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In this episode of The Patient From Hell, host Samira Daswani speaks with oncology nurse Joshua Carter about his path into cancer care, shaped by personal experiences with family illness. They explore the differences between palliative and hospice care, the complexities of pain management, and the vital role nurses play as advocates. Josh also discusses misconceptions around pain medication, the promise and challenges of e-health tools, and the often-invisible workflows nurses navigate daily. He shares practical advice for patients, caregivers, and fellow clinicians, emphasizing the importance of early palliative care and being a bold advocate within the healthcare system.About Our GuestJosh Carter is an Oncology Nurse at Stanford Women's Cancer Center. His entire 17-year nursing career has been in oncology, with inpatient, industry, and outpatient experiences in Cleveland, Chicago, San Diego, and San Francisco. Josh holds undergraduate degrees from Kent State University and Ohio University and is currently on track to complete his Master's at the University of Michigan School of Nursing this Fall. He is a certified Oncology and Breast Care Nurse. His interests include Nursing Innovation, Digital Health, Patient Advocacy, Patient Education, Patient-Centered Design, Healthcare Improvement, Quality, and Implementation Science. With his interests in Healthcare Quality, Josh is currently a Site Assessor for the Michigan Oncology Quality Consortium. Josh has spoken at the National Oncology Nursing Society Congress and Authored Chapters of Oncology Nursing Society Text Books. Josh has been involved with research for caregivers of Cancer patients and has helped in the launch of newly approved cancer treatments. Josh has experience working on a cancer care delivery team at ASCO and has been awarded the DAISY Award for Extraordinary Nurses. Resources & Links:This episode was supported by the Patient Centered Outcomes Research Institute (PCORI) and features the PCORI study “A Stepped-Wedge Randomized Controlled Trial: Effects of eHealth Interventions for Pain Control Among Adults With Cancer in Hospice”Sections00:00 - Journey into Oncology Nursing03:22 - Understanding Palliative vs. Hospice Care07:04 - Pain Management in Cancer Care10:23 - Pain Management Strategies and Misconceptions20:32 - E-Health Interventions in Pain Management23:19 - The Complex Workflow of Oncology Nursing27:48 - Quick Tips for Patients and CaregiversConnect with Us:Enjoyed this episode? Make sure to subscribe, rate, and review! Follow us on instagram, facebook, or linkedin @mantacares and visit our website at mantacares.com for more episodes and updates.Listen Across Platform:Website: https://mantacares.com/pages/podcast?srsltid=AfmBOopEP5GJ-Wd2nL-HYAInrwerIVhyJw67salKT-r9Qb_gadBvbHie YouTube: https://www.youtube.com/@mantacares Spotify: https://open.spotify.com/show/6gM1GxDBUgXrHwlO0Zvnzs?si=9edb8680461d4eaa Apple: https://podcasts.apple.com/us/podcast/patient-from-hell/id1622669098 Disclaimer:All content and information provided in connection with Manta Cares is solely intended for informational and educational purposes only. This content and information is not intended to be a substitute for medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.This episode was supported by an award from the Patient-Centered Outcomes Research Institute.
Dr. Colin West is an internal medicine physician and Medical Director for Employee Well-Being at Mayo Clinic. Listen to Colin discuss individual and system-based strategies for addressing burnout, the MVPs of wellbeing (meaning, value and purpose) and research tools for measuring burnout and wellbeing.
Traditional approaches to closing care gaps in Medicare Advantage often fail to reach the members who need it most. This episode goes beyond conventional strategies to explore how innovative, remote, and community-driven solutions are transforming chronic care management—particularly for cardiometabolic conditions like diabetes, hypertension, and heart disease. Learn how health plans are leveraging proactive outreach, virtual engagement, and data-driven interventions to improve HEDIS scores, boost Star Ratings, and drive better long-term outcomes. Through real-world case studies and expert insights, we'll uncover scalable, cost-effective approaches that enhance care access, reduce avoidable hospitalizations, and deliver measurable impact for both members and plans. Panelists: Michael Harris, CEO, HealPros Tejaswita Karve, Ph.D. - Healthcare Quality and Innovation Leader, Stars Leader, Mass General Brigham Health Plan Mike Rapach, SVP Government Programs, President & CEO, CareFirst Community Health Plan Maryland Daniel Weaver, SVP Stars and Quality, Zing Health Bios: https://www.brightspotsinhealthcare.com/podcast-episodes/ This episode is sponsored by HealPros: HealPros helps health plans find and address missed care opportunities in member's homes, at events in their communities, and remotely. Our team specializes in helping polychronic members access the care they need, from anywhere. HealPros' Care Access Pros completed over 70,000 in-home visits in 2024 and is committed to engaging even more members in 2025 - including those that are hard-to-reach – as we work towards our vision of transforming millions of live each year. Our Care Connection Specialists make over 4,000,000 calls to members each year. With a sophisticated logistics operation, national footprint, and national network of providers, HealPros is available to work in all 50 states and the US Virgin Islands. For more information, visit www.healpros.com. Bright Spots in Healthcare is produced by Bright Spots Ventures Bright Spots Ventures brings healthcare leaders together to share working solutions or "bright spots" to common challenges. We build valuable and meaningful relationships through our Bright Spots in Healthcare podcast, webinar series, leadership councils, customized peer events, and sales and go-to-market consulting. We believe that finding a bright spot and cloning it is the most effective strategy to improve healthcare in our lifetime. Visit our website at www.brightspotsinhealthcare.com
Rural Health News is a weekly segment of Rural Health Today, a podcast by Hillsdale Hospital. News sources for this episode: Elizabeth Williams et. al, “Putting $880 Billion in Potential Federal Medicaid Cuts in Context of State Budgets and Coverage,” March 24, 2025, https://www.kff.org/medicaid/issue-brief/putting-880-billion-in-potential-federal-medicaid-cuts-in-context-of-state-budgets-and-coverage/; KFF. Allison Orris & Elizabeth Zhang, “Congressional Republicans Can't Cut Medicaid by Hundreds of Billions Without Hurting People,” March 17, 2025, https://www.cbpp.org/research/health/congressional-republicans-cant-cut-medicaid-by-hundreds-of-billions-without-hurting#_edn2; Center on Budget and Policy Priorities. Madeline Ashley, “10 hospital closures already in 2025 – what's going on?” March 21, 2025, https://www.beckershospitalreview.com/finance/10-hospital-closures-already-in-2025-whats-going-on/?origin=BHRE&utm_source=BHRE&utm_medium=email&utm_content=newsletter&oly_enc_id=8018I7467278H7C; Becker's Hospital Review. Chartis, “2025 rural health state of the state,” February 10, 2025, https://www.chartis.com/insights/2025-rural-health-state-state. Dustin Walsh, “Rural hospitals at risk for closure as financial pressure mounts,” March 11, 2025, https://www.crainsdetroit.com/health-care/rural-hospitals-risk-closure-financial-pressure-mounts; Crain's Detroit Business. Centers for Healthcare Quality & Payment Reform, February, 2025, “Rural Hospitals At Risk of Closing,” https://chqpr.org/downloads/Rural_Hospitals_at_Risk_of_Closing.pdf. The National Resident Matching Program, “National Resident Matching Program® Releases the 2025 Main Residency Match® Results, Celebrates the Next Generation of Physicians,” March 21, 2025, https://www.nrmp.org/about/news/2025/03/national-resident-matching-program-releases-the-2025-main-residency-match-results-celebrates-the-next-generation-of-physicians/. Thank you for listening to another episode of Rural Health Today, the podcast where we connect you to what really matters in rural health. Rural Health Today is a production of Hillsdale Hospital in Hillsdale, Michigan and a member of the Health Podcast Network. Our host is JJ Hodshire, our producer is Kyrsten Newlon, and our audio engineer is Kenji Ulmer. Special thanks to our special guests for sharing their expertise on the show, and also to the Hillsdale Hospital marketing team. If you want to submit a question for us to answer on the podcast or learn more about Rural Health Today, visit ruralhealthtoday.com.
Medicaid provides health coverage for more than 70 million Americans, including children, veterans, seniors, and people with disabilities. But as Congress works toward a reconciliation bill, proposed cuts totaling $880 billion have raised serious concerns about the program's future and the impacts on patients and providers.In this episode, Chip Kahn sits down with Dr. Bruce Siegel, President and CEO of America's Essential Hospitals, as he reflects on his 15 years of leadership, the critical role of serving uninsured and low-income patients, and the high stakes of the Medicaid debate unfolding in Washington.Key topics include:The evolving role of essential hospitals and the need to serve uninsured and low-income patients;Medicaid's role in the health system and why it is essential for patient care;The real-world impact of Medicaid cuts, including consequences for nursing home stays, community-based services, and hospital operations;Debunking the misconception that having insurance doesn't improve health outcomes; and,Bruce's advice for future health care leaders and what's next for him after America's Essential Hospitals.Guest Bio: With an extensive background in health care management, policy, and public health, Bruce Siegel, MD, MPH, has the blend of experience necessary to lead America's Essential Hospitals and its members through the changing health care landscape and into a sustainable future. With more than 350 members, America's Essential Hospitals is the only national organization representing hospitals committed to serving those who face financial and social barriers to care. Since joining America's Essential Hospitals in 2010, Siegel has dramatically grown the association as it strengthened its advocacy, research, and education efforts. His intimate knowledge of member needs comes in part from his direct experience as president and CEO of two member systems: New York City Health and Hospitals Corporation and Tampa General Healthcare. Just before joining America's Essential Hospitals, Siegel served as director of the Center for Health Care Quality and professor of health policy at The George Washington University School of Public Health and Health Services. He also served as New Jersey's commissioner of health. Among his many accomplishments, Siegel led groundbreaking work on quality and equity, with funding from the Robert Wood Johnson Foundation. He is a past chair of the National Quality Forum board and the National Advisory Council for Healthcare Research and Quality. Modern Healthcare recognized him as one of the “100 Most Influential People in Healthcare” from 2011 to 2019 and 2022 to 2024; among the “50 Most Influential Clinical Executives” in 2022, 2023, and 2024; among the “Top 25 Diversity Leaders in Healthcare” in 2021; one of the “50 Most Influential Physician Executives” from 2012 to 2018; and among the “Top 25 Minority Executives in Healthcare” in 2014 and 2016. He also was named one of the “50 Most Powerful People in Healthcare” by Becker's Hospital Review in 2013 and 2014. Siegel earned a bachelor's degree from Princeton University, a doctor of medicine from Cornell University Medical College, and a master's degree in public health from The Johns Hopkins University School of Hygiene and Public Health.
This episode has three chapters. Each one answers a key question, and, bottom line, it all adds up to action steps directly and indirectly for many, including plan sponsors probably, community leaders, and also hospital boards of directors. Here's the three chapters in sum. For a full transcript of this episode, click here. If you enjoy this podcast, be sure to subscribe to the free weekly newsletter to be a member of the Relentless Tribe. Chapter 1: Are commercial insurance premiums rising faster than the inflation rate? And if so, is the employee portion of those premiums also rising, meaning a double whammy for employees' paychecks (ie, premium costs are getting bigger and bigger in an absolute sense, and also employees' relative share of those bigger costs is also bigger)? Spoiler alert: yes and yes. Chapter 2: What is the biggest reason for these premium increases? Like, if you look at the drivers of cost that underpin those rising premiums, what costs a lot that is making these premiums cost a lot? Spoiler alert: It's hospitals and the price increases at hospitals. And just in case anyone is wondering, this isn't, “Oh, chargemasters went up” or some kind of other tangential factor. We're talking about the revenue that hospitals are taking on services delivered has gone up and gone up way higher than the inflation rate. In fact, hospital costs have gone up over double the amount that premiums have gone up. Wait, what? That's a fact that Dr. Vivian Ho said today that threw my brain for a loop: Hospital costs have gone up over double the amount that premiums have gone up. Chapter 3: Is the reason that hospital prices have rocketed up as they have because the underlying costs these hospitals face are also going up way higher than the inflation rate? Like, for example, are nurses' salaries skyrocketing and doctors are getting paid a lot more than the inflation rate? Stuff like this. Too many eggs in the cafeteria. Way more charity care. Bottom line, is an increase in underlying costs the reason for rising hospital prices? Spoiler alert: no. No to all of the above. And I get into this deeply with Dr. Vivian Ho today. But before I do, I do just want to state with three underlines not all hospitals are the same. But yeah, you have many major consolidated hospitals crying about their, you know, “razor-thin margins” who are, it turns out, incentivizing their C-suites to do things that ultimately wind up raising prices. I saw a PowerPoint flying around—you may have seen it, too—that was apparently presented by a nonprofit hospital at JP Morgan, and it showed this nonprofit hospital with a 15.1% EBITDA (earnings before interest, taxes, depreciation, and amortization) in 2024. Not razor thin in my book. It's a, the boards of directors are structuring C-suite incentives in ways that ultimately will raise prices. If you want to dig in a little deeper on hospital boards and what they may be up to, listen to the show with Suhas Gondi, MD, MBA (EP404). Vivian Ho, PhD, my guest today, is a professor and faculty member at Rice University and Baylor College of Medicine. Her most major role these days is working on health policy at Baker Institute at Rice University. Her work there is at the national, state, and local levels conducting objective research that informs policymakers on how to improve healthcare. Today on the show, Professor Vivian Ho mentions research with Salpy Kanimian and Derek Jenkins, PhD. Alright, so just one quick sidebar before we get into the show. There is a lot going on with hospitals right now. So, before we kick in, let me just make one really important point. A hospital's contribution to medical research, like doing cancer clinical trials, is not the same as how a hospital serves or overcharges their community or makes decisions that increase or reduce their ability to improve the health and well-being of patients and members who wind up in or about the hospital. Huge, consolidated hospital networks can be doing great things that have great value and also, at the exact same time, kind of harmful things clinically and financially that negatively impact lots of Americans and doing all of that simultaneously. This is inarguable. Also mentioned in this episode are Rice University's Baker Institute for Public Policy; Baker Institute Center for Health Policy; Suhas Gondi, MD, MBA; Salpy Kanimian; Derek Jenkins, PhD; Byron Hugley; Michael Strain; Dave Chase; Zack Cooper, PhD; Houston Business Coalition on Health (HBCH); Marilyn Bartlett, CPA, CGMA, CMA, CFM; Cora Opsahl; Claire Brockbank; Shawn Gremminger; Autumn Yongchu; Erik Davis; Ge Bai, PhD, CPA; Community Health Choice; Mark Cuban; and Ferrin Williams, PharmD, MBA. For further reading, check out this LinkedIn post. You can learn more at Rice University's Center for Health Policy (LinkedIn) and Department of Economics and by following Vivian on LinkedIn. Vivian Ho, PhD, is the James A. Baker III Institute Chair in Health Economics, a professor in the Department of Economics at Rice University, a professor in the Department of Medicine at Baylor College of Medicine, and a nonresident senior scholar in the USC Schaeffer Center for Health Policy and Economics. Ho's research examines the effects of economic incentives and regulations on the quality and costs of health care. Her research is widely published in economics, medical, and health services research journals. Ho's research has been funded by the National Institutes of Health (NIH), the Agency for Healthcare Research and Quality, the American Cancer Society, and Arnold Ventures. Ho has served on the Board of Scientific Counselors for the National Center for Health Statistics, as well as on the NIH Health Services, Outcomes, and Delivery study section. She was elected as a member of the National Academy of Medicine in 2020. Ho is also a founding board member of the American Society for Health Economists and a member of the Community Advisory Board at Blue Cross Blue Shield of Texas. Ho received her AB in economics from Harvard University, a graduate diploma in economics from The Australian National University, and a PhD in economics from Stanford University. 05:12 Are insurance premiums going up? 05:59 What is the disparity between cost of insurance and wage increases? 06:21 LinkedIn post by Byron Hugley. 06:25 Article by Michael Strain. 06:46 How much have insurance premiums gone up for employers versus employees? 09:06 Chart showing the cost to insure populations of employees and families. 10:17 What is causing hospital prices and insurance premiums to go up so exponentially? 12:53 Article by (and tribute to) Uwe Reinhardt. 13:49 EP450 with Marilyn Bartlett, CPA, CGMA, CMA, CFM. 14:01 EP452 with Cora Opsahl. 14:03 EP453 with Claire Brockbank. 14:37 EP371 with Erik Davis and Autumn Yongchu. 15:28 Are razor-thin operating margins for hospitals causing these rising hospital prices? 16:56 Collaboration with Marilyn Bartlett and the NASHP Hospital Cost Tool. 19:47 What is the explanation that hospitals give for justifying these profits? 23:16 How do these hospital cost increases actually happen? 27:06 Study by Zack Cooper, PhD. 27:35 EP404 with Suhas Gondi, MD, MBA. 27:50 Who typically makes up a hospital board, and why do these motivations incentivize hospital price increases? 30:12 EP418 with Mark Cuban and Ferrin Williams, PharmD, MBA. 33:17 Why is it vital that change start at the board level? You can learn more at Rice University's Center for Health Policy (LinkedIn) and Department of Economics and by following Vivian on LinkedIn. Vivian Ho discusses #healthinsurance #premiums and #hospitalpricing on our #healthcarepodcast. #healthcare #podcast #changemanagement #healthcareleadership #healthcaretransformation #healthcareinnovation Recent past interviews: Click a guest's name for their latest RHV episode! Chris Crawford (EP465), Al Lewis, Betsy Seals, Wendell Potter (Encore! EP384), Dr Scott Conard, Stacey Richter (INBW42), Chris Crawford (EP461), Dr Rushika Fernandopulle, Bill Sarraille, Stacey Richter (INBW41)
Watch the recordingPresented by Shawna Forst, Performance Excellence, Quality & Risk Coordinator at MercyOne Newton Medical CenterWhat do physical education teachers and performance excellence professionals have in common? More than you think! This session will feature one former P.E. Teacher's perspective on the similarities between coaching kids and leading quality and improvement efforts in the workplace while also sharing how to leverage KaiNexus to support and encourage those endeavors.In this webinar, you'll learn:To explore the basic fundamentals of being an effective coach, regardless of field.To identify how KaiNexus can be leveraged in being an effective coach.To understand how Lean methodology, leveraging KaiNexus, can help eliminate waste, build teamwork, reduce conflicts, reduce or eliminate defects, create IDEAL processes, services, and products as well as improve client satisfaction.Shawna is the Performance Excellence Quality & Risk Coordinator and Lean Healthcare Coach at MercyOne Newton Medical Center. Shawna has been a Lean Healthcare facilitator since January 2007 and has two years of experience as a technician in a cardiac unit. Since then, she has had various roles in Healthcare Quality and Safety. Shawna graduated from Simpson College in 2002 with a Bachelor of Arts in Physical Education and a Coaching Endorsement. In 2010, she became a Certified Professional in Healthcare Quality (CPHQ) and received her LEAN Green Belt certification in 2014. She also received her Masters in Business Administration from Western GovernorsUniversity in 2018.About the Presenter:Shawna Forst
On this week's episode, we look back another one of our listeners favorite episodes from August of 2024 with Harold Miller, President and CEO, Center for Healthcare Quality and Payment Reform. In this episode, Harold examines why as OB-GYN services go under, maternal and infant mortality rise, which is the result of a crisis that starts with inadequate payment models. Follow Rural Health Rising on Twitter! https://twitter.com/ruralhealthpod https://twitter.com/hillsdaleCEOJJ https://twitter.com/ruralhealthrach Follow Hillsdale Hospital on social media! https://www.facebook.com/hillsdalehospital https://www.twitter.com/hillsdalehosp https://www.linkedin.com/company/hillsdale-community-health-center https://www.instagram.com/hillsdalehospital/ Audio Engineering & Original Music by Kenji Ulmer https://www.kenjiulmer.com/
On this episode of Raise the Line, we're going to learn about the organization behind one of the most important exams in healthcare: the NCLEX, which is the licensing exam for nurses in the US. The influence of the test, which is overseen by the National Council of State Boards of Nursing (NCSBN), is hard to overstate because of its role in driving what nursing students and educators focus on. That was made evident when the heavily revamped Next Generation NCLEX, launched in 2023, placed much greater emphasis on clinical judgment than had been the case on past exams. “I think the education transformation prompted by the new exam is still going on. The launch was more of a catalyst than I expected,” says Dr. Philip Dickison, CEO of NCSBN, who was director of Health Professions Testing at Elsevier before joining the Council in 2010. Through administering licensing exams and serving as the collective voice of nursing regulators across the country, Dickison says NCSBN strives to achieve its ultimate goal, which is building public confidence in the competence of nurses. “I see our job at the Council as making sure there is a moment of trust between a patient and their nurse.” Join host Liz Lucas, Senior Content Manager for Nursing at Osmosis from Elsevier, as she explores the important work that goes on behind the scenes in the healthcare industry to help ensure public health and safety, and uncovers what Dickison learned as a military medic that still influences his work today.Mentioned in this episode:National Council of State Boards of Nursing
Over the past two decades, nearly 200 rural hospitals have closed, resulting in millions of Americans losing access to an emergency room, inpatient care, and other hospital services. And today, more than 700 rural hospitals in the U.S. – or approximately 1 in 3 – are at risk of closing due to financial problems, according to a report from the nonprofit Center for Healthcare Quality and Payment Reform. All this comes at a time when rural health disparities are rampant. In the final episode of our rural health series, we consider solutions: What does it take to prevent rural hospital closures? What evidence-based solutions can policymakers consider to ensure all Americans have access to critical health services, regardless of where they live? Health Disparities podcast host Bill Finerfrock speaks with Harold Miller, president and CEO of the Center for Healthcare, Quality and Payment Reform and adjunct professor of public policy and management at Carnegie Mellon University. Miller says many people assume that when a rural community loses a hospital, it's one of several options, when in reality, “in many small rural communities, the hospital is the only place to get any kind of health care. It is the only place where, not only where there is an emergency department, but because there's no urgent care facility in the community, there's no other place to get a lab test, there may not even be primary care physicians in the community.” When it comes to policy considerations to prevent rural hospital closures, Miller says there need to be a greater emphasis on the role private health insurance plans play in putting hospitals at risk. “The myth, unfortunately, is that the problem of rural hospital payment is all about Medicare and Medicaid, and that has led people to focus, I believe, inappropriately and excessively, on Medicare and Medicaid,” he says, “when what we have found is that the biggest problem for most rural hospitals is private insurance plans who don't pay the rural hospital even as much, in many cases, as Medicare or Medicaid does. … We need to start thinking about how to solve the real problems and to solve them now, rather than waiting until the hospital is faced with closure.” Never miss an episode – be sure to subscribe to The Health Disparities podcast from Movement Is Life on Apple Podcasts, YouTube, or wherever you get your podcasts.
"In what other industry could a purveyor put out 99% bad bills and stay in business?" - Linda Komisak “They're diagnosing things for things that you don't even have. And that's scary.” - Kimberly Carleson Kimberly Carleson, CEO of US Beacon, and Linda Komisak, founder of Upturn Consulting LLC, joined me to talk about two critical ways of increasing healthcare transparency: claims reviews and quality metrics. These two topics are key to understanding why the healthcare system is so broken. If you buy any other service, you can (a) expect to only be billed for the services that were performed and (b) have the ability to research the quality of vendors and pick the best one. Why can't we do that in healthcare? This is an incredibly informative episode, and we cover more than just those two topics including nurse staffing shortages, how to identify the best hospital systems, and why it's so important to gather feedback from nurses. Chapters: 00:00:00 Meet Kimberly Carleson and Linda Komisak 00:01:11 Taking Feedback from Nurses 00:06:30 Nurses' Impact on Hospital Quality 00:11:31 Why Are There Nursing Shortages? 00:18:18 Nurse Advocacy for Enhanced Patient Experience 00:25:18 Quality Metrics and Patient Billing Integrity 00:39:11 The Importance of Nurse Feedback 00:49:17 Surgeon Incentives in Billing 00:58:12 Healthcare Cost Savings Through Billing Review Key Links for Social: @SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFunded Listen on Spotify - https://open.spotify.com/show/1TjmrMrkIj0qSmlwAIevKA?si=068a389925474f02 Listen on Apple Podcasts - https://podcasts.apple.com/us/podcast/self-funded-with-spencer/id1566182286 Follow Spencer on LinkedIn - https://www.linkedin.com/in/spencer-smith-self-funded/ Follow Spencer on Instagram - https://www.instagram.com/selffundedwithspencer/ Key Words: Healthcare Quality, Nurse Insights, Patient Experience, Claims Integrity, Quality Metrics, Upcoding Practices, Nursing Shortage, Billing Transparency, Nurse Anonymity, Healthcare Billing, Hospital Quality, Nurse Feedback, insurance, nursing, healthcare, health insurance, podcast, self funded, self funding #HealthcareQuality #NurseInsights #PatientExperience #ClaimsIntegrity #QualityMetrics #UpcodingPractices #NursingShortage #BillingTransparency #NurseAnonymity #HealthcareBilling #HospitalQuality #NurseFeedback #insurance #nursing #healthcare #healthinsurance #podcast #selffunded #selffunding --- Support this podcast: https://podcasters.spotify.com/pod/show/spencer-harlan-smith/support
"In what other industry could a purveyor put out 99% bad bills and stay in business?" - Linda Komisak “They're diagnosing things for things that you don't even have. And that's scary.” - Kimberly Carleson Kimberly Carleson, CEO of US Beacon, and Linda Komisak, founder of Upturn Consulting LLC, joined me to talk about two critical ways of increasing healthcare transparency: claims reviews and quality metrics. These two topics are key to understanding why the healthcare system is so broken. If you buy any other service, you can (a) expect to only be billed for the services that were performed and (b) have the ability to research the quality of vendors and pick the best one. Why can't we do that in healthcare? This is an incredibly informative episode, and we cover more than just those two topics including nurse staffing shortages, how to identify the best hospital systems, and why it's so important to gather feedback from nurses. Chapters: 00:00:00 Meet Kimberly Carleson and Linda Komisak 00:01:11 Taking Feedback from Nurses 00:06:30 Nurses' Impact on Hospital Quality 00:11:31 Why Are There Nursing Shortages? 00:18:18 Nurse Advocacy for Enhanced Patient Experience 00:25:18 Quality Metrics and Patient Billing Integrity 00:39:11 The Importance of Nurse Feedback 00:49:17 Surgeon Incentives in Billing 00:58:12 Healthcare Cost Savings Through Billing Review Key Links for Social: @SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFunded Listen on Spotify - https://open.spotify.com/show/1TjmrMrkIj0qSmlwAIevKA?si=068a389925474f02 Listen on Apple Podcasts - https://podcasts.apple.com/us/podcast/self-funded-with-spencer/id1566182286 Follow Spencer on LinkedIn - https://www.linkedin.com/in/spencer-smith-self-funded/ Follow Spencer on Instagram - https://www.instagram.com/selffundedwithspencer/ Key Words: Healthcare Quality, Nurse Insights, Patient Experience, Claims Integrity, Quality Metrics, Upcoding Practices, Nursing Shortage, Billing Transparency, Nurse Anonymity, Healthcare Billing, Hospital Quality, Nurse Feedback, insurance, nursing, healthcare, health insurance, podcast, self funded, self funding #HealthcareQuality #NurseInsights #PatientExperience #ClaimsIntegrity #QualityMetrics #UpcodingPractices #NursingShortage #BillingTransparency #NurseAnonymity #HealthcareBilling #HospitalQuality #NurseFeedback #insurance #nursing #healthcare #healthinsurance #podcast #selffunded #selffunding --- Support this podcast: https://podcasters.spotify.com/pod/show/spencer-harlan-smith/support
Today's episode discusses patient-centered care in long-term care, including principles of person-centered care, practical implications of person-centered care on patient outcomes, treatment strategies. We're joined by Jean Storm, DO, CMD, CHCQM, Medical Director at Quality Insights. This is Part 2 of a 2-part series. Watch Video RecordingDownload Presentation SlidesCheck out our other interviews by visiting https://www.qualityinsights.org/ qin/multimedia This material was prepared by Quality Insights, a Quality Innovation Network - Quality Improvement Organization under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services (HHS). Views expressed in this material do not necessarily reflect the official views or policy of CMS or HHS, and any reference to a specific product or entity herein does not constitute endorsement of that product or entity by CMS or HHS. Publication number 12SOW-QI-GEN-103024-CC-A
In this episode of the Habitual Excellence Podcast, Ken Segel interviews Dr. Richard Shannon, Senior Vice President and Chief Medical Officer of Duke University Health System, about the evolution of healthcare quality and safety over the past 25 years. Dr. Shannon discusses his journey, which shifted focus after encountering Paul O'Neill and the Pittsburgh Regional Healthcare Initiative, emphasizing that the current healthcare environment has fallen into a "tyranny of measurement" that often overlooks real improvements. He highlights how Duke has implemented a management system that emphasizes people development, standard operating procedures, and continuous improvement to reduce variability in care, leading to improved patient and staff outcomes. They explore the importance of servant leadership, lean management, and addressing social determinants of health. Dr. Shannon calls for a shift at the national level—from focusing solely on metrics to embracing comprehensive improvement methods, incentivized by organizations like CMS. He also expresses concerns about the upcoming generational shift in healthcare leadership and the importance of developing new leaders who can continue advancing these quality initiatives. Dr. Shannon ends by discussing his legacy, emphasizing that true transformation requires spending all political capital and leaving an organization better than when one arrived. He provides an example of addressing racial disparities at Duke, where maternal morbidity for African American women was significantly reduced through improvements in patient access and care coordination. This case illustrates how a robust quality system can lead to impactful and equitable healthcare outcomes, reinforcing that healthcare transformation is both achievable and necessary.
What does it mean to transform healthcare quality measurement through digital innovation? In this episode of the Care Catalyst series hosted by Cognizant Product Director Chenny Solaiyappan, NCQA CPO Krishna Kandula speaks on the organization's transformative initiatives in the healthcare industry. Krishna shares his journey from a technologist to a healthcare quality and risk management expert, and how his experience has informed his work at NCQA. The discussion delves into the importance of HEDIS (Healthcare Effectiveness Data and Information Set) and NCQA's shift towards digital quality measurement and data aggregation and validation. Krishna explains how these initiatives are aligned with CMS's strategy to transition all quality measures to a digital format, enhancing data accuracy, interoperability, and ultimately, patient outcomes.
In Episode 65, Melissa talks with Farah Towfic, Senior Director of Healthcare Quality and Safety Center of Excellence with the US Pharmacopeia (USP). We discuss Farah's passion for innovative technology ...
What is quality improvement and patient safety? Why is quality and safety important in healthcare? Is there quality and safety education for residents online? Our guest is Amber Clevenger, GME quality manager at Ohio State College of Medicine. American Medical Association CXO Todd Unger hosts.
In this episode, Harold D. Miller, President and CEO of the Center for Healthcare Quality and Payment Reform, discusses the growing crisis of rural hospital closures. He sheds light on the underlying causes, common misconceptions, and the critical steps needed to preserve essential healthcare services in rural communities.
In this episode, Molly Gamble, VP of Editorial at Becker's Healthcare, discusses a critical report revealing that over 700 rural U.S. hospitals are at risk of closure. She shares insights from Harold Miller of the Center for Healthcare Quality and Payment Reform, highlighting the broader impact of these closures on communities, emergency services, and healthcare equity.
Rural America has faced hundreds of hospital closures over the past decade, but no service is more neglected than maternity care. As OB-GYN services go under, maternal and infant mortality rise, which is the result of a crisis that starts with inadequate payment models. On this week's episode, hosts JJ and Rachel talk with Harold Miller, President and CEO, Center for Healthcare Quality and Payment Reform. Follow Rural Health Rising on Twitter! https://twitter.com/ruralhealthpod https://twitter.com/hillsdaleCEOJJ https://twitter.com/ruralhealthrach Follow Hillsdale Hospital on social media! https://www.facebook.com/hillsdalehospital https://www.twitter.com/hillsdalehosp https://www.linkedin.com/company/hillsdale-community-health-center https://www.instagram.com/hillsdalehospital/ Audio Engineering & Original Music by Kenji Ulmer https://www.kenjiulmer.com/
(This episode originally aired on September 12, 2023.) With rising costs and tightening margins, the industry is continually looking for ways to "bend the cost curve" while maintaining, or even increasing, quality and performance. One stakeholder in particular, employers, are feeling significant pressures from inflation, hospital consolidation, the rise of high-cost drugs, and more. While many legacy cost-saving strategies have focused on reducing employer costs, it may be time to shift focus to lowering costs for employees as well. In this episode, host Rachel (Rae) Woods invites Advisory Board payer expert Max Hakanson and Innovation lead at JPMorgan's Morgan Health Rivka Friedman to discuss what employers can do to rein in healthcare costs, both for themselves and their employees. Throughout the discussion, they discuss why legacy cost-sharing strategies may be insufficient, and what new innovations are showing promise in the market. Links: Home | Morgan Health Ep. 165: Employer series: Is the cost of employer-sponsored insurance unsustainable? Investigating the high costs in employer-sponsored insurance 5 health benefits strategies for self-funded employers 3 things to know about ESI (that you won't find in a benefits survey) Learn more about Advisory Board Sponsorship
This is a special Episode Edition on the @Alloutcoach Podcast. Tune into this memorable highlight from the 2023 Medical Affairs Innovation Olympics event Opening Ceremony full of real-world practical case studies, striking new statistics, and critical commentary - an expert panel discussion about the details necessary to make both short-term and long-term marks on improving healthcare quality from both the perspective of a globally recognized healthcare quality expert physician and public health speaker, Dr. Rashad Massoud (Visiting Faculty T.H. Chan School of Public Health), and of an innovative pharma industry executive recognized for his leadership and dedication to patient advocacy groups, holding senior leadership roles in Commercial, Marketing, Market Access and most recently in Medical Affairs, Rob Adamoski (Vice President, Corcept Therapeutics). 0:00 Intro Music 0:22 Episode Highlight Cushing Syndrome Case Study - Perception Gap on Treatment Quality between Patients vs their Healthcare Providers. 1:58 Speaker Introductions 4:11 Panel Discussion Outline 4:38 Global Healthcare Quality Improvement Case Study USAID Applying Chronic Care Model to Improve Coverage, Retention, and Clinical Outcomes: Uganda 16:46 Role Medical Affairs in Pharma can Play on Health Quality 17:56 Connection to Disease - Stimulating Purpose in Medical Affairs 19:29 Value of Recent and Relevant Clinical Experience in Medical Affairs 20:21 Aiming for Diversity of Experience across entire Care Continuum 22:07 Finding the Right Balance on Your Medical Affairs Team 22:58 Case Study: Personalized Medical Liaison led Executive Staff training 25:01 Critical Gaps in Training in Medical Affairs Team - benchmarking data Larger Organizations offer more training opportunities vs mid-sized and smaller pharma or biotech companies in Medical Affairs. Only 42% of Medical Affairs organizations provide any training and only 23% of small pharma companies (Medical Affairs Professional Society) 27:01 Why Most of Us in Medical Affairs believe Metrics are not Meaningful 28:57 Power of a Graded Data Science based KPI Feedback Loop 30:12 2023 Medical Affairs Metrics Global Benchmarking Gap in Analysis70% of Medical Affairs companies do not systematically analyze how their activities lead to outcomes 30:41 The Motive to Measure Performance in Medical Affairs with KPIs 31:24 Medical Productivity Index (MPI) Model to Increase Performance 32:25 Integrating Health Systems Approaches to Metrics in PharmaAll-Mobile Hypertension Clinics that improved quality and bridges health equity gaps - India Case Study 42:38 Medical Affairs Improving Healthcare Decisions - Patient Advocacy 47:00 How Healthcare Cost relates to Quality - latest trends 49:44 How can we make Healthcare Jobs Desirable again? 52:40 Improving Quality w/ 1) Accountability & 2) Transparent Data Culture
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Breaking Barriers to Healthcare Accessibility with Dr. Katherine J Sullivan Dr. Katherine J. Sullivan has the solution to revolutionize healthcare accessibility and personalize it for everyone! Dr. Katherine J Sullivan, Founder and CEO of 360 Wellness Solutions, is on a mission to make healthcare accessible and personal for all. With a background in movement science and extensive experience in academia and clinical practice, Dr. Sullivan has a deep understanding of the importance of addressing the Social Determinants of Health. Through 360 Wellness Solutions, a rehabilitation services organization, she and her team provide multi-specialty healthcare to individuals with disabilities and their families, promoting collaboration between healthcare professionals, social services agencies, and non-profits. Join the movement towards inclusive and compassionate healthcare with Dr. Katherine J Sullivan and 360 Wellness Solutions. #PersonalizedMedicine #Telemedicine #HealthAdvocacy #DigitalHealth #HealthEquity #HealthInnovation #HealthcareDelivery #PreventiveCare #HealthcareQuality #HealthcareIndustry #HealthcarePolicy #Wellness #Healthcare #MedicalTechnology #PatientExperience #Accessibility #HealthEducation #HealthcareSystem #PatientCare #DrKatherineJSullivan #Podcast #Talkshow #Radio #iHealthRadio #HurricaneH Personalized Medicine,Telemedicine,Health Advocacy,Digital Health,Health Equity,Health Innovation,Healthcare Delivery,Preventive Care,Healthcare Quality,Healthcare Industry,Healthcare Policy,Wellness,Healthcare,Medical Technology,Patient Experience,Accessibility,Health Education,Healthcare System,Patient Care,Dr Katherine J Sullivan
THE EMBC NETWORK featuring: ihealthradio and worldwide podcasts
Breaking Barriers to Healthcare Accessibility with Dr. Katherine J Sullivan Dr. Katherine J. Sullivan has the solution to revolutionize healthcare accessibility and personalize it for everyone! Dr. Katherine J Sullivan, Founder and CEO of 360 Wellness Solutions, is on a mission to make healthcare accessible and personal for all. With a background in movement science and extensive experience in academia and clinical practice, Dr. Sullivan has a deep understanding of the importance of addressing the Social Determinants of Health. Through 360 Wellness Solutions, a rehabilitation services organization, she and her team provide multi-specialty healthcare to individuals with disabilities and their families, promoting collaboration between healthcare professionals, social services agencies, and non-profits. Join the movement towards inclusive and compassionate healthcare with Dr. Katherine J Sullivan and 360 Wellness Solutions. #PersonalizedMedicine #Telemedicine #HealthAdvocacy #DigitalHealth #HealthEquity #HealthInnovation #HealthcareDelivery #PreventiveCare #HealthcareQuality #HealthcareIndustry #HealthcarePolicy #Wellness #Healthcare #MedicalTechnology #PatientExperience #Accessibility #HealthEducation #HealthcareSystem #PatientCare #DrKatherineJSullivan #Podcast #Talkshow #Radio #iHealthRadio #HurricaneH Personalized Medicine,Telemedicine,Health Advocacy,Digital Health,Health Equity,Health Innovation,Healthcare Delivery,Preventive Care,Healthcare Quality,Healthcare Industry,Healthcare Policy,Wellness,Healthcare,Medical Technology,Patient Experience,Accessibility,Health Education,Healthcare System,Patient Care,Dr Katherine J Sullivan
Shari Gold is our guest this week on the Healthcare Experience Matters Podcast. She currently serves as Senior Vice President for Regulatory Compliance and the Chief Quality & Equity Officer with Bergen New Bridge Medical Center in New Jersey. She is a Healthcare Quality and Regulatory Compliance Executive, and we are honored to have her join our show to discuss the real-world benefits of engaging in cultural inclusion training. As discussed in this week's podcast, she recently attended a Healthcare Experience Foundation (HXF) Certificate Program on cultural inclusion, and she had a lot of great things to detail about the experience. Her commitment to professional development is unwavering and she encourages all healthcare staff and employees to make time for events such as these. The HXF Certificate Program in Diversity, Equity & Inclusion returns in August for a live, two-day virtual session. You can join us on August 8-9 from noon to 4 pm ER each day, and learn more about it here: https://sites.healthcareexperience.org/certificates/diversity-equity-inclusion/
Welcome to the latest episode of JAT Chat, presented by the Journal of Athletic Training, the official journal of the National Athletic Trainers Association. In this episode, Dr. Shelby Baez and Dr. Kara Radzak are joined by Dr. Meredith Madden, an assistant professor in the Athletic Training Education Program at the University of Southern Maine. Dr. Madden, the lead author of "Become a Health Literacy Champion," discusses the importance of health literacy in enhancing patient care and outcomes. She explains the concepts of personal and organizational health literacy, emphasizing the role athletic trainers play in advocating for these principles within the healthcare system. Full Article: https://tinyurl.com/bdcpn3s7 Guest Biography: Dr. Madden is an assistant professor in the athletic training education program at the University of Southern Maine. She earned her BS in Athletic Training and EdD from Boston University, MA in Psychology from Washington College; and a Certificate of Graduate Study in Healthcare Quality and Patient Safety from the University of Southern Maine's Muskie School of Public Service. In 2022 earned the national Certified Healthcare Simulation Educator® credential in 2022. Meredith has experience providing athletic training services in diverse clinical backgrounds, including high school, collegiate (DI & DIII), and semi-professional (women's tackle football). Dr. Madden's research interests include concussion education with an emphasis on individuals with neurodiverse needs and individuals with intellectual and developmental disabilities, simulation in athletic training education, interprofessional education, and healthcare quality and patient safety in athletic training/athletic training education, specifically health literacy and quality improvement.
On episode 104 of PSQH: The Podcast, Dr. Komal Bajaj, Medical Director of Sustainability at NYC Health + Hospitals and Chief Quality Officer at Jacobi and North Central Bronx Hospitals, talks about integrating environmental sustainability into healthcare quality and safety.
According to economist Jim Rebitzer and healthcare consultant Bob Rebitzer, the healthcare industry has failed in achieving what many other sectors have accomplished – improving products, while simultaneously reducing costs over time. In this episode, recorded live at The Players 2024 Championship, host Rachel (Rae) Woods invited Jim and Bob to discuss the central premise of their book, Why Not Better and Cheaper? They discussed the root causes of this challenge – including incentives, prevailing professional and social norms, and competition – that the industry must confront to deliver better and cheaper healthcare. Links: Learn more about the Rebitzer brothers and their new book, Why Not Better and Cheaper? Our Financial Impact playlist This spring Radio Advisory is celebrating four years of production. Thank you for listening! Truly personalized care is possible. Here's how to make it a reality. Learn about Advisory Board On-Demand Courses Learn about Advisory Board Fellowship A transcript of this episode as well as more information and resources can be found on radioadvisory.advisory.com.
DISCLAMER >>>>>> The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions. >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests. Disclosures: Ditch The Lab Coat podcast is produced by (Podkind.co) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University. Welcome back to another episode of "Ditch the Labcoat," the podcast that explores the human side of healthcare beyond the sterile field.In this insightful episode of "Ditch the Labcoat," host Dr. Mark Bonta is joined by Dr. Samir Grover, a prominent figure in the realm of medical education. Together, they delve into the pressing issues surrounding current educational practices in healthcare and propose revolutionary changes aligned with the needs of a modern medical system.Dr. Grover discusses his advocacy for competency-based training systems and the integration of technology like AI and simulations to enhance assessment objectivity in medical education. He emphasizes the critical role of fostering essential physician traits such as empathy and hard work, beyond just academic achievements. The episode critically analyses the misalignment in assessments, such as the lack of evaluation for practical skills like endoscopy among gastroenterologists, despite its significance in their daily responsibilities.The conversation extends to the potential shifts in medical student selection processes, aiming to highlight qualities beyond test scores, and explores the ongoing need for reforms in training systems to better match learners' capabilities with their medical specialty. Dr. Grover also shares his experiences and perspectives on the need for personalized assessment and the effective use of feedback in education.Adding to the rich discussion, Dr. Bonta and Dr. Grover touch upon the future of medical education, advocating for the inclusion of advanced technologies and methodologies that ensure comprehensive and efficient learning experiences. They conclude with a critical view on health fads like juice cleanses and the importance of evidence-based approaches in medical practices.This episode not only sheds light on the essential changes needed in medical education but also celebrates the efforts of educators like Dr. Grover who are at the forefront of these transformative approaches. Whether you're a medical professional or just intrigued by the evolution of medical education, this episode offers valuable insights into making healthcare education more adaptive, inclusive, and effective.Episode timestamps: 04:41 Important physician traits: earnestness, desire to learn.07:45 Academic excellence not sole indicator of good physician.11:28 Flexner report still influences medical education today.14:28 Self-regulated learning key for medical practitioners.20:31 High-intensity simulation improves clinical procedure performance.23:25 Validated colonoscopy performance scales differentiate novices to experts.27:51 Using AI assists improves learning and performance.28:47 Laparoscopy: minimally invasive surgery with training challenges.33:43 Striving for autonomy in medical career assessment.35:24 Competency-based system for physician training summary.38:50 Work assessments and subjective nature in universities.43:40 Understanding medical terms critical for both sides.46:01 Developing social and emotional intelligence for healthcare.51:42 Virtual reality enables real-time consultation with experts.52:58 Doctor Bonta thanks team, family, promises more.
Turn-around: Grandson interviews Health Hats about his Zelig-like career path and choices: unpredictable, privileged, mentored, supported, and spiritually healthy. Summary Health Hats is interviewed by his editor, grandson Leon, delving into a discussion about his diverse and impactful career. The episode starts with Leon interviewing Health Hats about the origins and motivations behind the podcast, tracing back to a serendipitous naming and a road trip that solidified the podcast's visual identity. Health Hats shares his journey from opting out of a higher-paying job that required him to cut his long hair to embracing a path in healthcare as a psychiatric aide, which led him to nursing school. The story also touches on being a male nurse in the 70s, transitioning from direct care to significant hospital and quality management roles. Leon and Health Hats discuss the significant impact of personal decisions on career paths, the unpredictability of life, and the profound influence of one's birth and circumstances. Health Hats reflects on his efforts to improve healthcare systems, advocating for better staff and patient conditions and participatory health. The episode explores Health Hats' professional life, his philosophy on work-life balance, his role as a change agent, and his commitment to continuous learning and improvement. Click here to view the printable newsletter with images. More readable than a transcript, which can also be found below. Contents Table of Contents Toggle EpisodeProemPodcast introBirthing Health HatsNursing school – what's hair got to do with it?Wanted a lifeFirst male public health nurse in Western MassWe don't hire men in nursing hereRetiring in our thirties as back-to-the-land hippiesCouldn't manage an emergency at homeTwelve-bed hospitalWest Virginia, a Third World stateAdvanced Cardiac Life Support Call to actionVolunteering for the Emergency SquadFrom direct care to managementChange agent: staffing and visiting hoursRemote Learning for a Master's DegreeMoving onStudent of organizational healthOutspoken, driven change agentBest Boss EverThe will to change – leadershipNo, lay me offRetiringProfessional life, more than the jobCan't keep a jobReflectionPodcast Outro Please comment and ask questions: at the comment section at the bottom of the show notes on LinkedIn via email YouTube channel DM on Instagram, Twitter, TikTok to @healthhats Production Team Kayla Nelson: Web and Social Media Coach, Dissemination, Help Desk Leon van Leeuwen: article-grade transcript editing Oscar van Leeuwen: video editing Julia Higgins: Digit marketing therapy Steve Heatherington: Help Desk and podcast production counseling Joey van Leeuwen, Drummer, Composer, and Arranger, provided the music for the intro, outro, proem, and reflection, including Moe's Blues for Proem and Reflection and Bill Evan's Time Remembered for on-mic clips. Five-minute episodes on YouTube. Inspired by and Grateful to Jim Bulger and Bob Doherty (deceased), Eric Pinaud, Jane Sarasohn-Kahn, Luc Pelletier, John Marks, Ann Boland, Lynn Hubbard Links and references Are medication error rates useful as a comparative measures of organizational performance? was published in The Joint Commission Journal on Quality Improvements in 1994 receiving the David K Stumpf Award for Excellence in Publication from the National Association for Healthcare Quality. The article was referenced in the book, Error Reduction in Healthcare by Patrice L. Spath in 2000. 1977 article about Danny van Leeuwen, the first male public health nurse in W Mass It sounds like a Zelig effect (if you know Woody Allen) or a Forrest Gump effect (if you know Tom Hanks) Jane Sarasohn Kahn, a blogging health economist West Virginia The University of Minnesota ISP Program Episode Proem As you may know, my production team includes Grandson Leon,
Dr. Bala Hota, Senior VP and Chief Informatics Officer at Tendo, emphasizes the importance of leveraging data to improve patient care and operational performance in healthcare and overcome biases in access. Focusing on quality measures and integration of structured and unstructured data, Tendo has developed services that support providers, patients, and caregivers using multiple avenues of communication. The acquisition of MDsave allows for a marketplace that provides transparent pricing for medical services, adding to this omnichannel healthcare model. Bala explains, "At Tendo, our vision is to be the trusted connection between patients, providers, and caregivers, using an intuitive and seamless interface to provide that optimum experience. The way we approach things is we have a number of different ways that people interact with our application and our software. We have a patient care journey application, which helps patients navigate through complex care pathways." "We have an insights offering that uses a variety of engines to look at electronic record data and claims data to identify cohorts where there could be opportunities to provide better care, provide better documentation, and take action. Then, we have an outreach product where we can take those insights and drive them through to actions through to the patient, including self-scheduling. So this is all on a common software platform, which allows us to deploy faster and have configurability, but we're focusing on those three main areas." "The way we come at it is from the quality perspective. If you're doing the right thing and trying to optimize the accuracy of capturing that information, the revenue will follow. One of our use cases is around hospital rankings and how you improve risk adjustment to make sure that you're getting credit for the quality you're providing and that your documentation is fully accurate. We find revenue increases as a result of that effort." #Tendo #Healthcare #SoftwareSolutions #PatientExperiences tendo.com Download the transcript here
Dr. Bala Hota, Senior VP and Chief Informatics Officer at Tendo, emphasizes the importance of leveraging data to improve patient care and operational performance in healthcare and overcome biases in access. Focusing on quality measures and integration of structured and unstructured data, Tendo has developed services that support providers, patients, and caregivers using multiple avenues of communication. The acquisition of MDsave allows for a marketplace that provides transparent pricing for medical services, adding to this omnichannel healthcare model. Bala explains, "At Tendo, our vision is to be the trusted connection between patients, providers, and caregivers, using an intuitive and seamless interface to provide that optimum experience. The way we approach things is we have a number of different ways that people interact with our application and our software. We have a patient care journey application, which helps patients navigate through complex care pathways." "We have an insights offering that uses a variety of engines to look at electronic record data and claims data to identify cohorts where there could be opportunities to provide better care, provide better documentation, and take action. Then, we have an outreach product where we can take those insights and drive them through to actions through to the patient, including self-scheduling. So this is all on a common software platform, which allows us to deploy faster and have configurability, but we're focusing on those three main areas." "The way we come at it is from the quality perspective. If you're doing the right thing and trying to optimize the accuracy of capturing that information, the revenue will follow. One of our use cases is around hospital rankings and how you improve risk adjustment to make sure that you're getting credit for the quality you're providing and that your documentation is fully accurate. We find revenue increases as a result of that effort." #Tendo #Healthcare #SoftwareSolutions #PatientExperiences tendo.com Listen to the podcast here
Explore the world of infection prevention and control in the long-term care sector on APIC's 5 Second Rule podcast. This episode features A.C. Burke, a veteran of the public health and healthcare sectors, who shares her passion for infection control in long-term care facilities. From issues of staffing and burnout to the ongoing need for roles dedicated to IP, Burke provides unique insights into the challenges and opportunities facing IPs in long-term care. Tune in to understand more about the importance of infection prevention in these critical healthcare settings, where the need to balance patient safety with quality of life is paramount. Hosted by: Lerenza Howard, MHA, CIC, LSSGB and Kelly Holmes, MS, CIC About our Guest: A.C. Burke, Vice President for Healthcare Quality for RB Health Partners, Inc. A.C. Burke is the VP for Healthcare Quality for RB Health Partners, Inc. In this role, she consults with long-term care facilities on infection prevention and control policies, procedures, and practices, and provides training to infection preventionists and staff in nursing homes on a variety of infection prevention topics. A.C.'s prior experience includes working as the Director of Infection Prevention for Mayo Clinic Florida and the Healthcare-associated Infection Prevention Program Manager for the Florida Department of Health. She has 25 years of experience in the healthcare field and is nationally board certified in infection control (CIC). Further Resources: GAO Report Press Release APIC Support of IPC in LTC
On this episode of Pophealth Week, we feature Hesham Hessaballa MD, a pulumonary and critical care medicine specialist practicing for more than 20 years. Dr. Hassaballa is board certified in internal medicine, pulmonary medicine, critical care medicine and sleep medicine, serves as Assistant Professor Rush University & Medical Center, and Editor of the popular blog @MedikaLife keep up with Dr. Hassaballa's work on Twitter profile @HAHassaballaMD or on linkedIn, or on the web via www.drhassaballa.com. We discuss his journey into critical care medicine and explore his '11 rules for the ICU' recommendations outlined in 'How Not to Kill Someone in the ICU'. Follow Dr. Hassaballa's work on Twitter via @HAHassaballaMD, on linkedIn, or on the web via www.drhassaballa.com.
The Supreme Court of India (SC) is entertaining a public interest litigation (PIL) asking for fixed rates for medical services in all hospitals in the country and has directed the Union Government to develop rates for each medical service. Otherwise, it proposed to fix rates charged under the Central Government Health Scheme as an interim measure. In this episode, Anupam Manur and Shrikrishna Upadhyaya break down the implications of the Supreme Court's order to impose price caps for hospital services. They argue that this is, both legally and economically, an unsound measure and the SC should refrain from intervening to impose price caps, despite its good intentions. Price caps will inevitably create distortionary effects, leading to poorer quality and a shortage of healthcare in the country. Do check out Takshashila's public policy courses: https://school.takshashila.org.in/courses We are @IVMPodcasts on Facebook, Twitter, & Instagram. https://twitter.com/IVMPodcasts https://www.instagram.com/ivmpodcasts/?hl=en https://www.facebook.com/ivmpodcasts/ You can check out our website at https://shows.ivmpodcasts.com/featured Follow the show across platforms: Spotify, Google Podcasts, Apple Podcasts, JioSaavn, Gaana, Amazon Music Do share the word with your fSee omnystudio.com/listener for privacy information.
On episode 460 of The Nurse Keith Show nursing and healthcare career podcast, Keith interviews Andrea Petrovanie Greene, RN, MSN, AMB-BC, a member of the Board of Directors of the American Association of Ambulatory Care Nurses (AAACN). With this episode being released during Ambulatory Care Nurses Week, it is an auspicious time to discuss the how a satisfying and successful career can be built on the foundation of the plethora of roles available to nurses in the non-acute care space. Since Keith's entire nursing career has been in the realm of ambulatory nursing, he is especially interested in promoting this frequently ignored area of nursing career opportunities. Andrea began her Naval career as a Nurse Corps Officer at the National Naval Medical Center (NNMC) Bethesda where she served as a staff nurse and subsequent Charge Nurse, Medical-Surgical Ward and Division Officer, Orthopedics Clinic from 1993 to 1998. In 1998, she transferred to Naval Medical Clinic Annapolis where she served as Assistant Department Head, Pediatrics and Specialty Clinics. Following this assignment, she assumed the duties as Division Officer, Family Practice Clinic and Detainee Screening Nurse, U.S. Naval Hospital Guantanamo Bay, Cuba from 2001 to 2002. Ms. Petrovanie Greene retired in May 2023 after serving 30 years of honorable and faithful service as a Nurse Corps Officer, United States Navy. Her last assignment she served as Special Assistant, Clinical Quality Management at the Naval Health Clinic Hawaii where she led the command to achieving an unprecedented “zero” clinical findings during the triennial Joint Commission survey. A native of Trinidad and Tobago, she enlisted in the Navy through the Bachelor Degree Completion Program in 1991. In 1993 she graduated from Wagner College, Staten Island, New York with a Bachelor of Science degree in Nursing and was commissioned an Ensign in the United States Navy. Andrea is a member of the National Association for Healthcare Quality, AMSUS The Society of Federal Health Professionals, American Academy of Healthcare Executives, Sigma Theta Tau International Honor Society of Nursing, and the National Naval Officers Association Life member. Her personal decorations include the Meritorious Service Medal (four awards), Navy and Marine Corps Commendation Medal (six awards), Navy and Marine Corps Achievement Medal (four awards), and other personal and service ribbons. Andrea is married to Darryl Green who is a Health Care Administrator and Captain in the US Navy. Connect with Andrea Petrovanie Greene and the AAACN: AAACN Facebook X AAACN on LinkedIn Instagram Andrea Petrovanie-Green on LinkedIn ----------- Nurse Keith is a holistic career coach for nurses, professional podcaster, published author, award-winning blogger, inspiring keynote speaker, and successful nurse entrepreneur. Connect with Nurse Keith at NurseKeith.com, and on Twitter, Facebook, LinkedIn, and Instagram. Nurse Keith lives in beautiful Santa Fe, New Mexico with his lovely fiancée, Shada McKenzie, a highly gifted traditional astrologer and reader of the tarot. You can find Shada at The Circle and the Dot. The Nurse Keith Show is a proud member of The Health Podcast Network, one of the largest and fastest-growing collections of authoritative, high-quality podcasts taking on the tough topics in health and care with empathy, expertise, and a commitment to excellence. The podcast is adroitly produced by Rob Johnston of 520R Podcasting, and Mark Capispisan is our stalwart social media ringmaster and newsletter wrangler.
The Standards Show LatinoAmerica brings you the stories behind the standards in South America, Central America and the Caribbean. Episodes are in Spanish or Portuguese. In this episode, Andrea Sandi meets Angela McCaskill. Angela is Project Manager for Healthcare Quality at BSI. She describes the main benefits of ISO 7101 - the standard for healthcare quality management. She also describes her amazing standards journey for ISO 7101 - from master's thesis to international standard. And how her passion for the standard and healthcare quality has profoundly changed her personal and professional life.The Standards Show LatinoAmérica le trae las historias detrás de las normas en Sudamerica, Centroamerica y el Caribe. Los episodios se encuentran el español o Portugues. En este episodio de LatinoAmérica Andrea Sandi conversa con Angela McCaskill. Angela es gerente de proyectos en calidad de servicios medicos en el BSI. Angela nos comenta sobre los principales cualidades de la nueva norma ISO 7101, su increíble travesía en normalización con este documento, de tesis de maestría a norma internacional y como el enfocarse en su pasión la ha llevado a grandes cambios personales y profesionales. Conoce mas /Find out moreISO 7101Sigue y suscríbete a The Standards Show en redes sociales/Find and follow The Standards Show on social mediaX @standardsshowInstagram @thestandardsshow Contactate con The Standards Show/Get in touch with The Standards ShowSend a voice messageEnvia un mensaje de vozeducation@bsigroup.comSubscribete donde sea que escuche sus podcasts/Subscribe to The Standards ShowSubscribe to The Standards ShowVisite el sitio web/Check out the websitethe-standards-show
Enhancing Hospital Processes for Safer and More Effective Care, with Brandy Wilkins, Defining Point Coaching and Consulting (North Fulton Business Radio, Episode 730) In this episode of North Fulton Business Radio, host John Ray was joined by healthcare quality consultant Brandy Wilkins, Owner and Chief Consultant of Defining Point Coaching and Consulting. Brandy discusses her […] The post Enhancing Hospital Processes for Safer and More Effective Care, with Brandy Wilkins, Defining Point Coaching and Consulting appeared first on Business RadioX ®.
Enhancing Hospital Processes for Safer and More Effective Care, with Brandy Wilkins, Defining Point Coaching and Consulting (North Fulton Business Radio, Episode 730) In this episode of North Fulton Business Radio, host John Ray was joined by healthcare quality consultant Brandy Wilkins, Owner and Chief Consultant of Defining Point Coaching and Consulting. Brandy discusses her […]
In episode 13 of The Healthcare Hangover, David Contorno and Emma Fox discuss the deceptive practices of hospitals and the importance of consumer education in the healthcare system. They dive into topics such as the lack of transparency in hospital pricing, the need for consumers to ask the right questions, and the benefits of direct primary care. Tune in to hear their insights on this issue in the healthcare system.TIMESTAMPS[00:01:37] Self-Professed Healthcare Quality Metrics.[00:06:07] Misleading Hospital Billboards.[00:07:30] University of Pittsburgh Medical Center (UPMC) and Healthcare Quality.[00:11:29] Deceptive Drug Advertising.[00:14:28] Joining the (AFCA) association.In this episode, David Contorno and Emma Fox discuss the importance of advisors in the healthcare industry, including solution providers, advisors, and doctors. They also highlight the recent federal laws that require advisors to disclose their compensation, urging advisors to comply with this requirement. Although enforcement of this law appears to be lacking, they maintain that it is still the right thing to do. Moreover, David and Emma emphasize the significance of educating consumers and empowering them to advocate for themselves within the healthcare system. They believe that many people are unaware of or fail to recognize the deceptive practices prevalent in the healthcare industry. Thus, stressing the importance of asking the right questions and being well-informed about appropriate tests and treatments.QUOTES"One of the things that we identify is that frequency is a big indicator of quality and not just high quality, but it's also a good indicator of reasonable pricing because they're efficient at doing it because they do that type of procedure so frequently." - David Contorno“That's one of the reasons why we heavily promote direct primary care. Even if you're not an employer, just for yourself, it's really worth the 40, 50, 70 bucks a month that gives you access to a doctor that you can ask those questions to even in a crunch situation.” - David Contorno“Just because it says it somewhere, just because it's in the paper, just because there's a magazine or an ad or a billboard doesn't mean that what it says is true.” - Emma Fox“The only thing that we do is validate that you are disclosing your compensation. Period. That's it. It doesn't even matter if you're a commissioned advisor, as long as you can prove that you disclose the amount of commission in every contract that you're executing.” - Emma FoxSOCIAL MEDIA LINKSDavid ContornoLinkedIn: https://www.linkedin.com/in/dcontorno/Emma FoxLinkedIn: https://www.linkedin.com/in/emmamariefox/WEBSITEE-Powered Benefits: https://www.epoweredbenefits.com/Emma Fox: https://emmamariefox.com/
In this episode, Matthew and Cindy shine a spotlight on ISO 7101 – the new international standard for healthcare quality management.Matthew speaks to Professor Adam Layland, a director and clinician in the NHS in England and standards-maker. He was the international convenor of the ISO working group which developed ISO 7101. And is also Chair of the BSI committee on Healthcare Organization Management.Adam describes what ISO 7101 is all about, why it's been developed and who's been involved. And also the benefits to healthcare organizations and to patients of the standard being used.Find out moreISO 7101 | Healthcare quality managementBS 30440 | AI in healthcareISO TC/304 | Healthcare organization managementBSI CH/304 | Healthcare organization managementBSI Student Research ProgrammeGet involved with standardsFind and follow The Standards Show on social mediaX @standardsshowInstagram @thestandardsshow Get in touch with The Standards ShowSend a voice messageeducation@bsigroup.comSubscribe wherever you get your podcastsSubscribe to The Standards ShowCheck out the websitethe-standards-show
In this episode, we explore a much-discussed Inside Health Care topic: interoperability. Within the process of health care digitalization, interoperability deals with the multi-lane, multi-directional transfer of electronic health records, or EHRs. But more and more, in that transfer process, companies discover data they hadn't considered using, data needing refinement, and data that tells stories of patients being overlooked and left behind.In the first interview, my guest and I discuss the best way to smoothe the road to health equity: form a patchwork of different types of health care companies that can safely and efficiently shepherd data along the patient journey. Later, I co-interview a team that discovered a disparity gap and closed it—permanently. Their secret? Ask the community how to reach those patients.Mo Weitnauer is MRO's Chief Product Officer. She drives its product strategy and roadmap. Throughout her high-level career, Mo has helped develop tech-based strategies for managing medical costs and patient bills, trying to even things out for both sides while still striving to advance care quality.Mo graduated with a bachelor's degree in Biochemistry and Economics from Smith College, and she got her master's degree in Health Policy and Management from Harvard's T.H. Chan School of Public Health.Next, we hear a success story from a team from WellSpan Health, a health care that found a gap in health care equity and nailed down a solid and sustainable solution.Jenna Jansen is Senior Director of Quality at WellSpan Health. She earned her BS and MPH degrees from West Virginia University. She is a Fellow of the American College of Healthcare Executives and also a CPHQ.Jodi Cichetti is Vice President of Quality, Patient Safety and Infection Control and Prevention at WellSpan Health. She's an RN with a background of working in the ICU. She holds an MS in Health Systems Management from the University of Baltimore, and her certifications include, among others, a CPHQ, a.k.a. she's a Certified Professional in Healthcare Quality.Jenna and Jodi presented a session at the Health Innovation Summit titled “STOP, Collaborate, & LISTEN! Improving Equitable Access to Care”. In the interview, they told the story of how their research revealed a gap in care delivery. Using various analytical tools including NCQA's breast cancer screening measure, part of our HEDIS set of measures, they discovered a disparity among Spanish-speaking patients.
Yeah, it's a fact that the vast majority of past and present provider and payer relationships are not exactly collaborative. They may better be described as fairly adversarial, actually—especially when viewed through the lens of provider organizations trying really hard to find a payment model that will enable them to do better by their patients and deliver better outcomes. We've had Justina Lehman (EP414), Ali Ucar (EP362), Dan O'Neill (EP359) talking about this from the provider organization standpoint. We also had Dan Serrano (EP410) and Will Shrank, MD (EP413) corroborating here. But after each of these earlier episodes, many comments and conversations ensued about said potential (or not) payer/provider collaborations. And there was a theme of many of these online exchanges. The theme was wondering if we'd all get laughed at for even talking about these rare and elusive Shangri-la scenarios. Like expending words and energy thinking about payers and providers working together was as crazy as being seen earnestly discussing, I don't know, whether mermaids know about pants or something. And that's why I wanted to get Josh Berlin on the podcast today: to talk about the why, the what, and the how of collaboration. I wanted to know if there really is a solid why here for the why collaborate, especially from a payer point of view. And when I say payer, I mean a payer kind of payer like a Blue Cross, United, Cigna, Aetna plan kind of payer. And I'm calling that out because payers are intermediaries in all cases except for their fully insured members. Except for that one book of business, entities actually taking the risk are taxpayers or self-insured employers. So, saving money on its face is not a super compelling value proposition. Listen to the show with David Contorno (EP339) for the why there. As we talk about in the interview that follows, though, what might be compelling is predictable spend, possibly—or even more compelling could be a competitive differentiation for that payer that leads to higher market share. Payer/provider collaborations can also lead to a more resilient market foothold that can stand up to threats from upstart competitors or big tech and big retail swooping in looking for a tasty slice of this $3 trillion industry. There's also the potential for a higher profit margin. And, oh, one additional reason to collaborate if you're a payer that we don't get into super heavily but I'd be remiss to not mention is the whole Star Ratings thing for Medicare Advantage plans, because stars equal big money. But a payer is not gonna get that Star Rating shekel if providers aren't delivering high enough quality care. Also, of course, we have HEDIS (Healthcare Effectiveness Data and Information Set) and other quality measures that have financial value ascribed to them. In the conversation that follows, Josh talks about different types of collaborations. Collaboration is a really very vague term, so what exactly is this collaboration, what does it entail, and how do you do it? Josh told me that there are five kinds of collaboration, and here they are in order of their depth of entanglement, I guess you could call it. 1. Sharing data back and forth 2. Use that data to identify areas of need and then do something programmatic together, like create clinical pathways or work on one very specific type of quality program. 3. A joint venture (JV)—you JV and work together on some sort of narrow network kind of product 4. Become capital partners in some way. 5. Having a risk-bearing kind of relationship—the provider gets a piece of the premium dollar So, that's the five types of collaboration. But here's the things you've got to tick through, that you have to really go through and make sure you've got all these things before you start. Otherwise, it'll be a monumental waste of time. 1. Complementary capabilities that enable scalability 2. A desire for sustainability in a market, and both have common goals and objectives and an agreed-upon time horizon 3. Both parties need to be pretty flexible. Rigid products have a shelf life. You've got to be willing to advance with market dynamics flexibly—know how to iterate around whatever it is you're doing. 4. Excel at collaboration. If you're going to collaborate, you have to know how to collaborate. And that's a cultural thing. 5. Compatible risk profiles—this means not just “taking risk” but knowing how to do it in a way that will work and navigating around things that could cause trouble when moving from fee for service to a more capitated way of going about things. Josh talks about some of them. Just to loop back around on #4 there, because … yeah, to collaborate, you need to collaborate. I call Josh out on this one, and he reiterates that … yeah, nothing to take for granted here. It might seem obvious, but it's so frequently an internal unknown unknown—at a lot of payers especially. I mean, if I'm a provider organization and you force me to only communicate with you through snail mail (ie, postage stamp, letter box, the whole nine), I don't know, I'd kind of get the vibe that I'm being enthusiastically ignored, which I just cannot square with a collaborative spirit of any kind. Josh Berlin is a founding partner of Rule of Three, which is a consulting firm. Rule of Three has clients that are physician practices, hospitals, health systems on the traditional side; and they also work with nontraditional organizations like Walmart Health and Wellness. They also work with payers, like regional blues and employer plans. You can learn more at Rule of Three and by connecting with them on LinkedIn. Josh M. Berlin, JD, is CEO of Rule of Three, LLC, with more than 25 years of experience, most of which has been in healthcare advisory in service to his clients. Most recently, he has served as principal and co-practice leader of Citrin Cooperman's Healthcare Practice and managing partner for IBM Watson Health's Strategic Advisory Practice, leading a unique group of consultants in each instance to serve clients across the full healthcare ecosystem (providers, payers, employers, governments, advocacy, etc). Prior to those roles, Josh served as a principal in the healthcare consulting practice at Dixon Hughes Goodman (now FORVIS), helping to lead their strategy consulting business, and served as a leader in all versions of KPMG (KPMG Consulting/BearingPoint and KPMG). Currently, he serves on the Boards of the Validation Institute, Population Health Management journal, and HealthTrackRx. Josh's expertise spans both the consulting and healthcare industries. Some of his clients have included the Hospital Corporation of America, the Department of Health and Human Services (including the Centers for Disease Control and Prevention and the Centers for Medicare & Medicaid Services), various pediatric health systems, the National Association for Healthcare Quality, Nebraska Medicine, Penn Medicine, the Ochsner Health System/Network, the BJC Collaborative, and The Leapfrog Group, as well as a variety of other healthcare organizations. Josh has developed long-standing client relationships at all levels of organizations, notably including some of the most prestigious C-suite executives in healthcare today. 06:06 Why should payers want to collaborate with providers? 09:46 “Collaboration … is bilateral. … Both sides, plan and provider, should be equally as interactive with the individual populations they work with.” 12:37 What are the must-haves for collaboration between providers and payers? 13:10 What are the five different types of collaboration? 16:03 What are the five characteristics you want to be focused on in partnership? 21:35 EP359 with Dan O'Neill. 22:16 In order to collaborate, do you have to be collaborative? 26:11 Ochsner as a great example of collaboration. 27:46 Episodes with David Carmouche, MD, and Eric Gallagher. 28:51 A collaboration failure in Haven. You can learn more at Rule of Three and by connecting with them on LinkedIn. Josh M. Berlin of Rule of Three, LLC, discusses #payer and #provider #collaboration on our #healthcarepodcast. #podcast #digitalhealth #valuebasedcare #healthcare Recent past interviews: Click a guest's name for their latest RHV episode! Dr Adam Brown, Rob Andrews, Justina Lehman, Dr Will Shrank, Dr Carly Eckert (Encore! EP361), Dr Robert Pearl, Larry Bauer (Summer Shorts 8), Secretary Dr David Shulkin and Erin Mistry, Keith Passwater and JR Clark (Summer Shorts 7), Lauren Vela (Summer Shorts 6)
In this Q&A, JAMA Editor in Chief Kirsten Bibbins-Domingo, PhD, MD, MAS, interviews Kedar S. Mate, MD, an internal medicine physician, President and Chief Executive Officer at the Institute for Healthcare Improvement, and faculty at Weill Cornell Medical College, to discuss AI's role in health care quality and approaches to improving health equity. Related Content: New AI Tools Must Have Health Equity in Their DNA
Hosts Alan Sardana and Dr. Joshua Liu speak with Dr. Bruce Lee Hall, Vice President and System Chief Medical Officer at BJC HealthCare, about "The Evolution of Healthcare Quality, Transforming Medicine With Data, Strategies to Improve Frontline Buy-In for Quality, and more." Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/
How can your medical career prepare you to be an author? I'm excited to chat with Dr. Purpura about his journey. Joseph Purpura, MD, is an obstetrician-gynecologist, patient safety expert, and award-winning faculty member at Northwestern University's Feinberg School of Medicine. Dr. Purpura earned his medical degree from the University of Pittsburgh. He is board-certified in Obstetrics and Gynecology. He received a master's in Patient Safety and Healthcare Quality from Northwestern University's Institute for Healthcare Studies. He lives in Santa Barbara, CA. Contact Dr. Purpura https://twitter.com/Joseph_Purpura https://www.linkedin.com/in/joseph-purpura-md-ms-92755914/ https://codecrisisbook.com/ --- Send in a voice message: https://podcasters.spotify.com/pod/show/urcaringdocs/message
Tanya Stinson, Founder and Owner of Leaning Towards Change, LLC, is a renowned leader in healthcare quality and safety improvement. With expertise as a Lean Six Sigma Master Black Belt, she has successfully led impactful initiatives, mentored professionals, and transformed healthcare organizations. — Tanya Stinson Links: Website: www.leaningtowardschange.com LinkedIn: https://www.linkedin.com/company/leaning-towards-change-llc/ — PODCAST INFO: Podcast website: https://www.womleadmag.com/podcast/ Apple Podcasts: https://apple.co/3YJHMoy Spotify: https://open.spotify.com/show/2GkmpVInAQR7Fgco0pUa1B RSS: https://feeds.libsyn.com/409442/rss YouTube: https://youtube.com/playlist?list=PLYDpQX16k5Uh7G7PFjMjZ8KimqoOpFF-t — CONNECT: - YouTube: https://www.youtube.com/c/WomELLE - LinkedIn: https://www.linkedin.com/company/womelle - Twitter: https://twitter.com/womelle - Facebook: https://www.facebook.com/womelle - Instagram: https://www.instagram.com/realwomelle/ — OUTLINE: 1:28 - How she got into the healthcare space. 3:12 - How she got into healthcare. 7:36 - The inspiration behind starting her own consulting firm. 12:37 - Passion for process improvement. 18:36 - How much does it cost to become a white belt? 24:04 - What's next for coaching? 30:06 - Advice to healthcare professionals.
With rising costs and tightening margins, the industry is continually looking for ways to "bend the cost curve" while maintaining, or even increasing, quality and performance. One stakeholder in particular, employers, are feeling significant pressures from inflation, hospital consolidation, the rise of high-cost drugs, and more. While many legacy cost-saving strategies have focused on reducing employer costs, it may be time to shift focus to lowering costs for employees as well. In this episode, host Rachel (Rae) Woods invites Advisory Board payer expert Max Hakanson and Innovation lead at JPMorgan's Morgan Health Rivka Friedman to discuss what employers can do to rein in healthcare costs, both for themselves and their employees. Throughout the discussion, they discuss why legacy cost-sharing strategies may be insufficient, and what new innovations are showing promise in the market. Join Rae for a free webinar on Advisory Board's State of the Healthcare Industry. In this webinar, you'll get Advisory Board's exclusive take on the strategic forces that really matter. Rae will talk about the rise of artificial intelligence and why you should not be asking "what should my AI strategy be?". Save your seat and join Rae on September 18th at 2:00 PM ET. Links: Home | Morgan Health Ep. 165: Employer series: Is the cost of employer-sponsored insurance unsustainable? Investigating the high costs in employer-sponsored insurance 5 health benefits strategies for self-funded employers 3 things to know about ESI (that you won't find in a benefits survey) Need a quick answer to a healthcare question? Ask Advisory! Whether it's about where the market is headed, or how to navigate our website our team of experts are just a call or email away. Visit ask.advisory.com or email ask@advisory.com to learn more.
What would your life look like if sleep was a priority? How do you even make it a priority? Terry Cralle, of Better Sleep Council is a Registered Nurse, Certified Clinical Sleep Educator and Certified Professional in Healthcare Quality specializes in sleep health and wellness. She is answering these questions in this episode and making the links between health and sleep. Sleep may be affecting you or your children more than you think. Connect with Terry: https://www.instagram.com/bettersleeporg/?hl=en https://bettersleep.org/ https://www.terrycralle.com/ Connect with Liz https://www.instagram.com/esandoz/?hl=en https://miraculousmamas.com Sponsors: Get 15% Off at https://dockatot.com/ with code MAMAS Get 20% Off at https://www.honeylove.com/chava Go to jennikayne.com and use the code CHAVA to get 15% off. Link on Sperm Healthhttps://www.uchicagomedicine.org/forefront/health-and-wellness-articles/dont-make-the-mistake-of-letting-a-diet-kill-sperm Why Chava? Episode 248: https://podcasts.apple.com/jm/podcast/ep-248-welcome-to-morning-chava/id1343507855?i=1000593089125 Chava Meaning https://www.chabad.org/multimedia/video_cdo/aid/3506698/jewish/Inside-the-Name-Chava.htm
Madera Community Hospital closed in December and has now filed for bankruptcy. The emergency room now sits empty, and labor and delivery services have stopped. The hospital's three rural clinics are also closed. Some 136 rural hospitals closed between 2010 and 2021, according to the American Hospital Association. According to a January report from the Center for Healthcare Quality and Payment Reform, about 600 hospitals are currently at risk of closing in the U.S.We traveled to Fresno as part of our Remaking America collaboration with six partner stations across the country, including KVPR in California's Central Valley. Earlier this month, we brought the community together to talk about the hospital closure, which has left more than 150,000 residents without an emergency room within 30 miles and has put a strain on emergency room departments in Fresno and Merced. This conversation is part of our Remaking America collaboration with six public radio stations, including KVPR in Fresno, California. Remaking America is funded in part by the Corporation for Public Broadcasting.