smartphone or Apple Watch via Bluetooth. Dexcom also integrates with insulin pumps like Tandem's t:slim and the Omnipod 5. Data can be shared with providers through Dexcom Clarity, which integrates into electronic medical records (EMRs) like Epic. OTC access is not yet available for DEXCOM G7, but a new non-prescription product called Dexcom Stelo is being rolled out in 2025, targeting non-insulin-using Type 2 patients. Dexcom Stelo will also offer 15-day wear, smartphone integration, and factory calibration. The estimated OTC cost for Dexcom Stelo is expected to be around $99 for a 15-day sensor, or about $198/month.Will:$200! Abbott FreeStyle Libre comes in several versions. The Libre 2 offers 14-day wear and requires users to scan the sensor with their smartphone or reader to retrieve a glucose value. It has optional real-time alarms for high and low readings and transmits data to LibreView, which can integrate with most EMRs. Libre 3 is a real-time CGM with 1-minute interval updates, Bluetooth transmission, and a slimmer profile. Libre sensors are widely used in primary care and available OTC for non-insulin users. Libre 2 sensors cost approximately $70–$85 for a 14-day sensor, while Libre 3 is slightly higher, around $85–$100 per sensor—totaling about $140–$200/month out of pocket without insurance.Chris:Senseonics Eversense E3 is the only implantable CGM on the market. It involves a minor in-office procedure to insert the sensor under the skin of the upper arm, which lasts up to 180 days (and a newer version, Eversense 365, lasts up to one year). A removable transmitter worn on top of the skin sends data every 5 minutes to a mobile app and vibrates for alerts. It requires 1–2 calibrations per day using a traditional fingerstick meter. It integrates with Eversense DMS software for physician monitoring. The total cost for Eversense depends on the insertion procedure and insurance, but cash pay for the full 6-month system is estimated at $2,400–$3,000, or about $400–$500/month including follow-up visits.Will:Additional lower-cost CGMs such as the Medtrum A6 TouchCare are available internationally and in select U.S. pilot programs. These devices offer 14-day wear, smartphone syncing, and daily calibration, but are not yet FDA-approved for wide use and lack full EMR integration.Chris:In terms of performance and value, Dexcom G7 offers the most advanced real-time feedback and integration, making it ideal for those on insulin pumps or needing tight control. Will:FreeStyle Libre offers the best affordability and convenience, especially for non-insulin users or those who prefer not to deal with constant alerts. Eversense offers a niche but compelling option for people who want to avoid frequent sensor changes. Chris, [Are there any downsides or risks that patients should be aware of before trying out CGM?]Chris:CGMs are generally safe and well-tolerated, but they do have limitations. Dexcom G7 has a known failure mode where sensors sometimes fail prematurely, often before the full 10-day duration. Some users have reported “signal loss” errors or random disconnections, especially when switching between phone models or operating systems. There are occasional reports of inaccurate highs or lows due to compression during sleep or dehydration. Though the G7 is factory-calibrated, abrupt changes in hydration or blood flow can affect its readings.Will:FreeStyle Libre systems, particularly Libre 2, require the user to scan the sensor to retrieve data unless alerts are enabled. These devices may be affected by vitamin C (ascorbic acid), which can falsely elevate glucose readings, and they do not currently allow for automated insulin delivery integration. Some Libre 2 users have noted adhesive-related rashes or spontaneous detachment. Libre 3, while more advanced, still may lose Bluetooth connection intermittently, particularly if the phone is out of range or the app is not running in the background.Chris:Senseonics Eversense carries procedural risks due to its implantable nature. Minor scarring or infection at the insertion site has been reported. The transmitter must be worn during waking hours to provide alerts, and users report anxiety over losing the transmitter since data logging is interrupted without it. Calibration is still required, which adds to daily tasks. Additionally, the sensor does not communicate with insulin pumps or closed-loop systems.Will:All CGMs can cause mild skin irritation from adhesive, particularly in users with sensitive skin. Alert fatigue is another consideration, as frequent low- or high-glucose warnings may cause stress or lead users to silence notifications entirely. Finally, relying solely on CGM without periodic fingerstick confirmation in symptomatic scenarios can be a risk, especially during rapid glucose changes.Chris:Conclusion[***] Continuous glucose monitors have reshaped the way we manage diabetes, offering unprecedented insight into glucose trends, diet responses, and insulin timing. While CGMs are not flawless, the technology continues to evolve. Will: If your patient is on insulin or struggling with glucose variability, consider whether CGM is right for your patient. For those not using insulin, consider newer OTC options like FreeStyle Libre or Dexcom Stelo, which offer accessible entry points without the need for prescriptions. As AI integration, longer sensor life, and non-invasive monitoring enter the market, CGM will only become more useful.Dr Arreaza: Personal experience with CGMs. I do not have diabetes, but I have a strong family history of diabetes (including father, 2 grandmas, and about 15 uncles, aunts, and cousins.)I wanted to try it so I could teach my patients about CGM. My first experience was with Freestyle Libre 2: Pros: Painless placement, easy to use, scanning with phone was easier than fingersticks.Cons: Required some assembling to be placed, mild discomfort at night, and nighttime alarms.Dexcom G7:Pros: No need for scanning, feels more stable in your armCons: High readings (had to calibrate for a more accurate reading)Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________References:Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/.

What happens when a health system takes a full-funnel approach to digital transformation? Find out in this episode of Ignite, where Cardinal CEO Alex Membrillo chats with James Morgan, Digital Marketing Manager at Cape Fear Valley Health System. You'll get a behind-the-scenes look at how a fast-growing regional health system rebuilt its website from the ground up, streamlined patient journeys, and tackled online reputation management at scale. You'll hear practical strategies for integrating marketing with EMR systems, optimizing for SEO and AI-driven search, and making the most of limited budgets while supporting rapid clinic expansion. You'll walk away with actionable insights on website transformation, review automation, data-driven decision-making, and the power of keeping communications clear and patient-focused. RELATED RESOURCES Connect with James - https://www.linkedin.com/in/james-morgan-09918478/ Top Healthcare Marketing Strategies & Guide - https://www.cardinaldigitalmarketing.com/healthcare-resources/blog/healthcare-digital-marketing-strategies-tips-ideas/?utm_source=chatgpt.com How to Build a Full-Funnel Healthcare Marketing Strategy - https://www.cardinaldigitalmarketing.com/healthcare-resources/blog/healthcare-full-funnel-marketing-strategy/ What is a Patient Journey? Examples to Grow Your Practice - https://www.cardinaldigitalmarketing.com/healthcare-resources/blog/what-is-a-patient-journey-grow-your-practice/ Harnessing the Power of AI Marketing for Healthcare - https://www.cardinaldigitalmarketing.com/healthcare-resources/blog/harnessing-ai-marketing-for-healthcare/

William Sauvé, MD is Chief Medical Officer at Osmind, where he focuses on driving the success of Osmind's nationwide network of 800+ independent psychiatry practices and expanding access to cutting-edge psychiatric care. Dr. Sauvé brings extensive experience in interventional psychiatry, particularly in expanding access to treatments like Transcranial Magnetic Stimulation (TMS) and esketamine. Prior to joining Osmind, he served as Regional Medical Director for Greenbrook TMS NeuroHealth Centers, where he helped grow the organization's network to nearly 200 dedicated interventional psychiatry centers nationwide. His journey in psychiatry began with 11 years of distinguished service as an active-duty Navy psychiatrist. Following his residency, he was deployed to Iraq's Al Anbar Province as the regimental psychiatrist for the 7th Marine Regiment. During his time in the military, he started a procedural psychiatry program that included ECT and patient engagement in post-traumatic stress disorder (PTSD) treatment.  After his military service, he served as Military Clinical Director at Poplar Springs Hospital for three years before founding Virginia Interventional Psychiatry, one of the first interventional psychiatry practices in the Mid-Atlantic region. His practice, dedicated to advancing TMS treatment, was the first practice acquired into what is now Greenbrook TMS NeuroHealth Centers, contributing to their nationwide expansion in providing TMS and esketamine treatments. Dr. Sauvé received his medical degree from the Uniformed Services University of the Health Sciences in Bethesda, Maryland. He completed his residency in adult psychiatry through the National Capital Consortium, which includes the Walter Reed National Military Medical Center, Fort Belvoir Community Hospital, and USUHS. He earned his undergraduate degrees in Biology and Biochemistry from Mercyhurst College in Erie, Pennsylvania. He is certified by the American Board of Psychiatry and Neurology and serves as faculty at the Neuroscience Education Institute. He maintains an active membership in the American Psychiatric Association and the Clinical Transcranial Magnetic Stimulation Society. Website: https://www.osmind.org/ Timestamps: 00:00 Trailer 00:37 Introduction 03:39 Osmind as a comprehensive EMR solution 06:49 Brain stimulation boosts neuroplasticity 11:53 Military vs. academic medical experience 15:12 Weight loss for athletic pursuits 17:33 Reaching full speed safely 19:58 "Carnivorish" diet approach 24:08 Historic orchard ranch's new life 25:53 Rare bear sightings, abundant deer 31:15 Empowering independent mental health practitioners 32:25 Evolving psychiatric treatments 36:35 Pioneering comprehensive psychiatry 40:33 Weight loss without nutrition education 42:53 Where to find Will Join Revero now to regain your health: https://revero.com/YT Revero.com is an online medical clinic for treating chronic diseases with this root-cause approach of nutrition therapy. You can get access to medical providers, personalized nutrition therapy, biomarker tracking, lab testing, ongoing clinical care, and daily coaching. You will also learn everything you need with educational videos, hundreds of recipes, and articles to make this easy for you. Join the Revero team (medical providers, etc): https://revero.com/jobs ‪#Revero #ReveroHealth #shawnbaker  #Carnivorediet #MeatHeals #AnimalBased #ZeroCarb #DietCoach  #FatAdapted #Carnivore #sugarfree Disclaimer: The content on this channel is not medical advice. Please consult your healthcare provider.