POPULARITY
Neste episódio, o Dr. Lucas Zambon, Diretor Científico do IBSP, analisa os principais pontos de uma entrevista publicada pelo New England Journal of Medicine/NEJM Catalyst 2023, na qual Lee A. Fleisher, Chief Medical Officer da Medicare & Medicaid Services expõe suas opiniões sobre os dados atuais da Segurança do Paciente.#IBSP #SegurançaDoPaciente #PodCast #IBSPPodcast #NovoEpisódio #NEJM #MedicareAndMedicaidServices #Qualidade #Dados #patientsafety
Is it fair to say that prehabilitation is the new direction for practitioners of Enhanced Recovery After Surgery (ERAS)? Discussion expands into patient awareness initatives, The Macmillan Cancer Support, Principles and guidance for prehabilitation guide mentioned is here: https://www.macmillan.org.uk/about-us/health-professionals/resources/practical-tools-for-professionals/prehabilitation.html Age care naturally follows as the roundtable discussion continues. This piece gives a truly pan-national perspective with informed comment from prominent perioperative opinion leaders from The UK, Australia and America. How do those different systems work and what can they each learn from the others? The journal article mentioned in this piece is here: https://jamanetwork.com/journals/jamasurgery/fullarticle/2732511 Presented by Desiree Chappell with Monty Mythen and Lee A. Fleisher, Professor and Chair of Anesthesiology and Critical Care, University of Pennsylvania and Ross Kerridge, John Hunter Hospital, Newcastle, Australia, often cited as 'the father of Modern Perioperative Medicine'.
This piece discusses The Brain Health Initiative and the sixth Peri-Operative Quality Initiative which focused upon delirium. How can progress in these areas be built upon and encouraged? Where is the data in regards to detecting and dealing with delirium? Beers Criteria Medication List; Potentially Inappropriate Medications for the Elderly According to the Revised Beers Criteria is here: https://dcri.org/beers-criteria-medication-list/ The website for the AARP is here: https://www.aarp.org/ Presented by Lee A. Fleisher Professor and Chair of Anesthesiology and Critical Care, University of Pennsylvania. There is a short question and answer session at the end hosted by Desiree Chappell and Monty Mythen.
What is "The Brain Health Initiative"? Why is it that so many aspects of brain function are so hard to understand? Why is cognitive dysfunction such a difficult topic to discuss? How far away are we from the days when we will have a biomarker that can help us in this area? Desiree Chappell presents, with her guests; Dr Lee A. Fleisher Professor and Chair of Anesthesiology and Critical Care, University of Pennsylvania and Miles Berger, Neuroanesthesiologist at Duke University Medical Center.
This piece discusses The Brain Health Initiative and the sixth Peri-Operative Quality Initiative which focused upon delirium. How can progress in these areas be built upon and encouraged? Where is the data in regards to detecting and dealing with delirium? Beers Criteria Medication List; Potentially Inappropriate Medications for the Elderly According to the Revised Beers Criteria is here: https://dcri.org/beers-criteria-medication-list/ The website for the AARP is here: https://www.aarp.org/ Presented by Lee A. Fleisher Professor and Chair of Anesthesiology and Critical Care, University of Pennsylvania. There is a short question and answer session at the end hosted by Desiree Chappell and Monty Mythen.
--- IF YOU WANT TO HEAR THE FULL SERIES OF EDITOR'S PICKS YOU MUST SUBSCRIBE TO OUR NEWSLETTER ON www.topmedtalk.com NOW --- Is it fair to say that prehabilitation is the new direction for practitioners of Enhanced Recovery After Surgery (ERAS)? Discussion expands into patient awareness initiatives; The Macmillan Cancer Support, Principles and guidance for prehabilitation guide mentioned is here: https://www.macmillan.org.uk/about-us/health-professionals/resources/practical-tools-for-professionals/prehabilitation.html Age care naturally follows as the roundtable discussion continues. This piece gives a truly pan-national perspective with informed comment from prominent perioperative opinion leaders from The UK, Australia and America. How do those different systems work and what can they each learn from the others? The journal article mentioned in this piece is here: https://jamanetwork.com/journals/jamasurgery/fullarticle/2732511 Presented by Desiree Chappell with Monty Mythen and Lee A. Fleisher, Professor and Chair of Anesthesiology and Critical Care, University of Pennsylvania and Ross Kerridge, John Hunter Hospital, Newcastle, Australia, often cited as 'the father of Modern Perioperative Medicine'. --- IF YOU WANT TO HEAR THE FULL SERIES OF EDITOR'S PICKS YOU MUST SUBSCRIBE TO OUR NEWSLETTER ON www.topmedtalk.com NOW ---
How do you best work a pre-op clinic? Should they be places where you get your problems documented or where you get your problems 'fixed'? How do you convince your practice to optimise patients for life and not just 90 days? How do we encourage population health? How do we get round the fact that we're still in a 'fee for service world'? What is "PBPM"? Featuring Desiree Chappell, Monty Mythen, Dr Lee A. Fleisher, Chair of Anesthesiology and Critical Care (University of Pennsylvania) and Vicki Morton DNP and Director of Clinical and Quality Outcomes at Providence Anesthesiology Associates University of South Carolina.
Is it fair to say that prehabilitation is the new direction for practitioners of Enhanced Recovery After Surgery (ERAS)? Discussion expands into patient awareness initatives, The Macmillan Cancer Support, Principles and guidance for prehabilitation guide mentioned is here: https://www.macmillan.org.uk/about-us/health-professionals/resources/practical-tools-for-professionals/prehabilitation.html Age care naturally follows as the roundtable discussion continues. This piece gives a truly pan-national perspective with informed comment from prominent perioperative opinion leaders from The UK, Australia and America. How do those different systems work and what can they each learn from the others? The journal article mentioned in this piece is here: https://jamanetwork.com/journals/jamasurgery/fullarticle/2732511 Presented by Desiree Chappell with Monty Mythen and Lee A. Fleisher, Professor and Chair of Anesthesiology and Critical Care, University of Pennsylvania and Ross Kerridge, John Hunter Hospital, Newcastle, Australia, often cited as 'the father of Modern Perioperative Medicine'.
Is it fair to say that prehabilitation is the new direction for practitioners of Enhanced Recovery After Surgery (ERAS)? Discussion expands into patient awareness initatives, The Macmillan Cancer Support, Principles and guidance for prehabilitation guide mentioned is here: https://www.macmillan.org.uk/about-us/health-professionals/resources/practical-tools-for-professionals/prehabilitation.html Age care naturally follows as the roundtable discussion continues. This piece gives a truly pan-national perspective with informed comment from prominent perioperative opinion leaders from The UK, Australia and America. How do those different systems work and what can they each learn from the others? The journal article mentioned in this piece is here: https://jamanetwork.com/journals/jamasurgery/fullarticle/2732511 Presented by Desiree Chappell with Monty Mythen and Lee A. Fleisher, Professor and Chair of Anesthesiology and Critical Care, University of Pennsylvania and Ross Kerridge, John Hunter Hospital, Newcastle, Australia, often cited as 'the father of Modern Perioperative Medicine'.
This piece was originally streamed live on www.topmedtalk.com and is taken from the hugely successful "EBPOM-USA: Masters Course, A Perioperative Care Practicum". Hear the full presentation from Dr Lee A. Fleisher Professor and Chair of Anesthesiology and Critical Care, University of Pennsylvania. If you like the sound of this and think you and your practice would benefit from attending such a course don't worry, just go to The EBPOM website: https://www.ebpom.org
Streamed live from the 2019 Prehabilitation World Congress and Annual London Peri-Operative Medicine Congress. Presented by Desiree Chappell with Monty Mythen and Lee A. Fleisher Professor and Chair of Anesthesiology and Critical Care, University of Pennsylvania and Ross Kerridge, John Hunter Hospital, Newcastle, Australia, often cited as 'the father of Modern Perioperative Medicine'.
What is "The Brain Health Initiative"? Why is it that so many aspects of brain function are so hard to understand? Why is cognitive dysfunction such a difficult topic to discuss? How far away are we from the days when we will have a biomarker that can help us in this area? Desiree Chappell presents, with her guests; Dr Lee A. Fleisher Professor and Chair of Anesthesiology and Critical Care, University of Pennsylvania and Miles Berger, Neuroanesthesiologist at Duke University Medical Center.
TopMedTalk live is a gathering of Trainees with an interest in Perioperative Medicine (TRIPOM) alongside TopMedTalk listeners and EBPOM 2018 attendees in the IET London, England. This conversation is driven by questions from listeners online and attendees in the audience. What do you do when it comes to 'screening for frailty? Should it be physical frailty or mental frailty? What do we then do with that information? How do we acknowledge the fact that, over the perioperative period, a 'frailty score' will likely change? Is 'the perioperative moment' a moment that can produce lasting long term lifestyle changes? When it comes to prehabilitation, how do we overcome issues regarding patient motivation? TopMedTalk live was presented by Desiree Chappell and Monty Mythen in front of a live audience with panellists; John Whittle, assistant Professor at Duke University Medical Centre and one of the founders of TRIPOM, Katie Samuel, TRIPOM co-chair and perioperative medicine fellow at UCL Hospitals, Dr Lee A. Fleisher Professor and Chair of Anesthesiology and Critical Care, University of Pennsylvania and Ross Kerridge, John Hunter Hospital, Newcastle, Australia, often cited as 'the father of Modern Perioperative Medicine'.
How do you best work a pre-op clinic? Should they be places where you get your problems documented or where you get your problems 'fixed'? How do you convince your practice to optimise patients for life and not just 90 days? How do we encourage population health? How do we get round the fact that we're still in a 'fee for service world'? What is "PBPM"? Featuring Desiree Chappell, Monty Mythen, Dr Lee A. Fleisher, Chair of Anesthesiology and Critical Care (University of Pennsylvania) and Vicki Morton DNP and Director of Clinical and Quality Outcomes at Providence Anesthesiology Associates University of South Carolina. Join in the debate contact@topmedtalk.com
How do we address the issue of post operative delirium? Here you will find fascinating further discussion about cognitive function after surgery. What practical, simple steps can patients and providers take to bridge the gap between new discoveries in this area and risk minimisation? Featuring Desiree Chappell interviewing her guests, Carol Peden, Professor of Anesthesiology and Executive Director of the Center for Health System Innovation, University of Southern California, University of Bath and the Institute for Healthcare Improvement (IHI) and Lee A. Fleisher Chair of Anesthesiology and Critical Care, University of Pennsylvania. For more on this topic why not listen to our piece with Henrik Kehlett here: https://www.topmedtalk.com/asa-2018-san-francisco-henrik-kehlet-recovery-is-all-about-inflammation/ -- Do you have your ticket to the Dallas Master's Course being organised in March by EBPOM USA yet? Find out more here: https://www.ebpom.org/EBPOM-USA-2019 As a TopMedTalk subscriber you can get a 20% discount for 1 person, or a 50% discount for a team. Just use the promo code "DAL 20" if you're solo or "EDAL 50" if you're coming as a group.
This piece was originally streamed live on www.topmedtalk.com and is taken from the hugely successful "EBPOM-USA: Masters Course, A Perioperative Care Practicum". Hear the full presentation from Dr Lee A. Fleisher Professor and Chair of Anesthesiology and Critical Care, University of Pennsylvania. If you like the sound of this and think you and your practice would benefit from attending such a course don't worry, just go to The EBPOM website: https://www.ebpom.org
We're playing TopMedTalk's Top Ten during the month of October, in no particular order. It's an opportunity for new and established listeners to catch up with the most popular podcasts over the past year. Here you will find a fascinating discussion about cognitive function after surgery and a wider conversation about the 'brain health initiative'. What practical, simple steps can patients and providers take to bridge the gap between new discoveries in the arena of brain health and risk minimisation? Featuring Desiree Chappell interviewing her guests, Carol Peden, Professor of Anesthesiology and Executive Director of the Center for Health System Innovation, University of Southern California, University of Bath and the Institute for Healthcare Improvement (IHI) and Lee A. Fleisher Chair of Anesthesiology and Critical Care, University of Pennsylvania. Join us on www.topmedtalk.com and sign up for our email updates and never miss a live streamed conference again. Also - you can find Slido here: http://www.slido.com/ - the 'event code' you require is #tmtasa18
Recorded at the recent Evidence Based Perioperative Medicine (EBPOM) USA conference this piece is the question and answer session which followed Lee Fleisher's talk; "ACOs are the only hope for affordable health care". Various questions from the audience follow a short conversation between Lee and our lead presenter Desiree Chappell. Presented by Desiree Chappell with her guest Lee A. Fleisher, Professor of Anesthesiology and Critical Care and Senior Fellow, Leonard Davis Institute of Health Economics, University of Pennsylvania.
Recorded at the recent Evidence Based Perioperative Medicine (EBPOM) USA conference this piece, in approximately 15 minutes, lays out the case for Accountable Care Organizations (ACOs) as the only hope for affordable health care. Presented by Lee A. Fleisher, Professor of Anesthesiology and Critical Care and Senior Fellow, Leonard Davis Institute of Health Economics, University of Pennsylvania.
In no particular order we're playing some of the content that listeners have voted for with their downloads. This episode is one of the top ten most downloaded podcasts we've done so far. Here you will find a fascinating discussion about cognitive function after surgery and a wider conversation about the 'brain health initiative'. What practical, simple steps can patients and providers take to bridge the gap between new discoveries in the arena of brain health and risk minimisation? Featuring Desiree Chappell interviewing her guests, Carol Peden, Professor of Anesthesiology and Executive Director of the Center for Health System Innovation, University of Southern California, University of Bath and the Institute for Healthcare Improvement (IHI) and Lee A. Fleisher Chair of Anesthesiology and Critical Care, University of Pennsylvania.
EXCLUSIVE: TopMed talk is coming live from the 'Chicago Masters Course - A Perioperative Care Practicum'. Go to the website now and listen live to the world's most cutting edge thinkers and pioneers in the world of perioperative medicine and care: http://www.topmedtalk.com/ This piece is a collection of highlights from the last 'Perioperative Care Practicum' recorded at the EBPOM USA conference in Atlanta Georgia earlier this year. The fuller talks are available on the TopMed talk website: Part 1: https://www.topmedtalk.com/ebpom-usa-part-1-a-perioperative-practicum-with-professor-sol-aronson/ Part 2: https://www.topmedtalk.com/ebpom-usa-part-2-a-perioperative-practicum-with-professor-monty-mythen/ Part 3: https://www.topmedtalk.com/ebpom-usa-part-3-a-perioperative-practicum-with-dr-lee-a-fleisher/ Make sure you join us to hear it live www.topmedtalk.com and while you're there remember to sign up for our mailing list so you can always be a part of our live broadcasts! Featuring Professor Sol Aronson, tenured professor at Duke University and Executive Vice Chairman in the Department of Anesthesiology, Professor Monty Mythen Smiths Medical Professor of Anaesthesia and Critical Care at University College London and Professor Lee A. Fleisher, Anesthesiology and Critical Care, University of Pennsylvania.
"It's one thing to optimise them to get them through surgery, it's another (...) to optimise them period!" - Dr Fleisher begins the conversation as the team circle round the tricky issue of patient optimisation in the 'fee for service' world. Many hospitals don't want to reduce surgery, can the bottom line be shifted closer toward the greater good of 'public health'? Dr Fleisher explains that 'per beneficiary per month' (PBPM) is one possible route. The conversation evolves from there. What are your thoughts? We are always keen to tap into the collective knowledge of our global audience, join the debate and send the team an email: contact@topmedtalk.com Recorded on the first day of the 'EBPOM USA - Masters Course' this podcast features Desiree Chappell, Monty Mythen, Dr Lee A. Fleisher Chair of Anesthesiology and Critical Care (University of Pennsylvania) and Vicki Morton DNP and Director of Clinical and Quality Outcomes at Providence Anesthesiology Associates University of South Carolina. This piece is taken from a longer conversation to be found here: https://www.topmedtalk.com/dealing-with-policy-and-value-based-care-the-roundtable-blog/
In this piece the team talk about possibly one of the most interesting funding experiments in the US; The Maryland global budgeting experiment. January 2014, after months of negotiations between Maryland and federal authorities, global budgeting went statewide. It was voluntary for hospitals, but within six months every hospital in the state had signed up. Four years on and it is a fascinating case study in how healthcare can be funded in such a way as to essentially incentivise public health measures within the American system, something that was previously seen as a perennial problem. Recorded on the first day of the 'EBPOM USA - Masters Course' this podcast features Desiree Chappell, Monty Mythen, Dr Lee A. Fleisher Chair of Anesthesiology and Critical Care (University of Pennsylvania) and Vicki Morton DNP and Director of Clinical and Quality Outcomes at Providence Anesthesiology Associates University of South Carolina. This piece is taken from a longer conversation to be found here: https://www.topmedtalk.com/dealing-with-policy-and-value-based-care-the-roundtable-blog/
After 70 years the NHS still continues to promote debate around the world, here you get expert analysis of the deeper realities of a taxpayer funded national health service. Also - what is "The Brain Health Initiative"? Why is it that so many aspects of brain function are so hard to understand? Why is cognitive dysfunction such a difficult topic to discuss? How far away are we from the days when we will have a biomarker that can help us in this area? Desiree Chappell presents, with her guests; Dr Lee A. Fleisher Professor and Chair of Anesthesiology and Critical Care, University of Pennsylvania and Miles Berger, Neuroanesthesiologist at Duke University Medical Center. Join in the debate: contact@topmedtalk.com
"Perioperative brain health initiative: A population health safety initiative" - one of the lectures which www.topmedtalk.com streamed live from The Institute of Engineering and Technology (IET) in London during EBPOM 2018. Hear this excellent talk, for free, on this podcast. If you'd like to attend an event like this ensure your next click is here: www.ebpom.org/meetings If you have any comments or questions you'd like to send to the team email: contact@topmedtalk.com Presented by Dr Lee A. Fleisher Professor and Chair of Anesthesiology and Critical Care, University of Pennsylvania
TopMedTalk live is a gathering of Trainees with an interest in Perioperative Medicine (TRIPOM) alongside TopMedTalk listeners and EBPOM 2018 attendees in the IET London, England. This conversation is driven by questions from listeners online and attendees in the audience. What do you do when it comes to 'screening for frailty? Should it be physical frailty or mental frailty? What do we then do with that information? How do we acknowledge the fact that, over the perioperative period, a 'frailty score' will likely change? Is 'the perioperative moment' a moment that can produce lasting long term lifestyle changes? When it comes to prehabilitation, how do we overcome issues regarding patient motivation? TopMedTalk live was presented by Desiree Chappell and Monty Mythen in front of a live audience with panellists; John Whittle, assistant Professor at Duke University Medical Centre and one of the founders of TRIPOM, Katie Samuel, TRIPOM co-chair and perioperative medicine fellow at UCL Hospitals, Dr Lee A. Fleisher Professor and Chair of Anesthesiology and Critical Care, University of Pennsylvania and Ross Kerridge, John Hunter Hospital, Newcastle, Australia, often cited as 'the father of Modern Perioperative Medicine'. Join in the debate: contact@topmedtalk.com
This is the third presentation - originally streamed live on www.topmedtalk.com - taken from the hugely successful "EBPOM-USA: Masters Course, A Perioperative Care Practicum". Hear the full presentation from Dr Lee A. Fleisher Professor and Chair of Anesthesiology and Critical Care, University of Pennsylvania. If you like the sound of this and think you and your practice would benefit from attending such a course don't worry, just go to The EBPOM website: https://www.ebpom.org/EBPOM-USA-2018
How do we bend cost curve to our advantage? How do we assert the irreducible minimum? Is it possible to spend less money and get better outcomes? Is it possible to get people to realise that not 'doing something' is sometimes the right decision? How do 'bundle payments' work in relation to overall health? Featuring Desiree Chappell, Monty Mythen, Dr Lee A. Fleisher Chair of Anesthesiology and Critical Care (University of Pennsylvania) and Vicki Morton DNP and Director of Clinical and Quality Outcomes at Providence Anesthesiology Associates University of South Carolina. Join the debate www.topmedtalk.com
The first conference highlight from EBPOM USA 2018: How do you best work a pre-op clinic? Should they be places where you get your problems documented or where you get your problems 'fixed'? How do you convince your practice to optimise patients for life and not just 90 days? How do we encourage population health? How do we get round the fact that we're still in a 'fee for service world'? What is "PBPM"? Featuring Desiree Chappell, Monty Mythen, Dr Lee A. Fleisher Chair of Anesthesiology and Critical Care (University of Pennsylvania) and Vicki Morton DNP and Director of Clinical and Quality Outcomes at Providence Anesthesiology Associates University of South Carolina. Join in the debate contact@topmedtalk.com
A fascinating discussion and debate regarding the central dichotomy inherent in periperative medicine. No stone is left unturned as the team get their teeth into the subject tackling the always tricky subject of profit and patient optimisation. Recorded on the first day of the conference this piece is a real stand out moment for TopMedTalk, make sure you both listen in and provide us with your thoughts contact@topmedtalk.com Featuring Desiree Chappell, Monty Mythen, Dr Lee A. Fleisher Chair of Anesthesiology and Critical Care (University of Pennsylvania) and Vicki Morton DNP and Director of Clinical and Quality Outcomes at Providence Anesthesiology Associates University of South Carolina. Remember, TopMedTalk are live streaming the conference for free, exclusively for listeners to the podcast. Go now to www.topmedtalk.com
Dr Carol Peden and Dr Lee A. Fleisher join Desiree Chappell in a discussion, taken from The Roundtable blog, which here concerns consent and anaesthetics. The original longer piece you can find here: https://www.topmedtalk.com/2-9-the-brain-health-initiative/
Carol Peden and Lee A. Fleisher join Desiree Chappell for a fascinating discussion about cognitive function after surgery and a wider conversation about the 'brain health initiative'. What practical simple steps can patients and providers take to bridge the gap between new discoveries in this area and risk minimisation?
Creator: Lee A. Fleisher, M.D., and Roderic G. Eckenhoff, M.D. Duration: 13:20 ASA Monitor June 2016, Volume 80, Issue 6 This podcast discusses anesthesia and the brain and ASA’s Brain Health Initiative. Transcript