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In this episode, Brian Gallagher sits down with Tom Cooley, founder of Go Card Connect, to uncover what's really behind the credit card fees PT owners pay every month. Tom has spent over a decade working exclusively in the physical therapy space, helping private practice owners understand where their processing costs come from, how to spot hidden fees, and what to look for in their merchant statements. Together, they reveal how small, unnoticed charges can add up to thousands each year—and how a simple merchant audit can uncover quick savings without disrupting your EMR or billing system.
If you've ever felt like your EMR slows you down instead of scaling you up, this episode is for you. In this episode of the Private Practice Owners Podcast, Adam Robin sits down with Craig Brasington, Director of Revenue Operations at Stride EMR, to unpack the evolution of healthcare tech — and what the next generation of EMRs really means for practice owners. Craig shares his 20+ years of experience in outpatient therapy tech, from his early days as a founding member of Clinicient to his current work with Stride. Together, he and Adam explore how EMR systems have evolved from basic record-keeping tools to intelligent, AI-powered platforms built to streamline every part of your clinic — from scheduling to billing to patient engagement. They dive into:The three generations of EMR technology (and why most practices are stuck in Gen 1 or Gen 2)How AI is transforming not just clinical documentation, but business efficiencyWhat to consider before switching EMRs — and how to make the transition as seamless as possibleWhy “thinking small to grow big” is the mantra behind Stride's success If you've ever wondered whether your EMR is holding your practice back, this episode breaks down what the next wave of healthcare tech really looks like — and how to make sure your systems are built for the future, not the past.
It's the week beginning Sunday 2 November, and hi from the Darling Downs Radio Club: I'm Club Secretary John VK4JPM with the club update. Consider that it's now only 53 sleeps until Christmas, when you get to open that Icom IC22S you always yearned for back in 1978. Welcome to November in radio-land. Did you survive Trick or Treat in your location? Or maybe you're like our house: solidly overloaded with chocolates that we're going to have to eat ourselves. And more importantly: have you set your overseas daylight savings clocks back? Europe returned last weekend, and the US drops its clocks back this afternoon, Australia time. It's only EIGHT sleeps until John VK4JBE joins us in person to talk ElectroMagnetic Radiation - or EMR - and how to stay both legal and neighbour friendly. Most of us trust that EMR won't be a problem, but it can be... and in so many ways. John will bring along some documentation created to help you manage your EMR obligations - in particular, the EMR Safety Site Management Book, which will help you record everything needed to use the RSGB and WIA tools. That's on Monday, 10 November, at the Victory Street Scout Hall in Newtown. All the details are on the website at ddrci.org.au, and the meeting should be the first event shown on the calendar. By the way if you haven't checked the calendar rotator on our website recently, then give it a go. We're hiding past events in there along with future meetings. You can even go back in time and relive the downpour during the Carnival of Flowers parade. Next weekend is GCARS on the Gold Coast - many of us will be down there on Sunday morning, and you should be able to recognise us by the club shirts and hats. Please say hello! For the December meeting, we're still thinking about doing the Chinese Radio session, along with a bit of show and tell. That's enough warning to get something together to bring along and show - and that meeting will be on December 8th. Three thoughts before we leave. Until 1 Jan, membership of DDRCi is 25% off. That means it's only $30 to become a full member and only $7.50 if you're a junior. Join now, save money and support the club! DDRCi's training and assessment is in full swing. If you want to get or upgrade your qualification, start with an email to education@ddrci.org.au and we'll get you on the path to success * and finally if you do have an IC22S - as all of us did, back in the day - check out VK3ZYZ's articles on how to arduinoise the 22S... search for "SADARC" and "Arduino" and you'll find it. Thanks for listening - I'm John VK4JPM for the Darling Downs Radio Club. Social Scene GOLD COAST AMATEUR RADIO SOCIETY – 2025 HAMFEST NOV 9 (vk4dmh) Country Paradise Parklands 231 Beaudesert Nerang Road.
I'd love to hear from you 'text the show'Welcome This week on the Treat Your Business podcast, I'm taking you behind the scenes of our recent live strategy days with our Thrive members. This was one of the most powerful events I've ever delivered, filled with breakthrough moments, laughter, tears, and a lesson about how our belief lens shapes our business.Episode SummaryThis episode is all about the belief lens through which we run our clinics and businesses. I share a deeply moving story from our strategy days where Jojo and Pete, long-time clinic owners, confronted the beliefs that were holding them back from paying themselves what they truly deserve. We dig into how money beliefs, often picked up in childhood, can create ceilings in our business and keep us stuck, even when everything else seems to be in place. You'll hear how a powerful coaching moment helped Pete challenge his fears, rewrite his story, and finally take action to value himself and Jojo first in their business. I also share practical steps to identify and upgrade your own beliefs so you can create more freedom, profit, and satisfaction in your clinic.Key TakeawaysYour business is being run through your belief lens – your current mindset shapes every decision you make.Childhood money beliefs can still be running the show in your business today, creating invisible ceilings.Real change happens when you challenge and rewrite these beliefs, not just by adding more strategy.Paying yourself first is essential – you wouldn't skip paying your staff, so don't skip paying yourself.Action steps: Reflect on your money beliefs, rewrite them, and take practical action to prove your new belief is possible.Surround yourself with people who have the beliefs you want to adopt, and repeat your new beliefs often.Resources & LinksJoin our next live strategy day in November – limited non-member spaces available!Episode Sponsor: Jane.appClinic management software and EMR that simplifies bookings, forms, and reminders so you can reclaim your evenings. Book a demo via the link in the show notes. Use code ThriveOneMo for a one month grace period.Thank you for listening!I hope Pete and Jojo's story inspires you to reflect on your own belief lens and take steps to elevate your business and your life. If you wouldn't miss paying your staff, don't miss paying yourself. Value yourself first and your business will rise to meet you. For more insights and honest conversations, hit subscribe and join me next time on the Treat Your Business podcast is proudly sponsored by MBST, the groundbreaking technology revolutionising recovery and rehabilitation. Offering a non-invasive, drug-free solution for musculoskeletal conditions and nerve injuries, MBST works at a cellular level to stimulate regeneration. Expand your services and deliver long-term patient improvements without increasing your workload.Learn more at mbstmedical.co.uk. therapy Transformation Course: https://join.thrive-businesscoaching.com/ttc-2025
Summary:In this episode of the Critical Care Obstetrics Podcast, hosts Stephanie Martin, Julie Arafey, and Suzanne McMurtry Baird discuss their pet peeves in obstetrics. The conversation covers issues related to documentation, unnecessary interventions on low-risk patients, and the unrealistic expectations placed on nurses to make medical diagnoses. The hosts share their frustrations with electronic medical records (EMR) and advocate for a more streamlined approach to patient care that respects the natural processes of labor and the roles of healthcare professionals.The experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges encountered in caring for these vulnerable women. Dr Stephanie Martin is the Medical Director for Clinical Concepts in Obstetrics and a Maternal Fetal Medicine specialist with expertise in critical care obstetrics. Suzanne McMurtry Baird, DNP, RN is the Nursing Director for Clinical Concepts in Obstetrics with many years of experience caring for critically ill pregnant women. Julie Arafeh, RN, MS is the Simulation Director for Clinical Concepts in Obstetrics and a leading expert in simulation.Critical Care Obstetrics Academy: https://www.clinicalconceptsinob.com/Follow us: Patreon: patreon.com/CCOB YouTube: @CriticalCareOBPodcast Instagram: https://www.instagram.com/criticalcareob/ Dr Martin's LinkedIn: http://linkedin.com/in/stephanie-martin-65b07112a CCOB LinkedIn: https://www.linkedin.com/company/clinical-concepts-in-obstetrics/ Twitter/X: https://twitter.com/OBCriticalCare CCOB Facebook: ...
In this episode of our series on APAC countries' EMR implementation, Franklin Vibar, CIO of Asian Hospital and Medical Center in the Philippines, talks about how the hospital guided physicians and staff through the implementation of an EMR system and achieved 95% adoption.
Shannon Rowan discusses her fascinating book "The Red Shoes: Our Devil's Dance with Technology and How We Can Stop It" on whether digital technologies have crossed the Rubicon from being mere tools to becoming our masters and whether they may even inherently be evil. From the harms of EMF and EMR, to the effects of screen technology on children and adult internet addiction, the internet is wrecking havoc on society. She also looks at some of the mysterious DARPA origins of this technology and little known facts, such as how the CIA's MKULTRA predecessor was known as Project Bluebird, and isn't it interesting how Twitter's initial logo was a bluebird? She also covers solutions which includes "rewilding ourselves". Watch on BitChute / Brighteon / Rumble / Substack / YouTube *Support Geopolitics & Empire! Become a Member https://geopoliticsandempire.substack.com Donate https://geopoliticsandempire.com/donations Consult https://geopoliticsandempire.com/consultation **Visit Our Affiliates & Sponsors! Above Phone https://abovephone.com/?above=geopolitics easyDNS (15% off with GEOPOLITICS) https://easydns.com Escape The Technocracy (15% off with GEOPOLITICS) https://escapethetechnocracy.com/geopolitics Outbound Mexico https://outboundmx.com PassVult https://passvult.com Sociatates Civis https://societates-civis.com StartMail https://www.startmail.com/partner/?ref=ngu4nzr Wise Wolf Gold https://www.wolfpack.gold/?ref=geopolitics Shannon Rowan Websites WiFi Refugee https://wifi-refugee.com Books https://wifi-refugee.com/books About Shannon Rowan Shannon Rowan is a "WiFi refugee," social commentator, fine artist, photographer, geopolitical and health author and researcher, and EMF-awareness educator. She has a professional background in photojournalism and editorial writing, and is the author of WiFi Refugee: Plight of the Modern-day Canary, exploring the rise of "electro-sensitivity" among the general population (including her own struggle with the same) and the dangers of electromagnetic radiation, and author of Shots Fired: Vaccine Weapons, Medical Tyranny, and the War Against Humanity and also co-author with geopolitical author John Hamer of Welcome to the Masquerade: Prelude to the Coming Reset Shannon is also a contributing author to Overcoming the Germ Theory Medical Myth (James McCumiskey, 2024), FAKE AWAKE: Cults, Psy-Op's, Psychosis & the Systematic Destruction of the Truth Movement (Nathan Lucius, 2024), Light Bulb Moments and the Power of Critical Thinking: Insights from Inquiring Minds and Literary Heroes (Moss/Armitage 2022) , and substantial contribter to The Falsification of Science (John Hamer, 2021) Shannon lives off-grid with her partner in the Northern California wilderness and spends her free time in healthy outdoor pursuits such as organic farming, sea kayaking and surfing. *Podcast intro music is from the song "The Queens Jig" by "Musicke & Mirth" from their album "Music for Two Lyra Viols": http://musicke-mirth.de/en/recordings.html (available on iTunes or Amazon)
Hi from the Darling Downs Radio Club for Sunday 26 October, or whatever date it happens to be when you hear this broadcast. I'm John VK4JPM, Secretary of the Club with a heap of good news for this week. Firstly congratulations to highly enthusiastic club member Brad, who last weekend upgraded himself from Shortwave Listener to Foundation Licensee. It might even be that by the time you hear this Brad will be on air as VK4BLL. Our next member meeting is Monday 10 November at regional Scouts HQ in Victory Street Newtown. EMR is the topic - that's Electro Magnetic Radiation, the stuff that happens when charged particles are accelerated and put to some hopefully good use. Beyond the need to do something useful with the radiation comes the requirement to understand how to play safe. Too little EMR and you won't be able to communicate with anyone. But when there's too much EMR you might well have problems ranging from annoyed neighbours to seriously dangerous health issues. We're being joined by John VK4JBE who will introduce an EMR Safety Site Management Book, designed to help amateurs record all the information necessary to use the WIA and RSGB tools, and ensure that you are complying with the requirements of your ACMA license. John has taken other clubs through this topic and the feedback has been very strongly positive... rather like some of the EMR that he will discuss. That's on Monday 10 November from 1900 AEST and held in person at Victory Street, and also by telepresence. All the detail is on the website - go to the home page which is ddrci.org.au and wait for the scroller to cycle around to the item for the meeting. And if you have questions, send a note to secretary@ddrci.org.au so that we can get you answers. Coming up later in the year we're looking at a Foxhunt, a BBQ end-of-year lunch, and a meeting devoted to getting the best out of the ridiculously cheap Chinese handhelds that everyone seems to have these days. We'd love to know your thoughts on these ideas, and don't be afraid to tell us. Secretary@ddrci.org.au. Oh, and there's still time to renew your club membership if you haven't done that yet. Just go to the home page and click the big red button that says "Join our club: click here". It can't be simpler than that. Until next week, thanks for tuning in and all the best from the Darling Downs Radio Club. This is Allan VK4HIT with news from Ipswich and District Radio Club. Last weekend on Saturday October 18 the club hosted a major JOTA/JOTI event at the Denmark Hill clubhouse. A total of 153 enthusiastic young people turned up across the day. Of this number there were 40 Guides, 80 Joeys and Cubs and 33 Scouts and Venturers. The day ran from 9am to 8pm with Joeys and Guides present before 1pm and Scouts and Venturers after 3pm. Various activities included orienteering (using handhelds) in the bush adjacent to the clubhouse (Denmark Hill Conservation Park), electronic kit building, 20 computers for JOTI chats, as well as Minecraft, and the obligatory contacts made on VHF via All Star and HF. The 2025 JOTA/JOTI event was supported by eight members from the Ipswich and District Radio Club. It was a great day, only interrupted by a late storm which did its best to try and launch a gazebo in the direction of Toowoomba! Reporting from Ipswich this is Allan, VK4HIT. From Kevin VK4UH here, President of the Brisbane VHF Group and Convener of the QTech 2025 conference, to be held in Brisbane. The two-day conference will run over the weekend of the 1st and 2nd of November and is being held at the conference facilities of the Kedron Wavell RSL in Chermside, one of Brisbane's northern suburbs.
I'd love to hear from you 'text the show'WelcomeAlright, let's be honest, if you're a clinic owner, you know what it's like to have a million things on your to-do list and still find yourself deep cleaning your desk, making another coffee, or suddenly deciding now is the perfect time to reorganise your entire reception area. Yep, we're talking about procrastination. I'm Katie Bell and this episode is all about getting real, busting through the fluff, and helping you move past the things that hold you back. If you've ever found yourself doing literally anything except the one thing that will move your business forward, you're in good company – and you're definitely in the right place.Episode SummaryThis week, I'm joined by the brilliant Philippa Alrdridge as we dive headfirst into the world of procrastination. We unpack what it really means, why it's not just about being lazy, and how it's actually a clever little safety mechanism your brain uses to keep you firmly in your comfort zone. We get honest about our own procrastination habits (yes, even me), and share practical tips for recognising when you're stuck, getting curious about what's really going on, and finally taking action – even if it's just for five minutes.We talk about the power of community and why surrounding yourself with the right people (the Thrive crew, obviously) is a game-changer for breaking free from old patterns. Plus, there's a bit of Sheffield humour, some mum-life realness, and a big reminder that business is meant to be simple, not overcomplicated by endless overthinking.Key HighlightsWhat procrastination really is (spoiler: it's not laziness)Why your brain tricks you into staying “safe” and how to spot the signsThe hidden costs of putting things off, from missed opportunities to extra stressHow to get out of your own head and into action, even if you start smallThe magic of community and why you're the average of the five people you hang around withPractical questions and mindset shifts to help you move forward todayEpisode 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.Thanks for ListeningIf you loved this episode, hit subscribe and stick around for more honest chats, bigger insights, and plenty of truth bombs. Treat Your Business podcast is proudly sponsored by MBST, the groundbreaking technology revolutionising recovery and rehabilitation. Offering a non-invasive, drug-free solution for musculoskeletal conditions and nerve injuries, MBST works at a cellular level to stimulate regeneration. Expand your services and deliver long-term patient improvements without increasing your workload.Learn more at mbstmedical.co.uk. therapy Transformation Course: https://join.thrive-businesscoaching.com/ttc-2025
In this episode, Sam Ashoo, MD and T.R. Eckler, MD discuss the October 2025 Emergency Medicine Practice article, Emergency Department Evaluation and Management of Patients With Adrenal InsufficiencyIntroduction Welcome and host introductions Brief overview of the episode's topic Resources and CME reminderArticle Overview Source: Emergency Medicine Practice, October 2025 Authors: The Simcoes Importance of evidence-based reviewClinical Context & Epidemiology Frequency and rarity of adrenal insufficiency Diagnostic challenges and statistics Importance of recognizing adrenal crisisPathophysiology Primary, secondary, and tertiary adrenal insufficiency Causes and mechanisms Key anatomical and physiological conceptsDifferential Diagnosis Overlap with other diseases (infections, autoimmune, endocrine, psychiatric, cardiac, GI, etc.) Importance of considering adrenal crisis in complex casesPrehospital Care EMS recognition and limitations Importance of medication history and emergency kits Legal and logistical barriers to prehospital hydrocortisoneEmergency Department Evaluation Recognizing symptoms and prioritizing care Role of EMR and clinical decision support Key history and risk factors (medications, steroid use, opioid use, comorbidities)Physical Examination Specific and nonspecific findings Cushingoid features vs. primary adrenal insufficiency signsDiagnostic Workup Laboratory studies (cortisol, ACTH, renin, aldosterone, TSH, etc.) Imaging considerations Gold standard tests and their limitations in the EDTreatment Immediate administration of hydrocortisone Dosing for adults and pediatrics Supportive care (fluids, glucose, treating underlying cause) Sick day dosing and home managementSpecial Populations Pregnancy considerations Septic shock and adrenal crisisCommon Pitfalls & Takeaways Delaying steroids for labs/diagnosis Importance of high suspicion and early treatment Key trivia and learning pointsClosingSummary and final thoughts Reminders for further reading and CME Farewell and next episode teaserEmergency Medicine Residents, get your free subscription by writing resident@ebmedicine.net
Mazin Gadir, a regional expert in digital health strategy, Director with Alvarez & Marsal Healthcare and Life Sciences in Dubai, reflects on the Middle East's evolution from early EMR adoption to AI-driven healthcare. From Dubai's innovation playground to Abu Dhabi's depth in research, he explains how rivalry between Gulf states fuels progress and why exporting tested models to Africa and beyond is the new norm. He also questions the myth of leapfrogging, pointing out that fragmentation and lack of research remain barriers. This candid conversation explores regulation, interoperability, and the role of academia in sustaining innovation. www.facesofdigitalhealth.com Newsletter: https://fodh.substack.com/ 00:00 – Introduction: blockchain hype and digital health evolution 01:00 – From EMRs to health information exchanges in the Middle East 03:00 – The impact of COVID-19 on digital transformation 04:30 – Rise of patient empowerment and consumerization of healthcare 05:30 – The missing role of academia and research in the region 07:00 – Comparing Abu Dhabi and Dubai's different innovation models 09:00 – Dubai as a playground for testing, Abu Dhabi for research depth 10:30 – Rivalry across GCC states as a driver of innovation 12:00 – Exporting Gulf digital health models to Africa and beyond 14:00 – Challenges of scaling across Middle Eastern countries 16:00 – Interoperability: current maturity and pilgrim use cases 18:00 – Opportunities and limits of leapfrogging 20:00 – The role of academia and sustainability of innovation www.facesofdigitalhealth.com https://fodh.substack.com/
In this episode of our series on APAC countries' EMR implementation, experts from three Indonesian hospitals discuss the complexities of digital migration, including securing clinician buy-in, integrating systems and connecting to SATUSEHAT.
I sit down with Dr. Adam Stewart—rural Ontario family doc and self-described efficiency nerd—to swap real-world systems for making primary care saner. We dig into EMR hacks, delegation to people and tech, AI scribes, block fees, and the “reset the clock” approach to slashing prescription-renewal chaos. Adam walks through protected time, inbox-zero habits, and why tiny upstream tweaks compound into hours saved. We also peek at how Ontario's FHO+ might change behavior—and how to optimize without losing our souls (or evenings). Connect with Dr Adam Stewart: https://stewartmedicine.com/Learn more about Hippocratic Collective: https://hippocraticcollective.org/Connect on Instagram: https://www.instagram.com/joanchanmd
Hi from the Darling Downs Radio Club with QNEWS for the period beginning Sunday, 19 October. I'm John VK4JPM, secretary of the club, bringing you an update. By the time you hear this, JOTA will be in full swing. Whilst the planets didn't align for formal club participation this year, we're heavily focused on helping young people to develop STEM skills - that's Science, Technology, Engineering and Maths, all core components of the amateur radio hobby, and all addressed in the study you do to get a ham licence. And if you or someone you know is a scout and you'd like to know how we can help tide the STEM, drop a line to education@ddrci.org.au. Seriously, don't underestimate the value of what you learn to get your ham ticket. Not only does that get you on air, but we'll bet anything you like that those skills will pop up over and over again in your professional and home lives away from amateur radio. If there is such a thing. One great piece of news that came our way during the week: the Queensland Office of Fair Trading has formally registered the new rules that we voted in at our AGM in September. Our Rules are posted on the DDRCI website underneath the DOCUMENTS tab, so that you can read them at any time. Now: looking forward to the calendar and our next meeting. It's on Monday, 10 November and will again be held at the Scout Hall in Victory Street Newtown, and of course by telepresence. We're ramping up our focus on Electro Magnetic Radiation or EMR. Why? Because understanding of EMR goes directly to two things that are important to our ability to operate harmoniously - by not creating interference problems for our neighbours, and by operating safely so that we don't create problems for anyone. All our amateur transmitters emit electro-magnetic radiation - but do you know exactly how much and are your operations safe? John VK4JBE from Bayside District Amateur Radio Society is going to give us an overview of what the electro-magnetic radiation safety standards are, and explain how to apply them to our amateur stations. He's going to cover some work done by the Wireless Institute of Australia, and the Radio Society of Great Britain, both of whom have produced some tools to help. That's all vitally important stuff, and you can meet John and hear from an expert on Monday, 10 November. As always, all the info on QNews is available online and you can check our website at ddrci.org.au, or email us via secretary@ddrci.org.au if there's something specific you'd like to ask. And as always, if you like what we're doing: become a member. It's really inexpensive and your support helps heaps. I'll see you next week - 73 from John VK4JPM for the Darling Downs Radio Club. Kevin VK4UH HERE, President of the Brisbane VHF Group and Convener of the QTech 2025 conference, to be held in Brisbane in two weeks' time. The two-day conference will run over the weekend of the 1st and 2nd of November and is being held at the conference facilities of the Kedron Wavel RSL in Chermside, one of Brisbane's northern suburbs. The theme of this year's conference is “The future of Amateur Radio is in your Hands” The programme includes presentations covering a wide range of aspects of our ever-expanding hobby, from entry-level, recruitment and supporting young people in AR right through to advanced technical advances in equipment and operating. In addition, there will be trade displays and equipment demonstrations. Also arranged, an exciting live ARISS telebridge where local high school students will be able to pose questions to the astronauts orbiting aboard the international Space Station, via Amateur Radio. Information and an open invitation to all to participate in this inaugural event has been circulated widely in AR Magazine, via this WIA national broadcast and via a variety of internet sites and other social media outlets.
Most owners treat insurance like a once-a-year fire drill. Smart subcontractors use it as a competitive advantage.In this episode of The Mobilization Mindset, Scott sits down with Dylan Burns, partner at The Baldwin Group, to cut through the noise and explain what actually matters in your program - renewals, claims, brokers, captives, and how to turn your safety culture into revenue.If you lead a commercial subcontracting business, this is the plain-English playbook you wish you'd had at your last renewal.In this episode, you'll learn: - The “three-legged stool” of a healthy program: placement, risk mitigation, and claims advocacy - Why renewals are arriving later - and how to start 6 months out to get better options - How to use insurance to win work (EMR/mod, telematics, loss history, safety culture) - A simple decision tree for “Do we file the claim?” (frequency vs. severity, defense counsel, break-even) - The biggest mistake: choosing the cheapest quote while ignoring exclusions and endorsements - Subcontractor language that trips teams up (such as residential exclusions hiding in policies) - How to evaluate a broker (buying power, stewardship plan, policy wording - not just price) - Captives vs. guaranteed cost: who's a fit, how they work, and why transparency mattersThis isn't just some theory on paper. It's a full diagnostics instruction for your next renewal, and how to turn risk management into margin.
Nikad više naočale? Kontaktno sočivo tj. leće, laser, operacija, naočale u oku? Ima li pametnih kontaktih sočiva, šta se očekuje od EMR ili PiXL metode? Tržište korekcije vida puno je usluga koje garantiraju trajno poboljšanje vida bez nošenja naočala. No koja je od tih metoda napovoljnija s obzirom na to da zahvati poput lasera ili implantata nisu pogodni za svakog pacijenta? Nenad Kreizer i Saša Bojić razgovaraju o temi korekcije vida na temelju najnovijih saznanja ali i vlastitih iskustava. Von Nenad Kreizer.
In this episode of the Critical Care Obstetrics Podcast, hosts Stephanie Martin, Julie Arafeh, and Suzanne McMurtry Baird discuss Suzanne's pet peeves in obstetrics. The conversation covers issues related to documentation, unnecessary interventions on low-risk patients, and the unrealistic expectations placed on nurses to make medical diagnoses. Suzanne shares her frustrations with electronic medical records (EMR) and advocates for a more streamlined approach to patient care that respects the natural processes of labor and the roles of healthcare professionals.The experts at Clinical Concepts in Obstetrics pool their decades of experience caring for critically ill pregnant women to discuss the challenges encountered in caring for these vulnerable women. Dr Stephanie Martin is the Medical Director for Clinical Concepts in Obstetrics and a Maternal Fetal Medicine specialist with expertise in critical care obstetrics. Suzanne McMurtry Baird, DNP, RN is the Nursing Director for Clinical Concepts in Obstetrics with many years of experience caring for critically ill pregnant women. Julie Arafeh, RN, MS is the Simulation Director for Clinical Concepts in Obstetrics and a leading expert in simulation.Critical Care Obstetrics Academy: https://www.clinicalconceptsinob.com/Follow us: Patreon: patreon.com/CCOB YouTube: @CriticalCareOBPodcast Instagram: https://www.instagram.com/criticalcareob/ Dr Martin's LinkedIn: http://linkedin.com/in/stephanie-martin-65b07112a CCOB LinkedIn: https://www.linkedin.com/company/clinical-concepts-in-obstetrics/ Twitter/X: https://twitter.com/OBCriticalCare CCOB Facebook: ...
In this episode of the Business of Aesthetics podcast, host Adeesha leads an expert panel: Rebecca Landiault (Apex Aesthetic Consulting), Sean Duncan (CPA and Strategist), Naren Arulrajah (Aesthetic Marketing Strategist), and Amy Ingle (Aesthetic Consultant) to deliver a full-spectrum guide on Optimizing and Maximizing Revenue with Next-Gen, Long-Lasting Injectables. The discussion begins with Rebecca Landiault detailing the necessity of "lifetime treatment planning" and stacking modalities (injectables with energy devices) to secure superior clinical outcomes, while emphasizing the use of robust patient financing to overcome initial budget objections. Financial strategist Sean Duncan reveals powerful sales psychology by explaining The Decoy Effect a technique for framing treatment choices to make high-value plans more appealing. He also stresses the critical importance of collaborating with legal and financial experts to select the proper business entity for major tax savings and asset protection. Marketing expert Naren Arulrajah breaks down the most effective promotion strategies, focusing on creating authentic before-and-after content and positioning the provider as a subject matter expert on social media (Instagram and TikTok). He then instructs practices on how to set up dedicated tracking mechanisms to accurately measure marketing ROI, CPA, and LTV. Finally, Amy Ingle addresses the common operational pitfalls of launching new products, including managing expensive inventory, blocking appropriate time for comprehensive consultations in the EMR, and ensuring full team education. She concludes with strategies for value-based pricing and structuring patient loyalty programs, like the "cash and stash" concept, to drive long-term retention. This episode provides a complete, actionable roadmap spanning clinical, financial, operational, and marketing strategies to future-proof your aesthetics practice.
A patient rolls into the OR with a tracheostomy—do you maintain the current tube, intubate orally, or go through the stoma? We break down the decision tree that keeps patients safe, from assessing tract maturity and surgical needs to choosing cuffed vs uncuffed strategies and planning for positive pressure ventilation. Then we shift to a critical safety pivot: total laryngectomy. When the trachea is sutured to the skin, the mouth and nose no longer connect to the lungs, and attempts at oral intubation can be deadly. We explain how to recognize the anatomy fast, oxygenate at the neck, and advance through a stepwise algorithm that reduces risk in time‑sensitive emergencies.Drawing on practical pearls and human‑factors design, we highlight why bedside signs and EMR alerts matter, how standardized language improves handoffs, and where airway exchange catheters, bougies, and wire‑reinforced tubes fit into safe practice. You'll hear clear guidance on cuff placement relative to the stoma, avoiding mainstem intubation, using waveform capnography for continuous confirmation, and preventing false passages in fresh tracheostomies. We also review eye‑opening data on attempted oral intubations after laryngectomy, underscoring the need for staff education, patient engagement, and systems that make the right move the easy one.If you manage airways in perioperative or emergency settings, this conversation strengthens your mental models and your muscle memory. Tune in for concise, actionable steps, download the signage and algorithms from the show notes, and share the episode with your team. If this helped sharpen your airway plan, subscribe, leave a review, and tell us your go‑to approach for trach and laryngectomy cases.For show notes & transcript, visit our episode page at apsf.org: https://www.apsf.org/podcast/275-tracheostomy-and-laryngectomy-patient-safety/© 2025, The Anesthesia Patient Safety Foundation
Megan Margherio is a trauma-informed coach, writer, speaker, and yoga instructor based in St. Louis. A survivor of childhood sexual abuse and intimate partner violence, she helps women reconnect to their bodies and inner wisdom through somatic practices, coaching, and storytelling. Her debut memoir, Everwoven: A Reckoning, comes out in October 2025.In This EpisodeMegan's websiteMegan on InstagramTikTok: @megan_margherioMegan's coachingA giant thank you to our sponsors:Jane App: A free data import? Now that's what we're talking about!
In this dynamic episode of The ASHHRA Podcast, hosts Luke Carignan and Bo Brabo chat with Maxine Carrington, Chief People Officer, and Matt Kurth, Deputy Chief People Officer at Northwell Health. Fresh from the ASHHRA Executive Summit in Savannah, they explore how Northwell—a powerhouse with 104,000 employees, 28 hospitals, and recent mergers like Nuvance Health—navigates massive changes while fostering a bold, people-first culture.Maxine and Matt discuss leadership transitions (including CEO Michael Dowling's retirement), Epic's largest-ever EMR rollout, UKG implementation, and digital transformation. They emphasize Northwell's mission as a "movement" to raise health standards, driven by curiosity, humility, and innovation. From HR overhauls to psychological safety via book clubs on Amy Edmondson's "The Fearless Organization," they share strategies for employee engagement and whole-family well-being.Key takeaways for healthcare HR leaders:Bold Leadership & Succession: Manage executive retirements with advisory roles and knowledge transfer for seamless transitions.Cultural Innovation: Embrace "just a little unsatisfied" mindset to drive progress; learn from failures and external partners.Employee Experience Elevation: Use AI, data nudges, and family-inclusive benefits to support whole-person health and proactive care.HR Transformation: Shift priority-setting to customers; align OKRs with operations for impactful solutions.Community Impact: Extend wellness education to households; incentivize healthy actions to catch issues early.Discover how Northwell turns challenges into opportunities, inspiring HR pros to demand innovation and accountability. A must-listen for those in healthcare leadership, employee well-being, and organizational culture.From Our Sponsors...Optimize Pharmacy Benefits with RxBenefitsElevate your employee benefits while managing costs. Did you know hospital employees fill 25% more prescriptions annually than other industries? Ensure cost-effective, high-quality pharmacy plans by leveraging your hospital's own pharmacies. Discover smarter strategies with RxBenefits.Learn More here - https://rxbene.fit/3ZaurZNStreamline HR Compliance with oneBADGEhealthcareSimplify screening, credentialing, and compliance for healthcare HR. oneBADGEhealthcare from ISB Global offers a tailored solution to keep your workforce compliant and efficient. Built for healthcare leaders, it's your all-in-one compliance tool.Get Started here - https://isbglobalservices.com/onebadgeunitedstates/ashhra/ Support the show
Karen Goslin has a Master of Social Work from the University of Toronto and in 1998, she founded Karen Goslin & Associates. Karen is passionate about guiding people toward transformation, helping them process depression, anxiety, conflicts, addiction, chronic illness, loss and trauma as invitations to change, and ultimately discover clear purpose and limitless potential.Karen is the author of Yellow Paint: Learning to Live Again in which she talks about The KG Method and how to take the first step toward personal accountability, healing, and transformation.Her work draws on evidence based therapeutic approaches and creates safe, deep spaces that enable the straight talk necessary for powerful accountability and meaningful healing. Now, Karen is sharing her insights with a broader audience. She speaks to us with compassion and insight, developed from her personal and professional experiences. In This EpisodeKaren's websiteA giant thank you to our sponsors:Jane App: A free data import? Now that's what we're talking about!
Robyn D. Walser, PhD, is a clinical psychologist, educator, and internationally recognized expert in trauma and Acceptance and Commitment Therapy (ACT), serving as Assistant Clinical Professor at UC Berkeley, Director of Research at Bay Area Trauma Recovery, and staff member at the National Center for PTSD. Darrah Westrup, PhD, is a clinical psychologist and ACT expert based in Durango, Colorado, known for her work with complex trauma, international training workshops, and leadership roles at the VA Palo Alto's women's mental health and trauma programs.Today we're going to be talking about their new book You Are Not Your Trauma: An ACT Guide for Healing from Within, Robyn D. Walser, Ph, and Darrah Westrup, PhD.In This EpisodeRobyn's websiteDarrah's website@walser.robyn (IG)@The Heart of ACT (FB)@Robyn D. Walser (LinkedIn)@robynwalser.bsky.social@Darrah Westrup (FB)@Darrah Westrup, Ph.D. (LinkedIn)@drdarrah.bsky.socialA giant thank you to our sponsors:Jane App: A free data import? Now that's what we're talking about!
Trinity Lease is a memoir author from rural Minnesota whose writing is rooted in raw truth, resilience, and healing. Her debut book, Beneath the Silence, explores her personal journey through childhood trauma, addiction, and the long road to recovery. Trinity is a proud wife, mom to two amazing little boys, and caretaker to three beloved fur babies. When she's not writing, she's working toward her bachelor's degree in Social Work with plans to become a Licensed Alcohol and Drug Counselor (LADC). Through her story, Trinity hopes to give a voice to the unheard and inspire others to rise above their past.In This EpisodeTrinity's websiteTrinity's linksTrinity on SubstackTrinity's bookA giant thank you to our sponsors:Jane App: A free data import? Now that's what we're talking about!
James is a former Army combat veteran who, after serving in combat environments, began his own journey to understanding and treating trauma. Now a psychiatrist specializing in PTSD and trauma, James currently serves as the Director of Behavioral Health for ZEAM Health & Wellness. In addition to his clinical work, he co-founded the nonprofit Inner Depths Freediving, where he serves as the Mental Health Program Director. At Inner Depths, James supports trauma survivors in reconnecting with their bodies and regulating their nervous systems through the transformative power of water and breath, teaching freediving skills integrated with mental health support.In This EpisodeInner Depths FreedivingA giant thank you to our sponsors:Jane App: A free data import? Now that's what we're talking about!
How We Onboard New Patients (And Why It Matters So Much)When new patients call your clinic, they're often nervous, skeptical, and unsure. Many have never heard of pelvic PT—and nearly all have had negative healthcare experiences in the past.Onboarding isn't just logistics—it's your first chance to show them you're different. Done well, it builds comfort, trust, and confidence before they ever step into the treatment room.In this episode, we share:Why onboarding is so important in pelvic healthHow to handle the initial phone call to set expectationsWhat your welcome and reminder emails should include (and why generic EMR templates don't cut it)How to greet new patients when they arriveWhy the “new patient agreement” is like checking in at a high-end hotelThese small but intentional touches make a massive difference—not just for your patients, but for your therapists and your entire business.Business Accelerator ProgramAnd if you want to build systems like this for your own clinic, this is exactly what we teach inside the Business Accelerator Program. Apply now for the next cohort
Is that penicillin or amoxicillin allergy real? Probably not. In this episode, we explore how to assess risk, talk to parents, and refer for delabeling. You'll also learn what happens in the allergy clinic, why the label matters, and how to be a better antimicrobial steward. Learning Objectives Describe the mechanisms and clinical manifestations of immediate and delayed hypersensitivity reactions to penicillin, including diagnostic criteria and risk stratification tools such as the PEN-FAST score. Differentiate between low-, moderate-, and high-risk penicillin allergy histories in pediatric patients and identify appropriate candidates for direct oral challenge or allergy referral based on current evidence and guidelines. Formulate an evidence-based approach for evaluating and counseling families in the Emergency Department about reported penicillin allergies, including when to recommend outpatient referral for formal delabeling. Connect with Brad Sobolewski PEMBlog: PEMBlog.com Blue Sky: @bradsobo X (Twitter): @PEMTweets Instagram: Brad Sobolewski References Khan DA, Banerji A, Blumenthal KG, et al. Drug Allergy: A 2022 Practice Parameter Update. J Allergy Clin Immunol. 2022;150(6):1333-1393. doi:10.1016/j.jaci.2022.08.028 Moral L, Toral T, Muñoz C, et al. Direct Oral Challenge for Immediate and Non-Immediate Beta-Lactam Allergy in Children. Pediatr Allergy Immunol. 2024;35(3):e14096. doi:10.1111/pai.14096 Castells M, Khan DA, Phillips EJ. Penicillin Allergy. N Engl J Med. 2019;381(24):2338-2351. doi:10.1056/NEJMra1807761 Shenoy ES, Macy E, Rowe T, Blumenthal KG. Evaluation and Management of Penicillin Allergy: A Review.JAMA. 2019;321(2):188–199. doi:10.1001/jama.2018.19283 Transcript Note: This transcript was partially completed with the use of the Descript AI and the Chat GPT 5 AI Welcome to PEM Currents, the Pediatric Emergency Medicine podcast. As always, I'm your host, Brad Sobolewski, and today we are taking on a label that's misleading, persistent. Far too common penicillin allergy, it's often based on incomplete or inaccurate information, and it may end up limiting safe and effective treatment, especially for the kids that we see in the emergency department. I think you've all seen a patient where you're like. I don't think this kid's really allergic to amoxicillin, but what do you do about it? In this episode, we're gonna break down the evidence, walk through what actually happens during de labeling and dedicated allergy clinics. Highlight some validated tools like the pen FAST score, which I'd never heard of before. Preparing for this episode and discuss the current and future role of ED based penicillin allergy testing. Okay, so about 10% of patients carry a penicillin allergy label, but more than 90% are not truly allergic. And this label can be really problematic in kids. It limits first line treatment choices like amoxicillin, otitis media, or penicillin for strep throat, and instead. Kids get prescribed second line agents that are less effective, broader spectrum, maybe more toxic or poorly tolerated and associated with a higher risk of antimicrobial resistance. So it's not just an EMR checkbox, it's a label with some real clinical consequences. And it's one, we have a role in removing. And so let's understand what allergy really means. And most patients with a reported penicillin allergy, especially kids, aren't true allergies in the immunologic sense. Common misinterpretations include a delayed rash, a maculopapular, or viral exum, or benign, delayed hypersensitivity, side effects, nausea, vomiting, and diarrhea. And unverified childhood reactions that are undocumented and nonspecific. Most of these are not true allergies. Only a very small subset of patients actually have IgE mediated hypersensitivity, such as urticaria, angioedema, wheezing, and anaphylaxis. These are super rare, and even then they may resolve over time without treatment. If a parent or sibling has a history of a penicillin allergy, remember that patient might actually not be allergic, and that is certainly not a reason to label a child as allergic just because one of their first degree relatives has an allergy. So right now, in 2025, as I'm recording this episode, there are clinics like the Pats Clinic or the Penicillin Allergy Testing Services at Cincinnati Children's and in a lot of our peer institutions that are at the forefront of modern de labeling. Their approach reflects the standard of care as outlined by the. Quad ai or the American Academy of Allergy, asthma and Immunology and supported by large trials like Palace. And you know, you have a great trial if you have a great acronym. So here's what happens step by step. So first you stratify the risk. How likely is this to be a true allergy? And that's where a tool like the pen fast comes. And so pen fast scores, a decision rule developed to help assess the likelihood of a true penicillin allergy based on the patient's history. The pen in pen fast is whether or not the patient has a self-reported history of penicillin allergy. They get two points if the reaction occurred in the past five years. Two points if the reaction is anaphylaxis or angioedema. One point if the reaction required treatment, and one point if the reaction was not due to testing. And so you can get a total score of. Up to six points. If you have a score of less than three. This is a low risk patient and they can be eligible for direct oral challenge. A score greater than three means they're higher risk and they may require skin testing. First validation studies show that the PEN FFA score of less than three had a negative predictive value of 96.3%. Meaning a very, very low chance of a true allergy. And this tool has been studied more extensively in adults, but pediatric specific adaptations are emerging, and they do inform current allergy clinic protocols. But I would not use this score in the emergency department just to give a kid a dose of amoxicillin. So. For low risk patients, a pen fast score of less than three or equivalent clinical judgment clinics proceed with direct oral challenge with no skin testing required. The protocol is they administer one dose of oral amoxicillin and they observe for 62 120 minutes monitoring for signs of reaction Urticaria. Respiratory symptoms or GI upset. This approach is safe and effective. There was a trial called Palace back in 2022, which validated this in over 300 children. In adolescents. There were no serious events that occurred. De labeling was successful in greater than 95% of patients. And skin tested added no benefit in low risk patients. So if the child tolerates this dose, then you can remove that allergy immediately from the chart. Parents and primary care doctors will receive a summary letter noting that the challenge was successful and that there's new guidance. Children and families are told they can safely receive all penicillins going forward. And providers are encouraged to document this clearly in the allergy section of the EMR. So you're wondering, can we actually do this in the emergency department? Technically, yes, you can do what you want, but practically we're not quite there yet. So we'd need clearer risk stratification tools like the Pen fast, a safe place for monitoring, post challenge, clinical pathways and documentation support. You know, a clear way to update EMR allergy labels across the board and involvement or allergy or infectious disease oversight. But it's pretty enticing, right? See a kid you diagnose otitis media. You think that their penicillin allergy is wrong, you just give 'em a dose of amox and watch 'em for an hour. That seems like a pretty cool thing that we might be able to do. So some centers, especially in Canada and Australia, do have some protocols for ED or inpatient based de labeling, but they rely on that structured implementation. So until then, our role in the pediatric emergency department is to identify low risk patients, avoid over document. Unconfirmed reactions and refer to allergy ideally to a clinic like the pets. So who should be referred and good candidates Include a child with a rash only, especially one that's remote over a year ago. Isolated GI symptoms. Parents unsure of the details at all. No history of anaphylaxis wheezing her hives, and no recent serious cutaneous reactions. I would avoid referring and presume that this allergy is true. If they've had recent anaphylaxis, they've had something like Stevens Johnson syndrome dress, or toxic epidermolysis necrosis. Fortunately, those are very, very rare with penicillins and there's a need for penicillin during the ED visit without allergy backup. So even though we don't have an ED based protocol yet. De labeling amoxicillin or penicillin allergy can start with good questions in the emergency department. So here's one way to talk to patients and families. You can say, thanks for letting me know about the amoxicillin allergy. Can I ask you a few questions to better understand what happened? This is gonna help us decide the safest and most effective treatment for your child today, and then possibly go through a process to remove a label for this allergy that might not be accurate. You wanna ask good, open-ended questions. What exactly happened when your child took penicillin or amoxicillin? You know, look for rash, hives, swelling, trouble breathing, or anaphylaxis. Many families just say, allergic, when the reaction was just GI upset, diarrhea or vomiting, which is not an allergy. How old was your child when this happened? Reactions that occurred before age of three are more likely to be falsely attributed. How soon after taking the medicine did the reaction start? Less than one hour is an immediate reaction, but one hour to days later is delayed. Usually mild and probably not a true allergy. Did they have a fever, cold or virus at that time? Viral rashes are often misattributed to antibiotics, and we shouldn't be treating viruses with antibiotics anyway, so get good at looking at ears and know what you're seeing. And have they taken similar antibiotics since then? Like. Different penicillins, Augmentin, or cephalexin. So if they said that they were allergic to amoxicillin, but then somehow tolerated Augmentin. They're not allergic. If a patient had rash only, but no hive swelling or difficulty breathing, no reaction within the first hour. It occurred more than five years ago or before the kid was three. And especially if they tolerated beta-lactam antibiotics. Since then, they're a great candidate for de labeling and I would refer that kid to the allergy clinic. Generally, they can get them in pretty darn quick. Alright, we're gonna wrap up this episode. Most kids labeled penicillin allergic or amoxicillin allergic, or not actually allergic to the medication. There are some scores like pen fasts that are validated tools to assess risk and support de labeling. Direct oral challenge for most patients is safe, efficient, and increasingly the standard of care. There are allergy clinics like the Pats at Cincinnati Children's that can dela children in a single visit with oral challenges alone, needing no skin testing, and emergency departments can play a key role in identifying and referring these patients and possibly de labeling ourselves in the future. Well, that's all for this episode on Penicillin Allergy. I hope you learn something new, especially how to assess whether an allergy label is real, how to ask the right questions and when to refer to an allergy testing clinic. If you have feedback, send it my way. Email, comment on the blog, a message on social media. I always appreciate hearing from you all, and if you like this episode, please leave a review on your favorite podcast app. Really helps more people find the show and that's great 'cause I like to teach people stuff. Thanks for listening for PEM Currents, the Pediatric Emergency Medicine podcast. This has been Brad Sobolewski. See you next time.
Estefana Johnson is a Licensed Clinical Social Worker and experienced trauma therapist with over two decades of experience in mental health. As the Director of Clinical Training for ARISE Alliance Institute, Estefana oversees the professional development and training of clinicians on Critical Memory Integration (CMI™). Her role involves designing and implementing comprehensive training curricula for mental health professionals to enhance clinical skills, particularly in trauma-focused care, PTSD treatment, and therapeutic interventions. Estefana also develops and delivers trauma-informed programming tailored to the needs of at-risk populations, bringing these services directly into community-based settings to ensure accessible, responsive care where it's needed most.She is currently a practicing clinician and Dosing Session Monitor at Lighthouse Psychiatry and TMS in Gilbert, Arizona, contributing both to clinical care and research trials exploring the therapeutic use of psychedelics. In This EpisodeEstefana's websitehttps://www.instagram.com/ariseallianceinstitute/ https://www.youtube.com/channel/UC5MyzV9KBg0eJ0uY88N-zCwhttps://www.facebook.com/AriseAllianceInstitute/https://www.linkedin.com/in/estefanajohnsonlcsw/A giant thank you to our sponsors:Jane App: A free data import? Now that's what we're talking about!
Dr. Robert C. Smith is a nationally recognized leader in evidence-based mental health care and doctor-patient communication. A University Distinguished Professor of Medicine and Psychiatry at Michigan State University, Dr. Smith developed the first patient-centered method to train medical professionals to build strong partnerships with their patients. His expertise and dedication to reforming mental health care make his book, Has Medicine Lost Its Mind? essential reading for policymakers, health care professionals, and anyone concerned about the future of mental health in America. In This EpisodeDr. SmithDr. Smith's book: Has Medicine Lost Its Mind?: Why Our Mental Health System Is Failing Us and What Should Be Done to Cure It@robertcsmithX https://x.com/RobertCSmithMDFacebook https://www.facebook.com/RobertCSmithMDLinkedIn https://www.linkedin.com/in/robertcsmithmd/A giant thank you to our sponsors:Jane App: A free data import? Now that's what we're talking about!
Welcome to the Sustainable Clinical Medicine Podcast! In this episode, Dr. Sarah Smith sits down with Dr. Marcia Kashani, a nurse and experienced healthcare improvement advisor, to explore practical strategies for making your clinical day more efficient, effective, and—most importantly—sustainable. Drawing on years of experience facilitating primary care transformation and team-based initiatives, Dr. Kashani shares stories of real-world success: from leveraging the strengths of every team member, to optimizing clinic workflows, and even reimagining how tasks get delegated to maximize value for both clinicians and patients. If you've ever felt overwhelmed by a never-ending list of tasks, long wait times for appointments, or the challenge of figuring out what you can hand off—and to whom—this is an episode you won't want to miss. Dr. Smith and Dr. Kashani offer actionable insights into improving access, reducing unnecessary physician workload, and embracing change as a path to better care and a better work-life balance. Whether you're part of a large clinic or running a small practice, you'll find inspiration and hope for positive change right here. Tune in and take one step closer to reclaiming time for your patients—and yourself! Here are 3 key takeaways from this episode: Empower Your Team: Distinguish between physician, nurse, and administrative tasks. When tasks are thoughtfully delegated—like patient screening calls or form-filling—clinicians can reclaim time for patient care and improve office efficiency. Reduce Unnecessary Visits: Examine return visit rates and consider whether clinical follow-ups always require physician attention. Thoughtful use of nurses, pharmacists, and even patients' support networks can safely reduce visit volumes and waiting times. Leverage Process Improvement: Document and map out workflows to highlight inefficiencies, duplications, and points of delay (like EMR optimization or referral processing). Even simple changes—like consistently titling scanned documents—deliver significant time savings for clinicians. Meet Dr. Marcia Kashani: Marcia has over 40 years of front-line nursing and progressive leadership experience in primary care, community care and acute care. Notable accomplishments include involvement in the business planning and governance of multiple Primary Care Networks in the Edmonton Zone. In 2005 her focus turned to Quality Improvement and System Redesign where she became the first non-physician AIM faculty, participating in several AIM collaboratives. She completed the Improvement Advisor Program through the Institute of Healthcare Improvement and continued as a facilitator for the program. Most recently, Marcia has been a project manager with the Edmonton Zone Primary Care Networks team and North Zone Primary Care Business Unit, including work with Transitions of Care, Specialty Access and Referral teams, and assisting Practice Facilitators with improvement initiatives. You can find Dr. Marcia Kashani on: LinkedIn: https://www.linkedin.com/in/marcia-kashani-44898638/ -------------- Would you like to view a transcript of this episode? Click Here **** Charting Champions is a premiere, lifetime access Physician only program that is helping Physicians get home with today's work done. All the proven tools, support and community you need to create time for your life outside of medicine. Learn more at https://www.chartingcoach.ca **** Enjoying this podcast? Please share it with someone who would benefit. Also, don't forget to hit “follow” so you get all the new episodes as soon as they are released. **** Come hang out with me on Facebook or Instagram. Follow me @chartingcoach to get more practical tools to help you create sustainable clinical medicine in your life. **** Questions? Comments? Want to share how this podcast has helped you? Shoot me an email at admin@reachcareercoaching.ca. I would love to hear from you.
In this episode, Aidan Hettler, CEO of Sedgwick County Health Center, shares how his team is modernizing care delivery in a frontier community. He discusses their EMR transformation, strategies for financial sustainability, workforce development, and the cultural leadership needed to keep rural healthcare thriving.
Making the most of the electronic health record (HER) is not just a win for the CIO—it's a non-negotiable for sustaining your business, supporting your workforce and serving your patients effectively. The EHR is a mainstay of our digital healthcare infrastructure. It's a massive ongoing investment with the potential for enormous operational and strategic returns. But the fact is, most organizations are not reaping the kinds of returns they could be. This week, host Abby Burns invites Advisory Board digital health and AI expert Ty Aderhold and Optum Advisory Vice Presidents of Provider Technology Carol Chouinard and Jonathan Cooper to break down the missed opportunities, and why under-leveraging the EHR now matters for an AI-enabled future. We're here to help: 6 pitfalls to avoid when planning an EHR implementation How to effectively prepare for (and implement) an EHR switch 4 questions to ask yourself before an EHR data conversion Electronic Health Records (EHR) Data | Optum Business Want support assessing, optimizing, or converting your EMR? Get in touch with Optum Advisory's EHR Services team here, https://optum.co/65a7hn. Or we can help you reach out directly. Email us at podcasts@advisory.com with the subject line "Help with EHR". Research Membership A transcript of this episode as well as more information and resources can be found on RadioAdvisory.advisory.com.
Most clinics don't fail because they're bad at treatment—they stall because their tools don't talk. EMR here. Scheduler there. Email somewhere else. A texting app. A CRM you meant to set up “one day.” In the gaps between them? Patients and leads fall through. This week's episode gives you a simple, durable way to fix it—without another fancy platform, without months of setup, and without you doing more. What You're Getting Today The hidden trap: Platform sprawl → missed follow-ups → lost revenue The fix: A single Google Sheet + one “quarterback” to run it How to scale it: SOPs your whole team can follow Your next step: Grab the free Sheet + video walkthrough that can completely transform your follow-up process—and the impact you have with your practice. The Lead Management and Patient Follow-up Tracking Sheet and Training is the same tool I use in my own clinic. It makes it easy to track follow-ups, set timely reminders, and stay top-of-mind with the people most likely to say yes down the road—so no one, and no revenue, slip through the cracks. Grab your copy here. USEFUL INFORMATION: Check out our course: How to answer, “Do you take my insurance?”
Send us a textCredit card processing is a necessity for every aesthetic practice, but the fees behind each swipe aren't always as simple as they seem. Hidden costs can eat away at profitability without you even realizing it. In this episode, host Jay Shorr sits down with Tim Ryan, Founder and CEO of Blueswipe, to uncover how payment processing really works in the aesthetic industry. You'll learn how to identify and eliminate hidden charges, avoid overpriced EMR-integrated systems, and negotiate transparent, cost-effective solutions that protect your bottom line. Schedule your free consult with our expert, Jay Shorr, here. To sign up for our Conversion Cascade 2.0 online course, click here. Don't forget to enter code PODCAST at checkout for 20% OFF! Connect with us:Website: https://shorrsolutions.com/Instagram: https://www.instagram.com/shorrsolutionsFacebook: https://www.facebook.com/shorrsolutionsLinkedIn: https://www.linkedin.com/company/shorrsolutionsYouTube: https://www.youtube.com/user/TheBestMBS1/featured
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.
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
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
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 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
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.
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.
What if a Marketing Company Designed an EMR?