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Recorded on 5 November 2020 for ICMDA Webinars. Dr Peter Saunders chairs a webinar with Dr Keir Thelander Hear the inspiring story of PAACS - an organisation that trains and disciples African surgeons to glorify God and provide excellent care to those most in need. Keir Thelander attended Indiana University School of Medicine and completed his general surgery residency at Fairview Hospital in Cleveland, OH, in 2004. After working as a General Surgeon in Cleveland, Keir was led to train and disciple African doctors to become surgeons. Keir's young family of 4 moved to Bongolo Hospital in Gabon. For 8 years Keir served as the Program Director of the Pan-African Academy of Christian Surgeons (PAACS) surgical residency program as well as the medical director of this 150 bed facility. Recently Dr Thelander has been Team Leader for the over 20 ex-patriots living in Bongolo, while he also worked as the West/Central Africa Director for PAACS. Presently, Keir is the Executive Vice President of PAACS. In this role he oversees their 15 training programs across Africa. Keir's passions are helping doctors and all people to thrive no matter the circumstances as well as surgical education in cross-cultural contexts. To listen live to future ICMDA webinars visit https://icmda.net/resources/webinars/
Lisa Miller shares her experience of successful hospital cost savings projects from the past 12 months and looks ahead to 2023. Episode Introduction Lisa Miller shares her experience of successful hospital cost savings projects from the past 12 months and looks ahead to 2023. Topics Include. the need to set big stretch goals, how dysfunctional teams affect change management projects, the in-depth cost analysis that saved jobs at one hospital, when people would ‘'rather be rich than right'', and why the ‘'tsunami'' of inflation is still healthcare's #1 priority in cost management. Show Topics Healthcare's approach to marketing needs to change Huge cost savings are still available for hospitals Incentivizing right behaviors to achieve big wins The 5 dysfunctions of every team Big health systems have big spend challenges Purchased services spend is a cost savings opportunity The ‘'tsunami'' impact of inflation on hospitals 01:33 Healthcare's approach to marketing needs to change Lisa Larter said businesses and hospitals must focus on the things they can control, rather than media negativity. ‘'…one of my insights is the marketing landscape has changed significantly in 2022, and things that once worked no longer work. And so whether you're a hospital who has a marketing team or you're an entrepreneur or a small business owner, the way that you approach marketing needs to really change. You can't do what you used to do to get the results that you want, because what used to work isn't working. And there's an expression out there that if you just try harder at something that doesn't work, it doesn't make it work. So it's really a time for innovative thinking when it comes to marketing. The second thing that I would say that I've noticed in 2022 is too many people are listening to the media, and they're buying into doom and gloom instead of taking charge of what possibilities are out there. I think that people forget the media gets paid for clicks, and they get paid for impressions and eyeballs and all of that stuff. And so when people read headlines in the media about the recession and they start to panic and worry about things, instead of getting into a place of "How can I make changes? How can I improve my business, how can I improve my profitability? What is within my control?" I feel that they're missing opportunities. So I see a lot of people that are almost immobilized by what they see in the media, instead of taking control of the so many things that they still have control of. So those would be the two things that I've really noticed this year.'' 08:33 Huge cost savings are still available for hospitals Lisa Miller shared a ‘'wow experience' of how digging deep into cost saving prevented job losses at one hospital. ‘'I absolutely, unequivocally know there's opportunity in costs. And our clients are achieving unprecedented cost savings in almost every single area. And what I think is very interesting is we're finding big savings. And it's not because these initiatives weren't done prior or people aren't good at what they do, I just feel like we're going deeper. We're taking more time. There's a lot of AI and technology, and we have technology too, but nothing replaces human thinking, a human review, expertise. And we're finding just enormous amount to take out in cost. So I feel like that's an opportunity. It shouldn't be perceived as a downer. Like, "Oh, we've got to have a cost review." And I think really we need to flip the script on it. And I think there's opportunities to connect growth, connect employees and morale and have a culture around that. One of the things that happened last year, I had a number of these situations happen, but we had one, it was really unique. We had uncovered a couple of line items that happened to just fall off contract. We were just, and this is a very advanced health system, very smart people, and it was just this odd connection issue. And it just turned out to have a several hundred thousand dollars savings. And when we achieved it, we brought it to the department leader. The leader was about to have to lay off three people in their department. And these were just, I think it was an environmental service department. And because of that savings, he did not have to lay off anybody. …. it's a wow experience for me.'' 16:20 Incentivizing right behaviors to achieve big wins Lisa commented that hospitals need to set one or two big stretch goals to achieve significant cost savings. ‘'And so many of our hospitals bonuses, part of the bonuses put in place are hitting certain milestones. And cost savings is one. And I think that's fantastic. I think the nuance about that is what I've noticed is sometimes people get one cost savings goal. Let's say they have to achieve, I don't know, a million dollars in cost savings for the year. And sometimes they may achieve that in the first quarter. Like me, Lisa Miller, my goal is achieve $1 million for general hospital, and I could hit that in month three. Now I have other responsibilities, of course. It's not my own responsibility. I have to, I'm strategic sourcing, I'm doing all these other things, but what happens for those other nine months? And so my experience is very well-intentioned. Good people have checked the box, have said, "I've got that one covered. Now I can focus on my other day-to-days." And I work and I may get thrown something else. So I check that box and I think, "Oh my goodness, you got nine more months. Come on, let's save more money." And they got a lot going on, and they've clicked that box. So I think there's an opportunity to really evaluate these cost savings goals and make a stretch goal. So you have a million, but maybe there's two stretch goals. And I think there's a missed opportunity there.'' 21:41 The 5 dysfunctions of every team Lisa said there is a change management aspect to achieving cost savings. but team dysfunction can be a barrier to success. ‘'So okay, this is where I might get a little controversial. So with cost savings and contracts benchmarking, pricing, analytics, looking at negotiations, this is whole part of the aspect of achieving savings. There's a methodology, and there's a way to do it, and there's a lot of work that gets done on that side. And what I've seen over the years and what's really jumped out at me this past year…, is that there's a change management aspect to achieving performance improvements, like an organizational-wide cost savings initiative. That's a change management project. So I'm going to probably do a longer podcast about this, but something happened a few months ago, and it made me realize that unfortunately, there's dysfunctions. And we all have dysfunctional families, dysfunctional business relations. I mean, just people. So there's going to be dysfunctions. And change management's really about how do we identify, assess, and pull it together and recognize that we might have to change some of our behaviors in order to have the best outcome for the organization? So it led me to reread a book called The Five Dysfunctions of a Team. And the reason why that happened is because over the years, I have noticed that we could pull together the most brilliant strategy, have the right analytics, the right benchmarking, the identification, pull everything together, and we have this tremendous cost savings number. It's all teed up. There's no reason in the world why it can't be implemented. 30:36 Big health systems have big spend challenges Lisa commented that just one category of spend could equate up to $40 million in hospital costs across multiple vendors. ‘'So number six, and this relates to, I would say about 50% of the hospitals and health systems, but it's important because I saw this a lot in 2022. That big health systems have big spend challenges. These are health systems that have multiple hospitals across multiple states, many vendors for the same category, and they need to see their spend in many ways to make important operational decisions. And those operational decisions for those big health systems, those mega-systems, may actually impact cost savings more than pricing only. So these are the systems that may have 15, 20, 30, 40 hospitals. And now they've got to say, "Okay, we have a," let's say a linen contract. Or "We have linen services." Or "We have dietary services." They have need to have multiple vendors. Typically one vendor can't serve all the system, and it's may not even be a good idea to do that, but they have multiple vendors serving their whole system, their corporate system. And how do they take that volume of data? It's just massive. One category, let's say dietary or linen or regulated medical waste. One category could be 20, 30, 40 million across 10, 15 vendors. And so big systems have big spend challenges. And so we saw in 2022, and we were really supporting that is, taking all that data and looking at it as a collective spend. And being able to slice and dice it, helping hospitals say, "Wait a minute, General Hospital is doing something different than Fairview Hospital. And what are they doing differently and what's the variation?" But that's really very advanced analytics, but that's what the big systems need.'' 35:49 Purchased services spend is a cost savings opportunity Lisa said that purchased services spend needs to be included within the supply chain for more effective cost management. ‘'So my number seven, which we'll wrap up this podcast with, and one of my favorite topics, of course, is purchase services remains a challenge and an opportunity. It's funny you said that, because our biggest challenges do become our greatest opportunities. So this space still is 50% of non-labor costs, and there's a lot of activity around it and focused on putting some of these services on a GPO contract. Whether or not that remains to be the best place or position for a hospital to do that, I'm of the insider, I'm of the thinking that there's so much... Again, back to utilization... of this invoice detail level analysis that needs to be done before you make any decisions to just move a contract to a GPO contract, or extend a contract or just take 5% off or 10% off. There just remains to have so much more rigor around analyzing purchase services. And again, lots of activity, lots of conversation about it, but I still think we need a lot more rigor and a lot more commitment for that. I did see it in 2022. A lot more hospitals are saying, "Yes, we're putting resources, time and energy." The unfortunate part is supply chain only oversees a very small part of overall all purchase services. So there's so much that resides outside. That's why the CFO and C-suite leaders do need to bring these services under their umbrella, because anything that would reside outside supply chain is probably not getting that same rigor. So in 2022 we saw more focus, more attention, which is great. I think 2023 is going to lead to lots of savings in this area.'' 39:44 The ‘'tsunami'' impact of inflation on hospitals Lisa said hospitals should consider reviewing contracts mid-term to offset rising costs. ‘'So I think inflation's a big deal. Every aspect of inflation will impact a hospital. And a hospital can't charge more money. I mean, we've all heard it right from eggs just to food, of labor, everything is increased. So you have to not just look at those contracts that are coming due, but opening up midterm agreements. … I think inflation needs to be really addressed head on. And the way to do that is through your contracts. I often say that contracts are a hospital's currency, and you could really drive improvements, but we've got to catch that headwind that's coming. So inflation, to me, is a really big deal. There are shortages, there are staffing issues, but when it comes to just having almost this tsunami price increases from just about every aspect, I think this has to be priority one for hospitals.'' Connect with Lisa Miller on LinkedIn Connect with Jim Cagliostro on LinkedIn Connect with Lisa Larter on LinkedIn Check out VIE Healthcare and SpendMend You'll Also Hear: Reasons for optimism: Why hospitals must explore innovative solutions and be poised for greatness. ‘'Even in a challenge, hospitals can thrive. You often hear the story of how many businesses were started in the Great Depression, and we've got to be reminded of that.'' The revenue opportunities that sit outside of typical patient care. ‘'What things could you do for your community that could bring in revenue? .. you see companies out there that are charging for full body scans, or they're charging for extra monthly lab testing…. There are for-profit companies that are selling in the space where really, hospitals should own it.'' True spend analytics will gather more momentum in 2023 ‘'…it's beyond technology, ERP tools. This is thinking, this is taking lots of data and pulling it all together.'' Why some people would prefer to be right than rich – and why hospitals must be certain vendors are offering the best price available. How the five dysfunctions of a team be the reason why 30-40% of why initiatives fail to achieve the desired outcome for hospitals. Learn more about Lisa's keynote speech ‘'Gain A Cost Advantage. ‘'It's engaging, it's informative, it's about 90 minutes. But it really is an area that really can drive enthusiasm, because you can gain a cost advantage.'' What To Do Next: Subscribe to The Economics of Healthcare and receive a special report on 15 Effective Cost Savings Strategies. There are three ways to work with VIE Healthcare: Benchmark a vendor contract – either an existing contract or a new agreement. We can support your team with their cost savings initiatives to add resources and expertise. We set a bold cost savings goal and work together to achieve it. VIE can perform a cost savings opportunity assessment. We dig deep into all of your spend and uncover unique areas of cost savings. If you are interested in learning more, the quickest way to get your questions answered is to speak with Lisa Miller at lmiller@spendmend.com or directly at 732-319-5700
Thursday, November 10, 2022: Learn what we know about two separate shootings in Shaker Heights and Garfield Heights, and threats made to the Cleveland Clinic. Plus, we take a look at the fight after a controversial call at a high school soccer game, and why Elyria is in trouble with the Department of Justice for sewer issues. Also, get your first look at the Cavaliers new City Edition jerseys for the 2022-23 season, the new roller coaster coming to Cedar Point, and more on 3News Daily. Connect with Stephanie Haney here: http://twitter.com/_StephanieHaney http://instagram.com/_StephanieHaney http://facebook.com/thestephaniehaney Read more here: 2 teen girls shot in Shaker Heights: What police are saying https://www.wkyc.com/article/news/local/shaker-heights-police-teenage-girls-shot-inside-vehicle/95-f2367e25-b386-46d3-b621-c79d6674be67 https://www.wkyc.com/article/news/local/cuyahoga-county/garfield-heights-police-department-investigation-shooting-1-dead-1-injured/95-47a49345-dead-451c-9b8f-9ffbb3286f01 All clear given after threats made against Cleveland Clinic's main campus and Fairview Hospital https://www.wkyc.com/article/news/crime/cleveland-clinic-fairview-hospital-lockdown-threat/95-c88deed0-ce68-4caf-ba83-4e4b608e828a OHSAA investigating controversial ending of Strongsville-Walsh Jesuit girls soccer game https://www.wkyc.com/article/sports/high-school/ohsaa-investigate-controversial-ending-strongsville-walsh-jesuit-girls-soccer-tournament-game/95-f168247a-8c51-40ba-9735-52fcae84409e Cleveland Cavaliers unveil 2022-23 City Edition uniforms; pay tribute to Cleveland Metroparks https://www.wkyc.com/article/sports/nba/cavaliers/cleveland-cavaliers-unveil-2022-23-city-edition-uniforms-clevland-metroparks/95-a00be304-def0-44c4-8528-febb4016e820 New roller coaster under construction at Cedar Point for 2023: Park shares first photos of Wild Mouse https://www.wkyc.com/article/entertainment/places/cedar-point/cedar-point-roller-coaster-construction-wild-mouse-boardwalk-grand-pavilion-2023-season/95-7c1a2bc6-1698-44dd-88a0-1571b263f6e1 New stores and food options coming to Tower City Center in Cleveland https://www.wkyc.com/article/life/shopping/tower-city-center-cleveland-new-stores-cavs-team-shop/95-748edd47-ba70-41ba-acb9-3ddae33c64df
Hurricane Nicole made landfall in Florida, Cleveland Clinic's Fairview Hospital was put on lockdown yesterday. Cavs lost to the Sacramento Kings. Britney Spears shuts down Millie Bobby Brown, Kim Kardashian under controversy for he cooking video and Jennifer Aniston opens up about her struggle with infertility.
webmaster@mytalk1071.comb5878e2c-3782-4583-8dec-68be22d0ff91Tue, 21 Apr 2020 07:28:28 PDTLori and Julia00:06:00Lori and Julia,myTalk,myTalk 107.1,Lori & Julia,Entertainment,Pop culture,celebrity,Lori Barghini,Julia Cobbs,Donny Lovehttps://pdst.fm/e/chtbl.com/track/E2G895/aw.noxsolut
We have decided to start a series of Haunted United States episodes based off the state were we have the most listeners. For our first episode Oregon was the big winner. So everyone join us as we dig into some haunted locations in Oregon! Thank you listeners for all your support. If you want us to cover your state next be sure to share us with your friends and family!! Be sure to follow us on Facebook, Instagram, and Twitter @unpnormalcy also check out our website www.unpnormalcy.com Support the show (https://www.patreon.com/unpnormalcy)
Listen to this post: In 2010, Representative Sara Gelser wrote a guest column describing the history and horrors of Fairview Hospital and Training Center. Please note: her column contains graphic… Continue Reading Pigeonhole Podcast 12: After Fairview
How cheese is harming your health, the benefits of ditching cheese, and how to break the cheese habit with Dr. Neal Barnard.What You'll Learn in this Episode: How he came to study cheese. The science behind cheese addiction. Why the cheese habit is so hard to break. What cheese does to your body. How to break the cheese habit. Easy cheese swaps. The positive health gains from ditching cheese. More from his book The Cheese Trap: How Breaking a Surprising Addiction Will Help You Lose Weight, Gain Energy, and Get Healthy. High Five Highlights: What made you fall in love with medicine? The year before medical school, I was an autopsy assistant at Fairview Hospital in Minneapolis. One day, a man died of a heart attack. The pathologist showed me the man's diseased heart, and I felt the atherosclerosis with my own hands and it was stunning to me. That day they were serving ribs in the hospital cafeteria, and I just couldn't eat them. As time went on, I realized I had to help people understand how nutrition affects our health, and I've been talking about it ever since. What was the best piece of advice you were ever given? When it comes to changing any habit, it's good to set up rules. Set up guidelines and stick with them. It's better to do that than tease yourself with moderation. I ask most of my guests about joy... what bring you joy in life and how can we all experience more joy in our own lives? Researchers have found that dopamine is released (the brain reward chemical). The healthy ways to trigger dopamine (the feel good in your brain) is 1) Being around other people. 2) Physical activity. 3) Music. Feeling good in a natural way. Do you have a favorite quote you can share? “I'm not an optimist, I'm not a pessimist, I am determined." Finish this sentence: “Throughout my life the most important thing I've learned is...” Life is short. We have a window of time to make this world a better place. Connect with Dr. BarnardShare the Show! If you enjoyed this show, please rate it on iTunes and write a brief review. That would help us tremendously in getting the word out and raising the visibility of the show. Sponsor: audible.com - get a FREE audiobook download and 30 day free trial at www.audibletrial.com/whichwayislife
How cheese is harming your health, the benefits of ditching cheese, and how to break the cheese habit with Dr. Neal Barnard.What You’ll Learn in this Episode: How he came to study cheese. The science behind cheese addiction. Why the cheese habit is so hard to break. What cheese does to your body. How to break the cheese habit. Easy cheese swaps. The positive health gains from ditching cheese. More from his book The Cheese Trap: How Breaking a Surprising Addiction Will Help You Lose Weight, Gain Energy, and Get Healthy. High Five Highlights: What made you fall in love with medicine? The year before medical school, I was an autopsy assistant at Fairview Hospital in Minneapolis. One day, a man died of a heart attack. The pathologist showed me the man's diseased heart, and I felt the atherosclerosis with my own hands and it was stunning to me. That day they were serving ribs in the hospital cafeteria, and I just couldn’t eat them. As time went on, I realized I had to help people understand how nutrition affects our health, and I’ve been talking about it ever since. What was the best piece of advice you were ever given? When it comes to changing any habit, it’s good to set up rules. Set up guidelines and stick with them. It’s better to do that than tease yourself with moderation. I ask most of my guests about joy... what bring you joy in life and how can we all experience more joy in our own lives? Researchers have found that dopamine is released (the brain reward chemical). The healthy ways to trigger dopamine (the feel good in your brain) is 1) Being around other people. 2) Physical activity. 3) Music. Feeling good in a natural way. Do you have a favorite quote you can share? “I’m not an optimist, I’m not a pessimist, I am determined." Finish this sentence: “Throughout my life the most important thing I’ve learned is...” Life is short. We have a window of time to make this world a better place. Connect with Dr. BarnardShare the Show! If you enjoyed this show, please rate it on iTunes and write a brief review. That would help us tremendously in getting the word out and raising the visibility of the show. Sponsor: audible.com - get a FREE audiobook download and 30 day free trial at www.audibletrial.com/whichwayislife
How cheese is harming your health, the benefits of ditching cheese, and how to break the cheese habit with Dr. Neal Barnard.What You'll Learn in this Episode: How he came to study cheese. The science behind cheese addiction. Why the cheese habit is so hard to break. What cheese does to your body. How to break the cheese habit. Easy cheese swaps. The positive health gains from ditching cheese. More from his book The Cheese Trap: How Breaking a Surprising Addiction Will Help You Lose Weight, Gain Energy, and Get Healthy. High Five Highlights: What made you fall in love with medicine? The year before medical school, I was an autopsy assistant at Fairview Hospital in Minneapolis. One day, a man died of a heart attack. The pathologist showed me the man's diseased heart, and I felt the atherosclerosis with my own hands and it was stunning to me. That day they were serving ribs in the hospital cafeteria, and I just couldn't eat them. As time went on, I realized I had to help people understand how nutrition affects our health, and I've been talking about it ever since. What was the best piece of advice you were ever given? When it comes to changing any habit, it's good to set up rules. Set up guidelines and stick with them. It's better to do that than tease yourself with moderation. I ask most of my guests about joy... what bring you joy in life and how can we all experience more joy in our own lives? Researchers have found that dopamine is released (the brain reward chemical). The healthy ways to trigger dopamine (the feel good in your brain) is 1) Being around other people. 2) Physical activity. 3) Music. Feeling good in a natural way. Do you have a favorite quote you can share? “I'm not an optimist, I'm not a pessimist, I am determined." Finish this sentence: “Throughout my life the most important thing I've learned is...” Life is short. We have a window of time to make this world a better place. Connect with Dr. BarnardShare the Show! If you enjoyed this show, please rate it on iTunes and write a brief review. That would help us tremendously in getting the word out and raising the visibility of the show. Sponsor: audible.com - get a FREE audiobook download and 30 day free trial at www.audibletrial.com/whichwayislife
How cheese is harming your health, the benefits of ditching cheese, and how to break the cheese habit with Dr. Neal Barnard.What You’ll Learn in this Episode: How he came to study cheese. The science behind cheese addiction. Why the cheese habit is so hard to break. What cheese does to your body. How to break the cheese habit. Easy cheese swaps. The positive health gains from ditching cheese. More from his book The Cheese Trap: How Breaking a Surprising Addiction Will Help You Lose Weight, Gain Energy, and Get Healthy. High Five Highlights: What made you fall in love with medicine? The year before medical school, I was an autopsy assistant at Fairview Hospital in Minneapolis. One day, a man died of a heart attack. The pathologist showed me the man's diseased heart, and I felt the atherosclerosis with my own hands and it was stunning to me. That day they were serving ribs in the hospital cafeteria, and I just couldn’t eat them. As time went on, I realized I had to help people understand how nutrition affects our health, and I’ve been talking about it ever since. What was the best piece of advice you were ever given? When it comes to changing any habit, it’s good to set up rules. Set up guidelines and stick with them. It’s better to do that than tease yourself with moderation. I ask most of my guests about joy... what bring you joy in life and how can we all experience more joy in our own lives? Researchers have found that dopamine is released (the brain reward chemical). The healthy ways to trigger dopamine (the feel good in your brain) is 1) Being around other people. 2) Physical activity. 3) Music. Feeling good in a natural way. Do you have a favorite quote you can share? “I’m not an optimist, I’m not a pessimist, I am determined." Finish this sentence: “Throughout my life the most important thing I’ve learned is...” Life is short. We have a window of time to make this world a better place. Connect with Dr. BarnardShare the Show! If you enjoyed this show, please rate it on iTunes and write a brief review. That would help us tremendously in getting the word out and raising the visibility of the show. Sponsor: audible.com - get a FREE audiobook download and 30 day free trial at www.audibletrial.com/whichwayislife