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About this episode: A recent MAHA report from the Department of Health and Human Services stated that a trio of common procedures for children—tonsillectomy, adenoidectomy, and tympanostomy tube (ear tube) placement—“cause harm without offering benefits.” In this episode: a look at what these surgeries are, the advantages and risks, and what the report said—and didn't say—about the value of these procedures when properly indicated. Guests: Dr. Emily Boss is the director of pediatric otolaryngology at Johns Hopkins. Host: Dr. Josh Sharfstein is vice dean for public health practice and community engagement at the Johns Hopkins Bloomberg School of Public Health, a faculty member in health policy, a pediatrician, and former secretary of Maryland's Health Department. Show links and related content: The MAHA Report: Make Our Children Health Again—The White House MAHA kids' health report misinforms about tonsillectomies and ear tubes—STAT (Opinion) Tympanostomy Tubes or Medical Management for Recurrent Acute Otitis Media—The New England Journal of Medicine Transcript information: Looking for episode transcripts? Open our podcast on the Apple Podcasts app (desktop or mobile) or the Spotify mobile app to access an auto-generated transcript of any episode. Closed captioning is also available for every episode on our YouTube channel. Contact us: Have a question about something you heard? Looking for a transcript? Want to suggest a topic or guest? Contact us via email or visit our website. Follow us: @PublicHealthPod on Bluesky @JohnsHopkinsSPH on Instagram @JohnsHopkinsSPH on Facebook @PublicHealthOnCall on YouTube Here's our RSS feed Note: These podcasts are a conversation between the participants, and do not represent the position of Johns Hopkins University.
We are joined by Power & Motoryacht Editor-in-Chief Daniel Harding Jr. to talk maritime medical emergency management with Dr. Robert Leviton, who tells us what you need in your onboard first-aid kit, how to handle the most common onboard injuries, when to call and pan-pan and when to make a mayday call, and much more. Learn more about your ad choices. Visit megaphone.fm/adchoices
The use of medical management of caries is, for the most part, not taught in dental schools and it's not used nearly enough among practicing dentists. Removing the infected dentin with a microbrush and then treating the affected dentin with SDF followed by the placement GI can result in an incredibly high success rate. So the question is, why aren't more dentists doing this in their practice. Dr. Frachella believes a good part of the reason is that most dentists don't look at this treatment as profitable. He disagrees. So let's find out more from our guest, Dr. John Frachella, who is not only knowledgeable but also quite entertaining. Dr Frachella is a pediatric dentist with 50 years experience in the delivery of dental services in public and private settings. He's worked in private practices across the country and for a decade was on staff at OHSU (Oregon Health Sciences University) Dental School. He lectures at NYU Dental School for the largest dental residency program in the US. Thanks to our episode sponsors: Centrix Dental - https://www.centrixdental.com/ GC America - https://www.gc.dental/
In this episode of Tales From the Heart host Lisa Salberg speaks with Dr. Alex de Faria about HCM: May is Medical Management Month. This conversation was recorded May 23, 2025.
In this episode of Tales From the Heart host Lisa Salberg speaks with Dr. Marty Maron about HCM: May is Medical Management Month. This conversation was recorded May 9, 2025.
In this episode of Tales From the Heart host Lisa Salberg speaks with Dr. Michael Ayres about HCM: May is Medical Management Month. This conversation was recorded May 2, 2025.
Thank you for downloading another episode of Tahoe TAP! As always, Mike Peron & Rob Galloway are keeping it local with a quick round up of top news from around the Tahoe region. Then, the majority of our show will be spent getting to know about the new hospital building at Stateline, Nevada from Dr. Clint Purvance, President & CEO of Barton Health. At 18 years old, Dr. Purvance became an EMT, which inspired him to pursue a lifelong career in health care. He now serves as the President and CEO of Barton Health in South Lake Tahoe. He began his medical career at Barton in 1999 as an emergency physician and later held the position of Chief Medical Officer from 2007 to 2015. In November 2015, he assumed the role of CEO, bringing a clinician's perspective to healthcare leadership. Dr. Purvance earned his medical degree from the University of Nevada School of Medicine in 1996 and completed his residency in Emergency Medicine at the University of Michigan in 1999. He is board-certified by the American Board of Emergency Medicine and holds a Certified Physician Executive (CPE) credential from the Certifying Commission in Medical Management. Under his leadership, Barton Health has expanded its services to include specialties such as urology, psychiatry, cardiology, and neurosurgery. Dr. Purvance has also overseen the development of the Robert Maloff Center of Excellence, a facility dedicated to orthopedics, sports performance, and wellness services. A long-standing member of the Lake Tahoe community, Dr. Purvance and his wife, Shawna, have five children. They enjoy outdoor activities such as paddleboarding, skiing, and hiking in their free time.
Avec Émile Demers, pharmacien en gastro-entérologie, Geneviève Lahaie-Reilly et Omar El Bissany, nutritionnistes en gastro-entérologie pédiatrique, nous allons:rappeler les bases sur les maladies inflammatoires de l'intestin (MII), soit la maladie de Crohn et la colite ulcéreuse;expliquer les aspects nutritionnels à considérer dans les MII et aborder certains mythes et réalités sur la nutrition;résumer les principaux médicaments couramment utilisés en maladie de Crohn et en colite ulcéreuse.Références:Gordon H. et al. ECCO Guidelines on Therapeutics in Crohn's Disease: Medical Treatment, Journal of Crohn's and Colitis, Volume 18, Issue 10, October 2024.Mack et al. Canadian Association of Gastroenterology Clinical Practice Guideline for the Medical Management of Pediatric Luminal Crohn's Disease. Journal of the Canadian Association of Gastroenterology, 2019 M. Ruemmele, G. Veres, K.L. Kolho, A. Griffiths, et al. Consensus guidelines of ECCO/ESPGHAN on the medical management of pediatric Crohn's disease, Journal of Crohn's and Colitis, Volume 8, Issue 10, October 2014Canisius Fantodji, Marie-Claude Rousseau, Belinda Nicolau, Sreenath Madathil, Andrea Benedetti, Prévost Jantchou. (2024). « Early life exposures and risk of inflammatory bowel disease: A nested case-control study in Quebec, Canada », Digestive and Liver Disease. Crohn's and Colitis Foundation. Standardized Assessment Tools for Pediatric IBD patients. Pediatric Crohn's Disease Activity Index (PCDAI) et Pediatric Ulcerative Colitis Activity Index (PUCAI). Novembre 2017 Critch J, et al. NASPGHAN IBD Committee. Use of enteral nutrition for the control of intestinal inflammation in pediatric Crohn disease. J Pediatr Gastroenterol Nutr. 2012 Feb;54(2):298-305. Dépliant HSJ: Immunisation et maladie inflammatoire de l'intestin Captation et montage: Philippe Lacroix, spécialiste en audiovisuelIdée originale, réalisation et animation: Émilie Roy-St-PierreConseillères en communication: Katrine Louis-Seize et Pascale ChatagnierLogo: Équipe des communications et du graphisme du CHU Sainte-JustineMusique: Samuel Ross Collègues, ami(e)s et famille, merci pour votre précieux soutien. © mgparkilo 2025Merci pour l'écoute! Allez mettre une réaction sur vos épisodes préférés, partagez la bonne nouvelle sur Facebook/Instagram et abonnez-vous pour ne rien manquer
In this episode you will hear first-hand what silver diamine fluoride can do and why every dentist should consider using it on posterior teeth that are infected with dental caries. Our guest is Dr. John Frachella, a pediatric dentist (now treating adults and children) with 50 years experience in the delivery of dental services in public and private settings. He's worked in private practices across the country and for a decade was on staff at OHSU Dental School. He currently lectures at NYU Dental School for the largest dental residency program in the US. Thanks to our episode sponsors: NSK America - https://www.nskdental.com/ Centrix Dental - https://www.centrixdental.com/
In this episode, we explore the gift of fertility and God's plan for marriage and family life with Angela Hobbs, a wife, mother of ten, registered nurse, and Marquette Method-certified natural family planning instructor. She shares her personal story of love, loss, and trust in God's providence, including the beauty and challenges of NFP, raising a large family, and the healing power of redemptive suffering. We talk candidly about Church teaching, fertility awareness, and how NFP can help both in achieving and avoiding pregnancy.
Once you have one kidney stone, there is a 75% chance you'll have another in your life. Melanie dives into the healthcare system and why that percentage is so high - and most importantly, what YOU can do to not be a part of that statistic. Wertheim ML, et al. Current Practice Patterns of Urologists Providing Nutrition Recommendations to Patients with Kidney Stones. Journal of Endourology. 2014;28(9):1127-1131. Pearle MS, et al. Medical Management of Kidey Stones: AUA Guideline. J Urol. 2014;192:316-324. Submit a question for Melanie to answer on the podcast! Connect with The Kidney Dietitian! Work with Us! | Instagram | Facebook | Pinterest | Facebook Group | Newsletter www.thekidneydietitian.org All information in this podcast is meant for educational purposes only and should not be used in place of advice from a medical professional.
In this episode encore, we revisit our chat with Dr Stephen Fearnside on medical management of osteoarthritis. Topics include: How did Dr Fearnside end up as a Veterinary Specialist. The importance of rehabilitation in osteaoarthritis. An insight into Steve’s favourite cases. Common presentations of cases of osteoarthritis and how vital it is to have a management plan. The benefits and limitations of joint replacements. A holistic approach to arthritis management in dogs that are not surgery candidates. Dr Fearnside takes us through the 3 pillars of managing arthritis and his approach to each of them. Steve explains therapeutic laser therapy and how it works. Which supplements should we be using before the onset of arthritis and which supplements can help to manage arthritis. The challenges of getting pet parents to adhere to a management plan. The role of regenerative medicine in the future. You can find Dr Fearnside at the Small Animal Specialist Hospital (SASH).See omnystudio.com/listener for privacy information.
Chime In, Send Us a Text Message!Episode 81: Managing PFO after Stroke: A discussion on diagnosis, treatment options including the patient perspectives and quality of life decisions with David Thaler,MD of Tufts Medical Center.This conversation in collaboration with the SAYA Consortium explores the relationship between patent foramen ovale (PFO) and stroke, particularly in young adults. Our expert guest, Dr. David Thaler, a vascular neurologist with Tufts Medical Center, discusses the definition of PFO, its diagnosis, and its implications for stroke risk. The discussion highlights the importance of understanding cryptogenic strokes, which often have no identifiable cause, the PFO paradox and how a PFO is often discovered with cryptogenic strokes, the diagnostic tests and the management options available for patients with PFO. The conversation emphasizes the need for patient education and awareness regarding stroke risks and prevention strategies. In this conversation, Dr. Thaler discusses the implications of PFO closure in recurrent stroke prevention, medical management and the importance of patient choice and quality of life, plus the outcomes of the RESPECT Trial. Co-host David Dansereau shares his patient experience as a stroke survivor with PFO who elected for device closure. The dialogue highlights the evolving landscape of PFO research and the significance of understanding individual patient risks and lifestyle choices.More About Our Guest: David Thaler,MD-Tufts Medical CenterShow mentions: Lester Leung,MD, Katelyn Skeels, SAYA Consortium, RESPECT Trial , Co-Host David's Book ClosureThanks to: Rory Polera (guest on Ep.69), stroke survivor and interview outline reviewer with SAYA ConsortiumAdditional Education: Support Our Show! Thank you for helping us to continue to make great content. We appreciate your generosity! Support the showShow credits:Music intro credit to Jake Dansereau. Our intro welcome is the voice of Caroline Goggin, a stroke survivor and our first podcast guest! Please listen to her inspiring story on Episode 2 of the podcast.Connect with Us and Share our Show on Social:Website | Linkedin | Twitter | YouTube | Facebook | SubstackKnow Stroke Podcast Disclaimer: Our podcast and media advertising services are for informational purposes only and do not constitute the practice of medical advice, diagnosis or treatment. Get Our Podcast News Updates on Substack
Tales from the Heart podcast host Lisa Salberg chats with Dr. Harry Lever about generic prescriptions and Medical Management March. This conversation was recorded on March 21, 2025
Timestamps:5:55 - An Icelandic company headquartered in Switzerland16:29 - Fundraising for long development cycles19:00 - Doing the only Swiss IPO in 202324:23 - Splitting your focus to sell 3 products at once28:39 - Advantages and disadvantages of being publicly listedThis episode was produced in collaboration with startup days, taking place this year on May 14th 2025. Click here to purchase your ticket.Click here to check out our free Founders Agreement masterclass, with Melanie Gabriel from Yokoy, Christof Roduner from Scandit, and Viviana Gropengiesser from Talent Kick.About Riad Sherif:Riad Sherif is the CEO at Oculis, a company focused on the development of topical treatments for ophthalmic diseases in the back and front of the eye. He holds a MSc in Medical Management from the ESCP Business School and worked at companies like Sanofi, Novartis and Alcon before joining Oculis as CEO in 2017.Oculis' pipeline includes a topical eye drop candidate for diabetic macular edema and for the treatment of inflammation and pain following cataract surgery. It also includes a candidate for dry eye disease and for non-infectious anterior uveitis, and a candidate for acute optic neuritis. The company's origins are in Iceland, where the OPTIREACH® solubilizing formulation technology was developed by two Icelandic co-founders, Professors Einar Stefánsson and Thorsteinn Loftsson, to enable eye drops to reach the back of the eye. Nowadays Oculis is headquartered in Switzerland, with operations in the US and Iceland. Oculis has raised a total of $284.6M in funding over 13 rounds, and went public in 2023 (the only Swiss IPO of that year) before their product was even live. It is currently at stage 3 of clinical trials.The cover portrait was edited by www.smartportrait.ioDon't forget to give us a follow on Twitter, Instagram, Facebook and Linkedin, so you can always stay up to date with our latest initiatives. That way, there's no excuse for missing out on live shows, weekly giveaways or founders' dinners.
Show Notes To celebrate Pet Dental Health Month, the Skin Flints team looked a bit further afield this month, exploring gum health and Canine Chronic Ulcerative Stomatitis with Hannah van Velzen. Chapter 1 – Understanding the Oral Mucosa and Inflammation (02:53) John welcomes Hannah, who introduces herself and her journey into veterinary dentistry, from her studies in the Netherlands to her current role leading the dentistry referral service at Fitzpatrick Referrals. She highlights the small but growing number of veterinary dentistry specialists in the UK. (05:46) Sue asks for a basic overview of the oral mucosa, as it plays a key role in CCUS. Hannah explains that gingiva surrounds and seals the teeth, preventing bacteria from entering the body, while mucosa covers the rest of the mouth. The mucogingival junction marks the boundary between the two and helps differentiate between gingivitis and mucositis. She describes the different types of mucosa, including lingual (tongue), palatal (roof of the mouth), alveolar (bone covering), vestibular (cheek and lip folds), buccal (cheeks), and labial (lips). These structures vary in thickness and function, with keratinized areas like the tongue and hard palate providing protection, while thinner, non-keratinized areas aid in saliva flow and bacterial clearance. (13:24) John then asks Hannah to define common inflammatory conditions affecting the mouth, including: Gingivitis – Inflammation limited to the gingiva, without mucosal involvement. Mucositis (stomatitis) – Inflammation affecting the mucosa, which is central to CCUS. Periodontitis – Inflammation of the structures supporting the tooth, which can lead to tooth loss. Hannah emphasises the importance of accurately defining oral lesions to guide diagnosis and treatment. Chapter 2 – What is CCUS? How Can It Be Diagnosed? (18:43) John introduces Canine Chronic Ulcerative Stomatitis (CCUS), asking how it relates to previous terms like CUPS (Canine Ulcerative Paradental Stomatitis) or contact mucositis. Hannah explains that CCUS was formerly known as CUPS, but the name changed as research showed that 40% of lesions occurred in areas without teeth, making the term "paradental" inaccurate. The condition is chronic, meaning it develops gradually rather than suddenly. (23:22) Sue asks how a primary care vet should determine whether a dog with oral ulcerations has CCUS or another condition, such as pemphigus vulgaris, lupus, or uremic stomatitis. Hannah acknowledges that many inflammatory and autoimmune diseases look similar and that no single exam finding confirms CCUS. She advises vets to follow key diagnostic steps: Perform a thorough dental cleaning and radiographs to rule out periodontal disease. Differentiate gingivitis (gum inflammation) from mucositis (mucosal inflammation). Take a biopsy if mucosal inflammation is present, as periodontal disease should not cause mucositis. Look for "lymphoplasmacytic infiltrates" on biopsy, which strongly suggest CCUS. If the biopsy findings suggest CCUS, referral to a dentistry specialist is recommended. If results are inconclusive, a dermatologist may need to investigate potential autoimmune conditions. (27:33) Sue asks whether "kissing lesions" (ulcerative lesions where mucosa touches the teeth) strongly indicate CCUS. Hannah agrees that they are a key sign, but notes that plaque build-up can also cause similar inflammation. A dental clean should be performed first—if inflammation persists despite clean teeth, CCUS is more likely. (28:31) Sue then asks if certain breeds are predisposed to CCUS. Hannah confirms that small breeds and terriers are overrepresented, particularly: Cavaliers, Labradors, Maltese, and Greyhounds. Greyhounds are prone due to poor dental health and periodontal disease. Spaniels may also be affected, though this is not yet confirmed in literature. Some affected dogs have severe gingivitis and mucosal inflammation despite excellent dental hygiene, making CCUS harder to recognise. (31:33) John asks how easy biopsies in the mouth are Hannah stresses that biopsies should always be done under general anaesthesia for pain control and a thorough oral exam. She typically uses a punch biopsy, ensuring a portion of normal tissue is included to help distinguish inflammatory from autoimmune causes. She highlights the importance of sending clear photos and case details to assist pathologists in interpreting results. Additional tests like immunohistochemistry may sometimes be useful. Chapter 3 – Treating CCUS: What Are the Options? (35:44) John asks how CCUS is treated and whether treatment varies by severity. Hannah explains that CCUS treatment is multi-step and includes: Dental Cleaning & Plaque Management: Full dental cleaning is the first step. Extractions are considered only for teeth that contribute to inflammation. In mild cases, cleaning + home care (brushing, antiseptics) may suffice. Home Management & Pain Control: Some owners can maintain oral hygiene, others cannot. Pain relief options include NSAIDs, paracetamol, gabapentin, or amitriptyline. Feeding tubes may be used in extreme cases for pain-free nutrition. Medical Management for Severe Cases: Two main protocols exist: Cyclosporine + Metronidazole (immune modulation & bacterial control). Doxycycline (low dose), Pentoxifylline (ulcer management), and Niacinamide (vitamin B3). The choice depends on vet preference and patient response. Long-Term Management & Research Gaps: Some dogs may eventually stop medication once inflammation is controlled. More research is needed to determine which cases respond best to which treatments. Avoiding full-mouth tooth extractions remains a key goal. (45:14) Sue highlights the lack of published research on CCUS and urges vets to seek specialist advice before extracting all teeth.
Welcome to the Sustainable Clinical Medicine Podcast! In Episode 107, Dr. Sarah Smith welcomes Dr. Simon Mittal and Ms. Maren Mittal to discuss the intricate dynamics of the health care system and how clinicians can survive and thrive within it. Dr. Simon Mittal, a physician with 30 years of experience and a background in both clinical and administrative roles, shares his journey of transitioning from working within a large health system to founding a consulting company aimed at making health care sustainable for both providers and patients. Ms. Maren Mittal, a licensed clinical social worker with expertise in mental health therapy, offers insights from her experience supporting medical professionals and families impacted by the demands of the medical field. Together, they delve into topics such as navigating health care leadership roles, balancing personal and professional responsibilities, and the importance of emotional intelligence in creating effective teams. Join us for a compelling conversation about redesigning clinical days, fostering relationships, and building sustainable health care models. Here are 3 key takeaways from this episode: Embrace Vulnerability and Curiosity in Change Management: It's essential for healthcare providers to feel empowered to voice potential improvements and to approach organizational changes with a mindset of curiosity, engaging with stakeholders to collaboratively bring ideas to life. Prioritize Emotional Intelligence and Relationship Building: Successful leadership and team collaboration in healthcare heavily rely on cultivating trust and fostering emotional safety within teams. This ensures that everyone feels seen, heard, and valued, which is a cornerstone for high-functioning healthcare systems. Recognize the Importance of Individual Resilience: Providers must acknowledge personal boundaries and self-care to maintain their passion and effectiveness in their roles. Resiliency isn't just about enduring challenges but thriving amidst them by aligning work with personal values and finding joy in the practice. Dr. Simon Mittal and Maren Mittal Bio: Simon Mittal is a seasoned healthcare professional, leader, and entrepreneur with 30 years of diverse experience in the industry. His background includes military service and roles in large healthcare organizations, complemented by a Master's in Medical Management. Throughout his career, Simon has coached numerous physicians and executives, understanding the challenges of inadequate support and eroding trust in healthcare organizations and experiencing the limitations of hierarchical systems that hinder individual growth and innovation. Through healthcare leadership and organizational alignment coaching, Simon's mission is to catalyze this transformation, creating healthcare environments where professionals feel valued, supported, and empowered to drive innovation and deliver exceptional care within organizations. Maren Mittal is a dedicated and compassionate licensed clinical social worker, LICSW, and healthcare professional with over 10 years of experience and holds a Master's degree in Social Work from the University of Houston and is licensed in Minnesota and Wisconsin. She is the founder of Revealing Life, a holistic Coaching and Psychotherapy practice. Maren is known for her empathetic and empowering approach and strong communication skills, which allow her to foster a safe and trusting environment and collaborate effectively with leaders. She stays current with best practices in the mental health arena and holds certifications in Brainspotting, Safe ConversationsTM and The Daring WayTM by Brene Brown. Now, she comes alongside individuals, including healthcare workers and students, to equip them to care for their own heart and soul. -------------- Would you like to view a transcript of this episode? Click here **** Charting Champions is a premiere, lifetime access Physician only program that is helping Physicians get home with today's work done. All the proven tools, support and community you need to create time for your life outside of medicine. Learn more at https://www.chartingcoach.ca **** Enjoying this podcast? Please share it with someone who would benefit. Also, don't forget to hit “follow” so you get all the new episodes as soon as they are released. **** Come hang out with me on Facebook or Instagram. Follow me @chartingcoach to get more practical tools to help you create sustainable clinical medicine in your life. **** Questions? Comments? Want to share how this podcast has helped you? Shoot me an email at admin@reachcareercoaching.ca. I would love to hear from you.
In this episode of the Syneos Health Podcast, series host Dr. Wael Harb, Vice President of Medical Management at Syneos Health, continues the exploration of FDA's groundbreaking Project Optimus and its profound implications for oncology drug development. He is joined by Zohra Lomri, Executive Director, Regulatory Affairs at Syneos Health, to discuss how this initiative is transforming dose optimization strategies and reshaping the clinical trial landscape.The conversation delves into the FDA's emphasis on balancing efficacy and tolerability, the shift away from maximum tolerated doses, and the integration of patient-reported outcomes. Zohra provides valuable insights on the regulatory expectations for dose-ranging studies, the importance of leveraging non-clinical data, and the role of pharmacokinetics (PK) and pharmacodynamics (PD) modeling in optimizing trial designs.Whether you're in oncology drug development or interested in regulatory innovation, this episode offers actionable advice and a glimpse into the future of patient-focused drug development.The views expressed in this podcast belong solely to the speakers and do not represent those of their organization. If you want access to more future-focused, actionable insights to help biopharmaceutical companies better execute and succeed in a constantly evolving environment, visit the Syneos Health Insights Hub. The perspectives you'll find there are driven by dynamic research and crafted by subject matter experts focused on real answers to help guide decision-making and investment. You can find it all at insightshub.health. Like what you're hearing? Be sure to rate and review us! We want to hear from you! If there's a topic you'd like us to cover on a future episode, contact us at podcast@syneoshealth.com.
In this edition of HealthBeat we discuss Chiropractic vs Medical Management of Adults with Spinal Pain. Want More Health and Technology Info - Contact Dr. Eglow at - drtoddeglow@aol.com And remember to surf to our Show Notes, located at http://www.ChiropracticRadio.com My Podcast Alley feed! {pca-35ddbc0845765814071fb2d2e8501841}
Collaboration is key to overcoming administrative burdens and driving better outcomes in healthcare. On this episode, Anna Taylor, AVP of Population Health and Value-Based Care at MultiCare Connected Care, and Heidi Kriz, Director of Medical Policy and Medical Management at Regence Health Plans, discuss their innovative approach to using FHIR for prior authorization and other administrative processes. Anna and Heidi highlight the importance of sharing operational workflows between payers and providers, much like other industries, to improve efficiency and patient care. Their pilot program for quality measure exchange demonstrated significant financial returns and operational efficiencies, earning enterprise buy-in for broader implementation. Hosts: Stuart Hanson Rachel Schreiber Guests: Anna Taylor and Heidi Kritz Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/
This episode, recorded live at the Becker's Healthcare 2024 Fall Payer Issues Roundtable, features Abdou Bah, SVP of Medical Management and Chief Health Equity Officer at Emblem Health. Here, he discusses strategies for controlling and managing ongoing healthcare costs while addressing the invisible barriers that prevent patients from accessing the care they need. Bah highlights the importance of equity-focused solutions to improve patient outcomes and reduce disparities in healthcare.
A rate critical to attain better care for patients, I'm gonna say, is enlightened leadership—maybe dyad leadership—at a clinical organization. I am saying this because without enlightened leaders, it'd be harder to build from the blueprint that Beau Raymond, MD, talks about today on the show. For a full transcript of this episode, click here. If you enjoy this podcast, be sure to subscribe to the free weekly newsletter to be a member of the Relentless Tribe. I'd say an enlightened leader is someone—and this is my definition, but it's a term that Tom Lee, MD, brought up first in an earlier episode (EP445)—an enlightened leader really cares about providing better patient care at an affordable price. They have a manifesto to that end, if you will. They also have studied, likely, and understand how change management works because every improvement requires change. They get the bit about people, processes, and technology being intertwined and what operational excellence means. Further, they are probably doing or considering many of the things that Robert Pearl, MD, talked about in episode 412. On the opposite end of the spectrum, there's a new term floating around called administrative harm. There's a study. Admin harm refers as much to what administrators—who I refuse to call leaders at this context because I'm talking about the not good administrators, so let's be clear—but I'd say administrative harm results from what the administrators choose not to do as much as what they choose to do. It is actually a thing to be an enlightened leader, especially in these profit-driven times. It's really tough, actually, and nothing anyone should take for granted. So, maybe this whole show is kind of a shout-out to the enlightened leaders out there. Thanks for doing what you do. Okay, so this said, and it needed to be said, let's talk blueprint for better care in the conversation that follows. Dr. Beau Raymond says, step 1, right out of the gate, set clear goals. Then step 2, engage others throughout the organization to together build the framework needed to achieve said goals. Engaging frontline folks and others is really the only way that any proposed framework will actually work in the real world. Listen to the shows with Karen Root (EP381) and Ashleigh Gunter (EP447) for just one proof point after another that what I say is based in fact. Step 3 of the blueprint to better outcomes that Beau Raymond, MD, talks about today is get your data. We talk a lot about plan sponsors and the getting of data, but same thing applies to clinical organizations. For clinical organizations, the getting of data means longitudinal data. The need for longitudinal data has come up in multiple shows, most recently the one with Dan Nardi (Spotlight Episode), and this is just one example of why getting the whole bag of data really matters. Dan said on that earlier show, it's often a thing that oncologists are unaware of how many of their patients are winding up in the ER for nausea after chemo, which, by the way, is the most common cause for readmission. And the reason for this is lots of patients travel to their oncologist but go to a local ER in a different health system. The show with Brendan Keeler (EP454) about the Particle v Epic lawsuit in general dustup over who gets the data is super relevant here. That's what I was thinking when I was talking with Dr. Raymond, and maybe it just popped in your head, too. Or just continuing this topic of the importance of longitudinal data, how many specialists, in almost any specialty, see a patient and then don't know what happened to that patient subsequently? Or even primary care in transactional models? So, step 3 here is get your data and also, as part of that, figure out how to make sure everybody understands the data and also understands that it is fair. Eric Gallagher (EP405), Dr. Raymond's dyad counterpart over at Ochsner, talked about this some in that episode. So did Kenny Cole, MD (EP431), interestingly, also from Ochsner. Amy Scanlan, MD (EP402) mentions it as well. Step 4 in the blueprint to measurably better outcomes that I discuss with Dr. Beau Raymond, data collection and data management probably need to be system-wide because … yeah, longitudinal and etc. But the “What are you gonna do now with the insights that you derived from the data?” is pretty local. The obstacles and enablers are going to be different depending on the geography. For example, an area with a large Vietnamese population and a big variation in colorectal screening rates as a priority, just logically, is gonna have a program that is in no way suited to roll out in an area with, say, a large Black or African American population with high hypertension rates. Priorities and programs are just different depending on the geography. So, step 4 here is, ask each region, based on the data, what fixes they're going to own. What will they take ownership on and commit to improving? What I thought was interesting in this interview is kind of the way that equity comes up between ethnic groups or between genders. In and of itself, obviously, striving for equity is critical. But also, if you're trying to improve quality across the board and you see disparities in care, figuring out what is going on with the group experiencing the worse outcomes is also just operational excellence. You don't want to be a solution looking around for a problem, after all; so, you need to figure out the actual problems for the actual people experiencing the problems to avoid that. Those are the only solutions that are actually gonna work. Step 5 is to learn from each other. Maybe not a whole program is flat-out transferable from one geography to another, but that doesn't mean that nothing is transferable either. As usual, it's about being thoughtful and nuanced and finding that productive middle. At Ochsner, they do these cool weekly primary care huddles to share learnings and goings-on that Dr. Raymond explains in the show that follows. Throughout all of these steps in this blueprint, there is obviously a need to align how the practice or system is getting paid for the time and capital expenditures, of course. And Dr. Raymond addresses this and interestingly says something similar to what Dr. Tom Lee (EP445) and Scott Conard, MD (EP391) have said on earlier shows: that a lot of times compensation for improving care, if you do it in an operationally excellent way, can be revenue positive for systems with a combination of both FFS (fee for service) and value-based reimbursement. Underline, however, the part about having an enlightened leader who cares about clinical quality for that to work out. Dr. Beau Raymond, my guest today is chief medical officer for Ochsner Health Network. Ochsner Health Network, by the way, includes Ochsner and some other health system partners. There's also a bunch of small independent practices of one to two docs. Ochsner patients, in case you are unaware, are in the entire state of Louisiana, a little bit of Mississippi, Alabama, and also Texas. Also mentioned in this episode are Ochsner Health; Tom X. Lee, MD; Robert Pearl, MD; Karen Root, MBA, CCXP; Ashleigh Gunter; Dan Nardi; Brendan Keeler; Eric Gallagher; Kenny Cole, MD; Amy Scanlan, MD; Scott Conard, MD; Joshua Liu, MD; Eboni Price-Haywood, MD, MPH, MMM, FACP; and Chris Skisak, PhD. You can learn more at Ochsner Health Network and by following Dr. Raymond on LinkedIn. Sidney H. “Beau” Raymond, MD, MMM, FACP, is a board-certified internist now serving as the chief medical officer of Ochsner Health Network and medical director and executive director of Ochsner Accountable Care Network. Prior to joining Ochsner, Dr. Raymond was vice president, physician practice administrator, and chief medical information officer at East Jefferson General Hospital (EJGH). His experience included serving on the steering committee and later as a board member for Gulf South Quality Network. Beyond the administrative roles at EJGH, Dr. Raymond was involved with medical staff committees, including serving as chief of staff. He is also a past president of the Jefferson Parish Medical Society. Dr. Raymond earned a bachelor's degree in biology from Loyola University, earned a medical degree from the Louisiana State University School of Medicine, and completed his residency in internal medicine at LSU-New Orleans. He has also earned a Master of Medical Management from Tulane University. 07:50 What is step 1 of improving care for healthcare leaders? 10:44 Why is it important to be flexible while keeping your goals in sight? 11:48 Dr. Eboni Price-Haywood's article on disparities in COVID. 12:29 How is equity a data point to achieving overall care improvement? 15:01 “If you can't measure it … accurately, you're not going to be able to do anything differently.” 20:52 What strategies have been successful in using data to improve healthcare outcomes? 23:17 Why did Ochsner Health avoid looking at the individual physician standpoint in regard to an equity standpoint? 30:40 Why engaging patients in their healthcare actually improved patient visits and did not necessarily reduce patient visits. 34:49 “It's really about engaging with the patient.” You can learn more at Ochsner Health Network and by following Dr. Raymond on LinkedIn. Sidney H. “Beau” Raymond, MD, MMM, FACP, discusses #leadership on our #healthcarepodcast. #healthcare #podcast #financialhealth #primarycare #patientoutcomes #healthcareinnovation Recent past interviews: Click a guest's name for their latest RHV episode! Brendan Keeler, Claire Brockbank, Cora Opsahl, Dan Nardi, Dr Spencer Dorn (EP451), Marilyn Bartlett, Dr Marty Makary, Shawn Gremminger (Part 2), Shawn Gremminger (Part 1), Elizabeth Mitchell (Summer Shorts 9), Dr Will Shrank (Encore! EP413)
This Podcast offers a pathway to continuing education via this CMEfy link: https://earnc.me/fkj138 Joseph Alhadeff, MD, MMM is an orthopedic surgeon and medical executive working at OSS Health in South Central Pennsylvania. He graduated from Harvard University and then pursued a medical degree from Rutgers New Jersey Medical School, followed by an orthopaedic surgical residency at the Cleveland Clinic Foundation. During his clinical training he had the opportunity to spend some time working at a clinic at a ski resort in Vermont, and spending a few months at the Nuffield Orthopaedic Centre in Oxford, England. In addition to a full-time clinical practice as an orthopaedic surgeon, Dr. Alhadeff has also worked in many administrative and leadership roles in hospitals and health systems over the years, serving as department chair, executive board member, Finance Committee Chair, President of the Medical staff, and President and CEO of OSS Health. He completed a Masters in Medical Management, MMM, at Carnegie Mellon University and completed additional healthcare leadership training with the Harvard Business Schools Executive Education programs and the American Association of Physician Leadership, AAPL. He has worked in orthopaedic practices based in Roanoke, VA and York, PA. He is currently the President of the PHA – Physician Led Healthcare for America, an organization dedicated to promoting the interests of physician-led or owned healthcare ventures, hospitals, Ambulatory Surgical Center's and office-based surgical entities. Dr. Alhadeff is a firm believer that the American healthcare system can evolve to be better. We have to do a better job of taking care of both the health of our patients and our care providers. It is possible to provide excellent clinical care, in a cost-effective manner while maintaining high levels of patient satisfaction and low rates of physician burnout. His clinical practice includes a broad spectrum of musculoskeletal injuries and ailments. He primarily treats disorders of the shoulder, hip and knee while also treating some elbow, wrist, hand and ankle disorders. He works with an awesome clinical team in the office, the operating rooms and the hospital. When not working, Dr. Alhadeff enjoys spending time with his family, reading, listening to music, playing strategy games, puzzles, cycling, skiing, and spending time relaxing at the beach. -=+=-=+=-=+= Are you a doctor struggling to provide the best care for your patients while dealing with financial and caregiving matters out of the scope of your practice? Do you find yourself scrambling to keep up with the latest resources and wish there was an easier way? Finally, our Virtual Health and Financial Conference for Caregivers is here! This conference helps you and your patients enlist the best strategies around health care resources and the best financial steps for your patients to take while navigating care. You don't have to go home feeling frustrated and helpless because you couldn't connect your patients with the best services. In just 90 minutes, our VIP Live Roundtable will answer your questions and be the lifeline that helps your patients put together an effective caregiving plan. Find out more at Jeanniedougherty.com and click on Conference for Caregivers VIP. -+=-+=-+=-+= Join the Conversation! We want to hear from you! Do you have additional thoughts about today's topic? Do you have your own Prescription for Success? Record a message on Speakpipe Unlock Bonus content and get the shows early on our Patreon Follow us or Subscribe: Apple Podcasts | Google Podcasts | Stitcher | Amazon | Spotify --- There's more at https://mymdcoaches.com/podcast Music by Ryan Jones. Find Ryan on Instagram at _ryjones_, Contact Ryan at ryjonesofficial@gmail.com Production assistance by Clawson Solutions Group, find them on the web at csolgroup.com
Emily Endres, VP of Pharmacy for PQS by Innovaccer conversed with Abdou Bah, SVP, Medical Management and Chief Health Equity Officer at EmblemHealth, on how community pharmacies are reshaping healthcare delivery in a recent online webinar.Discussions revolved around pharmacy partnerships, clinical services, blood pressure management and encouraging seasonal immunizations. Listeners can learn more about how innovative, team-based strategies are driving quality outcomes and improving chronic disease management. This webinar was originally presented on September 27, 2024.
A new trial assessed whether balloon angioplasty plus aggressive medical management was superior to aggressive medical management alone for patients with symptomatic intracranial atherosclerotic stenosis. Author Zhongrong Miao, MD, PhD, from Beijing Tiantan Hospital, discusses the BASIS randomized clinical trial with JAMA Deputy Editor Christopher C. Muth, MD. Related Content: Balloon Angioplasty vs Medical Management for Intracranial Artery Stenosis Is Balloon Angioplasty the Future for Intracranial Stenosis? Read Transcript
Next to the common cold, acute otitis media is the most frequently diagnosed illness in children in the United States. Dr. Alejandro Hoberman discusses medical management for recurrent acute otitis media.
Get full access to Cardiology Trial's Substack at cardiologytrials.substack.com/subscribe
Aortic Stenosis explained clearly, including pathophysiology and causes. Also features the aortic stenosis murmur sound, and treatment including TAVI vs SAVR. Consider subscribing on YouTube (if you found any of the info useful!): https://www.youtube.com/channel/UCRks8wB6vgz0E7buP0L_5RQ?sub_confirmation=1Patreon: https://www.patreon.com/rhesusmedicineBuy Us A Coffee!: https://www.buymeacoffee.com/rhesusmedicineTimestamps:0:00 What is Aortic Stenosis? 0:51 Aortic Stenosis Pathophysiology2:16 Aortic Stenosis Causes3:39 Aortic Stenosis Symptoms5:04 Aortic Stenosis Murmur 6:46 Aortic Stenosis Diagnosis7:10 Aortic Stenosis Treatment - TAVI 08:06 Aortic Stenosis Treatment - SAVRHeart sounds by:Professional Skill Builder, Copyright 2005-2015 by The Regents of the University of Michigan (https://www.med.umich.edu/lrc/psb_open/html/repo/primer_heartsound/primer_heartsound.html)License: https://creativecommons.org/licenses/by-sa/4.0/ReferencesBMJ Best Practice (2024) - “Aortic Stenosis”. Available at https://bestpractice.bmj.com/topics/en-gb/325Guy P. Armstrong*, MD -* MSD Manual Pro (2023) - “Aortic Stenosis”. Available at https://www.msdmanuals.com/professional/cardiovascular-disorders/valvular-disorders/aortic-stenosisGuillaume Marquis-Gravel, MD, Msc - AHA Journals (2016) - “Medical Management of Aortic Stenosis”. Available at https://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.116.023997Please remember this video and all content from Rhesus Medicine is meant for educational purposes only and should not be used as a guide to diagnose or to treat. Please consult a healthcare professional for medical advice.
In this episode, Jason Kirby, DO, MBA, FASAM, shares what led him to the field of addiction medicine and describes a particular turning point in his career path. Dr. Kirby discusses the importance of individualized treatment, the similarities between fitness and recovery communities, and how his interest in human behavior influenced his career journey. He stresses the critical importance of self-care among physicians and other care providers, the benefits of physician health programs, and addressing the four facets of well-being. Dr. Kirby shares his thoughts about the stigma associated with addiction and the critical role education plays in reducing stigma and promoting recovery. He discusses his efforts as president of the Tennessee Society of Addiction Medicine (TnSAM) to address stigma and other issues and shares his primary goals in this leadership role. Dr. Kirby highlights some impactful moments during his career and offers advice for the next generation of addiction medicine providers. Dr. Jason Kirby serves as the chief medical officer for Landmark Recovery and Praxis by Landmark Recovery and is currently the president of TnSAM. He is an expert in population health policy, healthcare economics, and human behavior and is dual board-certified in addiction medicine and family medicine. He received his medical degree from the West Virginia School of Osteopathic Medicine and his MBA from Point Park University. Dr. Kirby also is a fellow and leader of the American Society of Addiction Medicine (ASAM), having served or currently serving on its Finance, ASAM Criteria Strategy Steering, Annual Conference Program Planning, and Levels of Care Certification Oversight Committees. Recently, he co-authored the withdrawal management chapter for The ASAM Criteria, 4th Edition. He previously served as medical director of addiction and recovery services at St. Peter's Health Partners in Albany, NY, and practiced at St. Peter's Hospital as their chief of behavioral health. Prior to that, Dr. Kirby served as medical director for Gateway Rehabilitation Center and Highmark Blue Cross Blue Shield's Medical Management and Policy Division. Originally from West Virginia, Dr. Kirby is also an avid woodworker, competitive CrossFitter, husband, and father to three amazing little boys. Links: Tennessee Society of Addiction Medicine (TnSAM) American Society of Addiction Medicine (ASAM) The ASAM Criteria, 4th Edition Find your State Physician Health program CrossFit If you or someone you know is struggling with addiction, you are not along. Treatment is available and recovery is possible. Visit ASAM's Patient Resources page for more information. The information shared in this podcast episode is for educational purposes only and should not be taken as medical advice. The views expressed in this podcast may not be those of the host or ASAM management.
Learn the business and management skills you need by enrolling in the University of Tennessee Physician Executive MBA program at nonclinicalphysicians.com/physicianmba. Get the FREE GUIDE to 10 Nonclinical Careers at nonclinicalphysicians.com/freeguide. Get a list of 70 nontraditional jobs at nonclinicalphysicians.com/70jobs. =============== Dr. Mark Olszyk completed his medical degree at the Columbia University Vagelos College of Physicians and Surgeons in New York City, and a residency in Emergency Medicine at the Naval Medical Center in San Diego. He completed his MBA in 2006. He is a Certified Physician Executive through the Certifying Commission in Medical Management. He practiced emergency medicine before taking on management and leadership positions in a variety of settings. For the past 11 years, he has served as the Chief Medical Officer for Carroll Hospital in Westminster, Maryland. In 2023, working with the American Association for Physician Leadership's publishing arm, Mark brought together a team of experts to write and edit The Chief Medical Officers' Essential Guidebook. As Dr. Peter Angood, AAPL CEO, writes in the forward to the book, ”The book was written for those interested in pursuing, refining, or hiring the role of chief medical officer…The authors provide a timely and well-constructed treatise on the many aspects of being, or becoming, a successful CMO…In short, there is no other resource in the market on this topic that can rival the thoroughness and completeness of the book.” In today's interview, Mark shares the story of his leadership journey and the challenges of editing the Guidebook. He also shares advice for fledgling physician leaders based on the book and his personal experiences leading healthcare organizations. You will find all of the links mentioned in the episode at https://nonclinicalphysicians.com/outstanding-cmo/
Abdou Bah, Senior Vice President, Medical Management & Chief Health Equity Officer at EmblemHealth joins the podcast to share insights into his background, the healthcare trends he is closely monitoring today, current initiatives his organization is implementing to improve quality of care, and more.
Abdou Bah, Senior Vice President, Medical Management & Chief Health Equity Officer at EmblemHealth joins the podcast to share insights into his background, the healthcare trends he is closely monitoring today, current initiatives his organization is implementing to improve quality of care, and more.
Welcome to Tales from the Heart! This week host Lisa Salberg sits down with Dr. Michael Ayers to discuss Medical Management May and clinical trials. This conversation was recorded May 24, 2024.
Welcome to Tales from the Heart! This week host Lisa Salberg sits down with Dr. Marcos Hazday from Advent Health Orlando to discuss Medical Management May. This conversation was recorded May 17, 2024.
Guest Ulrika Dreviok returns to discuss how the FEMM (Fertility Education and Medical Management) program helps women handle health issues such as fertility and cycle management.
Ulrika Drevniok joins Jim and Joy to speak about FEMM (Fertility Education and Medical Management), its origins, mission and the lives helped by implementing its recommendations.
Dr. N.Ramakrishnan is a Healthcare Entrepreneur who is American Board Certified in Internal Medicine, Critical Care Medicine & Sleep Medicine and also has a Master's degree in Medical Management from University of Southern California. He is currently the Director of Critical Care Services at Apollo Hospitals, Chennai and is a Senior Consultant in Critical Care and Sleep Medicine. He was the first Board Certified Sleep Specialist to practice in India and established Nithra Institute of Sleep Sciences in 2004. He was also invited to meet the then honourable president of India, Dr.A.P.J Abdul Kalam who appreciated his contributions in the field of Critical Care & Sleep Medicine. What are female specific sleep disorders? How can women navigate sleep challenges at different stage of life? When should women reach out to an expert for sleep disorders? For more on Dr Ramakrishnan, you can follow him: Website: www.nithra.com Facebook: https://www.facebook.com/NithraSleep Instagram: https://www.instagram.com/drnramakrishnan/ -For more on Deepa: Deepa is an Allied Functional Medicine Practitioner, Ayurvedic Practitioner, Author and a Yogini at OHA Health. Having a son with a rare adrenal disorder gave her insight into the working of the adrenals. Her articles have been shared by Dr Mark Hyman, MD, a 17 times NY Times Bestselling Author. She also gave the opening speech on Health Hacks at Amazon Web Services & YourStory HeathTech 2019 to heads of healthcare start-ups in India. She is in the YourStory100 Digital Influencers Of 2020. She is the author of the book How To Sleep Better-The Miraculous 10-Step Protocol To Recharge Your Mind & Body by HarperCollins with a foreword by Dr Mark Hyman which HarperCollins said was one of the most promising debut voices of 2023 and a superb debut book that you must read and Cosmopolitan referred to as one of the five books you must pick up. She has been featured in Femina, Scroll, Mint Lounge, the award winning podcast 15-Minute Matrixand UK Health Radio discussing sleep.
Join April Marroquin, senior associate director of recruitment for Simon's executive and part-time programs, for a conversation with our part-time student advocates about what led them to Simon, how to balance work and your course load, and more! Student panelists: Brian Asermily (MMM candidate) Tammy Boak (PMBA candidate) Lauren Bradley (EMBA candidate) John Marchesane (PMBA candidate) Dave Miller (EMBA candidate) Learn more about Simon's Executive MBA program. Learn more about Simon's Professional MBA program. Learn more about Simon's MS in Medical Management program.
Diabetes Core Update is a monthly podcast that presents and discusses the latest clinically relevant articles from the American Diabetes Association's four science and medical journals – Diabetes, Diabetes Care, Clinical Diabetes, and Diabetes Spectrum. Each episode is approximately 25 minutes long and presents 5-6 recently published articles from ADA journals. Intended for practicing physicians and health care professionals, Diabetes Core Update discusses how the latest research and information published in journals of the American Diabetes Association are relevant to clinical practice and can be applied in a treatment setting. Welcome to diabetes core update where every month we go over the most important articles to come out in the field of diabetes. Articles that are important for practicing clinicians to understand to stay up with the rapid changes in the field. This issue will review: 1. A Phase 3, Randomized, Controlled Trial of Resmetirom in NASH with Liver Fibrosis 2. Long-Term Outcomes of Medical Management vs Bariatric Surgery in Type 2 Diabetes 3. Improved Glycemic Outcomes With Diabetes Technology Use Independent of Socioeconomic Status in Youth With Type 1 Diabetes 4. Cardiovascular and Kidney Risks in Individuals With Type 2 Diabetes: Contemporary Understanding With Greater Emphasis on Excess Adiposity 5. Epidemiology and Prognostic Implications of Coronary Artery Calcium in Asymptomatic Individuals With Prediabetes For more information about each of ADA's science and medical journals, please visit www.diabetesjournals.org. Hosts: Neil Skolnik, M.D., Professor of Family and Community Medicine, Sidney Kimmel Medical College, Thomas Jefferson University; Associate Director, Family Medicine Residency Program, Abington Jefferson Health John J. Russell, M.D., Professor of Family and Community Medicine, Sidney Kimmel Medical College, Thomas Jefferson University; Director, Family Medicine Residency Program, Chair-Department of Family Medicine, Abington Jefferson Health
What are the long-term outcomes of randomized clinical trials of bariatric surgery compared with medical/lifestyle management for patients with type 2 diabetes? JAMA Associate Editor Anne Cappola, MD, ScM, discusses a new study that examines this question and more with author Anita Courcoulas, MD, from the University of Pittsburgh. Related Content: Long-Term Outcomes of Medical Management vs Bariatric Surgery in Type 2 Diabetes
In this episode, Dr. Nora Perkins (Albany ENT & Allergy Services), discusses in-office procedural management of nasal airway obstruction with hosts Dr. Ashley Agan and Dr. Gopi Shah. First, the surgeons discuss the advantages of in-office procedures. Then, Dr. Perkins describes different presentations of nasal airway obstruction and their medical management. Diving deeper, Dr. Perkins shares her procedural workflow, including anesthetic protocols, her VivAer Aerin device technique, and billing considerations. Finally, the episode concludes with Dr. Perkins' advice to otolaryngologists interested in performing more in-office procedures. --- CHECK OUT OUR SPONSOR Aerin Medical https://aerinmedical.com/ --- SHOW NOTES 00:00 - Introduction 02:07 - Discussion of Nasal Airway Obstruction 08:21 - The Patient with Nasal Airway Obstruction 15:29 - Medical Management of Nasal Airway Obstruction 26:17 - The Aerin VivAer RF Ablation Device 32:12 - Anatomical Considerations and Treatment Options 35:10 - Anesthetic Protocol & Patient Comfort 47:56 - Long-term Outcomes and Quality of Life 49:42 - Billing and Insurance Considerations --- RESOURCES Dr. Nora Perkins' Albany ENT & Allergy Services Profile: https://albanyentandallergy.com/bio/nora-w-perkins/ Aerin VivAer Website: https://vivaer.com/
Learning Objectives:Discuss updates in medical weight lossIdentify ongoing barriers to weight loss managementSpeakers:Layla A. Abushamat, MD, MPH, Assistant Professor, Baylor College of MedicineMahmuda Tasneem, MD, Internal Medicine and Obesity Medicine, Virginia Mason Franciscan HealthPanelists:Anila Chadha, MD, Obesity Medicine Specialist, Dignity Health Medical Group — BakersfieldThu Le, PharmD, Clinical Pharmacist, Dignity HealthErin Sharp, PharmD, System Director Retail Pharmacy Services, CommonSpirit Health.
Dr. N.Ramakrishnan is a Healthcare Entrepreneur who is American Board Certified in Internal Medicine, Critical Care Medicine & Sleep Medicine and also has a Master's degree in Medical Management from University of Southern California. He is currently the Director of Critical Care Services at Apollo Hospitals, Chennai and is a Senior Consultant in Critical Care and Sleep Medicine. He was the first Board Certified Sleep Specialist to practice in India and established Nithra Institute of Sleep Sciences in 2004. He was also invited to meet the then honourable president of India, Dr.A.P.J Abdul Kalam who appreciated his contributions in the field of Critical Care & Sleep Medicine. What are male specific sleep disorders? Are there sleeping medications that can increase symptoms that further imbalance sleep? When should men reach out to an expert for sleep disorders? For more on Dr Ramakrishnan, you can follow him: Website: www.nithra.com Facebook: https://www.facebook.com/NithraSleep Instagram: https://www.instagram.com/drnramakrishnan/ -For more on Deepa: Deepa is an Allied Functional Medicine Practitioner, Ayurvedic Practitioner, Author and a Yogini at OHA Health. Having a son with a rare adrenal disorder gave her insight into the working of the adrenals. Her articles have been shared by Dr Mark Hyman, MD, a 17 times NY Times Bestselling Author. She also gave the opening speech on Health Hacks at Amazon Web Services & YourStory HeathTech 2019 to heads of healthcare start-ups in India. She is in the YourStory100 Digital Influencers Of 2020. She is the author of the book How To Sleep Better-The Miraculous 10-Step Protocol To Recharge Your Mind & Body by HarperCollins. She has been featured on the award winning podcast 15-Minute Matrixand UK Health Radio discussing sleep.
Hosts Pooja Babbrah and Jocelyn Keegan spotlight the HL7 Da Vinci Project's real-world impact and return on investment (ROI) with special guests Anna Taylor, Associate Vice President of Population Health and Value-Based Care at MultiCare, and Heidi Kriz, Director of Medical Policy and Medical Management at Regence. Both are leading the charge in FHIR Implementation in this exciting collaborative project. Get ready for a deep dive into Health IT, APIs, interoperability, and health IT policy. Our guests, leaders in early HL7 FHIR Da Vinci FHIR implementation projects, spill the beans on tangible benefits and ROI. Discover how their Pacific Northwest experiences can set the stage for nationwide FHIR adoption. Don't miss this professional, fun, and educational ride! Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/
Building on last week's introduction to heart failure, this episode explores the nuances in the medical management of cardiogenic shock. Host Sarah Lorenzini and Christian Guzman APRN continue this three-part heart failure series by completing the case study of a patient in cardiogenic shock, and breaking down key treatment concepts and strategies.They discuss goal-directed therapy to optimize heart function, with a specific focus on the vital aspects of contractility, afterload, and preload, and their pivotal roles in patient care. As their conversation progresses, they delve into the use of medical interventions, covering the pros and cons of medications used to treat heart failure at each stage from beginning to extremis.Christian and Sarah go beyond what you'll read from textbooks, shedding light on the challenges and clinical decision-making process of heart failure care by sharing real life examples and insights.Tune in now to learn how to assess patients for cardiogenic shock and manage their care at every stage of heart failure!Topics discussed in this episode:The treatment of last week's patientGoal-directed therapy for heart failureMethods to increase contractilityPreload optimizationThe use of inotropes in heart failure managementAssessing patients for cardiogenic shockWhen to use beta blockers for heart failureWhen to pull the trigger for mechanical circulatory supportConnect with Christian Guzman APRN on Instagram:https://www.instagram.com/thenerdynursepractitioner/Watch this episode on The Rapid Response RN YouTube Channel! https://www.youtube.com/@therapidresponsern/videosMentioned in this episode:Rapid Response and Rescue Intro CourseCONNECT
The podcast "The Dish on Health IT" is brought to you by Point-of-Care Partners, a distinguished health IT consultancy. In the opening minutes of the episode, the hosts, Pooja Babbrah and Jocelyn Keegan, set the stage for a dynamic conversation focused on the HL7 Da Vinci Project and its real-world implementation results.Introducing their guests, they warmly welcome Anna Taylor, Associate Vice President of Population Health and Value-Based Care at MultiCare, and Heidi Kriz, Director of Medical Policy and Medical Management at Regence. Both guests are not only accomplished professionals but also members of the HL7 Da Vinci Project, where they play pivotal roles as early implementers of the Da Vinci Fast Healthcare Interoperability Resource (FHIR) Implementation Guides.The hosts underscore the key themes of the episode, which revolve around sharing insights from early implementation projects, understanding the tangible benefits and returns on investment, and exploring how their experiences in the Pacific Northwest can serve as a model for nationwide FHIR adoption.As the hosts and guests delve into the discussion, they shed light on the core issues they are working to address. Heidi Kriz highlights the existing silos in healthcare, where payers and providers often work independently, using different data standards and requiring access to multiple portals. They recognize the need to promote a common language and reduce the administrative burden of healthcare processes. A major area of concern is prior authorization, which often leads to delays in care. Their aim is to make the process more transparent and incorporate it into the provider's workflow, thereby automating several steps that currently require manual intervention.Anna Taylor supplements this perspective, emphasizing that their goal is to find a many-to-many solution that involves multiple stakeholders. With thousands of members to care for and thousands of providers to collaborate with in the MultiCare Connected Care ACO. To navigate the complexities of these relationships, they aim to streamline data administration, allowing more resources to be devoted to direct patient care. Open standard APIs, like FHIR, play a pivotal role in this quest for a comprehensive, interoperable solution.Jocelyn Keegan highlights the significance of implementation guides within the Da Vinci Project. She underscores the importance of repeatability and the need to get information to where it's needed, thus improving overall efficiency and user experience.The hosts and guests underline the role of collaboration as the linchpin of their endeavors. They emphasize the necessity of involving diverse stakeholders, including providers, patients, community organizations, and other contributors to the healthcare ecosystem. The objective is to create a harmonious and collaborative environment that benefits all parties involved.Heidi Kriz shares the story of how Regence, from a business perspective, became engaged in the Da Vinci Project. The organization's CEO and leadership recognized the need to enhance the member's experience, particularly regarding the prior authorization process. This realization prompted a series of discussions and plans to implement collaborative, interoperable solutions.In the early moments of this podcast, the stage is set for a conversation that promises to explore healthcare's complexities, emphasize the role of collaboration, and advocate for interoperability. The guests, Anna Taylor and Heidi Kriz, offer valuable insights from both the provider and payer perspectives. They highlight the need for automation, standardized processes, and the creation of a seamless healthcare ecosystem, ultimately aiming to enhance the patient experience and streamline administrative tasks.When asked about key insights or any “aha!” moments. Heidi shares that it was realizing the power of collaboration between a payer and a provider. The ability to come together to solve complex healthcare transactions and streamline processes marked a profound shift in their approach. The synergy between MultiCare and Regence in tackling a common goal was a testament to the potential of collaboration in the healthcare ecosystem.Heidi's second aha moment came when they went live in October 2022. After years of hard work and dedication, seeing their vision become a reality was truly amazing. The initial results were already impressive, but Heidi recognized that they were just scratching the surface of what could be achieved in terms of process automation and instant information delivery.She also highlighted the importance of involving patients in the process. The ability to provide timely information to both providers and members, enabling them to make the best decisions for their care, was a transformative idea.Another valuable lesson for Heidi was the necessity of embracing failure as part of the innovation journey. Adapting and making changes based on feedback and evolving needs was crucial, even if it meant not getting everything right the first time.As for Anna, her aha moment was realizing that the combination of a business-centered approach and the right technology expertise was key to success. It wasn't a matter of choosing between one or the other; both were essential. This perspective underscored the importance of collaboration between these two aspects of healthcare organizations.Anna also shared the concept of the "magic button," where providers found immense value in a simplified, streamlined process. The idea of having a single point of access to manage transactions and receive instant responses became a game-changer, simplifying the lives of providers and driving home the importance of automation.Both Anna and Heidi spoke about the remarkable return on investment they experienced. Anna cited the Data Exchange for Quality Measures (DEQM) implementation, where they saw immediate returns by closing quality gaps and receiving financial incentives. The investment in developing these open standard APIs proved to be worthwhile, not only in terms of financial gains but also in making providers' lives easier.The discussion revealed that the journey to healthcare transformation through initiatives like the Da Vinci Project is challenging but entirely feasible. Success hinges on a combination of collaboration, transparency, and a willingness to embrace change. The ability to iterate and adapt is essential, and organizations that strategically invest in these initiatives will position themselves for long-term success in the evolving healthcare landscape.In this podcast segment, Anna Taylor and Heidi Kriz discuss their experiences and insights regarding healthcare interoperability and the impact of open standards and APIs in the healthcare industry.Anna emphasizes the importance of embracing open standards and APIs, highlighting their potential to transform the healthcare landscape. She encourages organizations to take a close look at their current processes, especially if they are spending a significant amount of time and money on old-fashioned ETL (Extract, Transform, Load) packages. By adopting open standards and APIs, they can free up their employees' capacity, transform their culture, and ultimately improve healthcare.Heidi adds that the risk of not adopting these technologies is greater than taking the leap. She cites the staggering amount of money wasted due to the lack of open standards in healthcare and emphasizes the potential for financial savings and enhanced patient care through interoperability. She also stresses that putting patients and people at the core of healthcare is vital.Both Anna and Heidi underscore the importance of community collaboration, particularly through organizations like Da Vinci, which provide resources and support for implementing open standards and APIs. They encourage organizations to start small, focus on foundational changes, and build a culture of transparency and collaboration.As they conclude, they invite more providers and partners to share their success stories and experiences, urging the community to come forward and tell their stories to inspire and educate others.In summary, Anna and Heidi emphasize the transformative power of open standards and APIs in healthcare, the necessity of community collaboration, and the need to embrace change to improve healthcare for all. The discussion also highlights the significant impact these technologies can have on productivity, transparency, and patient care in the healthcare industry.Learn more about this and other Da Vinci Project Implementations: Da Vinci Roundtable Presentations: https://confluence.hl7.org/display/DVP/Da+Vinci+Video+PresentationsCMS Presentation: Catching FHIR: Lessons Learned from Achieving the First Prior Authorization Automation via HL7® FHIR® - https://www.cms.gov/files/document/hiig-august-2023-isc-speaker-slides.pdfFierce Healthcare Article: https://www.fiercehealthcare.com/payers/regence-multicare-team-fhir-enabled-prior-authorizationRevcycle Intelligence: https://revcycleintelligence.com/features/how-a-better-prior-authorization-process-is-rising-from-fhir News Coverage:KLAS Points of Light Award: https://www.mcg.com/client-resources/news-item/mcg-regence-multicare-klas-points-of-light-award/
This week Crystal Spring delivers a powerful message about how using SDF and Glass Ionomers are not just for public health, it should be a standard across the board! Resources: @SmilesAcrossMontana www.gc.dental/america @gcamericainc
The podcast episode "The Dangers in Healthcare" explores the alarming trend of violence within the healthcare system, citing a specific incident in Portland where a security guard was shot and killed. The hosts discuss how hospital administrators often encourage staff to placate aggressive visitors and patients to avoid negative reviews, impacting federal reimbursement rates. They also delve into the connection between gun violence and the lack of affordable healthcare, suggesting that financial implications contribute to people's fear and defensiveness. Another episode discusses the frustration and anger that arise from denied healthcare claims and the lack of understanding in the current healthcare environment. The hosts shed light on the role of insurance carriers in denying claims and the financial incentives behind it. They also highlight issues with medical management in insurance plans and the prioritization of profits over patient care. Additionally, the podcast touches on the frustration individuals face with insurance coverage and healthcare expenses, and the increase in lawsuits related to these issues. Lastly, the hosts discuss the evolving landscape of healthcare referrals and the need for collaboration between different stakeholders.Episode Outline:(00:00:02) Violence in Healthcare(00:04:32) The Impact of Denied Claims(00:08:50) Issues with Medical Management in Insurance Plans(00:13:08) Insurance Coverage and Healthcare Expenses(00:17:18) Change in Healthcare ReferralsQuotes:(00:03:43) There's a lot of gun violence in the US. It doesn't really matter what side of the fence you sit on. I don't think you could possibly deny that we have heightened gun violence in the US. And you and I have talked through how much of that is related to the lack of affordable and accessible health care.(00:07:18) I think it was done by the insurance industry for the purpose of making it difficult for people to access high value care that is relatively inexpensive, therefore making it more likely that you're going to need low value care that's very expensive.(00:12:00) Every stakeholder in this country has fallen in love with their captor, which is the insurance company.(00:15:23) I do think that there are more people that are waking up to hold on a second, this is the big bad monster under the bed. I still don't think it's enough, though.(00:17:57) But it really is great to really build a health plan with a doctor involved at every step along the way.Social Post:
Dr. Francis Deng discusses the potential benefit of thrombectomy for distal medical vessel occlusions of the anterior cerebral artery with Dr. Lukas Meyer Thrombectomy versus Medical Management for Isolated Anterior Cerebral Artery Stroke: An International Multicenter Registry Study. Meyer et al. Radiology 2023; 307(2):e220229.
Today's guest on The Kingdom Driven Entrepreneur Podcast is Audra Thompson, President of Audra started her medical management and billing company nearly 20 years ago, and since she connected with the Kingdom Driven Entrepreneur movement a few years ago, she completely shifted into growing and thriving in business in partnership with God. She shares how God used 5 months immersed in the book of John to restore her personally and expanded her capacity professionally. You'll also hear how God led her to create a Kingdom culture of righteousness and mercy in her business, and how she applied that in a practical way. As Audra has stewarded what God has shown her, He has continued to enlarge her vision and assignment for Kingdom impact, not only within her company locally, but also as a disruptor within the healthcare industry at large.
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