Podcasts about ltac

In this episode, Jared and Micah talk about real training vs. fantasy. There are plenty of good quality training companies out there, of which LTAC is one. But for every good one, there are a dozen that aren't. They share some examples of those who are attempting to "teach" concepts and courses above their understanding. LTAC has one of the most well-rounded course offerings in the country, yet we are very specific in what we teach. Jared uses an example of why we don't teach a specific set of classes, as a way of self-regulating. The point of this podcast isn't that you should or shouldn't teach, it's to check your ego and know your abilities and limitations. Check out our website for more info and to register for classeswww.lodestonetac.comContact us at info@lodestonetac.comFollow us on FacebookLodestone Training and ConsultingInstagram@lodestonetrainingandconsultingYouTube@lodestonetrainingandconsultingFollow our instructors on InstagramJared - @ltac_zuluFlynn - @sek_ltac'Light' Chris - @ltac_whiskeyAbby - @ltac_sixKirk - @basil_fnfalOzz - @ltac_ozzMicah - @ltac_micahMike - @bluemountainbushcraft

Leigh Chandler was appointed as the Executive Director at the Lone Tree Arts Center (LTAC) in 2022, after serving as Artistic Director and Marketing Director. As Executive Director, Leigh oversees LTAC's operations and guides the organization's artistic vision, including Main Stage, Community Impact, and other specialized programming. Previously, Ms. Chandler served for eight years in a marketing director role at the Flynn Center for the Performing Arts in Burlington, Vermont. She grew up outside of New York City and graduated from Cornell University with a Bachelor of Science in Industrial and Labor Relations.https://www.lonetreeartscenter.org/https://www.facebook.com/Lonetreeartscenterhttps://www.instagram.com/ltartscenter*************************************************************Judy is the CEO & Founder of the Judy Carlson Financial Group. She helps her clients design, build, and implement fully integrated and coordinated financial plans from today through life expectancy and legacy.She is an Independent Fiduciary and Comprehensive Financial Planner who specializes in Wealth Decumulation Strategies. Judy is a CPA, Investment Advisor Representative, Life and Health Insurance Licensed, and Long-Term Care Certified.Judy's mission is to educate and empower her clients with an all-inclusive financial plan that encourages and motivates them to pursue their lifetime financial goals and dreams.Learn More: https://judycarlson.com/Investment Adviser Representative of and advisory services offered through Royal Fund Management, LLC, an SEC Registered Adviser.The Inspired Impact Podcasthttps://businessinnovatorsradio.com/the-inspired-impact-podcast/Source: https://businessinnovatorsradio.com/the-inspired-impact-podcast-with-judy-carlson-interview-with-leigh-chandler-executive-director-lone-tree-arts-center

What a strange year 2024 has been. We've had to make more  adjustments to the schedule this year than ever before. Regardless, Lodestone held 95 events over the course of 2024 -- everything from the Six-Day SFAUC Flat Range course to 3-hour LTAC Tuesdays. The 95th event was last Saturday's Freedom Day. It was a good, fun event to finish out the year.In this episode, Jared and Micah go through the year, talk about some of their favorite moments, discuss some of the classes and events, and talk about what's in store in the next year.Thank you for all that you do and for being a part of the Lodestone family.Check out our website for more info and to register for classeswww.lodestonetac.comContact us at info@lodestonetac.comFollow us on FacebookLodestone Training and ConsultingInstagram@lodestonetrainingandconsultingYouTube@lodestonetrainingandconsultingFollow our instructors on InstagramJared - @ltac_zuluFlynn - @sek_ltac'Light' Chris - @ltac_whiskeyAbby - @ltac_sixKirk - @basil_fnfalOzz - @ltac_ozzMicah - @ltac_micahMike - @bluemountainbushcraft

SummaryIn this episode, we discuss various topics related to ventilator management. They answer mailbag questions and provide insights on transporting and transitioning LTAC patients. They also explain how to measure plateau pressure on a Hamilton T1 ventilator and discuss the importance of understanding different ventilator modes. Additionally, they address the issue of low-pressure oxygen on noninvasive ventilation. The episode concludes with closing remarks and a call for listener engagement.TakeawaysProper communication with caregivers and patients is crucial when dealing with LTAC patients.Understanding different ventilator modes is essential for effective ventilator management.Measuring plateau pressure on a Hamilton T1 ventilator requires using the delta pressure and adding the PEEP setting.Low-pressure oxygen on noninvasive ventilation should be used cautiously and with proper training.Email us at: criticalcaretriad@outlook.com

This episode features George Barnes, a dysphagia specialist also known as dysphagia dude. On this episode, George teaches us the Mendelsohn and Masako swallow maneuvers, shares additional insights into working in a hospital, LTAC, and SNF, and how he created a decision journal to help recall thoughts and decisions made regarding clinical decisions. He also shares about a course he is offering about Medically Complex Decision Making!! You can find George on: - Instagram: ⁠@dysphagiadude - Website: Dysphagia Dude Resources Discussed: - Ice Chip Protocol You can follow us on instagram ⁠⁠⁠⁠⁠⁠⁠⁠@speechingitreal⁠⁠⁠⁠⁠⁠⁠⁠   Email anytime with questions, general comments, or guest suggestions at speechingitreal@gmail.com

Jared and Chris take some time during a very busy SHOT Show to talk and share some of their experiences. Despite the usual Vegas silliness, it was a productive time. It was a privilege to meet so many of you. LTAC made some new strategic partners and reinforced some old ones. They also attended the annual Green Beret Reunion hosted by the Green Beret Foundation. It was a good time, and an excellent start to what is going to be a busy year for the Lodestone Family.Check out our website for more info and to register for classeswww.lodestonetac.comContact us at info@lodestonetac.comFollow us on FacebookLodestone Training and ConsultingInstagram@lodestonetrainingandconsultingYouTube@lodestonetrainingandconsultingFollow our instructors on InstagramJared - @ltac_zuluChris - @lodestonefoxFlynn - @sek_ltac'Light' Chris - @ltac_whiskeyAbby - @ltac_sixKirk - @basil_fnfalDan - @w3dmjOzz - @ltac_ozzMicah - @ltac_micah

2023 has been a busy one for Lodestone. Jared, Chris and Micah go through the year and talk about our ups and downs, major events, and everything in between. Thank you for all you do as part of the Lodestone family and for helping to make it such a productive year.Check out our website for more info and to register for classeswww.lodestonetac.comContact us at info@lodestonetac.comFollow us on FacebookLodestone Training and ConsultingInstagram@lodestonetrainingandconsultingYouTube@lodestonetrainingandconsultingFollow our instructors on InstagramJared - @ltac_zuluChris - @lodestonefoxFlynn - @sek_ltac'Light' Chris - @ltac_whiskeyAbby - @ltac_sixKirk - @basil_fnfalDan - @w3dmjOzz - @ltac_ozzMicah - @ltac_micah

Just in time for the holidays, Jared and Chris do a commentary on this Christmas-time classic. All this Vietnam-era Green Beret wanted was a hot meal.Check out our website for more info and to register for classeswww.lodestonetac.comContact us at info@lodestonetac.comFollow us on FacebookLodestone Training and ConsultingInstagram@lodestonetrainingandconsultingYouTube@lodestonetrainingandconsultingFollow our instructors on InstagramJared - @ltac_zuluChris - @lodestonefoxFlynn - @sek_ltac'Light' Chris - @ltac_whiskeyAbby - @ltac_sixKirk - @basil_fnfalDan - @w3dmjOzz - @ltac_ozzMicah - @ltac_micah

October 3rd, 2023 marks the 30th anniversary of the Battle of Mogadishu.  Jared, Chris, and Kirk watched and recorded a commentary of Black Hawk Down in commemoration.  The historical events, and the movie itself, have had a lasting influence and legacy that is still being felt today.   “Greater love hath no man than this, that a man lay down his life for his friends.” Like all of our movie commentaries, we give a countdown for you to start the movie, and then watch as you listen.Check out our website for more info and to register for classeswww.lodestonetac.comContact us at info@lodestonetac.comFollow us on FacebookLodestone Training and ConsultingInstagram@lodestonetrainingandconsultingYouTube@lodestonetrainingandconsultingFollow our instructors on InstagramJared - @ltac_zuluChris - @lodestonefoxFlynn - @sek_ltac'Light' Chris - @ltac_whiskeyAbby - @ltac_sixKirk - @basil_fnfalDan - @w3dmjOzz - @ltac_ozzMicah - @mussels_525

Jared sits down with Win, one of LTAC's newest instructors. He has been working with us since last Fall. Here he talks about his background, and shares stories and experiences. He also talks about why he trains and why he teaches.Check out our website for more info and to register for classeswww.lodestonetac.comContact us at info@lodestonetac.comFollow us on FacebookLodestone Training and ConsultingInstagram@lodestonetrainingandconsultingFollow our instructors on InstagramJared - @ltac_zuluChris - @lodestonefoxFlynn - @sek_ltac'Light' Chris - @ltac_whiskeyAbby - @ltac_sixKirk - @basil_fnfalDan - @w3dmjJon - @jon_ozz_ltac

Jared, Chris and Chris take time during a busy week and share a bunch of stories. Some serious, some humorous, some teaching a point, but all LTAC.Check out our website for more info and to register for classeswww.lodestonetac.comContact us at info@lodestonetac.comFollow us on FacebookLodestone Training and ConsultingInstagram@lodestonetrainingandconsultingFollow our instructors on InstagramJared - @ltac_zuluChris - @lodestonefoxFlynn - @sek_ltac'Light' Chris - @ltac_whiskeyAbby - @ltac_sixKirk - @basil_fnfalDan - @w3dmjJon - @jon_ozz_ltac

In this special episode of the Lodestone Training and Consulting Podcast, Jared, Chris, and Kirk do a commentary on 2015's Sicario. Like the movie commentaries we've done in the past, we give a countdown for you to start the movie. So, while you watch, you'll hear our thoughts.There are a couple quiet moments as all three of us got sucked into the movie. We hope you enjoy!Check out our website for more info and to register for classeswww.lodestonetac.comContact us at info@lodestonetac.comFollow us on FacebookLodestone Training and ConsultingInstagram@lodestonetrainingandconsultingFollow our instructors on InstagramJared - @ltac_zuluChris - @lodestonefoxFlynn - @sek_ltac'Light' Chris - @ltac_whiskeyAbby - @ltac_sixKirk - @basil_fnfalDan - @w3dmjJon - @jon_ozz_ltac

Jared and Chris start our Season 6 talking about everything LTAC. It's hard to believe our podcast has been going for so long. We can remember recording the very first episode 3 times before we finally felt comfortable (not really) enough to post it. In this episode we talk a little about the Light Fighter concept and the meaning of community. We tell stories, and endorse Joshua Prince. It's a privilege sharing this labor of love with all of you. this is going to be the greatest year for Lodestone yet.Check out our website for more info and to register for classeswww.lodestonetac.comContact us at info@lodestonetac.comFollow us on FacebookLodestone Training and ConsultingInstagram@lodestonetrainingandconsultingFollow our instructors on InstagramJared - @ltac_zuluChris - @lodestonefoxFlynn - @sek_ltac'Light' Chris - @ltac_whiskeyAbby - @ltac_sixKirk - @basil_fnfalDan - @w3dmjJon - @jon_ozz_ltac

in 2022, LTAC held 109 separate events. Jared and Chris go through some of the more memorable classes we've held and talk about some of the experiences we've had with you. Thank you for making it such a good year!Check out our website for more info and to register for classeswww.lodestonetac.comContact us at info@lodestonetac.comFollow us on FacebookLodestone Training and ConsultingInstagram@lodestonetrainingandconsultingFollow our instructors on InstagramJared - @ltac_zuluChris - @lodestonefoxFlynn - @sek_ltac'Light' Chris - @ltac_whiskeyAbby - @ltac_sixKirk - @basil_fnfalDan - @w3dmjJon - @jon_ozz_ltac

On November 9th, Attorney Josh Prince of Prince Law Officed, P.C. announced his candidacy for the Commonwealth Court: a vacancy resultant from then-Judge Kevin Brobson's election to the PA Supreme Court last year.Josh sat down with Jared and discussed this and other recent events in his life. This could be one of the most important podcasts we have done. The courts are the last check in our system of checks and balances to ensure freedom and liberty. Josh needs our support. he has been a longtime friend of Jared's and has been training for years. Jared and LTAC endorse Joshua Prince's candidacy for the Commonwealth Court.Check out our website for more info and to register for classeswww.lodestonetac.comContact us at info@lodestonetac.comFollow us on FacebookLodestone Training and ConsultingInstagram@lodestonetrainingandconsultingGab@LodestoneTrainingandConsultingFollow our instructors on InstagramJared - @ltac_zuluChris - @lodestonefoxFlynn - @sek_ltac'Light' Chris - @ltac_whiskeyAbby - @ltac_sixKirk - @basil_fnfalDan - @w3dmjJon - @jon_ozz_ltac

Jared sits down with Emily and Annie to talk about the importance of buying locally. Earlier this year, at the Buildng Sustainable Communities event that LTAC hosted, their breakout session was one of the most popular. In today's podcast, they share their research, experiences and give good advice on how to find and support those in your local economy. Building those local connections can be lifesaving with the continued supply chain problems world-wide.A special thank you to Heather, who put a ton of work and research into the presentation, but was unable to join us for the podcast.Check out our website for more info and to register for classeswww.lodestonetac.comContact us at info@lodestonetac.comFollow us on FacebookLodestone Training and ConsultingInstagram@lodestonetrainingandconsultingGab@LodestoneTrainingandConsultingFollow our instructors on InstagramJared - @ltac_zuluChris - @lodestonefoxFlynn - @sek_ltac'Light' Chris - @ltac_whiskeyAbby - @bfr_sixKirk - @basil_fnfalDan - @w3dmjJon - @jon_ozz_ltac

Jared and Chris talk about the way Lodestone approaches training. They go through some of their experiences over their years in and out of the military, as they've been both the student and the instructor. These experiences have helped the to develop LTAC's training philosophy and is the reason it is so successful.Check out our website for more info and to register for classeswww.lodestonetac.comContact us at info@lodestonetac.comFollow us on FacebookLodestone Training and ConsultingInstagram@lodestonetrainingandconsultingGab@LodestoneTrainingandConsultingFollow our instructors on InstagramJared - @ltac_zuluChris - @lodestonefoxFlynn - @sek_ltac'Light' Chris - @ltac_whiskeyAbby - @bfr_sixKirk - @basil_fnfalDan - @w3dmjJon - @jon_ozz_ltac

Jared and Chris catch you up on what has been an extremely busy time for LTAC. They talk about updates to BFR, recent classes, and then get into what you can expect for some of the topics in the new season of the podcast. We missed you these past few weeks. It's good to be back.Check out our website for more info and to register for classeswww.lodestonetac.comContact us at info@lodestonetac.comFollow us on FacebookLodestone Training and ConsultingInstagram@lodestonetrainingandconsultingGab@LodestoneTrainingandConsultingFollow our instructors on InstagramJared - @ltac_zuluChris - @lodestonefoxFlynn - @sek_ltac'Light' Chris - @ltac_whiskeyAbby - @bfr_sixKirk - @basil_fnfalDan - @w3dmjJon - @jon_ozz_ltac

On the road, Jared, Chris and a whole crew of LTAC instructors tell a bunch of stories after class. Check out our website for more info and to register for classeswww.lodestonetac.comContact us at info@lodestonetac.comFollow us on FacebookLodestone Training and ConsultingInstagram@lodestonetrainingandconsultingGab@LodestoneTrainingandConsultingFollow our instructors on InstagramJared - @ltac_zuluChris - @lodestonefoxFlynn - @sek_ltac'Light' Chris - @ltac_whiskeyAbby - @ltac_sixKirk - @basil_fnfalDan - @w3dmjJon - @jon_ozz_ltac

Jared, Chris, Flynn and LTAC's newest instructor, Jon Ozz, answer a bunch of questions that have been sent to us. Jon talks a little about himself, then the guys answer questions on footwear, socks, backpacks, cold weather gear, knives, and a lot more.Check out our website for more info and to register for classeswww.lodestonetac.comContact us at info@lodestonetac.comFollow us on FacebookLodestone Training and ConsultingInstagram@lodestonetrainingandconsultingGab@LodestoneTrainingandConsultingFollow our instructors on InstagramJared - @ltac_zuluChris - @lodestonefoxFlynn - @sek_ltac'Light' Chris - @ltac_whiskeyAbby - @ltac_sixKirk - @basil_fnfalDan - @w3dmjJon - @jon_ozz_ltac

Jennifer Llado is a speech-language pathologist and works as a rehab director in an LTAC (long term acute care hospital outside of Boston. She co-founded Mindful Ed, lecturing continuing education courses to over 15,000 clinicians on the evidence-based benefits of mindfulness/meditation on the mind, body and brain. Jennifer is also the co-author of Mindful Healthcare: … Continue reading Jennifer Llado – Speech and Language Pathologist and Mother of My Patient →

Jared and Abby talk about the Building Sustainable Communities event that LTAC is hosting. They talk about the inspiration for the event and how members of our LTAC community came together to plan an event that will inspire attendees to go out into their own communities and build the relationships necessary to support and sustain its members through hard times. Check out our website for more info and to register for classeswww.lodestonetac.comContact us at info@lodestonetac.comFollow us on FacebookLodestone Training and ConsultingInstagram@lodestonetrainingandconsultingGab@LodestoneTrainingandConsultingFollow our instructors on InstagramJared - @ltac_zuluChris - @lodestonefoxFlynn - @sek_ltac'Light' Chris - @ltac_whiskeyAbby - @ltac_sixKirk - @basil_fnfalDan - @w3dmj

Jared, Chris and Kirk watch and comment on "Red Dawn".This special podcast is designed for you to watch "Red Dawn" along with LTAC. We give a countdown, so you can push play and watch the movie in sync with our commentary. Enjoy! Check out our website for more info and to register for classeswww.lodestonetac.comContact us at info@lodestonetac.comFollow us on FacebookLodestone Training and ConsultingInstagram@lodestonetrainingandconsultingGab@LodestoneTrainingandConsultingFollow our instructors on InstagramJared - @ltac_zuluChris - @lodestonefoxFlynn - @sek_ltac'Light' Chris - @ltac_whiskeyAbby - @ltac_sixKirk - @basil_fnfalDan - @w3dmj

This week on LTAC we are diving into the history of frozen food. Freezers are frankly magical things, and today we talk about the story of how locals freezing food in northern Canada and Northern China resulted in us being able to pull anything out of our freezers at any time and eat them like they were picked from the ground only moments before. This episode was written by Brian Clarke You can write into the show by sending everything to letstalkaboutchef@gmail.com or you can follow Brian on Instagram @chefbrianclarke If you want to support the show please go to buymeacoffee/ltac Have a great service and Have a great week 

This week on LTAC we are telling the story of cheese, and also crowning the king of all sandwiches. Yes grilled cheese is the best sandwich. If you don't agree with me start your own podcast and argue against it. If you want to support the show you can go to buymeacoffee.com/LTAC and buy Brian a coffeeThis episode was written by Brian Clarke If you want to write into the show you can send everything to letstalkaboutchef@gmail.com or you can follow Brian on Instagram @chefbrianclarke 

This week on LTAC we are diving into the stories and history of food in stadiums. Its lighthearted, its fun, its absolutely not confrontational and maybe that's what we all need on a random Saturday in February when everything seems stressful. This episode was written and hosted by Brian Clarke If you want to write into the show you can send everything to letstalkaboutchef@gmail.com or you can follow Brian on Instagram @chefbrianclarke We will be back next week with a another new episode Have a great service and have a great week 

Jared, Chris and Kirk watch and comment on this 1978 cult classic.  "The Wild Geese", starring Richard Burton, Roger Moore, Richard Harris, and Hardy Krüger is about Allen Faulkner, a former British Army colonel turned mercenary, who arrives in London to meet merchant banker Sir Edward Matheson. The latter proposes an operation to rescue Julius Limbani, the imprisoned President of a southern African nation who is due for execution by General Ndofa. President Limbani is held in a remote prison in Zembala, guarded by a regiment of General Ndofa's troops known as the "Simbas". Faulkner accepts the assignment and begins recruiting forty-nine mercenaries, including officers he had worked with previously. Then the fun really begins. This special podcast is designed for you to watch "The Wild Geese" along with LTAC. We give a countdown, so you can push play and watch the movie in sync with our commentary. We watched it on Amazon, but it is also available other places, such as YouTube.Enjoy! and Merry Christmas!Check out our website for more info and to register for classeswww.lodestonetac.comContact us at info@lodestonetac.comFollow us on FacebookLodestone Training and ConsultingInstagram@lodestonetrainingandconsultingGab@LodestoneTrainingandConsultingFollow our instructors on InstagramJared - @ltac_zuluChris - @lodestonefoxFlynn - @sek_ltac'Light' Chris - @ltac_whiskeyAbby - @ltac_sixKirk - @basil_fnfalDan - @w3dmj

In the final episode of Season 3, Jared and Chris tell a bunch of stories while reviewing what LTAC has done in 2021. Not including private classes and government contracts, we have had 89 open enrollment events this year. Some have sold out, others have had just a few people in them, but we've had over 600 students in attendance. Thank you for being a part of the Lodestone family. we look forward to seeing you, and training with you, next year.Check out our website for more info and to register for classeswww.lodestonetac.comContact us at info@lodestonetac.comFollow us on FacebookLodestone Training and ConsultingInstagram@lodestonetrainingandconsultingGab@LodestoneTrainingandConsultingFollow our instructors on InstagramJared - @ltac_zuluChris - @lodestonefoxFlynn - @sek_ltac'Light' Chris - @ltac_whiskeyAbby - @ltac_sixKirk - @basil_fnfalDan - @w3dmj

Jennifer Bridges is one of more than 150 employees at a Houston hospital system who refused to get the jab. She was subsequently terminated and is battling a lawsuit over the jab requirement. She joins us today with several of her coworkers to talk about standing up for their health freedom. Starla Haugenater has been a Nurse for 6 years working for Houston Methodist.  She was terminated for being non-compliant with Covid testing and face shield. Starla has a temporary exemption for POTS(autonomic disorder) and her physician would not grant full exemption in spite of ongoing medical testing. Starla believes there should be more discussion about those with autoimmune disorders and disabilities and they should be informed of risks. Jeff Hinton was a (wound care) acute care vendor representative, covering ~20% of Houston hospitals. He was responsible for educating clinicians (MD, DO, DPM, PA, NP, RN/LVN, PT) clinical staff on the floors and ORs. He provided surgeons OR case support and bedside patient care support for all clinicians in the acute & LTAC facilities.Ceranise Alcindor is a registered nurse and former interventional radiology registered nurse before she was terminated by Houston Methodist Hospital for refusing their mandate. After termination, Ceranise focused her attention on her second passion which is a Credit Repair Nurse specialist and consultant.Support the show (https://www.patreon.com/AskTheNursesPodcast)

Jared talks about some training they conducted this past week. He also explains how LTAC training is designed from the foundational classes to prepare you for a violent encounter.  

Jared and Chris talk with Dan, the LTAC subject matter expert on radios and communication.

Jared and Chris discuss LTAC's Small Unit Tactics classes.

Today’s guest is my friend and neighbor Tomekia Vikhrov, who is a licensed dietitian. Tomekia completed a Bachelor of Science in Food and Nutrition at the University of Minnesota, she went on to complete a dietetic internship at Western Carolina University which qualified her to sit for The Academy of Nutrition and Dietetics Registration exam to become a Registered Dietitian Nutritionist. Tomekia has worked ICU, LTAC (vents and wounds), Physical/Neuro Rehab as well as working in Ambulatory care where she was the pregnancy dietitian where she helped mothers navigate Gestational Diabetes and Hyperemesis. In addition to having experience teaching group classes and individual counseling for Weight loss, Diabetes, outpatient pediatrics, and Heart Health. She and I talk about everything from Keto to Fecal Transplants (yes, that is a thing). I enjoyed this conversation so much and learned a few things that will help me make better, more informed nutritional decisions going into this 40th year. As always, the music for this show is from the very talented Penn Davis. Check out his Instagram Page. He is working on a new album and has some very entertaining freestyles on his stories and page there. The official art for the show is from the very talented Michaela Adams. Check out the social media pages for the show this week for interactive opportunities. I'm on Facebook, Twitter, and Instagram all as @thisyeariturn40. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/thisyeariturn40/message

Long-term acute care (LTAC) hospitals are caring for the some of the most medically complex patients during the COVID-19 pandemic. As a post-acute care provider, Kindred Healthcare has been right in the middle of the battle to defeat COVID-19 by partnering with short-term acute care hospitals to help treat patients and ease overcrowding in hot spots across the country. Kindred CEO Ben Breier spoke to Chip about how the company relied on its network of hospitals to ensure its staff were always prepared to provide patients with the highest quality of care. Breier also discusses a recent report from the consulting firm ATI Advisory that highlights how LTAC providers have been able to bridge gaps and extend care within the care continuum during the pandemic. Based on the COVID experience, the report also recommends key considerations for LTAC hospitals as part of future health policy development. See the full report here. Hear more about post-acute care from Chip’s conversation with Al Dobson, Getting back to Life: The Growing Demand for Post-Acute Care with Al Dobson.

Chris Johnson talks with "Light" Chris about his time and experience in Special Forces. He has been a Green Beret Weapons Sergeant and Warrant Officer. "Light" Chris will be joining us for selected LTAC classes.

In this episode, Eric continues his conversation with the Indian number two of Indian chess: Super Grandmaster Pentala Harikrishna (1986) from India. In this episode Eric and Hari talk about the first book Harikrishna wrote, "Beat the French with 3. Nc3". Hari explains that it is not only a book about the French Defence, but also a book about general opening principles, strategies and he explains that is is not always useful to pick the best computer move and to trust your instincts. There is a lot of text in the book, which makes it interesting for a wide range of players. The book was published by Thinkers Publishing. LTAC recommended! However, there is another amazing story Hari has in store for us: he tells about his meeting with the legend of all legends, Bobby Fischer. He met him in Reykjavik, Iceland in 2006. Don't miss it! Pentala Harikrishna became the youngest grandmaster from India on 12 September 2001, a record now held by Gukesh D. He was Commonwealth Champion in 2001, World Junior Champion in 2004 and Asian Individual Champion in 2011. Pentala won the Tata Steel Group B in 2012 and the Biel MTO Masters Tournament Open event in 2013. He represented India at seven Chess Olympiads from 2000 to 2012 and won team Bronze at the World Team Chess Championships in 2010. At the Asian Team Championships, Pentala won team gold once, team silver twice and individual bronze once. In July 2020, he won with 5.5 points out of 7 games the Chess960 event, that was part of the chess tournament in Biel. He also represented India in the Online Olympiad 2020 where India won the gold medal along with Russia. In February 2013, Pentala's FIDE rating passed 2700 for the first time. He broke into the top ten players in the world in November 2016 with a FIDE rating of 2768. His current rating (February 2021) is 2730.  Do you like LTAC? Consider to support the podcast:  https://steadyhq.com/de/letstalkaboutchess/about ----------------------------------------------------------------------------------------------------------------

Jared and Chris talk with Flynn about his background, his day job as a full-time SWAT officer in a major city, and being a part-time instructor for LTAC.

Jared, Chris and Kirk talk about some of the craziness that was 2020. They relate some personal stories from the year. They also review a lot of the events ans classes from LTAC's first year in operation.  Hope you enjoy it!

Jared and Chris are joined by Kirk. Kirk's background is in competition shooting and he has a C&R license. He teaches the Level One and Shotgun classes for LTAC. He's also been known to show up at the Battle Rifle classes. Jared and Kirk talk about how they met through the old FN FAL group, the FAL Files.

Jared talks to LTAC Six (Abby). She talks about her progression from growing up without firearms to carrying a firearm every day and what inspires her to teach LTAC's new For Women Series.

TSC Talks had a fantastic chat with Cannabis Nurse, Carey Lee Leuer, R.N. recently. Carey Lee is a Registered Nurse, Iowa Green Nurse and Cannabis Nurse Consultant- Integrative Health, Geriatric’s, Mental Health. Here's some further info, snippets from transcript and time stamps. From https://thegreennurse.com/cannabis_nurses/carey-lee-leuer/" "Nurse Carey Lee wasn’t always a nurse. Her first career spanning over 15 years was in mortgage finance. Although successful, finance did not ignite the fire in her belly like nursing would. 20+ years after high school, marriage, three boys, and a dog named Cooper she took a leap of faith and went back to school to get her nursing degree. Her clinical experience ranges from emergency medicine, skilled nursing in LTAC, geriatric behavioral health & dementia, restorative nursing, and now her primary practice is holistic integrative nursing. “Nursing is my second career but my first love.” Nurse Carey Lee also brings her perspective as a patient to the table. She has battled her own emotional health and has experienced incorrect diagnoses and pharmaceutical trauma. This led her on a journey to find ways of healing other than Western medicine’s first line of treatment-pharmaceuticals. She quickly discovered that getting back to the basics of self-care would become the foundation of healing & maintaining optimal health of mind, body, & spirit. She is passionate about educating patients of various healing modalities and showing them how to THRIVE by implementing a customized self-care plan she lovingly refers to as her Daily Five to Thrive. This self-care plan incorporates the basics: sleep hygiene, nutrition, functional exercise, sunshine, and mindfulness. “Cannabis is one tool we can use to heal & maintain the health of our body, mind, and spirit.” Her own endocannabinoid system was depleted from all of the years of chronic stress that comes with complex post traumatic stress disorder (CPTSD) and seasonal affective disorder (SAD). Thanks to medical cannabis and her daily five to thrive, her endocannabinoid system was replenished. She discovered that medical cannabis was the only way she found relief of the nightmares & terrors experienced most of her life. She also found relief from the chronic pain she battles thanks to Cervical Spondylotic Myelopathy. The plant has also allowed Nurse Carey Lee to open up to explore and discover other healing modalities from Eastern medicine, mycology, reiki, energy healing, and holistic psychology." From the transcript: "I've been a registered nurse for three years, a little over three years now. My first career was in mortgage finance completely. You think it would be the opposite? And I did that for about 15 years, everything from like processing, underwriting sales, ended with the bank, owned my own mortgage brokerage firm with my sister and my husband. Wow. Yeah, VIP mortgage group. We ran it out of Elgin, Illinois. And I pretty much ran operations. I handled every aspect of operations and you can be really good at something and hate it. Yeah. And that was me. I it was not fulfilling to me it was it did not tickle my fancy in the slightest. I was miserable. And what made you get into it in the first place? I just kind of fell it fell into it. I actually had left and moved down to Florida after high school in the in the early 90s. And when I came back home to the burbs of Chicago, my sister's still there. She was just got into the mortgage business herself. Hmm. And so I was crashing at her pad. And she was just like, Hey, you want to come in and check it out? And so I did. And, you know, it just it found me It fell in my lap. And I went with it, you know, so I had a great career, I earned a lovely income and met, plus lots of great life experiences. But like I said, it just wasn't it wasn't feeding your soul. It wasn't feeding my soul." Going back to school for nursing (9:54) How she found green nursing (12:06) Regular cannabis user and feeling the stigma (13:42) “Coming out” about cannabis use (15:02) Working in an ER with c-PTSD (20:23) Struggling with traditional medical treatment and it’s limitations (23:10) Cannabis and c-PTSD (25:08) Cannabis, anxiety and nausea (27:22) Spirituality, religion and the plant (29:15) Working with Dr. Clifton (32:07) Difficulty finding a certifying provider (34:27) What happens when mom finds out (35:11) Other family members reaction (35:49) Carey Lee’s Vision (38:25) Pharmaceutical trauma/polypharmacy (40:21) Carey Lee's Links: Facebook: https://www.facebook.com/cannanursecareylee Instagram: http://www.instagram.com/cannabisnursecareylee LinkedIn: linkedin.com/in/carey-lee-leuer-24b8011a3 The Green Nurse: https://thegreennurse.com/cannabis_nurses/carey-lee-leuer/ Email/contact: greennurse17@gmail.com LINK TO AI TRANSCRIPT: https://otter.ai/u/3O1SSQ7maoWo8oIOdh-H-6KdK4s

TSC Talks had a fantastic chat with Cannabis Nurse, Carey Lee Leuer, R.N. recently. Carey Lee is a Registered Nurse, Iowa Green Nurse and Cannabis Nurse Consultant- Integrative Health, Geriatric’s, Mental Health. Here's some further info, snippets from transcript and time stamps.From https://thegreennurse.com/cannabis_nurses/carey-lee-leuer/""Nurse Carey Lee wasn’t always a nurse. Her first career spanning over 15 years was in mortgage finance. Although successful, finance did not ignite the fire in her belly like nursing would. 20+ years after high school, marriage, three boys, and a dog named Cooper she took a leap of faith and went back to school to get her nursing degree. Her clinical experience ranges from emergency medicine, skilled nursing in LTAC, geriatric behavioral health & dementia, restorative nursing, and now her primary practice is holistic integrative nursing. “Nursing is my second career but my first love.”Nurse Carey Lee also brings her perspective as a patient to the table. She has battled her own emotional health and has experienced incorrect diagnoses and pharmaceutical trauma. This led her on a journey to find ways of healing other than Western medicine’s first line of treatment-pharmaceuticals. She quickly discovered that getting back to the basics of self-care would become the foundation of healing & maintaining optimal health of mind, body, & spirit. She is passionate about educating patients of various healing modalities and showing them how to THRIVE by implementing a customized self-care plan she lovingly refers to as her Daily Five to Thrive. This self-care plan incorporates the basics: sleep hygiene, nutrition, functional exercise, sunshine, and mindfulness.“Cannabis is one tool we can use to heal & maintain the health of our body, mind, and spirit.” Her own endocannabinoid system was depleted from all of the years of chronic stress that comes with complex post traumatic stress disorder (CPTSD) and seasonal affective disorder (SAD). Thanks to medical cannabis and her daily five to thrive, her endocannabinoid system was replenished. She discovered that medical cannabis was the only way she found relief of the nightmares & terrors experienced most of her life. She also found relief from the chronic pain she battles thanks to Cervical Spondylotic Myelopathy. The plant has also allowed Nurse Carey Lee to open up to explore and discover other healing modalities from Eastern medicine, mycology, reiki, energy healing, and holistic psychology."From the transcript:"I've been a registered nurse for three years, a little over three years now. My first career was in mortgage finance completely. You think it would be the opposite? And I did that for about 15 years, everything from like processing, underwriting sales, ended with the bank, owned my own mortgage brokerage firm with my sister and my husband. Wow. Yeah, VIP mortgage group. We ran it out of Elgin, Illinois. And I pretty much ran operations. I handled every aspect of operations and you can be really good at something and hate it. Yeah. And that was me. I it was not fulfilling to me it was it did not tickle my fancy in the slightest. I was miserable. And what made you get into it in the first place? I just kind of fell it fell into it. I actually had left and moved down to Florida after high school in the in the early 90s. And when I came back home to the burbs of Chicago, my sister's still there. She was just got into the mortgage business herself. Hmm. And so I was crashing at her pad. And she was just like, Hey, you want to come in and check it out? And so I did. And, you know, it just it found me It fell in my lap. And I went with it, you know, so I had a great career, I earned a lovely income and met, plus lots of great life experiences. But like I said, it just wasn't it wasn't feeding your soul. It wasn't feeding my soul." Going back to school for nursing (9:54)How she found green nursing (12:06)Regular cannabis user and feeling the stigma (13:42)“Coming out” about cannabis use (15:02)Working in an ER with c-PTSD (20:23)Struggling with traditional medical treatment and it’s limitations (23:10)Cannabis and c-PTSD (25:08)Cannabis, anxiety and nausea (27:22)Spirituality, religion and the plant (29:15)Working with Dr. Clifton (32:07)Difficulty finding a certifying provider (34:27)What happens when mom finds out (35:11)Other family members reaction (35:49)Carey Lee’s Vision (38:25)Pharmaceutical trauma/polypharmacy (40:21)Carey Lee's Links:Facebook: https://www.facebook.com/cannanursecareyleeInstagram: http://www.instagram.com/cannabisnursecareyleeLinkedIn: linkedin.com/in/carey-lee-leuer-24b8011a3The Green Nurse: https://thegreennurse.com/cannabis_nurses/carey-lee-leuer/Email/contact: greennurse17@gmail.comLINK TO AI TRANSCRIPT: https://otter.ai/u/3O1SSQ7maoWo8oIOdh-H-6KdK4s

Transcription:David S. Chernow 0:03 We made a decision to take on all COVID patients immediately. And we worked with our partners and dedicated units and one of our four key results, my five plus six equals for is bad math. Our four key results are to keep our patients and each other safe, to create an exceptional patient experience, to create an exceptional employee experience, and then and only then to meet our annual business plan.Gary Bisbee 0:30 That was David Chernow, President and CEO, Select Medical, discussing how Select's decision to accept all COVID patients was pre-determined by their corporate strategy. I'm Gary Bisbee, and this is Fireside Chat. As David described Select Medical, he provided an excellent outline of the post-acute care business, as well as the rationale for expanding into homecare, Select medical operates nationally, and David provides color on growing a large and diverse business. He spoke about where scale matters in the post-acute care business, what are the keys to successful partnerships and where solid operations make a difference. Let's listen to David respond to a question about characteristics of a leader during a crisis.David S. Chernow 1:13 Everybody's relying on you. They're looking to see how you respond and how you respond will help others respond accordingly. I'm a big believer in servant leadership. I believe that making other people successful, having them be successful will drive the success of your organization.Gary Bisbee 1:30 David has a fascinating personal background. Spoiler alert, he was a ball boy at UCLA and one of the great John Wooden's basketball teams. Don't miss David sharing his favorite John Wooden story. delighted to welcome David Chernow to the microphone. Well, good morning, David. And welcome.David S. Chernow 1:51 Thank you, Gary. And I'm very pleased to be here and I appreciate the time.Gary Bisbee 1:55 We're pleased to have you at the microphone for sure. Let's kick right off here. Some of us are more familiar with Select Medical than others? Could you please describe Select Medical for us, David?David S. Chernow 2:05 Sure. Select medical is a post-acute care provider to companies. Now it's grown quite a bit over the last 10 years in particular, although we're 22 years since our founding by Bob and Rocky Ortenzio. When I say post-acute, we provide four levels of services in the post-acute arena. One, we're a provider of what we call critical illness recovery hospitals or long term. Most people know them as long term acute care hospitals. We actually have 101 of those hospitals around the country in 28 states. We're also a large provider, I think we're the second largest provider of inpatient rehab hospitals, where currently we have 29 of those specialty hospitals operating in 12 states and we have 17 partnerships, which I think we'll talk about later on in our podcast here. We're also a provider of outpatient services, physical therapy, occupational therapy and speech, and we have 1750 locations around the United States in 37 states in the District of Columbia. And then we're also providers of occupational medicine, with Concentra and more recently, the acquisition of US Health Works. We have approximately 525 centers in 41 states so that rounds out sort of our post-acute services I will say also, some people ask us if we're in the skilled nursing facility business, we are not, but we are in just venturing into the home health business in a partnership with a entity called A.S.H.N. which is alternate solution Health Network, a terrific provider of home health, who shares our mission, vision and values.Gary Bisbee 4:02 So quite an extensive operation. Why did Select Medical choose to focus on post-acute care, David?David S. Chernow 4:09 It's interesting, Rocky or Rocco Ortenzio, who's really one of the great pioneers of inpatient rehab has had four companies over the span of close to 50 years and his son, Bob, or Ortenzio, who's been in the business close to 40 years with him. They were really rehab guys. Started out in the rehab business and through merger, consolidation and the like, over 20 years ago, decided to start Select Medical, that's really their background, but the quiet corner of healthcare was nobody really knew about long term acute care, although it was similar, not exactly the same as inpatient rehab, and ironically, I think there was probably a non-compete way back when and they ended up going into long term acute care, but their real background/passion was inpatient rehab. So I think once the non-compete went away, they started getting into the other areas of post-acute including inpatient rehab and outpatient. Ironically, Rocco is a PT by background. So it's really his first love, and we started venturing into the - not only LTAC, but inpatient rehab, but getting into outpatient and I believe it was in 2003. We got into the outpatient business with the acquisition of Nova Care, which you may know about in the Philadelphia market and then really have expanded the services there. So post-acute has always been our laser like focus. And as you know, Gary, it hasn't been the focus until more recently, of a lot of health systemsGary Bisbee 5:49 For sure. Actually, quick story on Rocky, when I was at Kidder, Peabody investment banker at Kidder. Rocky came in and we were talking about possibly doing a deal with what I think was probably his first company at that point. And we covered the post-acute business on the research side and Rocky spoke at several of our meetings, so small world. But back to your point about post-acute care. What's your thought about that? It has never been the darling of healthcare. In fact, you could argue that it really has been under resourced. What do you think about that? And why is that? And how's that changing, David?David S. Chernow 6:29 Yeah, it's a great question. And I would tell you, I've been here 10 years now, and things have changed over the last 10 years, even though the company's 22 years old. I think, with the evolution of healthcare, where, as you know, a lot of the health systems are trying to get away from hospitalization, which is the highest cost service in the healthcare continuum, of course, post-acute getting patients out of the hospital sooner. Hopefully getting them home and healthy, but having specialized services has really become the priority. And so most health systems who are trying to deliver high quality cost effective care, there really hasn't been that focus once they get discharged, how do we treat those patients in a cost effective and a high quality way? So I think now, with the whole look towards value based purchasing, and the like, the opportunity to really explore how we can provide all those services. You know, I'm an old healthcare guy, where it always used to be the focus was oncology, orthopedics and cardiology in the service world. Now, as you know, what's happened is, I think post-acute has become a very high priority for most of the systems, especially as they're trying to figure out how to manage the patient population in our population health strategies that most health systems have today.Gary Bisbee 7:59 I'll be interested to follow your home healthcare initiative because it strikes me that it's a terrific addition just when you think about the continuum of care.David S. Chernow 8:09 While we're on the topic, let me just share with you you know, since I've been here, and I've learned a lot since I've been here, I was a board member for seven years prior to joining in leadership back in 2010. But ever since I came here, I know Bob and Rocky, were always talking about our goal would be to get people home and healthy. And it was a missing piece, and of course like every health system, there's always the challenge of how do you develop that service line. We stick to our knitting, we know what we're good at, and we know what we're not necessarily good at, and we've been laser like focused with long term acute care critical illness that we call inpatient, rehab and outpatient, but all of our partners have been asking us: "if you're a post-acute preferred partner, why aren't you in home health?". And so for several years we've been looking at: Okay, do you build it? Do you buy it? Or do you partner? And we made a strategic decision with the input of many people who, you know, on our board, they gave us the advice and counsel that we need to figure out a way to get in that business. And so we literally went down the road of evaluating, do we build it? No, really hard to develop. Do we buy it? As you know, there's a lot of good players out there, but it's difficult to buy in the prices that were out there, it was potentially risky to purchase. And then we decided, let's find somebody who has the same culture, the same values and the same business model. And that's what we did. And so we were fortunate enough to partner with A.S.H.N., Alternate Solution Health Network out of Dayton. And literally, they have the same operating, centralized operating model, high quality provider, already existing partnerships. And so we're trying to leverage that relationship and bring that to the benefit of our partners in local markets.Gary Bisbee 10:05 That sounds terrific. Another question, David. So how to Select medical work with physicians?David S. Chernow 10:11 So unlike other organizations, we do employ in some markets, but it's a small amount. But what we do do is we have about 130 specialty hospitals. 130 of them. In each one of those hospitals. We have medical directorships. We have affiliations with directors of quality, directors of wound care. We have medical directors, typically in pulmonary critical care, a lot of specialties PM&R physicians - physical medicine and rehabilitation. So we have relationships where we engage the physician community to provide high level services, and we work very collaboratively with them and develop standards of care and make sure that we're operating at the highest quality. So, physicians are critical to our delivery of our services in the post-acute. It's just that it's more of a, if you will, arm's length and it's not an employed, perfectly employed model like some healthcare systems.Gary Bisbee 11:15 You made reference to Select Medical growing through the years, particularly the last 10 years. Where does scale matter in the post-acute business, David?David S. Chernow 11:24 I would tell you, just to give you sort of a sense of things when I came aboard, we were about at 20,000 employees, and about $2 billion dollars in revenue. Currently, today we're over 55,000 employees, and approximately five to five and a half billion of revenue. I will tell you and it sort of goes maybe to some future questions that you may have. Bob and Rocky have developed over the years a great centralized business model that allows us to scale, quickly. And as you know, one's ability to scale, a business is based on leadership, and having a strong bench and having a really great strong mission and vision and values and a great culture. And so, scale does matter to us because our ability to leverage our infrastructure, from an IT perspective, from a billing and collecting perspective, from a procurement perspective, all the things that drive efficiency and healthcare, we've been able, fortunately to do a really good job. We are operators by heart. That's really who we are. And I remember early in my career, Pricewaterhouse was always doing things on how you integrate in scale. There was “Five Frogs on a Log”. I don't know if you remember the book, but execution is the key to success in business, in general and in healthcare, in particular. And I think we've been honestly pretty darn good. Even when I was a board member, they were always doing great jobs of integrating new businesses, new services, and new partnerships. And so, scale does matter. Not that bigger is better. But I'm proud to say that we've delivered a high quality service line in all of our four business lines or service lines. And we've been able to do it efficiently because of our centralized business model.Gary Bisbee 13:27 The scale question might lead us into the next section, which would be the COVID crisis. And of course, that's hit all providers. What did the COVID crisis present for Select Medical either in terms of challenges or opportunities, David?David S. Chernow 13:41 With COVID, I will tell you, I joke about this, Gary, and it's not really proper math, and some people say it's probably stupid math, but I talked about how five plus six equals four. And people will say, what does that mean? And I said, Well, I know it's not very good math, but what it does mean is that our five core values, plus our six cultural behaviors equal our four key results and why I bring that up in COVID is our five core values are delivering superior quality and all that we do, treating others as they would want to be treated, and being results oriented and being team players, but most importantly, especially in this environment of the pandemic COVID-19 is we're resourceful in overcoming obstacles. And we've been challenged like we've never been challenged in the history of the company. And it has provided us with not only enormous challenges, but enormous opportunities. The major challenge for Select was, how do we take on that patient population, the COVID-19 patients and every health system had a decision to make, do we take them on? Where do we put them? How do we tackle the problem? We have a terrific chief medical officer and chief quality officer Dr. Hammerman, who happens to be a critical care and pulmonologist who helped us define the standards by which - obviously following CDC and other things, but we made a decision to take on all COVID patients immediately. And we worked with our partners and dedicated units. And one of our four key results, my five plus six equals four is bad math. Our four key results are to keep our patients in each other safe, to create an exceptional patient experience, to create an exceptional employee experience, and then and only then to meet our annual business plan. Well, that first key result, which is to keep our patients and each other safe, has been the complete focus of our company for the last four months during COVID. And I'm happy to say that with that challenge was an enormous opportunity. I think I mentioned we're in 28 states with our critical illness recovery hospitals. We've been asked by partners and non-partners to stand up units in local markets to be able to address the problem. I interviewed Bob Ortenzio on our own podcast, our executive chairman, and he reiterated which I will reiterate to you. We've never been more proud as a company in our ability to treat patients and deliver on our mission and our vision relating to this COVID pandemic. So it's been a great challenge, but I will tell you, some of the other things that have happened in major cities in this country, not only have health systems come to us, but state health departments have come to us and said, “Can you help us?”, because I think I mentioned this to you before, we're one of the largest providers of ventilator care in this country. And so while people didn't really understand what ventilators meant, or what intubation meant, I think everybody now understands what that means. And so we've been very fortunate to be able to step up, and be a solution provider to be a problem solver in many of the markets around this country, providing the level of care that gets us up each and every day and makes us excited to be part of the solution in this country of providing good care to the patients who need us the most.Gary Bisbee 17:17 David, how did the PPE supply chain hold up?David S. Chernow 17:20 Again, we were pretty fortunate. I mentioned to you our business model of centralized procurement, because we have over 100 long term acute care or critical illness recovery hospitals. We had a pretty strong supply of ventilators in the normal course of our business. And when we started hearing about some of the things going on, we were relatively proactive in making sure that we had not only surgical gowns and masks, but maintained our high level of ventilators. So we've never been, if you will, caught with a delay, and of course, keeping our patients and each other safe is critical. So Having the PPE was critical to our success of being able to not only address the issue and to treat the COVID positive patients, but also to keep our employees happy or safe in this environment.Gary Bisbee 18:15 What was the policy for relatives and visitors?David S. Chernow 18:18 It's a great question, Gary. We had a no visitation policy. We followed CDC guidelines, we were pretty conservative on our approach. I will tell you we also, just like any good partner, in any good partnership, we're also in a lot of host hospitals. Of those hundred and one hospitals, over 80% of those hospitals are “HIHs” or hospitals within a hospital. And we got partners in many of our hospitals who we were following their guidelines, which may have been a little inconsistent with our standard policy. So if you can imagine if a post hospital has no visitation or has visitation and we have no visitation, there'd be a bit of a conflict. So we just worked through in every one of our relationships. We took a policy of no visitation and where there was, quote, unquote, a difference of approach. We work with our host hospital or our partners and make sure that we are consistent with what was going on in the local market. By and large, though, there was mostly no visitation initially.Gary Bisbee 19:26 Well, that's a good lead into partnerships, which are hard work in the best of circumstances and Select medical has been quite successful at them, what are the key principles that make a partnership work for both sides, David?David S. Chernow 19:41 I don't mean to make light of this, and Gary, I think you know this. I've been blessed and personally, I've been very fortunate that Bob and Rocky are vice chairman and executive chairman and co-founders and have allowed me the opportunity to be front and center of most of these partnerships in the negotiation. And I've been able to work with my contemporaries, fellow CEOs and health systems to help drive the post-acute strategies of these partnerships. And what I would tell you is I tell every one of them that the best advice I ever got was from my mother-in-law, who before I got married, she said, the key to a great marriage is three C's. And I said, What are you talking about? And this is before we got married, she said, Well, if you practice the three C's, you will have a great marriage. And I sort of look at marriage like partnerships, by the way the three C's are, and we've extended it to the four C's, but the three C's were compassion, communication, and compromise. And we added a fourth which was collaboration, but I will tell you in each and every one of our partnerships, there's trust, there's confidence and there's the four C's. There's A great deal of communication. There's a great deal of compassion and understanding of what the needs are of our partner. There's an enormous amount of compromise in my definition. I don't know about yours, Gary, my definition of compromises that nobody's happy. But the truth of the matter is with those four C's, and of course, there's collaboration, you're never going to face a problem you can’t handle. And I will tell you that some people have asked the question, have you ever walked away from a partnership? We do believe in the sanctity of partnerships. And I will tell you that it has to have a basic fundamental concept to make the partnership work, and that is that we have common values and a common culture. And by the way, this is not a criticism in any stretch of the imagination, but we as an organization, really look at that first and foremost and say: Do they believe in the things we believe in. I told you about the five plus six equals four - are their values - do they believe in delivering superior quality in everything they do? Do they want to treat others as others would like to be treated? Are they results oriented? Do they believe in results? Do they believe in team play? Do they want to overcome obstacles? And the answer, invariably, with all these great institutions, most of them, are is they're exactly like us. And I think that's what's made us successful. We've never had a problem. We always can work through the issues. And I will tell you that the reason the partnerships work is I think we're solving a problem or have laser-like focus in a particular area that our partner maybe did not. And that's what makes for really good partnerships is that we're able to have shared culture and values and we're able to deliver a service that maybe is not their priority, but now is.Gary Bisbee 22:56 So I was going to ask what are the reasons a large health system pursues a partnership and you pretty much answered that. Let me ask a different way, which is how do you connect with these large systems? Do they reach out to you? Or do you reach out to them?David S. Chernow 23:09 I will tell you that, like everything in life, it's just relationships and people we know. But I will say that more recently, with the change in sort of strategy and population health, value based purchasing, getting people out of hospitals, I think the changing healthcare environment has really pushed many health system leaders to look at post-acute in a different way. And I think most of them have had the challenge of saying, I want to get people home and healthy, and I can't send them home. And I'm not delivering and not focused on these post-acute services. How do I get into that? How do I deliver that service which is so well needed in my community? And they either have to make the decision or I'll build it on my own. Maybe I'll buy it in service. And ironically, Gary, most of our partnerships are with not-for-profits. So a lot of them may need capital. A lot of partners come to us and they say, I currently have a small unit or rehab unit or an LTAC unit. But I need my beds for inpatient medical surgical, can you help me deliver that service outside my hospital, so I can free up those beds. And by the way, I need capital. And I need a real high quality provider to provide the service and do it in a way that we're accustomed with high quality and cost effective care. So they're looking for someone who shares the mission, vision and values but can also provide that level of service with a laser-like focus that they'll be proud of, and that's sort of what we've been fortunate to do. I will say that I'm pretty involved like you in VHA and we're with Cleveland Clinic and UCLA and Cedars, and I think sometimes word of mouth helps, right if we've done a good job with Emory. And they'll say, they've delivered the service and they've done what they said they're going to do. So that always helps. But we also identify which markets may have a need for post-acute services that's underserved. And we may go out and approach a health system that says they're not delivering the service that needs to be done in that market, and we'd love to figure out a way to partner. We're not a greenfield go in, establish a foothold and do something independent. We do love partnering. It's really who we are.Gary Bisbee 25:38 Let's turn to your personal background, which is quite interesting. And it's always fun to learn about a CEOs background. You graduated from UCLA, graduate degree from Pepperdine. Did you grow up in California?David S. Chernow 25:50 I joke about it. My father went to UCLA. I'm a twin. So my twin brother and I both attended UCLA. Little known fact about me: I did grow up in California, I've always been a UCLA Bruin supporter. My only claim to fame, Gary, is that I'm actually looking at the picture. I was a ball boy, John Wooden. You're talking about leadership, so he inspired me when I was 13-years-old — There's a famous picture. I joke with everybody. It's a famous picture of Bill Walton, who's above the square fly swatting a ball out to his point guard, to lead a fast break, and everybody looks at the picture and says, oh, wow, that's great. Who's that? Says Bill Walton. I tell them they're not looking at the right person, because underneath his foot is a kid who's ready to dry up the sweat off the floor. I grew up there. I went to law school. My dad was a lawyer, worker's comp lawyer, my twin brother's a lawyer, but he sort of followed the family footsteps and not to get too personal but at a very young age right after graduate law school, I ended up getting cancer. And that's what actually pushed me into the healthcare world and I got treated, ironically, as I told the CEOs of both UCLA and Cedar Sinai. I've been in all their hospitals and been treated. And it was destiny that we were going to do something together. But thankfully, I had great care. And it got me into the oncology world where I started my career in helping put together what later became US Oncology, but I loved UCLA. I grew up in California and my own health issues when I was 23. And going through some struggles, is what prompted me to get into healthcare.Gary Bisbee 27:41 Well, I've got to ask this story, David. So what's your favorite John Wooden story?David S. Chernow 27:46 My favorite John Wooden story is - and by the way, I think I have every one of his books and I believe in his pyramid of success and leadership. Interestingly enough Bill Walton, many of your listeners may know who was a pretty Radical young man - superior athlete. One day he went up to John Wooden. And he said, sir, I believe in freedom of speech, I believe in freedom of expression. I know you have a policy of no facial hair, and I believe that I should have the ability to express myself and be able to grow a beard and do what I need to do. And John Wooden looked at him and he said, I agree with you, you should have the right to express yourself and you should have the right to look the way you want to look. And Bill it was a pleasure having you on our team. Obviously he shaved his beard and was national Player of the Year but Wooden is an idol of mine and a mentor. I have two great mentors. Rocky Ortenzio is a great mentor of mine and John Wooden is more of a leadership mentor to me.Gary Bisbee 28:50 That's an absolutely terrific story and both those gentlemen are top notch for sure. Looking at your professional background, you could be viewed as an entrepreneur. Or an operator? How do you view yourself David?David S. Chernow 29:03 Interestingly enough, Gary, in my background - I always thought - I was a tennis player. By the way, when I went to UCLA, I played tennis there for my first year, and then had Tommy John surgery ironically. So my career ended quickly. And I always thought I'd want to be a sports agent. I grew up, dreaming of that. And ironically, I ended up being in the healthcare world, professional services working with physicians through most of my career. And so I found it to be an interesting similarity of representing and working with highly professional, highly talented individuals, which sort of marked my career but I've been fortunate that I've had some entrepreneurial ventures and ironically I talked to you about Rocky and Bob Ortenzio. They actually gave me my first start, I came up with an idea way back when in the late 80s that I thought we could develop a physician practice model in oncology and build cancer centers. And they gave me the original money with Russ Carson to start what later became US Oncology. Honestly, this isn't false modesty, I didn't really know what I was doing. But sort of learned along the way, but had great mentors and people like Ross Carson, and Rocco, and Bob, who believed enough in me to do something. So I would have to say I'm a bit entrepreneurial. Although I've learned to become an operator, I'm more of a development entrepreneurial type of guy. I will tell you that all kidding aside, you know, the joke is that David can't keep a job because he's had about four different careers. But this may get into our leadership discussion, but I had one of the great jobs ever in the world, if you will, when I was recruited to run Junior Achievement in the United States as the CEO and then I became the head of JA worldwide, but I did that for about six years, which was to educate and inspire young people to be successful in life through free enterprise education, involving entrepreneurship, financial literacy and workforce readiness. So I've seen the great side of people, and had one of the great jobs in America and worldwide, which was educating and inspiring young people around our great democratic and American free enterprise system.Gary Bisbee 31:26 You've had an interesting background. This has been a terrific interview, let's move to leadership to wrap up. What do you think the characteristics of a leader during a major crisis are?David S. Chernow 31:36 I think the ability to maintain a coolness calmness, a rational approach to things to not get too high, not get too low is critical, I have to say is I had this fantastic father, who was just a brilliant guy and just seemed to have that calmness that steadiness that is required in adverse situations. One of our core values is being resourceful and overcoming obstacles. And I will say two more personalize this. When you've had some really difficult things happen in your life, and one of mine was losing my father at a young age and also having cancer at a young age. I think you build up this sort of strength and this resolve to be able to deal with problems and adversity. And so I know that Bob Ortenzio and Rocco have these great qualities and I try to be the same, which is, keep a level head, be calm, and make sure that you're addressing the problem. You're not getting too worked up over things because everybody's relying on you. They're looking to see how you respond and how you respond will help others respond accordingly. I'm a big believer in servant leadership. I believe that making other people successful, having them be successful will drive the success of your organization. While I have a great title and a great responsibility. It's really not about me. And one of the great things I love about Select and most of our partners know this, is that there's a humility and humbleness that emanates from Rocky and Bob and throughout the organization. And I'm proud to be part of that in part of a humble servant type organization that our whole goal is to make others successful.Gary Bisbee 33:26 Great point of view, and you do it very nicely. I'd like to wrap up with a final question if I could. You made the point that you've learned to be an operator, what lessons did you learn that make you a good operator, David?David S. Chernow 33:41 It's interesting for me, because I'm more of a development, maybe try and be strategic, try and be a bigger thinker. On the one hand, on the other hand, Select has always been an operating company who's delivered results. And the thing that I've learned is that not one week, not one month, not one quarter necessarily dictates how good an operation can be, you got to have the long term view. And the key to being good operators is to treat people well. And to make sure that you educate, inspire and motivate your workforce to deliver the four key results, which again, are keeping our patients and each other safe, delivering exceptional patient experience, delivering employee experience, because if you don't have happy employees, you're never going to deliver a great patient experience. And then and only then, and remember, there's four key results, but then and only then can you deliver on your business plan. And I will tell you that delivering on the business plan, you have to have those other three elements - those other three key action items, and what we've learned being operators is that we have to be sensitive to other people and every market is different, and you can't just make a blanket statement as to why things are happening. You have to really dig deep into the reasons why things aren't happening and be willing to make corrections and be a good listener to your employees. That's what I learned is being an operator.Gary Bisbee 35:19 David, thank you so much for the time today. Just a terrific interview and continued success at Select Medical.David S. Chernow 35:28 Thank you, Gary. It's a pleasure and stay safe and stay healthy.Gary Bisbee 35:32 This episode of Fireside Chat is produced by Strafire. Please subscribe to fireside chat on Apple podcasts or wherever you're listening right now. Be sure to rate and review fireside chat so we can continue to explore key issues with innovative and dynamic healthcare leaders. In addition to subscribing and rating we have found that podcasts are known through word of mouth. We appreciate you spreading the word to friends or those who might be interested in. Fireside Chat is brought to you from our nation's capital in Washington DC, where we explore the intersection of healthcare politics, financing and delivery. For additional perspectives on health policy and leadership, read my weekly blog Bisby's Brief. For questions and suggestions about Fireside Chat. Contact me through our website, Firesidechatpodcast.com or Gary@hmacademy.com. Thanks for listening. 

Working at a LTACH varies greatly from working in a hospital and here’s how

Listen on: iTunes Anchor Spotify Google Guests: Taylor Ferguson and Alex Gnaedig Social Media: Instagram @Tayferggs LinkedIn @Alex Gnaedig Hi, I'm Alex Gnaedig. I'm an RN, BSN from Dallas, Texas. I married my best friend Amanda in 2016 and in January of this year we welcomed our beautiful baby Amelia into the world. I have been a nurse since 2010 and have worked in all areas of healthcare from hospice, home health, LTAC and more recently the emergency room. I have worked exclusively in the emergency room since 2013 and have had the privilege of meeting some of the most amazing nurses, doctors and allied staff from all over the country. When I'm not working I love to travel and build things - wood tables, fire pits, and tiny trailer homes to name a few. I love what I do and do what what I love. I'm a driven individual, and always try to remain hopeful and positive. A little sense of humor doesn't hurt either! Website: Thesuccessjourneyshow.com Email: successjourneypodcast@gamil.com Instagram: @successjourneyshow Facebook: @successjourneyshow Twitter: @success_show --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app

When we send patients to LTAC or SNF to relearn how to walk, what is that like? Susi Rimkus, DNP, shares with us her experience with rehabilitating rehabilitation. https://medium.com/@kalidaytonpodcast @HomeICU --- Support this podcast: https://anchor.fm/restoringlife/support

What is it like to wake up with less physical capacity than a newborn? What is it like to be sent to LTAC with no expectations of returning home? When patients have not moved for weeks+, what is the journey to recovery like? How long does it take? What are the psychological effects on survivors and loved ones? Jim and Cheryl Rettinger gives us an inside look. https://medium.com/@kalidaytonpodcast @HomeICU --- Support this podcast: https://anchor.fm/restoringlife/support

295 | The Council Meeting Recap Show with former two term council member, Sarah Blossom. Sal DeRosalia, Richard Davis and former Council Member Sarah Blossom review the City Council Business Meeting of 2.25.2020 where fond farewells were said to Matthew Tirman, Bainbridge Island City Council upon his last Council meeting. Proper Fish and Wake Up Bainbridge provided the ceremonial last Fish & Chips for the outgoing member. The featured discussion of LTAC funds availability for workforce housing made smoke come out of Richard's ears but even the former Council Member thought it was a "kubuki" dance to not address the option. We will see if it really shows up on the discussion at the "retreat." Episode 295 is brought to you by Outcome Athletics at The Pavilion and the best personal trainer on Bainbridge, Bethanee Randles.

Episode 294 | CITY COUNCIL REGULAR BUSINESS MEETING TUESDAY, FEBRUARY 25, 2020 Wake Up Bainbridge performed a hat trick tonight. We will Live Streaming on FB, Live Blogging from home and were Live at the City of Bainbridge Island, Washington Regular Business Meeting of the City Council. Tonight was the last public meeting for Matthew Tirman, Bainbridge Island City Council. He was acknowledged by his fellow council members and member of the public at the start of the meeting for his time and accomplishments while representing the South Ward over the last 2+ years. Along with a proper send off by his peers, Proper Fish and Wake Up Bainbridge teamed up to give Matt a "Proper" send off with a complementary order of the best Fish-N-Chips in the USA. The Council took up both old and new business including using up to 50% of LTAC funding for Workforce Affordable Housing where Sal DeRosalia gave public comment, as well as an update on Floor Area Ratio Bonus Density Options, the Roundabout at Wyatt Way and Madison, Sustainable Transportation and several appointments to multiple committees and task force type groups. It's was a full docket and they even ended pretty close to on time. Were you there? Were you watching? Ron was. He gave public comment a few times too.  Stay tuned folks. We discuss today, tomorrow at 8:30 am with Sal and Richard in studio. And we even have a special guest calling in to discuss the meeting last night.   

David Carvelli is an RN and spent more than half of his career at the bedside and then transitioned to the LTAC (long term acute care)  world where he was hired as a liaison/marketing role. David quickly grew to the VP of marketing role until the reimbursement structure forced many LTACs to close their doors. Since then David has been with several nursing home companies helping them succeed financially with their census requirements and business goals. Shmuel: Why were liaisons welcomed into the hospitals in the past? David: Ease of access. The case managers were able to give a name to a liaison and have them work out the discharge. The liaisons were actually assisting the case managers in the discharge process. This facilitated a successful transition and significantly expedited the process. Shmuel: Why has this changed? Why are the liaisons no longer welcomed in the hospitals? David: Security and privacy. Also, with the electronic referral systems, the case managers can send a referral to many facilities with the click of a button. This makes it less necessary to have liaisons seeing them in person every day. Other Actions for Clinical LiaisonsBe available and accessible to discharge plannersGo out into the community and  share educational materials and trainings Attend conferences and events that are important to your acute care providers (hospitals)Be active with your local senior centers and adult day care centers  

On today’s Wake Up Bainbridge Show, Sal and Richard sat down with former Councilwoman Sarah Blossom to go over the upcoming City of Bainbridge Island, Washington Agenda for tomorrow night’s Regular Business Meeting of the City Council. We discussed Matthew Tirman, Bainbridge Island City Council, FAR, LTAC money going towards affordable housing and much more. Sarah also tells us weather or not she will submit her application for the soon to be open South Ward position for the City Council. This Episode of Council Crib Notes is Sponsored by Outcome Athletics, Home of the Best Personal Trainer on Bainbridge Island, Bethanee Randles.

Alvin Ailey company member Patrick Coker was clueless about cats until he met Marnie—and he’s got the funniest new cat dad story we’ve ever heard. Naturally, Mary puts him to the test with a dance-themed Cat Quiz, which leads to a shocking revelation about a decades-long hoax. Then Patrick explains how Marnie (a gifted dancer in her own right) has inspired his craft, and why everyone should dance, even those of us with zero coordination. Plus: What really happens at professional dance auditions.Exclusive discount for LTAC listeners: Get 15% off interactive puzzles and condos at CatAmazing.com/CatTalk!Get complete show notes and a transcript of this episode at our website.Sign up for our monthly newsletter, Let’s Talk (More) About Cats.Follow us on Instagram, Twitter, and Facebook.xoxo, LTAC HQ See acast.com/privacy for privacy and opt-out information.

Episode 238 - Council Meetings, LTAC Funding Gone Wild, Pots of Money and Why So Many Wine Bars?

In this episode of WOCTalk we sit down with 3 WOC nurses who have all experienced implementing and/or participating in the Wound Treatment Associate (WTA® Program). What is the WTA Program? The WTA Program as a continuing education program created by the WOCN® Society to further empower wound, ostomy and continence (WOC) specialty nurses, and improve patient outcomes by strengthening the wound care team. With a flexible education program that is applicable to all health care settings, the WTA Program prepares non-WOC certified nurses to provide optimal care for patients with acute and chronic wounds under the direction of a WOC specialty nurse, WOC advanced practice registered nurse (APRN), or physician. Listen in to learn how one WTA Course Coordinator turned two of her graduates down the path to full-scope WOC certification.To learn more about the WTA Program, visit wocn.org/wtaprogram.About the IntervieweesTara Beuscher, DNP, RN-BC, GCNS-BC, ANP-BC, CWOCN, CFCN, NEA-BC, has been a WOC nurse for many years and has experience in several different practice areas including acute care, home care, hospice, long term care, LTAC, assisted living and ambulatory care. She is the Lead Nurse Planner for the WOCN® Society, along with the section editor for the Journal of Wound, Ostomy and Continence Nursing (JWOCN) Foot and Nail section.Melissa Parker, RN, CWOCN is a Clinician III at the University of Virginia Health System where she works full-time on the wound care team and teaches wound care and pressure injury prevention classes to on-boarding nurses.Ann Roberts, RN, CWOCN works at the University of Virginia Health System within in-patient wound and ostomy services. Ann is the President of the Blue Ridge Affiliate of the WOCN Society.

Episode 222 - Political Bad Breaks and Misunderstandings, City Council Meeting. Fallout from Grayson Wildsmith for City Council "Hillary for Prison" photograph. LTAC proposed awards have been listed https://www.bainbridgewa.gov/…/Lodging-Tax-Advisory-Committ…. What happens next? InD Theatre and Rolling Bay Hall will open free showings of Rosencrantz and Guildenstern Are Dead November 1st. Episode 222 is brought to you by Storyville Coffee Company at the Roastery in the Coppertop and by Outcome Athletics, the home of the best personal trainer on Bainbridge, Bethanee Randles.

What happens in Long Term Acute Care Hospitals, or LTACs (pronounced L-tacs)? I've never been in one. I've sent patients to them - usually patients with long ICU stays, chronically critically ill, with a gastric feeding tube and a trach for ventilator support. For those patients, the goals (usually as articulated by the family) are based on a hope for recovery of function and a return home. And yet we learn some surprising things from Anil Makam, Assistant Professor of Medicine at UCSF. In his JAGS study of about 14,000 patients admitted to LTACs, the average patient spent two thirds of his or her remaining life in an institutional settings (including hospitals, LTACs and skilled nursing facilities). One third died in an LTAC, never returning home. So you would think with this population of older people with serious illness and a shorter prognosis than many cancers, we would have robust geriatrics and palliative care in LTACs? Right? Wrong. 3% were seen by a geriatrician during their LTAC stay, and 1% by a palliative care clinician. Ouch. Plenty of room for more research and improvement. Read or listen for more! See also this nice write up by Paula Span in the New York Times, and this prior study on geographic variation in LTAC also by Anil. Please also note that our 100th podcast approaches! Please call 929-GERI-PAL to let us know what is working and what can be better about GeriPal. You might make it on the air! by: Alex Smith @AlexSmithMD

Episode 189 - LTAC Closed Loop Racket Exposed | City Council Study Session and Richard's dramatic reading of the anti-Winslow Hotel letter to Heather Wright. We gave our impressions and commentary on the LTAC meeting which didn't leave us happy. You can look at the proposals for money from the City from various organizations here. Each organization's proposal is hyperlinked to their name. http://www.bainbridgewa.gov/…/Lodging-Tax-Advisory-Committee On a happier note tomorrow we will have the Jake of Jake's Pickup on Bainbridge Island on the show for a look at breakfast at Jake's and the history of this fine chef and his outpost in the Hungry Bear Market also known as the Chevron Gas Station. Some of the best daily comfort eating with a decided upgrade is to be found here. You know his pick-up, now go get the food! Bainbridge Island Chamber of CommerceDestination Bainbridge - Bainbridge Island Lodging AssociationArts & Humanities BainbridgeBainbridge Island Historical Museum Bainbridge Island Museum of ArtBainbridge Island Parks FoundationBloedel ReserveCity of Bainbridge Island, WashingtonNorth Kitsap Tourism CoalitionVisit Bainbridge IslandVisit Kitsap PeninsulaWinery Alliance of Bainbridge Island To each of the orgs above, please come on the show to talk to us. We want everyone to speak directly to the ask they have of the LTAC funds and City tax dollars. Episode 189 is brought to you by Storyville Coffee Company (say "Wake Up Bainbridge" when you order and get 10% off!) and their beautiful roastery at the Coppertop. And Outcome Athletics the home of the best best personal trainer on Bainbridge Island, Bethanee Randles. Podcast Produced by: Outcome Media, Home of the best Podcast studio on Bainbridge Island. Are you looking to start your own podcast but don't know how? Want some help? You can hire Outcome Media to help complete your project and get your vision off the ground. Call co-host Sal DeRosalia today, (206) 240-8857 or send us a message through our website here.

Episode 188 - The Weekend Wrap-Up | BIG LTAC Meeting Tonight | Bike Lane Merge Talk | Senior Center | Council Forum Preview Richard Davis and Sal DeRosalia discussed the LTAC presentations being given tonight at City of Bainbridge Island, Washington by organizations looking to get a piece of the $275,000 that could be going towards workforce affordable housing. But hey, we need more wine events and unattended visitor booths at the Ferry Terminal. Presentations will begin at 5:15 PM. Bainbridge Island Chamber of CommerceDestination Bainbridge - Bainbridge Island Lodging AssociationArts & Humanities BainbridgeBainbridge Island Historical MuseumBainbridge Island Museum of ArtBainbridge Island Parks FoundationBloedel ReserveCity of Bainbridge Island, WashingtonNorth Kitsap Tourism CoalitionVisit Bainbridge IslandVisit Kitsap PeninsulaWinery Alliance of Bainbridge Island Eleven Winery Episode 188 is brought to you by Storyville Coffee Company (say "Wake Up Bainbridge" when you order and get 10% off!) and their beautiful roastery at the Coppertop. And Outcome Athletics the home of the best best personal trainer on Bainbridge Island, Bethanee Randles. Podcast Produced by: Outcome Media, Home of the best Podcast studio on Bainbridge Island. Are you looking to start your own podcast but don't know how? Want some help? You can hire Outcome Media to help complete your project and get your vision off the ground. Call co-host Sal DeRosalia today, (206) 240-8857 or send us a message through our website here.

Episode 145 - LTAC is DEAD Or at least it should have been, starting with the 2017 LTAC funding cycle.  Back in 2015, the Washington State Legislature enacted (SB 1223), which allowed the “option” to for cities and counties to use lodging tax revenues to pay for work/live affordable housing. To date, Bainbridge Island has used $0.00 ... Why?  Brought To You By: Outcome Media, Home of the best Podcast studio on Bainbridge Island. Are you looking to start your own podcast but don't know how? Want some help? You can hire Outcome Media to help complete your project and get your vision off the ground. Call co-host Sal DeRosalia today, (206) 240-8857 or send us a message through our website here. Episode 145 Sponsored By: Storyville Coffee Company Amoeba Networks Seattle and ...Outcome Athletics, home of the Best Personal Trainer on Bainbridge Island, Bethanee Randles

Episode 137 - Bainbridge Island Review, Review | Preview of next weeks ROCKIN' guest list Boys & Girls Club of Bainbridge Island, Lee Moniz of the The Tyler Moniz Project, Charlie Wenzlau of https://www.wenzlauarchitects.com/, DEBATE TIME! with candidates for at-large City Council seat Kirsten Hytopoulos of Kirsten for Council and Anthony Oddo of Anthony Oddo for Council, LTAC deadline and the founding of The Association of Bainbridge Island Podcasters or ABIP, not to be confused with A BLIP or A BLIMP. And this is all happening on Bainbridge Island, WA, Treat yourself at Storyville Coffee Company in their fabulous roastery, bakery, high quality coffee shop in the Coppertop. We do. Amoeba Networks Seattle your managed it services solution. and Outcome Athletics home of the best personal trainer on Bainbridge island, Bethanee Randles!!! And a belated shout out to Kathleen Thorne (an Island Treasure) for the great historical website of the changing face of Winslow Way, https://www.winslowwaystorefronthistory.com/

We're back after a summer break! Jenny and Rick run down all the events still to come this summer. Our Lacey Legacy segment returns with a look at the history of Huntamer Park, and we visit with Kelly Adams to learn about the Lodging Tax Advisory Committee (LTAC). Visit the Lacey Museum at www.laceymuseum.org To learn more about the LTAC, visit www.ci.lacey.wa.us/city-government/city-council/city-council-2/boards-commissions/lodging-tax

Attention, LTAC campers: Today we’re brushing up on the most interesting cat facts we learned in season 1, covering everything from history to continental philosophy to travel tips. If you listen to the end, you’ll qualify for your Casual Conversation Starters badge!Socialize with us on Instagram, Twitter, and Facebook!Sign up for our monthly newsletter, Let’s Talk (More) About Cats!The rumors are true—full episodes return in September!xoxo, LTAC HQ See acast.com/privacy for privacy and opt-out information.

Episode 101 - Bainbridge Island City Council Shenanigans, Ethics, FREE LTAC Money and Fruit Tree Wars. As if Bainbridge Island didn't have enough things to deal with, the City Council was back at it with another convo about our precious "Ethics Committee" . As per usual, there were no decision decided on. Just vague statements about the things they did not really do but kinda did. They also discussed the Lodging Tax Advisory Committee (LTAC). This conversation was more about the rules around applying. They had to add rules so the same OLD vendors would not get the money every year. And public comment, it was Fuego! Episode 101 is Sponsored by Outcome Athletics, home of the Best Personal Trainer of Bainbridge Island, Bethanee Randles.

Sydney discusses the importance of implementing in-line speaking valves for patients on a ventilator as part of the weaning process. In-line speaking valves also serve as an opportunity for chronically ventilated patients to use their voice. In part 1 of a two-part series, Sydney compares the implementation of in-line speaking valves in her experiences with an LTAC and an acute hospital. Sydney is a fount of information and your brain will feel 10x bigger after listening to her discuss the ins and outs of in-line speaking valves. Visit the show notes for additional helpful resources: https://www.speechuncensored.com/podcastepisodes/s1e3-in-line-speaking-valves-for-ventilator-patients-with-sydney-parriott-ms-ccc-slp Music: Pipo Interludo by WOWA and Pipo Send in a voice message: https://anchor.fm/speech-uncensored/message

Sydney discusses the importance of implementing in-line speaking valves for patients on a ventilator as part of the weaning process. In-line speaking valves also serve as an opportunity for chronically ventilated patients to use their voice. In part 1 of a two-part series, Sydney compares the implementation of in-line speaking valves in her experiences with an LTAC and an acute hospital. Sydney is a fount of information and your brain will feel 10x bigger after listening to her discuss the ins and outs of in-line speaking valves. Music: Pipo Interludo by WOWA and Pipo --- Send in a voice message: https://anchor.fm/speech-uncensored/message

In this week's episode, Leigh Ann Porter sits down with Jen Hurst MS, CCC-SLP to discuss her experience working in an LTAC (long term acute care hospital) with trach and vent patients. We cover a wide range of topics including how Jen landed in this setting, who trained her to work with this population, and the nuances of LTAC. We also discuss the importance of being prepared to care for patients considering hospice care and are making that transition to end of life care. What's great about sitting down with Jen is that she doesn't hold back, she's honest, and will tell it like it is. We hope you enjoy listening along to our conversation that sheds some light on the LTAC setting, and the trach & vent population. Stay tuned for episode two - the conclusion of our discussion that focuses on the nuts and bolts of evaluation and treatment for trach and vent patients. Visit the show notes for additional helpful resources: https://www.speechuncensored.com/podcastepisodes/s1e1-finding-your-feet-with-the-trach-vent-population-in-ltacs-with-jen-hurst-ms-ccc-slp Music: Pathway by Hozgram Send in a voice message: https://anchor.fm/speech-uncensored/message

In SUP’s inaugural episode, I sit down with Jen Hurst MS, CCC-SLP to discuss her experience working in an LTAC (long term acute care hospital) with trach and vent patients. We cover a wide range of topics including how she landed in this setting, who trained her to work with this population, and the nuances of LTAC. We also discuss the importance of being prepared to care for patients considering hospice care and are making that transition to end of life care. What’s great about sitting down with Jen is that she doesn’t hold back, she’s honest, and will tell it like it is. We hope you enjoy listening along to our conversation that sheds some light on the LTAC setting, and the trach & vent population. Stay tuned for episode two - the conclusion of our discussion that focuses on the nuts and bolts of evaluation and treatment for trach and vent patients. Music: Pathway by Hozgram --- Send in a voice message: https://anchor.fm/speech-uncensored/message

The preponderance of ambiguously worded regulations from federal agencies – think the Centers for Medicare & Medicaid Services (CMS) – will be at the center of a major legal challenge coming March 26 to the nation’s highest court, and you’ll hear the details here during this edition of Monitor Mondays.That’s when Jennifer Gustafson will report our lead story, focusing on the U.S. Supreme Court (SCOTUS) taking up the case of Kisor vs. Wilkie (U.S. Marine James Kisor vs. the U.S. Department of Veterans Affairs).The dispute is over denied Veterans Affairs (VA) benefits. In 1997, SCOTUS ruled that generally, federal courts are required to accept an administrative agency’s interpretation of its own ambiguous relations; this rule today is known as Auer deference.Gustafson is a founding shareholder with The Health Law Partners, representing hospitals, health systems, hospices, home health agencies, physicians, and other healthcare providers and suppliers in an array of legal matters.Other segments on the broadcast include:Monday Focus: LTACH vs. Managed Care: Limiting access of Medicare patients to long-term acute care (LTAC) facilities by health insurance companies; reported on by Marvin Mitchell, the director of case management and social work at San Gorgonio Memorial Hospital, east of Los Angeles.Prime Healthcare: Prime Healthcare Services will pay $65 million to settle a federal whistleblower lawsuit that accused the California hospital chain of Medicare fraud. Famed whistleblower attorney Mary Inman, has the latest news on this major story.Hot Topics: Monitor Mondays senior correspondent Nancy Beckley, president and CEO of Nancy Beckley and Associates, returns to report on all the latest hot topics.Risky Business: Healthcare attorney David Glaser returns to Monitor Mondays with his popular segment, in which he reports on problematic issues facing providers.Monday Rounds: Ronald Hirsch, MD, vice president of R1 RCM, maks his Monday Rounds with another installment of his popular segment. Dr. Hirsch will also be following up on his segment last Monday on how to bill for inpatient services when there is no admission order.

“It is unacceptable that Americans pay vastly more than people in other countries for the exact same drugs, often made in the exact same place," President Donald Trump told members of Congress during his State of the Union address on Wednesday. "This is wrong, unfair, and together we will stop it. We will stop it fast," the President warned. During his address, the President also pledged to end the HIV epidemic in the nation.Both issues will be discussed during this edition of Monitor Mondays, when Maureen Testoni, president and CEO for 340B Health, returns to the broadcast. Testoni is considered to be one of the nation’s leading experts on the 340B drug pricing program and was recently was recognized as one of the “100 Most Influential People in Healthcare” by Modern Healthcare.The broadcast rundown also will include:Medicare Advantage: Are managed care beneficiaries being deprived of an important benefit? Enrolling in MA plans, beneficiaries expect to receive the same benefits as in traditional Medicare. But as providers move toward DRG payments, MA plans decline authorization for long-term acute care (LTAC) for patients with prolonged respiratory requirements and those with prolonged needs. MA plans feel that these patients should remain in the hospital under the original DRG payment. Reporting on this developing story is Howard Stein, MD, associate director of medical affairs and physician advisor in care management at CentraState Medical Center in Freehold, N.J.Anthem Lawsuit: Nationally renowned whistleblower attorney Mary Inman reports on the recent class action lawsuit filed against Anthem Health.Monday Focus: RACmonitor investigative reporter and New York attorney Edward Roche reports on a scientific breakthrough in DNA sequencing.Risky Business: Healthcare attorney David Glaser returns to Monitor Mondays with his popular segment, in which he reports on problematic issues facing providers.Hot Topics: Monitor Mondays senior correspondent Nancy Beckley, president and CEO of Nancy Beckley and Associates, returns to report on all the latest hot topics.Monday Rounds: Juliet Ugarte Hopkins, MD, Juliet B. Ugarte Hopkins, MD, CHCQM-PHYADV, physician advisor for case management, utilization, and clinical documentation at ProHealth Care, Inc. in Wisconsin makes her Monday rounds while substituting for Dr. Ronald Hirsch.

En visite dans le cadre d’un projet d’échanges de pratique, deux professionnelles et formatrices venues d’Argentine nous livrent leurs sentiments après quinze jours passés à découvrir le travail social en France. Elles nous parlent aussi du travail social dans leur pays. Une émission spéciale de LTAC, l’émission.