Podcasts about mhsa

I have been working on a new concept for a few months. I'm so thankful to Kayla Howell, CRCR John Ziegler and the entire HFMA Central Ohio chapter for giving me the freedom to present it last week. This group has consistently been willing to dive into the unknown with some of my crazy ideas. For that I'm very appreciative. Special thanks to my guests who joined me on stage after my talk to discuss it: Girish Dighe David Kelly, MHSA

Chris Holman welcomes Ann Marie Creed, Newly named president of University of Michigan Health-Sparrow Lansing, Lansing, MI. Welcome Ann, can you share your career background? We understand you start this new role May 19th? Your roles in healthcare have prepared you well for this new position? What drew you to UMH Sparrow as they underwent their search? Are there any committees or boards you will keep ties with now in this new role? Experienced health care leader Ann Marie Creed named president of University of Michigan Health-Sparrow Lansing LANSING, Mich. – Ann Marie Creed, MHSA, BA, who has extensive experience in health care leadership roles, has been named president of University of Michigan Health-Sparrow Lansing. She will begin her new job on May 19. Creed has been a vice president of Henry Ford Health System in Detroit since 2012, overseeing surgical services, operations and currently as leader of system capacity command and patient logistics. In the latter role, she oversees all admissions, transfers, bed management and much more. She also served as interim president of Henry Ford Hospital in Detroit, as vice president of Henry Ford's Wyandotte Hospital and in administrative roles with the Henry Ford Medical Group and the Wayne State Health Physician Group. Creed is also skilled in the integration of health systems and has been working on bringing Ascension hospitals' into the Henry Ford Health system. “We are incredibly pleased to have someone of Ann Marie's stature and experience join our team,” said Margaret Dimond, Ph.D., regional president, University of Michigan Health. “I worked alongside her during my time at Henry Ford Health System and have been so impressed by her knowledge and ability to execute innovative programs and initiatives. She is an exceptional leader with solid operational outcomes and expertise. Ann Marie will be a great addition to our team.” Creed's accomplishments at Henry Ford include overseeing creation of the system's virtual intensive care unit, nursing and sitter programs; consolidation of beds and transfers across the system; serving as operations lead during the pandemic; increasing surgical volume; and improving the nursing turnover rate. Creed succeeds interim president Christopher Palazzolo, who has served in that role since January and came to UM Health-Sparrow Lansing on a temporary basis as we began a nationwide search for a permanent president. Creed was selected by a search committee representing board, physician and nursing leadership and an extensive interview process that included input from team members across the organization. Creed has deep Michigan roots and received her Master of Science in Healthcare Administration from Central Michigan University and her Bachelor of Arts in Biology from Wayne State University. She is a fellow of the American College of Healthcare Executives (FACHE); is board certified as a medical practice executive from the American College of Medical Practice Executives; and is a certified green belt in Lean Six Sigma. She has served on committees of the Henry Ford Medical Group Board of Governors and the Southern Wayne County Regional Chamber. » Visit MBN website: www.michiganbusinessnetwork.com/ » Watch MBN's YouTube: www.youtube.com/@MichiganbusinessnetworkMBN » Like MBN: www.facebook.com/mibiznetwork » Follow MBN: twitter.com/MIBizNetwork/ » MBN Instagram: www.instagram.com/mibiznetwork/

In this insightful episode of The Beat Podcast, Sandy Vance is joined by two healthcare experts, Dr. Peter Pronovost and Claudia Douglass from Grant Thornton, to discuss a transformative concept in healthcare: the Intelligent Clinical Environment (ICE). This advanced, technology-driven model is revolutionizing the way healthcare systems are addressing critical issues like clinician burnout, labor shortages, and improving patient care outcomes. If you're interested in the future of healthcare and technology, this episode offers a deep dive into how digital innovations like the Intelligent Clinical Environment are changing the landscape.In this episode, they talk about:The concept of Intelligent Clinical Environment and how it addresses the current clinician labor crisisThe impact on clinician burnout and turnoverThe role do advanced technologies like this play in improving patient care, leadership development, and clinician efficiencyHow the Intelligent Clinical Environment enhances clinical outcomes and patient safetyHow the Intelligent Clinical Environment enhances patient satisfactionSome of the common challenges health systems face when implementing this digital care transformation model The ways the Intelligent Clinical Environment helps health systems meet their financial targets and reduce costsA Little About Claudia and Peter:Claudia Douglass, FACHE, MHSA, PMP, is a Principal and U.S. National Healthcare Growth Leader with 30 years of experience in healthcare strategy and operations. She's led complex initiatives in strategic growth, digital transformation, operational performance, and population health across large health systems and consulting roles. A recognized thought leader, Claudia regularly speaks and publishes on topics like leadership, virtual care, and value-based care at top industry conferences. Previously, she served as SVP & COO and VP of Strategy in health systems, bringing practical, implementable insights to her clients.Dr. Peter Pronovost, MD, PhD, FCCM, is a leading expert in patient safety and critical care, known for pioneering research that has saved thousands of lives. With over 800 peer-reviewed publications, he gained global recognition for his work using checklists to reduce catheter-related bloodstream infections. His groundbreaking contributions earned him a spot on Time magazine's list of the 100 most influential people and a MacArthur Foundation “genius grant.” As the Chief Quality & Clinical Transformation Officer at University Hospitals in Cleveland, Dr. Pronovost drives innovation in healthcare across a network of 20 hospitals, 50+ health centers, and over 200 physician offices.

So, the show today, it's sort of an encore but not really an encore because I recorded this whole new introduction that you are currently listening to. And I also did a few inserts that we popped into the show itself. Inserts from the future, you might say. 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. But why did I pull this episode from 2021, you might be wondering, as an immediate follow-on to the show from last week (EP469) about possible Medicaid cuts? Well, for one thing, the show last week about Medicaid cuts was about how the cuts might impact plan sponsors. And it left me feeling a little bit like part of the story was going unsaid. So much of what happens in healthcare, we see numbers on a spreadsheet but can easily lose track of human beings. I was reading something the other day. It reminded me of the people behind these numbers. I don't know if this happened in rural America, but it easily could have. Here's the link. Someone could not get a needed surgery. This surgery had all of the medical necessity boxes checked, except the hospital would not perform the needed surgery without cash up front in prepayment. This patient, he did not have enough money to cover the prepayment. So, somebody in the hospital finance department gave him a solution: Just wait until the situation becomes life-threatening, and then I guess you can go to the ER with your newly life-threatening condition, and they will have to perform the surgery without the money up front. And here we have the theme of people not being able to afford or not being able to access primary care or, in this case, I guess something more than that—a surgery—and they wind up in the emergency room. As John Lee, MD, put it, the healthcare system in this country is like a balloon. And the way we are currently squeezing it, everybody is getting squeezed into the emergency room—which is the very most expensive place to obtain care, of course, especially when that care is non-emergent. In rural America, this is particularly true. Now, by no means am I suggesting any kind of magic bullet to this Medicaid situation. As we all know, health and healthcare are not the same thing as health insurance; and we all know enough about the issues with Medicaid. That is not what the show is about. The episode that follows with Nikki King, who is my guest today, offers some great advice when there's just such a scarcity of clinicians available; and she does a great job of it. So, I am going to spend my time with you in this intro talking about rural hospitals in rural areas—the place where many patients wind up when they cannot get primary care in their community, just exacerbating all of the issues we have with Medicaid and affording Medicaid. But yeah, even if there is adequate or even great primary care, you still kind of need a hospital. The thing is, if an economic situation emerges where, say, for example—and this is the case in a lot of rural places—let's just say a factory or two or a mine or whatever closes down. It might mean the local hospital also closes down if that local hospital was dependent on commercial lives and cost shifting to those commercial lives. Like, this is not higher math or anything. It's easy to see how a doom loop immediately gets triggered. Recall that one big reason—and Cynthia Fisher (EP457) talked about this in an episode from a few months ago—one reason why employers in rural areas are choosing to move facilities somewhere else or overseas is that hospital costs are too high in the USA in these rural areas. So, they are closing their factory down because the hospital is charging too much. The lower the volume of commercial lives, the higher the hospital winds up raising their prices for the other employers in the area. Now, there's a point that comes up a lot in 2025 in conversations about rural hospital financials or just hospital financials in general, I guess. I had a conversation with Brad Brockbank about this a while back, and I've been mulling over it ever since. There are many who strongly suggest the reason why rural and other hospitals are in trouble is squarely because they don't have enough patients with commercial insurance in their payer mix. As Nathan Kaufman wrote on LinkedIn the other day, he wrote, “The ‘tipping point' is the percent of commercial gross revenues. When most hospitals hit 25%, if they don't have commercial rates in the high 300% [over Medicare] range, things begin to unravel.” And look, I'm not gonna argue any of the points here. How would I know? For any given hospital, it could be a financial imperative to try to get 300% over Medicare out of the local employers. I don't doubt it. The question I would ask, if someone knows that hospital finances are currently dependent on cost shifting, especially in a rural area with unstable industry, what are the choices that are made by hospital boards or leadership? Is this current dependency used as a justification to level up the cost shifting to local employers just as volume diminishes keep charging more, which is ultimately going to cause even more employers to leave the area? Which seems to be kind of a default. It's like the safety valve is, charge the local employers more. The point I'm making here is not all that profound, actually. It's just to point out that safety valve, taking advantage of it, comes with downstream impact that actually worsens a situation. So, what do we do now? And similar to the Medicaid, what I just said about Medicaid, I'm not showing up with any silver bullet here. And running a hospital is ridiculously hard. So, I do not wanna minimize that. And I certainly do not wanna minimize Medicare advantage paying less than Medicare going on and the mental health crisis and the just crippling issues that a lot of rural hospitals face. Here's a link to a really interesting report by the Center for Healthcare Quality & Payment Reform (CHQPR) about the ways hospitals can restructure and rethink how they deliver services, but I will take a moment to point out some case studies of success for what happens when people crossed off go get more money from the local employers off the list. Then there's also FQHCs (Federally Qualified Health Centers) doing some amazing things even in rural areas. Listen to the episode a while back with Doug Eby, MD, MPH, CPE (EP312) about the Nuka System of Care in Alaska, serving areas so rural, you need to take a prop plane to get to them. Their patients, their members have some of the best outcomes in the entire country. Their secret: yeah … great primary care teams that include behavioral health, the doctor, the nurse, a whole crew. And look at us. We've come full circle. Primary care (good primary care, I mean) is an investment. Everything else is a cost. Lastly, let me just offer a very large update: Today, you cannot just say rural hospital anymore and automatically mean a hospital in dire financial straits struggling to, like, make the rent. Large consolidated hospital systems have bought up so many rural hospitals for all kinds of reasons that may (or maybe not) have less to do with mission and more to do with all the things I discussed with Brennan Bilberry (EP395) in the episode entitled “Consolidated Hospital Systems and Cunning Anticompetitive Contracts.” Here is the original episode with Nikki King. Nikki, let me just mention, has gotten a new job since she was on the pod. She is now the CEO of Alliance Health Centers in Indiana. Also mentioned in this episode are Alliance Health Centers; John Lee, MD; Cynthia Fisher; Patient Rights Advocate; Brad Brockbank; Nathan Kaufman; Doug Eby, MD, MPH, CPE; Nuka System of Care; and Brennan Bilberry.   You can learn more at Alliance Health Centers and by following Nikki on LinkedIn.   Nikki King, MHSA, DHA, is the chief executive officer for Alliance Health Centers, Inc. Her work serves both urban and rural populations and is focused on substance abuse, communities underserved in healthcare, affordable housing, and economic development. Before working in the healthcare industry, she worked for the Center of Business and Economic Research studying models of sustainability in rural communities. Growing up as a first-generation college student in Appalachia, she brings lived experience of rural communities and approaches her work in healthcare as pivotal in breaking the cycle of poverty. Nikki completed her DHA at the Medical University of South Carolina and her MHSA from Xavier University.   08:14 How dire is the rural hospital situation right now? 08:33 How could freestanding ERs be a potential solution for rural hospitals? 09:56 Advice from CHQPR: Rural hospitals should not be forced to eliminate inpatient care. 11:22 Why is broadband a roadblock to telehealth as a solution for rural health access? 14:52 What are other potential rural health access solutions? 15:37 The “hot potato” of nurse practitioners in the healthcare world. 16:34 “The number of residencies for physicians each year is not increasing, but the population … is increasing.” 20:28 EP312 with Douglas Eby, MD, MPH, CPE, of the Nuka System of Care. 22:00 What's the issue with maternity care in rural America? 24:09 “As healthcare becomes more and more specialized, [the] ability to treat high-risk cases is better, but access gets worse.” 27:57 How is mental health care affected in rural communities? 28:29 “Rural communities are trying very hard to hang on to what they have.” 29:52 “When you look at the one market plan that's available in a rural community, you probably can't afford it.” 31:37 What's the single biggest challenge to moving to a model that incentivizes keeping people healthy? 32:32 “The easiest low-hanging fruit … is having national Medicaid and have that put under the same hood as Medicare.”   You can learn more at Alliance Health Centers and by following Nikki on LinkedIn.   Nikki King, MHSA, DHA, discusses #ruralhospitals and #ruralprimarycare. #healthcare #podcast #changemanagement #healthcareleadership #healthcaretransformation #healthcareinnovation   Recent past interviews: Click a guest's name for their latest RHV episode! James Gelfand (Part 2), James Gelfand (Part 1), Matt McQuide, Stacey Richter (EP467), Vivian Ho, Chris Crawford (EP465), Al Lewis, Betsy Seals, Wendell Potter (Encore! EP384), Dr Scott Conard, Stacey Richter (INBW42)

In today's episode, Nathan Pierce goes over the Make Homeschool Safe Act (MHSA), Governor Newsom's new podcast, political shifts in legislative committees, and a legislative update. He encourages us to keep praying for our leaders and the work here at FPM. He also announces that FPM's government class is starting up again in the fall. Check the links below for more information:Articles on MHSA:https://hslda.org/post/a-new-model-bill-threatens-homeschool-freedomhttps://fpmca.org/mhsa-is-coming-are-we-ready/FPM's article on ESAs:https://fpmca.org/esa-legislation-and-ballot-initiatives/Governor Newsom's podcast on Spotify and Youtube:https://open.spotify.com/show/1Volbkd8d5r8IpQ2EWZSC4https://www.youtube.com/playlist?list=PLg-fFQbrQw7c-JVsZ25IX6eiJ2EYNZpApGovernment Class Registration: https://fpmca.org/our-events/government-economics-class/

We get into his thoughts on the winter sports season so far. Then Mark opens up about how NIL could possibly look for Havre High student-athletes in the future now that the MHSA passed a motion to make that legal with certain restrictions.

Updates on Chinook wrestling and the MHSA meeting

Parenting complex kids can feel like navigating uncharted waters. On this episode, we welcome Diane Dempster, MHSA, CPC, PCC - a seasoned coach, speaker, author, and educator with over two decades of experience in leadership and change management. Diane is the co-founder of ImpactParents.com, the creator of the Sanity School® Behavior Training program for Parents, and the co-host of the Parenting with Impact Podcast. Her mission is to empower parents of neurodiverse and "outside-the-box" kids with strategies and tools to foster lasting change. In this engaging episode, Diane shares: Practical tips for supporting neurodiverse children who don't fit the mold. The importance of prioritizing self-care while navigating the challenges of parenting. Strategies for parenting effectively when your co-parent has differing perspectives. Whether you're looking for ways to create a calm, peaceful home or seeking guidance on fostering independence in your kids, Diane's expertise will leave you feeling seen, supported, and inspired. Free Gift for Listeners: Top 12 Tips to Help Your Complex Kids: Change Starts with You! Discover actionable strategies to reduce overwhelm and frustration while guiding your kids toward greater independence. Access your free guide here: Top 12 Tips Ways to Connect with Diane: Website: https://impactparents.com/ Podcast: https://impactparents.com/podcast/ Facebook: https://www.facebook.com/ImpactParent/ Instagram: https://www.instagram.com/impactparents/ Twitter: https://twitter.com/ImpactParents YouTube: https://www.youtube.com/c/ImpactParents LinkedIn: https://www.linkedin.com/company/impactparents/ Pinterest: https://www.pinterest.com/impactparents/ Tune in for an episode packed with wisdom, relatability, and tools to transform your parenting journey.

Our guest today is Vanessa Villaverde, the senior program investment officer at the CHCF Innovation Fund, which invests in technology and service companies with the potential to significantly lower the cost of care or to improve access to care for Californians with low incomes. Vanessa is an exceptional health leader with her eye on expanding the contributions of Latina/o/x innovators in health technologies,Before joining CHCF, Vanessa worked at health tech companies Caresyntax and Remedy Partners, where she developed value-based care programs and products. She worked at the Centers for Medicare & Medicaid Services for 10 years advising on innovative payment models, state Medicaid policy, and 1115 waivers. She has invested into health care companies through special purpose vehicles and Angel networks, created a nonprofit to further readiness for Black and Latino/x founders looking to fundraise, and served as a venture scout for Vamos Ventures, an LA-based and Latino/x-led VC fund providing capital to Latino/x and diverse teams in health care, wellness, workforce, fintech, and sustainability.HealthCare UnTold expresses its gratitude to Vanessa for her dedication and hard work in enhancing the health and prosperity for our communities.#VaneesaVillaverde#CAHealthCareFoundation#HealthCareInnovation#LatinoTechnologyStartups

In this episode of Cancer Registry World, Steven Friedman, MHSA, Senior Advisor and SEER Program Manager at the National Cancer Institute, highlights the critical role of the SEER Cancer Registry. For decades, SEER personnel have collected extensive data from numerous sites across the U.S., contributing to valuable clinical research and outcomes evaluation for cancer patients. Tune in to gain insights into the registry's impact on cancer research and patient care!

Parenting a complex, or neurodivergent, child is full of its own unique challenges and obstacles that add onto the many routine challenges we already face as parents everyday.When we don't know how to support our children in the best way, or don't understand the why behind our children's behavior, we often get caught up in a cycle of stress, frustration, overwhelm, and anger.The key to breaking the stress cycle is to gain a deeper understanding of why our children do what they do and gather the right tools for guiding them in a way that makes sense for them.In this episode, Heather sits down with parenting coach Diane Dempster to discuss how to best guide and facilitate neurodiverse ("neuro-spicy" as Diane likes to call it!) children in shifting difficult behavior and finding better ways to cope.Come join in the conversation to discover how you can lead your complex child more effectively from a place of true calm, mindfulness, and grace!Don't forget to grab your free 3 Steps to a Calm, Kind, and Caring Toddler Free Class and Guide to start making changes right now!About Diane:Diane Dempster, MHSA, CPC, PCC is a professional coach, speaker, author, and educator with 20 years of corporate leadership experience. Diane is the co-founder of ImpactParents.com, a coaching & training organization for parenting neurodiverse kids, and co-host of the Parenting with Impact Podcast. Through her work with ImpactParents, she teaches a relationship-first - neurodiversity informed - coach approach to parents and professionals, blending behavior management with change management, so that concerned adults can empower kids, teens & young adults to become independent and successful. An experienced leader, spiritual wanderer, change agent and all-around life-sherpa, Diane helps clients create deep, inside-out, sustainable change.Connect with Diane on her website, podcast, Facebook, Instagram, Twitter, YouTube, LinkedIn, and Pinterest!------------------------------------------------------Ready to get your toddler to listen in 2 seconds?Heather has her M.Ed, and a proud Twin Mama of busy toddlers. You might've tried advice tailored for one child, but that's not our journey, right? With a decade of teaching experience under her belt, she's seen it all – from toddlers to teenagers in the classroom. Now, as a parent to toddlers, she's experiencing the flip side of the coin. She's discovered a toolbox to help parents with everything toddler times two!Let's unlock the secrets to understanding toddler behavior, preventing meltdowns, and raising intuitive, resilient children who listen in 2 seconds.Join the waitlist for the 3 Steps to a Calm, Kind, and Caring Toddler Free Class workshop!Join the Toddler Mom CommunityFollow me on Instagram @twinmom_roadmapWatch the YouTube channelCheck out the blog

During this dynamic conversation with Diane Dempster, we talk all things coaching, spending time as a closeted Methodist, finding her way to woo, co-parenting with someone with different religious beliefs, and how to navigate the intersections of neurodiversity in these overwhelming times.We explore what it means to raise "complex kids" right now and learn to shift your perspective over and over again while being at choice in every moment from a balanced Warrior Goddess place.Meet DianeDiane Dempster, MHSA, CPC, PCC is a professional coach, speaker, author, and educator with 20 years of corporate leadership experience. Diane is the co-Founder of ImpactParents.com, a coaching & training organization for parenting neurodiverse kids, and co-host of the Parenting with Impact Podcast. Through her work with ImpactParents, she teaches a relationship-first - neurodiversity informed - coach approach to parents and professionals, blending behavior management with change management, so that concerned adults can empower kids, teens & young adults to become independent and successful. An experienced leader, spiritual wanderer, change agent and all-around life-sherpa, Diane helps clients create deep, inside-out, sustainable change.www.ImpactParents.com

Jean Hartnett, MHSA, NHA, CDP, YTT, C.N.A., talks about her move from CEO of the largest nursing home in Nebraska to founding Radical Sabbatical, supporting individuals and senior living communities on their paths to healing. About Jean Jean Hartnett is a visionary health care leader with more than 30 years of executive experience serving the older adult population. She holds a master's in health services administration, is a Certified Dementia Practitioner, a Certified Yoga Instructor, and a Certified Nursing Assistant. Ms. Hartnett is an expert in trauma-informed care and adverse childhood experiences (ACEs) and founded Radical Sabbatical to help others turn past adversity into self-advocacy. With a deep understanding of the profound effects trauma can have on development and well-being, Jean brings a compassionate, evidence-based approach to support individuals and communities on their healing journey. Key Takeaways Trauma informed is an approach that can be applied to resident's and staff in senior living. Practitioners must view the individual through the lens of why they act a certain way, not simply their behaviors. All behavior has meaning. Adverse childhood experiences impact an individual's entire life, including their older adult years. Moving into senior living can lead to trauma resurfacing because the coping mechanisms that have provided emotional support throughout an older adult's life may be cut off. Medicare-eligible older adults spend fifty calendar days in clinical environments that are not hospitals. That includes physician, physical therapy and occupational therapy, and other specialists.

Mobile integrated healthcare and community paramedicine continue to evolve daily. And these rapid advancements often lead to questions and confusion. EMS World's Mike McCabe sits down with Jeanine Newton-Riner, EdD, MHSA, RRT, EMT-P, CP-C, lead faculty for fire and emergency medical services for Columbia Southern University, to gain some clarity and guidance around getting yourself fully prepared to offer optimal MIH-CP services to your community. Follow EMS World on Facebook, X, and Instagram at @EMSWorldOFCL

The Secrets to Increasing Your Nonprofit Strength and Sustainability As a nonprofit leader for over 30 years, I love helping nonprofits with their governance, strategy, and long-term sustainability. The keys to long-term success in a nonprofit organization are a clear vision and strategy, an effective board, efficient operations, and building a sustainable business model. About Jennifer Drago, LFACHE, MHSA, MBA. For over 30 years, Jennifer served as a corporate strategist, operations executive, and award-winning planner. Her work has helped healthcare, senior living, and nonprofit organizations implement a laser-focused vision and data-driven strategies to guide their growth. She has a track record of launching innovative programs in a fiscally responsible manner, including a nationally recognized care transitions program. Today, she serves as a strategy consultant, helping organizations to increase efficiencies and profits while amplifying their impact. Her expertise includes executive leadership, strategic planning, business or service line planning, feasibility analyses, governance and board development, process improvement, performance analytics, and marketing. She is a national speaker, facilitator, best-selling author, and Senior Living Visionaries podcast host. Jen holds a bachelor's degree in Finance, a master's degree in Business Administration and a master's degree in Health Services Administration from Arizona State University. She is also a Life Fellow of the American College of Healthcare Executives, a certified Nonprofit Board Consultant (BoardSource), a certified Mastery Method Coach (Institute of Coaching Mastery), and a Lifecycles Capacity Consultant (Nonprofit Lifecycles Institute). More information at https://www.peaktoprofit.com  Free Board Assessment - https://www.peaktoprofit.com/board Learn more about your ad choices. Visit megaphone.fm/adchoices

Hosts Fred Goldstein and Gregg Masters MPH meet Cliff Frank, President, Healthcare Management Solutions. Cliff has been involved in managed care programs for 30+ years working for payers, hospitals, IPAs, PHOs and Clinically Integrated Networks. They discuss the state of the managed care industry and it's latest iterations of value based healthcare including how recent and passed updates to CMS risk adjustments will likely impact on Medicare Advantage operators. To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play Healthcare NOW Radio”. 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

Jacob, Randy and Adam talk all things Mile High Shooting accessories.  The largest Distributor of Accuracy International Rifles! So many other quality products to talk about as well.  The support for the shooting community shown by MHSA over the years is an awesome thing. Customer service is the guiding principle of this awesome company!

Monday the Off-the-Wall Mancave was in Belgrade for Career Fair talking w/ AA State Champion coach Levi Wesche of Bozeman, plus a recap of all MHSA football titles, thoughts on Cat-Griz, Frontier news and much more. Visit jasonwalkershow.com for more and jasonwalkermedia.com for Continental Divide Radio. --- Send in a voice message: https://podcasters.spotify.com/pod/show/jason-walker89/message Support this podcast: https://podcasters.spotify.com/pod/show/jason-walker89/support

How does having an understanding of childhood adversity and trauma shape the way we care for and support our older adults today? My guest today is Jean Hartnett. Jean Hartnett is a visionary healthcare leader with over 25 years of executive experience serving the older adult population. She has not only worked hands-on with older adults but also collaborated extensively with professionals in the field. Beyond her direct experience, Jean possesses a profound understanding of public health policy issues. Today, we talk about the importance of trauma-informed care. Jean shares insights on common types of childhood adversity and their lasting impacts on physical and mental health. We discuss how caregivers and healthcare providers can recognize the signs of trauma and devise effective strategies. We also explore available resources and tools that can assist caregivers in their efforts. Our conversation touches on the challenges and benefits of implementing a trauma-informed approach to care. Jean shares how she envisions the evolution of senior care, the role this approach takes, and how families can better understand and become informed about the effects of childhood trauma in their loved one's lives, along with supporting the front-line staff in senior living communities. We also talk about overcoming the stigma and misconceptions surrounding mental health. According to the Centers for Medicare and Medicaid Services, 90% of our older adults have experienced at least one form of the common types of childhood adversity and trauma. As we strive to build a trauma-informed community and promote healing for our older adults, Jean's insights are invaluable. I'm so happy that Jean has joined me for this conversation. Thank you, Jean, for your important work and for bringing a vital conversation to light.   Connect with Jean on LinkedIn HERE.   *This episode is brought to you by Gigi Betty co. A boutique gift shop raising awareness and funds for caregivers and care partners. Show now at www.gigibettyco.com. Use the special code WILLGATHER20 for 20% off your order- Just for our podcast listeners! We are not medical professionals and are not providing any medical advice. If you have any medical questions, we recommend that you talk with a medical professional of your choice. willGather has taken care in selecting its speakers but the opinions of our speakers are theirs alone. Thank you for your continued interest in our podcasts. Please follow for updates! We'd love for you to rate and review our podcast. Thank you! For more information about our guest, podcast & sponsorship opportunities, visit www.willgatherpodcast.com

Guest Bios Show Transcript Part 2 of our eye-opening podcast on bullying, featuring the woman who blew the whistle on author and pastor, Dane Ortlund, is out! If you missed part one, you can find it here. In this podcast, Ortlund whistleblower, Emily Hyland, describes what she wishes she knew when she was being bullied that she knows now. And anti-bullying expert, Paul Coughlin, offers keen insights from his decades of experience, as well.  Coughlin, author of the best-selling, No More Christian Nice-Guy, and founder of The Protectors, reveals how bullies identify their targets. He also gives steps every person can take to stand up to them.  Meanwhile, Hyland explains how to educate yourself on bullies, but warns against trying to become an expert before taking action. She also shares important developments in her case against Ortlund, author of Gentle and Lowly. For anyone who has experienced bullying, or wants accountability for a bully, don't miss this podcast. You may even want to take notes! Guests Emily Hyland Emily Hyland earned her bachelors in Molecular Genetics and Biotechnology before working for the Office of Naval Research in Washington, DC. While there she received a MHSA in Management & Leadership from The George Washington University. She has worked with the US Army and the Office of the Surgeon General, Accenture, GE, and across finance, manufacturing, health services, and information technology. Recently, she was the Director of Operations at Naperville Presbyterian Church in suburban Illinois. She is married and has three children.  Paul Coughlin Paul Coughlin is an author, an international speaker and the founder and president of The Protectors, which is dedicated to helping schools, organizations and communities combat bullying. His books include No More Christian Nice Guy, Raising Bully-Proof Kids and 5 Secrets Great Dads Know. Paul and his wife, Sandy, reside in central Oregon and have three teenage children. Learn more about Paul and his organization at www.theprotectors.org. Show Transcript JULIE ROYS, PAUL COUGHLIN, EMILY HYLAND JULIE ROYS 00:03 How do you deal with bullying by a pastor or Christian employer? Welcome to The Roys Report, a podcast dedicated to reporting the truth and restoring the church. I'm Julie Roys. And this is part two of a two-part podcast with bullying expert Paul Coughlin and whistleblower Emily Hyland. If you missed part one, I'd encourage you to go back now and listen to that. It was a fascinating discussion in which Emily gave new details about the alleged bullying and retaliation she received at the hands of Dane Ortlund. Dane is the pastor of Naperville Presbyterian Church in Naperville, Illinois. He's also the author of the bestselling book, Gentle and Lonely. But according to Emily, Dane is a bully. In Emily's case alleging retaliation by Dane and his church because she blew the whistle on Dane's bullying is now going to trial. And you'll hear about important developments in that case in this podcast. You'll also hear important insights on how to deal with bullies in a Christian workplace. And Emily will share what she wishes she knew back when she was being bullied that she knows now. I'm so looking forward to diving into the rest of my discussion with Emily and Paul Coughlin. But first I'd like to thank the sponsors of this podcast, Judson University and Marquardt of Barrington if you're looking for a top ranked Christian University, providing a caring community and an excellent college experience, Judson University is for you. Judson is located on 90 acres just 40 miles west of Chicago in Elgin, Illinois. The school offers more than 60 majors, great leadership opportunities and strong financial aid. Plus, you can take classes online as well as in person. Judson University is shaping lives that shaped the world. For more information, just go to JUDSONU.EDU. Also, if you're looking for a quality new or used car, I highly recommend my friends at Marquardt of Barrington. Marquardt is a Buick GMC dealership where you can expect honesty, integrity, and transparency. That's because the owners there Dan and Kurt Marquardt, are men of integrity. To check them out, just go to BUYACAR123.COM. We now return to part two of my discussion with Paul Coughlin and Emily Hyland. Specifically, Emily explains more of what she wishes she knew back when she was being bullied that she knows now. And one thing I've learned about Emily is that she doesn't do anything halfway. So, when she realized something wasn't right, she quickly devoured resources like author and advocate Wade Mullins' book by that title. But Emily urges that while it's important to find resources, victims shouldn't go overboard and get a PhD. We've kind of touched on this, you said find resources, but don't get a PhD on the subject. I'm guessing, just knowing a little bit about you, Emily, you like to master something before you move forward with it. And I'm guessing you couldn't do that. But you did a great job of informing yourself; talk about that process. EMILY HYLAND 03:08 There are so many more resources that are available in this moment than there were two and a half years ago. Coming right out of it, that book by Wade Mullen was the first I read because of the title, Something's Not Right. Like you're right, that is exactly describing it. I have to read that. And I went through, and I read Diane Langberg and Scot McKnight and Laura Behringer's book. I read Chuck DeGroote, I went through an entire podcast called Power Corrupts and have been increasingly able to articulate accurately what happened and that makes me feel more safe, that I am not speculating. I can say, in the fewest words possible, here's what happened, and the impacts and why it was wrong. That has helped in the legal sense is that I don't waste my time on the nebulous side of just thinking, well, what might have those pastors been thinking? I mean, I don't know what they were thinking, I don't know their hearts. A psychiatrist maybe could get at some of these things. I don't need to know those things. I just need to accurately know what was going on in my own mind, in my own heart. I think one resource that I value now is that I wish I'd had then was there was no ChatGPT two years ago, and I wasted a lot of words trying to get my point across. And people don't realize that when you're making an accusation about a pastor, you're making it against a professional communicator, somebody who is possibly way better with words than their victim. That was really hard. I had just too many words. And now ChatGPT has made a big difference just for me personally, to feel more confident in describing the situation. But I really don't think that you need to be 100% certain and able to write a dissertation on it to step forward and say, I've seen bullying behaviors. We need to tackle it now. But you've got to stand up and say something, whether it's on your behalf or the behalf of somebody else. Bullies need to be confronted to their face. You can't shove a book at them and say, read this; does it sound like you? You have to speak it out to people to say, this is an individual interpersonal matter. Books help to get you the right words, but you can't get around the fact that somebody, at some point, needs to bring it up to their face. JULIE ROYS 05:26 Hmm. And one thing if I could add to that, is give yourself some grace. Because I heard you say, like my own motives and my own. It's so hard when you're in the midst of this and you're angry, and you have a right to be angry, and you're hurt, and you have a right to be hurt. And in all that to be absolutely pristine in every attitude and thought, of course, you're not going to be. And I think people need to have some grace with themselves when they're walking through this. I remember once we were leaving a church and I said to somebody, oh, I just want to make sure that we don't sin. And he's like, No, you will, but try to minimize that. Just hearing that gave me I don't know, just kind of a relief that Okay, right. I'm human in this and don't have to be perfect. PAUL COUGHLIN 06:15 Julie, if I did add to that there's a great line by Shakespeare. And he says that some people are more sinned against than sinner. And that is how it is when it comes to bullying in the workplace in faith-centric organizations. What's interesting is that many people who are targets of bullying are nice people. And nice people will spend so much more time worrying about their behaviors than the person who is abusing them, harming them and their family. We really need to move away from that thinking. I also think that thinking is baked into the system as well, in the rhetoric used by many of our leaders for decades, into make us think that there is something fundamentally wrong with us, when we recognize this behavior in other people. We really need to move away from that, we need to stop being so nice, which is often a knee jerk reaction to people pleasing, it has nothing to do with the fruit of the spirit of kindness. Niceness is never mentioned in the Bible, for example, as an attribute of the Father, Son, or the Holy Spirit, it's not a fruit of the Spirit, and bullies in the workplace, particularly within the church faith-centric organizations, they use our niceness against us. It's one of the reasons why we're targeted. We don't use the word victim at the protectors very often, we prefer the word target, and here's why. You have been selected the bully in the workplace. The bully pastor has picked on some people but not other people. Why is that? Because a bully is not looking for a fight, they want to overwhelm another person. So, they look for the nice person, they look for the person for example, who lives by turning the other cheek. There is no more tortured scripture in the theater of bullying, then turn the other cheek. When you put it in context. It has to do with having a generous spirit. It has nothing to do with accepting abuse from another person. So, we really need to have these distinctions. Niceness is really not a virtue, it's actually a vice in disguise. It's often the sin of cowardice, Revelation 21:8, we need to get tougher and stronger. We need to speak the truth in love. We still need to be gracious. But we also need to be truthful. I love what Emily said, in that someone needs to speak to the bullies face that is so important. If I give one piece of advice. The sooner you stand up to a bully in the workplace in the church, the better your life is going to be. The sooner you do it, the better. JULIE ROYS 08:44 So good. And in that some of the weapons that are used commonly against the person who speaks up is the word gossip. And you're labeled gossip. I'm guessing, Emily, that happened to you? I don't know. But did you find that parsing out what gossip is and understanding and distinguishing between that and what you were doing, was that an important step for you? EMILY HYLAND 09:10 The verbiage was because I wasn't talking to people about what was going on. And I regret caring about somebody's reputation more than the harm they were causing people. Gossip is a hard concept in the church because a church is like a proxy for family not having family in the area. And so, I want people to know what's going on in my life. I want to know what other people's is going on, how can I care for somebody or support somebody if I'm really not knowing what's going on? But then there's that sinful gossip of self-serving prideful nitpicking rumor spreading,. Those things can really be meshed together. And for my experience is that this came all that this gossip part came to like this moment, the single experience where I've talked to two elders, and they should know what they're doing. And there was this pivot as soon as they told Dane and the associate about what I had said. And now the elders are saying, Oh, we made a mistake. We should be modeling Matthew 18. Let's go backwards. You go meet with him privately. And I was like, what? JULIE ROYS 10:19 Matthew 18, just to interject for anybody who doesn't know this, if turn the other cheek is the most abused, this has to be second, right? Yeah. It's Matthew 18, which instructs, and again, this is with personal offenses. It says, with a personal offense to first take your offense to your brother one on one, then if he doesn't listen to you to take one or two people with you, then if he doesn't listen, then speak it to the entire church. Again, Matthew 18 is not a prescription for bully pastors. I would say ITimothy 5:20, is the prescription for bully pastors, which is when there's an elder who's sending that you should publicly expose him so that others may stand in fear. Good grief, somebody who's being bullied, does not need to go through a Matthew 18. They go to people who are supposed to be advocates who are supposed to hold the pastor accountable. And when they don't, then to me, you're completely in a ITimothy 5:20 situation where it's time to publicly expose the sinning pastor. So rarely hear that passage. Instead, we always hear Matthew 18. And it's used as a club. It's used abusively, and it's a misapplication. PAUL COUGHLIN 11:31 Julie let's say that a person has gone under a sexual assault. Do we really think that we would require that person to meet one on one? No one but your most ardent fundamentalist would say yes to that. Most people would say, okay, that's an exception. I'll give you that exception. How is that the only exception? And this is used in Christian schools, by the way with kids who are being bullied, I argue it absolutely doesn't apply, in fact, you're retraumatizing that poor kid whose been the target of bullying to sit in the same room. So, we really need more than knowledge of Matthew 18. We need wisdom. And wisdom is doesn't apply to all situations at all times. EMILY HYLAND 12:10 And that's what made this so difficult is that I've just told two elders about the bullying and intimidation in those words. And their response is, I think we need to go do this again. And you need to go meet with him privately. And I can't say no, he's my boss. So that's what we do. And it's a closed-door private meeting, no witnesses. What was said in that meeting? But what really stood out to me was his line, have you told anyone else about this? It sounded like it was delivered, like straight out of a horror story to the character whose body is never found, because what the answer is, is that if I had said, Yes, I was guilty of gossip about a pastor, my church elder. If I said, no, there are no witnesses in the control of the narrative still possible, as long as I'm not around to contradict anything. And that's what happened. Forty-eight hours later, that's what I told him. I said, No, I haven't said anything, because what I believe is that gossip hinders reconciliation efforts. And I wanted this to be reconciled. I had no premonition that this was unrecoverable. I know better now. But what I thought then is that, yeah, there was no need to gossip, because it's like I saw a problem. I'm like, let's get these elders involved. Let's get this back on the rails moving on. And what it actually was, is, I did myself a disservice by not gossiping more. I don't want to gossip. But I wish I had talked to people who were safe and outside of that church. JULIE ROYS 13:40 And that's not gossip. No, that is getting the help that you need in certain situations. And so important for us to understand, distinguish between those. What about the family impact? Because you have children. And I've heard this from numerous people where I would do this, I would speak up, but I've got children in the church. Sometimes it's the spouse, there's all these connections and leverage that, quite frankly, the leader or the organization has over the person that's being bullied. Talk about that and how you navigated that. EMILY HYLAND 14:21 For me, I kept this all under wraps. Nobody knew, nobody knew what I was feeling. So, they probably noticed there was something wrong. And I remember when my mom asked me, she's like, how's it going working for Dane? And I had no answer. I couldn't just say fine, I held back. But then when this all came crashing down, she didn't know how to help me. My husband didn't know how to help me. Everybody knew I had worked for church. And then one moment I wasn't, they really did not know why they were at this church one Sunday, and nobody from that church ever spoke to them again. I mean, I'm shouldering my own mountain of grief, and then I've got this, you know, layer of they're grief. My oldest son, he's like, I was happy at MPC. And they were until it was over. And I think that processing the grief with them has been valuable. I trust that God will use this in their faith walk for their good. But I wish I'd spoken up earlier, and I wish I had prepared my family for the consequences of speaking up. What happens when you tell the truth is that you might experience hardship and pain, it's worth it. But I wish I had prepared myself to give them a little bit more solace as to how to navigate, and why their world changed so much so quickly. JULIE ROYS 15:42 I mean, listening as a mother, my heart just goes out to you and to your family, for what you've been through. And it's hard enough for adults, but for children to process how this happens, and to distinguish between the people that hurt them who are symbols of the Church of God. It's just so painful to see that and it just requires so much prayer, so much care. But I mean, none of us on this call, and I'm guessing, Paul, you included, my kids have not been spared any of the effects of what I've gone through. They shoulder it with me whether or not they deserve to because they really don't deserve any of it. And yet, there's no way to insulate them from it. PAUL COUGHLIN 16:30 And a job, in a supposed Christian environment, it certainly wasn't. And I have three kids, and they were younger. And I would drive home from that job. And you just undergo stuff that is just horrendous. And I had a mantra that I would tell myself in the car – our old blue Volvo. I would say this is not my future, this is not my future, this is not the Lord's will for my life. And it helped and it helps to highlight something fundamental for targets; hope is more important than love for a beleaguered individual, and a beleaguered community. We see this often in the writings and speeches of Martin Luther King. Why did he talk about hope so much? Because if you don't have a functioning hope, that today, tomorrow, the next day year, could be better – love doesn't land well. Without hope we can't digest love very well. So, one thing that we need to do is to inculcate more hope in our spirit is to realize this is not your future. This is temporary, it's not permanent. It's one of the reasons why we recommend that people start looking for another job, because we're talking about bullying within faith centric organizations. Looking for another job has a way of bolstering your hope. And with that hope we tend to think more clearly and more proactively. JULIE ROYS 18:01 Hmm. For some reason, I'm thinking of the movie Back to the Future. I don't know if you remember that. But there's a main bully. Yeah, and the two different scenarios that the entire family experiences because the father is bullied in front of his son. In the first scenario, that impacts the son's view his father and the culture of the family, and how it changes when somebody stands up to the bully. And I think one of the things that we don't think about enough is what it communicates to our children when we don't say anything, and we allow this kind of harm to continue. I talked to somebody recently, and I have to sort of laugh because I asked her how your kids process what happened? And she sort of laughed, and she said, at first it was really difficult. She said that they kind of think their mom's badass. I was like, okay, but I mean, in the very best sense of that word, if there is, is that they see that you're worth standing up for and that there are things worth standing up for. There's things worth paying a price for. And I think it's important as Christians that we start modeling that in the way that we respond. PAUL COUGHLIN 19:19 We're told as parents, not to exasperate our children, right in Scripture? One way to exasperate your children is to show cowardice and for them to witness that. That can make them feel incredibly uncomfortable and unstable. JULIE ROYS 19:32 Good point. EMILY HYLAND 19:33 I think it too is that you know, like that parable Jesus told about a man who finds a treasure in the field, and he sells everything to get the treasure. It's almost the counter like the inverse is that what would I not give to keep my kids from being discipled in gracelessness and fear and corruption? I mean, to not have my kids in that I'm like, I will pay that price. My kids will not be breathing that air and under that thumb of oppression and hurting other people. I don't want them to grow up thinking that that's okay at church. You can, I think, latch on to the teeniest tiniest nugget of courage to say, I can do this, because other people might benefit. JULIE ROYS 20:22 In a way, you had no idea when you spoke to the elders, how that was going to play out and what the consequences were going to be. But you say that we should understand the risks but take the gamble anyway. Why do you say that? EMILY HYLAND 20:37 When I look back, I think, like you said about the matrix. I mean, there was a period, I was like, please just plug me back into the matrix. I just wanted to go back. And then there was the period where I was like, please just let me have a lobotomy so I cannot have these memories, and not know, have these relationships that you know, now are nothing. And now I think that outcome was the right outcome. To be violently removed, was how God needed to do it. He did it on my behalf, he did it on behalf of my children, I needed it. But on the behalf of other people in that congregation who had the similar experience. I think that knowing the risks, that you could be fired and disfellowshipped, and the House of Cards will come crumbling down. If you know those risks, you still stand up, and you still speak the truth. Because the speaking of the truth is important to Christians. And if you're being abused by a Christian leader, whatever the outcome is of speaking the truth, is the best possible outcome. The other consequences coming from either tolerating sin or silencing your conscience; those may seem like a preferable outcome in the short term. But they are so costly to your soul and to your spirit that to be out of an abusive and coercive church is always better than being in one. So, to know those risks, and it's painful, it could be awful, it could be the worst thing you ever go through in your whole life. But do it anyway, because you were meant to be on the outside of an abusive church. JULIE ROYS 20:42 Paul, one of the things I should say, a person and a characteristic that I didn't even know about when I started reporting is the narcissist. And yet, I have learned about the narcissist in spades right now. But I think a lot of times, we don't know that that is what we are dealing with, in these situations, because this person has a title. And this person can speak so lovingly from the stage. Talk about the narcissist, and what we need to know as the person who is on the receiving end of what they're dishing out in our dealings with them. PAUL COUGHLIN 22:58 Yeah, so the narcissistic personality or antisocial personality can be depending on the study, 10, 12, 15 percent of a given population. It doesn't sound like a lot, but sometimes that's one out of every eight people can have this characteristic. That's pretty big, particularly when you look at a congregation, right? Most bullies bully, not because they have low self-esteem. They abuse others because they have excessive self-esteem. They think they're wonderful. And then you add on top of that this component that they are somehow especially circled by God. So, you already have this overinflated ego. And now it's uber inflated, because now they are a special person in a special world putting out special information that other people have not discerned until they were born, which is pretty stunning. We need to realize that most narcissists see people in two ways, people who are either below them or a threat. And this is how they look at the world. They are constantly measuring things in order to keep themselves at the top of the hierarchy. And again, to keep themselves at the top of the hierarchy isn't for them to necessarily usher in the kingdom of heaven to play their part, it's for their kingdom. They'll talk a lot about the kingdom of heaven, but it's really about their kingdom. And I'm reminded of that, I had a dinner with Mark Driscoll and very interesting dinner. And he kept talking about how it was all about Jesus. And he kept saying it over and over. But yet, if you look at the guy's actions, it's not all about Jesus. So, they often speak one way, but they really behave in a very different way. One thing that narcissists have in common is that they have three things in common and I mentioned one of them, an inflated self-regard. They really believe they're more important than other people. They don't believe the Bible. The Bible says we're equal, they don't really, they'll say we're equal. But that's not how they truly think. They really think they're above the herd. And because of that, it makes them tremendously dangerous. They also have a great sense of entitlement; things are owed to them again, because they're wonderful. But then they have a third component. And this third component is antagonism. And I've often explained to people who have been the target of bullying, but in faith centric organizations, the best bullies harm you, but they smile on their face and a lilt in their voice. They're the most damaging ones, because they hide their antagonism. Their words are designed to humiliate, and really destroy you. But they do it in such a way that it almost seems like okay for them to do that. It goes back to that cognitive dissonance that we talked about earlier. The look on the face is kind, but the words are poison. That's all on purpose. They have been practicing that dark skill for a long time, and most of them have gotten away with it for a long time, as well. So, to the best of our abilities, know who you're really dealing with, because it's a very different response than how you would deal with someone, for example, there's conflict. There's miscommunication, there's misunderstanding. When you have those behaviors that's often mistaken for bullying behaviors. It's not, those behaviors are answered in a much different way. Like an interpersonal. Oh, I didn't know what you were saying that okay. I'm sorry. Yeah, I'm glad we're okay. Let's move on. Bullying is a whole other category of behavior. JULIE ROYS 26:40 Hmm. Well, Emily, I am so glad that you stuck up for yourself. I'm so glad that you kept receipts. I always tell people, please keep receipts, because in my business, you don't have receipts, it's a he said, she said. It's really very difficult to make a case. But you were able to make a case. Since this ruling by the Department of Human Rights last December, I know there was another major ruling in July. Would you get us up to speed with what's going on? What happened in July with that ruling, and also, as you're looking to the future, what's coming up? EMILY HYLAND 27:18 I didn't go into this wanting to go to court. And so, I've made choices that I've allowed this to be much longer but allowed for much greater investigation by outside agencies. So going and taking my case to the Illinois Department of Human Rights; that's similar to the federal EEOC. And the Illinois Department of Rights did an investigation, they looked at the material, we had a long conversation between me and the pastors where they asked us all these questions. And then they came up with this report. So there was 10 charges. And back in December, they found that retaliation had substantial evidence. And so that charge was forwarded up to the higher agency, the Human Rights Commission. Well, the other dismissed charges, of which there were nine, I went back, looked at some of the evidence, had more evidence, put it on there, and resubmitted it through, it's similar to an appeals process, but you can get them to look at it again. And so the higher agency looked at these other nine dismissed charges, and they said, alright, we'll keep six of them stay dismissed. And some of them were just because of timing. But two additional charges were, in essence, overturned. So, they were originally dismissed, they are now considered substantially off to more going to trial. So those two are unequal pay and termination, the discharge. So, they joined up with retaliation, and it will be going to trial coming up in the next hopefully few months, maybe who knows, it just could drag on. But there's also an Illinois Department of Labor claim that took two full years to get through the review system. And that one is going to be going in front of a judge in the next three weeks, where they'll hear my evidence and then that of the churches and to look at unpaid wages. How much time was I being asked to do work outside of the hours I was ever going to get paid for? Which I think is one of those strange ways that bullying is normalized in churches, which is how we are asked to spend our time. That's our time. And I loved my church, and I wanted to do a lot for my church. But when it became a I don't get to have dinner with my family because I need to respond to an email that Dane needs turned around this very second. Looking at that evidence and saying how often that was happening with regularity is what we're going into which is that yeah, I think that was a really hard one because you want to have your church go well, but you also need those boundaries to say, Why are you asking me for work to be done on a Saturday or while I'm on vacation or on a holiday? That was one of those, I think, very covert ways of controlling and coercing me. That is so normalized because it can just be passed off as Oh, it was just off the top of his head. And you don't didn't need to do that then. I mean, of course, you could have waited until Monday. Oh, we'll see. JULIE ROYS 30:33 So, I understand the regular trial system. But I don't understand the system going through government agencies like this. What does the trial look like? And what are you hoping to get out of it? EMILY HYLAND 30:45 Well compared to say a trial in a circuit court, the Human Rights Commission have their own set of administrative judges. Just as the Department of Labor has their own administrative judges. But there's still a discovery process, there's still witnesses and depositions. And then it all goes in front of her as a trial. JULIE ROYS 31:03 So, the judge will then be making the decision, and then damages and so forth would be determined by the judge? EMILY HYLAND 31:10 Right, and the church should be saying thank you, because actually, this is by far the cheapest route, even if you're found guilty, there's no punitive damages. So, they can't slap the church and say, you should have done this, and here's a giant fine. There's no punitive damages. It's all pretty much easy calculus as to how much you were making how much of interest how much of you know, and there's limits on how much even of other damages. This was never about money. And this was about the fact that they broke the law, and they are unrepentant. And don't think they've done moments wrong for two and a half years. So, I'm excited that there's people who can read this and see like, oh, yeah, this was definitely wrong. And it's not hard to identify it. It's shocking that the people who are in the organization cannot see what is well visible to people who are reading the narrative, and also even people who are getting the highlights of it. JULIE ROYS 32:10 Well, it speaks to your character, that you've gone through this process, that you haven't sought to be punitive when you certainly could have, and instead are waiting for justice. And so, we join you in praying for truth and praying for justice. And we do pray that all of that will become clear as this moves through the system. So, Emily, and Paul, thank you so much. This has been a rich discussion. And I know it's been bought with a lot of blood, sweat and tears from you. And so, we acknowledge that. But thank you for the insights that you've gained through a very, very painful process. PAUL COUGHLIN 32:48 Thank you, Julie. Appreciate that. EMILY HYLAND 32:50 Yeah, and thank you so much for bringing attention to this because a lot of people are under the same burdens. And they can be in the same massively confused state that I was and feeling very isolated. Because that is how bullying works. It is so about isolating you from a reality that you're in and keeping you from speaking up and pushing back and being happy. JULIE ROYS 33:16 Again, thanks so much for listening to The Roys Report, a podcast dedicated to reporting the truth and restoring the church. I'm Julie Roys. And if you're a survivor of church hurt or abuse or you're a Christian leader who wants to learn how to protect against abuse and help survivors, I want to invite you to join me at our upcoming Restore conference. This two-day event October 13 and 14, at Judson University in Elgin, Illinois, is a very special time of healing and equipping. Joining me will be author Wade Molen, whose book we referenced in this podcast, along with Lori Anne Thompson, Sheila Wray Gregoire, Mary Demuth, and more. For more information, go to RESTORE2023.COM. Also, just a quick reminder to subscribe to The Roys Report on Apple podcasts, Google podcasts or Spotify. That way, you'll never miss an episode. And while you're at it, I'd really appreciate it if you'd help us spread the word about the podcast by leaving a review. And then please share the podcast on social media so more people can hear about this great content. Again, thanks so much for joining me today. Hope you were blessed and encouraged. Read more

Guest Bios Show Transcript What do you do when you're being bullied by your Christian employer? Do you take it and simply turn the other cheek? Or, do you confront it, hoping for repentance and justice? Unfortunately, workplace bullying has become a major issue—not just in secular contexts, but in the church. In this podcast, Julie explores this issue with the whistleblower who exposed Dane Ortlund, Emily Hyland, and anti-bullying expert, Paul Coughlin. Ortlund is a Chicago-area pastor and author of the best-selling book, Gentle and Lowly. But, according to Emily, he's not very gentle or lowly; he's a bully—and a misogynist. And she says, when she complained about Ortlund's behavior to the elders of Naperville Presbyterian Church, where Emily worked, they fired her. Since then, Emily has filed a complaint with the Illinois Department of Human Rights, claiming retaliation. Last December, the Department of Human Rights ruled in Emily's favor and found “substantial evidence” of retaliation by Dane and Naperville Presbyterian. In this podcast, Emily tells her story and updates us on her case. She also shares insights about responding to bullying she gained from her firsthand experience. Anti-bullying expert Paul Coughlin also contributes to the podcast, sharing advice he's gained over decades of dealing with bullies. Paul met Emily at last year's Restore Conference. And Paul has been a source of support and wisdom for Emily throughout her whistleblowing process. If you've ever had to deal with a bully—or are dealing with one now—you'll find this podcast invaluable.  Guests Emily Hyland Emily Hyland earned her bachelors in Molecular Genetics and Biotechnology before working for the Office of Naval Research in Washington, DC. While there she received a MHSA in Management & Leadership from The George Washington University. She has worked with the US Army and the Office of the Surgeon General, Accenture, GE, and across finance, manufacturing, health services, and information technology. Recently, she was the Director of Operations at Naperville Presbyterian Church in suburban Illinois. She is married and has three children.  Paul Coughlin Paul Coughlin is an author, an international speaker and the founder and president of The Protectors, which is dedicated to helping schools, organizations and communities combat bullying. His books include No More Christian Nice Guy, Raising Bully-Proof Kids and 5 Secrets Great Dads Know. Paul and his wife, Sandy, reside in central Oregon and have three teenage children. Learn more about Paul and his organization at www.theprotectors.org. Show Transcript SPEAKERS JULIE ROYS, EMILY HYLAND, PAUL COUGHLIN JULIE ROYS 00:04 What do you do when you're being bullied by your Christian employer? Do you take it and simply turn the other cheek? Or do you confront it, hoping for repentance and justice? Welcome to the Roys report, a podcast dedicated to reporting the truth and restoring the church. I'm Julie Roys and joining me on this episode are Emily Hyland and Paul Coughlin. As you may remember, Emily is the whistleblower who filed a complaint with the Illinois Department of Human Rights concerning a well-known Chicago area pastor, Dane Ortlund. Ortlund is the author of the best-selling book, Gentle and Lowly. But according to Emily, he's not very gentle or lowly. He's a bully and a misogynist. And she says when she complained about Ortlund's behavior to the elders of Naperville Presbyterian Church, where Ortlund pastors, they fired her. But last December, the Department of Human Rights ruled in Emily's favor. It found substantial evidence of retaliation by Dane and Naperville Presbyterian Church in Emily's firing. And now that case is going to trial. Plus, there have been some additional charges added to that case. So, stay tuned, and you'll hear all about that. But also joining me on this podcast is Paul Coughlin. Paul is an expert on bullying and a repeat guest here on The Roys Report. He also was a speaker at last year's Restore conference. And I know from talking to Emily that she took pages of notes from Paul's talk, which was super eye opening. And it's out of that relationship and collaboration between Paul and Emily, that started at Restore, that this podcast was envisioned. I know many of you have experienced bullying in a Christian workplace. I get emails about this all the time. It's bad enough to be bullied in any workplace. But when it happens at a church or an organization that's supposed to be Christian, it's especially painful. So, I'm really looking forward to our podcast today. But before we dive in, I want to thank our sponsors, Judson University, and Marquardt of Barrington if you're looking for a top ranked Christian University, providing a caring community and an excellent college experience, Judson University is for you. Judson is located on 90 acres just 40 miles west of Chicago in Elgin, Illinois. The school offers more than 60 majors, great leadership opportunities and strong financial aid. Plus, you can take classes online as well as in person. Judson University is shaping lives that shaped the world. For more information, just go to JUDSONU.EDU. Also, if you're looking for a quality new or used car, I highly recommend my friends at Marquardt of Barrington. Marquardt is a Buick GMC dealership where you can expect honesty, integrity, and transparency. That's because the owners there Dan and Kurt Marquardt, are men of integrity. To check them out, just go to BUYACAR123.com. Well, again, joining me is the whistleblower in the Dane Ortlund discrimination and retaliation case, Emily Hyland. Emily was the Operations Director at Naperville Presbyterian Church in Naperville, Illinois. But in March 2021, just nine days after complaining of discrimination and bullying to church elders, Emily was abruptly fired. And she has two cases pending right now, one before the Illinois Department of Human Rights, and another with the Illinois Department of Labor. So, Emily, welcome. I'm so glad you could join us. EMILY HYLAND 03:30 Thank you, Julie. And thank you for your continued support and drawing attention to these important issues that men and women face when they're in a church and employed by one. JULIE ROYS 03:40 Well, it's my pleasure to do so. And again, also joining us is Paul Coughlin, founder of the anti-bullying group, The Protectors. He's also the author of a number of best-selling books, including No More Christian Nice Guy and Raising Bullyproof Kids. He's also worked with the Baltimore Ravens and is an expert witness. So, Paul, welcome back. It's just so great to be with you again. PAUL COUGHLIN 04:02 Great to be back. It's always wonderful. And Emily, good to hear your voice. JULIE ROYS 04:07 Well, it's so cool that the both of you actually met at the Restore conference. And I know that was before any of this became public. It's before the Illinois Department of Human Rights found substantial evidence of retaliation by the church and Dane Ortlund. But Paul, let me just start with you and ask when you first met Emily, what was your impression of her case and just what she had been through? PAUL COUGHLIN 04:33 Well, you know, you hear a lot of the same things when it comes to people who have been abused either adolescent bullying but then also bullying in the workplace, particularly faith centric areas. And honestly, what you often hear is a good amount of confusion at first. Many times, people who have this confusion going in their minds, they often may take it out on themselves as opposed to really seeing it more clearly, and in seeing it more clearly, it's not the fault of the target. It is the fault of the bully, and in many cases, the serial bully. JULIE ROYS 05:09 I hear a lot of these stories. And it's usually Wow, this is so awful. But I'm not expecting justice with the Illinois Department of Human Rights. You hardly ever get a ruling in your favor. Were you surprised when you heard that she had gotten this ruling? PAUL COUGHLIN 05:24 Very much so. I mean, Emily had a substantial case, substantial amount of evidence. And you know that evidence comes from people who, you know, obviously are willing to talk. Do you know how many people are not willing to talk? They know the score, but for a few fundamental reasons, they remain quiet, probably because they're worried that they'll be next. So, we have a substantial case, where chances are few people really spoke up. JULIE ROYS 05:50 And again, that case is pending. And towards the end of this podcast, Emily, I'm going to have you update us on the latest developments, because there are some really important ones there. But let's back up to your story, and what happened to you, Emily, for those who haven't read the news reports. I mean, it came out in December, even if you did read the report, you might be a little bit rusty on what happened. Would you give us the cliff notes of what happened to you, that led you to file this claim with the Illinois Department of Human Rights? EMILY HYLAND 06:21 Well, in some ways, it starts back before 2020 to my time at the church. I had been there since 2006, and Dane joined in 2007. So, for over a decade, we existed as two members of the same church, running into each other, same classes, same age kids. And so, when the former senior pastor left, a search committee was put together, Dane was on it. Two years go by and no senior pastor candidate. Well, then it's announced, Dane is going to be the senior pastor candidate. And by that time, I was on staff and the director of operations. And I was surprised because he hadn't been a pastor before. And I knew that the requirements for the job had been five years of pastoring experience. But I was since I knew him, I mean, he wasn't a stranger. I had no inclinations that this was something that was going to be so catastrophic. But when he started, things just weren't right. And they continued to get more wrong as the months went on. And as I started really telling myself, this isn't what you think, it's not right. I mean, maybe you're off, maybe you're just being a little petty. I had this mindset that was getting progressively more confused. And I was just talking circles to myself. And then finally, I happen to read in that February of 2021, when the Ravi Zacharias report came out. And in addition to obviously, the terrible accounts of sexual predation was the organizational aspect and how staff who raised questions who were having legitimate concerns, they weren't buying some of the early propaganda that was being put out, that those staff were being bullied. And I read those reports, and I looked at this, and I'm like, Oh, my gosh, that is what is going on here. And I was shocked, because I finally had words and labels to what I was feeling, what I was experiencing. And so, I take the next maybe month, I read up a little bit more about the differences between bullying, harassment, rudeness, inconsiderateness, to really make sure that I'm linguistically precise in this matter. And it comes to a head when I call up two of the elders, and I tell them privately, I think I'm being bullied. I think it's because I'm a woman. I myself had a hard time getting those words out, because I didn't want to be bullied. And I didn't want it to be because of my gender. So, the two elders sat on this for a little bit, because Dane was out of town. And when they brought it to Dane, that next Monday, it started the floor falling out of everything, where it was very swiftly after that, then maybe 12 hours, that I was going to be fired. And it took a few days. And in the meantime, I didn't know what was happening. I just knew that this couldn't continue. This was not the right behavior. I wanted the elders to help me navigate this and to be safe in it. But that's not at all what happened. That at the end of the week, Dane fired me, and they had no elder walk me out the door. And then I was done. They follow that up by Dane telling the staff that I had been fired for cause and to not reach out to me. JULIE ROYS 09:53 In a day. Right. You lost your church of how many years? EMILY HYLAND 09:58 I had been there almost 15 years by that point. JULIE ROYS 10:02 You lost your job. You lost your church family. And you were ostracized at this point. People weren't even talking to you, correct? EMILY HYLAND 10:12 Oh, right. Yeah, it was full on disfellowshipping. I mean, I didn't know what that word was until somebody told me I was like, Ooh, yeah, that is exactly what it is. I had people who wouldn't even look at me in public. These were people I had served with for 15 years. And I didn't believe it could happen. I still I mean, my husband still cannot process that element of it, which is that he cannot believe that people who I've been with for that long would turn because I didn't do anything to them. I didn't even say anything publicly about Dane. I mean, this was two conversations with elders. And now people won't speak to me. And that really continues now. JULIE ROYS 10:50 Really, to this day? Yeah. And I want you to comment on this, Paul. But first, I'd like to read a statement by Dave Veerman, who was an elder at the time. So, he participated in the firing. A few months after it happened, clearly had a change of heart, and he resigned himself. And his statement really played a pivotal role in the Illinois Department of Human Rights in their ruling. So, I'd like to read it. I can't read the whole thing just because of the length. But some portions I think would be really instructive as to what happened and even corroborating what you're saying. So, this is what he writes. The 2021 version of the Personnel Committee met a couple of times via zoom to discuss a few relatively minor issues. Then we got word that Dane wanted to have us deal with a serious issue with a staff member. At this Zoom meeting on March 16, he said he wanted to let Emily go and made vague references about her performance and relationships with other staff. He also said that he had met with her a couple of times, so we thought she had a pretty good idea of where this was heading. Let me just pause there. Did you have any idea you were going to be fired? EMILY HYLAND 10:51 None. It was so shocking. And this was two days before Palm Sunday. I mean, it is going into the biggest week of the Church year, and to just be like, Oh, we don't need a director of operations. And we certainly don't need her to do any turnover. We don't need her to give us any of the information that she has been using in her job for eight years. I was completely surprised. JULIE ROYS 12:18 Well, and apparently Dave shared your sentiments there. He writes, this news was a shock to us because we had always been impressed with Emily and what she had done for the church. In addition, we had just had a session meeting on March 15, in which nothing had been said about her and her performance. Dane also said that Emily had gone to two elders that she felt close to, and thought would listen empathically and give wise counsel. Later, I learned that she had shared how she had been mistreated recently by Dane and was asking advice on how she should respond. And then I'm gonna skip through some of it and read. He describes that he had several meetings, then with elders and different people. Then he writes, even though I didn't know Emily's side of the story, I voted to move ahead with Dane's recommendation. Our next step was to inform the other elders. So, the three of us each took a few men to call. Then Dane set up a meeting with Emily for Friday, March 19, to inform her and he asked me to be there. At that brief meeting at 1pm, Dane fired Emily saying it was, quote, the will of the session. Unsurprisingly, Emily was quite upset, although trying to maintain her composure. I tried to just listen and not say much. She started reading the agreement. Apparently was there an NDA that they had given you? EMILY HYLAND 13:32 Yeah. On top of the details regarding severance. JULIE ROYS 13:35 Is there anything remarkable about that, or pretty standard? 13:39 I think that it was passed off as something that oh, this is just how we do things. We don't really know what's in here. But I read contracts very thoroughly and to be like, Wow, no NDA, no severance. That was how it was written, is that if I did not sign away, my legal rights, agree to confidentiality and agree to a non-disparagement, I mean, never saying anything negative about the pastors, the officers, the church or how I was treated. That was the only way I was gonna get any severance. And that's how it was written. There was no mention of why I was terminated. It wasn't for cause that was it. JULIE ROYS 14:15 I wish I could say that that was remarkable in some way. I've learned that's very unremarkable that's very similar to what I got from the Moody Bible Institute when I was fired. And so many people that I've talked to are getting NDAs now, and I'm glad that this issue is coming to the fore. That people are realizing that churches now are giving NDAs, that Christian organizations are giving them and they're about as carnal a document as there is and it is there to protect the institution; has nothing and no care and concern for the employee. As a sister in Christ or a part of the church, but I digress on my editorial comment on that one. But NDAs are just I just think they're evil. He continues to write, Emily brought up her recollection of being bullied and strongly pushed back on the decision because of the current cultural attitudes toward misogyny. Skipping ahead. Later, I learned that at 3:30pm, a staff meeting was held to announce Emily's termination. Dane said 1) Emily was fired for cause, 2) the decision was the will of the session, a session being in a Presbyterian Church sort of the equivalent of the elder board, and 3) staff should not contact her. I need to say that because of Dane's actions, a few months later, I resigned as an elder and my wife and I left the church. Not to go into many details, but at that time I heard Dane give many of the same rationalizations and explanations for his attitudes and actions in this precipitating conflict. It made me rethink my decision regarding Emily, that I had made a mistake. My agreeing to terminate Emily's employment was based almost entirely on believing the word of Dane, my pastor. I realized now that I should have looked deeper, ask more questions, and met with Emily to get her side of the story. And again, that's Dave Veerman, a former elder there at Naperville Presbyterian church. Paul, as you listen to this letter, I could see on your face, yes, we're on Zoom, by the way, folks, but I could tell that you're resonating with some things in there. But what stood out to you, as you heard that letter? PAUL COUGHLIN 16:22 That elder is a rare person, sadly. I mean, that's a rare person who's going to stick their neck out like that. But those are the people who really keep integrity on the table. So, if I had a hat on, I would take it off to that gentleman. You know, there's a lot of things that Emily has talked about. And we spoke earlier about the pattern of behavior, right, that people undergo. And when you recognize that pattern, you begin to realize you're not crazy. And one of the things that is so painful for targets is betrayal. You could hear it in Emily's voice. And she talked about it; people not talking to her, been at the same church for something like 15 years and people don't talk to you. The emotional impact of bullying in the workplace itself is swampy for many people. And then you have this being ostracized. And one thing I'd like to point out for any workplace, but especially faith centric workplaces, is that you're going to expect people to live by a certain level of integrity. And sadly, for whatever reason, it seems to be baked into the system, betrayal is coming. I'm reminded, and I've experienced that we've all licked our wounds when it comes to this behavior. I'm reminded of that wonderful movie Braveheart, where William Wallace was in. JULIE ROYS 17:45 One of my favorites, by the way. PAUL COUGHLIN 17:46 I'm not surprised. He's betrayed by his best friend. And because of that, his heart is completely taken out of the battle, he doesn't care anymore. That is what will happen to us. And so, what I would like to say to our listeners right now is that don't be surprised by the betrayal. For some reason, it is baked into the system, in most cases, most of the time. I'm reminded by that quote from Martin Luther King, who said, in the end, we will remember not the words of our enemies, but the silence of our friends. It's just how it goes down. It's par for the course. But I would also want to say to the people listening now who could be that support structure around others, please keep that in mind. You can play a profound role, not just in bringing fairness into the workplace and with integrity, but also in the psychological and spiritual bolstering of another person, you're that important. JULIE ROYS 18:49 And I've heard that repeatedly from people who have been victims of spiritual abuse, church abuse, retaliation, bullying. That they can handle that there's one bad apple. Like, they can handle that there's a bully pastor out there, right? They can deal with that. What they can't deal with, is that everybody got in line with that guy. Everybody stood there silently, while they were excoriated for false charges against them, whatever, and that the average person stood by and did nothing. And that's been my experience. I know, I just had a birthday recently. I don't even know if I should say this. But, you know, you get these greetings from folks that you're like, wait, you haven't talked to me since the day I was fired! In fact, you wouldn't take my phone calls. But okay. Thanks for the Happy Birthday. Appreciate that. I mean, it's one of those things that's just absolutely stunning. And this is why I think spiritual abuse and church hurt is far worse and more fundamental than other kinds of abuse. And I'm not meaning to minimize certainly all of them are horrible, horrible. But there's something about this that just goes to the core of your belief system of who you think people are. And if we don't separate out, God's people from God Himself, can really mess up and distort our image of who God is. And I think there's so many people deconstructing today, whatever you want to call it, are just trying to come to grips with what is it that was true that I believed and what was just the stuff that I accepted with it that really wasn't? And I know there's people listening who are there, I've been there, right? I'm still there to some degree, you know. PAUL COUGHLIN 20:39 And Julie, could I add to that our Lord was bullied before He was crucified. Our Lord knows exactly what it's like to experience betrayal, false accusations, to put up with the arrogance and the hubris of other people. And he can empathize with our weaknesses, he knows exactly what it was like, because the crucifixion included many of the same components of workplace bullying. So he is on our side, he knows exactly how we feel, and he is there for us. EMILY HYLAND 21:11 I thought about that over the last few years, when you take communion, and it starts with on the night he was betrayed. You can just stop right there and say, Jesus knows what it's like to be betrayed, and forsaken by everyone who you thought was for you and with you. I mean, to identify in that aspect of religious community is a thread of hope you can have because Jesus knows betrayal. JULIE ROYS 21:39 I'm so glad that you both brought that up. Because I think the ability to identify with Christ in his sufferings, if you've been through something like this, is much greater. And yet, as I've experienced it, the eye opening thing hasn't so much been that I get to suffer with him. But it makes me so much more aware of how hideous the suffering that Jesus endured. Just having tasted a small amount of what he went through, has given me just such a greater appreciation for the suffering of Christ by being able to enter into it again, in a very small way, comparatively. PAUL COUGHLIN 22:21 Julie, one thing I tried to point out for people who you've talked about, like deconstructing faith, and all three of us have gone through its process right. In my mind, one thing that I have tried to do to try to keep things clear is the difference between churchianity and Christianity. And I think when we see this suffering of Christ, of such great unfairness, I see that in the category of true Christianity, that's what it's about. What we are experiencing in faith centric organizations is what I would call churchianity. And I believe that there's obviously overlap between the two. But also, there's great distinctions. I think that's very helpful for people who have been abused so that they can start thinking of it in terms like that, because it helps them hopefully not throw the baby out with the bathwater, where it's all bad, and it's all wrong. Rather, it helps to put it in context. JULIE ROYS 22:22 Well, much of what we're going to be talking about in this podcast is really looking back and thinking, what I wish I had known then that I know now, because it is a learning process. And man, can it be a rude awakening, but an important one. It's like the matrix as the red pill or the blue pill, right? You know, those of us who have taken I don't know, is it the red pill that opens your eyes? But yeah, if you take that pill, there's no undoing it, and you see it. Let me just start with you, Emily, I know one of the things that you said, if you were to do this over again, is you would stop talking to yourself and start listening to yourself. What do you mean by that? EMILY HYLAND 23:55 Well, as I said earlier, I think I was talking myself in circles, and something would happen, and I would disconnect from my intuition. It felt wrong, but I told myself, nah, and I downplayed the harm that was coming, which I know now, like, that's not mercy. Mercy is an intentional weighing of the harm that you receive, and a decision to forgive it. To just dismiss harm, and to downplay it and pretend like that wasn't harm, that's actually not mercy. I think that, particularly to Christian circles, we think of the Spirit speaking through our intuition. For instance, if I had an intuition to go and talk to a neighbor, and invite them to a church choir service, we would say that that's the you know, Spirit leading you. But it doesn't work in the other way. Like if you have this intuition that, you know, I think something's wrong here. I think my pastor isn't behaving as a pastor should, that your mind does not really like that absolutely could be the Spirit speaking on your attentions, you're trying to tell it this Be quiet, and to stop talking. And so, I think I was trying to rationalize away a pattern of events. And now, if I could go back, I would have told myself Stop, listen to how you're feeling, and especially your sympathetic system. I mean, that is there by God's design. And when we feel fear, when we feel out of control, when we feel afraid, or wanting to run away, or pressured, and those hormones start making you feel stressed and anxious, that's not nothing. That's your body responding to something that is really happening. And that I should have been listening much more carefully to that, instead of just telling myself in my higher brain, oh, don't bother with that. It was like, No, this is merely myself trying to protect myself. And I discounted it for a very long time. Until one day, like I said, I just happened to read a description of what workplace bullying in Christian ministry looked like. And it was like my intuition just got plugged in all at once. And it was like, Whoa, now, what followed was my intuition bracket was perfect. I mean, it was remarkable how, yeah, I was right on this stuff. I was accurate. And I didn't really want to be, I didn't want to be bullied, and I didn't want to work for a bullying pastor. None of that was by design. But identifying those behaviors, identifying what was going on behind the scenes, was when that intuition reconnected. And I think that if I could have gone back, I would have listened to my intuition, and realized, yes, that is the spirit, it's saying some hard stuff that I didn't want to hear. But that silencing it was to my own detriment. JULIE ROYS 26:53 And let's also acknowledge that in a lot of these churches, we're hearing consistent message often of listen to the authorities in your church, be submissive to the authorities in your church and their leadership. Don't gossip, the meddling, we're hearing those constantly. And so, it's a cognitive dissonance that you're dealing with. And I remember we did a surprise birthday party for my husband once. And there were numerous times that he should have figured out what was going on. And he just didn't like, and afterwards, we asked him because he was so surprised. Like, how did you not get that? And he's like, I don't know. It's just like this cognitive dissonance and you throw out things that don't fit the narrative. And you just, it's funny how we do that. One of the best books out there, and it's funny that you've even said it several times. And when you're talking about this, is it something's not right. And I think Wade Mullins book, Something's Not Right, is just so so good in helping you put your finger on that. So, if you've never read this book, you have to read Something's Not Right. It's just so good. Or listen to Wade's talk at the Restore conference, where he talks about some of these things. They're all available at our YouTube channel, you can see that. And by the way, Paul, your talk on bullying is available on video on our YouTube channel. It's also available as a podcast, I think June 23, I think of last year is when we published that. So, you can go back and listen to Paul's whole talk on bullying, which is I know mind blowing for so so many people. Paul, as you hear what Emily just said about trusting that intuition, what comes to mind for you? PAUL COUGHLIN 28:31 A number of things. One thing that would have really helped Emily and so many other people is if she had at least one person standing by her side. She talked about almost like talking to herself and the cycle. We all get into that. And what really helps if we have a person, ideally, a person who is wise, but also more than wisdom, courageous. If we have someone to confide in, they can talk us out of those circular thinking, tends to spiral down, not up usually. And in that wisdom that they give us, we can find the seeds of courage as well because when we get clarity, we have a much stronger ability to move forward, hopefully in an intelligent way with both truth and grace and love. So, there are people out there who need us desperately in that situation. And I'd like to point out a distinction statistically between men and women when bullied in the workplace. Statistically, men tend to get angry and leave. Women tend to medicate and stay. And unfortunately, and to hear that the protectors what we do is we often advise find another job because it can be so damaging to the person's spirit to their soul when they undergo this work. And statistically it can be harder on women. That damage can go deeper and last longer. In fact, many of the characteristics of PTSD are the same that happens in the workplace, then people returning from war, it can be that bad. So, it's an important distinction to keep in mind. You know what I think what happened was Emily, is they picked on the wrong person, and I've told Emily this; is that chances are the people in her former workplace, the main pastor particularly, in my opinion, has probably been doing this for a long time, has probably been targeting people specific people and getting his way. And what happened is he probably targeted the wrong person; a person of a lot of backbone. You can tell Emily's very sharp, but sharpness alone won't do it. Functioning degree of courage is often necessary in order to defend yourself. And we have a wonderful success story now, I think because of Emily's character of who she is. JULIE ROYS 31:04 Well, this concludes part one of my podcast with Paul and Emily on bullying in a Christian workplace. In part two, you'll hear Emily describe more of what she wishes she knew back when she was being bullied that she knows now. And you'll hear more expert advice from Paul Coughlin, on how to deal with bullies. And also, why you may have become a target. PAUL COUGHLIN 31:25 Bullies in the workplace, particularly within the church, they use our niceness against us. It's one of the reasons why we're targeted. We don't use the word victim at the protectors very often, we prefer the word target. And here's why. You have been selected, the bully in the workplace, the bully pastor has picked on some people but not other people. Why is that? Because a bully is not looking for a fight, they want to overwhelm another person. So, they look for the nice person, they look for the person, for example, who lives by turning the other cheek. JULIE ROYS 31:57 Also, just a quick reminder to subscribe to The Roys Report on Apple podcasts, Google podcasts or Spotify. That way you'll never miss an episode. And while you're at it, I'd really appreciate it if you'd help us spread the word about the podcast by leaving a review. And then please share the podcast on social media so more people can hear about this great content. Again, thanks so much for joining me today. Hope you were blessed and encouraged. Well, again, that's Paul Coughlin. And we'll be releasing part two of this podcast in just a few days. So, you want to be watching for that. Also, if you're a survivor of church hurt or abuse, or you're a Christian leader who just wants to learn more about how to protect against abuse and help survivors, I want to invite you to join me at our upcoming Restore conference. This two-day event, October 13 and 14 at Judson University in Elgin, Illinois, is a very special time of healing and equipping. Joining me will be author Wade Molen, whose book we referenced in this podcast, along with Lori Anne Thompson, Sheila Ray Gregoire, Mary Demuth, and more. For more information, go to RESTORE2023.COM. Also, just a quick reminder to subscribe to The Roys Report on Apple podcasts, Google podcasts or Spotify. That way you'll never miss an episode. And while you're at it, I'd really appreciate it if you'd help us spread the word about the podcast by leaving a review. And then please share the podcast on social media so more people can hear about this great content. Again, thanks so much for joining me today. Hope you were blessed and encouraged. Read more

Andrew Heyman, MD, MHSA is an internationally recognized expert in Integrative Medicine. He is currently the Program Director of Integrative and Metabolic Medicine at The George Washington University. Prior to assuming this role, he spent 16 years at the University of Michigan, serving to build one of the largest and most successful academic-based Integrative Medicine programs in the United States.   In 1990, he received formal training in Five-element Shiatsu and Traditional Chinese Medicine, during which time he developed an interest in increasing access of natural therapies to underserved populations while partnering with the University of Pennsylvania. He continued this work with Jim Gordon, MD at the Center for Mind-Body Medicine in Washington DC exploring the intersection between public health, at risk groups, and alternative therapies.   Dr. Heyman eventually went on to receive a Masters in Health Services Administration at the University of Michigan School of Public Health and upon graduation, became the administrator for the University of Michigan Complementary and Alternative Medicine Research Center where he was responsible for administering a $7 million NIH grant to research alternative therapies for cardiovascular diseases. The center was one of the first in the country to place alternative therapies and their scientific examination in an academic context.   Dr. Heyman has held several leadership positions in the field of Integrative Medicine. He was the national clinical working group co-chair of the Consortium of Academic Health Centers for Integrative Medicine for 4 years, a collaboration of 57 North American universities involved in Integrative Medicine. He is the online editor for the Journal of Men's Health in the section of Integrative Medicine, and he also holds the position of Editor-In-Chief of the Internet Journal of Anti-Aging and Aesthetic Medicine. His research interests include the Stress response and NeuroEndocrinology, Cardiometabolic Disease, Men's Health and clinical outcomes research methodologies.   Dr. Heyman remains clinically active as well, as the owner of a four-physician integrative medicine practice in Northern Virginia at the Virginia Center for Health and Wellness. He is also the President of Integrative Health Resources, a small group of clinical experts that consults to physicians, health systems and public health professionals seeking to develop wellness, lifestyle and nutrition programs.   Finally, Dr. Heyman has been featured on the Discovery Channel, Martha Stewart Living Magazine, Ladies Home Journal, Natural Health Magazine and appeared in many other TV and print venues and is a widely sought after, and celebrated speaker around the world on many Integrative Medicine topics. His teaching approach is described as deeply rooted in scientific evidence, grounded in the clinical reality of expert patient care, and readily accessible to both the new learner and seasoned practitioner alike.

Ricky sits down for an HR Chat with HR Consultant Extraordinaire, Lorena Pabon, MHSA, SHRM-CP. They discuss their love/hate (mostly hate LOL) relationship with recruitment, the Bud Light debacle (Was HR EVER involved in that process?) and what to do when you give HR advice and nobody takes it.

In this episode we talk about psychology (of course!) With Leigh Harrington we discuss how to change habits for better, how to deal with imposter syndrome, and be better at business. Leigh Harrington, MD, MPH, MHSA, is a psychiatrist, TEAM-CBT Therapist and Trainer, she teaches how to conquer fears, create connections, design better habits and more @leighharrington.md @psychomama_yulia

As a partner with Spencer Fane, LLP's health care practice group, Ayesha Mehdi, JD, MHSA collaborates closely with healthcare providers and professionals, as well as closely held businesses, to provide legal guidance on various corporate, regulatory, and licensure matters. She serves as outside counsel to her clients, helping them achieve their objectives in areas such as physician employment, recruitment, mergers & acquisitions, and joint ventures. Additionally, in the area of health care law, Ayesha offers solutions for handling professional board complaints, reimbursement issues, and corporate compliance to ensure her clients' success. Ayesha received her Bachelor's in Business Administration with honors in Finance from Walsh College of Accountancy and Business Administration in Michigan, and her Master's in Health Services Administration, as well as her Juris Doctorate degree, from the University of Kansas. Ayesha speaks at regional and national seminars and conferences for both legal and health care associations. She is also a pro bono attorney for the Children's Attorneys Project of Legal Aid Center of Southern Nevada. In episode 507, we discuss Ayesha's work in health care law plus her recommendations for how to: Navigate the pressure to support a partner's career and take the lead at home when you have your own career aspirations Address physician burnout (and why it often leads to poor patient reviews) Prioritize well-being and mental health (and why creating a predictable schedule for each day can help) Center patient care within a profit-based health care system Resources Mentioned in This Episode:   Learn more about Ayesha Mehdi, JD, MHSA and her work at Spencer Fane in health care law Connect with Ayesha Mehdi, JD, MHSA on Instagram and Twitter Explore Step into Your Moxie's solutions for physicians and healthcare leaders Please leave a review and subscribe to Moxielicious® via Apple Podcasts, Stitcher, Google Play, or Spotify so you never miss an episode!

The Columbia Falls Wildcats boys wrestling team took home the 2022-2023 MHSA class A State Championship in Billings last weekend while the Flathead boys and girls took home second and third for class AA. Glacier's Teegan Vasquez joined an exclusive club by winning his fourth straight title, the 39th wrestler in Montana history to accomplish the feat. The Prep Basketball scene was also jam-packed as usual with Columbia Falls beating Whitefish in the Cat-Dog basketball game and Flathead rallying to beat Helena Capital. Plus, the Glacier Wolfpack swim team had a strong showing at the MHSA swim meet this past weekend with the boys finishing second and girls coming in fourth. While Issac Keim and Olivia Gibbons both took home individual state championships in their respective meets. Also, multiple valley gridders signed letters of intent with frontier conference schools so we'll recap our local prep football athletes who are going to be continuing their football journey's right here in the treasure state.Shoutout this week's Prep Players of the week: Issac Keim - Glacier Boys SwimmingOlivia Gibbons - Glacier Girls Swimming.Justin Windauer - Columbia Falls wrestlingKaura Coles - Glacier WrestlingTeegan Vasquez- Glacier WrestlingNoah Poe-Hatten Flathead WrestlingHope McAtee Columbia Falls BasketballLocal sports talk from Northwest Montana covering prep sports, Bobcats, Grizzlies and more! Hosted by Josh Dugan https://twitter.com/jdugan406Special thanks to Nomad GCS and Hagadone Media Group Montana for their support. https://nomadgcs.com/https://www.hagadonemediagroup.com/montanaVisit DailyInterLake.com to stay up-to-date with the latest breaking news from the Flathead Valley and beyond. Support local journalism and subscribe to us! Watch this podcast and more on our YouTube Channel. Find us on Facebook, Instagram and Twitter. Got a news tip, want to place an ad, or sponsor this podcast? Contact us!

Hosts Gregg Masters and Fred Goldstein meet Amelia Bedri, MHSA, Content Engineer & Policy Development Manager at NCQA (the National Committee on Quality Assurance). Serving as the subject matter expert for NCQA's Health Equity Accreditation programs, Amelia leads the development cycle and maintenance of the the core knowledge of the health care industry and regulatory environment to enhance the Standards and Guidelines. She provides policy expertise to internal teams and external stakeholders including CMS, state Medicaid agencies, managed care organizations, and care delivery organizations. We discuss the role of NCQA in advancing health equity via their traditional audience, health plans, and preview the accrediting entity's role in the health system or provider marketplace. To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play Healthcare NOW Radio”. 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

On today's episode of PopHealth Week, our guest is Amelia Bedri, MHSA,Content Engineer & Policy Development Manager at NCQA (the National Committee on Quality Assurance). Serving as the subject matter expert for NCQA's Health Equity Accreditation programs, Amelia leads the development cycle and maintainence of the the core knowledge of the health care industry and regulatory environment to enhance NCQA's 'Standards and Guidelines'. She provides policy expertise to internal teams and external stakeholders including CMS, state Medicaid agencies, managed care organizations, and care delivery organizations. We discuss the role of NCQA in advancing health equity via their traditional audience, health plans, and preview the accrediting entity's role in the health system or provider markerplace.   ==##==  

On PopHealth Week, today's guest is Amelia Bedri, MHSA, Content Engineer & Policy Development Manager at NCQA (the National Committee on Quality Assurance). Serving as the subject matter expert for NCQA's Health Equity Accreditation programs, Amelia leads the development cycle and maintainence of the the core knowledge of the health care industry and regulatory environment to enhance NCQA's 'Standards and Guidelines'. She provides policy expertise to internal teams and external stakeholders including CMS, state Medicaid agencies, managed care organizations, and care delivery organizations. We discuss the role of NCQA in advancing health equity via their traditional audience, health plans, and preview the accrediting entity's role in the health system or provider markerplace. ==##==

Kathryn Merkeley, program director with the Vizient PSO addresses how Patient safety organizations, or PSOs, improve patient safety and quality through the reduction of adverse events.   Guest speakers: Kathryn Merkeley, MHSA, RN, CPPS, PMP PI Program Director Vizient   Moderator: Gretchen Brummel, PharmD, BCPS Pharmacy Executive Director Vizient Center for Pharmacy Practice Excellence   Show Notes: [01:15-02:13] What is a PSO? [02:14-02:59] Benefits of PSO membership to organizations [03:00-03:41] How common is it for organizations to belong to a PSO [03:42-04:37] ROI for health system leaders for belonging to a PSO [04:38-05:27] How PSOs can support specifically medication safety efforts [05:28-06:34] Standardizing approach with multiple members to your PSO [06:35-07:16] Where are PSOs going in the future [07:17-07:58] How frontline pharmacy staff can get involved in PSOs   Links | Resources: Vizient Patient Safety Organization Vizient PSO Blog: Empathetic and Effective Response to Sentinel Events and Root Cause Analysis Vizient PSO Fact Sheet   Subscribe Today! Apple Podcasts Amazon Podcasts Google Podcasts Spotify Stitcher Android RSS Feed  

 If you are going to create generational wealth, you must own something. Whether it is a business, real estate, stocks, or insurance, you must have meaningful relationships that propel you forward to get to that first liquidity event and understand the power of encouragement.This is the mindset of Derrick l Miles, president and CEO at Courmed, a healthcare solutions company offering enterprise software and innovative concierge delivery of healthcare products and services. He has failed forward many times before he learned what he needed to do in scaling a crowdsource healthcare delivery service.Failure is a part of the success story. Words of encouragement speak power into your business and your life. A simple word of encouragement can save your life and the lives of others. Says Derrick Miles as a former hospital executive, he experienced a tremendous amount of early success on the operational side of the business, becoming a CEO of a specialty hospital at age 31, and being part of teams that financially transformed poorly performing hospitals.After launching a Q4 or 2018 at Vizient headquarters in North Texas and with additional regional headquarters expansion plans, including a gateway city in Arizona and California. As a result, Miles is now a private aviation customer of JSX. With the CourMed proprietary software, they can utilize the Microsoft marketplace and AppStore portals to quickly add more states and foreign countries to their access range.Will Miles join Robert F. Smith, David Stewart, Oprah Winy, and Michael Jordan on the short list of black billionaires with Microsoft support and worldwide scalability? It's a real possibility as reported in JetSet Magazine. Derrick L Miles founded CourMed in 2018 is a pharmaceutical delivery service.The company has since further diversified its offerings to provide well-care solutions through partnerships with physicians, nurses, and pharmacies to the company's target market, which includes health-conscious adults, performance athletes, and people 50 and older with an above-average networth. You can be in your home, at your corporate office, or in a luxury hotel like the efficient on Miami Beach and get monoclonal antibodies, vaccines, prescriptions, or IV vitamin therapy.According to Derrick Miles, now headquartered in McKinney, Texas with a new regional office recently announced in Miami Beach, CourMed is significantly expanding its region to upscale areas in need of healthcare concierge services of all types. Miles. A former hospital administrator and 15-year healthcare executive have taken the company's offerings beyond just delivering.To provide enterprise software and innovative concierge product and service delivery, Derek Miles receives both an MHSA and MBA from the University of Alabama at Birmingham. He also holds a BS and Medical Tech. With a minor in chemistry from Bethune- Cookman University. Derrick L. Miles received a certificate in Lean Healthcare from the University of Michigan and is enrolled at Stanford University working towards professional certification in Innovation and entrepreneurship. Derek is married with two sons. His family lives in Collin County, Texas, and county Florida. Let's welcome  Derrick to the podcast where we are building a 5 star brand that you can follow!

Speakers: Cindy McMillan, CD(DONA), CBPC, CBE, DBD, NCPS, Nikita Smart, CD(DONA), CBPC, CLE, CLC;  Wakina Robertson, CD(DONA), CBPC, CBE, PPD;  Cherie Jackson, & Kathy Foley, MHSA, PhDDescription: In this episode, Just Us host Cindy McMillian interviews the women who run SistasCaring4Sistas, an Asheville based doula organization. Listen in to hear how they got started and the obstacles they overcame as strong, black women! If you liked what you heard please share with your network! We would appreciate if you can provide feedback by filling out the following survey:https://redcap.mahec.net/redcap/surveys/?s=XTM8T3RPNK  

Bio: Mindy Eisenberg, MHSA, C-IAYT is the Founder and Director of Yoga Moves MS, a nonprofit with the mission of improving the quality of life for individuals with MS, Parkinson's Disease, and other neuromuscular conditions through the provision of adaptive yoga and holistic health and wellness education. Mindy has provided yoga therapy to individuals with mobility challenges for over 17 years and thrives on building a strong, mighty community for her students, their families, and care partners. She is the author of Adaptive Yoga Moves Any Body, created for individuals with MS and neuromuscular conditions and Adaptive Yoga Cards, daily yoga moves for all ages and abilities. She is a qualified Mindfulness-Based Stress Reduction Teacher and certified Buteyko Breathing Instructor. Her experience as a health care administrator at the University of Michigan Medical Center contributes to her ability to bring the Yoga Moves philosophy of healing to the healthcare arena. She created the cutting edge annual Virtual Holistic Health and Wellness Forum for MS; presents to corporate, academic, and yoga therapy organizations; conducts adaptive yoga teacher trainings; and offers small group and private therapeutic yoga, breathing, and meditation sessions. She lives with her husband and pets Felix and Oscar, in Michigan, and loves to visit her daughter and son, Julia and Noah, in New York City.   Selected Key Takeaways Anyone in any body can benefit from yoga (8:14) “This is a big issue that people are fearful of yoga or they think they can't do it. It's in the forefront now, it's a mission of mine to help people understand that anyone can do it. And yes, yoga does lend itself to adaptation because the idea is that you are not forcing your body into a pose. The pose is supposed to benefit you.”   It's more about the journey than the destination (16:56) “Yoga is called a practice for a reason. And the practice is every day you get on your mat or you sit in your chair and you have a breath practice and that is going to change on a daily basis. It's not about getting the A or, nailing the pose... It's not a pass fail. 99% of yoga or meditation or Tai Chi is actually showing up and doing it for yourself. I feel strongly about that.”   On making peace with your body (20:48) “The idea with yoga is it's actually making friends again. You know, some people say that they're at peace with their body when they do yoga and the idea with the adaptive yoga is you're not identified by your MS. You know, that your MS isn't you, that's not who you are.”   On using the breath as a barometer during yoga practice (31:46) “The other measurement we use in yoga is the breath. And so you always have that barometer, if you will, where if your breath is fast and rapid and shallow. That is a really good indicator of fatigue. If the breath is non-existent meaning holding the breath, that is also an indicator of either fatigue or fear or a need to back off.”   Related Links: OMS exercise videos (filter by “yoga”) OMS stretches to improve spasticity Visit Yoga Moves MS on Facebook, Instagram or YouTube   Don't miss out: Subscribe to this podcast and never miss an episode. You can catch any episode of Living Well with MS here or on your favorite podcast listening app. If you like Living Well with MS, please leave a 5-star review on Apple Podcasts or wherever you tune into the show. Feel free to share your comments and suggestions for future guests and episode topics by emailing podcast@overcomingms.org.

Welcome to Proximal Edge Includes Podcast series with your host Marlegny Mourino, MHSA, M.Ed, CPC, CPB, CPCO, CIRCC, CPMA, CPC-I, CEMA, CRCR, AHI, CMAS, NCMA, AHIMA Approved ICD-10-CM /PCS Trainer! In this episode, I have our second interview with my friend Sarah Ragan COC, CPC, CPMA, CRC, CFPC, AAPC Approved Instructor. She is a dedicated medical coder with more than 8 years of experience analyzing patient charts for clean billing. Implementing her passion as a coder to segue into educating as a virtual speaker and instructor. She values education, training, proficiency, and compliance. In the first part of our interview, some of the things we discuss are: How she got started in Healthcare, from clinical to coding Common myths about the profession Resources that have helped her along the way The three people who have been the most influential to her both personally and professionally Please make sure to find and follow Sarah below is her LinkedIn Profile: LinkedIn: https://www.linkedin.com/in/sarah-ragan-coc-cpc-cpma-crc-cfpc-aapc-approved-instructor-65987a91/ Our Webpage: https://www.proximaledge.com/ Todo Incluido Podcast: https://anchor.fm/todo-incluido Email: IncludesPodcast@gmail.com Join me every month to learn more about billing, coding, auditing, compliance, stories of professionals in the field, healthcare industry news, coding updates, career advice, personal development, and so much more! If you would like to be featured on an episode, or would if you would like to become a sponsor of Includes Podcast, as well as getting answers to your questions please contact me by visiting ProximalEdge.com or email me at IncludesPodcast@gmail.com --- 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/includes/message

Dr. Sable Muntean is a native of California and graduated from LECOM School of Dental Medicine in Florida, simultaneously earning her degrees as a Doctor of Dental Medicine and Master in Health Services Administration. She then attended Southern Illinois University, where she completed an AEGD Residency and Implant Fellowship. Dr. Muntean now practices in St. Louis, Missouri.

Today’s episode discusses the pros and cons of offering our most troubled children intensive field-based treatment, over long-term residential placement or hospitalization.   Current data tragically still shows us that only 25% of the children in the United States who need mental health care actually receive it; however in California real efforts have been made to create community-based programs that can effectively treat our most troubled children without the need for residential care. In 2004, California voters approved Proposition 63, which was signed into law as the Mental Health Services Act, or MHSA. The MHSA levied a 1 percent tax on all personal incomes over $1 million, resulting in a substantial investment in mental health for California residents. The intent of the act was to address the urgent need for expanding accessible, recovery-based, community mental health services. This episode will focus on one aspect of the act that allocates funding for intensive and comprehensive field-based care, known statewide as Community Services and Supports, or CSS.   According to the Los Angeles County Department of Mental Health, these intensive field-based services are the “signature programs of the (state's) 2004 Mental Health Services Act and a foundational program for an effective community based mental health system.” Intensive field-based programs have been established across the state, with the core mission of doing “whatever it takes” to maintain clients in the community and help lead them to a path of wellness. These programs offer very intensive mental health, psychiatry and case management services in the community.   Today Tricia speaks with Vanessa Ayala, an Associate Clinical Social Worker at The Guidance Center's Compton Clinic. She is a clinician in the intensive services program and shares her knowledge about treatment for these very high need children and families.  In My Backyard is brought to you by The Guidance Center, a children's mental health agency in Long Beach, CA. In My Backyard is produced by Tricia Costales and Matthew Murray. Thank you to Jay Vincent B for original music. All other music licensed through SoundStripe. Thank you to our listeners and supporters. Please visit tgclb.org or text HOPE to 562-262-5689 to make a one-time donation or join our Hope and Healing Club to become a monthly donor today. And subscribe to In My Backyard on Apple Podcasts, Spotify or wherever you listen to podcasts.

There's generally a transactional relationship between the OR and SPD. The SPD gives, and the OR takes. And that relationship is usually hindered with break downs in communication and a lack of respect – from both sides of the autoclave. We're discussing ways to improve that relationship today with Brian Dolan, MHSA, CMRP, CRCST, CHVAP, LSSGB, VP of Resource Management at Bayhealth Medical Center in Dover, DE. Tune in as Brian discusses the different challenges that OR staff and SPD staff face, the ways our systems promote poor communication, and the importance of empathy, respect, and good relationships. Love our show? Download our First Case mobile app on:

Nature's dirty needle. That's how Lyme disease researchers and physicians refer to the ticks that spread the bacterium, Borrelia burgdorferi, throughout the northeastern, mid-Atlantic, and north-central United States. The Centers for Disease Control and Prevention reported that illnesses from mosquito, tick, and flea bites have tripled, with more than 640,000 cases reported during the 13 years from 2004 through 2016. During that time period, nine new germs spread by mosquitoes and ticks were discovered or introduced into the United States. Lyme disease is a complex illness whose diagnosis and treatment requires a deeper understanding than just the characteristics of the infection, says like tick-borne disease researcher Andrew Heyman, MD, MHSA. It is an often misdiagnosed, misunderstood disease that behaves in ways that makes it very difficult for standard tests to identify correctly. Dr. Heyman, an internationally recognized expert in Integrative Medicine and the Director of the GW Integrative Medicine Fellowship Program at the George Washington University School of Medicine and Health Sciences. He is a ‘last resort' practitioner for patients with this multi-system illness. Three Lyme disease takeways from Dr. Heyman: 1.) Other biotoxin exposures, such as mold, can mimic Lyme disease and therefore increase the difficulty of obtaining an accurate diagnosis. 2.) The body's reaction to a Lyme infection is a genetically mediated, Neuro-inflammatory response that can persist in about 20 percent of patients, even long after the infection has been treated. 3.) The consequences of chronic inflammation due to Lyme disease can be devastating, including organ injury - especially to the brain and nervous system more broadly - and even induce persistent, aberrant gene expression, leading to loss of normal cell functioning. (Originally published in 2018) ◘ Related Content ◘ Transcript ◘ This podcast features the song “Follow Your Dreams” (freemusicarchive.org/music/Scott_Ho…ur_Dreams_1918) by Scott Holmes, available under a Creative Commons Attribution-Noncommercial (01https://creativecommons.org/licenses/by-nc/4.0/) license. ◘ Disclaimer: The content and information shared in GW Integrative Medicine is for educational purposes only and should not be taken as medical advice. The views and opinions expressed in GW Integrative Medicine represent the opinions of the host(s) and their guest(s). For medical advice, diagnosis, and/or treatment, please consult a medical professional.

In the 14th episode of BYOB: The Healthcare Podcast, the team sits down to speak with Morenike Ayo-Vaughan who represents The Commonwealth Fund. Morenike details the amazing origins of the organization as it was among the first private foundations started by a woman philanthropist, Anna M. Harkness, established in 1918 with the broad charge to enhance the common good. The mission of the fund today is to promote a high-performing health care system that achieves better access, improved quality, and greater efficiency, particularly for society's most vulnerable, including low-income people, the uninsured, and people of color. Tune in to hear from the amazing work that Morenike does at TCF! Morenike Ayo-Vaughan – Program Officer at Commonwealth Fund Morenike Ayo-Vaughan, MHSA is currently the Program Officer for the Advancing Health Equity program at the Commonwealth Fund. She is responsible for supporting the Vice President of Health System Equity, who leads the Advancing Health Equity program, and coordinates the overall work and efficiency of the team. Most recently Ayo-Vaughan served as senior manager at Avalere Health, where she was responsible for serving myriad health care clients who sought the advancement of health equity and improvement in patient access to optimal care. She also was responsible for conducting literature reviews and key informant interviews and synthesizing findings and feedback from the advisory committee to inform the goals and strategies of Avalere's Health Equity Fund. Prior to Avalere, Ayo-Vaughan served as practice operations associate at Privia Health. She has an M.S. in health systems administration from Georgetown University and a B.S. in public health from Temple University. The crew asked Morenike the following questions: For our listeners who may not be aware, can you speak to the great work that The Commonwealth Fund does and who they are? You currently serve as a Program Officer, Advancing Health Equity at The Commonwealth Fund. What does your work entail? How has the dynamic of health equity changed throughout your career? What encouraged you to pursue healthcare administration? Can you speak about your education and career path? Your background has been in a myriad of avenues in healthcare, can you talk to us about what led to your decisions to follow the opportunities and organizations you have? Talking with Nakin – Expansion of Amazon Care Nationwide Amazon Care launched primarily as a pilot program in 2019 for employees, designed to provide free telehealth visits and low-cost in-home visits for employees. Amazon Care's in person offerings exist in 8 cities and plan to expand to 20 more by the end of the year. Even though Amazon Care is entering a crowded market, the news was somewhat bullish for Amazon with competitor Teladoc dropping 6% when the news was announced The crew debates the impact of Amazon expanding its healthcare presence and what the onslaught of primary care entrants means for patients across the country. Grab a drink and join us for another episode of BYOB: The Healthcare Podcast! Please give us some feedback via our Survey: https://forms.office.com/r/bZ8MHEDXNc --- Send in a voice message: https://anchor.fm/byob-health/message

Podcast 279: Dr. Leigh Harrington on Goal Setting for Habits and Addictions or Using Habits to Feel Better Today, we are joined by a very special member of the TEAM-CBT family, psychiatrist Leigh Harrington, MD, who will teach us how to set goals that work when battling habits and addictions. Leigh Harrington, MD, MPH, MHSA, is a psychiatrist, TEAM-CBT Therapist and Trainer.  Originally from Michigan, where she completed medical school and graduate school, she had the good fortune to meet Dr. David Burns in 2004 during her psychiatry residency at Stanford University when she joined his original group of Tuesday night students.  She specializes is helping therapists and individuals reach their goals especially in the areas of Interpersonal Exposure, Relationships, and Habits.  She lives in Davis, California with her two beloved daughters. Leigh begins by saying that there are many parts of the TEAM-CBT model than help when battling unwanted habits and addictions. Our habits definitely result from how we think, and the stories we tell ourselves, and treatment can sometimes be more than just treatment, but a transformational experience. She explains that “I gained 20 pounds following my last pregnancy, so I began to set three kinds of goals: Mental goals Physical goals Relationship goals” Mental goals She continues: “I focused on reducing the many Should Statements I was battering myself with, like “I should have done this or that,” or “I should do this or that.” These kinds of statements sounded demanding and triggered feelings of guilt and frustration that actually made it harder to achieve my goals. “So, I decided, instead, to notice my thoughts, and focus instead on appreciating things. This was just one of many approaches to rewiring my brain. “For example, I realized I had been letting my brain run itself each morning. When I woke up my mind would start to tell me all the things I needed to (should) do that day. . . Sometimes I would wake up feeling “okay,” but I was definitely not in a state of bliss, gratitude or joy. “Sometimes it seemed as if my mind would look to find reasons I might not be feeling top-of-the-world: ‘Well there is this issue… or this… and also this…' “Which told me a story of my unhappiness, or simply a lack of joy. Of course, my mind was well-intentioned, trying to help me out, but it didn't end in greater joy, but in the weight of ‘shoulds' and reasons to feel crummy. It had become a habit--a thinking habit. “I was struck by the idea that I didn't have to let my mind think whatever it wanted and wondered if I could break this thinking habit. In habit work, we determine the new habit we want, check our motivation, plan solutions to any problems, and commit to the new habit. “I thought I would keep my new habit simple, believable, and incorporate gratitude, as that can sometimes be helpful, too. “My new habit was to catch myself while I was still in bed, as soon as I recognized I was having thoughts, and say to myself something I believed that, was non-controversial. When I caught myself thinking any shoulds or telling myself any unhappy stories, I said to myself, ‘I love my bed. I love my house. I love my lamp.' “This might seem simple, trivial, or silly. But the point of the new habit was not to be profound and brilliant. The point was to change my thinking in the smallest of ways and to prove to myself I could create a new thinking habit. “This simple thought habit has allowed me to start my day on a better note and has allowed me to prove to myself I can change my thinking habits.” Physical goals Leigh explains: “Here's how I lost the 20 pounds I had gained. Instead of focusing on one strategy – like, “I will only eat vegetables,” or “I will exercise 2 hours per day,” I focused on achieving the goal by any means. I used the experimental technique and went through a series of habit experiments. “First I tried just thinking I'd like to lose the weight. I. This may seem crazy, but there have been times in my life when I've seemed to effortlessly loose weigh, so that seemed like an easy first go. “As you might imagine, it didn't work as well in my 40's as it did in my 20's. As long as I kept giving in to my urges to have a sugary treat in the afternoon as a pick-me-up, and refusing to be in deprivation, nothing at all happened with my weight. “I also allowed myself to eat as much as I wanted to, just as I had when I was pregnant and nursing my daughter. “Since that didn't work,. I experimented with some green juice in place of sugary snacks. I felt healthier, but there was no change in my weight. “Then I decided on a multi-pronged approach. I would keep drinking my fruit-smoothies in the morning, along with a protein shake mid-morning, and a normal lunch, plus a normal dinner – just one serving at lunch and dinner, and no more than one dessert per week, Whenever else I was hungry I would drink a protein drink and lots of water. I also committed to walking every day for 30-60 minutes and going to the gym at least once per week. “And, I committed to doing this until I saw the results I was looking for. I weighed and measured myself. But in two weeks, I had lost only one pound and zero inches. “I was discouraged. “But I was committed to stick with it, no matter what, for as long as it took. “Three weeks in thee was still not much change. “But at 4 weeks I started noticing a difference and by 12 weeks the scale read 20 pounds lighter – the same as I weighed in college. Most importantly I felt great and I experienced a sense of accomplishment! Relationship goals Leigh continued: “I also decided to focus on developing better personal relationships with six people, including my mother. I had always felt that she was critical of me, this thought caused me to distance myself from her. I had a better relationship with my dad. So I decided to focus, instead, on what I loved and appreciated about her. For example, she was amazing with my kids. “This is a little funny, but I was in the middle of a difficult time in life and hired a coach specific to this situation.  I felt sad about the loss of a friend and I found her wisdom really helpful. She suggested, ‘you only need six people, your pall bearers.' “Since I have a tendency to enjoy and like many people, it made a lot of sense to me to focus my energy on a treasured few. “I had always prided myself on being a loyal and committed friend and didn't' want to give any up.  Even though the suggestion of only 6 didn't ring true for me, it helped me drop the strongly held belief, ‘I must keep all friends forever.' I found releasing some relationships allowed room for some really awesome new ones to grow. “I'm loving those now. And low and behold, I started enjoying hanging out with my mom, and began to realize I had a kick ass mother!” Leigh summarized some of the keys to successful goal-setting, including the importance of setting small, measurable, and specific goals. She described her upcoming “Boot Camp” on overcoming habits and addictions. For more information, contact Leigh at www.TeamTherapyTraining.com. Following today's podcast, we received this lovely note from Leigh: Hi David and Rhonda, I so loved being with you both today!! Thank you for being so gracious and welcoming about these ideas on how to modify habits and addictions! I love growing together.  David, it really struck me how you were breaking things down into steps and making so clear for your listeners - it felt like your intellectual mind and your heart were going at the same time. Rhonda, I love how you brought up ideas and framed things in such a clear way. You guys rock!! When we finished up, I thought of a more thorough response to David's question about slogging today. I was reminded of perfectionism and how I'm trying not to be so perfectionistic. I still remember David's article on perfectionism from Psychology Today Magazine way back in 1980, when Feeling Good was first released. It was entitled, “The Perfectionist's Script for Self-Defeat.” I've been working on doing “B” work, and I've gotten so much more done and - when I don't fall into perfectionism again - having so much more fun. So, I like the idea of holding ourselves accountable, being committed to ourselves and our goals, and to letting ourselves do B work, instead of aiming for perfection. It seems kind of counter-intuitive, but that combo leads to getting more done and being a lot happier! Maybe you have some insights, David or Rhonda? Much love to you both, Leigh David wrote back: Hi Leigh, Thanks for the beautiful note. I have also struggled with perfectionism, especially when I was younger, and I agree with your conclusions 200%. But perfectionism has many tentacles, and is always lurking in the shadows, waiting to jump out and grab us again!! David Rhonda wrote back: Hi Leigh, I also struggle with perfectionism, and when I am feeling overwhelmed I tell myself, “I have an abundance of time to accomplish all I want to do today, calmly, peacefully, and with unhurried grace.'” That's not an empty affirmation, but a positive statement created after writing out a Daily Mood Log, seeing the positives in my perfectionism, and looking at the distortions in my thoughts. Rhonda We hope you enjoyed this podcast, Rhonda, Leigh and David

In this episode I got the chance to talk to Omar Pirzada, an incoming consultant at Deloitte. Omar explains in detail his journey through high-school, college, and beyond in an episode filled with plenty of value for anyone who is looking to work in a similar field. Omar learned from his experiences and never forgot about where he came from and what it took for him to get there. 

On Martin Luther King Jr. Day, Colter Nuanez reflects on the civil rights icon's words and legacy. Colter also breaks down the big high school rules changes that passed Monday, including the MHSA adopting a shot clock in basketball and officially sanctioning high school baseball.

Meet Amir Dan Rubin:Amir Dan Rubin is the Chair, CEO, and President of One Medical. He has previous experience in health insurance and at academic health centers. He was the Executive Vice President and Divisional CEO within Optum, the President and CEO at Sandford Health, the Chief Operating Officer at UCLA Health, and the Chief Operating Officer at Stony Brook University Medical Center. Amir has an MBA in Business Administration and an MHSA in Health Care Administration from the University of Michigan. Key Insights:Amir Dan Rubin shares insights into One Medical's unique membership model, and how it lowers costs and improves patient outcomes. 90% Net Promoter Score. One Medical has a high score for customer experience because their model is built around the patient. One Medical charges a membership fee rather than fee-for-service, employees are salaried, there is virtual care and their technology encourages coordinated and frictionless care. (13:45)Member Rather Than Patients. One Medical decreases costs through easy access primary care and prevention that decreases emergency room use. Amir admits that the components aren't novel, rather it's how they work together. (23:37)It's About People. If you are interested in mission-driven work, caring people, and an ever-changing field with big challenges, then healthcare is the right industry for you. Amir advises young leaders to find what they love, and be energized by it. (35:22)Relevant Links:Learn more about One Medical“100 Most Influential People in Healthcare: Amir Dan Rubin” by Modern Healthcare“One Medical raises full-year guidance with surge in membership, confronts high medical loss ratio in Q3” by Fierce Healthcare

Hackathons provide a fast-paced, high energy, community-building opportunity for a wide spectrum of participants to flex their innovation muscles and solve for some of today's greatest challenges. While these events have traditionally been geared towards computer scientists and software developers, in recent years nurses, clinicians, and health innovators have started to convene health-challenge inspired events. Today the health hackathon landscape is exciting, rapidly evolving, and nurses are playing a lead role in driving them. In this episode, we learn from health influencers, hackers, and innovators Jane Sarashon-Kahn, MA, MHSA; Chris Recinos, PhD, RN, FNP-BC, NEA-BC; Anthony Scarpone-Lambert, BSN ‘21; and Jennifferre Mancillas, BSN, RN, RNC-NIC about how hackathons have impacted their thinking, skills, lives, career trajectory, as well as the landscape of innovative health solutions and products. And -- why you should register your interest at NurseHack4Health.org. Email us at hello@seeyounowpodcast.com. For additional resources, visit our website at www.seeyounowpodcast.com.

In this episode Alex R. Kemper, MD, MPH, MS, FAAP, shares a research roundup from the October edition of the journal Pediatrics. Hosts David Hill, MD, FAAP, and Joanna Parga-Belinkie, MD, FAAP, also talk to Kara Brooks, MS, LEED AP BD+C, and Jonathan Flannery, MHSA, FACHE, FASHE, from the American Society for Health Care Engineering of the American Hospital Association about ways to improve ventilation in clinical setting. For resources go to aap.org/podcast.

In Part 3 of 3 on our series of Mental Health and COVID, we talk with Gina Rossi, LCSW-BACS, DCSW, MHSA, about the challenges she has seen and faced in treating the older population during the COVID-19 pandemic, including isolation, mask and vaccine mandates, and technology challenges faced using teletherapy. --- Send in a voice message: https://anchor.fm/rory-bellina6/message Support this podcast: https://anchor.fm/rory-bellina6/support

My overarching thought throughout a lot of this interview was that improving rural health will take everyone remembering to not let perfect be the enemy of the good. If I live in rural America, there's no subspecialists. Forget about even seeing a garden-variety kind of specialist. I might have to drive hours to even get to a PCP. There are NPs (nurse practitioners) in a lot of these remote communities, but everybody's fighting over whether to let them practice independently, even in places where there's zero PCPs for hundreds of miles, effectively leaving everyone in the vicinity with basically zero access to any care. Or here's another issue: Maternal mortality in this country is not only heartbreaking—a mother dying in what should be a precious moment—it's also embarrassing as an industrialized nation to be so far in last place. I don't know this for a fact, really, but women who have to drive literally hours to see a provider during their pregnancy or—God forbid!—they go into labor unexpectedly … is that a factor in our horrific maternal mortality rates? Consider that in Canada, which has, by the way, substantially better maternal mortality rates than the USA, PCPs and NPs deliver babies in low-risk pregnancies even in areas that have access to ob-gyns, unlike a lot of rural America. When do we start wondering if we're letting perfect be the enemy of the good? When do we start considering if no access to care is worse than some access, even if the “some” access is not with, perhaps, the ideal type of provider? These are not questions with easy answers, so we need data. We need to think in shades of gray—not in binary terms where good and bad have static definitions unaltered by wildly different circumstances. That said, one way to potentially make many parties happy might be to do something like the Nuka system has done for Native Americans in rural Alaska. Listen to EP312 for more info on that. It's pretty cool.   But let's just back up a sec with a little situation analysis: The thing with rural hospitals closing—and they are surely running in the red and closing—is the very pernicious cycle that develops. A hospital closing is kind of a bellwether for a community caught in a downward spiral in ways I did not realize until my conversation with Nikki King in this healthcare podcast. The main industry shuts its doors—maybe coal, or I grew up in a steel town when they were “closing all the factories down.” That was a Billy Joel quote there, and I spent a few years as a kid in the very same Allentown that song is about. Community trauma is no joke. Oh, and also, now there's no commercial lives. So, say the hospital in that town isn't prepared for this new payer mix reality and it closes. Then maybe a few hundred doctors and nurses move away, along with their spending habits, so other jobs go away. Then the more affluent senior citizens don't move back to their hometown to retire because who wants to live in a town with no hospital? Also, young families who have a choice might choose to go elsewhere. Former population centers start to disperse, and now there's not even a population big enough to support a hospital even if one would decide to go there. And when that hospital goes, so does its maternity department—and likely, even OB/GYN practices. Forget about a laborist.   You then will have local PCPs leave town because, right, a PCP connected to a hospital can make twice as much as an indie. Reference the huge number of PCPs in this country who are employed by a health system. Most of these employed PCPs will not work in rural communities where their employer health system has no facilities to refer to. There's no jobs there for an employed physician. Obviously, no specialists can stay in business in this environment either. Things go from bad to worse: Child abuse rises, and multigenerational diseases of despair start to set in. And there's no healthcare to treat these diseases or prevent them. Things go from bad to worse to even more worse. In this healthcare podcast, I am honored and thrilled to talk with Nikki King, DHA, who offers up three community-centric ideas around solving the crisis of access that people in rural communities face. In short, these ideas include: Freestanding ERs (ERs that have the financial discipline to not take advantage of the communities they claim to serve, that is) Telehealth that recognizes broadband issues, which is possible Expanding nurse practitioner rights and maybe even the scope of PCP practices to, for example, include maternity care for low-risk pregnancies in areas that have zero or very minimal access to healthcare otherwise Here's the shorter-than-short version: Perfect can't be the enemy of the good when we're talking about some of these communities that have no healthcare options. Nikki King grew up in Kentucky in the coalfields of central Appalachia. She managed a behavioral health and addictions unit at a critical access hospital and also worked in biostatistics. She is on the board of directors of the Indiana Rural Health Association and has developed policies as a member of the National Rural Health Association, among a whole list of other achievements. Nikki is innovative and compassionate, and she understands the culture of those she serves. She talks about a few things that she worked on during the pandemic that are truly inspirational. You can learn more by emailing Nikki at king.nikki2014@gmail.com. You can also connect with her on LinkedIn and follow her on Twitter.   Nikki King, MHSA, DHA, was born and raised in the coalfields of Southeastern Kentucky. Prior to working in the healthcare industry, she worked for the Center of Business and Economic Research studying models of sustainability in rural communities with a single economic engine. She has been working at Margaret Mary Health since 2015, occupying roles in clinical statistics, as well as currently managing the behavioral health and addiction services department. In addition to her role at Margaret Mary, Nikki completed her DHA at the Medical University of South Carolina and her MHSA from Xavier University. She currently serves on the Indiana Rural Health Association's Board of Directors, the American Hospital Association's Opioid Stewardship Advisory Group, and the National Rural Health Association's Policy Congress and Government Action Committee, and as the Board Chair of Rural Health Leadership Radio Board of Directors. 05:57 How dire is the rural hospital situation right now? 06:18 How could freestanding ERs be a potential solution for rural hospitals? 08:21 What are other potential rural health access solutions? 09:25 Why is broadband a roadblock to telehealth as a solution for rural health access? 14:06 The “hot potato” of nurse practitioners in the healthcare world. 15:05 “The number of residencies for physicians each year is not increasing, but the population … is increasing.” 19:06 EP312 with Douglas Eby, MD, MPH, CPE, of the Nuka System of Care. 20:41 What's the issue with maternity care in rural America? 22:53 “As healthcare becomes more and more specialized, [the] ability to treat high-risk cases is better, but access gets worse.” 26:50 How is mental health care affected in rural communities? 27:23 “Rural communities are trying very hard to hang on to what they have.” 28:49 “When you look at the one market plan that's available in a rural community, you probably can't afford it.” 30:39 What's the single biggest challenge to moving to a model that incentivizes keeping people healthy? 31:33 “The easiest low-hanging fruit … is having national Medicaid and have that put under the same hood as Medicare.” You can learn more by emailing Nikki at king.nikki2014@gmail.com. You can also connect with her on LinkedIn and follow her on Twitter.   @NikkiKing0911, DHA, discusses #ruralhealthcare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #ruralhealth How dire is the rural hospital situation right now? @NikkiKing0911, DHA, discusses #ruralhealthcare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #ruralhealth How could freestanding ERs be a potential solution for rural hospitals? @NikkiKing0911, DHA, discusses #ruralhealthcare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #ruralhealth What are other potential rural health access solutions? @NikkiKing0911, DHA, discusses #ruralhealthcare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #ruralhealth Why is broadband a roadblock to telehealth as a solution for rural health access? @NikkiKing0911, DHA, discusses #ruralhealthcare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #ruralhealth The “hot potato” of nurse practitioners in the healthcare world. @NikkiKing0911, DHA, discusses #ruralhealthcare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #ruralhealth “The number of residencies for physicians each year is not increasing, but the population … is increasing.” @NikkiKing0911, DHA, discusses #ruralhealthcare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #ruralhealth What's the issue with maternity care in rural America? @NikkiKing0911, DHA, discusses #ruralhealthcare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #ruralhealth “As healthcare becomes more and more specialized, [the] ability to treat high-risk cases is better, but access gets worse.” @NikkiKing0911, DHA, discusses #ruralhealthcare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #ruralhealth How is mental health care affected in rural communities? @NikkiKing0911, DHA, discusses #ruralhealthcare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #ruralhealth “Rural communities are trying very hard to hang on to what they have.” @NikkiKing0911, DHA, discusses #ruralhealthcare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #ruralhealth “When you look at the one market plan that's available in a rural community, you probably can't afford it.” @NikkiKing0911, DHA, discusses #ruralhealthcare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #ruralhealth What's the single biggest challenge to moving to a model that incentivizes keeping people healthy? @NikkiKing0911, DHA, discusses #ruralhealthcare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #ruralhealth “The easiest low-hanging fruit … is having national Medicaid and have that put under the same hood as Medicare.” @NikkiKing0911, DHA, discusses #ruralhealthcare on our #healthcarepodcast. #healthcare #podcast #digitalhealth #ruralhealth Recent past interviews: Click a guest's name for their latest RHV episode! Olivia Webb, Brandon Weber, Stacey Richter (INBW30), Brian Klepper (AEE16), Brian Klepper (EP335), Sunita Desai, Care Plans vs Real World (EP333), Dr Tony DiGioia, Al Lewis, John Marchica, Joe Connolly, Marshall Allen, Andrew Eye, Naomi Fried, Dr Rishi Wadhera, Dr Mai Pham, Nicole Bradberry and Kelly Conroy, Lee Lewis, Dr Arshad Rahim, Dr Monica Lypson, Dr Rich Klasco, Dr David Carmouche (AEE15), Christian Milaster, Dr Grace Terrell, Troy Larsgard, Josh LaRosa, Dr David Carmouche (EP316), Bob Matthews

In this episode, the third of a three-part series, John B. Pinto discusses some of the future megatrends expected for ophthalmic practices, challenge practices may face in the future, and more. Intro :13 What you think the megatrends are going to be over the next decade or so in the ophthalmic practices :50 What do you think is the most important topic or issue or challenge facing ophthalmic practices now and in the future? 4:46 If our listeners wanted to learn more, what's the best way to contact you? 10:02 I really appreciate you and all your great advice 10:47 Any final words? 11:00 Thank you so much John, I appreciate it 11:16 John B. Pinto is president of J. Pinto & Associates, Inc. He is also a practice consultant and the author of several books on ophthalmic practice management, including John Pinto's Little Green Book of Ophthalmology, UP (with Corinne Wohl), Simple, and Ophthalmic Leadership. UP: Taking Ophthalmic Administrators and Their Management Teams to the Next Level of Skill, Performance and Career Satisfaction, Second Edition is a powerful, practical workbook by Corinne Wohl, MHSA, COE and John B. Pinto designed to take ophthalmic administrators and practice managers to the next level of their careers, offering practical tips, concrete advice, and a step-by-step guide for any hurdle they face. Available now for purchase at slackbooks.com/management. Receive 20% off with promo code PINTO20. We'd love to hear from you! Send your comments/questions to Dr. Mali at eyecareinsider@healio.com. Follow us on Twitter @Healio_OSN. Disclosures: The Wyanoke Group is the parent company of Healio and SLACK Books. Mali reports he is founder and CEO of Mali Enterprises; retina medical director at Macular Degeneration Association; grant/research support from Alimera Sciences, Allergan/AbbVie, Chengdu Kanghong Biotechnology, Genentech, Notal Vision, Regeneron and Santen; consulting for Alimera Sciences, Allergan/AbbVie, Eyepoint Pharmaceuticals, Genentech, Kala Pharmaceuticals, Macular Degeneration Association, Notal Vision, Novartis, Regeneron and Sun Pharmaceuticals; speaker bureau for Alimera Sciences, Genentech, Kala Pharmaceuticals, Macular Degeneration Association, Notal Vision, Novartis and Sun Pharmaceuticals; and stock/shareholder with AbbVie and Regeneron.

In this episode, Julie from Flip N' Shift and I talk about the Law of Attraction and how to kick it in your life in the way you want. Included is how to use FasterEFT tapping to do this, a process that you can do daily, and a lot more. Julie Walz is the founder of The Flip N' Shift and Co-Host of The Flip N' Shift Lives on IG. Julie has Successfully recovered from Chronic Illness, mold Illness, Chronic Migraines, and Lyme disease. BSA, MHSA, Mindfulness Education Certification, and Tiny Habits Coaching Certification. You can find more info on Julie and Flip N' Shift here: https://www.flipnshift.com For more info on FasterEFT Tapping and leading edge, Law of Attraction principles, head over to my group http://Facebook.com/groups/TapitOut. I'm looking forward to meeting you.

Pathology administrators are tasked with the recruitment, retention, and management of laboratory staff. But how do you attract personnel for hard-to-fill positions? And how do you help young pathologists and laboratory professionals advance their careers and become the next generation of leaders?  On this episode of Inside the Lab, our hosts Dr. Lotte Mulder and Ms. Kelly Swails are joined by Ms. Kelley Suskie, MHSA, FACMPE, Administrator for the Department of Internal Medicine at the University of Arkansas for Medical Science, Mr. John Baci, MBA, C-PM, Executive Director of Anatomic Pathology at Boston Children's Hospital, and Mr. Martin Lawlor, Director of Finance and Administration for the Department of Pathology at Michigan Medicine, to discuss personnel management. Our panelists explain what administrators can do to prepare for the retirement cliff facing pathology, challenging laboratory professionals to mentor the next generation of leaders. They explore how personnel management differs in an academic versus clinical setting and offer strategies for networking in the pathology administration community. Listen in as our panelists share their most challenging personnel management experiences and get their advice on confronting bad behavior early on and holding people accountable for their actions as pathology administrators. Topics Covered  ·  Suggestions for recruiting and retaining personnel for hard-to-fill positions· Creating succession plans for the laboratory professionals ·  Preparing for the retirement cliff the pathology field is facing and developing the next generation of leaders· Why it's better to help top performers advance and move on rather than hold them back· How to reconcile making yourself invaluable in the lab with empowering your team· How personnel management differs in an academic vs. clinical setting· Strategies for connecting with others in the community of academic pathology administration· The importance of both internal and external networking in the personnel management space· Challenging personnel management experiences· Developing the courage to confront bad behavior early on and hold people accountable for their actions· Our panelists' advice around mentoring aspiring pathology administrators Connect with ASCP ASCPASCP on FacebookASCP on InstagramASCP on Twitter Connect with Ms. SuskieMs. Suskie on LinkedInMs. Suskie on Twitter Connect with Mr. Baci Mr. Baci at Boston Children's HospitalMr. Baci on LinkedIn Connect with Mr. Lawlor Mr. Lawlor at Michigan Medicine Connect with Dr. Mulder & Ms. Swails Dr. Mulder on TwitterMs. Swails on Twitter Resources Inside the Lab in the ASCP Store 

Cardiovascular care transformation starts with data and it's more important now than ever. The COVID pandemic has created a volatile healthcare environment, drastically impacting volumes, fundamentally changing how care is delivered and presenting significant financial challenges. On MedAxiom HeartTalk, host Melanie Lawson talks with Lori Walsh, EVP of Membership & Operations, MHSA and Karen Wilson, Director of Member Relations, MHS, both of MedAxiom. They share how your organization can use data to identify waste in the system and improve patient care and access.

Today's Interview is with Mindy Eisenberg - Founder - Yoga Moves MS.   Mindy Eisenberg, MHSA, C-IAYT, ERYT-500 is the Founder and Director of Yoga Moves MS, a non profit 501(c )(3) with the mission of improving the quality of life for individuals with Parkinson's Disease, MS, and neuromuscular conditions.   Mindy holds both a Bachelors and Masters Degree as well as numerous certifications in Yoga Therapy.  Honestly, too many to list in the show notes, LOL.  She is an expert in how movement and building the mind body connection is an effective therapy for autoimmune diseases.  Mindy is author of Adaptive Yoga Moves Any Body (Crested for Individuals with MS and neuromuscular conditions which is available on Amazon.  See Link Below.Please Listen, Learn and Enjoy this episode with Mindy Eisenberg.More on Mindy Eisenberg, MHSA, C-IAYT, ERYT-500:https://www.yogamovesms.org/https://read.amazon.com/kp/embed?asin=B07CLH1G3M&preview=newtab&linkCode=kpe&ref_=cm_sw_r_kb_dp_BK1C1YF6BWDWN04RBGG5@mindy.eisenberg@yogamovesmsYou can find Kathy atdisruptfitnessgym@gmail.commoveitorloseit109@gmail.comFacebook Group: Disrupt and Heal Autoimmune Diseaseshttps://www.facebook.com/groups/239205444262461Instagram - @msmoveitorloseit @disruptfitnessgymPrevinex - Use the same clinically effective supplements that promote Longevity, performance and everyday health as Kathy does.https://www.previnex.com/Use promo code disrupt15 to get 15% offHere are some additional products that help Kathy deal with beating the Heat and Migraines.  Take advantage of the coupon code.Koldtec - Cool Head WrapKOLD10To save $10 off every item in store.2 items = $20 savings3 items = $30 savingshttps://www.koldtec.com/Cold bean bag Releafpack. 15% discount use code Disrupt15https://www.releafpack.com

Hi everyone! My name is Stephanie Skinner. I am the reigning Miss High School America 2021 and will be spending my year of service promoting all things MHSA, B.R.A.V.E, Hands of Hope, and serving my community. I will be going into my senior year of high school this upcoming fall with the plan to graduate with the completion of 12 AP courses and at the top 10% of my class. I am currently apart of my school's National Honor Society, Mathletics team, Leadership Core, and French Club. Outside of school, I am either in the dance studio, on the Varisty field hockey field, or traveling with family and friends. What I love doing most is serving those around me. I have completed over 500 hours of community service within this last year. I am involved with numerous organizations such as Gigi's Playhouse, Special Olympics, Salvation Army, Feed our Vets, and so many more. However, many of those hours came from working with my own organization Hands of Hope in classrooms and Girl Scout troops nationwide. Hands of Hope is my own youth empowerment organization that instills confidence in today's youth while teaching others how to lend a hand and take a stand against bullying. So far my message of self love and inclusivity has reached 5,000 students and that number is only growing. If you are interested in getting involved please message me on Instagram @thestephanieskinner or @hands._of_hope for more information. I know that together we can create an uplifting, inclusive society! ️

In this second episode of a three-part series, John B. Pinto discusses the job market for early-career professionals and new graduates, his perspective on what ophthalmologists have learned from the pandemic and the role telemedicine will play in the future of ophthalmology. Intro :14 What is the current negotiation position in the market for early-career and new graduate ophthalmic practice physicians? :41 I'd love to hear your perspective on what we have learned about our practices after a year of this pandemic 3:35 How is the telemedicine trend going now? Is telemedicine here to stay? 11:09 Tell us about your upcoming book and your insight into it? 12:59 Stay tuned for the next episode of this special three-part miniseries 17:38 John B. Pinto is president of J. Pinto & Associates, Inc. He is also a practice consultant and the author of several books on ophthalmic practice management, including John Pinto's Little Green Book of Ophthalmology, UP (with Corinne Wohl), Simple, and Ophthalmic Leadership. UP: Taking Ophthalmic Administrators and Their Management Teams to the Next Level of Skill, Performance and Career Satisfaction, Second Edition is a powerful, practical workbook by Corinne Wohl, MHSA, COE and John B. Pinto designed to take ophthalmic administrators and practice managers to the next level of their careers, offering practical tips, concrete advice, and a step-by-step guide for any hurdle they face. Available now for purchase at slackbooks.com/management. Receive 20% off with promo code PINTO20. We'd love to hear from you! Send your comments/questions to Dr. Mali at eyecareinsider@healio.com. Follow us on Twitter @Healio_OSN. Disclosures: The Wyanoke Group is the parent company of Healio and SLACK Books. Mali reports he is founder and CEO of Mali Enterprises; retina medical director at Macular Degeneration Association; grant/research support from Alimera Sciences, Allergan/AbbVie, Chengdu Kanghong Biotechnology, Genentech, Notal Vision, Regeneron and Santen; consulting for Alimera Sciences, Allergan/AbbVie, Eyepoint Pharmaceuticals, Genentech, Kala Pharmaceuticals, Macular Degeneration Association, Notal Vision, Novartis, Regeneron and Sun Pharmaceuticals; speaker bureau for Alimera Sciences, Genentech, Kala Pharmaceuticals, Macular Degeneration Association, Notal Vision, Novartis and Sun Pharmaceuticals; and stock/shareholder with AbbVie and Regeneron.

How do you Deal with Resistance, Lead Effectively, & Find Joy in Your Work? Nancy Jacoby RN, MBA, MHSA, FACHE, ACC guests on Swift Healthcare Podcast where we discuss all this and more! Tune in because you do not want to miss it!   Ranked a Top 60 Healthcare Leadership podcast by Feedspot.   Nancy Jacoby on LinkedIn: https://www.linkedin.com/in/njacobyfache/   Music Credit: Jason Shaw from Audionautix.com   THE IMPERFECT SHOW NOTES To help make this podcast more accessible to those who are hearing impaired or those who like to read rather than listen to podcasts, we'd love to offer polished show notes. However, Swift Healthcare is in its first year.  What we can offer currently are these imperfect show notes. The transcription is far from perfect. But hopefully it's close enough - even with the errors - to give those who aren't able or inclined to audio interviews a way to participate.  Please enjoy! Transcript  [00:00:00] Patrick Swift, PhD, MBA, FACHE: [00:00:00] Welcome folks to another episode of the Swift healthcare video podcast. I'm Patrick Swift, your host, I'm so excited about Nancy Jacoby being on the show. Nancy, welcome to the show. [00:00:08] Nancy Jacoby RN, MBA, MHSA, FACHE, ACC: [00:00:08] Thank you, Patrick. It's a pleasure to be here with you today. [00:00:11]Patrick Swift, PhD, MBA, FACHE: [00:00:11] It's a joy and the title of our show here is how to deal with resistance lead effectively and find joy in your work. I love that. And so folks, let me share with you Nancy's bio here, which I love doing the top of the show. Nancy Jacoby is a former healthcare executive with 25 years of experience in the industry. She's a board certified. She is board certified in healthcare management by the American college of healthcare executives and is a fellow of the college go ACHE. I'm a FACHE as well. So I'm delighted that you're on the show prior to serving in leadership positions, Nancy, as a registered nurse with a passion for caring for the geriatric patients, she's actually still licensed in two States and she founded Nancy Jacoby [00:01:00] consulting and Nancy Jacoby coaching and consulting. And I have to call out that you went to Xavier university in Cincinnati. Having a great love for the Jesuits. I got, I got to give a shout out for your you're a Jesuit education and being a Xavier. [00:01:13] Nancy Jacoby RN, MBA, MHSA, FACHE, ACC: [00:01:13] That's right. I'm proud to be a Xavier alum. [00:01:16] Patrick Swift, PhD, MBA, FACHE: [00:01:16] Outstanding. So we're going to talk about how to deal with resistance lead effectively and find joy at work. And if I may, let me also ask you, we did a little prep folks on before the show and about, you know, the arc of the book. Podcasts we're taping here, but I want to also ask you what got you into health care. If I may what drew you into healthcare and the passion you have because it's so strong and the impact you're having you know, what's your, what's your, why? What drew you into healthcare? [00:01:44] Nancy Jacoby RN, MBA, MHSA, FACHE, ACC: [00:01:44] Well, you know, Patrick, it's funny because you know, you fill out these child books that your parents give you, you know, year by year with, you know, your grade school teacher and your friends. And what do you want to be when you grow up and early on, I identified looking back, I identified a lot of focus [00:02:00] on. What I would call helping professions, you know, being a nurse, being a teacher and nurse stayed there for a good couple of years. Right. And you know, when I, when I first went to college at Xavier I started out as a psych major because I always had a gravitation towards people with, you know, emotional health needs. And I just, I got attracted to nursing because I felt like I could serve the whole patient and the whole person. And the mission of caring for the sick. I mean, what, what's more noble than that, right? I've always been attracted to something where in some way, shape or form, I'm going to have an impact. That's more than just on paper. Like I wanted to have a tangible impact [00:02:44] Patrick Swift, PhD, MBA, FACHE: [00:02:44] Yeah. Yeah. [00:02:45] Nancy Jacoby RN, MBA, MHSA, FACHE, ACC: [00:02:45] and that that's, that's really what drew me to nursing. And. It drew me into healthcare administration, believe it or not, because I could make an impact on so many different levels. You know, people might say, well, that sounds [00:03:00] strange. How do you do that? Well, because you can, you can touch the patient. You can touch the organization. And then in a leadership role, you have the awesome responsibility to lead mentor and develop others. And it was probably one of the most fulfilling parts of my job. [00:03:17] Patrick Swift, PhD, MBA, FACHE: [00:03:17] Aw. Oh, I mean, it's really, I love that because it's, it's pulling together all of the intention you had of being in the helping profession, even as a young person. And then, and then being in the workforce and being a healer and coaching and helping others heal and. You know, I hope listeners are thinking about what got you into health care yourself, or if you're thinking about healthcare the show is for, from the CEO to the new employee, to the aspiring healthcare professional we all can learn, we can all find inspiration and joy from each other. [00:03:45] And thinking about what drew you into healthcare, Nancy I think is beautiful for our listeners also to think about what drew you into healthcare. Cause hell if we can connect more and more to a purpose, it is a protective. Barrier protective factor from [00:04:00] burnout. Because if we're dealing with burnout, one of the biggest things we can do is connect to our meaning and purpose. And so I love you sharing that short story as a neuropsychologist. I know listeners can't help, but be thinking about that question for themselves. Well, why am I doing this? And it gets back to purpose. So. One of the challenges in dealing with burnout, whether you're a provider, whether you're a physician, a nurse, a clinician, or a leader, or both is we all deal with resistance. And so I'd love to, I love this. You've got amazing blog. You've got a lot of great content out there. Let's talk about, here's the question? What do you mean by making friends with resistance? [00:04:38] Nancy Jacoby RN, MBA, MHSA, FACHE, ACC: [00:04:38] Absolutely. And people who are listening right now, they, they must be thinking, you're crazy. How can you make friends with resistance? Right. It's, you know, it's funny because when people think of resistance, a lot of the times it's, it's something negative, you know? So if I'm doing a workshop or if I'm having a conversation like this, when I, when I ask people, well, what's the first thing that comes to mind. When you think of resistance, it's [00:05:00] often negative words like, you know, right. I hear words like obstacle, blockade, stubborn impeding progress, you know challenge, you know, conflict. Right. And it doesn't have to be that way because resistance is really a natural part of any change that we're bringing to the table. Whether it's [00:05:22] Patrick Swift, PhD, MBA, FACHE: [00:05:22] And you said the change work. Cause then people, then we can't help, but think of like, Oh, blood pressure. Right. And what you're doing is normalizing that normal part of what we do, right? [00:05:33] Nancy Jacoby RN, MBA, MHSA, FACHE, ACC: [00:05:33] absolute normal part of what we do, whether whether we're undergoing an individual change that we think might be very simple, or whether we're helping a team go through a change or, you know, Patrick at the organizational level, if we're doing something huge, you know, like a merger and we're going to bring two organizations together, like. The potential for resistance there on so many levels is very high because it's normal. It's, [00:06:00] it's, it's, it's like a friend that you have next to you all the time. Just welcoming it to the table and saying, I know you're here. Glad you're here with us. Let's figure out how to use you. [00:06:11] Patrick Swift, PhD, MBA, FACHE: [00:06:11] I love that angle about how to then use resistance, because I love to contemplate the notion of the yoga of healthcare being a meditator and, and the notion of. Yoga of healthcare, this notion of developing our flexibility and our, our, our, our, our skills and our abilities and using resistance as part of the physical yoga. But here, you're talking about using resistance  to be more. More, whether it's effective, be more healthy, to be more happy to be more effective as a leader, this, this you know, you've written it can be a gift. So what are your thoughts about, you know, how, how is resistance a gift? [00:06:53] Nancy Jacoby RN, MBA, MHSA, FACHE, ACC: [00:06:53] Absolutely. Well, you know, if you think about why re why we resist, right. [00:07:00] Oftentimes on some level, there's some sort of fear factor in there, whether it's, you know, at the individual level we're undergoing some sort of change or we're trying something new, right. We may be kind of afraid of it. Going back to that big organizational context, like, you know, Holy smokes, we're bringing two organizations together. And. This is huge, right? It's huge on so many levels. We're bringing together cultures and finances and teams and information systems, all these things that are coming together when the resistance is coming to the table. And you know, it's funny. Cause I, I read a great book about resistance, a guy named Rick Mauer wrote beyond the wall of resistance and he talks about three levels of resistance. [00:07:43] And when I think about some of the projects that I've led in healthcare, it's, it's just so on the money because when resistance shows up, it can, it can tell us three things. It can tell us that, all right, we don't, we don't get what's going on. Like, you know, the, I don't get it. I don't, I don't understand this. [00:08:00] Like, I don't understand this change. I don't understand the parts. Right. It could tell us that. Okay, we get it. But we just don't like it. Right. So it's like, I understand we're merging. I understand we're doing this and I am, I don't like it. And oftentimes when that's happening there is that very, very strong fear, underlying, underlying what's in there. [00:08:25] Right. And then on the third level, there's, there's the resistance that comes to the table. I don't like you. And when he says, I don't like you, it's not necessarily, I don't like you, Patrick. It's, there's something here that I don't trust. Maybe it's something from the past, you know, let's say, you know, you and I are working on a merger team together. And we met in a past life. We were on a project and somehow I wronged you or I did something that violated your values. You don't trust me. And you're showing up with it. The point of talking about all of this is that. In those three [00:09:00] levels of resistance, there is so much information that's coming to the table. [00:09:05] If we just pay enough attention to what's really going on. So a lot of the times when resistance shows up, particularly on a team where, you know, we're doing some serious business in healthcare, those these are high stakes patients' lives are at risks. Profit margins are at risk. I mean, we we've got some fundamentally serious stuff going on here. It's easy to, to knee-jerk and take things personally and be very wrong active, but really when it, when we think about resistance showing up, it's, it's a gift because it's giving us so much information into the state of mind, of our team members and what they're thinking and what they're feeling. And it's telling them, it's telling us, Hey, slow down leader. Pay attention to what's going on here, because there could be some knowledge in here that's useful to you in whatever you're trying to do with your team, with your department, with your organization. [00:09:57] Hmm. [00:09:57] Patrick Swift, PhD, MBA, FACHE: [00:09:57] I appreciate that. Cause you're you, you touched on [00:10:00] resistance being. I don't, I don't get it. I don't understand it. I, I, I understand it, but don't like it On a personal level. The interaction, the dyad, the pair, the the, I don't like you or trust you. And you're touching on the great wisdom there because it's not just leaders, but heck listeners may have a coworker that they're in a clinical setting or they're in finance or in their they're in other departments, whether you're frontline back office, there's always that. Resistance that can occur in the workplace. Right. And you're touching on some wisdom that people can practically, at least you're starting to, with the awareness. I mean, earlier I was reading your bio increasing awareness because once you're aware, then you can do something about it. If you're coming to the table and saying, I don't get this, or I don't like it, I get it. I don't like it, or I don't trust it as person. Practically. Is there coaching suggestion that you have folks for how to turn that into a gift? [00:10:56] Nancy Jacoby RN, MBA, MHSA, FACHE, ACC: [00:10:56] Yeah. Yeah, absolutely. You know, when, when you're thinking [00:11:00] about, you know, the fear factor or the trust factor, it's I tell my clients it's a wonderful time. To sit down and engage in conversation with whatever is bringing that resistance. So if it's if it's you know, face-to-face kind of conflict or there's a one-to-one relationship where something's amiss or, you know, you're leading a team and you're sensing good grief, this dynamic is just not feeling good. And this is, this is really getting in the way it's I, instead of running away from it, which. People want to do, because sometimes this is uncomfortable. Patrick, it's uncomfortable to engage in these sorts of things. I tell them, this is the precise time to lean in with your authentic self and get curious about what's going on with you. What's going on with this team, but then being a leader, you know, what's going on with us, like, you know, asking those questions and getting to what I [00:12:00] call the why's. And, you know, peeling back that onion and saying, let's, let's dig in here and really, you know, understand with a spirit of compassion and generosity, you know, how we can, how we can use this fear or how we can learn from what's happened with, you know a misunderstanding that created this. [00:12:22] This lack of trust, if you will, you know, really, really showing up with a transparency with an openness. And then, you know, just thinking back to a client situation, I had the other day where we talked through how he was going to approach somebody who he had wronged and showing up and saying, you know, look, I I'm aware that this happened in the past and I, and I want to tell you, I'm sorry, I understand that I've, I've hurt you. And I understand that this is what I did, and it made you feel this way and I'm going to do my best to. To show up better and to repair this. So it's, it's really about coming to the table and leaning in engaging and being [00:13:00] curious. [00:13:01] And then there's an element of accountability where it's like owning your role in, you know, am I, am I triggering resistance in somebody or am I triggering resistance in my team because I'm, maybe I'm not leaning in enough or, you know, maybe I'm. I'm rushing things when it comes to just, you know, pounding this change through, because Patrick you've been in healthcare long enough, you know, the deadlines are fierce, the pressure is high. You know, the stress is huge, right. And we're all well-intentioned people. And we bring to that table that high achieving excellence, we're going to get it done. But I Al I always remind people of what costs right. [00:13:40] Patrick Swift, PhD, MBA, FACHE: [00:13:40] right. Yeah, because ultimately it's about people and not the numbers. And you said a lot of great content there. And, and I just comment on the lean in. I'm glad you said lean in. Because of the back of my mind, I am thinking it's, it's your message here. I'm hearing and feeling is that when there is resistance, you've essentially got a choice. We've [00:14:00] got a choice we withdraw and we may end up avoiding something and may have a short-term benefit from it, but we lose. When we disengage actually we, we hurt ourselves. And so if there's a listener, I want to encourage folks to think about what resistance you may be facing in your day. Well, heck and your personal life too, but in your workflow work-life if you're, if you're leaning back. And what consequences having, as opposed to leaning into it. And you said the word compassion earlier, and I was pleased and like surprised because it does tie into this and that's a practical wisdom that the benefit of coaching and you and I, both coach people and. It's more than just effectiveness and outcomes and, and these, these numerically driven concepts, but the deeper, more meaningful about compassion and meaning and joy, you know, this, the episode being titled the how to deal with resistance lead effectively and find joy at work. [00:15:00] I love that you touched on, on, on the, the compassion and, and so how does one Navigate this any other  story that comes to mind that that, that was inspiring that you came across. [00:15:12] Nancy Jacoby RN, MBA, MHSA, FACHE, ACC: [00:15:12] You know, it's, it's funny because I, I had changed jobs at one point and I was meeting with a new, very senior physician who, was in a very senior position on his service. And yeah, I'm brand new and I'm in my suit and pearls and I'm going to meet him, you know, as the new administrator. Right. You know, all excited to meet this guy. Well, Patrick, this guy was not excited to meet me. So I get into his office, you know, he's got all the diplomas on the wall and things going on, right. He's in his white coat with a  shirt and tie . Right. He's got his arms folded and it's glaring at know, I'm thinking, Oh dear, this is going to be fun. Right. And you know, after I greet him, you know, I'm Nancy Jacoby, blah, blah, blah, blah. I don't know why you're here. I don't need you here. I don't want you here [00:16:00] now. You're you're talking about some serious, some serious levels of resistance going, right. I think we got, I think we got a winner here. You both. Right. [00:16:10] And you know, if I think about it, you know, retrospectively, I understand why, because a lot of administrators that he dealt with, you know, come in. And the first thing that I want to do is cut his budget and come in and tell him everything he's doing wrong and everything that he should be doing. And here's what you should do. And start like nine different change initiatives at a time and boss him around. So what he's thinking, you know, so I'm. In my little suit and pearls, I'm representing the administrators that have been in the past and he's thinking, Oh, here's another flavor of the month. That's going to come in and, you know, whack my budget and tell me what to do. And I said, all right. So in coaching mode, meet the person where they are. Right. You know, so I said to him, all right, You know, I'm really glad you shared that with me. And, and I appreciate your candor and, you know, I understand that it's frustrating to have new people come in and what I really want to do with [00:17:00] you today, if it's all right with you is just to learn from you because I'm, I'm new and I'd really appreciate you sharing with me. What's going on on the service and what are the challenges that you're facing right now? You know, what's keeping you up at night. And then maybe you and I could talk about if there's any possible way that I could help you, you know, at some point, yeah. Let's, let's just kind of hash that out and he kind of settled down a little bit and, and I'm not saying that, you know, we were peas and carrots from that day. We were not, it took a lot of time. Patrick was me, you know, showing up at his office, you know, showing up at his office again, showing up at his office. The same sorts of thing until , one day he, he looked at me, he said, you, you want to know, what's keeping me up at night, come over to this computer. [00:17:45] I want to show you this, you know, this EMR, I want to show you how many clicks I have to make. And I'm like, okay, okay. We're getting somewhere. Right. Yeah. So fast forward, working with him, working with the team, we did get to be peas and carrots and it did [00:18:00] get to be a really great relationship. But, you know, you really, you really have to hang in there and make, be that way and lean in and get curious about, you know, what, you know, why is this guy so upset? He's you said something before about intention. When we were talking about, you know, why I got into health care and nursing. So intention for a minute, thinking about resistance because we're humans and the logical place, sometimes that we go is, Oh my God, this guy is such a pain in the neck. Why is he being this way? If we just stop and say, all right, this guy's human to who like what's what's hap right compassion. Like what's, what's happened to him. That's creating this reaction. Like what, what is it about me? That's causing him to feel this way. And then how, how can I help? [00:18:45] Patrick Swift, PhD, MBA, FACHE: [00:18:45] ties beautifully to, to values. You know, one of the thing I want to ask you is what what am I values have to do with it, of how to lean into resistance? How does that tie into it, Nancy? [00:18:55] Nancy Jacoby RN, MBA, MHSA, FACHE, ACC: [00:18:55] Yeah. Well, you know, Patrick, for me, two of the most important [00:19:00] values at my core are integrity and courage. Right? So. Saying saying what we mean, meaning what we say, doing what we say we're going to do and saying what we're going to do and having all of those match. So if I'm going to, if I'm going to call myself a leader, right. But then I'm when, when things are hitting the fan, so to speak, or I've got a difficult conversation or, you know, there's something brewing, whatever you want to call it. If I'm kind of shirking away, you know, you know, I don't, I don't want to deal with that. Right. There's a misalignment for me there. Right. We, we. I believe we have to have the courage to go there and open up that box and say, you know, listen, and, you know, showing up with our compassionate selves because I know in healthcare we're compassionate, otherwise we wouldn't be here. Right. So there's my third value is I would, I would call it really kindness. That's the way I think about it. But, you know, integrity, courage and kindness, you know, leading with those three values. at [00:20:00] core [00:20:01] Patrick Swift, PhD, MBA, FACHE: [00:20:01] I really appreciate that Nancy, because it is protection from burnout by knowing what your values are and for our listeners, I want to encourage folks to what are your values? Because when, when the proverbial stuff hits the fan to fit hits the Shan what are you, what are you falling back on? What are we falling back on? You're touching on something I think really is beautiful. Personally professionally as a leader, as a healthcare person, Whatever your role is, if you, if you have a strong sense of what your values are, if you have some clarity, your value, you're speaking about being able to have a clarity of your values that then helps dealing with resistance and not only dealing with it, but making it your friend and you be it. I think he did a beautiful job of it's like this is a martial arts jujitsu of as opposed to going against the resistance to actually. hapkido , I think with the, with the letting, letting that resistance flow like that physician example you gave instead of obliquely going head on and [00:21:00] banging into people to, to be able to lean in with, and this takes courage. [00:21:04] This takes courage, what you're talking about. So with the episode title here, how do we deal with resistance lead effectively and find joy at work? I trust that that listeners are getting a better sense of how to deal with resistance, how to lead more effectively. By having that clarity to be able to join with folks, whether it's on a personal leadership level or you're a CEO of a hospital I don't care. We're all human beings walking each other home. And there can be joy in that. So I love that you talking about the values and. And that leads me to be able to ask you my favorite question as my guests, which is if you, for a brief moment had the attention of all the healthcare people around the whole planet for a brief moment, what would you say to us? [00:21:46] Nancy Jacoby RN, MBA, MHSA, FACHE, ACC: [00:21:46] Oh, gosh, you know, I would say, I would say healthcare is a serious business and we deal with some pretty serious stuff. Right. But we don't always have to be so serious. So, you know, I would say [00:22:00] laugh, love, relax, and, and enjoy the ride [00:22:03]Patrick Swift, PhD, MBA, FACHE: [00:22:03] Hmm. I really appreciate that, Nancy. And I think about when I was a young clinician, when I had hair, no gray and coming into the healthcare profession, there is the sense of the gravitas  of healthcare. I wish I had had that within my quiver of arrows when I started. To recognize. Yes, there's a gravitas,  but also the, to live laugh. Find that joy along the way. So thank you for saying that and for our listener if you're new to the profession God, hang on to that wisdom from Nancy. And if you're near the end of a career or nearing retirement, it's not too late. This is the time, especially in the face of everything we've been dealing with in healthcare. With burnout and COVID and, and changes and, and resistance and all of this to be able to find some joy in what we do. So thank you for sharing that Nancy. And I want to ask you, if folks are interested in following up with you and learning more [00:23:00] about what you do where can they go? [00:23:03] Nancy Jacoby RN, MBA, MHSA, FACHE, ACC: [00:23:03] Patrick, they can visit my website njacoby.com. I also have a great guide. If they're interested in learning more about resistance or want an exercise that they can go through when they're experiencing resistance, they can text outcomes to 42828 , and they'll get my free resistance guide that they can use over and over and over again, to help them navigate. [00:23:23] Patrick Swift, PhD, MBA, FACHE: [00:23:23] Love it. That is so cool. Four, two eight, two eight. [00:23:26] Nancy Jacoby RN, MBA, MHSA, FACHE, ACC: [00:23:26] Four two eight, two eight [00:23:28]Patrick Swift, PhD, MBA, FACHE: [00:23:28] want to encourage folks if you want to follow up please follow up on that. It's a great resource. I'll have that in the show notes for the, for the podcast asked on the, on the website, Swift healthcare slash podcast. And I encourage folks to check that out, but Nancy I'm so grateful that you could be on the show and just thank you for bringing you're you're strengthened, compassion and wisdom and experience to be able to share with folks. [00:23:49] Nancy Jacoby RN, MBA, MHSA, FACHE, ACC: [00:23:49] Well, Patrick has been a true pleasure. Thank you for having me.

In this episode, the first of a three-part series, John B. Pinto discusses how he got started in ophthalmic practice management, shares an historical perspective on the field, plus his advice for physicians. Intro :16 About John Pinto :54 On Pinto's background, why he went into the ophthalmic practice management industry 1:39 Can you give listeners a historical perspective of how has ophthalmic practice management changed or evolved over the last 40 years? 7:13 What is the current state of ophthalmic practice management in America today? 13:11 Could you give a key pearl for how to handle practice management as an early- or mid-career physician as well as a late-career/ retirement-age physician? 16:02 In your experience, what would you say would be the average age of full retirement in ophthalmology? 23:56 Stay tuned for the next episode of this special three-part miniseries 27:19 John B. Pinto is president of J. Pinto & Associates, Inc. He is also a practice consultant and the author of several books on ophthalmic practice management, including John Pinto's Little Green Book of Ophthalmology, UP (with Corinne Wohl), Simple, and Ophthalmic Leadership. UP: Taking Ophthalmic Administrators and Their Management Teams to the Next Level of Skill, Performance and Career Satisfaction, Second Edition is a powerful, practical workbook by Corinne Wohl, MHSA, COE and John B. Pinto designed to take ophthalmic administrators and practice managers to the next level of their careers, offering practical tips, concrete advice, and a step-by-step guide for any hurdle they face. Available now for purchase at slackbooks.com/management. Receive 20% off with promo code PINTO20. We'd love to hear from you! Send your comments/questions to Dr. Mali at eyecareinsider@healio.com. Follow us on Twitter @Healio_OSN. Disclosures: The Wyanoke Group is the parent company of Healio and SLACK Books. Mali reports he is founder and CEO of Mali Enterprises; retina medical director at Macular Degeneration Association; grant/research support from Alimera Sciences, Allergan/AbbVie, Chengdu Kanghong Biotechnology, Genentech, Notal Vision, Regeneron and Santen; consulting for Alimera Sciences, Allergan/AbbVie, Eyepoint Pharmaceuticals, Genentech, Kala Pharmaceuticals, Macular Degeneration Association, Notal Vision, Novartis, Regeneron and Sun Pharmaceuticals; speaker bureau for Alimera Sciences, Genentech, Kala Pharmaceuticals, Macular Degeneration Association, Notal Vision, Novartis and Sun Pharmaceuticals; and stock/shareholder with AbbVie and Regeneron.

Cachet Colvard is a department administrator in clinical operations at Cleveland Clinic Abu Dhabi. Previously, Ms. Cachet served in the Emergency Medicine Institute as an associate administrator. In 2018, she completed an administrative fellowship at Cleveland Clinic after graduating from the University of Michigan with a master's degree in health services administration. She also has completed a Master of Business Administration degree. Ms. Cachet has held board positions with the Midwest Chapter of the American College of Healthcare Executives and currently serves in a board position with the National Association of Health Services Executives. As an emerging leader in healthcare, she wants to build a community rooted in equity, respect, and integrity. Ultimately, she wants to help create a broader platform for women and minorities in healthcare to achieve success and leadership within their organizations. Here in Episode #120 Cachet starts our show with a leadership mindset encouraging us to work how we train. She shares the story of her career path and how it took her from the legendary city of Detroit, and through the desert to spectacular Abu Dhabi. Cachet highlights why gaining diverse work experiences is key for emerging leaders. She gives us a glimpse into her life living and working in the Persian Gulf. Cachet shares her best failure, teaching us to know when to say no. We talk through strategies on how to best map out and maximize your time and efforts. She tells us why side conversations are her best strategies for building strong teams and gives us a career Aha centered on knowing your role. She shares insights around healthcare trends that emerging leaders can act on immediately; and places a call to action for the entire industry to embrace change. • Connect with Cachet on LinkedIn • Access the Healthcare QualityCast LinkedIn Group • Leaves Us a Rating • Earn Your Lean Six Sigma for Healthcare Certification • Request a Corporate Demo of our online QI Academy

Freda Alcausin Arzadon, MHSA, BSN, RN, CCRN, CNRN, CCVN, CEN tells her story and speaks out against discrimination!

Hackathons provide a fast-paced, high energy, community-building opportunity for a wide spectrum of participants to flex their innovation muscles and solve for some of today’s greatest challenges. While these events have traditionally been geared towards computer scientists and software developers in recent years nurses, clinicians, and health innovators have started to convene health-challenge inspired events. Today the health hackathon landscape is exciting, rapidly evolving, and nurses are playing a lead role in driving them. In this episode, we learn from health influencers, hackers, and innovators Jane Sarashon-Kahn, MA, MHSA; Chris Recinos, PhD, RN, FNP-BC, NEA-BC; Anthony Scarpone-Lambert, BSN ‘21, and Jennifferre Mancillas, BSN, RN, RNC-NIC about how hackathons have impacted their thinking, skills, lives, career trajectory, as well as the landscape of innovative health solutions and products. And — why you should register for one at NurseHack4Health.org. Email us at hello@seeyounowpodcast.com. For additional resources, visit our website at www.seeyounowpodcast.com. 

Welcome to Proximal Edge's Includes Podcast series with your host Marlegny Mourino, MHSA, M.Ed, CPC, CPB, CPCO, CIRCC, CPMA, CPC-I, CEMA, CRCR, AHI, CMAS, NCMA, AHIMA Approved ICD-10-CM /PCS Trainer! In this episode, I have part 2 of my very first interview with my friend from Medical Coding Geeks and Not Elsewhere Classified Podcast "Brian Cui, RHIA, CDIP". He is an HIM professional with more than 18 years of experience in a variety of roles in health information technology, clinical documentation improvement, adult education, and auditing. Brian is the Facebook group administrator of Medical Coding Geeks, RHIT & RHIA Exam Support, and the Clinical Documentation Improvement Network. In 2017 he became the creator and host of Not Elsewhere Classified, a podcast created to share stories and insights from professionals in the medical coding, HIM, and CDI community. He is an advocate for HIM professionals in the Clinical Documentation Improvement Industry. He serves as a mentor for the American Health Information Management Association. In the first part of our interview, some of the things we discuss are: His favorite past times Advice in maintaining work and life balance What is in store for Brian Cui for the next couple of years What he would tell his young self if he could go back in time and visit with him Advice to new coders or people that want to be coders What would he have asked himself during the interview that I did not ask him Please make sure to find and follow Brian, also subscribe and listen to his podcast "Not Elsewhere Classified". The links are below: Not Elsewhere Classified Podcast: https://podcasts.apple.com/us/podcast/not-elsewhere-classified/id1255756755 Medical Coding Geek: https://www.medicalcodinggeek.com/ Medical Coding Geek YouTube Channel: https://www.youtube.com/c/MedicalCodingGeekVideos/featured Our Webpage: https://www.proximaledge.com/ Todo Incluido Podcast: https://anchor.fm/todo-incluido Email: IncludesPodcast@gmail.com Join me every month to learn more about billing, coding, auditing, compliance, stories of professionals in the field, healthcare industry news, coding updates, career advice, personal development, and so much more! If you would like to be featured on an episode, or would if you would like to become a sponsor of Includes Podcast, as well as getting answers to your questions please contact me by visiting ProximalEdge.com or email me at IncludesPodcast@gmail.com --- 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/includes/message

Welcome to Proximal Edge's Includes Podcast series with your host Marlegny Mourino, MHSA, M.Ed, CPC, CPB, CPCO, CIRCC, CPMA, CPC-I, CEMA, CRCR, AHI, CMAS, NCMA, AHIMA Approved ICD-10-CM /PCS Trainer! In this episode, I have our very first interview with my friend from Medical Coding Geeks and Not Elsewhere Classified Podcast "Brian Cui, RHIA, CDIP". He is an HIM professional with more than 18 years of experience in a variety of roles in health information technology, clinical documentation improvement, adult education, and auditing. Brian is the Facebook group administrator of Medical Coding Geeks, RHIT & RHIA Exam Support, and the Clinical Documentation Improvement Network. In 2017 he became the creator and host of Not Elsewhere Classified, a podcast created to share stories and insights from professionals in the medical coding, HIM, and CDI community. He is an advocate for HIM professionals in the Clinical Documentation Improvement Industry. He serves as a mentor for the American Health Information Management Association. In the first part of our interview, some of the things we discuss are: How he got started in Healthcare CDI How can a coder transition into CDI? A day like in his shoes Common myths about the CDI profession Resources that have helped him along the way The three people who have been the most influential to him both personally and professionally Please make sure to find and follow Brian, also subscribe and listen to his podcast "Not Elsewhere Classified". The links are below: Not Elsewhere Classified Podcast: https://podcasts.apple.com/us/podcast/not-elsewhere-classified/id1255756755 Medical Coding Geek: https://www.medicalcodinggeek.com/ Our Webpage: https://www.proximaledge.com/ Todo Incluido Podcast: https://anchor.fm/todo-incluido Email: IncludesPodcast@gmail.com Join me every month to learn more about billing, coding, auditing, compliance, stories of professionals in the field, healthcare industry news, coding updates, career advice, personal development, and so much more! If you would like to be featured on an episode, or would if you would like to become a sponsor of Includes Podcast, as well as getting answers to your questions please contact me by visiting ProximalEdge.com or email me at IncludesPodcast@gmail.com --- 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/includes/message

Host: Dr. Teri Runo, Program Director of Masters of Health Services AdministrationGuest: Dr. Kassey JamesDr. Kassey James is a 2020 graduate of The School of Pharmacy and a 2020 MHSA graduate with the School of Health Services Administration. She credits her time management skills for accomplishing the two degrees simultaneously. Kassey is finishing up the first year of her fellowship, is working as a Medical Science Liaison, and shares her path toward becoming one of the LECOM healthcare heroes._________Please visit LECOM.edu for to learn more about the educational opportunities available at our institution.

Maggie Ford is originally from Kentucky and grew up with two music loving parents. Maggie graduated with her undergraduate degree in music therapy from the University of Dayton and completed her internship at University Hospitals Connor Integrative Health Network in Cleveland, OH. Maggie is a board certified music therapist.Show NotesWellness, as defined by The Global Wellness Institute is “the active pursuit of activities, choices and lifestyles that lead to a state of holistic health.”6 dimensions of wellness:Physical: A healthy body through exercise, nutrition, sleep, etc.Mental: Engagement with the world through learning, problem-solving, creativity, etc.Emotional: Being in touch with, aware of, accepting of, and able to express one's feelings (and those of others).Spiritual: Our search for meaning and purpose in human existence.Social: Connecting with, interacting with, and contributing to other people and our communities.Environmental: A healthy physical environment free of hazards; awareness of the role we play in bettering rather than denigrating the natural environment.Holistic, as defined by Oxford Languages, is “characterized by comprehension of the parts of something as intimately interconnected and explicable only by reference to the whole.”Holistic Approach to Medicine, as defined by Oxford Languages, is “the treatment of the whole person, taking into account mental and social factors, rather than just the symptoms of a disease".Well-being is defined by Oxford Languages as “the state of being comfortable, healthy or happy.“When you think about wellness, think prevention and health. When you think about well-being, think happiness.” - Sue Ellis (Chairman and CEO of The Global Wellness Institute)Self-Care, according to The World Health Organization, is what people do for themselves to establish and maintain health, and to prevent and deal with illness. It is a broad concept encompassing hygiene (general and personal), nutrition (type and quality of food eaten), lifestyle (sporting activities, leisure etc), environmental factors (living conditions, social habits, etc.) socio-economic factors (income level, cultural beliefs, etc.) and self-medication.”Wellness and Music Therapy“Music therapy in wellness is used to meet the needs of individuals looking to "enhance quality of life, maximize well-being and potential, and increase self-awareness. Although music itself is used extensively to encourage preventive practices that help one maintain wellness, music therapy, which involves evidence-based practices designed and implemented by a music therapist, can provide interventions to help one regain wellness” - Lorna Segall, Phd, MT-BCAMTA Pro Podcast: What is Mindfulness Anyway? - by Anne B. Parker MA, MHSA, MT-BC, FAMIEngagement with music involves body, mind, emotion and spirit.Music can stimulate each dimension or all four dimensions simultaneouslyMusic participationis available to all persons!focuses more on what a person is able to do than not able to do.brings signs, symptoms, thoughts, feelings and behaviors to awarenesscan be a vehicle for learning about and exploring uncertainty.The episode ends with Maggie guiding listeners in a brief Music Assisted Relaxation exercise example.We appreciate your feedback, please rate and review wherever you listen. If you like the show, please subscribe and share with a friend!———Stay in touch at www.musictherapyandbeyond.comFollow us on Instagram @musictherapyandbeyondFollow us on Facebook at https://www.facebook.com/musictherapyandbeyondEmail us at musictherapyandbeyond@gmail.com

Welcome to Proximal Edge's Includes Podcast series with your host Marlegny Mourino, MHSA, M.Ed, CPC, CPB, CPCO, CIRCC, CPMA, CPC-I, CEMA, CRCR, AHI, CMAS, NCMA, AHIMA Approved ICD-10-CM /PCS Trainer! I hope you had a great Christmas and New years! In this episode I opened up a little bit about my family, shared my 2020 goals and how to get started this 2021! If you need a little motivation to get started or keep on going on, this episode will definitely give you a little extra push. If you need more motivation and more information on creating SMART goals, please take some time to review the reference links in the episode description below: 1. Todo Incluido Podcast: https://anchor.fm/todo-incluido 2. Webpage: https://www.proximaledge.com/ 3. Email: IncludesPodcast@gmail.com 4. The Substance Abuse and Mental Health Services Administration (SAMHSA): https://www.samhsa.gov/find-help/national-helpline 5. Smart Goals: https://www.mindtools.com/pages/article/smart-goals.htm 6. The Greatness Within: https://www.youtube.com/watch?v=HiyYEVcU1tI&list=PLkdxgc6x3C6Kv4cdzJnjes3sM_QbB5BJT&index=1 7. Audiobook No Excuses Free: https://www.youtube.com/watch?v=4D-eGgB5lvA 8. Audiobook Awaken the Giant Within book Part I: https://www.youtube.com/watch?v=H6UtuuDr3eo 9. Audiobook Awaken the Giant Within book Part II: https://www.youtube.com/watch?v=xJVmLXUHzpo 10. Audiobook Awaken the Giant Within book Part III: https://www.youtube.com/watch?v=-J9Ai2tgdU4 11. https://www.ted.com/talks/amy_cuddy_your_body_language_may_shape_who_you_are?language=en 12. https://www.youtube.com/watch?v=UFKCLjhO2bo 13. https://www.youtube.com/channel/UC5QsW5oHau40D3UrdHy1YSw Join me every month to learn more about billing, coding, auditing, compliance, stories of professionals in the field, healthcare industry news, coding updates, career advice, personal development, and so much more! If you would like to be featured on an episode, or would if you would like to become a sponsor of Includes Podcast, as well as getting answers to your questions please contact me by visiting ProximalEdge.com or email me at IncludesPodcast@gmail.com --- 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/includes/message

Welcome to Proximal Edge's Includes Podcast series with your host Marlegny Mourino, MHSA, M.Ed, CPC, CPB, CPCO, CIRCC, CPMA, CPC-I, CEMA, CRCR, AHI, CMAS, NCMA, AHIMA Approved ICD-10-CM /PCS Trainer! This episode covers "The E&M 2021 changes" Significant changes have been made to the E/M codes and guidelines for 99202-99215, these changes will replace our 1995 and 1997 guidelines and will be taking effect January 2021. History and exam are still important parts of the note and may contribute to the time and medical decision making; medical necessity is still the overarching criterion for code selection. The time in the code descriptors will change from “typical” to “minimum”. MDM is the other criteria we can use, instead of using time to select the E&M code. New Code: 99417 for prolonged services, reported with 99205 or 99215, if the codes were selected based on the time alone and if services take longer than what is outlined on the code (99205 & 99215). Note: Please check with your payer for specific time needed to be able to use code 99417. The AMA has provided a table with their definitions and instructions in selecting the level: https://www.ama-assn.org/system/files/2019-06/cpt-office-prolonged-svs-code-changes.pdf Join me in this episode as I discuss these upcoming changes for E&M! Here are my references for this episode: 1. Email: IncludesPodcast@gmail.com 2. https://www.aapc.com/evaluation-management/em-codes-changes-2021.aspx 3. https://www.ama-assn.org/practice-management/cpt/10-tips-prepare-your-practice-em-office-visit-changes 4. https://www.ama-assn.org/practice-management/cpt/em-office-visit-changes-track-2021-what-doctors-must-know 5. https://www.ama-assn.org/press-center/press-releases/ama-releases-2021-cpt-code-set 6. https://www.ama-assn.org/system/files/2019-06/cpt-office-prolonged-svs-code-changes.pdf 7. https://www.proximaledge.com/education-and-training Join me every month to learn more about billing, coding, auditing, compliance, stories of professionals in the field, healthcare industry news, coding updates, career advice, personal development, and so much more! If you would like to be featured on an episode, or would if you would like to become a sponsor of Includes Podcast, as well as getting answers to your questions please contact me by visiting ProximalEdge.com or email me at IncludesPodcast@gmail.com --- 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/includes/message

Welcome to Proximal Edge's Includes Podcast series with your host Marlegny Mourino, MHSA, M.Ed, CPC, CPB, CPCO, CIRCC, CPMA, CPC-I, CEMA, CRCR, AHI, CMAS, NCMA, AHIMA Approved ICD-10-CM /PCS Trainer! This episode covers "CPT 2021 changes"! 2021 is right around the corner. Did you order your new CPT book? Changes to CPT® for 2021 include 329 editorial changes these changes are: 206 new codes; 69 revised code descriptors; and 54 deleted codes. Join me in this episode as I discuss these upcoming changes for CPT...! Here are my references for this episode: 1. Email: IncludesPodcast@gmail.com 2. https://www.aapc.com/resources/medical-coding/cpt.aspx 3. https://www.ama-assn.org/press-center/press-releases/ama-releases-2021-cpt-code-set 4. https://www.ama-assn.org/system/files/2020-10/coronavirus-long-descriptors.pdf 5. https://www.ama-assn.org/system/files/2019-06/cpt-office-prolonged-svs-code-changes.pdf 6. https://www.ama-assn.org/practice-management/cpt/em-office-visit-changes-track-2021-what-doctors-must-know 7. https://www.ama-assn.org/practice-management/cpt/2021-cpt-code-set-reflects-tech-innovation-covid-19-response 8. https://www.ama-assn.org/practice-management/cpt/new-cpt-codes-published-sars-cov-2-multiplex-assays 9. https://www.ama-assn.org/practice-management/cpt/cpt-codes-new-coronavirus-vaccines-what-you-need-know 10. https://www.ama-assn.org/practice-management/cpt/10-tips-prepare-your-practice-em-office-visit-changes 11. https://www.proximaledge.com/education-and-training Join me every month to learn more about billing, coding, auditing, compliance, stories of professionals in the field, healthcare industry news, coding updates, career advice, personal development, and so much more! If you would like to be featured on an episode, or would if you would like to become a sponsor of Includes Podcast, as well as getting answers to your questions please contact me by visiting ProximalEdge.com or email me at IncludesPodcast@gmail.com --- 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/includes/message

The Nach On Sports Show with host Anthony Nachreiner. All guests join the show on the Whitefish Credit Union Hotline…     Richie joins the show as we discuss the latest in the high school football playoffs. Richie gives us the latest from the MHSA on winter sports.    Listen to The Nach On Sports Show weeknights from 6-8pm on 600 KGEZ and FM 96.5.

Welcome to Proximal Edge's Includes Podcast series with your host Marlegny Mourino, MHSA, M.Ed, CPC, CPB, CPCO, CIRCC, CPMA, CPC-I, CEMA, CRCR, AHI, CMAS, NCMA, AHIMA Approved ICD-10-CM /PCS Trainer! This episode “Includes”, an overview of all of the changes that took effect on October 1st, 2020 for ICD-10-CM chapters 12-22. So, have you picked up your new 2021 ICD-10-CM book? Have you pulled up these changes in the CMS or CDC website? What are the changes? If you have not or if you have, you have come to the right place. Keep listening....! Here are my references for this episode: 1. Email: IncludesPodcast@gmail.com 2. https://www.cms.gov/medicare/icd-10/2021-icd-10-cm 3. https://www.cdc.gov/nchs/icd/icd10cm.htm#FY%202020%20release%20of%20ICD-10-CM 4. https://www.cdc.gov/nchs/icd/icd10cm.htm 5. https://www.icd10monitor.com/overview-of-icd-10-cm-and-pcs-coding-guideline-changes-for-2021 6. https://www.aapc.com/blog/51606-see-whats-new-for-icd-10-cm-2021/ 7. https://www.aapc.com/blog/51117-sneak-a-peek-at-icd-10-cm-2021/ 8. https://www.proximaledge.com/cpc-online-review 9. https://www.proximaledge.com/education-and-training Join me every month to learn more about billing, coding, auditing, compliance, stories of professionals in the field, healthcare industry news, coding updates, career advice, personal development, and so much more! If you would like to be featured on an episode, or would if you would like to become a sponsor of Includes Podcast, as well as getting answers to your questions please contact me by visiting ProximalEdge.com or email me at IncludesPodcast@gmail.com --- 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/includes/message

Welcome to Proximal Edge's Includes Podcast series with your host Marlegny Mourino, MHSA, M.Ed, CPC, CPB, CPCO, CIRCC, CPMA, CPC-I, CEMA, CRCR, AHI, CMAS, NCMA, AHIMA Approved ICD-10-CM /PCS Trainer! This episode covers "ICD-10-CM Changes", October is here! Our new ICD-10-CM is out! This episode “Includes”, an overview of all of the changes that took effect on October 1st, 2020 for ICD-10-CM chapters 1-11. So, have you picked up your new 2021 ICD-10-CM book? Have you pulled up these changes in the CMS or CDC website? What are the changes? If you have not or if you have, you have come to the right place. Keep listening....! Here are my references for this episode: 1. Email: IncludesPodcast@gmail.com 2. https://www.cms.gov/medicare/icd-10/2021-icd-10-cm 3. https://www.cdc.gov/nchs/icd/icd10cm.htm#FY%202020%20release%20of%20ICD-10-CM 4. https://www.cdc.gov/nchs/icd/icd10cm.htm 5. https://www.icd10monitor.com/overview-of-icd-10-cm-and-pcs-coding-guideline-changes-for-2021 6. https://www.aapc.com/blog/51606-see-whats-new-for-icd-10-cm-2021/ 7. https://www.aapc.com/blog/51117-sneak-a-peek-at-icd-10-cm-2021/ 8. https://www.proximaledge.com/cpc-online-review 9. https://www.proximaledge.com/education-and-training Join me every month to learn more about billing, coding, auditing, compliance, stories of professionals in the field, healthcare industry news, coding updates, career advice, personal development, and so much more! If you would like to be featured on an episode, or would if you would like to become a sponsor of Includes Podcast, as well as getting answers to your questions please contact me by visiting ProximalEdge.com or email me at IncludesPodcast@gmail.com --- 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/includes/message

COVID-19 created unprecedented challenges, which led to innovative and expanded clinical services. This episode highlights opportunities in pulmonary, critical care, and sleep medicine with associated coding and billing requirements in 2020 and some anticipated changes for 2021. (Originally recorded September 17, 2020) Moderator: Kim D. French, MHSA, CAPPM, FCCP Panelists: Scott Manaker, MD, PhD, FCCP; Michael E. Nelson, MD, FCCP; and Kathleen F. Sarmiento, MD, MPH  For more tools to help in the fight against COVID-19, visit CHEST's COVID-19 Resource Center at chestnet.org/COVID19.

Welcome to Proximal Edge's Includes Podcast series with your host Marlegny Mourino, MHSA, M.Ed, CPC, CPB, CPCO, CIRCC, CPMA, CPC-I, CEMA, CRCR, AHI, CMAS, NCMA, AHIMA Approved ICD-10-CM /PCS Trainer! This episode covers "Everything you need to about how to prepare for the CPC Exam"! This episode “Includes”, a breakdown of the CPC exam, how to prepare for the exam, both online and physical testing options, testing strategies, removing the apprentice designation (CPC versus CPC-A), as well as Practicode and Project Xtern. Please join me in this episode as I discuss the everything you need to get started with your certification process and get closer to your career goals. Here are my references for this episode: 1. Email: IncludesPodcast@gmail.com 2. https://www.proximaledge.com/cpc-online-review 3. https://www.proximaledge.com/education-and-training 4. https://www.aapc.com/training/ 5. https://www.aapc.com/certification/cpc/ 6. https://www.aapc.com/certification/cpc/#tab-2 7. https://www.aapc.com/certification/cpc/#tab-3 8. https://www.aapc.com/certification/cpc/#tab-4 9. https://www.aapc.com/certification/cpc/#tab-5 10. https://www.aapc.com/certification/cpc/#tab-2 11. https://www.aapc.com/apprentice/applied-experience.aspx 12. https://www.aapc.com/medical-coding-jobs/project-xtern/ Join me every month to learn more about billing, coding, auditing, compliance, stories of professionals in the field, healthcare industry news, coding updates, career advice, personal development, and so much more! If you would like to be featured on an episode, or would if you would like to become a sponsor of Includes Podcast, as well as getting answers to your questions please contact me by visiting ProximalEdge.com or email me at IncludesPodcast@gmail.com --- 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/includes/message

ICYMI: Thursday, breaking news as the Frontier makes the smart call to move football to the spring. Plus, MHSA and Big Sky break some news as well. In addition, Pro Golfer Amanda Robertson stops by to talk golf and more. Visit jasonwalkershow.com. --- 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/jason-walker89/message Support this podcast: https://anchor.fm/jason-walker89/support

Welcome to Proximal Edge's Includes Podcast series with your host Marlegny Mourino, MHSA, M.Ed, CPC, CPB, CPCO, CIRCC, CPMA, CPC-I, CEMA, CRCR, AHI, CMAS, NCMA, AHIMA Approved ICD-10-CM /PCS Trainer! This episode covers "Everything you need to know about becoming a coder"! Including the job roles for both billers and coders, as well the program expectations, Certifications and different certifying organization. Please join me in this episode as I discuss the questions and research that you need to do to ensure you meet your career goals. Here are my references for this episode: 1. https://www.proximaledge.com/cpc-online-course 2. https://www.proximaledge.com/cpc-online-review 3. https://www.proximaledge.com/education-and-training 4. https://www.aapc.com/training/ 5. https://www.aapc.com/certification/cpc/ 6. https://www.aapc.com/certification/medical-coding-certification.aspx 7. https://www.aapc.com/medical-coding-jobs/project-xtern/ 8. https://www.ahima.org/certification-careers/certifications-overview/ 9. https://www.americanmedicalbillingassociation.com/cmrs-information 10. https://www.ncctinc.com/certifications/ins Join me every month to learn more about billing, coding, auditing, compliance, stories of professionals in the field, healthcare industry news, coding updates, career advice, personal development, and so much more! If you would like to be featured on an episode, or would if you would like to become a sponsor of Includes Podcast, as well as getting answers to your questions please contact me by visiting ProximalEdge.com or email me at IncludesPodcast@gmail.com --- 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/includes/message

Welcome to Proximal Edge's Includes Podcast series with your host Marlegny Mourino, MHSA, M.Ed, CPC, CPB, CPCO, CIRCC, CPMA, CPC-I, CEMA, CRCR, AHI, CMAS, NCMA, AHIMA Approved ICD-10-CM /PCS Trainer! This episode covers the "Ins and Outs of Auditing"! We know that the business of medicine is highly complex, ever changing, and tightly regulated, Hospitals, clinics, and private physicians' practices must contend with many issues to stay in business. Auditing not only plays a vital role in keeping healthcare organizations in compliance with the necessary legal requirements and regulations but also in improving the quality of patient care and services. Please join me in this episode as I discuss the goals of medical audit, reasons to perform an audit, the types of audits and steps to conduct an audit, as well as a call to action for all coders, auditors, supervisor, managers, and directors. Here are my references for this episode: 1. http://OIG.HHS.Gov 2. http://OIG.HHS.Gov/compliance/rat-stats/index.asp 3. https://www.aapc.com/medical-auditing/medical-auditing.aspx 4. National Alliance of Medical Auditing Specialists - https://namas.co/ 5. American Association of Medical Audit Specialists - https://www.aamas.org/ 6. https://my.ahima.org/careermap/index.html?id=64 7. https://namas.co/auditing-services/ 8. https://www.ama-assn.org/practice-management/cpt/13-reasons-your-practice-should-have-medical-record-audit 9. https://www.medicalbillersandcoders.com/blog/what-is-medical-auditing-how-it-can-be-performed/ 10. https://blog.mgallp.com/types-of-healthcare-audits-and-the-benefits 11. https://www.foxgrp.com/hipaa-compliance/healthcare-compliance-audits-variety/ 12. https://www.meremhealth.com/medical-auditing/ Join me every month to learn more about billing, coding, auditing, compliance, stories of professionals in the field, healthcare industry news, coding updates, career advice, personal development, and so much more! If you would like to be featured on an episode, or would if you would like to become a sponsor of Includes Podcast, as well as getting answers to your questions please contact me by visiting ProximalEdge.com or email me at IncludesPodcast@gmail.com --- 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/includes/message

Welcome to Proximal Edge's Includes Podcast series with your host Marlegny Mourino, MHSA, M.Ed, CPC, CPB, CPCO, CIRCC, CPMA, CPC-I, CEMA, CRCR, AHI, CMAS, NCMA, AHIMA Approved ICD-10-CM /PCS Trainer! This episode covers "Federally Qualified Health Centers"! Federally Qualified Health Centers (FQHC) trace their history back to the Neighborhood Health Centers that emerged from the Lyndon Johnson administration's War on Poverty in 1965. FQHCs are “safety net” providers, they may be Community Health Centers, Migrant Health Centers, Health Care for the Homeless, Health Centers for Residents of Public Housing, and Outpatient Health Programs funded by the Indian Health Service. The main purpose of the FQHC Program is to enhance the provision of primary care services in underserved urban and rural communities. Please accompany me in this episode where I cover the history, what they are, what they do, and briefly cover to how to code and bill for Medicare and Medicaid visits. Here are my references for this episode: 1. https://findahealthcenter.hrsa.gov/ 2. https://www.fqhc.org/what-is-an-fqhc 3. https://www.raconline.org/topics/federally-qualified-health-centers#benefits 4. http://www.nachc.com/client/documents/America%27s%20Health%20Centers%20Fact%20Sheet%20August%202011.pdf 5. https://www.hrsa.gov/opa/eligibility-and-registration/health-centers/fqhc/index.html 6. http://www.nachc.org/wp-content/uploads/2017/06/Chartbook2017.pdf 7. https://physicianservicesusa.com/fqhc-billing-101/ 8. https://www.aapc.com/blog/43060-learn-how-to-avoid-fqhc-billing-roadblocks/ 9. https://www.fachc.org/health-center-compliance 10. https://www.chcchronicles.org/histories Join me every month to learn more about billing, coding, auditing, compliance, stories of professionals in the field, healthcare industry news, coding updates, career advice, personal development, and so much more! If you would like to be featured on an episode, or would if you would like to become a sponsor of Includes Podcast, as well as getting answers to your questions please contact me by visiting ProximalEdge.com or email me at IncludesPodcast@gmail.com --- 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/includes/message

Welcome to Proximal Edge's Includes Podcast series with your host Marlegny Mourino, MHSA, M.Ed, CPC, CPB, CPCO, CIRCC, CPMA, CPC-I, CEMA, CRCR, AHI, CMAS, NCMA, AHIMA Approved ICD-10-CM /PCS Trainer! I created this episode to apologize to all of my listeners because our last episode did not include the correct audio file, although I rectify this issue and I know you have already listened to the correct audio file, I still felt the need to make a public apology and will ensure that this does not happen again. Also, in this episode you will find a short summary of compliance and the steps of the compliance plan. Please make sure to listen to our previous episode to learn about these concepts more in depth. As promised here are my references: 1. https://oig.hhs.gov/compliance/index.asp 2. https://oig.hhs.gov/compliance/compliance-resource-portal/ 3. https://www.hcca-info.org/ 4. https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/ProviderCompliance 5. https://www.cms.gov/Medicare/Compliance-and-Audits/Part-C-and-Part-D-Compliance-and-Audits/ComplianceProgramPolicyandGuidance 6. https://oig.hhs.gov/compliance/compliance-guidance/index.asp 7. https://oig.hhs.gov/compliance/compliance-guidance/compliance-resource-material.asp 8. https://www.aapc.com/healthcare-compliance/healthcare-compliance.aspx 9. https://www.aapc.com/healthcare-compliance/faq/ 10. https://namas.co/ 11. https://www.doctors-management.com/dm-blog/sean-m-weiss/ Join me every month to learn more about billing, coding, auditing, compliance, stories of professionals in the field, healthcare industry news, coding updates, career advice, personal development, and so much more! If you would like to be featured on an episode, or would if you would like to become a sponsor of Includes Podcast, as well as getting answers to your questions please contact me by visiting ProximalEdge.com or email me at IncludesPodcast@gmail.com --- 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/includes/message

Welcome to Proximal Edge's Includes Podcast series with your host Marlegny Mourino, MHSA, M.Ed, CPC, CPB, CPCO, CIRCC, CPMA, CPC-I, CEMA, CRCR, AHI, CMAS, NCMA, AHIMA Approved ICD-10-CM /PCS Trainer! This episode covers the "Ins and Outs of Compliance and the Role of the Compliance Officer"! Healthcare compliance is the process of following rules, regulations, and laws that relate to healthcare practices. In general, compliance means conforming to a rule, such as a specification, policy, standard or law. Every healthcare organization must have some level of compliance in order to operate effectively. Ultimately, healthcare compliance is about providing safe, high-quality patient care. Here are my references for this episode: 1. https://oig.hhs.gov/compliance/index.asp 2. https://oig.hhs.gov/compliance/compliance-resource-portal/ 3. https://www.hcca-info.org/ 4. https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/ProviderCompliance 5. https://www.cms.gov/Medicare/Compliance-and-Audits/Part-C-and-Part-D-Compliance-and-Audits/ComplianceProgramPolicyandGuidance 6. https://oig.hhs.gov/compliance/compliance-guidance/index.asp 7. https://oig.hhs.gov/compliance/compliance-guidance/compliance-resource-material.asp 8. https://www.aapc.com/healthcare-compliance/healthcare-compliance.aspx 9. https://www.aapc.com/healthcare-compliance/faq/ 10. https://namas.co/ 11. https://www.doctors-management.com/dm-blog/sean-m-weiss/ Join me every month to learn more about billing, coding, auditing, compliance, stories of professionals in the field, healthcare industry news, coding updates, career advice, personal development, and so much more! If you would like to be featured on an episode, or would if you would like to become a sponsor of Includes Podcast, as well as getting answers to your questions please contact me by visiting ProximalEdge.com or email me at IncludesPodcast@gmail.com --- 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/includes/message

Welcome to Proximal Edge's Includes Podcast series with your host Marlegny Mourino, MHSA, M.Ed, CPC, CPB, CPCO, CIRCC, CPMA, CPC-I, CEMA, CRCR, AHI, CMAS, NCMA, AHIMA Approved ICD-10-CM /PCS Trainer! This episode covers coding and billing during this time has not been easy and with the constant changes it might seem like we cannot keep up. Please join me as I discuss some of the changes which are constantly updating as well as tips on how to stay sane during the quarantine. Here are my references and resources where you can find more information and also keep up to date with new developments and updates: 1. https://donself.com/covid?fbclid=IwAR3v-jwKNgGDV-Gj5udSFPQXjkO9c9dbRZPnKd4pjpuV3Q-1AMKBTGiKmmA 2. https://www.who.int/classifications/icd/covid19/en/ 3. https://www.cms.gov/files/document/summary-covid-19-emergency-declaration-waivers.pdf 4. https://www.cms.gov/newsroom/press-releases/cms-develops-additional-code-coronavirus-lab-tests 5. https://www.cms.gov/files/document/03052020-medicare-covid-19-fact-sheet.pdf 6. https://www.cms.gov/newsroom/press-releases/cms-develops-additional-code-coronavirus-lab-tests 7. https://www.cdc.gov/coronavirus/2019-ncov/whats-new-all.html 8. https://www.cdc.gov/coronavirus/types.html 9. https://www.cdc.gov/coronavirus/2019-ncov/faq.html#Coronavirus-Disease-2019-Basics 10. https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/prevention.html 11. https://www.cdc.gov/coronavirus/2019-ncov/faq.html#How-COVID-19-Spreads 12. https://www.cdc.gov/nchs/data/icd/ICD-10-CM-Official-Coding-Gudance-Interim-Advice-coronavirus-feb-20-2020.pdf 13. https://www.cdc.gov/nchs/data/icd/Announcement-New-ICD-code-for-coronavirus-3-18-2020.pdf 14. https://journal.ahima.org/new-icd-10-cm-code-for-covid-19-becomes-effective-october-1/ 15. https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/coronavirus_testing_telehealth.html Join me every month to learn more about billing, coding, auditing, compliance, stories of professionals in the field, healthcare industry news, coding updates, career advice, personal development, and so much more! If you would like to be featured on an episode, or would if you would like to become a sponsor of Includes Podcast, as well as getting answers to your questions please contact me by visiting ProximalEdge.com or email me at IncludesPodcast@gmail.com --- 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/includes/message

ICYMI: We talk the history of the black cowboy in rodeo with esteemed author Keith Ryan Cartwright, plus when will MHSA wise up and do the right thing? Visit jasonwalkershow.com for more from any of our previous shows, and for 20% off plus free shipping, go to manscaped.com and use the code WALKER20 at checkout. --- 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/jason-walker89/message Support this podcast: https://anchor.fm/jason-walker89/support

Nurses help us heal physically and emotionally during times of distress. They are currently on the frontlines helping so many as the nation battles COVID-19. Before the outbreak, I interviewed Rhonda Smith Wright, RN, MSN, MHSA a clinical nursing instructor at Johns Hopkins & University of Maryland's School of Nursing, a @brynmawrschool for girls alumna and trustee, and former @gbali co-director to learn: - how she teaches future nurses to understand the unique needs of diverse and underserved populations in Baltimore and the nation. -what personal and professional development, wellness, and community building opportunities could help physicians, nurses, and administrators thrive -what does the future of nursing look like and what skills will public health students need to succeed and contribute new and bold ideas and practices to create a more mindful, well, and inclusive national and global community -what technical, life, and or social emotional learning skills will youth and adults need to thrive in the next 25 years! Connect with Rhonda on LinkedIn: https://www.linkedin.com/in/rhonda-wright-23694b4 Bio: Rhonda Smith-Wright currently serves as a Clinical Nurse Instructor for Johns Hopkins University and University of Maryland Schools of Nursing, where she supports the professional learning of graduate students and aspiring registered nurses in community settings. Concurrently, Rhonda consults in numerous health care and public health roles and projects including workforce development, quality, care coordination, and community health assessments. Prior to consulting and while living in Naples, Italy for two years, she successfully led the U.S. Naval Hospital to the U.S. Surgeon General's Blue H. Award for excellence in health promotion activities. Before Rhonda's time overseas, she served as Vice President of Clinical Services for a consortium of community health clinics in Northern California directing programs such as mobile mammography, HIV testing, and diabetes self-management for vulnerable populations in the area. Rhonda holds a bachelor's degree in psychology from the University of Pennsylvania, a master's degree in health care administration from the University of Michigan, and a master of science degree in nursing from Johns Hopkins University. involvement with the Bryn Mawr School includes membership on the Alumnae Association Board from 2003-2006 and 2016-2019, the Board of Trustees Community and Inclusion Task Force during 2018-2019 school year, Parents Association class parent (2015-2016), and Admissions tour guide for Lower School. The Blooming is A Habit Podcast helps youth and adults cultivate habits that can help them design the lives and communities they love! We explore what it can mean to be human and highlights innovative solutions to complex social challenges! We start honest and kind conversations that will help everyone thrive academically, economically, emotionally, socially, and spiritually and reach their highest potential in our global society. Follow Bloom on IG: https://www.instagram.com/dr.stephanieakoumany/ Website: http://justbloom.io Email: stephanie.akoumany@justbloom.io Linkedin: https://www.linkedin.com/in/stephanieakoumany Johns Hopkins Center for Adolescent Health's Blog https://www.jhsph.edu/research/centers-and-institutes/center-for-adolescent-health/blog/bloom-wellness-summit Stephanie Introducing President Obama at White House Pell Grant Press Conference https://www.c-span.org/video/?285476-1/president-obama-remarks-higher-education-policy 2018 NAIS POCC Conference- Self-Care and Mindfulness Strategies to Help Faculty of Color https://youtu.be/w6p-Fyip5d0

In today's always-on world, your business demands a simpler approach to network security. At Blackfoot Communications we deliver state-of-the-art security solutions – from the perimeter to end-point devices and remote data backup – for businesses across Montana. Ensure your company's network is online. All the time.For more information, visit GoBlackfoot.com/Business.Ryan Tootell and the Nuanez brothers discuss the legacy of Montana State guard Harald Frey (:30). Then, Ryan and Colter fill out what would have been a potential bracket if the NCAA had gone ahead with a 16-team NCAA Tournament (27:50) and discuss the MHSA playoffs (38:12).

Welcome to Proximal Edge's Includes Podcast series with your host Marlegny Mourino, MHSA, M.Ed, CPC, CPB, CPCO, CIRCC, CPMA, CPC-I, CEMA, CRCR, AHI, CMAS, NCMA, AHIMA Approved ICD-10-CM /PCS Trainer! This first episode covers my background as a coder, biller, compliance, educator, and subject matter expert experience as well as the reason and inspiration for developing this podcast. I also cover information about growing your professional network, as well as companies, people, other podcasts, and YouTube channels to follow. 1. Email: IncludesPodcast@gmail.com 2. https://www.proximaledge.com 3. https://www.proximaledge.com/revenue-integrity-rcm 4. https://www.proximaledge.com/cpc-online-course 5. https://www.proximaledge.com/cpc-online-review 6. https://www.proximaledge.com/education-and-training 7. https://www.proximaledge.com/live-and-on-demand-webinars 8. https://www.proximaledge.com/speaking-engagements Join me every month to learn more about billing, coding, auditing, compliance, stories of professionals in the field, healthcare industry news, coding updates, career advice, personal development, and so much more! If you would like to be featured on an episode, or would if you would like to become a sponsor of Includes Podcast, as well as getting answers to your questions please contact me by visiting ProximalEdge.com or email me at IncludesPodcast@gmail.com --- 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/includes/message

In today's always-on world, your business demands a simpler approach to network security. At Blackfoot Communications we deliver state-of-the-art security solutions – from the perimeter to end-point devices and remote data backup – for businesses across Montana. Ensure your company's network is online. All the time.For more information, visit GoBlackfoot.com/Business.Ryan Tootell and Colter Nuanez are joined by 2020 MHSA Hall of Famer and Carroll College legendary QB Tyler Emmert for this week's ESPN Roundtable (:30). Then, Ryan and Colter discuss the Denver Nuggets and the brilliance of Denver Nuggets center Nikola Jokic (25:07).

Welcome to Proximal Edge's Includes Podcast series with your host Marlegny Mourino, MHSA, M.Ed, CPC, CPB, CPCO, CIRCC, CPMA, CPC-I, CEMA, CRCR, AHI, CMAS, NCMA, AHIMA Approved ICD-10-CM /PCS Trainer. Join me every month starting on March 2020, where I will cover topics on billing, coding, auditing, compliance, stories of professionals in the field, healthcare industry news, coding updates, career advice, personal development, and so much more! If you would like to be featured on an episode, or would if you would like to become a sponsor of Includes Podcast, as well as getting answers to your questions please contact me by visiting ProximalEdge.com or email me at IncludesPodcast@gmail.com --- 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/includes/message

Learn about how Alzheimer's affects the caregivers of those dealing with the disease, and how we can support them in making decisions for their loved ones. Featuring Nicole Fowler, PhD, MHSA; Alexia Torke, MD, MS; and Greg Sachs, MD.

This is the MHSA takeover! Featured on the Young Talent Segment, MHSA share with us all their talents and talk about their podcast which represents Milwaukee High School of The Arts. Also DWYD's Joshua Scarver is back and he's not alone! Joined by David Kelly, the duel is know as Amerikas Addiction and they're here to talk about their new project Pressure, Pain & Pleasure. Tune in NOW! You Just Been Put On Notice!

At the Oncology Clinical Pathways Congress, Chadi sat down with Robin T Zon, MD, FACP, FASCO; Lee Schwartzberg, MD, FACP; and Tom Valuck, MD, JD, MHSA, to discuss pathway integration in value-based care models, OCM and other APMs, and the increasing role of employers in value-based care and payment.

Nature's dirty needle. That's how Lyme disease researchers and physicians like Andrew Heyman, MD, MHSA, refer to the ticks that have spread the bacterium, Borrelia burgdorferi, throughout the northeastern, mid-Atlantic, and north-central United States. Earlier this month, the Centers for Disease Control and Prevention reported that illnesses from mosquito, tick, and flea bites have tripled, with more than 640,000 cases reported during the 13 years from 2004 through 2016. During that time period, nine new germs spread by mosquitoes and ticks were discovered or introduced into the United States. Lyme disease is a complex illness whose diagnosis and treatment requires a deeper understanding than just the characteristics of the infection, says Heyman. It is an often misdiagnosed, misunderstood disease that behaves in ways that makes it very difficult for standard tests to identify correctly. Dr. Heyman, an internationally recognized expert in Integrative Medicine and the Medical Director of the Integrative Medicine Program at The George Washington University School of Medicine and Health Sciences, is a ‘last resort' practitioner for patients with this multi-system illness. His attributes his aptitude for finding answers to puzzling patient presentations to his background in Traditional Chinese Medicine combined with his conventional medicine training. Three Lyme disease takeways from Dr. Heyman: 1.) Other biotoxin exposures, such as mold, can mimic Lyme disease and therefore increase the difficulty of obtaining an accurate diagnosis. 2.) The body's reaction to a Lyme infection is a genetically mediated, Neuro-inflammatory response that can persist in about 20 percent of patients, even long after the infection has been treated. 3.) The consequences of chronic inflammation due to Lyme disease can be devastating, including organ injury - especially to the brain and nervous system more broadly - and even induce persistent, aberrant gene expression, leading to loss of normal cell functioning. ◘ Related Content ◘ Transcript ◘ This podcast features the song “Follow Your Dreams” (http://freemusicarchive.org/music/Scott_Holmes/Corporate__Motivational_Music/Follow_your_Dreams_1918) by Scott Holmes, available under a Creative Commons Attribution-Noncommercial (01https://creativecommons.org/licenses/by-nc/4.0/) license. ◘ Disclaimer: The content and information shared in GW Integrative Medicine is for educational purposes only and should not be taken as medical advice. The views and opinions expressed in GW Integrative Medicine represent the opinions of the host(s) and their guest(s). For medical advice, diagnosis, and/or treatment, please consult a medical professional.

Our guest in this episode has co-founded a ministry that equips parishes to create a spiritual home that ministers to the practical, emotional and spiritual needs of caregivers, giving them the tools and resources to help caregivers connect with their faith and encounter Christ so that they can see the grace and blessings in their caregiver journey. Deb Kelsey-Davis, RN, MHSA, is a caregiver to her aging parents, one of the most important and challenging roles of her lifetime.

Deb Kelsey-Davis, RN, MHSA and Colleen Kavanaugh, CCC, CDCS, CDP will discuss their National Caregiving Conference session, "Think About It. And Change Everything with Grit, Grace and Gratitude." During their session, they'll help us understand how cultivating Gratitude and uncovering Grace generates the Grit needed to face the challenging circumstances of family caregiving. Join us for the Second Annual National Caregiving Conference in person or virtually on November 10 and 11 in Chicago. About Deb and Colleen Deb and Colleen measure their caregiving years in decades and agree that they were not prepared for the emotions, stress, and life-changing circumstances that went with the job. They discovered their resilience came from the similar characteristics of tenacity, tenderness, and acceptance. Deb and Colleen now combine their diverse sets of professional and personal caregiving experience to help others realize the tools to get through any situation intrinsically exist within each of us through their program, My Grit, Grace + Gratitude. Deb is an author, national speaker, and caregiver to her parents. With caregiving as the most important role of her lifetime, her mission is to focus on what really matters. She launched Soul2Soul Solutions with Nourish™, a faith-based program for family caregivers. Then, co-founded Sagacity.Care™ to meet consumer demands for credible, personalized health content. Colleen cared for her parents for a decade, and she now works to empower family caregivers across the country via one-on-one consulting, national speaking, podcasting, and blogging. Specializing in dementia care and Eckhart Tolle's teachings on presence, Colleen, brings a unique perspective to clients where practicality meets spirituality. --- Send in a voice message: https://anchor.fm/caring-conversations/message