Podcasts about National Quality Forum

Medicaid provides health coverage for more than 70 million Americans, including children, veterans, seniors, and people with disabilities. But as Congress works toward a reconciliation bill, proposed cuts totaling $880 billion have raised serious concerns about the program's future and the impacts on patients and providers.In this episode, Chip Kahn sits down with Dr. Bruce Siegel, President and CEO of America's Essential Hospitals, as he reflects on his 15 years of leadership, the critical role of serving uninsured and low-income patients, and the high stakes of the Medicaid debate unfolding in Washington.Key topics include:The evolving role of essential hospitals and the need to serve uninsured and low-income patients;Medicaid's role in the health system and why it is essential for patient care;The real-world impact of Medicaid cuts, including consequences for nursing home stays, community-based services, and hospital operations;Debunking the misconception that having insurance doesn't improve health outcomes; and,Bruce's advice for future health care leaders and what's next for him after America's Essential Hospitals.Guest Bio: With an extensive background in health care management, policy, and public health, Bruce Siegel, MD, MPH, has the blend of experience necessary to lead America's Essential Hospitals and its members through the changing health care landscape and into a sustainable future. With more than 350 members, America's Essential Hospitals is the only national organization representing hospitals committed to serving those who face financial and social barriers to care. Since joining America's Essential Hospitals in 2010, Siegel has dramatically grown the association as it strengthened its advocacy, research, and education efforts. His intimate knowledge of member needs comes in part from his direct experience as president and CEO of two member systems: New York City Health and Hospitals Corporation and Tampa General Healthcare. Just before joining America's Essential Hospitals, Siegel served as director of the Center for Health Care Quality and professor of health policy at The George Washington University School of Public Health and Health Services. He also served as New Jersey's commissioner of health. Among his many accomplishments, Siegel led groundbreaking work on quality and equity, with funding from the Robert Wood Johnson Foundation. He is a past chair of the National Quality Forum board and the National Advisory Council for Healthcare Research and Quality. Modern Healthcare recognized him as one of the “100 Most Influential People in Healthcare” from 2011 to 2019 and 2022 to 2024; among the “50 Most Influential Clinical Executives” in 2022, 2023, and 2024; among the “Top 25 Diversity Leaders in Healthcare” in 2021; one of the “50 Most Influential Physician Executives” from 2012 to 2018; and among the “Top 25 Minority Executives in Healthcare” in 2014 and 2016. He also was named one of the “50 Most Powerful People in Healthcare” by Becker's Hospital Review in 2013 and 2014. Siegel earned a bachelor's degree from Princeton University, a doctor of medicine from Cornell University Medical College, and a master's degree in public health from The Johns Hopkins University School of Hygiene and Public Health.

This episode's Community Champion Sponsor is Ossur. To learn more about their ‘Responsible for Tomorrow' Sustainability Campaign, and how you can get involved: CLICK HEREEpisode Overview: In healthcare's technological revolution, the balance between innovation and patient-centered care has never been more critical. Our next guest, Dr. Craig Norquist, brings an extraordinary perspective as CMIO of HonorHealth, drawing from his unique journey from Navy nuclear operator to emergency physician. While together, Craig shares his vision for technology that enhances rather than compromises the sacred provider-patient relationship and how this approach is transforming care delivery. With dual board certifications in Emergency Medicine and Clinical Informatics, Craig champions high reliability principles learned in both nuclear power plants and hospital settings. As a 19-time Ironman triathlete and cancer survivor, his patient experience profoundly shapes his approach to healthcare technology. Join us to explore how Dr. Norquist is leveraging informatics to reduce provider burden, improve safety, and create a learning health system that truly puts patients first. Let's go!Episode Highlights:Navy Nuclear Experience: Craig brought high reliability principles from his Navy career to healthcare safety.Personal Cancer Journey: His lymphoma battle transformed his view on patient access and care delivery.Protecting Provider Focus: Craig shields clinicians from technology overload to preserve patient interactions.AI Enhanced Documentation: Language models can reduce chart review time and boost patient engagement.Health System Collaboration: Phoenix hospitals worked together during the pandemic to manage patient loads.About our Guest: Dr. Craig Norquist currently serves as the CMIO of HonorHealth after practicing as an Emergency Physician for almost 20 years. He is board certified in both Emergency Medicine and Clinical Informatics. He serves as the Program Director for the Clinical Informatics Fellowship at HonorHealth and as Clinical Assistant Professor in the Informatics Fellowship at University of Arizona College of Medicine – Phoenix Fellowship in Informatics.Prior to becoming the CMIO, he was the Network Patient Safety Officer for HonorHealth, and has previously served as Department Chair of Emergency Medicine as well as Chief of Staff for the Thompson Peak Hospital. In 2017-2019, he completed professional development programs through academic and professional organizations that prepared him for his leadership roles, including Intermountain Health's Advanced Training Program and the Institute for Healthcare Improvement's Patient Safety Executive training. His additional credentials include EPIC physician builder certification, executive training at Harvard Business School in healthcare delivery, and training in artificial intelligence from MIT.His areas of interest are process, quality, and outcome improvement as well as improving the patient and provider experience with information technology in healthcare. His expertise has resulted in invited membership on panels and reports with the ECRI Institute and the National Quality Forum. He continues to work on the state level on opioid prescribing, use disorder recognition and treatment, as well as risk reduction methodologies including naloxone distribution from the Emergency Department. He has organized and chaired the Arizona College of Emergency Physicians opioid prescribing summit for the past 9 years.Dr. Craig is passionate about the use of technology to facilitate the improvement of care and development of a learning health

On this encore episode of The Nurse Keith Show nursing and healthcare career podcast, Keith interviews Dr. G. Rumay Alexander, EdD, RN, FAAN, a noted presenter, provocateur, consultant, professor of nursing, and the American Nurses Association's current Scholar-In-Residence. In the course of their conversation, Keith and Dr. Alexander converse on a variety of subjects, including being a Black nurse who embodies the dream that Dr. Martin Luther King, Jr. so passionately described in his famous speech. Dr. Alexander abhors what she refers to as "truth decay", and she is passionate about busting stereotypes. Detesting being put in a box, she has dedicated her life to kicking down the sides of the box and speaking and giving voice to the hurts and slights suffered by so many throughout history. Dr. Alexander feels blessed to have had a seat at so many tables, and advises others to get themselves into spaces where they can be seen and heard, and thus have more impact. G. Rumay Alexander, EdD, RN, FAAN is a professor in the School of Nursing, Assistant Dean of Relational Excellence at the Adams School of Dentistry, and formerly the Associate Vice-Chancellor for Diversity and Inclusion/Chief Diversity Officer of the University of North Carolina at Chapel Hill. At the end of 2019, she completed her presidency of the National League for Nursing, the national voice for nursing education which has over 40,000 nurse educators and 1200 schools of nursing. In February of 2021, she became the American Nurses Association's Scholar-In-Residence and advises the National Commission to Address Racism in Nursing. Dr. Alexander is the Senior Vice President for Clinical and Professional Services at the Tennessee Hospital Association and their first vice president of color for two decades. As one of nursing's prominent thought leaders, guiding individuals in academic, corporate, health care and religious organizations in the exploration of marginalizing processes and lived experiences of difference, Dr. Alexander's expertise has and continues to be frequently sought. She has been appointed to several transformative healthcare initiatives addressing diversity, equity and inclusion including the Commission of Workforce for Hospitals and Health Systems of the American Hospital Association (over 500,000 copies of the report have been distributed nationally and internationally), the Tri-Council of Nursing, and the National Quality Forum's steering committee which developed the first national voluntary consensus standards for nursing-sensitive care.  ----------- Contact Nurse Keith about holistic career coaching to elevate your nursing and healthcare career at NurseKeith.com. Keith also offers services as a motivational and keynote speaker and freelance nurse writer. You can always find Keith on LinkedIn. Are you looking for a novel way to empower your career and move forward in life? Keith's wife, Shada McKenzie, is a gifted astrologer and reader of the tarot who combines ancient and modern techniques to provide valuable insights into your motivations, aspirations, and life trajectory, and she offers listeners of The Nurse Keith Show a 10% discount on their first consultation. Contact Shada at TheCircelandtheDot.com or shada@thecircleandthedot.com. The Nurse Keith Show is a proud member of The Health Podcast Network, one of the largest and fastest-growing collections of authoritative, high-quality podcasts taking on the tough topics in health and care with empathy, expertise, and a commitment to excellence. The podcast is adroitly produced by Rob Johnston of 520R Podcasting.

In this episode of Inspired Nonprofit Leadership, host Sarah Olivieri speaks with Gary Mandel, founder and CEO of Shatterproof, a national nonprofit working to reverse the addiction crisis in America. Gary shares his personal journey of founding Shatterproof after losing his son to addiction, the organization's approach to implementing science-based addiction treatment, combating stigma, and creating systemic change. The conversation covers Shatterproof's strategic growth, critical partnerships, public policy efforts, and lessons learned from Gary's extensive business background.   Gary Mendell is the founder and CEO of Shatterproof, a national nonprofit focused on reversing the course of the addiction crisis in America. After losing his son Brian to addiction in 2011, Gary founded Shatterproof to spare other families the tragedy that his suffered. Gary has grown Shatterproof to over $20M since founding it in 2012 and has become a national leader in the addiction field creating solutions that will ensure that substance use disorder will be prevented and treated for generations to come. He is a frequent speaker on how our society can end the stigma unjustly associated with addiction, has been honored numerous times for his leadership related to reversing the course of the opioid epidemic, testified in front of the President's Commission on Combating Drug Addiction and the Opioid Crisis, testified before the U.S. Senate Committee on Finance on Treating Substance Misuse in America, and has been a guest several times on CNBC and MSNBC to provide his perspective on common sense solutions to the opioid epidemic, and his opinions are frequently reflected in The Wall Street Journal, Forbes, and The Washington Post. Mr. Mendell is a member of the National Leadership Steering Team for the Grand Challenge to Eliminate Stigma around Mental Health and Substance Use Disorder with the Huntsman Mental Health Institute, a member of the National Quality Forum's Technical Expert Panel for Opioid and Opioid Use Disorder and is an advisory member of The Opioid Policy Research Collaborative at the Heller School for Social Policy and Management at Brandeis University. Gary has spent decades as an entrepreneur. He founded HEI Hotels & Resorts, a multi-billion-dollar company that oversees a portfolio of approximately 85 first class hotels. He raised and managed $1.2 billion in discretionary capital from some of the most prestigious universities in the United States and managed more than $2 billion in assets. He is also a former trustee and president of Starwood Lodging Trust. That business-world experience gives him a unique perspective in running a nonprofit organization like Shatterproof. Mr. Mendell received his B.S. from Cornell University's School of Hotel Administration and his MBA with distinction from the Wharton School at the University of Pennsylvania. Here's what to expect during the episode: Challenges and Strategies in Nonprofit Leadership The Role of Media and Partnerships in Growth Addressing Stigma and Measuring Success Scaling and Infrastructure in Nonprofits Connect with Gary: Facebook:https://www.facebook.com/ShatterproofHQ X: https://x.com/ShatterproofHQ Instagram:https://www.instagram.com/weareshatterproof/ LinkedIn:https://www.linkedin.com/company/shatterproof Our website is shatterproof.org Cortny McKean: gmendell@shatterproof.org Sponsored Resource Join the Inspired Nonprofit Leadership Newsletter for weekly tips and inspiration for leading your nonprofit! Access it here >> Be sure to subscribe to Inspired Nonprofit Leadership so that you don't miss a single episode, and while you're at it, won't you take a moment to write a short review and rate our show? It would be greatly appreciated! Let us know the topics or questions you would like to hear about in a future episode. You can do that and follow us on LinkedIn. Connect with Sarah: On LinkedIn>> On Facebook>> Subscribe on YouTube>>

Kristi Henderson is a healthcare leader, digital health pioneer, and clinician who advanced from a practicing nurse practitioner to CEO and is recognized as an industry thought leader for technology-forward healthcare companies. She has a proven track record of optimizing and executing profitable growth strategies, driving strong business operations, and leading differentiated clinical products and services. She is a cultivator of high-performing teams with a keen understanding of drivers of growth, profitability, and equity value creation, who also fosters a civic-minded culture resulting in a high level of collaboration and commitment. She is experienced in leading and scaling high-growth companies and owning & driving P&L results in geographically dispersed, multi-state, multi-site businesses. She boasts health leadership experience in academic and national nonprofit health systems as well as big tech and public pay/provider organizations, including two Fortune 5 companies.  She is the CEO of Confluent Health, a national value-based musculoskeletal health company, where she is responsible for expanding their nationwide services through the growth of community-based physical therapy clinics, workplace services, and virtual/digital solutions using the highest skilled therapists and innovative clinical pathways that optimize the latest in personalization and technology. ​ She was most recently the CEO of MedExpress and Optum Virtual Medical Group at United Health Group with former leadership roles at Amazon, Ascension Health, and the University of Mississippi Medical Center. She has a proven track record of delivering successful programs at scale that improve health and save money. She is known for her ability to execute and sustain these models in advance of them becoming an industry standard as evidenced by her first launch of a telehealth program in 2003 which is recognized as one of only two of HRSA's Centers of Excellence. She is the immediate past chair for the American Telemedicine Association. She is a Fellow in the American Academy of Nursing and remains active in healthcare education providing guest presentations and serving as an adjunct faculty member. She is an honorary Dean at the University of Washington School of Nursing and an adjunct faculty member in Population Health at the Dell Medical School at the University of Texas-Austin.She has testified before multiple U.S. Senate committees and given numerous presentations across the country, including a TEDx talk, to advance telehealth policy and share innovative new models of care. A few of her other leadership roles include service as an executive board member for the Association of American Medical Colleges Telehealth Committee, advisor for the National Quality Forum's telehealth committee and co-chair of the Telehealth Committee for the American Nurses Association. Henderson received her Doctor of Nursing Practice degree from the University of Alabama at Birmingham where she was recognized as the 2019 Distinguished Alumna from the School of Nursing. She maintains national certification as a family and acute care nurse practitioner.

Artificial intelligence (AI) is dominating headlines and dinner table conversations, and many of us are interested in understanding the impacts it may have on our lives and our practices. Emerging research points to the many ways we can expect AI to play in healthcare in the coming months and years, and it would be a good idea for healthcare providers to take heed. This roundtable discussion features three experts: Tina Kaczor, ND, FABNO, who is a medical editor and naturopathic oncologist; Marina Sirota, PhD, who is a researcher and biomedical informatics expert and associate professor with University of California, San Francisco (UCSF); and Charlotta Lindvall, MD, PhD, who is a researcher, assistant professor at Harvard, and the Director of Clinical Informatics at Dana-Farber Cancer Institute. They discuss current research on AI in healthcare, and explore the concerns that need to be addressed before employing AI fully in the healthcare system. About the Experts Tina Kaczor, ND, FABNO, is editor in-chief of Natural Medicine Journal and the creator of Round Table Cancer Care. Kaczor is a naturopathic physician board certified in naturopathic oncology. She received her naturopathic doctorate from the National University of Natural Medicine and completed her residency at Cancer Treatment Centers of America. She is also the editor of the Textbook of Naturopathic Oncology and cofounder of The Cancer Pod, a podcast for cancer patients, survivors, caregivers, and everyone in between. Marina Sirota, PhD, is an associate professor and the acting director at the Bakar Computational Health Sciences Institute at UCSF. Prior to that, she worked as a senior research scientist at Pfizer, where she focused on developing precision medicine strategies in drug discovery. She completed her PhD in biomedical informatics at Stanford University. Sirota's research experience in translational bioinformatics spans nearly 20 years, during which she has coauthored over 170 scientific publications. Her research interests lie in developing computational integrative methods and applying these approaches in the context of disease diagnostics and therapeutics with a special focus on women's health. The Sirota laboratory is funded by the National Institute on Aging, the National Library of Medicine, the National Institute of Arthritis and Musculoskeletal and Skin Diseases, Pfizer, March of Dimes, and the Burroughs Wellcome Fund. Dr Sirota also is the director of the AI4ALL program at UCSF, with the goal of introducing high school girls to applications of AI and machine learning in biomedicine, and she leads the outreach and advocacy efforts at the Bakar Computational Health Sciences Institute. Charlotta Lindvall, MD, PhD, is a practicing palliative care physician, assistant professor, and director of Clinical Informatics at the Dana-Farber Cancer Institute in Boston. She leads a cross-disciplinary research team of physicians, nurses, and computer scientists to develop AI to extract patient-centered outcomes from clinical narratives and conversations. ClinicalRegex, a software developed by her lab, is used to identify text-based primary outcomes in multiple clinical trials involving tens of thousands of patients in the United States. She leads the Clinical Informatics AI strategy at Dana-Farber and is a technical expert on AI for the National Quality Forum. Dr Lindvall has received multiple awards and prizes, including a NPCRC Junior Investigator Award, a Sojourns Scholar Award, and an Innovation Award from the National Quality Forum. Funding for her research includes grants from the Cambia Health Foundation, the Veteran Affairs, and the National Institutes of Health.

EPISODE 1921: In this KEEN ON show, Andrew talks to Dr Robert Pearl, author of UNCARING, about how the American healthcare system is rigged against ethical doctors and poor patients and what needs to change in 2024Dr. Robert Pearl is the former CEO of The Permanente Medical Group (1999-2017), the nation's largest medical group, and former president of The Mid-Atlantic Permanente Medical Group (2009-2017). In these roles he led 10,000 physicians, 38,000 staff and was responsible for the nationally recognized medical care of 5 million Kaiser Permanente members on the west and east coasts. Named one of Modern Healthcare's 50 most influential physician leaders, Pearl is an advocate for the power of integrated, prepaid, technologically advanced and physician-led healthcare delivery. He serves as a clinical professor of plastic surgery at Stanford University School of Medicine and is on the faculty of the Stanford Graduate School of Business, where he teaches courses on strategy and leadership, and lectures on information technology and health care policy. He is the author of “Mistreated: Why We think We're Getting Good Healthcare—And Why We're Usually Wrong,” a Washington Post bestseller that offers a roadmap for transforming American healthcare. His new book, “Uncaring: How the Culture of Medicine Kills Doctors & Patients” is available now. All proceeds from these books go to Doctors Without Borders. Dr. Pearl hosts the popular podcasts Fixing Healthcare and Coronavirus: The Truth. He publishes a newsletter with over 12,000 subscribers called Monthly Musings on American Healthcare and is a regular contributor to Forbes. He has been featured on CBS This Morning, CNBC, NPR, and in TIME, USA Today and Bloomberg News. He has published more than 100 articles in medical journals and contributed to numerous books. A frequent keynote speaker at healthcare and medical technology conferences. Pearl has addressed the Commonwealth Club, the World Healthcare Congress, the Institute for Healthcare Improvement's National Quality Forum and the National Committee for Quality Improvement (NCQA) Board certified in plastic and reconstructive surgery, Pearl received his medical degree from the Yale University School of Medicine, followed by a residency in plastic and reconstructive surgery at Stanford University. From 2012 to 2017, Pearl served as chairman of the Council of Accountable Physician Practices (CAPP), which includes the nation's largest and best multispecialty medical groups, and participated in the Bipartisan Congressional Task Force on Delivery System Reform and Health IT in Washington, D.C.Named as one of the "100 most connected men" by GQ magazine, Andrew Keen is amongst the world's best known broadcasters and commentators. In addition to presenting KEEN ON, he is the host of the long-running How To Fix Democracy show. He is also the author of four prescient books about digital technology: CULT OF THE AMATEUR, DIGITAL VERTIGO, THE INTERNET IS NOT THE ANSWER and HOW TO FIX THE FUTURE. Andrew lives in San Francisco, is married to Cassandra Knight, Google's VP of Litigation & Discovery, and has two grown children.

Is whole health here to stay, or is it a shiny new object? Our guest today is Dr. Shantanu Agrawal, Chief Health Officer at Elevance Health. He falls soundly on the “here to stay” side of the ledger. He shares that whole health is not a side business for Elevance Health and its 47.5 million members. It is the core strategy for how the company will achieve value and affordability. And it's also what patients want.We dive into:Whether the US could get better outcomes at the same cost by redirecting resources from medical to social care.Why and how Elevance developed its Whole Health Index.The Elevance foundation's three-part focus: maternal health, food as medicine and substance use disorders.The need for a new quality paradigm that measures whole health, not clinical care for individual body parts.Shantanu calls for a deeper look at US health spending and outcomes compared to other countries:“People often make this comparison, ‘well, our health outcomes are generally worse, we spend a lot of money in health care'. However, when you actually look at the total expense on health and social care across all these countries, it actually looks pretty similar. We are more on par with our peers, or they're more on par with us from a cost standpoint. But it is true - our health outcomes are worse. Well, why is that? Well, maybe it's because we've emphasized health care, and not care of a person's health, which means being inclusive of social and being upstream and working earlier in their life. Perhaps if we do this, we will right size the equation for our country.”Relevant LinksMore information on Elevance's Whole Health Index [PDF]Health Affairs article on “A Whole Health Population-Based Payment Approach”Committing to Whole Health: A Conversation with Felicia Norwood & Dr. Shantanu Agrawal [VIDEO]Distinguishing Health Equity and Health Care Equity: A Framework for Measurement About Our GuestShantanu Agrawal, MD, MPhil is chief health officer at Elevance Health, where he oversees the enterprise whole health strategy, including medical policy and clinical quality, as well as the company's industry-leading work to address health-related social needs and health equity. Passionate about improving health outcomes and reducing disparities, Agrawal draws on his clinical and business expertise to push for a more equitable health space for the people Elevance Health serves. He also leads Elevance Health's community health strategy and the Elevance Health Foundation. Previously, Dr. Agrawal served as president and CEO of the National Quality Forum, deputy administrator for the Centers for Medicare and Medicaid Services, and director of one of its largest centers, the Center for Program Integrity.Connect With UsFor more information on The Other 80 please visit our website - www.theother80.com. To connect with our team, please email claudia@theother80.com and follow us on twitter

One of the questions I often get asked is this (actually, it's more of a comment usually than a question): Someone says, “Seems like this whole transformative primary care thing is pretty much just, let's go back to the old country doctor. Let's just have a single doctor out there taking care of patients like a Norman Rockwell painting.” To which I reply (and I'm channeling many experts, including my guest Robert Pearl, MD, when I do), “Yeah … except no.” In the golden olden days of the “ye olde country doctor,” there was a lot of art in medicine and a lot less science. If someone got cancer or even heart disease, what was required, fairly exclusively, was comfort and compassion. Now, first and foremost so there's no confusion, am I dismissing the importance of bedside manner and of providing comfort and compassion? Hell no. Would rather have that any day of the week than deal with a “drive-by PCP” or “drive-by specialist” with the throughput of a freeway who has no idea what I may befall the second I step out of his or her exam room. But in the olden days, medicine was fundamentally art with a lot less science … because there wasn't much science. For the most part, we didn't have data. Or MRIs. This was before the whole pharma industry for the most part. We had weird heroin-infused tinctures, but we didn't have oncology meds or biomarkers or even statins for Pete's sake. Consider all the new diabetes meds and biologics and artificial joints and sub-subspecialists who have, through data and advanced analytics by looking at patients across the country, proven out some best practices that might be fairly unintuitive—or disproven some conventional wisdom. It's a different and much more complicated world today, and what's required now is a healthy appreciation for not only the art of medicine but also the science. And science inherently means that, yeah, there are standards of care to be adhered to. That's what science means. There are rules and better ways to do things as proven by looking at the data and not relying primarily on personal recollections of what may or may not have worked in the past. Listen to the shows with Bob Matthews (EP315) or Alex Akers (EP154) for more on this topic, but this all leads me to the interview with Dr. Robert Pearl in this healthcare podcast where we get into some concepts that he covers in his new book, Uncaring. In this episode, we're talking about some how-tos for being a leader of doctors, going about that against the backdrop of this evolving art and science of medicine dynamic, and the impact of this evolving art and science dynamic on physician culture and self-esteem. Because (spoiler alert) if a doc is following evidence-based guidelines, not relying solely on their own personal experience, does that make said doc feel like they are being devalued and that they are but a cog in the wheel and practicing so-called “cookie cutter” medicine? So many nuances, so little time. But, yeah, there's a lot going on which, at its core, is this tension that can play out in some big bad ways. I asked Dr Pearl for some advice for today's healthcare leaders, and he did not disappoint. He suggested using a model that he calls the A to G model, and, in short, you've got to have: A: an aspirational vision B: behaviors C: context D: data E: engagement (throughout the organization and also with the patient) F: faculty G: governance You'll have to listen to the episode for the why and how of each of these. My guest today, as aforementioned, is Dr. Robert Pearl. I am sure that most of our Relentless Tribe who are listening to the show today already know Dr. Pearl, but in short, he was the CEO of Kaiser Permanente for 18 years. Now he hosts a podcast called Fixing Healthcare. He teaches at the Stanford Graduate School of Medicine and Business. He writes articles for Forbes and elsewhere. He's also an author. He wrote a great book called Mistreated, and now there's a new one called Uncaring. I would recommend both. Also mentioned in this episode is Zeev Neuwirth, MD.   You can learn more at robertpearlmd.com.   Robert Pearl, MD, is the former CEO of The Permanente Medical Group (1999-2017), the nation's largest medical group, and former president of the Mid-Atlantic Permanente Medical Group (2009-2017). In these roles, he led over 10,000 physicians and 38,000 staff and was responsible for the nationally recognized medical care of 5 million Kaiser Permanente members on the west and east coasts. Named one of Modern Healthcare's 50 most influential physician leaders, Dr. Pearl is an advocate for the power of integrated, prepaid, technologically advanced, and physician-led healthcare delivery. He serves as a clinical professor of plastic surgery at Stanford University School of Medicine and is on the faculty of the Stanford Graduate School of Business, where he teaches courses on strategy and leadership and lectures on information technology and healthcare policy. He is the author of Mistreated: Why We Think We're Getting Good Health Care—And Why We're Usually Wrong, a Washington Post bestseller that offers a roadmap for transforming American healthcare. All proceeds from the book go to Doctors Without Borders. His most recent book, Uncaring: How the Culture of Medicine Kills Doctors and Patients, was published May 2021. Dr. Pearl hosts the popular podcasts Fixing Healthcare and Medicine: The Truth (formerly Coronavirus: The Truth). He publishes a newsletter with over 13,000 subscribers called Monthly Musings on American Healthcare and is a regular contributor to Forbes. He has been featured on CBS This Morning, CNBC, and NPR, and in TIME, USA Today, and Bloomberg News. He has published more than 100 articles in medical journals and contributed to numerous books. A frequent keynote speaker at healthcare and medical technology conferences, Dr. Pearl has addressed the Commonwealth Club, the World Healthcare Congress, the Institute for Healthcare Improvement's National Quality Forum, and the National Committee for Quality Improvement (NCQA). Board certified in plastic and reconstructive surgery, Dr. Pearl received his medical degree from the Yale University School of Medicine, followed by a residency in plastic and reconstructive surgery at Stanford University. From 2012 to 2017, Dr. Pearl served as chairman of the Council of Accountable Physician Practices (CAPP), which includes the nation's largest and best multispecialty medical groups, and participated in the Bipartisan Congressional Task Force on Delivery System Reform and Health IT in Washington, DC.   04:50 What is the idea of the art of medicine? 09:29 EP407 with Vivek Garg, MD, MBA. 09:32 Why has the intrinsic motivation of doctors plummeted? 09:48 Patient perspective versus doctor subjective response. 12:36 Why is there a fundamental change in what doctors and medical professionals can take pride in? 14:38 What did change management look like in the past? 15:24 “What does a patient really want? They'd like not to have a stroke, a heart attack … in the first place.” 20:23 “How do leaders achieve evolution?” 23:57 “Incentives always work … the problem in medicine is, they rarely work the way you planned.” 24:20 What's the way to make change happen, and why doesn't it involve financial incentives? 28:10 What do leaders in organizations today consistently underestimate? 29:11 What are the three parts of leadership? 29:25 What is the hardest part about leadership? 31:31 Dr. Pearl's two books, Mistreated and Uncaring.   You can learn more at robertpearlmd.com.   @RobertPearlMD discusses art vs science and leadership in #medicine on our #healthcarepodcast. #healthcare #podcast   Recent past interviews: Click a guest's name for their latest RHV episode! Larry Bauer (Summer Shorts 8), Secretary Dr David Shulkin and Erin Mistry, Keith Passwater and JR Clark (Summer Shorts 7), Lauren Vela (Summer Shorts 6), Dr Jacob Asher (Summer Shorts 5), Eric Gallagher (Summer Shorts 4), Dan Serrano, Larry Bauer, Dr Vivek Garg (Summer Shorts 3), Dr Scott Conard (Summer Shorts 2)  

Running a rural hospital requires a lot of time, commitment, and knowledge. It is essential that rural health leaders have a platform to learn and share their success stories. This week we welcome back Brock Slabach, Chief Operating Officer of the National Rural Health Association, to discuss how the NRHA is supporting rural hospitals and those who lead them. Brock discusses a variety of programs that support rural hospital executives, boards, and legislators.  We also talk about an upcoming event to connect with rural health leaders- the Critical Access Hospital Conference in Kansas City, MO. Register with the link below for early bird pricing by September 7th! Link for CAH conference registration “We don't do nearly enough of recognizing the great work that hospitals are doing in rural areas. And this conference is a way for us to show a showcase some of that stunning work that's going on out in, in rural parts of our country.” -Brock Slabach  Brock joined NRHA in 2008. He is NRHA's Chief Operating Officer. He was a rural hospital administrator for more than 21 years and has served on the board of the National Rural Health Association and the regional policy board of the American Hospital Association. Brock specializes in rural health system development that encompasses population health and the varied payment programs moving rural providers into value-based purchasing models.  Brock is a member of the National Quality Forum's Measures Application Partnership (MAP) Rural Health Workgroup and serves on the Board of Directors of Accreditation Commission for Health Care (ACHC). Brock is the 2015 recipient of the Calico Quality Leadership Award of the National Rural Health Resource Center, received the American Society of Healthcare Pharmacists (ASHP) Board of Directors' Award of Honor for 2018, and the NRHA's President's Award in 2023. Brock earned a master of public health degree in health administration from the University of Oklahoma and is a fellow in the American College of Healthcare Executives.

About David Rhew:Dr. David C. Rhew is the Global Chief Medical Officer (CMO) & VP of Healthcare for Microsoft. He is Adjunct Professor at Stanford University; holds six U.S. technology patents enabling authoring, mapping, and integrating clinical decision support into electronic health records; and has been recognized as one of the 50 most influential clinical executives by Modern Healthcare.Dr. Rhew received his Bachelor of Science degrees in computer science and cellular molecular biology from the University of Michigan. He received his MD degree from Northwestern University and completed his internal medicine residency at Cedars-Sinai Medical Center. He completed fellowships in health services research at Cedars-Sinai and infectious diseases at the University of California, Los Angeles.He has served as CMO and VP for Samsung; SVP and CMO at Zynx Health Incorporated; clinician/researcher at the VA Greater Los Angeles Healthcare System and RAND; and Associate Clinical Professor of Medicine at UCLA. Dr. Rhew has served on the National Quality Forum's Executive Committee for Consensus Standards and Approval, Chaired the Consumer Technology Association Health Technology Board, and sits on the Governing Committee for NESTcc (National Evaluation System for Health Technology coordinating center), the Medical Device advisory group for the FDA, CMS, and NIH.About Dan Desmond:Dan Desmond is the health systems architect for the Health Equity Consortium. He focuses on innovations at the nexus of public health, healthcare, payers, pharma, and community-based organizations. Dan has been advancing public health data reporting for over 25 years. Including work with health systems to improve workflows, operational efficiencies, and data quality. During COVID he oversaw the deployment of solutions to bring care to underserved, rural, and hard-to-reach populations. His team is now driving efforts for equitable community engagement leveraging Azure Confidential Computing to improve vaccination and wellness campaigns; public health surveillance; and HEDIS, QIP, and Star measures in a sustainable manner.About Bela Matyas:Bela T. Matyas is currently the Health Officer and Deputy Director of Health and Social Services for Solano County in California. He previously served as Chief of the Communicable Disease Emergency Response Branch of the California Department of Public Health (CDPH), after briefly serving as Chief of the Disease Investigations Section of CDPH. He also served for thirteen years as the Medical Director of the Epidemiology Program at the Massachusetts Department of Public Health after serving for four years as the Medical Director of Disease Control and State Epidemiologist for the Rhode Island Department of Health. Dr. Matyas received his medical degree from the University of California, San Diego School of Medicine and completed a residency in Occupational Medicine/Preventive Medicine at the Harvard School of Public Health, where he also received a Master of Science Degree in Epidemiology and a Master of Public Health.Things You'll Learn:Data utilization, technology integration, and AI are critical factors in streamlining processes and enhancing healthcare delivery.The HEC wants to ensure data security, respect privacy, and build trust with their communities.Healthcare, community-based organizations, and the public health sector must work together to tackle current healthcare issues and improve care.Data sharing and collaboration have been challenges for healthcare stakeholders so far.Too much data is not valuable, but with the help of AI and ML, the data can be cleaned and structured to be leveraged correctly.Resources:Connect with and follow David Rhew on LinkedIn.Connect with and follow Bela Matyas on LinkedIn.Visit the Health Equity Consortium Website.

In this episode, Dr. Liao speaks with Dana Gelb Safran, ScD, President and Chief Executive Officer of the National Quality Forum.

EPISODE 1393: In this KEEN ON episode, Andrew talks to Robert Pearl, MD, about how generative AI represents a Gutenberg moment in the history of medicine and offers five ways that it will revolutionize healthcare in the next few years Dr. Robert Pearl is the former CEO of The Permanente Medical Group (1999-2017), the nation's largest medical group, and former president of The Mid-Atlantic Permanente Medical Group (2009-2017). In these roles he led 10,000 physicians, 38,000 staff and was responsible for the nationally recognized medical care of 5 million Kaiser Permanente members on the west and east coasts. Named one of Modern Healthcare's 50 most influential physician leaders, Pearl is an advocate for the power of integrated, prepaid, technologically advanced and physician-led healthcare delivery. He serves as a clinical professor of plastic surgery at Stanford University School of Medicine and is on the faculty of the Stanford Graduate School of Business, where he teaches courses on strategy and leadership, and lectures on information technology and health care policy. He is the author of “Mistreated: Why We think We're Getting Good Healthcare—And Why We're Usually Wrong,” a Washington Post bestseller that offers a roadmap for transforming American healthcare. His new book, “Uncaring: How the Culture of Medicine Kills Doctors & Patients” is available now. All proceeds from these books go to Doctors Without Borders. Dr. Pearl hosts the popular podcasts Fixing Healthcare and Coronavirus: The Truth. He publishes a newsletter with over 12,000 subscribers called Monthly Musings on American Healthcare and is a regular contributor to Forbes. He has been featured on CBS This Morning, CNBC, NPR, and in TIME, USA Today and Bloomberg News. He has published more than 100 articles in medical journals and contributed to numerous books. A frequent keynote speaker at healthcare and medical technology conferences. Pearl has addressed the Commonwealth Club, the World Healthcare Congress, the Institute for Healthcare Improvement's National Quality Forum and the National Committee for Quality Improvement (NCQA). Board certified in plastic and reconstructive surgery, Pearl received his medical degree from the Yale University School of Medicine, followed by a residency in plastic and reconstructive surgery at Stanford University. From 2012 to 2017, Pearl served as chairman of the Council of Accountable Physician Practices (CAPP), which includes the nation's largest and best multispecialty medical groups, and participated in the Bipartisan Congressional Task Force on Delivery System Reform and Health IT in Washington, D.C. Named as one of the "100 most connected men" by GQ magazine, Andrew Keen is amongst the world's best known broadcasters and commentators. In addition to presenting KEEN ON, he is the host of the long-running How To Fix Democracy show. He is also the author of four prescient books about digital technology: CULT OF THE AMATEUR, DIGITAL VERTIGO, THE INTERNET IS NOT THE ANSWER and HOW TO FIX THE FUTURE. Andrew lives in San Francisco, is married to Cassandra Knight, Google's VP of Litigation & Discovery, and has two grown children. Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode Dr. Leo Penzi, Executive Vice President and Chief Medical Officer of North American Partners in Anesthesia (NAPA), discusses how the company's Anesthesia Risk Alerts (ARA) program is reducing patient harm and promoting collaborative perioperative cultures. In February 2023, The Joint Commission and National Quality Forum honored the ARA program with the 2022 John M. Eisenberg Patient Safety and Quality Award for National Level Innovation.This episode is sponsored by North American Partners in Anesthesia (NAPA).

Dr. Litjen (L.J) Tan's full bio: Prior to joining the Immunization Action Coalition (IAC), Dr. Tan was the director of medicine and public health at the American Medical Association (AMA) a position he held since 2008. From 1997 to 2008, he was the AMA's director of infectious disease, immunology, and molecular medicine.Dr. Tan was a voting member of the Department of Health and Human Services' National Vaccine Advisory Committee from 2009 to 2013, where he served on the adult immunization, vaccine safety, and healthcare worker immunization working groups, and chaired the immunization infrastructure working group. He also served for more than ten years as the AMA's liaison to the Centers for Disease Control and Prevention's Advisory Committee on Immunization Practices, where he served on the influenza, pneumococcal, zoster, and adult immunization working groups.He co-founded and currently co-chairs the National Adult and Influenza Immunization Summit. He continues to advise the ESWI Flu Summit and the APACI Flu Summit. He serves or has served on the steering committees/advisory boards of the 317 Coalition, the Adult Vaccine Access Coalition (AVAC), the Unity (United for Adolescent Vaccination) Consortium, the National Network for Immunization Information, and the National Viral Hepatitis Roundtable. Dr. Tan also serves, or has served on the National Quality Forum's Adult Immunizations Expert Committee, the Pharmacy Quality Alliance's Adult Immunization Working Group, and numerous national and international expert and technical advisory committees, including panels for the Centers for Medicare and Medicaid Services, The Joint Commission, and the Centers for Disease Control and Prevention, on issues ranging from vaccine hesitancy, to immunization quality measurement development, to adult immunizations, to immunization access and delivery. In 2007, he founded the National Immunization Congress and organized its 2007 and 2010 meetings.Dr. Tan is an editor for Vaccine, BMC Infectious Diseases, Medscape Infectious Diseases, and a member of the ESCMID Vaccine Study Group and has published more than 50 peer-reviewed articles. Resources: www.immunize.orgwww.cdc.orgwww.ama-assn.orgwww.izsummitpartners.orgwww.vaccinateyourfamily.orgwww.goodhealthwins.org

Dr. Joseph O. Lopreiato Undergraduate: B.S. (Biology) Seton Hall University, South Orange, New Jersey, 1973-1977.Medical: M.D. Georgetown University School of Medicine, Washington, D.C., 1977-1981.Masters Degree: Masters of Public Health, University of Texas Health Science Center School of Public Health, 1995-1997.Internship: Pediatrics, National Naval Medical Center, Bethesda, Maryland, 1981-1982.Residency: Pediatrics, National Naval Medical Center, Bethesda, Maryland, 1982-1984.Fellowships: Primary Care Faculty Development Fellowship, Michigan State University, East Lansing, Michigan 1993-1994.Academic Pediatrics Fellowship, University of Texas Health Science Center, San Antonio, Texas 1995-1997.Certificate: Healthcare Modeling and Simulation. Naval Postgraduate School, Monterey, CA. September 2013.BIOGRAPHYDr. Joseph O. Lopreiato MD, MPH received his MD degree from Georgetown University in 1981 and his MPH degree from the University of Texas. He completed his pediatric internship and residency at the National Naval Medical Center in Bethesda, MD in 1984 and did fellowships in faculty development and academic pediatrics at Michigan State University and The University of Texas Health Science Center, San Antonio where he earned an MPH degree. He subsequently completed a 31 year career in the United States Navy Medical Corps as a pediatrician and educator. He has held several education leadership positions including pediatric clerkship director, director for educational affairs, and pediatric residency program director. He is the recipient of several national awards for education including the Academic Pediatric Association's Ray Helfer Award for Innovation Medical Education, The American Academy of Pediatrics National Education Award, a finalist for the ACGME Parker J. Palmer Award, and the recipient of the Association of Pediatric Program Director's Walter Tunneson Award for extraordinary or innovative contributions in pediatric graduate medical education. He has conducted consultations for pediatric training programs for the Association of Pediatric Program Directors and is a case developer for the National Board of Medical Examiners Step II clinical skills examination.He is currently the Associate Dean for Simulation Education and Professor of Pediatrics, Medicine and Nursing at the Uniformed Services University of the Health Sciences in Bethesda, MD. He is also the medical director of the Val G. Hemming Simulation Center, a multidisciplinary learning laboratory serving students across the continuum of medicine. He is a fellow of the American Academy of Pediatrics, a member of the American Pediatric Society, the Association of Standardized Patient Educators and is the President of the Society for Simulation in Healthcare. He is certified as a Healthcare Simulation Educator by the Society.REPRESENTATIVE PUBLICATIONS, PROJECTS, AND/OR DEPLOYMENTSAssociate Dean for Simulation Education and Medical Director, Val G. Hemming Simulation Center, 2003-presentProfessor of Pediatrics, Uniformed Services University of the Health Sciences, May 2011.William P. Clements Award as Outstanding Military Educator, USUHS, 1992.Alpha Omega Alpha Honor Society, USUHS, 1992.Captain, Medical Corps, US Navy 1999-2008Department of Defense Superior Service Medal, 2008President, Society for Simulation in Healthcare, 2018-2019Member, National Board of Medical Examiners Test Reliability (IRC) committee for Step II CS exam. 2016-present.Chair, Executive committee, Uniformed Services Section, American Academy of Pediatrics, 2001-2005.John M. Eisenberg Award for Innovation in Patient Safety and Quality, the Joint Commission and the National Quality Forum, 2016

This episode follows 2 Kidney Cancer expert Urologists in understanding Kidney tumors from diagnosis to treatment options.  Guest:   John L. Gore, M.D. Professor of Urology, Professor of Surgery, Health Services Researcher, University of Washington. Urologist, surgeon, clinician, researcher, educator and expert in clinical care guidelines and outcomes. Dr. Gore is the PI of a large pragmatic trial in bladder cancer, and a quality of care expert. He previously served as the American Urological Association (AUA) representative to the National Quality Forum, which endorses national health care performance measures, and has been on guidelines panels for the National Comprehensive Cancer Network (NCCN) for kidney cancer, and the AUA for bladder cancer.   Brian Shuch, MD is the Director of the Kidney Cancer Program and the Alvin & Carrie Meinhardt Endowed Chair in Kidney Cancer Research. He completed his urology training at UCLA followed by a Urologic Oncology Fellowship at the National Cancer Institute. He is an accomplished surgeon (open/laparoscopic/robotic surgery and percutaneous ablations) and clinical/translational researcher. He serves in leadership positions within various kidney cancer research organizations such as SWOG and the Society of Urologic Oncology. He is recognized as an expert in the genetics of kidney cancer and runs a translational research program with over 140 peers reviewed publications including primary research published in prestigious journals such as Nature, Nature Genetics, Proceedings of the National Academy of Sciences, Journal of Clinical Oncology, and Clinical Cancer Research. He is one of the few clinicians to bring bench science to the bedside in an upcoming therapeutic clinical trial for metastatic kidney cancer.   During This Episode We Discuss: The types of Kidney Cancer   Non cancerous kidney cysts (benign) versus cancerous kidney cysts,   Solid kidney tumors, benign and malignant   Diagnosis of kidney cancers: Imaging and Biopsy   Risk factors for kidney cancers   Genomics of kidney cancer   Treatment of kidney cancer: Localized and Metastatic Quotes (Tweetables) Back in the olden days we used to talk about the triad of three symptoms people associated with kidney cancer. Those three symptoms were hematuria or blood in the urine, palpable mass, and flank pain. Realistically in 2023 this triad happens less than 1% of the time. What has changed is that there is a much higher frequency of use of imaging to diagnose problems in our bodies. Kidney cancer is one of the fastest growing cancer types in terms of it's incidence, because of incidental detection.                                                                                  Dr Gore   Regarding tumor size, it all depends on the scenario.The larger the lesion the more concerning it is for cancer, but even a 1 cm tumor can have some aggressive elements. There is not an absolute size where you say that a tumor below this threshold cannot be a cancer.                                                                                Dr Shuch Most kidney cancers are what we would call sporadic, in that it occurs in the absence of known risk factors. The 2 biggest risk factors that are more behavioral are smoking and obesity.                                                                                 Dr Gore                                                                                Recommended Resources:   KCA: Kidney Cancer Association www.kidneycancer.org   Kidney Can www.kidneycan.org   KC Cure  www.kccure.org   American Cancer Society   Fred Hutchinson   UCLA

On episode 403 of The Nurse Keith Show nursing and healthcare career podcast, Keith interviews Dr. G. Rumay Alexander, EdD, RN, FAAN, a noted presenter, provocateur, consultant, professor of nursing, and the American Nurses Association's current Scholar-In-Residence. In the course of their conversation, Keith and Dr. Alexander converse on a variety of subjects, including being a Black nurse who embodies the dream that Dr. Martin Luther King, Jr. so passionately described in his famous speech. Dr. Alexander abhors what she refers to as "truth decay", and she is passionate about busting stereotypes. Detesting being put in a box, she has dedicated her life to kicking down the sides of the box and speaking and giving voice to the hurts and slights suffered by so many throughout history. Dr. Alexander feels blessed to have had a seat at so many tables, and advises others to get themselves into spaces where they can be seen and heard, and thus have more impact. G. Rumay Alexander, EdD, RN, FAAN is a professor in the School of Nursing, Assistant Dean of Relational Excellence at the Adams School of Dentistry, and formerly the Associate Vice-Chancellor for Diversity and Inclusion/Chief Diversity Officer of the University of North Carolina at Chapel Hill. At the end of 2019, she completed her presidency of the National League for Nursing, the national voice for nursing education which has over 40,000 nurse educators and 1200 schools of nursing. In February of 2021, she became the American Nurses Association's Scholar-In-Residence and advises the National Commission to Address Racism in Nursing. Dr. Alexander is the Senior Vice President for Clinical and Professional Services at the Tennessee Hospital Association and their first vice president of color for two decades. As one of nursing's prominent thought leaders, guiding individuals in academic, corporate, health care and religious organizations in the exploration of marginalizing processes and lived experiences of difference, Dr. Alexander's expertise has and continues to be frequently sought. She has been appointed to several transformative healthcare initiatives addressing diversity, equity and inclusion including the Commission of Workforce for Hospitals and Health Systems of the American Hospital Association (over 500,000 copies of the report have been distributed nationally and internationally), the Tri-Council of Nursing, and the National Quality Forum's steering committee which developed the first national voluntary consensus standards for nursing-sensitive care.  Dr. Alexander holds a Bachelor of Science in Nursing from the University of Tennessee - Knoxville, a   Masters' of Science in Nursing (MSN) and Family Nurse Practitioner from Vanderbilt University and an EdD (Doctorate) in Education, Administration and Supervision from Tennessee State University.   ----------- Nurse Keith is a holistic career coach for nurses, professional podcaster, published author, award-winning blogger, inspiring keynote speaker, and successful nurse entrepreneur. Connect with Nurse Keith at NurseKeith.com, and on Twitter, Facebook, LinkedIn, and Instagram. Nurse Keith lives in beautiful Santa Fe, New Mexico with his lovely fiancée, Shada McKenzie, a highly gifted traditional astrologer and reader of the tarot. You can find Shada at The Circle and the Dot. The Nurse Keith Show is a proud member of The Health Podcast Network, one of the largest and fastest-growing collections of authoritative, high-quality podcasts taking on the tough topics in health and care with empathy, expertise, and a commitment to excellence. The podcast is adroitly produced by Rob Johnston of 520R Podcasting, and Mark Capispisan is our stalwart social media manager and newsletter wrangler.

We're honored to have on this week's episode of "Straight Outta Health IT" the dynamic and unconventional Dr. Kameron Matthews, MD. This amazing clinician has dedicated her life's mission to the equitable delivery of healthcare and the adoption of health policies impacting underserved communities. Dr. Kameron Leigh Matthews is the Chief Health Officer of Cityblock Health, a transformative, value-based healthcare provider integrating medical, behavioral, and social services for Medicaid and dually eligible and low-income Medicare beneficiaries. A board-certified Family Physician, Dr. Matthews has focused her career on underserved and vulnerable communities, having held multiple leadership roles in correctional medicine, federally qualified health centers, and managed care. Most recently at the Veterans Health Administration, she led transformational efforts focused on integrated, Veteran-centered models of care including the implementation of the MISSION Act of 2018 and the EHR modernization effort. She is a member of the National Academy of Medicine. In addition to other non-profit and advisory board positions, she serves as the Vice-Chair of the board of directors of the National Quality Forum. As a passion outside of work, she co-founded and co-direct the Tour for Diversity in Medicine, an initiative seeking to bring premedical enrichment activities to underrepresented minority high school and undergraduate students across the country. In this episode, she shares her journey into healthcare advocacy after taking a detour from med school to earn a law degree which sparked her passion for helping underserved communities. Social determinants of health like zip code, education, and income really do affect access to care. Dr. Kameron reflects on how she started working at Federally Qualified Health Centers and for her, being a physician of color absolutely made the difference. Diversity, equity, and inclusion are not just buzzwords according to Dr. Mathews. A diverse healthcare workforce can directly impact the quality of care and the equitable treatment of patients of color. Her passion now is leading CityBlock Health. Their mission is to create safe and supportive environments for the delivery of holistic care to our most vulnerable and marginalized citizens. Tune into this thought-provoking conversation and feel free to share your thoughts on this topic! --- Support this podcast: https://anchor.fm/christopher-kunney/support

Dr. Geraldine McGinty is professor of Clinical Radiology and Population Health Sciences and Senior Associate Dean for clinical affairs at Weill Cornell Medicine in New York. In this episode she shares her own journey and encourages medical students to build networks, know themselves, and be curious. Dr. McGinty studied medicine at the University of Galway and did her residency at the University of Pittsburgh Medical Center where she was chief resident. She is an expert in imaging economics and an attending radiologist at New York-Presbyterian Hospital, specializing in breast imaging. She has served as an advisor to the CPT Editorial Panel and the National Quality Forum. She was Chair of the American College of Radiology's Commission on Economics and was the radiology member of the AMA's Relative Value Update Committee from 2012-2016. From 2014-2021 Dr. McGinty served as a Non-Executive Director of IDA Ireland, the national foreign direct investment agency. In May 2018 she was elected as the Chair of the ACR's Board of Chancellors, the first woman to hold this office. Dr. McGinty was president of the ACR from 2020-2021. Find her @DrGMcGinty on Twitter

Dr. Peter Angood has led American Association for Physician Leadership (AAPL) since 2011, having previously provided senior leadership for all sizes and types of healthcare organizations. During his career, Angood was the first chief patient safety officer and a vice president for The Joint Commission, senior adviser for patient safety to the National Quality Forum and National Priorities Partnership, and the former chief medical officer with the Patient Safety Organization of GE Healthcare. With his academic surgery practice experience ranging from the McGill University hospital system in Canada to the University of Pennsylvania, Yale University, and Washington University in St. Louis, Angood completed his formal academic career as a full professor of surgery, anesthesia, and emergency medicine. A fellow of the Royal College of Surgeons, the American College of Surgeons, and the American College of Critical Care Medicine, Angood has been an author in more than 200 publications and is a former president of the Society of Critical Care Medicine. We spend most of today's conversation learning about the extensive list of resources available to members of the AAPL. Peter also provides his advice regarding the utility of a business degree and compares that to obtaining the Certified Physician Executive (CPE) designation. The AAPL's impressive set of resources can assist physicians interested in career transition into management and executive leadership roles. You will find links to the AAPL and some of its resources and a transcript of the interview at nonclinicalphysicians.com/empower-physician-leaders/.  =============== You can support this podcast by making a small monthly or annual donation. To learn more, go to nonclinicalphysicians.com/donate You can now join the most comprehensive Community for all clinicians looking for a nontraditional career at NewScr!pt. Get an updated edition of the FREE GUIDE to 10 Nonclinical Careers at nonclinicalphysicians.com/freeguide. Get a list of 70 nontraditional jobs at nonclinicalphysicians.com/70jobs. Check out a FREE WEBINAR called Best Options for an Interesting and Secure Nonclinical Job at nonclinicalphysicians.com/freewebinar1

In this episode of Black Power Moves, part of the Ebony Covering Black America Podcast Network, we're speaking to Donna Cryer, Founder, President & Chief Executive Officer of Global Liver Institute. https://www.globalliver.org/ GLI is the premier patient-driven liver health nonprofit operating across the globe. Moved by her own experience as a liver transplant recipient, Donna has become a powerful force in liver health, health policy, and patient advocacy. At GLI, she has raised more than $10 million for liver health initiatives. She has been featured by and worked with Congress and the White House to advance equitable healthcare in both organ procurement and information technology. Donna is a frequent speaker on patient centricity in research and healthcare delivery and patient engagement in healthcare transformation at meetings of Biotechnology Innovation Organization, Pharmaceutical Research and Manufacturers of America, America's Health Insurance Plans, National Quality Forum, National Comprehensive Cancer Network®, and the National Academy of Medicine.  She frequents the stage of national platforms, including The Washington Post Live, SXSW, and The Atlantic's People v. Cancer. Learn more about your ad choices. Visit megaphone.fm/adchoices

National Stroke Awareness Month – May 2022Dr. Anne Alexandrov May is National Stroke Awareness Month. According to the CDC, every 40 seconds someone in the United States has a stroke, and every 3 and a half minutes, someone dies from a stroke. Today, my guest is a recognized clinical expert in the areas of emergency and critical care with concentrations in neuroscience and vascular dynamics, Dr. Anne Alexandrov. Dr. Alexandrov is considered to be the leading international nursing expert in acute stroke management. More About Dr. AlexandrovDr. Anne Alexandrov, Ph.D., RN, AGACNP-BC, ANVP-BC, NVRN-BC, ASC-BC, CCRN, FAAN, is a Professor of both Nursing and Neurology, as well as the Mobile Stroke Unit Chief Nurse Practitioner at the University of Tennessee Health Science Center in Memphis. She is also Professor and Program Director for NET SMART (www.learnstroke.com) at the Health Outcomes Institute, LLC in Fountain Hills, Arizona. Dr. Alexandrov received her MSN from the University of Texas Health Science Center (UTHSC) at Houston in 1993 with a concentration in Emergency and Critical Care. She received her Ph.D. from Texas Woman's University in 2002, which focuses on integrated systemic and intracranial hemodynamics. Dr. Alexandrov is the President of the Association of Neurovascular Clinicians and serves as Certification Examination Architect for the Neurovascular Registered Nurse, Advanced Stroke Coordinator, the Certified Neurointerventional Clinician, and Advanced Neurovascular Practitioner board certifications. She currently serves on the Board of Directors as Treasurer of the Prehospital Stroke Treatment Organization (PRESTO), an international organization for mobile stroke units. Dr. Alexandrov was the FY-2000 National President of the American Association of Critical-Care Nurses (AACN) and a former member of the American Stroke Association's (ASA) Executive Leadership Board (2005-2007). She Co-Chaired the National Quality Forum's Stroke Committee that selected the first round of evidence-based core measures for Centers for Medicare & Medicaid (CMS) endorsement/pay-for-performance from 2007-2009. Dr. Alexandrov developed the reviewer role for The Joint Commission's (TJC) Stroke Center Certification Program and has served on both the Technical Advisory Panel for TJC's Comprehensive Stroke Center Certification program and the TJC Stroke Performance Measure Panel. She has authored almost 200 original scientific publications related to her work in stroke reperfusion therapies, experimental blood flow augmentation strategies, and stroke systems of care, and co-holds a U.S. patent for ultrasound-enhanced thrombolysis and perfusion. Dr. Alexandrov's many honors include the 2022 Distinguished Research Lecturer for the American Association of Critical-Care Nurses, the 2019 American Association of Nurse Practitioner's Tennessee Nurse Practitioner Excellence Award, the 2018 Memphis Healthcare Hero Award, the 2013 American Association of Critical-Care Nurses' Flame of Excellence Award for her work in acute stroke, induction as an Honorary Ambassador to the World Federation of Critical Care Nurses in 2012, the UAB Graduate School Dean's Excellence in Mentorship Award in 2012, the Birmingham Metro Nurse of the Year Award in 2010, induction as a Fellow in the American Academy of Nursing in 2004, the ASA's Distinguished Service Award in 2003, the American Heart Association's Stroke Manuscript of the Year Award in 2003, the ASA Texas Affiliate's Excellence in Volunteer Leadership Award in 2002, and the John P. McGovern Teaching Excellence Award from UTHSC-Houston in 1999.Websites:https://www.heart.org/ https://www.anbc.org https://www.learnstroke.com/

For nearly two decades, Padmaja Patel, MD, DipABLM, has been a practicing internist in Midland, TX. She currently serves as the Medical Director of the Lifestyle Medicine Center at Midland Health and has advocated for offering a variety of comprehensive lifestyle intervention programs under physician supervision. Dr. Patel serves on the Board of American College of Lifestyle Medicine and as Vice President of the Midland Quality Alliance, a clinically integrated network of physicians. She is a member of the National Quality Forum's 2021 Leadership Consortium and a founding member of the advisory board of the American College of Lifestyle Medicine's Health Systems Council. She also serves as the Chair of the Patient Care Subcommittee of ACLM's Health Systems Council and ACLM's Clinical Practice and Quality Advisory Panel. Dr. Patel has been awarded the prestigious status of Fellow of ACLM for her outstanding achievement in the field of Lifestyle Medicine. She co-founded Healthy City, a non-profit organization, to raise awareness of the benefits of plant-based nutrition within her community.To learn more, visit the following links:Dr. Patel's WebsiteHealthy City Non-Profit21 Day Kickstart from PCRMThis podcast is brought to you by Emory Lifestyle Medicine & Wellness. To learn more about our work, please visithttps://bit.ly/EmoryLM

This episode demystifies clinical medical care ‘best practices' — clinical guidelines & outcome measures. These are regularly created, validated & updated, by expert teams and organizations. This rigorous, evidence-based process provides the USA with a quality and up to date clinical health care system.  [261 characters].   Guest:  John L. Gore, M.D. Professor of Urology, Professor of Surgery, Health Services Researcher, University of Washington. Urologist, surgeon, clinician, researcher, educator and expert in clinical care guidelines and outcomes. Dr. Gore is the PI of a large pragmatic trial in bladder cancer, and a quality of care expert. He previously served as the American Urological Association (AUA) representative to the National Quality Forum, which endorses national health care performance measures, and has been on guidelines panels for the National Comprehensive Cancer Network (NCCN) for kidney cancer, and the AUA for bladder cancer.   Resources: Avedis Donabedian — author of a classic core framework for evaluating the quality of medical care, laid out 50 years ago; the basis of our system today. This link is to a recent article about Donabedian and his work, and is helpful for understanding how and why outcome measures and clinical guidelines are needed and beneficial for quality health care. American Urological Association (AUA) Guidelines for Urology Care — find current health care guidelines for prostate conditions, bladder cancer, erectile dysfunction, etc. National Quality Forum  (NQF)— nonprofit US organization that sets standards for quality health care, and provides other services that advance quality health care. National Committee for Quality Assurance (NCQA)— nonprofit US organization that works to improve health care quality through the administration of evidence-based standards, measures, programs, and accreditation. Agency for Health Care Research and Quality (AHRQ) — lead US Federal agency charged with improving the safety and quality of healthcare for all Americans. AHRQ develops the knowledge, tools, and data needed to improve the healthcare system and help consumers, healthcare professionals, and policymakers make informed health decisions   Podcast Webstie & Social Media: Podcast Website: theoriginalguidetomenshealth.org Facebook Page: https://www.facebook.com/theoriginalguidetomenshealth/ Twitter: https://twitter.com/guide2menshlth LinkedIn: https://www.linkedin.com/company/the-original-guide-to-mens-health/

As a special edition Patient Safety Awareness Week podcast, speakers discuss their work on the National Quality Forum's Action Team on Person-Centered Medication Safety. The co-chairs of this Action Team highlight the priority challenges and recommendations for stakeholders to take away from this work. Additionally, they discuss creating meaningful partnerships with patients, families, and caregivers and outlining practical steps that hospitals and health systems can take to implement better person-centered medication safety.   The information presented during the podcast reflects solely the opinions of the presenter. The information and materials are not, and are not intended as, a comprehensive source of drug information on this topic. The contents of the podcast have not been reviewed by ASHP, and should neither be interpreted as the official policies of ASHP, nor an endorsement of any product(s), nor should they be considered as a substitute for the professional judgment of the pharmacist or physician.

Why measure health outcomes? What information comes from outcome data? What action does the information motivate? How do disparities figure in? Why risk adjust? Blog subscribers: Listen to the podcast here. Scroll down through show notes to read the post. Subscribe to Health Hats, the Podcast, on your favorite podcast player Please support my blog and podcast. CONTRIBUTE HERE Episode Notes Prefer to read, experience impaired hearing or deafness? Find FULL TRANSCRIPT at the end of the other show notes or download the printable transcript here Contents with Time-Stamped Headings to listen where you want to listen or read where you want to read (heading. time on podcast xx:xx. page # on the transcript) Proem.. 1 Knowing enough to be dangerous 02:21. 1 Why measure health outcomes?  04:28. 2 Information from measurement 05:20. 2 Action from information (plus money) 06:07. 2 How do disparities fit in? Look past your nose. 08:12. 2 Risk adjustment 10:29. 3 Reflection 11:44  3 Please comments and ask questions at the comment section at the bottom of the show notes on LinkedIn  via email DM on Instagram or Twitter to @healthhats Credits Music by permission from Joey van Leeuwen, Drummer, Composer, Arranger Joey van Leeuwen Quartet playing Black Narcissus by Joe Henderson Web and Social Media Coach Kayla Nelson @lifeoflesion Photo by Elise Wilcox on Unsplash The views and opinions presented in this podcast and publication are solely the responsibility of the author, Danny van Leeuwen, and do not necessarily represent the views of the Patient-Centered Outcomes Research Institute®  (PCORI®), its Board of Governors or Methodology Committee. Sponsored by Abridge Inspired by and grateful to Matthew Pickering, Cary Sanders, Rebekah Angove, Lina Walker, Adam Thompson, Ben Zola, Amanda Brush, Ellen Schultz, Laura Marcial, Juhan Sonin, Jennifer Bright, William Lawrence Links Risk Adjustment - Factors Affecting Adjustment CMS Physician Cost Measurement and Patient Relationship Codes Technical Expert Panel National Academy of Medicine DIgital Health Learning Collaborative, National Quality Forum's Cost and Efficiency Standing Committee  GoInvo Determinants of Health Related podcasts https://health-hats.com/pod145/ https://health-hats.com/pod140/ https://health-hats.com/pod133/ About the Show Welcome to Health Hats, learning on the journey toward best health. I am Danny van Leeuwen, a two-legged, old, cisgender, white man with privilege, living in a food oasis, who can afford many hats and knows a little about a lot of healthcare and a lot about very little. Most people wear hats one at a time, but I wear them all at once.  I'm the Rosetta Stone of Healthcare. We will listen and learn about what it takes to adjust to life's realities in the awesome circus of healthcare.  Let's make some sense of all this. To subscribe go to https://health-hats.com/ Creative Commons Licensing The material found on this website created by me is Open Source and licensed under Creative Commons Attribution. Anyone may use the material (written, audio, or video) freely at no charge.  Please cite the source as: ‘From Danny van Leeuwen, Health Hats. (including the link to my website). I welcome edits and improvements.  Please let me know. danny@health-hats.com. The material on this site created by others is theirs and use follows their guidelines. The Show Proem Can grasping risk adjustment contribute to a profound understanding of health inequities and motivate action to improve? Whaaattt are you talking about, you ask? As I write this episode, I'm preparing to join an NQF (National Quality Forum) Risk Adjustment Special Populations focus group. Understanding health disparities through measurement and experience and then acting on that information to improve equity ranks high on my list of advocacy priorities. I'm holding my nose,

Dr. Desai is an Associate Physician in the Division of Rheumatology, Inflammation, and Immunity at Brigham and Women's Hospital and an Assistant Professor of Medicine at Harvard Medical School. In addition to her patient care and educational duties, she serves as Associate Chief Quality Officer at Brigham and Women's Hospital.She has served on national advisory committees with the National Quality Forum and serves as Deputy Editor for the International Journal for Quality In Healthcare – an Oxford University Press peer-reviewed publication.Dr. Desai's accolades include the Donabedian award for Quality and Safety in 2019 from the American Public Health Association, for her work in reducing diagnostic error through the ambulatory safety net programs. This work has been presented at several national conferences including the National Patient Safety Foundation, the Society for Diagnosis in Medicine and Vizient.Dr. Desai is also and served as a Program Director (2015-2017) for an innovative global education, blended learning course titled Safety, Quality, Informatics, and Leadership at HMS. She is a native of Massachusetts and attended both college and medical school at Brown University in Rhode Island. She completed her internal medicine residency and Chief residency at Beth Israel Deaconess Medical Center in Boston, her rheumatology fellowship at BWH, and her Master's in Public Health at the Harvard School of Public Health.Enjoy this episode? Leave feedback so the episodes can continually improve and add value.https://www.surveymonkey.com/r/JNH2Q62

Exposing Mold - Episode 19 - Healthcare Risks and Patient Advocacy with Dr. John James Dr. John T. James earned his Ph.D. in pathology from the  University of Maryland School of Medicine in 1981. He has been a Diplomate of the American Board of Toxicology since 1986, and has spent 25 years as NASA's Chief Toxicologist. Prior to that, he worked 8 years studying chemical warfare defense at the Chemical Research and Development Center in Aberdeen Maryland. He retired in early 2014 to spend full efforts on improving patient safety by being an advocate and activist due to the death of his 19-year old son that resulted from uninformed and unethical medical care by cardiologists in Waco, TX. As a result of this tragic incident, he started, “Patient Safety America,” an organization dedicated to educating ordinary citizens about overuse, misuse, and underuse of medical services and about healthcare risks. Dr. James is an affiliate of the Consumers Union Safe Patient Project, which has become the Patient Safety Action Network, was a member of the State of Texas Healthcare Acquired Infection and Preventable Adverse Event Advisory Panel (2010-2015) was a Project Leader for the Healthcare Justice and Patient Safety Grant from the General Board of Church and Society of the United Methodist Church (2013-2015)and also served on expert panels by the National Quality Forum, Leapfrog, and Centers for Medicare and Medicaid Services. He has also been an invited speaker to many Patient Advocacy forums and has won a plethora of awards for his pivotal work.  In addition he has written the book, “A Sea of Broken Hearts” to teach others the importance of being their own patient advocate to mitigate medical errors. He has written or contributed to more than 100 scientific and technical papers and more than a dozen book chapters. He lives in Clear Lake, Texas with his wife and enjoys fishing, running, and church mission trips. In this episode, listeners learn the importance of patient advocacy to minimize harm from the medical system.  If you've been affected by mold and want to contribute to our efforts, visit our Patreon or GoFundMe page to donate today.Patreon - patreon.com/exposingmoldGoFundMe - gofund.me/daf1233eWe understand the huge financial loss mold causes. You can do your part by Liking, Sharing, Commenting, and Subscribing to our content. We need your support to raise awareness of this devastating illness so that people can get the help they deserve.Transcript:English - https://bit.ly/3jCzBZy Spanish -  https://bit.ly/3wbvt5nClick here to obtain this show's resources page.  https://bit.ly/3yoDTYv Find us on Facebook, Instagram, Twitter, and YoutubeSupport the show (https://www.gofund.me/daf1233e)

In this episode of "Keen On", Andrew is joined by Robert Pearl, the author of "Uncaring", to discuss the state of the American healthcare system -- and how we can save it. Dr. Robert Pearl is the former CEO of The Permanente Medical Group (1999-2017), the nation's largest medical group, and former president of The Mid-Atlantic Permanente Medical Group (2009-2017). In these roles he led 10,000 physicians, 38,000 staff and was responsible for the nationally recognized medical care of 5 million Kaiser Permanente members on the west and east coasts.  Named one of Modern Healthcare's 50 most influential physician leaders, Pearl is an advocate for the power of integrated, prepaid, technologically advanced and physician-led healthcare delivery. He serves as a clinical professor of plastic surgery at Stanford University School of Medicine and is on the faculty of the Stanford Graduate School of Business, where he teaches courses on strategy and leadership, and lectures on information technology and health care policy. He is the author of “Mistreated: Why We think We're Getting Good Healthcare—And Why We're Usually Wrong,” a Washington Post bestseller that offers a roadmap for transforming American healthcare. All proceeds from the book go to Doctors Without Borders. His next book, “Uncaring: How the Culture of Medicine Kills Doctors & Patients” will be published spring 2021.  Dr. Pearl hosts the popular podcasts Fixing Healthcare and Coronavirus: The Truth. He publishes a newsletter with over 12,000 subscribers called Monthly Musings on American Healthcare and is a regular contributor to Forbes. He has been featured on CBS This Morning, CNBC, NPR, and in TIME, USA Today and Bloomberg News. He has published more than 100 articles in medical journals and contributed to numerous books. A frequent keynote speaker at healthcare and medical technology conferences. Pearl has addressed the Commonwealth Club, the World Healthcare Congress, the Institute for Healthcare Improvement's National Quality Forum and the National Committee for Quality Improvement (NCQA). Board certified in plastic and reconstructive surgery, Pearl received his medical degree from the Yale University School of Medicine, followed by a residency in plastic and reconstructive surgery at Stanford University.  From 2012 to 2017, Pearl served as chairman of the Council of Accountable Physician Practices (CAPP), which includes the nation's largest and best multispecialty medical groups, and participated in the Bipartisan Congressional Task Force on Delivery System Reform and Health IT in Washington, D.C. Learn more about your ad choices. Visit megaphone.fm/adchoices

The pain of stigma comes out as Gary Mendell, CEO of Shatterproof talks about his son Brian. It is now his life mission to make a difference, and Shatterproof is doing just that. Shatterproof, under Gary’s leadership shows that words matter. For example, addiction is not just a chronic disease of the brain – it is a treatable chronic disease of the brain. Treatment gives hope. But how do we balance stigma as a stool for prevention – “don’t smoke” “drugs are bad” while we eliminate the stigma against a human being with a problem? Listen to Dr. Lev and Gary discuss this issue. Gary Mendell, Founder and CEO, Shatterproof Gary Mendell is the founder and CEO of Shatterproof, a national nonprofit dedicated to reversing the addiction crisis in the United States. After losing his son Brian to addiction in 2011, Gary founded Shatterproof to spare other families the tragedy his had suffered. Since founding Shatterproof, Mr. Mendell has been recognized as a national leader in the addiction space, working to transform how opioid and substance use disorders are treated. His priorities include advocating for state and federal policy change, ending the harmful stigma of addiction, and supporting and educating our communities. Mr. Mendell has testified in front of the President's Commission on Combating Drug Addiction and the Opioid Crisis and his opinions are frequently reflected in the media.  He also serves on the Executive Advisory Board of the University of Pennsylvania's Leonard Davis Institute of Health Economics, is a member of the National Quality Forum’s Technical Expert Panel for Opioid and Opioid Use Disorder, and is an advisory member of The Opioid Policy Research Collaborative at the Heller School for Social Policy and Management at Brandeis University. Before Shatterproof, Mr. Mendell spent decades as an entrepreneur. He founded HEI Hotels & Resorts, a multi-billion-dollar company that oversees a portfolio of approximately 70 first class hotels. Mr. Mendell received his B.S. from Cornell University's School of Hotel Administration and his MBA with distinction from the Wharton School at the University of Pennsylvania. Shatterproof.orgLearning Points: Ending the stigma of addiction Education – that addiction is a treatable disease Appropriate Language – make an impact on attitude Policy changes

Purchase links for Uncaring- How the Culture of Medicine Kills Doctors and Patients: Audible, Barnes and Noble, Amazon All profits from the book go to Doctor's Without Borders Dr. Robert Pearl is the former CEO of The Permanente Medical Group (1999-2017), the nation’s largest medical group, and former president of The Mid-Atlantic Permanente Medical Group (2009-2017). In these roles he led 10,000 physicians, 38,000 staff and was responsible for the nationally recognized medical care of 5 million Kaiser Permanente members on the west and east coasts. Dr. Pearl hosts the popular podcasts Fixing Healthcare and Coronavirus: The Truth. He publishes a newsletter with over 12,000 subscribers called Monthly Musings on American Healthcare and is a regular contributor to Forbes. He has been featured on CBS This Morning, CNBC, NPR, and in TIME, USA Today and Bloomberg News. He has published more than 100 articles in medical journals and contributed to numerous books. A frequent keynote speaker at healthcare and medical technology conferences. Pearl has addressed the Commonwealth Club, the World Healthcare Congress, the Institute for Healthcare Improvement’s National Quality Forum and the National Committee for Quality Improvement (NCQA). Dr. Robert Pearl's Personal Website Sunny's Instagram, Twitter (GIVEAWAY SOON)

Dr. Andrey Ostrovsky is the former Chief Medical Officer of the US Medicaid program. He is now the Managing Partner at Social Innovation Ventures where he invests in and advises companies and non-profits dedicated to eliminating disparities. He also advises federal and state regulators on how to incorporate human centered design into policy making. He previously operated a series of methadone clinics in Baltimore, Maryland. Prior to working on the front line of the opioid use disorder crisis, he served as the Chief Medical Officer for the Center for Medicaid and CHIP Services, the nation's largest health insurer, where he advocated to protect the program against several legislative efforts to significantly dismantle the program. He also led efforts to streamline Medicaid and make it more customer-centric. Before leading the Medicaid program, he co-founded the software company, Care at Hand, an evidence-based predictive analytics platform that used insights of non-medical staff to prevent aging people from being hospitalized. Care at Hand was acquired in 2016 by Mindoula Health. Before Care at Hand, Dr. Ostrovsky led teams at the World Health Organization, United States Senate, and San Francisco Health Department toward health system strengthening. Dr. Ostrovsky has served on several boards and committees dedicated to behavioral health, interoperability standards, quality measurement, and home and community based services including the National Academies of Medicine, National Quality Forum, Institute for Healthcare Improvement, and the Commonwealth Fund. Andrey holds a Medical Doctorate and undergraduate degrees in Chemistry and Psychology Magna cum Laude from Boston University and is a member of Phi Beta Kappa. Andrey completed his pediatrics residency training in the Boston Combined Residency Program at Boston Medical Center and Boston Children's Hospital where he was a clinical instructor at Harvard Medical School. He is currently teaching faculty and attending physician at Children's National Medical Center.

Dr. Robert Pearl is the former CEO of The Permanente Medical Group (1999-2017), the nation’s largest medical group, and former president of The Mid-Atlantic Permanente Medical Group (2009-2017). In these roles he led 10,000 physicians, 38,000 staff and was responsible for the nationally recognized medical care of 5 million Kaiser Permanente members on the west and east coasts.  Named one of Modern Healthcare’s 50 most influential physician leaders, Pearl is an advocate for the power of integrated, prepaid, technologically advanced and physician-led healthcare delivery. He serves as a clinical professor of plastic surgery at Stanford University School of Medicine and is on the faculty of the Stanford Graduate School of Business, where he teaches courses on strategy and leadership, and lectures on information technology and health care policy. He is the author of “Mistreated: Why We think We’re Getting Good Healthcare—And Why We’re Usually Wrong,” a Washington Post bestseller that offers a roadmap for transforming American healthcare. All proceeds from the book go to Doctors Without Borders.  He hosts the popular podcast Fixing Healthcare, publishes a newsletter with over 10,000 subscribers called Monthly Musings on American Healthcare and is a regular contributor to Forbes. He has been featured on CBS This Morning, CNBC, NPR, and in TIME, USA Today and Bloomberg News. He has published more than 100 articles in medical journals and contributed to numerous books. A frequent keynote speaker at healthcare and medical technology conferences. Pearl has addressed the Commonwealth Club, the World Healthcare Congress, and the Institute for Healthcare Improvement’s National Quality Forum. Board certified in plastic and reconstructive surgery, Pearl received his medical degree from the Yale University School of Medicine, followed by a residency in plastic and reconstructive surgery at Stanford University.  From 2012 to 2017, Pearl served as chairman of the Council of Accountable Physician Practices (CAPP), which includes the nation’s largest and best multispecialty medical groups, and participated in the Bipartisan Congressional Task Force on Delivery System Reform and Health IT in Washington, D.C. Connect with Dr. Robert Pearl on Twitter @RobertPearlMD, LinkedIn and at his website robertpearlmd.com.    Unlock Bonus content and get the shows early on our Patreon Follow us or Subscribe: Apple Podcasts | Google Podcasts | Stitcher | Amazon  | Spotify   Lawrence B. Keller, CFP, has been in the insurance and financial services industry since 1990. Unlike medicine, which has a standardized path that physicians must take to gain the education, training and experience requirements necessary to obtain board certification, the insurance and financial services industry does not. Working with an agent that is familiar with the underwriting of both disability and life insurance policies for physicians can all but guarantee a smooth underwriting process in which the desired outcome is likely. While he might not be a doctor’s first phone call regarding their insurance needs, he is often their last. Find Larry at doctorpodcastnetwork.com/larrykeller    Show notes at https://rxforsuccesspodcast.com/48 Report-out with comments or feedback at https://rxforsuccesspodcast.com/report

In this episode, we discuss what health equity is all about, what we can do to advance patient and family engagement, and how these issues matter to us all when it gets right down to it. Our guest is Kellie Goodson, MS, CPXP, a thought leader in the areas of person, or patient and family engagement (PFE) and equity in health care quality and safety improvement. She has led a multi-year analysis of hospitals leveraging and deploying PFE in quality and safety improvement that demonstrated a correlation between high levels of PFE and improvements in patient outcomes, specifically lower rates of 30-day readmissions and falls with injury. She has worked with multiple health systems to improve patient outcomes using quality improvement science through the lens of health disparities identification and resolution. Kellie co-led national Affinity Groups for the topics of PFE and health equity for the Centers for Medicare and Medicaid Services and has served on National Quality Forum committees, including the National Quality Partners Action Team to Co-Design Patient-Centered Health Systems. Kellie received her Bachelors of Science in Business from the University of New Hampshire and her Masters of Science in Integrated Health Care Management from Western Governors University. She also received her Certified Patient Experience Professional (CPXP) designation. Kellie Goodson, MS, CPXP on LinkedIn: https://www.linkedin.com/in/kellie-goodson-ms-cpxp/ On Twitter @kac0102 Music Credit: Jason Shaw from www.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 learn from audio interviews a way to participate.  Please enjoy! Patrick Swift PhD, MBA, FACHE: [00:00:00] Welcome folks to the Swift healthcare video podcast. I'm Patrick Swift. And I want to thank you for dialing in for joining us. I have a special guest Kelly Goodson for the show. Kelly. Welcome to the show. [00:00:11] Kellie Goodson, MS, CPXP: [00:00:11] Great. Thanks to be here with you today, Patrick. [00:00:13]Patrick Swift PhD, MBA, FACHE: [00:00:13] Absolutely. I think we're going to have, okay. Fantastic show. And let me read you folks. Uh, Kelly's bio here. Very impressive. Uh, person Kelly is a thought leader in the areas of person, patient, and family engagement and equity. In healthcare quality and safety improvement, she has led a multi-year analysis of hospitals, leveraging and deploying patient family engagement in quality and safety improvement. [00:00:36] She has worked with multiple health systems to improve patient outcomes, using quality improvement science through the lens of health, disparities, identification, and resolution. Let's not just identify it, but let's find the solution to it as well. Kelly has Cola and listened to this. Kelly has co-led national affinity groups. [00:00:53] For the topics on the topics of patient family engagement and health equity, for who, the centers for Medicare and Medicaid services. I think you've heard of them and is deployed on the Nash has served on the national quality forum committee, including the national quality partners action team to co-design patient-centered health systems. [00:01:12]Kelly, welcome to the show. I'm delighted you're here. And what are we talking about here? Folks? We're talking about patient family engagement. We're talking about health equity and you, and what that means is that this topic relates to all of us. This isn't just, um, a sub. A component with them. What we do with healthcare is all of us, whether we're in finance, whether you are in environmental services, cleaning, helping, cleaning the floor, whether you're in a physician, caring for patients, whether you're a CEO, I'm a CEO has gone undercover boss and I have, I've helped clean the floors and wiped down toilets and beds. [00:01:47] This is all of us together. And the work that we do right. So I'm in the show. Kelly, we're going to talk about a lot of incredible stuff. And I want to ask you also just the top of the show. What are you up to these days? You've done so much. [00:02:00] Kellie Goodson, MS, CPXP: [00:02:00] Yeah, thanks, Patrick. Uh, currently I'm working at Visiant, which is a, , member owned member driven healthcare performance company. We've got not-for-profit academic medical centers and community-based hospitals across the country. I've also started partnering with a new startup called diversity crew. [00:02:20], and that's a consortium of passionate people, really wanting to help improve diversity, equity and inclusion, not only in healthcare, but in, in. All industries. And I also work with a company called ATW health solutions. It's a consulting company out of Chicago. Again, working in that patient engagement and health equity space. [00:02:43] Patrick Swift PhD, MBA, FACHE: [00:02:43] excellent. Well, shout out to all those companies and, and just kudos for being part of all that. And we're, we're, we're taking a look at patient family engagement and health equity. We could talk about that for hours, right? But let's break that down for the purpose of the show and just talk about the tools and, and I know there are two tools that you're using this work. [00:03:02] Can you tell us about that? [00:03:04] Kellie Goodson, MS, CPXP: [00:03:04] Yeah. So I really focus on how to use patient and family engagement as well as health equity in your quality improvement efforts. So, you know, let's start with patient and family engagement. It's really, it's known. Throughout the industry that when an individual patient is activated and engaged and educated about their own health care, that they get better outcomes. [00:03:30] Um, this has been studied for decades and, uh, I just want to mention Dr. Judy Hibbard who created, uh, what she called the PAC patient activation measure or Pam tool that actually she created. [00:03:42] Patrick Swift PhD, MBA, FACHE: [00:03:42] healthcare without another acronym. [00:03:44] Kellie Goodson, MS, CPXP: [00:03:44] know, right. Uh, but this patient activation measure really brought to light that patients are at different levels, uh, of their own, you know, knowledge, education, confidence in how to care for themselves. [00:03:58] So, , Dr. Hebert came up with four levels of patient activation, you know, starting from sort of that traditional, , passive, , you know, Patient that really just receives healthcare. Just, you know, it's more of that one way street, they just receive the information , they do their best, but they don't really have the confidence to care for themselves. [00:04:16]And then it, you know, it goes all the way up to level four, the highest level where. They're their own advocate and they are really, um, understand their condition. They, they advocate for themselves. They're looking for the best, , you know, medications and procedures and solutions for themselves. So this, this, , patient activation concept that Dr. [00:04:38] Hibbard really brought out is one of the most researched and most studied, um, patient engagement tools. So it's, it's really brought to light how. Outcomes can be improved when we activate and engage our patients. [00:04:53] Patrick Swift PhD, MBA, FACHE: [00:04:53] And that's so critical Kelly, because it reminds me of a, a gentleman I took care of in the two thousands, diagnosed with my Justina and gravis on, on a neuro rehabilitation unit. And when I first met him black gentleman in his thirties, and when I engaged him, I asked him how he was doing. And, and w w what are we doing? [00:05:16] What are you doing here? How can we help you to get his input and his own words? And he said something that stuck with me. He said, what's the point in talking with you about this? Because no one really listens. And he had been misdiagnosed, poorly assessed and gone through a arduous, horrible journey of not. [00:05:35] Being properly assessed and then treated and had been completely disempowered and stuff. My focus when I heard that, um, was to be his best friend, to engage, to get his story, to prop him up, uh, to be engaged in empowered. And what you're describing is these four levels in which the. One person is the least engaged and there is a bias I think we have of, well, if the patient is not really engaged and they must not really care about their health, and there is so much we can do. To engage our patients and also engage our colleagues to be part of this journey. So this gets to, I just, I love it. I love that you started with that and thank you for, uh, tickling my memory from, from 20 odd years ago, uh, , of an patient I was caring for, because this is about engagement. [00:06:22] When we engage people. There are better outcomes. There's better. Self-esteem, there's better health. There's better quite frankly, joy and heart in what we do in this dyad, this collaboration with, with our patients and with each other. [00:06:34] So let's switch gears, , to health equity and, , how can it be a tool for quality improvement? [00:06:41] Kellie Goodson, MS, CPXP: [00:06:41] Well, let me, I'm going to ask you a question. I'm going to have you put your old CEO hospital's CEO hat on and [00:06:47] Patrick Swift PhD, MBA, FACHE: [00:06:47] Oh, I got a hustle here. Okay. All right. [00:06:50] Kellie Goodson, MS, CPXP: [00:06:50] So what would you say if I told you I could find, uh, the patients. In your hospital that have, that are in the highest readmitted let's use readmissions, for example, highest readmitted patients. [00:07:03]And within that group, I can tell you exactly, , the subcategories of patients that are highest. Readmits to the hospital, , and really pinpoint who those groups are for you, so that you can, you know, shift your resources and shift your focus to help those patients not be readmitted and really reduce your, your readmissions overall. [00:07:30] Would, would you be interested in that? [00:07:32] Patrick Swift PhD, MBA, FACHE: [00:07:32] absolutely. And here's why. On many levels. And I, if I'm putting on that CEO hat, I'm going to put on my CEO hat, I'm not going to give the, the, the, the, the standard answer. Um, the standard answer I think, would be about, uh, well, I'll just speak for myself. Um, this is about, it is about safety. [00:07:53] It's about quality. It's about the patient experience is about the, the, the physician and the provider experience. So from a safety and quality perspective, when you're identifying folks that that are let's call them frequent flyers, who are coming through the door constantly, we, that's not ideal. Because it may be heads in beds and maybe an old bottle in which you've just got people coming through the door and you're generating revenue as a hospital, but that's a zero sum game. [00:08:19] And everyone loses with this fee for service. Boom, boom, boom has in beds. I would be really interested in how you identify those patients and then how can we serve them and reduce the likelihood readmissions, right. Cut down on their frequent flyer status. They would get less miles. That's fine. They don't need free tickets. [00:08:36]And, um, the benefit to the, the, the providers and the organization also is that you're able to serve more people. More effectively, because then you don't have people coming through the hospital that are using up resources that we could apply elsewhere. And then we're able to think proactively about prevention, about, um, engagement for staff to be able to be part of these bigger solutions. [00:08:58] So, and I could go on, I'll shut up, but, but really we're touching on safety, quality of the experience, the economics, um, and quite frankly, doing the right thing for the right reasons at the right time. And what you're touching on is the timeliness, because right now, as we speak, there's someone sitting in an emergency room who's suffering, who's constantly going through this revolving door and, um, it may be benefiting the, the, the, the system. [00:09:19]Uh, that they're going through that door and there's, there can be an organization where they're not interested in, in helping stop that, but those organizations that are interested in stopping it, um, and cutting down on their frequent flyer status, uh, I can do better and save lives, save money, um, use better resources and, and do better. [00:09:37] Good. I had my arm day glory to the greater glory. Yeah, [00:09:39] Kellie Goodson, MS, CPXP: [00:09:39] Yeah. Yeah. And, and the way we do [00:09:42] Patrick Swift PhD, MBA, FACHE: [00:09:42] this is probably more than you. That's [00:09:43] Kellie Goodson, MS, CPXP: [00:09:43] No, no, that's [00:09:44] Patrick Swift PhD, MBA, FACHE: [00:09:44] more than you plan on biting off, but you asked my opinion. So. [00:09:47] Kellie Goodson, MS, CPXP: [00:09:47] Well, we do, you know, what we do is we, we can, uh, you know, find those patients by really dis-aggregating our data. So we look at data in the aggregate all the time and I'll stick with readmissions. So we know that heart failure, AMI pneumonia, CLPD readmissions, those are high rates. Of readmissions patients with those conditions, you know, automatically have these sort of higher rates of readmission than your average patient. [00:10:13]So when we dis-aggregate that data, for example, we can find out, you know, these people from this certain zip code have higher rates of heart failure, readmissions, or, you know, we, when we desegregate the data, we actually can see what's happening. [00:10:30]And I've got a really great example of a hospital [00:10:33] Patrick Swift PhD, MBA, FACHE: [00:10:33] and then you identify a solution. [00:10:34] Kellie Goodson, MS, CPXP: [00:10:34] Then you, then you identify Switzerland. So the, the hospital system Novant health they're based out of North Carolina, they, , dis-aggregated their pneumonia readmissions and found out that African-Americans in their hospital, had the highest rates. [00:10:49] Of pneumonia readmissions. So they got a group together and went to work, use the traditional PI qui tools of improvement. And they did chart reviews. They did observations, they interviewed patients, they interviewed staff and they discovered some very specific things that they could do. That would help the African-American patients reduce those readmission rates. [00:11:12]So, um, not only did they get rid of that disparity in the readmission rate between their African-American and all other patients, they re they dropped their pneumonia readmission for all of their patients. I [00:11:26] Patrick Swift PhD, MBA, FACHE: [00:11:26] Yes. So I love that you said that because that's a win-win win. [00:11:30] Kellie Goodson, MS, CPXP: [00:11:30] When, when, when am. And, um, I was really honored, uh, to nominate [00:11:34] Patrick Swift PhD, MBA, FACHE: [00:11:34] Everyone benefits [00:11:36] Kellie Goodson, MS, CPXP: [00:11:36] yes, and they, they won an award for it. I nominated them for the inaugural CMS office of minority health, health equity award back in 2018. And they were, uh, awarded that, that, you know, um, that distinctive award from CMS. So, not only is it a win for patients, it's a win for the organization. [00:11:56] It's a win for everybody. Like you [00:11:58] Patrick Swift PhD, MBA, FACHE: [00:11:58] I love it. I love it. So you're desegregating the data. You're plying that information. You're identifying solutions. And when you identify a solution, you're saying, and I, I want listeners to be aware that Kelly, what you're talking about is when you identify the problems and the solutions to it, then processes can be put in place that are helping everyone, not just a particular slice of the pie. [00:12:20] That everyone benefits from this. So I want to challenge folks to be interested in what's going on in your organization. How is your organization looking at health equity? Because there are people, I mean, let's take the black lives matter conversation. I I've got friends . I love dearly and they get defensive saying, what do you mean black lives matter all lives matter. [00:12:40] Well, of course they all matter. But when there are disparities related to black lives, well, injustice anywhere is injustice everywhere. Number one, but number two, there are people suffering as a result of systemic ways. We built health care. And so when we solve a piece of the pie, um, in one slice, the truth is that everyone wins. [00:13:05] So when we're recognizing that black lives matter, um, everyone is winning. Um, if you want to drive a campaign for white lives matter, like what, what good is that doing? Uh, there's plenty of folks, white folks being a white, Hispanic myself, but being a white person, uh, the system is I'm certainly benefiting from being white. [00:13:25]Um, but when it comes to addressing health equity, health disparities, um, black lives matter when we address the inequities inequities in healthcare, um, everyone's winning. So I'll get off that soap box, um, and go back to [00:13:38] Kellie Goodson, MS, CPXP: [00:13:38] Well, the rising tide rises all boats. Right. And that, um, you know, and Patrick's [00:13:44] Patrick Swift PhD, MBA, FACHE: [00:13:44] not voodoo economics. [00:13:45] Kellie Goodson, MS, CPXP: [00:13:45] no, not [00:13:46] Patrick Swift PhD, MBA, FACHE: [00:13:46] is, this is not a George Bush and we're not talking about voodoo economics here, but we are talking about, uh, all boats rising. [00:13:53] Kellie Goodson, MS, CPXP: [00:13:53] Yeah. And you know, this is really what federal state, um, and even the CDC, um, has done with the COVID-19 data, right? So they dis-aggregated the data they've showed us the rates for the different populations that we have in our country. And we have Visiant did this as well. Um, and. You know, our, we have just wonderful, smart data scientists at Visiant, and they took all of our data. [00:14:20] It's over 500 hospitals worth of data and they stratified our COVID-19 data by race. And ethnicity and it, you know, we found what you're hearing in the news, you know, that, uh, black and Brown Americans have higher rates of not only getting COVID, but being hospitalized for COVID and, and having COVID, you know, dying from COVID. [00:14:45]So, you know, one thing that we did, so talk about, you know, sort of desegregation and investigation are really smart data scientists also added in age. So we have race, ethnicity, and age. And when you, you know, you hear about COVID-19 and you think, you know, those over 65 years old are most effected by it. [00:15:04]Well, that's true if you're white, but if you're black or Brown, you are more effected by it. Between the years of 20 years old and 65 years old. [00:15:14] Patrick Swift PhD, MBA, FACHE: [00:15:14] Mm. [00:15:15]Kellie Goodson, MS, CPXP: [00:15:15] So when you really use the power of data to look and investigate and find you find things that you can actually do something about. [00:15:25]Patrick Swift PhD, MBA, FACHE: [00:15:25] So what I feel you touching on under all this under these, you know, still waters run deep is we're talking about high quality care because when you're providing a high quality care, leveraging the data. To find evidence-based medicine. Well then when you're practicing evidence-based medicine, um, you're leveraging that data to address what the data's telling you, which happens to tell you this demographic, these, this attention, this demographic needs more of this attention to be mindful of that. [00:15:58]Uh, and following what the evidence tells you, how to best, best provide care, [00:16:02] Kellie Goodson, MS, CPXP: [00:16:02] Yeah, and I have another great example for you. Um, just along those lines, um, another, uh, visit member that I've worked with, um, Harbor view medical center out in Seattle, Washington. They've been working on this for decades and they are really sophisticated at this, but when they first started, you know, there, they went to stratify their data in. [00:16:24]They didn't really have great patient demographic data. So that happens to a lot of organizations. They want to do this and they go try to do it. And it's, it's actually not as easy as it sounds. And then the data doesn't look right. And there has to be investigations around data collection and, and completeness and all that. [00:16:41]But I tell them, don't let that stop. You. You can still do, you know, work in this area. And that's exactly what Harbor view did, you know, 10 years ago. And they were able to find out that, um, you know, for example, their colonoscopy screening rates for Vietnamese and Spanish speaking patients were way below. [00:17:01]Those of English speaking patients. So what they were able to do by using the data and finding that out, they were able to provide prep clinics in Vietnamese. You know, they would conduct them in Vietnamese and in Spanish and their, , screening rates went way up and close that gap. So that's another example and that is in a hundred percent in control of a health system. [00:17:25] You know, a lot of times health systems are asked to do like big things, like build a farmer's market or subsidize housing for patients. And it's so intimidating and they, they. They think about it. They get in that plan phase and they just kind of spin their wheels and they think, how are we going to do this? [00:17:44] It seems so huge. And I always try and really just bring them back down into what they can control, which is the data that they already have. The patients they're already serving and the processes that they're using to take care of those patients. [00:18:00] Patrick Swift PhD, MBA, FACHE: [00:18:00] Kelly. I love it. And I have to check. For those watching, um, I've laughed when you touched on the farmer's market. And the reason is that, um, there are organizations that will build the farmer's market just so they can look like they're trying to address community concerns and that's wrong. Uh, you know, th the notion here is that if you're going to build the farmer's market by God, you've got to be taking a look at what Kelly just spoke about, about the data, about how. [00:18:23] Services are being provided and then being smart about how there is a strategy and plan in place to identify the problems and then identify the solutions, including making a farmer's market aisle. I want to shout out to Newark Beth Israel medical center in Newark, New Jersey, uh, near and dear to my heart. [00:18:37]And they've done it, right? Yes. There is an amazing farmer's market, but it's more than just the farmer's market. It's about doing the right thing at the right time or the right reason and collectively having a good strategy in place, right? [00:18:47] Kellie Goodson, MS, CPXP: [00:18:47] Right. Exactly. [00:18:49] Patrick Swift PhD, MBA, FACHE: [00:18:49] Yeah. Yeah. [00:18:50]Kellie Goodson, MS, CPXP: [00:18:50] You know, what I, what I want to say to Patrick is, um, you know, a lot of people think this is new. This is new information. Wow. These, you know, these patients are minority. Patients are not, uh, you know, having good outcomes here. This is not new. This is very, uh, long time coming for this to be put in such a spotlight now. [00:19:09] And I, and I'm glad it is. Um, but back in the eighties and nineties, Even our own health and human services, , commissioned reports around looking at health disparities. And, , everybody knows about the IOM reports, uh, to err is human and crossing the quality chasm, and just shined a light on, um, how our quality in the United States is not up to par with other. [00:19:35] Other countries. And so that was really the first time it was brought into the public that, Hey, maybe our us healthcare system isn't as good as we thought it was. and equity was brought up in those reports early on, and we've worked really hard as a healthcare system on the six aims that they set forth for us. [00:19:53]and equity was one of those aims, but really, um, those of us had been working on this for a while. Call it the forgotten aim. So until COVID came around and we really started seeing these disparities in an active situation, you know, people didn't understand that these disparities exist. [00:20:13]Patrick Swift PhD, MBA, FACHE: [00:20:13] and this applies not just to the us, but around the globe. Right? [00:20:17]Kellie Goodson, MS, CPXP: [00:20:17] Yes. I mean, it, it, you know, it's, it's everywhere, unfortunately. in it's some of the systems that we have in place, you know, some of the, um, traditional, especially in America, Some of the things that the policies and even, you know, just access to good housing and education really affects, , our minority patients and, and it's it. [00:20:39] And it manifests itself in these clinical outcomes. [00:20:43]Patrick Swift PhD, MBA, FACHE: [00:20:43] you know, Kelly applying this on a global scale. , I'm curious about what's the most recent research on disparities that may be specific that your data may be, um, US-centric um, but it also parallels what we in your heart we know is happening on a larger scale. Right. , but can you touch on the more recent, uh, research. [00:21:03] Kellie Goodson, MS, CPXP: [00:21:03] Yeah. Um, so the agency for healthcare research and quality puts out annual report, right? It's a, report. And I think that's been done for the last 15, 16 years. So if you look at that report, you will see that they, they studied 250 quality measures in that report. And fully 40% of those quality measures, which equals about a hundred quality measures that, , , black and indigenous people of color receive worse care than white people in that many measures. [00:21:35] So 40%, which is a hundred measures. I mean, this, this is not, this is, you know, this has been going on for a long time and it's even things like the timely administration of medication for a heart attack. So black patients don't receive the right medicine in a timely manner when compared to white patients. [00:21:54]We can all do something about this, right? We that's where, um, when you talked about that, this is about all of us. It really is. [00:22:01] Patrick Swift PhD, MBA, FACHE: [00:22:01] And Kelly, I want to add, I'm familiar. I'm familiar with some of that research and that the research I've seen in the studies they've controlled for. Level of education, socioeconomic status, employment status. So even for example, addressing pain management for broken bones or pain management during labor and delivery, when you statistically control for a level of education, um, socioeconomic status, um, uh, employment status, when you pull all that out and just compare apples to apples. [00:22:30], you're identifying, we're seeing in the data that there is a difference in care, and that's at the core of what we're talking about here. If we're not practicing evidence-based medicine, these kinds of disparities can exist. [00:22:40] Kellie Goodson, MS, CPXP: [00:22:40] Exactly. And when up. [00:22:42] Patrick Swift PhD, MBA, FACHE: [00:22:42] do the right thing happens. [00:22:43] Kellie Goodson, MS, CPXP:: [00:22:43] And when we do the right thing happens, you know, when a patient is lying in a bed, you don't know if they're a CEO of a company, or if they're part of the janitorial staff, like you don't know who these people are in your bed, unless you take the time to get to know them. Um, [00:22:57] Patrick Swift PhD, MBA, FACHE: [00:22:57] out to EVs. Shout [00:22:58] Kellie Goodson, MS, CPXP: [00:22:58] yeah, [00:22:58] Patrick Swift PhD, MBA, FACHE: [00:22:58] the janitorial staff narrative. They are the tip of the spear when it comes to infection control and addressing COVID. So a shout out to EVs. Go on, please. [00:23:06]Kellie Goodson, MS, CPXP: [00:23:06] Um, so, you know, it's, it's just, this is, you know, of course, near, near and dear to my heart, my husband's an African-American man, and I want him to get the best health care that he can get. Um, my children are biracial. So, you know, this is really, um, you know, at the heart of what we're doing is treating humans as humans and giving everyone the best care possible, [00:23:27] Patrick Swift PhD, MBA, FACHE: [00:23:27] absolutely. And the data we just touched on, you touched on, um, is government looking at disparities. So what about in the healthcare system perspective? What are they doing? What's the latest. [00:23:39] Kellie Goodson, MS, CPXP: [00:23:39] You know, it's interesting because healthcare systems do have what they need to do, do this. Um, I gave you examples of Novant health and, uh, Harbor view medical center. Uh, and actually in, you mentioned at the top, I led a affinity group for CMS around health equity. Uh co-lead that with the New York state, um, health foundation and we, uh, got a big group of people together and we. [00:24:04] Created what we call the health equity organizational assessment. So it looked at seven categories of data collection, data collection, training validation, data stratification. Uh, we looked at the cultural, uh, and organizational structures in place at hospitals to see how prepared they were to identify and address disparities. [00:24:25]So, , we had over 2300 hospitals, , participate in this HEOA. Health equity, organizational assessment. And we found that, although they collect the data, they really don't validate it. Um, when they do stratify it, , they really don't know what to do with it and they don't really communicate about it. So it's, it's, there's, there's a real need here for hospitals to just start digging in and doing this. [00:24:54] It, it, you know, it's something they're [00:24:56] Patrick Swift PhD, MBA, FACHE: [00:24:56] Kelly, they're afraid. I've sat in the boardroom. I've sat in these conversations and it's a political conversation. It's a challenging conversation to collect the data. And then the fear that people have over recognizing, well, what if the data shows that we're not doing a good job and then how do we manage that? [00:25:12] Number one, the feeling of powerlessness, what we, what to do. And, um, there are things that can be done right now and perhaps it may not be in-house and that's part of it is organizations. Considering getting help from outside counsel outside support to get some input on what to do with the data they've collected, the information they have. [00:25:32] And I know for example, the kind of work that you do, Kelly, but, um, so how do I, how can they address in addition to the excellent kind of work you do? What are the barriers they can tackle to address these problems? [00:25:43] Kellie Goodson, MS, CPXP: [00:25:43] Yeah. So, you know, what they need to do is they just need to get started. Stop spinning your wheels in that plan phase, take your data, do the analysis, and don't be afraid of it. I mean, if anything now is the time to do this. Right. It's [00:25:56] Patrick Swift PhD, MBA, FACHE: [00:25:56] know I say that word a lot, but I'm needed. This is the time to do it. [00:26:01] Kellie Goodson, MS, CPXP: [00:26:01] time to do it. Um, and look to others like, uh, um, I'm going to give another example. rush university in Chicago, um, they posted, um, their equity report. They called it a health equity report and they have this beautiful report that lays out all the disparities that they found. So just do an online [00:26:21] Patrick Swift PhD, MBA, FACHE: [00:26:21] bold and brave. [00:26:22] Kellie Goodson, MS, CPXP: [00:26:22] Very bold, very brave. It to me is the gold standard of what all hospitals and health systems should be looking at. It's it's amazing. I cannot say it enough. I would, if I had a magic wand, I would wave that around and have that be a requirement, just like a cha or maybe it's a, becomes a part of the, and a, the community health needs assessment that, uh, hospitals have to do every three years. [00:26:47]It's it's amazing. [00:26:49] Patrick Swift PhD, MBA, FACHE: [00:26:49] so you work at rush. Uh, you can be proud and celebrate that and hashtag it, celebrate it. Kudos. Great job. And if you don't take a look at your organization, And I don't care if you're in the C-suite your at the VP or director or a physician or working in finance or working in environmental services or working in nursing or working in physical therapy, it goes on and on and on. [00:27:12]It doesn't matter where you are in the organization. Take a look at your organization. Is it doing something like that? And if they are please for God's sakes, say thank you to the leadership. And if they're not pay attention, And is there another organization and your town, that's doing the right thing that aligns more with these kinds of values that is doing the right thing for the right reason, the right time. [00:27:37] Then maybe that's somewhere you want to be working because they really valuing not just the dollar, not just the, the, the, the business of healthcare, but they're honoring the, the practice of. Chair carry toss. Your they're honoring the practice of caring for human beings, caring for other human beings. [00:27:56] And I know you would resonate with that kind of language. Right? Right. Kelly. [00:27:59] Kellie Goodson, MS, CPXP: [00:27:59] Yeah, very much. So. I mean, this is just a, you know, uh, humans taking care of humans and, and, you know, it's, it's as much of an art. It is a science. And I just, you know, I just think now is the time, um, if you've been afraid to do this in the past, do it now engage patients and families invite them into your organization through P facts, and then, you know, take a look at your outcomes data, just pick one pick readmissions. [00:28:27] I promise you, you will find something in readmissions, but you could look at, um, your, you know, Your care for diabetic patients, your care for our hypertensive patients, you will find some things that very specific things that you can fix. I promise you. [00:28:41]Patrick Swift PhD, MBA, FACHE: [00:28:41] Love it love it. Kelly. My favorite question to ask my guests is if you were standing at the top of the world and you had the attention of all the healthcare folks, the docs and nurses and finance folks, and everyone who works in healthcare, and they looked up and you had their attention and you could say something, what would you say to them? [00:29:00] Kellie Goodson, MS, CPXP: [00:29:00] No, I think first, I would say thank you, actually. Um, this has been such a trying time for everyone and, you know, healthcare. Professionals truly are our heroes. Um, it's so hard in, in when we say these things and we talk, we know this is not easy. Uh, we know this is difficult. So as Patrick said, you know, reach out, reach out for help. Um, you know, we're all gonna try to make this better for everyone, not only patients. And we want to reduce, uh, disparities, but we want our. Staff to find joy in their work and meaning and, and be happy. So, um, I think I would say thank you. And that we know this is not easy and, and we are. [00:29:40]Patrick Swift PhD, MBA, FACHE: [00:29:40] Amen to that you are here to help and I'm grateful for all the work you've done with, with the work you've done with CMS and the P facts and the. Then on the national level and you've been inspiration at, uh, uh, international conferences. So what you shared here, , you've been sharing in conferences, uh, I've been touched by your leadership and, and really appreciate your thought leadership on a, on a global scale because you, you, uh, your principles and practices are, um, models for how to think about what we do. [00:30:08]Um, but also how to feel, uh, connect to why we're doing what we do, and then be empowered to make that difference. Kelly. So thank you. If folks were interested in following up with you, um, how could they go about doing that? [00:30:18]Kellie Goodson, MS, CPXP: [00:30:18] I think the best way probably is through LinkedIn. Um, I do have a page on LinkedIn and that's probably the best way to get in touch with me. [00:30:26] Patrick Swift PhD, MBA, FACHE: [00:30:26] okay. Well, I will include that in the show notes and, um, gosh, Kelly, we've covered a lot of topics here, a lot of ground and learn so much. So I just want to say thank you for, for being a guest on the show. All you share the, the heart and passion for what you do and, and, uh, I'm grateful for your being a guest here. [00:30:44]Kellie Goodson, MS, CPXP: [00:30:44] Thank you for having me, Patrick, it's been real fun.  

This week, the top managed care news included President Biden updating production timeline for nationwide vaccine availability; efforts by the National Quality Forum to measure telehealth quality and value; FDA approves first treatment for rare genetic metabolic pediatric disorder.

As the COVID-19 pandemic has led to a nation-wide boom in telehealth use, new questions are emerging regarding reimbursement, accessibility, data protection, and quality measurement. Although the practice has greatly aided in maintaining care for many Americans throughout the past year, several challenges have been reported. To create a measurement framework linking quality of care delivered by telehealth, health care system readiness, and health outcomes in rural areas specifically, the National Quality Forum (NQF) recently announced a committee of 25 individuals to discuss, update, and enhance NQF’s telehealth framework, first released in 2017. Currently, there are no nationally endorsed telehealth quality measures. On this episode of Managed Care Cast, we speak with Sheri Winsper, RN, MSN, MHA, the senior vice president for quality measurement at NQF. For the past 20 years, the forum has worked to advance health care quality across the nation by endorsing measures that assess quality of care and value. It also develops specific measurement frameworks for gap areas.

As healthcare organizations become more experienced in gathering social determinants of health data, they face the question of how to best utilize it. Shantanu Agrawal, president and chief executive officer of the National Quality Forum, shares how organizations can strategize around SDOH, transition to implementation, and how frontline workers can help move the needle.

Special Election Edition with  Brent Braveman, OTR, PhD, FAOTA Director, Department of Rehabilitation Services, MD Anderson Cancer Center AOTA candidate for Vice President  Dr. Brent Braveman has practiced as an occupational therapy clinician, educator, researcher and manager since entering the profession in 1984. He currently is the Director of the Department of Rehabilitation Services at the University of Texas MD Anderson Cancer Center in Houston Texas. Dr. Braveman is an author on 25 peer reviewed journal articles, 20 book chapters and is author of three occupational therapy text books. He has presented at national and international conferences on cancer rehabilitation, work disability, strategic planning and leadership.   He has a long history of volunteer service in state and national professional association activities including serving two terms on the AOTA Board of Directors as Speaker of the Representative Assembly and as Secretary. He is currently serving as Board Director for Region IV on the American Occupational Therapy Association Political Action Committee (AOTPAC) Board of Directors. He served as a representative to the National Institutes of Health Working Group on Cancer Rehabilitation, as a Standing Committee Member on the National Quality Forum’s NQF) Cancer Project and on the NQF’s project on co-designing patient centered care.   Dr. Braveman is a Fellow of the American Occupational Therapy Association and a recipient of the AOTA Recognition of Achievement Award for “Exemplary Contributions in Management and Program Development.” Facebook brent.braveman Twitter @brentbraveman http://www.brentbraveman.com/ (www.brentbraveman.com) ______________ Brent was interviewed by Robin Akselrud, Assistant Professor at LIU Brooklyn, author of the My OT Journey Planner myotjourney.com  IG: myotjourneypodcast FB: My OT Journey   And Michael Roff, 3rd year OT student at Stonybrook University 

In this episode we interview Dr. Brent James. Dr. James has been a Senior Fellow at the Institute for Healthcare Improvement. He is also a Senior Advisor at the Leavitt Group and a Senior Advisor at Health Catalyst, in Salt Lake City, Utah. He holds faculty appointments at the Stanford University School of Medicine and at several other universities. He was formerly the Vice President and Chief Quality Officer at Intermountain Healthcare.He has been honored with many awards for quality in health care delivery, including the John M. Eisenberg Patient Safety & Quality Award, The Joint Commission and the National Quality Forum, The C. Jackson Grayson Medal for Distinguished Quality Pioneer, The Joint Commission Earnest A. Codman Award, The National Committee for Quality Assurance Quality Award, and the American College of Medical Quality Founders' Award.For 8 out of its first 9 years, Dr. James was named among Modern Physician's "50 Most Influential Physician Executives in Healthcare." In Modern Healthcare, he was named among the "100 Most Powerful People in Healthcare" and "25 Top Clinical Informaticists." In this episode, we discuss his leadership background, value based medicine, as well as his outlook on the future of medicine. We hope you enjoy this episode of Leading the Rounds. If you want to learn more about us or our work, visit www.leadingtherounds.com

Dr. Darren Schulte is the CEO of Apixio where they are using data to move medicine from a practice to a science. Improving healthcare outcomes requires access to the right data at the right time. Apixio is advancing value-based care with data-driven intelligence and analytics. I wanted to learn more about how their AI solutions for risk, quality, and clinical insights unlock actionable information from administrative data and unstructured clinical information. The results drive better clinical decision-making and a smarter approach to healthcare. We also discuss how COVID-19 has impacted healthcare. About Dr. Darren Schulte Before joining Apixio, Darren served in executive leadership roles at Alere Health, Anvita Health, and Resolution Health. Darren co-developed twenty-five clinical measures endorsed by the National Quality Forum to measure ambulatory care quality using electronic data. He is a nationally recognized speaker on the topics of healthcare analytics and quality improvement. Darren received his B.S. degree from U.C. Berkeley, his M.P.P. degree from Harvard, his M.D. from Stanford, and trained in Internal Medicine at University of California, San Francisco. Darren serves as a Board of Trustee at the Chinese American International School in San Francisco. He is the co-author of two US patents.

Today's special guest is one of the most sought after physicians for reference on Coronavirus as an infectious disease team member on the John Hopkins Health Emergency collaboration focusing on COVID-19.  Dr. Adalja is a Senior Scholar at the Johns Hopkins University Center for Health Security. His work is focused on emerging infectious disease, pandemic preparedness, and biosecurity. Dr. Adalja has served on US government panels tasked with developing guidelines for the treatment of plague, botulism, and anthrax in mass casualty settings and the system of care for infectious disease emergencies, and as an external advisor to the New York City Health and Hospital Emergency Management Highly Infectious Disease training program, as well as on a FEMA working group on nuclear disaster recovery. He is currently a member of the Infectious Diseases Society of America’s (IDSA) Precision Medicine working group and is one of their media spokespersons; he previously served on their public health and diagnostics committees. Dr. Adalja is a member of the American College of Emergency Physicians Pennsylvania Chapter’s EMS & Terrorism and Disaster Preparedness Committee as well as the Allegheny County Medical Reserve Corps. He was formerly a member of the National Quality Forum’s Infectious Disease Standing Committee and the US Department of Health and Human Services’ National Disaster Medical System, with which he was deployed to Haiti after the 2010 earthquake; he was also selected for their mobile acute care strike team. Dr. Adalja’s expertise is frequently sought by international and national media. Dr. Adalja is an Associate Editor of the journal Health Security. He was a coeditor of the volume Global Catastrophic Biological Risks, a contributing author for the Handbook of Bioterrorism and Disaster Medicine, the Emergency Medicine CorePendium, Clinical Microbiology Made Ridiculously Simple, UpToDate’s section on biological terrorism, and a NATO volume on bioterrorism. He has also published in such journals as the New England Journal of Medicine, the Journal of Infectious Diseases, Clinical Infectious Diseases, Emerging Infectious Diseases, and the Annals of Emergency Medicine. Dr. Adalja is a Fellow of the Infectious Diseases Society of America, the American College of Physicians, and the American College of Emergency Physicians. He is a member of various medical societies, including the American Medical Association, the HIV Medicine Association, and the Society of Critical Care Medicine. He is a board-certified physician in internal medicine, emergency medicine, infectious diseases, and critical care medicine. Dr. Adalja completed 2 fellowships at the University of Pittsburgh—one in infectious diseases, for which he served as chief fellow, and one in critical care medicine. He completed a combined residency in internal medicine and emergency medicine at Allegheny General Hospital in Pittsburgh, where he served as chief resident and as a member of the infection control committee. He was a Clinical Assistant Professor at the University of Pittsburgh School of Medicine from 2010 through 2017 and is currently an adjunct assistant professor there. He is a graduate of the American University of the Caribbean School of Medicine, and he obtained a bachelor of science degree in industrial management from Carnegie Mellon University. Dr. Adalja is a native of Butler, Pennsylvania, and actively practices infectious disease, critical care, and emergency medicine in the Pittsburgh metropolitan area, where he also serves on the City of Pittsburgh’s HIV Commission and on the advisory group of AIDS Free Pittsburgh.

Dr. Eduardo Sanchez is the Chief Medical Officer for prevention at the American Heart Association, the nation's oldest and largest voluntary organization dedicated to fighting heart disease and stroke. Dr. Sanchez previously served as the Texas Commissioner of Health and has had advisory roles with the CDC, the Institute of Medicine, and the National Quality Forum. Throughout my professional career as a heart surgeon, the American Heart Association has played invaluable roles in my own training as a researcher, a teacher, and as an active clinical surgeon. Dr. Sanchez shares with us why our own good heart health is so important to reduce the risk associated with the COVID virus, and why zip code can be a better predictor of our own health than our genetics.  Visit A Second Opinion's website here: https://asecondopinionpodcast.com/ Engage with us on social media at: Facebook Twitter Instagram

Dr. Agrawal also delves into his thoughts for the future and the new reality we will face collectively after this crisis. Furthermore, he highlights the significant shortcomings that must be addressed in our current healthcare system including a disparity in dependent on socioeconomic status, race, and geographic location. Listen to hear his thoughts on what we can learn and improve on post pandemic.

In response to the COVID-19 pandemic, many hospitals and health systems are expanding telehealth services. In part two, Jay Bhatt, D.O., senior vice president and chief medical officer of the AHA, continues the discussion on the value of telehealth to address behavioral health issues with Shantanu Agrawal, M.D., president and CEO of the National Quality Forum, and Arpan Waghray, M.D., executive medical director for behavioral medicine at Swedish Health Services in Seattle and chief medical officer at Well Being Trust.

This interview was recorded on 3/26/2020. Today’s guest, Dr. Robert Pearl, is the former CEO of The Permanente Medical group, the nation’s largest medical group, and former president of The Mid-Atlantic Medical Group. In these roles, he led 10,000 physicians, 38,000 staff, and was responsible for the nationally recognized medical care of 5 million Kaiser Permanente members on the west and east coasts. Your host is Dr. Ted O’Connell, family physician, educator, and author of numerous textbooks and peer-reviewed articles. He holds academic appointments at UCSF, UC Davis, and Drexel University's medical schools and also founded the Kaiser Permanente Napa-Solano Community Medicine and Global Health Fellowship, the first program in the U.S. to formally combine both community medicine and global health. Check Ted out on Instagram (@tedoconnellmd) and Twitter (@tedoconnell)! Board certified in plastic and reconstructive surgery, Dr. Pearl received his medical degree from the Yale University School of Medicine, followed by a residency in plastic and reconstructive surgery at Stanford University. Named one of Modern Healthcare’s 50 most influential physician leaders, Dr. Pearl is an advocate for the power of integrated, prepaid, technologically advanced and physician-led healthcare delivery. He serves as clinical professor of plastic surgery at Stanford University School of Medicine and is on the faculty of the Stanford Graduate School of Business, where he teaches courses on strategy and leadership, and lectures on information technology and health care policy.Dr. Pearl is the author of “Mistreated: Why We Think We’re Getting Good Healthcare—And Why We’re Usually Wrong,” a Washington Post bestseller that offers a roadmap for transforming American healthcare. All proceeds from the book go to Doctors Without Borders.Dr. Pearl hosts the popular podcasts Fixing Healthcare, publishes a newsletter with over 10,000 subscribers called Monthly Musings on American Healthcare, and is a regular contributor to Forbes. He has been featured on CBS This Morning, CNBC, NPR, and in TIME, USA Today, and Bloomberg News. He published more than 100 articles in medical journals and contributed to numerous books. A frequent keynote speaker at healthcare and medical technology conferences, Dr. Pearl has addressed the Commonwealth Club, the World Healthcare Congress, and the Institute for Healthcare Improvement’s National Quality Forum.Submit Your Questions for the PodcastSend an email to info@arslonga.media or check out https://covidpodcast.comWhat Can You Do?You can help spread commonsense about COVID-19 by supporting this podcast. Hit subscribe, leave a positive review, and share it with your friends especially on social media. We can each do our part to ensure that scientifically accurate information about the pandemic spreads faster than rumors or fears. Remember to be vigilant, but remain calm. For the most trusted and real time information on COVID-19 and the coronavirus pandemic, both the CDC and WHO have dedicated web pages to keep the public informed.The information presented in this podcast is intended for educational purposes only and should not be construed as medical advice.Producers: Madison Linden and Christopher Breitigan.Executive Producer: Patrick C. Beeman, MD

In response to the COVID-19 pandemic, many hospitals and health systems are expanding telehealth services. In addition, addressing mental health needs during this crisis is becoming increasingly important. In part one of this AHA Advancing Health podcast, Jay Bhatt, D.O., senior vice president and chief medical officer of the AHA, discusses the value of telehealth to address behavioral health issues and poses questions for leadership teams with Shantanu Agrawal, M.D., president and CEO of the National Quality Forum, and Arpan Waghray, M.D., executive medical director for behavioral medicine at Swedish Health Services in Seattle and chief medical officer at Well Being Trust. The AHA and NQF partnered to create Redesigning Care: A How-To Guide for Telebehavioral Health. https://www.aha.org/center/emerging-issues/market-insights/telehealth/telebehavioral-health]

Today's episode on Redefining Medicine spotlights Robert Pearl, MD. Dr. Robert Pearl is the former CEO of The Permanente Medical Group (1999-2017), the nation’s largest medical group, and former president of The Mid-Atlantic Permanente Medical Group (2009-2017). In these roles he led 10,000 physicians, 38,000 staff and was responsible for the nationally recognized medical care of 5 million Kaiser Permanente members on the west and east coasts. Named one of Modern Healthcare’s 50 most influential physician leaders, Pearl is an advocate for the power of integrated, prepaid, technologically advanced and physician-led healthcare delivery.   He serves as a clinical professor of plastic surgery at Stanford University School of Medicine and is on the faculty of the Stanford Graduate School of Business, where he teaches courses on strategy and leadership, and lectures on information technology and health care policy.   He is the author of “Mistreated: Why We think We’re Getting Good Healthcare—And Why We’re Usually Wrong,” a Washington Post bestseller that offers a roadmap for transforming American healthcare. All proceeds from the book go to Doctors Without Borders. He hosts the popular podcast Fixing Healthcare, publishes a newsletter with over 10,000 subscribers called Monthly Musings on American Healthcare and is a regular contributor to Forbes. He has been featured on CBS This Morning, CNBC, NPR, and in TIME, USA Today and Bloomberg News. He has published more than 100 articles in medical journals and contributed to numerous books. A frequent keynote speaker at healthcare and medical technology conferences. Pearl has addressed the Commonwealth Club, the World Healthcare Congress, and the Institute for Healthcare Improvement’s National Quality Forum. Board certified in plastic and reconstructive surgery, Pearl received his medical degree from the Yale University School of Medicine, followed by a residency in plastic and reconstructive surgery at Stanford University.   From 2012 to 2017, Pearl served as chairman of the Council of Accountable Physician Practices (CAPP), which includes the nation’s largest and best multispecialty medical groups, and participated in the Bipartisan Congressional Task Force on Delivery System Reform and Health IT in Washington, D.C.

We speak with Nicole LeBlanc about her work with the National Center on Advancing Person Centered Practices and the State of Maryland. She is also a former SARTAC Fellow. Nicole has created a Toolkit for Employment which is available as a document as well as a comprehensive training that she offers in person. Here focus as a consultant is on research, policy analysis, keynoting, creating booklets and tool kits and making material plain English. She also informs us of current opportunities to advocate with the National Quality Forum. She can be reached at 802-505-0253 or nleblanc677@gmail.com (her rates are $35 - $50 per hour)

In this podcast originally published early last year, Alex Akers and I had a chance to speak with Dr. Robert Pearl about his book Mistreated: Why We Think We’re Getting Good Health Care—And Why We’re Usually Wrong. Besides being an author, Dr. Pearl is former CEO of the Permanente Medical Group; he’s a frequent keynote speaker; and he is also the host of a podcast called Fixing Healthcare.  Here’s what Dr. Pearl said at the recent HLTH conference in Vegas, and I’m editorializing a little bit here. Dr. Pearl said day after day, patients and their families experience the unnecessary frustrations and heartaches that are so rife in American health care. Mistreatment is certainly a continuum, but in all of its manifestations, it’s pretty much nothing less than rampant. I mean, how else do Americans manage to pay more than twice as much per patient for a health system that ranks 37th in the world? There are definitely bright spots, and there are definitely great men and women working within health care. So, I do not—and I’m certain Dr. Pearl does not—mean to be all doom and gloom. But we’ve got some realities to deal with here. There’s a simple answer to the question, “What happens if we fail to change?” Disruption will happen. While the pace of health care disruption in many sectors hasn’t exactly set world speed records, it’s inevitable. And, according to Dr. Pearl, status quo health care providers will lament their decision not to have embraced change sooner. To wrap our heads around this, Dr. Pearl suggests that there are four must-haves, four pillars to get the American health care industry back on track. Spoiler alert: Those four pillars are (1) integration, (2) pay-for-value, (3) modernize our approach to technology, and (4) clinician- and physician-led organizations. You can learn more by connecting with Dr. Pearl on Twitter at @RobertPearlMD.  Register here for the 2019 NODE.Health Digital Medicine Conference and get 20% off with our promo code: RELENTLESS20  Robert Pearl, MD, is the former CEO of the Permanente Medical Group (1999-2017), the nation’s largest medical group, and former president of the Mid-Atlantic Permanente Medical Group (2009-2017). In these roles, he led 10,000 physicians and 38,000 staff and was responsible for the nationally recognized medical care of 5 million Kaiser Permanente members on the west and east coasts. Named one of Modern Healthcare’s 50 most influential physician leaders, Dr. Pearl is an advocate for the power of integrated, prepaid, technologically advanced, and physician-led health care delivery. He serves as a clinical professor of plastic surgery at Stanford University School of Medicine and is on the faculty of the Stanford Graduate School of Business, where he teaches courses on strategy and leadership and lectures on information technology and health care policy. In 2017, he authored Mistreated: Why We Think We’re Getting Good Health Care—And Why We’re Usually Wrong, a Washington Post bestseller that offers a road map for transforming American health care. All proceeds from the book benefit Doctors Without Borders. As a regular contributor to Forbes, Dr. Pearl covers the business of health care and the culture of medicine. He has been featured on CBS This Morning, CNBC, and NPR, and in Time, USA Today, and Bloomberg News. He has published more than 100 articles in various medical journals and contributed to numerous books. He is a frequent keynote speaker at health care and medical technology conferences. Dr. Pearl has addressed the Commonwealth Club, the World Health Care Congress, and the Institute for Health Care Improvement’s National Quality Forum. Board certified in plastic and reconstructive surgery, Dr. Pearl received his medical degree from the Yale University School of Medicine, followed by a residency in plastic and reconstructive surgery at Stanford University. From 2012 to 2017, he served as chairman of the Council of Accountable Physician Practices (CAPP), which includes the nation’s largest and best multispecialty medical groups, and participated in the Bipartisan Congressional Task Force on Delivery System Reform and Health IT in Washington, DC. When not hosting the show, Stacey Richter is co-president of Aventria Health Group, a marketing agency and consultancy. Aventria specializes in helping pharmaceutical, employer, pharmacy, and health system clients improve patient outcomes by creating and leveraging collaborations with other health care organizations. For more than 20 years, Stacey has innovated better-coordinated health solutions benefiting all stakeholders, and, most of all, the patient. Alex Akers is vice president for business development with Health Catalyst, a Utah-based, next-generation data, analytics, and decision-support company. He has been with Health Catalyst since 2015. Alex began his career in health care consulting, working for KPMG and Accenture in their health care strategy practices, and then shifting to revenue cycle reengineering with Stockamp & Associates. His passion for technology in health care really took off after he joined Microsoft and was responsible for health care strategy in their payer segment. After a stint with Grand Rounds in San Francisco, Alex landed at Health Catalyst. 02:26 Dr. Robert Pearl, author of Mistreated: Why We Think We’re Getting Good Health Care—And Why We’re Usually Wrong.02:44 How bad is the problem in American health care? 05:25 How our health system lags in overall health, according to third-party, objective data analysis. 06:02 Rampant overtreatment, and how this adds to the problem. 09:11 How can context improve health care? 09:19 The four pillars of improving health care outcomes. 13:06 Integration as a crucial step to maximizing quality. 13:24 Pay-for-value as the second pillar of improving health outcomes. 17:39 Technology as the third pillar. 17:55 How current health care tech being utilized is 50+ years old. 19:38 Why video isn’t utilized more in health care, despite being relatively inexpensive. 21:32 Do doctors hate technology? 22:52 “All of medicine is probability.” 23:18 EP157 with Dr. Ethan Basch.25:12 “We fail to do the things that we know we should do.” 27:10 Physician- and clinician-led organizations as the fourth pillar. 29:00 “We don’t have a system; we don’t have a structure.” 29:35 “To do that will require leadership.” 29:56 Dr. Pearl’s advice for actionable change. 31:10 “This is the time to change; don’t wait for disruption to occur.” You can learn more by connecting with Dr. Pearl on Twitter at @RobertPearlMD.  Register here for the 2019 NODE.Health Digital Medicine Conference and get 20% off with our promo code: RELENTLESS20  Check out our encore #healthcarepodcast with @RobertPearlMD of @FixingHCPodcast and co-host @alexhakers of @HealthCatalyst. #healthcare #podcast #digitalhealth #healthvalue How bad is the problem in #Americanhealthcare? @RobertPearlMD of @FixingHCPodcast discusses with co-hosts Stacey and @alexhakers of @HealthCatalyst. #healthcarepodcast #healthcare #podcast #digitalhealth #healthvalue Why and how does our #healthsystem lag in overall health? @RobertPearlMD of @FixingHCPodcast discusses with co-hosts Stacey and @alexhakers of @HealthCatalyst. #healthcarepodcast #healthcare #podcast #digitalhealth #healthvalue How #overtreatment actually adds to the problem. @RobertPearlMD of @FixingHCPodcast discusses with co-hosts Stacey and @alexhakers of @HealthCatalyst. #healthcarepodcast #healthcare #podcast #digitalhealth #healthvalue What are the four pillars to improving #healthoutcomes? @RobertPearlMD of @FixingHCPodcast discusses with co-hosts Stacey and @alexhakers of @HealthCatalyst. #healthcarepodcast #healthcare #podcast #digitalhealth #healthvalue Why #integration is important to maximizing #healthquality. @RobertPearlMD of @FixingHCPodcast discusses with co-hosts Stacey and @alexhakers of @HealthCatalyst. #healthcarepodcast #healthcare #podcast #digitalhealth #healthvalue How #payforvalue improves #healthoutcomes. @RobertPearlMD of @FixingHCPodcast discusses with co-hosts Stacey and @alexhakers of @HealthCatalyst. #healthcarepodcast #healthcare #podcast #digitalhealth #healthvalue How #healthtech factors into #healthoutcomes. @RobertPearlMD of @FixingHCPodcast discusses with co-hosts Stacey and @alexhakers of @HealthCatalyst. #healthcarepodcast #healthcare #podcast #digitalhealth #healthvalue Why isn’t video utilized more in improving #healthcareoutcomes? @RobertPearlMD of @FixingHCPodcast discusses with co-hosts Stacey and @alexhakers of @HealthCatalyst. #healthcarepodcast #healthcare #podcast #digitalhealth #healthvalue “All of medicine is probability.” @RobertPearlMD of @FixingHCPodcast discusses with co-hosts Stacey and @alexhakers of @HealthCatalyst. #healthcarepodcast #healthcare #podcast #digitalhealth #healthvalue “We fail to do the things that we know we should do.” @RobertPearlMD of @FixingHCPodcast discusses with co-hosts Stacey and @alexhakers of @HealthCatalyst. #healthcarepodcast #healthcare #podcast #digitalhealth #healthvalue “We don’t have a system; we don’t have a structure.” @RobertPearlMD of @FixingHCPodcast discusses with co-hosts Stacey and @alexhakers of @HealthCatalyst. #healthcarepodcast #healthcare #podcast #digitalhealth #healthvalue Creating #actionable change. @RobertPearlMD of @FixingHCPodcast discusses with co-hosts Stacey and @alexhakers of @HealthCatalyst. #healthcarepodcast #healthcare #podcast #digitalhealth #healthvalue “This is the time to change; don’t wait for #disruption to occur.” @RobertPearlMD of @FixingHCPodcast discusses with co-hosts Stacey and @alexhakers of @HealthCatalyst. #healthcarepodcast #healthcare #podcast #digitalhealth #healthvalue

“Never events“, “Sentinel events”, and “Near misses”. These terms strike fear in any healthcare provider! The National Quality Forum, the Agency for Healthcare Quality and Research, and the Joint Commission, all have stressed the importance of patient safety in the operating room and medical wards. In this podcast we will review alarming statistics regarding preventable medical errors, and remind ourselves of ways to keep patient safe.

Dr. Kang is a clinical psychologist and the Director of Operations for the Behavioral Health Service Line for the Cincinnati Region of Mercy Health, the largest health system in Ohio. He led a diverse, community-facing team in forming the Mercy Health Addiction Treatment Collaborative, a multi-agency treatment-on-demand network of care for addiction medicine services across southwest Ohio. In 2017, the Mercy Health Foundation awarded Dr. Kang its Clinician of the Year Award. In 2018, the Obama Foundation selected Dr. Kang for its inaugural Fellowship class, a group of twenty civic innovators from around the world working together with their communities to build better futures. In 2019, the National Quality Forum selected Dr. Kang for its Technical Expert Panel on Opioid Use and Opioid Use Disorder and he was appointed by Ohio Governor Mike DeWine to the RecoveryOhio Advisory Council, a group tasked with redefining how the state delivers behavioral healthcare to its residents. Dr. Kang lives in Kentucky with his wife and four young children. For more information: www.stigmatizedpodcast.com Dr. Navdeep Kang Email: nskang@mercy.comLinkedin: www.linkedin.com/in/navdeepskangpsydFacebook: www.facebook.com/theenjoyTwitter: @NavdeepKangPsyD Our Team Production & Music: Gwynne Sound - gwynnesound.com Artwork: Neltner Small Batch - www.neltnersmallbatch.com Photography: Jon Willis – www.jonbob.comand Lindsey Steinhauser - www.facebook.com/lindsey.hamelsteinhauser Find us on Social Media... Facebook: www.facebook.com/StigmatizedPodcastTwitter: www.twitter.com/the_rev_trevInstagram: @stigmatizedpodPinterest: www.pinterest.com/StigmatizedP National Suicide Prevention Lifeline 1-800-273-8255 We can all help prevent suicide. The Lifeline provides 24/7, free and confidential support for people in distress, prevention and crisis resources for you or your loved ones, and best practices for professionals.

Shantanu Agrawal leads the National Quality Forum - one of the most important organizations that you’ve probably never heard of. NQF was originally created during the Clinton Administration as a tool to promote and ensure patient protections and health care quality through measurement and public reporting for Medicare. Today their work touches all patients using three tenets: improvement, accountability, and transparency. In this episode, Chip and Shantanu discuss why NQF was needed, the role it fills today, and how the organization is uniquely positioned to lead quality efforts for health care’s high-tech future.

In this full episode of "Exploring Minds", Amesh Adalja provides his professional insight on a range of topics from infectious diseases, pandemics, epidemics, endemics, vaccines, and the threat of bio-terrorism. - Dr. Adalja, a Senior Scholar at the Johns Hopkins Center for Health Security, was named one of STAT's "13 Clinicians to Follow on Twitter and in 2015 named one of 5 "Pennsylvanians to Watch" by the Pittsburgh Tribune Review. Dr. Adalja is currently a member of the Infectious Diseases Society of America’s (IDSA) Precision Medicine working group, as well as one of their media spokespersons; he previously served on their public health and diagnostics committees. He is also a member of the American College of Emergency Physicians Pennsylvania Chapter’s EMS & Terrorism and Disaster Preparedness Committee as well as the Allegheny County Medical Reserve Corps. He was formerly a member of the National Quality Forum’s Infectious Disease Standing Committee, where he currently is an expert reviewer, and the US Department of Health and Human Services’ National Disaster Medical System, with which he was deployed to Haiti after the 2010 earthquake; he was also selected for their mobile acute care strike team. He has served on US government panels tasked with developing guidelines for the treatment of botulism and anthrax in mass casualty settings, the system of care for infectious disease emergencies, and as an external advisor to New York City Health and Hospital Emergency Management Highly Infectious Disease training program, as well as on a FEMA working group on nuclear disaster recovery. Dr. Adalja is an Associate Editor of the journal Health Security. He was a contributing author for the Handbook of Bioterrorism and Disaster Medicine and is also a contributing author to the upcoming edition of Clinical Microbiology Made Ridiculously Simple. He has published in such journals as the New England Journal of Medicine, the Journal of Infectious Diseases, Clinical Infectious Diseases, Emerging Infectious Diseases, and the Annals of Emergency Medicine. Dr. Adalja is a Fellow of the Infectious Diseases Society of America, the American College of Physicians, and the American College of Emergency Physicians. He is a member of various medical societies, including the American Medical Association, the HIV Medicine Association, and the Society of Critical Care Medicine.. Dr. Adalja completed 2 fellowships at the University of Pittsburgh—one in infectious diseases, for which he served as chief fellow, and one in critical care medicine. He completed a combined residency in internal medicine and emergency medicine at Allegheny General Hospital in Pittsburgh, where he served as chief resident and as a member of the infection control committee. He was a Clinical Assistant Professor at the University of Pittsburgh School of Medicine from 2010 through 2017. He is a graduate of the American University of the Caribbean School of Medicine, and he obtained a bachelor of science degree in industrial management from Carnegie Mellon University. Dr. Adalja is a native of Butler, Pennsylvania, and actively practices infectious disease, critical care, and emergency medicine in the Pittsburgh metropolitan area, where he also serves on the City of Pittsburgh’s HIV Commission and on the advisory group of AIDS Free Pittsburgh. - SUPPORT US ON PATREON: https://www.patreon.com/exploringmindsshow FOLLOW ALONG FOR UPDATES AND NEW EPISODES: Discord - https://discord.gg/YhaAcN3 Facebook - https://www.facebook.com/exploringmindsshow Twitter - https://twitter.com/ExploreMinds_TV Instagram - https://www.instagram.com/exploreminds_tv/ Website - exploringminds.show — Exploring Minds with Michele Carroll is the online show committed to exploring the world beyond talking points. Thank you for listening! Support the show.

The Centers for Medicare & Medicaid Services (CMS) recently announced that 800 hospitals will be penalized this year for yielding poor results in the Hospital-Acquired Condition (HAC) Reduction Program, including 110 hospitals that are being penalized for the fifth year in a row (the HAC Reduction Program has only been in existence for five years). The Code of Federal Regulations does not allow a hospital to appeal the determination of poor results in this program, whereas if you are penalized by a Recovery Audit Contractor (RAC) or a Zone Program Integrity Contractor (ZPIC), you do have the right to appeal. With courts now finding that Medicare reimbursements are a property right, is 42 CFR 412.172 unconstitutional because it disallows an appeals process for a decrease in Medicare payments? Reporting this latest development during this edition of Monitor Mondays is healthcare attorney Knicole Emanuel, partner in the Potomac Law Group.Other segments to appear on the broadcast include:Monday Focus: The American Hospital Association (AHA) and the National Quality Forum have released a guide to help hospitals and health systems deliver tele-behavioral health services to improve patient outcomes and enhance access to behavioral healthcare. An estimated 44 million Americans have a behavioral health disorder. Reporting this developing story is Kathy Seward, MD, chief medical officer for qlēr Solutions Inc., a telemedicine company providing psychiatric care to patients throughout the United States in partnership with hospitals and health systems. Big Pharma Lawsuits: Three pharmaceutical companies – Jazz Pharmaceuticals plc, Lundbeck LLC, and Alexion Pharmaceuticals, Inc. – have agreed to pay a total of $122.6 million to resolve allegations that they violated the False Claims Act by paying kickbacks to Medicare and Civilian Health and Medical Program (ChampVA) patients through purportedly independent charitable foundations. Famed whistleblower attorney Mary Inman, partner in the London office of Constantine Cannon, has the latest news on this major story. The IRF Countdown Continues: The Inpatient Rehabilitation Facility (IRF) countdown to Oct. 1, 2019 will end with the change to use quality indicators for case-mix group (CMG) for payment calculation. Reporting this story is one of the nation’s foremost IRF authorities, Angela Phillips, president of Images & Associates and longtime RACmonitor editorial board member and Monitor Mondays panelist. Risky Business: Healthcare attorney David Glaser returns to Monitor Mondays with his popular segment, in which he reports on problematic issues facing providers. Monday Rounds: Ronald Hirsch, MD, vice president of R1 RCM, makes his Monday Rounds with another installment of his popular segment.

Listen NowMedicare's Fee for Service Alternative Payment Models (APMs), a creation of 2015 MACRA legislation, currently 12 in number with participation largely voluntary, requires Medicare providers to assume financial risk, based on historical spending and quality measurement performance, beyond a "nominal amount."  The flagship APM is the ACA's Medicare Shared Savings Program, more commonly termed Accountable Care Organizations (ACOs).  Though in its 8th year, the ACO program, that currently provides care to over 10 million assigned Medicare beneficiaries, has not produced meaningful savings (estimates are 1 to 2% annually).  Nor have other APMs, largely bundled payment arrangements, produced substantial savings.  The Medicare Advantage program (with one-third of Medicare beneficiaries), defined as administrative pricing, does not formally score savings.  Over the past few years per capita Medicare spending has been limited, however, program growth or beneficiary enrollment (via the aging baby boomer population) is causing Medicare spending, in sum, to increase substantially.  In addition, the soon-to-be-published annual Medicare Trustee's report will show the program will become insolvent within the next few years. During this 26 minute discussion, Mr. Miller provides an overall assessment of APM performance to date.  He moreover discusses the shortcomings in APM design or the barriers APM providers face in improving care, e.g., as ostensibly Fee for Service APMs are not reimburse for valuable non-medical services such as social service supports and ways to improve these models.  We conclude the discussion with his views on the ACA-created PTAC (the Physician-Focused Payment Model Technical Advisory Committee), that has reviewed to date over 30 submitted APM proposals, none of which have been chosen by Secretary Azar for testing as a Medicare demonstration.    Mr. Harold D. Miller is the President and CEO of the Center for Healthcare Quality and Payment Reform.  In this role he has worked in more than 40 states and metropolitan regions to help physicians, hospitals, employers, health plans, and government agencies design and implement payment and delivery system reforms.  He is also currently one of eleven members of the PTAC.  He also serves as Adjunct Professor of Public Policy and Management at Carnegie Mellon University.  Mr. Miller has written a number of widely-used papers and reports on health care payment and delivery reform.  He has assisted numerous professional organizations in developing alternative payment models designed to support better care for patients at lower cost.  From 2008 to 2013, Mr Miller served as the President and CEO of the Network for Regional Healthcare Improvement (NRHI), the national association of Regional Health Improvement collaboratives.  He served as a member of the Board of Directors of the National Quality Forum from 2009 to 2015.  From 2006 to 2010, Mr. Miller served as the Strategic Initiatives Consultant to the Pittsburgh Regional Health Initiative (PRHI).  In 2007, he served as the Facilitator for the Minnesota Health Care Transformation Task Force.  In previous positions, Mr. Miller served as the Director of the Pennsylvania Governors Office of Policy Development, Associate Dean of the Heinz School of Public Policy and Management at Carnegie Mellon University, Executive Director of the Pennsylvania Economy League - Western Division, Director of the Southwestern Pennsylvania Growth Alliance and President of the Allegheny Conference on Community Development.For information on the Center for Healthcare Quality and Payment Reform, go to: http://www.chqpr.org/ For information on the PTAC, go to: https://aspe.hhs.gov/ptac-physician-focused-payment-model-technical-advisory-committeePer my mention of Dr. Robert Berenson's recent (February) essay concerning improving the Medicare Fee for Service schedule, go to: https://www.healthaffairs.org/doi/10.1377/hlthaff.2018.05411 This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.thehealthcarepolicypodcast.com

Dr. Christine Cassel, Presidential Chair in the Department of Medicine at UCSF, talks with Dr. Wachter about her career in healthcare and policy, including her burgeoning interests in new technologies and their impact on the practice of medicine. Cassel has had a storied career in a several areas in healthcare, including geriatrics, ethics, and health policy. She served as chair of the Department of Geriatrics at Mt. Sinai, the Dean at Oregon Health Sciences University, and the CEO of two major national organizations: the National Quality Forum and the American Board of Internal Medicine. While at ABIM, she launched campaigns to promote professionalism in medicine and cost consciousness (“Choosing Wisely”). Before coming to UCSF, she was the planning dean for Kaiser Permanente’s new medical school in Southern California. She also served on President Obama’s Council on Science and Technology. Series: "Women in Science" [Health and Medicine] [Business] [Show ID: 34468]

Dr. Christine Cassel, Presidential Chair in the Department of Medicine at UCSF, talks with Dr. Wachter about her career in healthcare and policy, including her burgeoning interests in new technologies and their impact on the practice of medicine. Cassel has had a storied career in a several areas in healthcare, including geriatrics, ethics, and health policy. She served as chair of the Department of Geriatrics at Mt. Sinai, the Dean at Oregon Health Sciences University, and the CEO of two major national organizations: the National Quality Forum and the American Board of Internal Medicine. While at ABIM, she launched campaigns to promote professionalism in medicine and cost consciousness (“Choosing Wisely”). Before coming to UCSF, she was the planning dean for Kaiser Permanente’s new medical school in Southern California. She also served on President Obama’s Council on Science and Technology. Series: "Women in Science" [Health and Medicine] [Business] [Show ID: 34468]

Dr. Christine Cassel, Presidential Chair in the Department of Medicine at UCSF, talks with Dr. Wachter about her career in healthcare and policy, including her burgeoning interests in new technologies and their impact on the practice of medicine. Cassel has had a storied career in a several areas in healthcare, including geriatrics, ethics, and health policy. She served as chair of the Department of Geriatrics at Mt. Sinai, the Dean at Oregon Health Sciences University, and the CEO of two major national organizations: the National Quality Forum and the American Board of Internal Medicine. While at ABIM, she launched campaigns to promote professionalism in medicine and cost consciousness (“Choosing Wisely”). Before coming to UCSF, she was the planning dean for Kaiser Permanente’s new medical school in Southern California. She also served on President Obama’s Council on Science and Technology. Series: "Women in Science" [Health and Medicine] [Business] [Show ID: 34468]

Dr. Christine Cassel, Presidential Chair in the Department of Medicine at UCSF, talks with Dr. Wachter about her career in healthcare and policy, including her burgeoning interests in new technologies and their impact on the practice of medicine. Cassel has had a storied career in a several areas in healthcare, including geriatrics, ethics, and health policy. She served as chair of the Department of Geriatrics at Mt. Sinai, the Dean at Oregon Health Sciences University, and the CEO of two major national organizations: the National Quality Forum and the American Board of Internal Medicine. While at ABIM, she launched campaigns to promote professionalism in medicine and cost consciousness (“Choosing Wisely”). Before coming to UCSF, she was the planning dean for Kaiser Permanente’s new medical school in Southern California. She also served on President Obama’s Council on Science and Technology. Series: "Women in Science" [Health and Medicine] [Business] [Show ID: 34468]

Dr. Christine Cassel, Presidential Chair in the Department of Medicine at UCSF, talks with Dr. Wachter about her career in healthcare and policy, including her burgeoning interests in new technologies and their impact on the practice of medicine. Cassel has had a storied career in a several areas in healthcare, including geriatrics, ethics, and health policy. She served as chair of the Department of Geriatrics at Mt. Sinai, the Dean at Oregon Health Sciences University, and the CEO of two major national organizations: the National Quality Forum and the American Board of Internal Medicine. While at ABIM, she launched campaigns to promote professionalism in medicine and cost consciousness (“Choosing Wisely”). Before coming to UCSF, she was the planning dean for Kaiser Permanente’s new medical school in Southern California. She also served on President Obama’s Council on Science and Technology. Series: "Women in Science" [Health and Medicine] [Business] [Show ID: 34468]

Dr. Christine Cassel, Presidential Chair in the Department of Medicine at UCSF, talks with Dr. Wachter about her career in healthcare and policy, including her burgeoning interests in new technologies and their impact on the practice of medicine. Cassel has had a storied career in a several areas in healthcare, including geriatrics, ethics, and health policy. She served as chair of the Department of Geriatrics at Mt. Sinai, the Dean at Oregon Health Sciences University, and the CEO of two major national organizations: the National Quality Forum and the American Board of Internal Medicine. While at ABIM, she launched campaigns to promote professionalism in medicine and cost consciousness (“Choosing Wisely”). Before coming to UCSF, she was the planning dean for Kaiser Permanente’s new medical school in Southern California. She also served on President Obama’s Council on Science and Technology. Series: "Women in Science" [Health and Medicine] [Business] [Show ID: 34468]

Dr. Christine Cassel, Presidential Chair in the Department of Medicine at UCSF, talks with Dr. Wachter about her career in healthcare and policy, including her burgeoning interests in new technologies and their impact on the practice of medicine. Cassel has had a storied career in a several areas in healthcare, including geriatrics, ethics, and health policy. She served as chair of the Department of Geriatrics at Mt. Sinai, the Dean at Oregon Health Sciences University, and the CEO of two major national organizations: the National Quality Forum and the American Board of Internal Medicine. While at ABIM, she launched campaigns to promote professionalism in medicine and cost consciousness (“Choosing Wisely”). Before coming to UCSF, she was the planning dean for Kaiser Permanente’s new medical school in Southern California. She also served on President Obama’s Council on Science and Technology. Series: "Women in Science" [Health and Medicine] [Business] [Show ID: 34468]

Dr. Christine Cassel, Presidential Chair in the Department of Medicine at UCSF, talks with Dr. Wachter about her career in healthcare and policy, including her burgeoning interests in new technologies and their impact on the practice of medicine. Cassel has had a storied career in a several areas in healthcare, including geriatrics, ethics, and health policy. She served as chair of the Department of Geriatrics at Mt. Sinai, the Dean at Oregon Health Sciences University, and the CEO of two major national organizations: the National Quality Forum and the American Board of Internal Medicine. While at ABIM, she launched campaigns to promote professionalism in medicine and cost consciousness (“Choosing Wisely”). Before coming to UCSF, she was the planning dean for Kaiser Permanente’s new medical school in Southern California. She also served on President Obama’s Council on Science and Technology. Series: "Women in Science" [Health and Medicine] [Business] [Show ID: 34468]

Dr. Christine Cassel, Presidential Chair in the Department of Medicine at UCSF, talks with Dr. Wachter about her career in healthcare and policy, including her burgeoning interests in new technologies and their impact on the practice of medicine. Cassel has had a storied career in a several areas in healthcare, including geriatrics, ethics, and health policy. She served as chair of the Department of Geriatrics at Mt. Sinai, the Dean at Oregon Health Sciences University, and the CEO of two major national organizations: the National Quality Forum and the American Board of Internal Medicine. While at ABIM, she launched campaigns to promote professionalism in medicine and cost consciousness (“Choosing Wisely”). Before coming to UCSF, she was the planning dean for Kaiser Permanente's new medical school in Southern California. She also served on President Obama's Council on Science and Technology. Series: "Women in Science" [Health and Medicine] [Business] [Show ID: 34468]

This episode features Dr Alex Chan (Department of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute, Boston, MA). Routine assessment of many established quality indicators is nearly impossible because the information is embedded as unstructured free text within electronic clinical notes. A key example of this is timely documentation of patient care preferences in critically ill older adults. The paper demonstrates that deep learning algorithms can be applied to assess a palliative care quality measure endorsed by the National Quality Forum. The deep learning algorithm analyzed clinical notes >18,000 times faster than clinician coders (0.022 s/note vs 402 s/note). The algorithms can analyze electronic clinical notes in a tiny fraction of the time needed for manual review, offering a practical option for rapid audit and feedback regarding care preference documentation at the system and clinician level.   Full paper available from: https://journals.sagepub.com/doi/full/10.1177/0269216318810421   If you would like to record a podcast about your published (or accepted) Palliative Medicine paper, please contact Dr Amara Nwosu: anwosu@liverpool.ac.uk

Health disparities stemming from social, economic, and environmental factors have become a growing target in healthcare with payers, providers, and policy makers turning their attention on how to address those nonmedical factors that impact an individual’s overall health and health outcomes outside of the medical setting. While the importance of addressing social determinants of health is becoming more clear, there are still challenges for this new field—delving into the arena can be daunting for health systems and there is not much evidence yet on best practices for screening patients and getting them to the right resouces. In this podcast, we talk to Clifford Goodman, PhD, of The Lewin Group; Shantanu Agrawal, MD, MPhil, of National Quality Forum; and Rachel Gold, PhD, MPH, of the Kaiser Permanente Center for Health Research. Read more about the stories in this podcast: Doctors Talk About How Social Determinants Affect Their Work With Patients: https://www.ajmc.com/focus-of-the-week/doctors-talk-about-how-social-determinants-affect-their-work-with-patients Physicians Call for Action on Social Determinants of Health: https://www.ajmc.com/newsroom/physicians-call-for-action-on-social-determinants-of-health Humana's "Bold Goal" Update Finds More Healthy Days for Medicare Members in 4 Cities: https://www.ajmc.com/focus-of-the-week/humanas-bold-goal-update-finds-more-healthy-days-for-medicare-members-in-4-cities A Health Plan's Investigation of Healthy Days and Chronic Conditions: https://www.ajmc.com/journals/issue/2017/2017-vol23-n10/a-health-plans-investigation-of-healthy-days-and-chronic-conditions Dr Shantanu Agrawal: Bringing Together the Community to Tackle Social Determinants of Health: https://www.ajmc.com/conferences/aco-fall2017/dr-shantanu-agrawal-bringing-together-the-community-to-tackle-social-determinants-of-health Dr Shantanu Agrawal Highlights Progress Being Made to Address Health Inequities: https://www.ajmc.com/conferences/aco-fall2017/dr-shantanu-agrawal-highlights-progress-being-made-to-address-health-inequities Data Necessary to Appropriately Address Social Determinants of Health: https://www.ajmc.com/conferences/acdc-spring-2018/data-necessary-to-appropriately-address-social-determinants-of-health

Dr. Robert Pearl is the former CEO of the Permanente Medical Group (1999-2017), the nation's largest medical group, and former president of the Mid-Atlantic Permanente Medical Group (2009-2017). In these roles, he led 9,000 physicians, 35,000 staff, and was responsible for the nationally recognized medical care of 4 million Kaiser Permanente members on the west and east coasts. Recently named one of Modern Healthcare's 50 most influential physician leaders, Robert is an advocate for the power of integrated, prepaid, technologically advanced, and physician-led health care delivery. He serves as a clinical professor of plastic surgery at Stanford University School of Medicine and is on the faculty of the Stanford Graduate School of Business, where he teaches courses on strategy and leadership, and lectures on information technology and health care policy. In 2017, he authored Mistreated: Why We think We're Getting Good Health Care—And Why We're Usually Wrong, a Washington Post bestseller that offers a road map for transforming American health care. All proceeds from the book benefit Doctors Without Borders. As a regular contributor to Forbes, Robert covers the business of health care and the culture of medicine. He has been featured on CBS This Morning, CNBC, NPR, and in TIME, USA Today and Bloomberg News. He has published more than 100 articles in various medical journals and contributed to numerous books. He is a frequent keynote speaker at health care and medical technology conferences, Robert has addressed the Commonwealth Club, the World Health Care Congress, and the Institute for Health Care Improvement's National Quality Forum. Board certified in plastic and reconstructive surgery, Robert received his medical degree from the Yale University School of Medicine, followed by a residency in plastic and reconstructive surgery at Stanford University. From 2012 to 2017, he served as chairman of the Council of Accountable Physician Practices (CAPP), which includes the nation's largest and best multispecialty medical groups, and participated in the Bipartisan Congressional Task Force on Delivery System Reform and Health IT in Washington, DC. Stacey Richter is Co-President of Aventria Health Group, a marketing agency specializing in helping pharmaceutical, device, and pharmacy clients gain access to patients by creating and leveraging partnerships with other health care organizations. For 20 years, Stacey has innovated better-coordinated health solutions benefiting all stakeholders, and, most of all, the patient.   Alex Akers is Vice President for Business Development with Health Catalyst, a Utah-based, next-generation data, analytics, and decision-support company. He has been with Health Catalyst since 2015. Alex began his career in health care consulting, working for KPMG and Accenture in their health care strategy practices, and then shifting to revenue cycle reengineering with Stockamp & Associates. His passion for technology in health care really took off after he joined Microsoft and was responsible for health care strategy in their payer segment. After a stint with Grand Rounds in San Francisco, Alex landed at Health Catalyst.   00:00 Dr. Robert Pearl, author of Mistreated: Why We think We're Getting Good Health Care—And Why We're Usually Wrong. 01:30 How bad is the problem in American health care? 04:35 How our health system lags in overall health, according to third-party, objective data analysis. 05:20 Rampant overtreatment, and how this adds to the problem. 08:30 How can context improve health care? 09:00 The 4 pillars of improving health care outcomes. 12:40 Integration as a crucial step to maximizing quality. 13:00 Pay-for-value as the second pillar of improving health outcomes. 17:20 Technology as the third pillar. 17:45 How current health care tech being utilized is 50+ years old. 19:30 Why video isn't utilized more in health care, despite being relatively inexpensive. 21:20 Do doctors hate technology? 22:30 “All of medicine is probability.” 24:50 “We fail to do the things that we know we should do.” 27:00 Physician and clinician-led as the fourth pillar. 28:45 “We don't have a system; we don't have a structure.” 29:35 “To do that is going to require leadership.” 30:00 Dr. Pearl's advice for actionable change. 31:00 “This is the time to change; don't wait for disruption to occur.”