Podcasts about health care strategies

Karl Ensign, ASTHO Vice President of Island Support, tells us about ASTHO's work on the Guam Interagency Business Process Improvement Program to Strengthen Administrative Capacity project; Diana Crumley, Former Associate Director of Delivery System Reform at the Center for Health Care Strategies, says Medicaid could be leveraged for community health worker initiatives; an ASTHO blog article focuses on the integration of health equity into state and local data-sharing practices; and an ASTHO blog article features a conversation with the Project Director from Pew Charitable Trusts on how to share data between public health and providers. Saipan Tribune News Article: Cantor announces $11M in grants for Guam, CNMI ASTHO Webpage: Leveraging Medicaid to Support Community Health Workers and Address Health-Related Social Needs ASTHO Brief: Leveraging Medicaid to Support Community Health Workers ASTHO Blog Article: Integrating Health Equity into State and Local Data Sharing Practices ASTHO Blog Article: Partner Spotlight: Q&A with Lilly Kan, Project Director, The Pew Charitable Trusts  

In this season 5 overview of Medicaid Leadership Exchange, podcast hosts discuss how the season will explore the access-related challenges faced by Medicaid members across the nation and the work Medicaid agencies are doing to ensure high quality, equitable care. The season will have a particular focus on priority populations — centering both Medicaid members... Read more » The post Achieving Better Outcomes for Priority Populations: What to Expect in Seasons 5 of Medicaid Leadership Exchange appeared first on Center for Health Care Strategies.

No matter where someone lives — in rural regions, urban areas, or in-between — they should have equitable access to high-quality health care. This first episode in a new season of the Medicaid Leadership Exchange podcast highlights the importance of Medicaid to the millions of people living in rural communities across the country. It delves... Read more » The post The Impact of Medicaid on the Rural Health Care Landscape appeared first on Center for Health Care Strategies.

In this episode, we welcome our new co-hosts Eva Bighorse and Dr. Davina Two Bears, who are joining Dr. Farina King. We feature Eva (she/her) who is a 2023 Equity Changemaker with the Center for Health Care Strategies, as she advocates for Native American rights and access to healthcare. Eva is an Indigenous human development advocate with expertise in tribal healthcare relations. She has experience in strategic collaboration; working in multidisciplinary teams specializing in health care delivery and multi-stakeholder engagement; and serving children, youth, and adults living with disabilities in urban and rural areas, both on and off tribal land. She is committed to justice and motivated to advance access to health care and traditional life ways for Indigenous people everywhere, helping members of society live healthier, longer lives. Eva is a citizen of the Cayuga Nation born for the Navajo Nation.Resources and references:Equity Changemakers InstituteAmerican Indian Disability SummitNative American Cancer PreventionArizona American Indian Integrated Care Forum"Native hoop dance coaches preserve history, tradition with new generation" by Lauren KobleyNational Indian Health Board's Help & Healing Podcast: https://www.nihb.org/tribalhealthreform/hope-healing-podcast/ Black Feathers Podcast Disability Conversations for All: https://kucdd.ku.edu/black-feathersState of AZ Division of Developmental Disabilities Eligibility Determination: https://des.az.gov/services/disabilities/developmental-disabilities/determine-eligibility Indian Health Services Basics for health service:  https://www.ihs.gov/newsroom/factsheets/basisforhealthservices/

Medicaid leaders from Michigan and Indiana discuss strategies they're using to address these issues, including their efforts to co-design solutions with Medicaid members. The post Improving Aging Supports Through Collaboration appeared first on Center for Health Care Strategies.

Representatives from Wisconsin and Arizona share the innovative solutions their state Medicaid programs are developing in partnership with the housing sector to tackle homelessness. The post The Intersection of Housing and Health appeared first on Center for Health Care Strategies.

Explores how involving cross-agency teams at the beginning of efforts to design, implement, or improve programs can streamline processes across agencies and for enrollees. The post Aligning Medicaid and Behavioral Health in Virginia appeared first on Center for Health Care Strategies.

Explores how a cross-agency team in Alaska embarked on a journey mapping process to better understand the experiences of pregnant people impacted by substance use disorder to improve maternal health and reduce infant out-of-home placement. The post Mapping Members' Experience of Early Childhood Systems appeared first on Center for Health Care Strategies.

Explores how coordinating reentry and support services with community partners can improve the lives of people impacted by the justice system, and potentially help reduce rates of recidivism. The post Medicaid Finds New Partner in Justice appeared first on Center for Health Care Strategies.

Explores the importance of member experience advisory councils, and how implementing these groups can help programs streamline operations, foster inclusivity and equality, and promote perspectives that can improve Medicaid for community members. The post How Do Members Experience Medicaid? appeared first on Center for Health Care Strategies.

Offers insight into atypical cross-sector partnerships that offer great potential to align for better outcomes, such as state budget offices and legislators. The post Aligning for the Good of Medicaid Members appeared first on Center for Health Care Strategies.

Listen to ASCO's Journal of Clinical Oncology essay, “I Want to Kill You” by Dr. Noelle LoConte, Associate Professor of Medicine at the University of Wisconsin School of Medicine and Public Health. The essay is followed by an interview with LoConte and host Dr. Lidia Schapira. LoConte shares her experience of a patient's threat to kill her and her reflections on how health care can be improved. TRANSCRIPT Narrator: I Want to Kill You, by Noelle K. LoConte, MD (10.1200/JCO.22.02896)  My patient threatened to kill me. I was in the middle of a busy medical oncology clinic. I was seeing her to discuss test results 1 week after I told her I was concerned that her cancer had returned. As I suspected, the test confirmed recurrent cancer, and this time, it was incurable. I walked into the room to share this news with a woman who I had been seeing for about 3 years. I had been her oncologist since she was first diagnosed with stage III cancer and saw her through surgery and adjuvant chemotherapy. I had met her children, knew the names of her pets, and had discussed my children and pets with her. We were on very friendly terms, and I enjoyed seeing her name on my clinic schedule, certain that beyond discussion of her cancer and test results, we would also get into some interesting conversations about life, the weather, or college sports. Truly, it was a delight to be her oncologist. She had no known mental illness, no brain metastases, and had never been angry or violent with me. I used the SPIKES protocol to review why we were there and deliver the test results.1 I had done this many times before, and there was nothing that stood out to me in the moment about her or this clinical situation to make me think that I was in danger—a fact that made what happened next even more shocking. When I paused to see what questions or thoughts she had, she said, “I want to kill you. I want to blow your face off. You should never have become a doctor.” I intellectually understood that she was upset about the news of her cancer recurrence and had understandable anger at the dramatic impact this turn of events would have on her future. I understood that, in her mind, someone had to be blamed, and, mostly out of convenience, it was going to be me. I have since wondered if her lack of close friends and family may have amplified her reaction, in that she had few outlets available to her to discuss her fears and concerns. I have wondered if she felt let down by me after our years of cordial and friendly visits. It was a real-life example of kill the messenger.  She continued telling me that she could find my home address. At that moment, I scanned the room and recognized that I could be in real danger. I stood in the corner of the room. To get out, I would have to walk around the desk and between her and the examination table. I also realized that because it was a holiday, there were very few people around who might hear me yell for help. We did not have a panic button or hospital security on speed dial, and it would have taken them many minutes to get to me if I had used the phone in the examination room to call security. I looked down and saw that she had two large bags with her. Patients often bring bags such as these to their chemotherapy appointments, bags filled with things to pass the time such as iPads, books, knitting, board games, blankets, snacks, and water bottles. Suddenly, I realized that she was not scheduled to get chemotherapy that day, so why did she have these bags?  I was sure I was about to be killed. I was certain she had a gun in those bags.  I said anything I could think of to de-escalate the situation and get out of the room. I promised her a new oncologist, told her I would become a better doctor, and suggested that maybe the biopsy results were wrong (although I knew they were not). As she continued her tirade, I carefully walked past her to get out of the room, and although she never moved toward me, she continued to yell about what a terrible person I am. Once I was back in the workroom, a nurse escorted the patient out of the clinic. We called hospital security and were told they felt their services were not needed as the patient had left the clinic.  Despite this horrific encounter, I managed to make it through the rest of the clinic day in a daze. After the clinic was finished, I emailed my supervisor since it was a holiday and other employees were not in the hospital for me to call. In this email, I conveyed my fear and concern about this encounter while making it clear that I was still worried about my safety and the ability of the patient to continue to harm me. The response I received was generic: We will look into it. The very next day while I was at home, I received an alert that there was an active shooter in the area and realized with dread that it was on my block. It was not my patient, but her words about finding my home address haunted me. I hid on the floor after closing the blinds and locking all the windows and doors. My children were with me. For days, I did not sleep more than 1 or 2 hours. I was on constant high alert.  Three days later, I was seeing a different patient in the clinic and had what I now realize was a panic attack. I was barely able to complete the visit. The patient was kind and understanding, but I felt inadequate and knew that my patients deserved better. Importantly, I also knew that I deserved better. I reached out again to my immediate leadership team and said plainly that I was struggling and needed help. I was offered statements of support but no concrete actions.  While crying in my office, I searched our hospital's website for possible sources of help. I was lucky enough to come across our Employee Assistance Program and eventually got connected to a therapist. I will never forget the kindness and help she provided. She (correctly) told me that I had suffered an intense trauma and walked me through the next steps, which included meditation, hydration and nutrition, and intense aerobic exercise. She explained that the aerobic exercise (telling me to run as hard as you can with a goal for high heart rate and lots of sweating) can help the brain to heal from trauma and will prevent or diminish the development of posttraumatic stress disorder. I resisted my urge to search on PubMed to ascertain if these were evidence-based solutions and decided to try whatever she suggested. She also helped me accept a 2-week leave from work and find a therapist who specialized in trauma for health care workers. I continued to see a trauma therapist for a year until I felt I had adequately recovered.  Eventually, as is true with most traumas, time itself was the best healer. A few weeks later, when hospital leadership learned of my experience, things started to happen. Security did a walkthrough of the clinic space. Patient relations notified the patient that this type of behavior would not be tolerated. There was a backup plan put into place in the event the patient needed care when I was the only oncologist available (eg, on the in-patient unit). It was not all forward progress, however. I was told no changes needed to be made to the clinic and that we could not keep examination room doors open because of privacy concerns. The provider desk would continue to be in the corner of the room, and the patient would continue to sit between the provider and the door.  This was understandable given the cost to reconfigure rooms and the unfortunate reality with firearms that even being close to a door may not matter. I asked for panic buttons to be installed—I knew these existed in other clinics—but was told this could not happen. When I asked to be scheduled in rooms where my desk could be next to the door, I was offered a single conference room with no examination table and no medical supplies. I usually work out of three rooms on clinic days, so this would not work. I figured this was as good as it would get and elected to move on and suck it up. Fast forward to 2 weeks ago, when I learned that as much as I hoped these traumatic patient interactions would leave health care workers, they never truly do. I was the oncologist for the in-patient unit at our hospital, which is a liminal space of end-stage disease, anxious patients and families, and difficult decisions. The stakes and severity of the patients' situations are high. One patient and her family were furious at their medical situation of rapidly progressive cancer, as well as the hospital parking and layout, the plan of care, and even the cafeteria options. I was the recipient of all their frustration.  As the patient and her family yelled at me for being inept and stupid and not serving their needs, I had the distinct sensation that my spirit was floating away from my body. I was rising toward the ceiling, watching it all play out in front of me, seeing myself from a bird's eye view. I thought, “Wow, I am dissociating.” It was a surprisingly effective tool to Protect me at that moment and one that I now recognize as a normal response to trauma. Once the patient and family got all their anger out and told me to leave the room, I became unsteady and had to hold the banister to stay grounded. To drive home how vulnerable we all are in facing these kinds of threats, I reflected on the job of an oncologist. I give bad news on a regular basis, I control opiate prescriptions, and many of my patients feel their pain is not well controlled, a phenomenon seen across many oncology patients.2 If we think physicians are only murdered in the emergency room or on the psychiatry unit, we are fooling ourselves. Recent changes to concealed carry laws and increasing levels of medical mistrust and anger directed at health care workers in the wake of the COVID-19 pandemic likely will increase all providers' risk of gun violence.  With reflection, I now understand that my experience then was made worse by the lack of informed response by leadership to mitigate my trauma and the lack of efforts to improve safety. We deserve leaders and hospital staff who know immediately what to do when a physician is threatened, including reassigning the patient to a new provider immediately, having hospital administration or patient care services review with the patient the zero tolerance policy to provider threats, and allowing a prompt leave from work to address the trauma response, which is best done immediately after the event not months later or only on request.  We deserve urgent access to therapists and peer support who understand how to process and overcome trauma. Institutions should track threats to providers in real time and make rapid changes to improve safety. As individuals facing a traumatic patient encounter, we cannot afford to wait for the system to catch up to our needs. We can seek our own counseling and professional support while also providing critical support for our peers.3-5 I thought I was the weak one for not being able (even still) to let this death threat be in the past. I realize now that I am brave and strong for asking for help. We deserve safe environments and clinical practices to allow us to do the difficult work of being an oncologist without worrying about our personal safety. Together we can create clinics, hospitals, and teams that prioritize provider safety and proactively work to mitigate the trauma of patients and families who threaten their physicians and providers.  Dr. Lidia Schapira: Hello and welcome to JCO's Cancer Stories: The Art of Oncology, which features essays and personal reflections from authors exploring their experience in the field of oncology. I'm your host, Dr. Lidia Schapira, associate Editor for Art of Oncology and a professor of medicine at Stanford University. Today we are joined by Dr. Noelle LoConte, associate professor of Medicine at the University of Wisconsin School of Medicine and Public Health. In this episode, we will be discussing her Art of Oncology article ‘I Want to Kill You'.  Our guest disclosures will be linked in the transcript.  Noelle, welcome to our podcast. Thank you for joining us.  Dr. Noelle LoConte: You're welcome. Thanks for having me.  Dr. Lidia Schapira: It's our pleasure.  Dr. Lidia Schapira: I like to start the conversation by asking authors what it is that they're reading or what book they would recommend to a friend.  Dr. Noelle LoConte: Oh, that's a good one. I'm reading a book called Hell of a Book right now. Highly, highly recommend it. It's phenomenal. And a book that I would recommend that I recently read - well, Pachinko is a book that I read last year, but I just can't stop thinking about it. So I think that would be my recommendation.  Dr. Lidia Schapira: So good fiction is a wonderful way of releasing stress after a hard day at work.  Dr. Noelle LoConte: Truly.  Dr. Lidia Schapira: Can you talk a little bit about what made you write this particular piece? Are you somebody who likes to write to process experiences, or was this a particular message that you needed to convey?  Dr. Noelle LoConte: Yeah, I used to journal quite regularly, but gave that up when I started residency and haven't really picked it back up. But this story kind of wrote itself for me. I felt compelled. I could not stop thinking about it, and eventually, I had to do it.  Dr. Lidia Schapira: Reading it is very impactful. And you start with this amazing line, "My patient threatened to kill me." So you're telling us immediately what happened. And the story is quite awful, and I don't know if I should ask you to tell us a little bit about it, but just for the sake of bringing the listeners into the story, can you very quickly recap what happened and how that made you feel? Dr. Noelle LoConte: Yeah, the quick version is I had a long-standing patient in Oncology who I had an established relationship with, who had no red flags for me, who was getting the news of a recurrence, and in response to that news, gave me what I thought was a credible threat to kill me. And the story is about sort of what happened after that, the ripple effect even years later, and how the response of my boss, my health system, my colleagues maybe amplified or made it worse. And then what really compelled me to write this story was when there was a physician that was murdered by a patient, I think not an oncologist, but I just felt the circle sort of tightening in that eventually we're all going to have to think about this. And so that's really what pushed me to write it.  Dr. Lidia Schapira: Yes, and we're grateful for you bringing it to our attention. Let's just start by reflecting on this relationship you had with a patient. You opened the essay by saying that you seemed to trust each other, that you were delighted to see her name on the schedule, that she knew about you, that you had shared freely about your life. And then this threat comes out of nowhere. You didn't anticipate it, and it also comes at a time when there were very few people around because it's a holiday. So tell us a little bit about how you felt in that moment. You basically wanted to make a quick exit from the room, and that comes across, but can you tell us a little bit about what the feelings were that you experienced at the time?  Dr. Noelle LoConte: Immediately, I felt terrified because whether she intended to or not, I believed her that she had a firearm and was going to kill me. The story goes into why I felt that way, but suffice to say; I couldn't sort of intellectualize my way out of this one. I really, deep in my heart, felt panicked. I think after the fact after I got out of the room and got through that day of clinic, I felt ashamed. I think that was probably the emotion I felt, that I fell for it, so to speak, that I didn't just trust that everything was going to be fine.  Dr. Lidia Schapira: Can we talk a little bit more about that shame? I think that is such an important feeling that many physicians share an experience at some point and often doesn't get talked about. How long did it take you to understand that it was perhaps some shame that you were also feeling and perhaps that that was also isolating and compounding the trauma?  Dr. Noelle LoConte: I would say I felt ashamed because I got back to the workroom, and I had to ask for help. I'm of a generation of physician before work hour restrictions and caps and so forth, where I worked many a day, totally sick. I don't think I had ever called in sick to that point. I'm not saying that to say that's the right approach. I, in fact, do not think that's the right approach, but that's the type of physician that I am and how I grew up. I'm also from the upper Midwest, where work ethic really is like the most important personal characteristic, so I take my work pretty seriously. So I felt I had let myself down, I'd let my team down, I had let my patients down, that if I had been a “better physician,” that this wouldn't have gotten to me the way it did. So I would say I felt shame almost immediately. It's been the letting go of the shame that has taken a lot longer. Dr. Lidia Schapira: Talk to us a little bit about the process of letting go of the shame. You mentioned very specifically some activities that helped, finding a therapist that helped, taking time away from work that helped. But walk us through that process.  Dr. Noelle LoConte: Yeah, and I think part of the story, too, is that I kind of bumbled into this, and it would have been better for people above me or supporting me to be like, “You need to do X-Y-Z.” And ultimately, it was when I landed with Primary Care that they were like, “Oh yeah, we get threatened all the time. Here's how we do it.” But yeah, what I did was I used employee assistance program, and then they connected me with a trained therapist who worked with providers that have been threatened - so unfortunately, a growing population for her - and I just in that moment decided to set aside my need to kind of be evidence-based and intellectualize my way out of everything, and I said I am just going to trust that whatever they tell me is sound, and no matter how ‘woo' it sounds to me, I'm just going to do it. Because, at the time, I wasn't sleeping at all. At this point, it had been days, I think since I had slept. And she talked about hydration, nutrition, exercising to really get your heart pumping, get really sweaty, having a safety plan, not being alone. And so I just really just said, ‘I'm just going to do it.'. And then, ultimately, it's really time away from the incident. I mean, it still has not left me, but it is much better.  Dr. Lidia Schapira: Can you share with us a little bit how this impacted your life away from work, at home, how it impacted your relationship with your kids, with your peers, and with people you interact with outside of medicine?  Dr. Noelle LoConte: Yeah, I mean, the most immediate thing was that, unfortunately, there was an active shooter alert that happened shortly after my incident. And I was at home with my kids, and in the moment, I thought I was going to die, and I thought my kids were going to be left without a mother. So, my kids, I wanted to keep them safe from harm, and so I had real moments of thinking like, I should leave my job. It's not worth it. As far as my husband, he's also a physician, and so he implicitly understood.  Dr. Lidia Schapira: I'm glad you had the support that you needed. But you talk a little bit about the lasting trauma, and in the article, you mentioned that what led you to write about this was that there was a trigger that occurred. Can you share a little bit about that? And not only what the triggering incident was, but how do you continue to deal with sort of this ripple effect of what happened now several years ago?  Dr. Noelle LoConte: Yeah, the triggering event for me was I was up on our inpatient unit. So I'm an academic oncologist, we have an inpatient oncology unit. At the time, it was staffed by medical oncologists, we do a week at a time. Now it's shared with the hospitalist, which is wonderful. Actually, it's a great model. But I was the medical oncologist up there, and so you get whatever comes in the door for that week, and there was a patient who was angry and frustrated and had a very bad cancer and the recipe for possible aggressive behavior. And so we were rounding, and I was in the room, and she started yelling at me, and her mother started yelling at me about parking and the food in the cafeteria and when her CAT scan was going to happen - things I have zero control over. But I'm used to– I think all oncologists are used to kind of being the receptacle for people's feelings about an out-of-control situation. At least they can control their conversations with us.  So in the moment, I was like, “Okay, she's not really mad at me, she's mad at the situation, and I'm just going to let her get this out.” But what happened was it brought me right back to that room with my patient, and I dissociated for the first, and I think maybe the only time in my life where I physically could feel myself, like, leaving my body. It was very unsettling for me in the moment, and I had to kind of back up against the wall and ground myself. I realize now what I was doing. But yeah, so that happened. And then that same day, I think, was the day that the orthopedic surgeon got killed. And so I was just like, ‘What is going on?' There's so much gun stuff right now that it's just impossible to be like, “Well, I'm never going to think about this again,” because it's in your face all the time.  Dr. Lidia Schapira: I'm so sorry this happened to you. And again, on behalf of all of our readers, we're grateful that you took the time to share the experience with us.  So thinking a little bit about how we can respond to colleagues and how we can perhaps prevent some of these consequences of violent threats or acts of violence, what have you learned, Noelle? How should organizations respond? What do we need? What can we expect?  Dr. Noelle LoConte: Yeah, I think if you're in a leadership position over a clinic, over a group of providers, including physicians, NPs, APPs of any variety, learners, medical students, residents, fellows, you need to know at a moment's notice what to do if that person is traumatized. And I would include threats of violence in that trauma. Ultimately, it was sort of a game of hot potato with me, and nobody really knew, and they were looking into it, and it's really time sensitive. So I would say if you're a leader, know what to do and know it immediately. I think the other thing is, if you're a male, know that this happens to your female colleagues and non-binary colleagues much more. One of the strategies is to transfer the patient to a male provider. I think hospital security could have been more responsive to my concerns. So in my workspace, and it continues to this day, the provider's in the corner of the room, so you have to walk past. I think we could take some cues from psychiatry and emergency medicine, having things like panic buttons, easy exit for providers, security walk-throughs. Dr. Lidia Schapira: It saddens me to think that we need to think about it and plan for it in a way because we talk so much and train so much for establishing trusting relationships with our patients, and what you're saying is, basically, we can't take anything for granted, even in the context of what appears to be a functioning longitudinal relationship. And that's a scary thought. How do you go to clinic every day and think that this might happen again when you walk into a room?  Dr. Noelle LoConte: I mean, I'd be lying if I didn't say I sort of compartmentalize it, right? I am much more cautious about what I share with my patients about my family. I always kind of take a scan of the room when I'm entering right now and kind of know my surroundings a little bit better, I would say. And I don't assume, I think before this, I had assumed if they have brain mets, if they have a history of a psychotic mental illness, something like that, that I would be more concerned. I'm sort of always aware that this could happen. I think advocating for things like metal detectors, hospital security are all good things too, and I have much less tolerance for being the punching bag, I would say right now. So when people get angry, I just say, ‘I'm leaving the room. When you've calmed down, I'm happy to come back. Here's how to get a hold of me.' And that's all just self-preservation. That's not because I think patients are bad for being angry. I would probably be angry too, but I need to have clear boundaries about what I can and cannot do.  Dr. Lidia Schapira: How do you think this experience has changed you? And do you think that your colleagues and your patients appreciate the change?  Dr. Noelle LoConte: I think it's made me less open. It's definitely made me not want to have super close relationships with patients anymore. Less trusting. I mean, I know that my colleagues happily covered my clinic, but I know there are also hospitals where that wouldn't happen. I'm eternally grateful to those few weeks where they let me take a breather because that's when I realized I really love patient care, and I missed it. I don't know if everybody loves the new me, but I don't know that we had a choice.  Dr. Lidia Schapira: Do you think this is, in part, a gendered conversation? You mentioned that it's more likely to happen to women. Can you expand a little bit on that for listeners?  Dr. Noelle LoConte: Well, when you go to the literature, which of course, being an academic oncologist, was my first response, this happens all the time in emergency medicine and psychiatry. Much more common against women, I'll say providers, but physicians in particular. So yes, it is absolutely a gendered conversation. I think the expectation when we walk in the room is a different expectation about how relational we're going to be, how caring and compassionate. It's not just enough to be competent and intelligent. You also have to be motherly and loving and all this. So, yes, I absolutely think it's a gender conversation for sure. For sure.  Dr. Lidia Schapira: Are there any texts or papers that have been particularly helpful to you or stood out to you that you would recommend to others?  Dr. Noelle LoConte: There was a series, I believe, in emergency medicine literature. I can circle back to you guys and get you the exact reference, but I found their strategies for dealing with aggressive patients very helpful. And I actually found talking to my nursing friends and colleagues was really helpful because they are really experts in de-escalation. So I really rely on them to kind of get language that makes sense coming out of my mouth like that whole, “I'm going to come back when you stop being angry.” So I would say more than any individual article, it was talking to nurses. Dr. Lidia Schapira: I imagine a simulation exercise could be helpful as well for all of us, right? Especially those of us who may be more at risk or have the sort of open, sincere approach to patient care as if we can trust everybody, and perhaps we can. We're very glad that you shared what you were able to share.  Dr. Noelle LoConte: Thank you. Dr. Lidia Schapira: That you brought attention to this very important topic to our community, and I'm sure you've already had responses from colleagues. We've certainly heard from a lot of people who really appreciate your honesty and bringing this story forward and have unfortunately heard similar stories from colleagues.  Dr. Noelle LoConte: Yeah, I think it's pretty common. Dr. Lidia Schapira: So good luck, read well, play a lot, exercise your brains out until your heart rate is in the stratosphere. And thank you. Thank you for sending it. Thank you for sharing it. I know it's been very difficult.  Dr. Noelle LoConte: You're very welcome. Thank you for reading it.  Dr. Lidia Schapira: Until next time. Thank you for listening to JCO's Cancer Stories: The Art of Oncology. Don't forget to give us a rating or review, and be sure to subscribe, so you never miss an episode. You can find all of the ASCO shows at asco.org/podcasts.  The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions.  Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement.  Like, share and subscribe so you never miss an episode and leave a rating or review.  Guest Bio:  Dr. Noelle LoConte is an associate professor of Medicine at the University of Wisconsin School of Medicine and Public Health.  Additional Reading:  1.         Richardson SK, Ardagh MW, Morrison R, Grainger PC. Management of the aggressive emergency department patient: non-pharmacological perspectives and evidence base. Open Access Emerg Med. 2019 Nov 12;11:271-290. doi: 10.2147/OAEM.S192884. PMID: 31814780; PMCID: PMC6861170.   2.         Incivility in Health Care: Strategies for De-escalating Troubling Encounters      

Suzanne calls Kelsey Brykman, Senior Program Officer at the Center for Health Care Strategies to talk about the intersection of primary care and health equity. Kelsey describes her work under the Promoting Health Equity through Primary Care Innovation in Medicaid Managed Care Project, working with a variety of state Medicaid agencies Kelsey and her team help them think through what levers they have for advancing health equity through primary care. "It's because primary care is so foundational both as an entry point into the health system and also as, ideally, as the way in which patients develop longitudinal relationships with their care team that it is a critical piece of advancing health equity."

This episode explores the complexities of rethinking policies created during the COVID-19 public health emergency. The post Unwinding Pandemic-Era Medicaid Policies Requires Teamwork appeared first on Center for Health Care Strategies.

This episode explores how Medicaid leaders can use the recent spotlight on home- and community-based services to drive improvements in care and delivery. The post Big Stakes in Home- and Community-Based Services appeared first on Center for Health Care Strategies.

Medicaid, like nearly every other sector, is facing staff burnout following two-plus years of the pandemic. Recruiting Medicaid staff, however, presents unique challenges since it can be highly technical work. This new episode of the Medicaid Leadership Exchange podcast explores the inner workings of Medicaid's workforce recovery and the opportunity to build a more diverse,... Read more » The post Inside Medicaid's Workforce Recovery appeared first on Center for Health Care Strategies.

Medicaid leaders explore what a commitment to equity means for Medicaid and how to put it into action. The post Medicaid's Ongoing Equity Commitment appeared first on Center for Health Care Strategies.

Three Medicaid leaders discuss the behavioral health needs of children and opportunities for Medicaid to better support those needs. The post Meeting the Behavioral Health Needs of Children appeared first on Center for Health Care Strategies.

Three former Medicaid directors explore what they would prioritize now and into the future when the public health emergency unwinds — and where blind spots may lie. The post Leading Medicaid Out of Emergency and Into Its Future appeared first on Center for Health Care Strategies.

The Rockefeller Foundation releases its 5th survey of Americans' attitudes about the pandemic response; Dr. Nicole Alexander Scott, Director of the Rhode Island Department of Health, says every public health agency should update its Healthy People 2030 plan to reflect the pandemic's impact on measurable goals; ASTHO and the Center for Health Care Strategies offer a report explaining how public health departments can partner with Medicaid to advance health equity goals; and ASTHO's Maggie Davis shares her “thankful note” in advance of Public Health Thank You Day on November 22nd. The Rockefeller Foundation website: COVID Complications – Insights and Guidance on Ongoing Pandemic Communication Healthy People 2030 webpage: ODPHP's COVID-19 Custom List Center for Health Care Strategies webpage: Cross-Agency Partnerships for Health Equity – Understanding Opportunities Across Medicaid and Public Health Agencies APHA webpage: Public Health Thank You Day

Making the Most of the HSA & HRA - Game-Changing Health Care Strategies for small business owners and entrepreneurs. Mark and Mat cover so many important items that every business owner should know. Don't miss this episode! To learn more or search for prior episodes visit: https://mainstreetbusiness.com/

The past year has seen many sectors of health care increasingly pursue diversity, equity, and inclusion efforts as health equity become a more prominent topic. In this episode of the Medicaid Leadership Exchange podcast, Ivory Banks, chief of staff at the Department of Medical Assistance Services, Commonwealth of Virginia, and Marlia Mattke, assistant administrator at... Read more » The post Implementing Diversity, Equity, and Inclusion Efforts to Better Support Staff of Color appeared first on Center for Health Care Strategies.

Critical conversations about health equity can be productive when there is a shared and agreed-upon language amongst Medicaid agencies. In this episode of the Medicaid Leadership Exchange podcast, Tekisha Everette, executive director, Health Equity Solutions, Lisa Lee, commissioner, at the Kentucky Department of Medicaid Services, and Jim Jones, Medicaid Director, at the Wisconsin Department of... Read more » The post Talking about Anti-Racism and Health Equity: A Conversation with Tekisha Everette, Jim Jones, and Lisa Lee appeared first on Center for Health Care Strategies.

Effective data measurement is critical for Medicaid programs seeking to advance health equity and better understand different experiences of populations served by the program. In this episode of the Medicaid Leadership Exchange podcast, Ben Shaffer, Medicaid Director at the Rhode Island Executive Office of Health and Human Services, and Kelly Cunningham, Interim Medicaid Administrator at... Read more » The post Using Data to Empower Medicaid to Support Health Equity appeared first on Center for Health Care Strategies.

Join Luxa as she speaks with Dave Neal, Writer, Theater Director and Trauma Specialist, about how Metacognition can help us better contextualize our experiences and responses, how Trauma affects the brain, and how the concept of Neuroplasticity tells us that it is possible to heal from the hardship of past events. Also featuring Dave's Erisian poetry, an update on The Green Mushroom Project, and much more! Thank you so much for listening to the Lux Occult Podcast! If you'd like to support the show by helping Luxa buy books and curtail other costs, consider giving on Patreon: https://www.patreon.com/luxoccult Full Episode Notes:https://docs.google.com/document/d/e/2PACX-1vTKD-3HIXmamBNQyXSMhc2DSKfmXqVcjFmx1J2Pwky26abD9vUVUvJ4n-bxXDSE8dpw3t0bw51dwJF8/pub Check out the new Lux Occult YouTube Channel: https://www.youtube.com/channel/UCn8n4oQIH1uo08NhMvjjlB We would love to hear from you! Please send your thoughts, questions, suggestions or arcane revelations to luxoccultpod@gmail.com or message on Instagram @luxoccultpod https://www.instagram.com/luxoccultpod/ Check out Luxa's ongoing sigil and art project, The Memetic Disease: https://www.instagram.com/the_memetic_disease/ Thanks to Dave Neal for recommending these resources! Trauma Informed Care from the Center for Health Care Strategies https://www.traumainformedcare.chcs.org/ National Alliance on Mental Illness Helpline, which also lists some other phone and text resources- https://www.nami.org/help Info on the ACES study and related resources from the CDC under violence prevention- https://www.cdc.gov/violenceprevention/aces/index.html

The COVID-19 pandemic, ensuing recession, and amplification of issues related to health equity have forced state Medicaid agencies to evaluate their budgets and investments to better serve Medicaid enrollees. In this episode of the Medicaid Leadership Exchange podcast, Tracy Johnson, Medicaid director at the Colorado Department of Health Care Policy and Financing, and Caprice Knapp,... Read more » The post Building Health Equity into Medicaid Budgeting appeared first on Center for Health Care Strategies.

People who live in rural areas often experience health disparities caused by barriers to health care, such as lack of transportation, a shortage of providers, and closures of rural hospitals. In this episode of the Medicaid Leadership Exchange podcast, Michelle Probert, director at the Office of MaineCare Services, and Stephanie Stephens, associate commissioner of the... Read more » The post Addressing Barriers to Care for Rural Medicaid Enrollees in Maine and Texas appeared first on Center for Health Care Strategies.

As COVID-19 vaccines become broadly available in the U.S., state Medicaid leaders face ongoing challenges around equitable vaccine distribution and access for Medicaid enrollees, particularly for individuals from historically marginalized communities. In this episode of the Medicaid Leadership Exchange podcast, Lynnette Rhodes, executive director of medical assistance plans at the Georgia Department of Community Health,... Read more » The post Vaccine Equity Strategies: Perspectives from Georgia and West Virginia appeared first on Center for Health Care Strategies.

The COVID-19 pandemic presents an opportunity for public sector leaders to innovate their programming in response to the public health emergency, and to continue to find new ways to deliver high-quality care for their members, both related to COVID-19 and as part of their “normal” work. The post Driving and Delivering Results appeared first on Center for Health Care Strategies.

Leading through a public health emergency like COVID-19 presents unique challenges and opportunities. This Leadership Forward episode, the fifth in a series that explores the Consortium’s Framework for Public Sector Leadership, focuses on how the framework’s “Practicing Good Public Administration” domain applies in practice. Tom Betlach, MPA, former Arizona Medicaid Director, and Jim Jones, Medicaid Director... Read more » The post Practicing Good Public Administration During Challenging Times appeared first on Center for Health Care Strategies.

The current focus on equity and inclusion across the country presents an opportunity for public sector health leaders to engage their staff to create agency cultures that value equity and inclusion, both internally and for the populations they serve. This Leadership Forward episode, the fourth in a series that explores the Consortium’s Framework for Public... Read more » The post Engaging Staff to Be Equity-Minded appeared first on Center for Health Care Strategies.

This Leadership Forward episode, the third in a series that explores the Consortium’s Framework for Public Sector Leadership, focuses on how the framework’s “Setting and Managing Strategic Direction” domain applies in practice. The core competencies in this framework include vision and purpose, communication, planning for action, and balancing political and strategic agility. LaQuandra Nesbitt, MD,... Read more » The post Maintaining Strategic Vision and Purpose During COVID-19 appeared first on Center for Health Care Strategies.

This Leadership Forward podcast episode delves into the “Personal Leadership and Self-Management” domain of the Framework for Public Sector Leadership. This episode features Jami Snyder, MA, director of the Arizona Health Care Cost Containment System and Kody Kinsley, MPP, deputy secretary for behavioral health and intellectual and developmental disabilities for the North Carolina Department of Health... Read more » The post Resiliency During COVID-19: A Conversation with Public Sector Leaders appeared first on Center for Health Care Strategies.

This Leadership Forward podcast episode introduces the Public Sector Leadership Consortium, a new collaborative effort between the Center for Health Care Strategies (CHCS), the Milbank Memorial Fund, and the National Association of Medicaid Directors (NAMD), and its Framework for Public Sector Leadership. This episode features Medicaid directors from Florida and Texas who discuss how they... Read more » The post What Makes a Successful Public Sector Leader? appeared first on Center for Health Care Strategies.

As you continue to lead through the crisis from home, it is necessary to develop some new routines. One of the best ways to adapt to your new professional setting is to make time for your own development. In this episode of Quick-Takes for Medicaid Leaders Amid COVID-19, Ed O’Neil, PhD, MPA, a leadership development expert,... Read more » The post Developing While Working Remotely appeared first on Center for Health Care Strategies.

As the COVID-19 pandemic continues, most of us remain sheltered at home. Many people are becoming fatigued by the loss of boundaries between work and personal time — especially as summer is often a time to recharge. In this episode of Quick-Takes for Medicaid Leaders Amid COVID-19, Ed O’Neil, PhD, MPA, a leadership development expert,... Read more » The post Dealing with Extended Sheltering During COVID-19 appeared first on Center for Health Care Strategies.

An effective leader needs to know how to enlist others to achieve goals, but this can be a new challenge when everyone is working remotely during the COVID-19 pandemic. In this episode of Quick-Takes for Medicaid Leaders Amid COVID-19, Ed O’Neil, PhD, MPA, a leadership development expert, and Hilary Kennedy, program director for Medicaid leadership at the... Read more » The post Enlisting Others to Achieve Goals appeared first on Center for Health Care Strategies.

Once past coping with immediate needs during difficult times, Medicaid leaders must be able to pivot to develop strategies that can guide the organizational response in the coming months. In this episode of Quick-Takes for Medicaid Leaders Amid COVID-19, Ed O’Neil, PhD, MPA, a leadership development expert, and Hilary Kennedy, program director for Medicaid leadership... Read more » The post Pivoting to Strategy During COVID-19 and Beyond appeared first on Center for Health Care Strategies.

To ensure all levels of an organization have a leadership vision, Medicaid leaders must be able to provide coherence to those around them. In this episode of Quick-Takes for Medicaid Leaders Amid COVID-19, Ed O’Neil, PhD, MPA, a leadership development expert, and Hilary Kennedy, program director for Medicaid leadership at the National Association of Medicaid Directors, discuss... Read more » The post Using Vision as Coherence During Unsettling Times appeared first on Center for Health Care Strategies.

The COVID-19 pandemic, economic uncertainties, and the racial injustices left unaddressed for generations have led to the volatile, uncertain, complex, and ambiguous environment we are all working within today. In this episode of Quick-Takes for Medicaid Leaders Amid COVID-19, Ed O’Neil, PhD, MPA, a leadership development expert, and Hilary Kennedy, program director for Medicaid leadership at the... Read more » The post Addressing VUCA as a Leader appeared first on Center for Health Care Strategies.

Underperformance in any situation is a complex and challenging issue for leaders to address whether working in-person or virtually. In this episode, Ed O’Neil, PhD, MPA, a leadership development expert, speaks with Hilary Kennedy, program director for Medicaid leadership at the National Association of Medicaid Directors, about tips to address employee underperformance while working virtually... Read more » The post Addressing Employee Underperformance appeared first on Center for Health Care Strategies.

As healthcare organizations reach COVID-19 peaks and leaders begin to look at post-pandemic healthcare protocol, it becomes clear that the healthcare scene post-COVID will be very different than it was before the pandemic. Join Collective Medical’s Head of External Affairs, Kat McDavitt, and Community Based Coordination Solutions's CEO and Founder, Dr. Enrique Enguidanos, in this inaugural podcast as they interview Dr. Joanne Roberts, Senior Vice President and Chief Value Officer at Providence St. Joseph Health System, and Deborah Kozick, Associate Director of Delivery System Reform at the Center for Health Care Strategies to see what changes we can expect to see moving forward, and how this will impact our nation’s most vulnerable patients. Key Topics: Challenges faced with an influx of inpatient careEmployee retention during recession and pandemicPositive “lessons learned” as a result of COVID-19Forward-moving initiatives to address patients with behavioral health, social determinants of health, and other vulnerable populations

Working remotely during COVID-19 can make relationship building a challenge. In this episode of Quick-Takes for Medicaid Leaders Amid COVID-19, Ed O’Neil, PhD, MPA, a leadership development expert, speaks with Hilary Kennedy, program director for Medicaid leadership at the National Association of Medicaid Directors, about opportunities for state leaders to create and foster relationships virtually. View accompanying... Read more » The post Building and Using Relationships During COVID-19 appeared first on Center for Health Care Strategies.

Delegating projects or tasks during a pandemic means doing so virtually, which creates obstacles that would not be there if it were in person. In this episode of Quick-Takes for Medicaid Leaders Amid COVID-19, Ed O’Neil, PhD, MPA, a leadership development expert, speaks with Hilary Kennedy, program director for Medicaid leadership at the National Association of Medicaid... Read more » The post Delegating While Working Remotely appeared first on Center for Health Care Strategies.

One of the greatest challenges for those in leadership roles is learning how to influence without formal authority. In this episode of Quick-Takes for Medicaid Leaders Amid COVID-19, Ed O’Neil, PhD, MPA, a leadership development expert speaks with Hilary Kennedy, program director for Medicaid leadership at the National Association of Medicaid Directors, about how state leaders can... Read more » The post Using Emotional Intelligence to Influence appeared first on Center for Health Care Strategies.

With COVID-19 forcing organizations to work from home to flatten the curve, developing others has become a challenge. In this episode, Ed O’Neil, PhD, MPA, a leadership development expert speaks with Hilary Kennedy, program director for Medicaid leadership at the National Association of Medicaid Directors about strategies Medicaid leaders can use to continue developing their... Read more » The post Developing Others When No One is Around appeared first on Center for Health Care Strategies.

The heartbreaking statistics on maternal and infant mortality have motivated Medicaid and public health agencies across the country to partner in developing strategies that increase the likelihood of healthy outcomes before, during, and following birth. In this Medicaid Leadership Exchange podcast, staff from New Jersey, Ohio, and Virginia Medicaid, and the Association of State and... Read more » The post Moving the Needle on Maternal and Infant Mortality: A Conversation with New Jersey, Ohio, and Virginia appeared first on Center for Health Care Strategies.

Medicaid programs serve millions of Americans across the country. One important component of serving consumers well is ensuring that they have a voice in program design and operations. In this Medicaid Leadership Exchange podcast, MaryAnne Lindeblad, BSN, MPH, Washington State Medicaid director, and Tracy Johnson, PhD, Colorado Medicaid director, discuss the strategies and challenges they... Read more » The post Creating Meaningful Consumer Engagement in Medicaid: Perspectives from Colorado and Washington State appeared first on Center for Health Care Strategies.

Holding a leadership role in a Medicaid agency means that the days are busy and often pulled in multiple directions. In this dynamic environment, it can be challenging to find the time to focus on staff, their bandwidth, and their understanding of the agency’s vision. Making a commitment to staff morale and finding time for... Read more » The post Staying on Mission in Wisconsin Medicaid: Strategies for Engaging Staff appeared first on Center for Health Care Strategies.

Medicaid often represents one of the largest portions of a state budget and is a critical resource for individuals and families when state economies are struggling. With growing speculation about the timing of the next recession, planning for financial sustainability is on the minds of many Medicaid leaders. In this Medicaid Leadership Exchange podcast, Connecticut’s... Read more » The post Ensuring Strategic Program Sustainability in Medicaid appeared first on Center for Health Care Strategies.

Join Mark and Mat as they answer difficult tax and legal questions from around the country! Send in your Questions to Mark@kkoslawyers.com or Mat@kkoslawyers.com. Call in LIVE through Blog Talk Radio at 646-668-8326; Press #1 once on the line. Learn more at www.refreshyourwealth.com.

Join Mark and Mat as they answer difficult tax and legal questions from around the country! Send in your Questions to Mark@kkoslawyers.com or Mat@kkoslawyers.com. Call in LIVE through Blog Talk Radio at 646-668-8326; Press #1 once on the line. Learn more at www.refreshyourwealth.com.

Nearly all children in foster care are eligible for Medicaid. Building strong relationships between state Medicaid and child welfare agencies can help ensure that the needs of children and families in the child welfare system are met. In this Medicaid Leadership Exchange podcast, West Virginia Medicaid director Cindy Beane and Kentucky Medicaid director Carol Steckel... Read more » The post Developing Cross-Agency Collaboration to Better Serve Children in Foster Care appeared first on Center for Health Care Strategies.

How and why are social determinants of health making its way into the Medicaid managed care realm? To find out, Suzanne Delbanco calls Tricia McGinnis, MPP, MPH, Executive Vice President and Chief Program Officer of the Center for Health Care Strategies. The Center's December 2018 report, "Addressing Social Determinants of Health via Medicaid Managed Care Contracts and Section 1115 Demonstrations," analyzed 40 Medicaid managed care contracts and 25 approved § 1115 demonstrations across the country to analyze the trends in this emerging area of focus. Tricia McGinnis highlights states and health plans with programs and policies in place as well as new approaches to bringing social determinants of health investments to life. Through the Center's work in thinking through health equity, they have found that community-based organizations are well positioned to play an important role in bringing necessary and culturally-tailored support to patients.

Medicaid and public health partnerships play an important role in advancing a statewide approach to addressing chronic disease and population health. Collaboration and shared priorities between agencies play a significant role in addressing health conditions. In this episode, Deborah Fournier, senior director of Clinical to Community Connections at ASTHO, and Mark Larson, vice president of policy at the Center for Health Care Strategies, share some of the common misconceptions about each agency’s understanding of one another. They also discuss leveraging the respective roles and resources of Medicaid and public health through the CDC’s 6|18 Initiative. J.T. Lane (ASTHO Alumni-LA), director of value transformation at Navigant, also shares lessons learned on Medicaid and public health partnerships through the 6|18 Initiative and beyond in Louisiana. Guests: J.T. Lane (Alumni-LA), Director, Value Transformation, Navigant Deborah Fournier, Senior Director, Clinical to Community Connections, ASTHO Mark Larson, Vice President, Policy, Center for Health Care Strategies   Resources: ASTHO Getting Started: CDC's 6|18 Initiative Guide Clinical to Community Connections - Medicaid and Public Health Partnerships Other CDC: 6|18 Initiative CDC’s 6|18 Initiative Catalyst for Collaboration CHCS: Implementing CDC’s 6|18 Initiative: A Resource Center     This resource was supported by Cooperative Agreement Number, NU38OT000161, funded by the Centers for Disease Control and Prevention. The findings and conclusions in this resource are those of the author(s) and do not necessarily represent the official position of the Centers for Disease Control and Prevention.

There is a growing recognition of the role of trauma, particularly childhood trauma or adverse childhood events on health and health outcomes. Family physician Audrey Stillerman joins Thomas Kim for a two-part series about ACEs and the effects they have on health, and what we as health professionals should know about them. Dr. Stillerman is the Associate Director of Medical Affairs for the University of Illinois Office of Community Engagement and Neighborhood Health Partnerships and the medical director for the School Health Center Program at UI Health as well as at PCC Steinmetz. She is a Clinical Assistant Professor in the UIC Department of Family Medicine. She is board-certified in both Family Medicine and Integrative Medicine; since 1991 she has been providing comprehensive care for the whole family, from babies to senior citizens Dr. Stillerman serves as a steering committee member of the Illinois ACEs Response Collaborative and co-chair of its Health Committee as well as a co-investigator for a multi-site primary care ACE screening project. She is a founding member of the Center for the Collaborative Study of Trauma, Health Equity, and Neurobiology (THEN). She has recommended the following resources for further reading: SAMHSA’s 4 R’s of trauma-informed approached: https://www.samhsa.gov/nctic/trauma-interventions Center for Health Care Strategies 10 key ingredients: https://www.chcs.org/resource/10-key-ingredients-trauma-informed-care/ RWJ Self-Healing Communities: https://www.rwjf.org/en/library/research/2016/06/self-healing-communities.html Center for Center for Collaborative Study of Trauma, Health Equity and Neurobiology (THEN) – www.thencenter.org ACEs Too High: https://acestoohigh.com/ ACEs Connection: https://www.acesconnection.com/ If you enjoy the show, please rate, review & subscribe to us wherever you listen, it helps others find the show. You can write to us at contact@rospod.org or tweet us @RoSpodcast, or leave a message on our facebook page at facebook.com/reviewofsystems.

There is a growing recognition of the role of trauma, particularly childhood trauma or adverse childhood events on health and health outcomes. Family physician Audrey Stillerman joins Thomas Kim for a two-part series about ACEs and the effects they have on health, and what we as health professionals should know about them. Dr. Stillerman is the Associate Director of Medical Affairs for the University of Illinois Office of Community Engagement and Neighborhood Health Partnerships and the medical director for the School Health Center Program at UI Health as well as at PCC Steinmetz. She is a Clinical Assistant Professor in the UIC Department of Family Medicine. She is board-certified in both Family Medicine and Integrative Medicine; since 1991 she has been providing comprehensive care for the whole family, from babies to senior citizens Dr. Stillerman serves as a steering committee member of the Illinois ACEs Response Collaborative and co-chair of its Health Committee as well as a co-investigator for a multi-site primary care ACE screening project. She is a founding member of the Center for the Collaborative Study of Trauma, Health Equity, and Neurobiology (THEN). She has recommended the following resources for further reading: SAMHSA’s 4 R’s of trauma-informed approached: https://www.samhsa.gov/nctic/trauma-interventions Center for Health Care Strategies 10 key ingredients: https://www.chcs.org/resource/10-key-ingredients-trauma-informed-care/ RWJ Self-Healing Communities: https://www.rwjf.org/en/library/research/2016/06/self-healing-communities.html Center for Center for Collaborative Study of Trauma, Health Equity and Neurobiology (THEN) – www.thencenter.org ACEs Too High: https://acestoohigh.com/ ACEs Connection: https://www.acesconnection.com/ If you enjoy the show, please rate, review & subscribe to us wherever you listen, it helps others find the show. You can write to us at contact@rospod.org or tweet us @RoSpodcast, or leave a message on our facebook page at facebook.com/reviewofsystems.

The post Developing Medicaid Agency Executive Teams appeared first on Center for Health Care Strategies.

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The post The Art & Science of Setting the Leadership Frame appeared first on Center for Health Care Strategies.

Healthcare is becoming one of the biggest expenses for business owners and it has to be discussed. Join Mark and Mat as they discuss strategies to save on premiums, and tax strategies to enhance your health care needs. Deadlines are coming up! This is a critical show, please listen carefully and take notes! For more information visit www.refreshyourwealth.com

Healthcare is becoming one of the biggest expenses for business owners and it has to be discussed. Join Mark and Mat as they discuss strategies to save on premiums, and tax strategies to enhance your health care needs. Deadlines are coming up! This is a critical show, please listen carefully and take notes! For more information visit www.refreshyourwealth.com

Rene Thomas Folse, JD, Ph.D. is the host for this edition which reports on the following news stories. Supreme Court Uses "ABC" Test for Employment Finding, Judge Rejects Lien Claimants' Motion for DIR Contempt, Civil Qui Tam Action Affirmed for Fraudulent C&R, Sealed DEA Database Helps Opioid Litigants, Arrested for Collecting TD on 2 Claims While Working on 3 Jobs, 5 Indicted in Navy Insurance Fraud Scheme, Imperial County Woman Sentenced for Insurance Fraud, DWC Adjusts Pathology and Clinical Laboratory Section of OMFS, Scientists Ponder Cell Phone CT Brain Tumor Claims, AI Expected to be Center of Health Care Strategies.

Join Mark and Mat as they discuss the most cutting edge and productive strategies to save on healthcare costs and save taxes. This is actually a very fun and informative conversation about health care that will catch you off-guard! We promise you will enjoy it! Sit back, relax, grab a drink and takes notes through this awesome Refresh Your Wealth Radio Show. Don't forget you can get access to old shows and learn more at www.refreshyourwealth.com so make sure to take advantage of all the awesome topics we have discussed in the past.

Join Mark and Mat as they discuss the most cutting edge and productive strategies to save on healthcare costs and save taxes. This is actually a very fun and informative conversation about health care that will catch you off-guard! We promise you will enjoy it! Sit back, relax, grab a drink and takes notes through this awesome Refresh Your Wealth Radio Show. Don't forget you can get access to old shows and learn more at www.refreshyourwealth.com so make sure to take advantage of all the awesome topics we have discussed in the past.

New York City Undergraduate Commencement 2011 with honorary degree recipient Jo Ivey Boufford, MD. Dr. Ivey Boufford is President of The New York Academy of Medicine. Dr. Boufford is Professor of Public Service, Health Policy, and Management at the Robert F. Wagner Graduate School of Public Service and Clinical Professor of Pediatrics at New York University School of Medicine. She served as Dean of the Robert F. Wagner Graduate School of Public Service at New York University from June 1997 to November 2002. Prior to that, she served as Principal Deputy Assistant Secretary for Health in the US Department of Health and Human Services (HHS) from November 1993 to January 1997, and as Acting Assistant Secretary from January 1997 to May 1997. While at HHS, she served as the US representative on the Executive Board of the World Health Organization (WHO) from 1994 to 1997. From May 1991 to September 1993, Dr. Boufford served as Director of the King’s Fund College, London England. The King’s Fund is a royal charity dedicated to the support of health and social services in London and the United Kingdom. She served as President of the New York City Health and Hospitals Corporation (HHC), the largest municipal system in the United States, from December 1985 until October 1989. Dr. Boufford was awarded a Robert Wood Johnson Health Policy Fellowship at the Institute of Medicine in Washington, DC, for 1979-1980. She served as a member of the National Council on Graduate Medical Education and the National Advisory Council for the Agency for Healthcare Research and Quality from 1997 to 2002. She is currently Chair of the Board of Directors for the Center for Health Care Strategies and serves on the boards of the United Hospital Fund, the Primary Care Development Corporation and Public Health Solutions formerly MHRA. She was President of the National Association of Schools of Public Affairs and Administration (2002 -2003). She was elected to membership in the Institute of Medicine (IOM) in 1992 and is a member of its Executive Council, Board on Global Health and Board on African Science Academy Development. She was elected to serve for a four-year term as the Foreign Secretary of the IOM beginning July 1, 2006. She received an Honorary Doctorate of Science degree from the State University of New York, Brooklyn, in May 1992 and the New York Medical College in May 2007. She was elected a Fellow of the National Academy of Public Administration in 2005. She has been a Fellow of The New York Academy of Medicine since 1988 and a Trustee since 2004. Dr. Boufford attended Wellesley College for two years and received her BA (Psychology) magna cum laude from the University of Michigan, and her MD, with distinction, from the University of Michigan Medical School. She is Board Certified in pediatrics. Dr. Boufford has served on the AIHA Board since 2008. Degree: Doctor of Science (Sc.D.)