Podcasts about Oversight

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Best podcasts about Oversight

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Latest podcast episodes about Oversight

3 Martini Lunch
Biden's China Lie, Crime Costs Retailers $112 Billion, Biden's Lame UAW Visit

3 Martini Lunch

Play Episode Listen Later Sep 27, 2023 22:24


Join Jim and Greg as they welcome more facts coming out in the House investigation of the Biden family business ventures and alleged influence peddling. This time we learn that six-figure payments from China used Joe Biden's Delaware home as the beneficiary's address. They also shudder as the National Retail Federation reports that retailers suffered $112.1 billion in "inventory shrink" thanks to rampant looting and shoplifting. Finally, they roll their eyes as President Biden spends a whopping 12 minutes joining the UAW picket line before moving on to his big fundraiser in California.Please visit our great sponsors:4Patriothttps://4Patriots.comUse code MARTINI to get 10% off your purchase.

Growing Harvest Ag Network
Mid-morning Ag News, September 27, 2023: Legislation to boost oversight of foreign ag purchases heads to the full House of Representatives

Growing Harvest Ag Network

Play Episode Listen Later Sep 27, 2023 2:26


The U.S. House Committee on Financial Services last week advanced a bill supported by the National Cattlemen's Beef Association that strengthens oversight of foreign agricultural purchases.See omnystudio.com/listener for privacy information.

APNow
AI and AP The Changes, Challenges and Opportunities

APNow

Play Episode Listen Later Sep 25, 2023 30:25


Did you know that using AI is easier than using Excel? That's just one of the fascinating and useful insights revealed by our expert guest in this broadcast. Without a doubt, the accounts payable function will look very different in just a few short years. AI is going to make an impact. Is that good or bad? And more importantly, what does that mean for our viewers, the professionals who work in, manage and/or have responsibility for the accounts payable function. There will definitely be some challenges. Make sure you stick around until the end when my guest, Nathanael L'Heureux is going to share some of the unexpected opportunities for our community – some of which, I'm willing to bet your never really considered. #AI #AIopportunities #accountspayable Some of the topics discussed in this talk include: • What are the different types of AI? • Using AI to identify duplicates • How AI can help prevent paying the wrong vendor • How AI can help prevent using wrong measure when ordering • How AI can add another layer of protection against fraud • Different types of AI challenges • AI and change management • What are the challenges ap and accounting are likely to encounter with AI • What are the opportunities for AP and accounting with AI • Some funny AI stories • How to get the most out AI Learn more about Oversight at www.oversight.com Link to Will AP Be Obsolete in Three Years https://youtu.be/MVvD3S7Fqww Looking for more of the most current business intelligence about + Best practices around your payment and accounts payable function + Current and new fraud protection protocols + The newest technology impacting your accounting, accounts payable, and payment functions + Career advancement +And much more!! Subscribe for more tips and insights like this: https://www.youtube.com/APNow?sub_confirmation=1 +++++++++++++++++++++++ See most recent videos at: https://www.youtube.com/@APNow/videos See all short tips at: https://www.youtube.com/playlist?list=PLtL6rWSXZ-He5ELp9TP3wqQdHIbfIcFAB Learn more about AP Best Practices; Playlist at: https://www.youtube.com/playlist?list=PLtL6rWSXZ-HcvMSJTdNs0BCQJ0Ivb4l9V Learn more about Internal Controls in AP; Playlist https://www.youtube.com/playlist?list=PLtL6rWSXZ-HdV9JIterJ-bf6TwMset_z_ Looking for Automation insights: Playlist at: https://www.youtube.com/playlist?list=PLtL6rWSXZ-Hf_cZwQOcDZrYV4dA0oDVby Other ++++++++++++++++++++++++++++++++++ Website: https://www.ap-now.com/ Linkedin AP Now: https://www.linkedin.com/company/ap-now/ Twitter: https://twitter.com/Accountspayable More about Mary Schaeffer: https://www.linkedin.com/in/accountspayable Facebook: https://www.facebook.com/AccPayNow  

Lawfare No Bull
Lawfare No Bull: AG Merrick Garland Testifies in Front of House Judiciary Committee

Lawfare No Bull

Play Episode Listen Later Sep 22, 2023 96:42


On Sept. 20, Attorney General Merrick Garland testified before the House Judiciary Committee in a hearing entitled “Oversight of the U.S. Department of Justice.” The committee questioned Garland about the Hunter Biden investigations, the role of special counsels, the Department of Justice's actions related to January 6th, and more. Hosted on Acast. See acast.com/privacy for more information.

Georgia Today
Oversight commission; Accidental shooting in Fulton courthouse; Invasive species 

Georgia Today

Play Episode Listen Later Sep 22, 2023 6:54


On the Friday, Sept. 22 edition of Georgia Today: A state judge hears arguments on whether to block a prosecuting attorneys oversight commission; a Fulton County investigator accidentally shoots herself inside the County courthouse; and an invasive species is found in the Ogeechee River in southeastern Georgia.

ASC Podcast with John Goehle
Episode 199 - Special Episode - Live from the Ohio State Association Meeting - September 20, 2023

ASC Podcast with John Goehle

Play Episode Listen Later Sep 22, 2023 126:47


On this episode of the ASC Podcast with John Goehle we visit the Ohio Association of Ambulatory Surgery Centers Annual meeting in Columbus Ohio, interview some of the speakers and exhibitors and speak with the association leadership about the conference and the value of the state association.    This episode is sponsored by Surgical Information Systems, triValence and  Ambulatory Healthcare Strategies.   Notes and Resources from this Episode: Join the Ohio Association of of Ambulatory Surgery Centers: http://www.oaasc.net/aws/OAASC/pt/sp/join Contacts for Speakers: Heidi Moss (Executive Director of OAASC) - sam@oaasc.net Daren Smith (SIS) - DSmith@sisfirst.com Eric Plinke (Dinsmore & Shohl LLP) - eric.plinke@dinsmore.com Kara Newbury (ASCA) - knewbury@ascassociation.org Lasuri Boisclair (Transworld Systems) - laurie.boisclair@transworldsystems.com Sarah Paul (Board Chair for OAASC) Join one of our Membership Programs! Our Patron Program: Patron Members of the ASC Podcast with John Goehle have access to ASC Central - an exclusive membership website that provides a one-stop  ASC Regulatory and Accreditation Compliance, Operations and Financial Management resource for busy Administrators, nurse managers and business office managers. More information and Become Member The ASC-Central Premium Access Program A Premium Resource for Ambulatory Surgery Centers including access to bootcamps, education programs and private sessions More Information and Become a Premium Access Program Members Today! Important Resources for ASCs: Conditions for Coverage: https://www.ecfr.gov/cgi-bin/text-idx?c=ecfr&rgn=div5&view=text&node=42:3.0.1.1.3&idno=42#se42.3.416_150 Infection Control Survey Tool (Used by Surveyors for Infection Control)https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107_exhibit_351.pdf Updated Guidance for Ambulatory Surgical Centers - Appendix L of the State Operations Manual (SOM)https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_l_ambulatory.pdf https://www.cms.gov/medicareprovider-enrollment-and-certificationsurveycertificationgeninfopolicy-and-memos-states-and/updated-guidance-ambulatory-surgical-centers-appendix-l-state-operations-manual-som Policy & Memos to States and RegionsCMS Quality Safety & Oversight memoranda, guidance, clarifications and instructions to State Survey Agencies and CMS Regional Offices. https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions Other Resources from the ASC Podcast with John Goehle: Visit the ASC Podcast with John Goehle Website Books by John Goehle Get a copy of John's most popular book - The Survey Guide - A Guide to the CMS Conditions for Coverage & Interpretive Guidelines for Ambulatory Surgery Centers   

The Capitol Pressroom
State cannabis regulators discuss safety oversight

The Capitol Pressroom

Play Episode Listen Later Sep 22, 2023 23:48


Sept. 22, 2023 - New York State Office of Cannabis Management Director of Policy John Kagia explains the state's vetting process for marijuana products sold as part of the adult-use market, including testing for contaminants and potency.

The Capitol Pressroom
State regulators lagging in oversight of Adirondacks

The Capitol Pressroom

Play Episode Listen Later Sep 21, 2023 15:20


September 21, 2023 - Adirondack Explorer reporter Gwendolyn Craig reveals how state environmental officials have fallen woefully behind in their responsibility to maintain updated management plans across the Adirondacks.

Politics Done Right
Cori Bush schools GOP on oversight: Dings Trump: a white supremacist election overthrowing demagogue

Politics Done Right

Play Episode Listen Later Sep 21, 2023 4:38


Representative Cori Bush did not mince her words at the sham Merrick Garland Judiciary hearings as she lectured her colleagues on oversight and their support for a ‘twice impeached white supremacist election overthrowing demagogue.' --- Send in a voice message: https://podcasters.spotify.com/pod/show/politicsdoneright/message Support this podcast: https://podcasters.spotify.com/pod/show/politicsdoneright/support

Dewhitt L Bingham Justice For All Podcast Show

Episode 75: Police OversightGuest: Benjamin Gonzales & Monay Duvendack This is the fifth week of the fall 2023 semester at Heartland Community College and Dewhitt's class is studying police oversight. A lot of people don't realize that some cities have police review boards. Bingham discusses with two of his students, Monay and Benjamin, that a civilian review board is generally charged with the duty of reviewing complaints and making recommendations as to disciplinary action after the police department has completed its own investigation and made a disciplinary recommendation. The following is discussed:  Monay and Benjamin's career pathWhy they are taking a criminal justice courseWhat high School they attendedTheir favorite due process rightPolice review boardsPolice accountabilityPolice disciplinary actionBenefits of police oversightVoting rightsLegalization of marijuanaHaving an attitude “I am above the law”Black Lives MatterWhite SupremacyWhat they'd like to see the Biden administration accomplishYou can listen to the JFA Podcast Show wherever you get your podcast or by clicking on one of the links below.https://dlbspodcast.buzzsprout.com    https://blog.feedspot.com/social_justice_podcasts/   https://peculiarbooks.org   Also if you are interested in exercise and being healthy check out the Top 20 Triathlon Podcasts.https://blog.feedspot.com/triathlon_podcasts/ 

Let's Talk AI
#137 - Salesforce Copilot, Chip Crunch, Meta Rival to ChatGPT, AI for paralysis patients

Let's Talk AI

Play Episode Listen Later Sep 20, 2023 78:30


Our 137th episode with a summary and discussion of last week's big AI news! With guest host Jessica Dai. Check out her Reboot publication! Read out our text newsletter and comment on the podcast at https://lastweekin.ai/ Email us your questions and feedback at contact@lastweekin.ai Check out our sponsor, the SuperDataScience podcast. You can listen to SDS across all major podcasting platforms (e.g., Spotify, Apple Podcasts, Google Podcasts) plus there's a video version on YouTube. Timestamps + Links: (00:00) Intro  (01:37) SuperDataScience podcast ad Tools & Apps (02:32) Salesforce launches AI assistant across its apps including Slack and Tableau (06:06) Roblox's new AI chatbot will help you build virtual worlds (09:22) Bybit debuts AI-powered ‘TradeGPT' for market analysis and data driven Q&A (11:14) China's Ant Group unveils finance AI model as race heats up Applications & Business (13:24) TSMC warns AI chip crunch will last another 18 months (16:50) Even AI Hasn't Helped Microsoft's Bing Chip Away at Google's Search Dominance (20:05) OpenAI will host its first developer conference on November 6 (22:54) AI reading coach startup Ello raises $15M to bolster child literacy (25:71) Nasdaq gets SEC nod for first exchange AI-driven order type (27:17) NVIDIA Adds New Software That Can Double H100 Inference Performance Projects & Open Source (30:10) Meta Platforms reportedly building open-source generative AI system to rival OpenAI's ChatGPT (34:13) Indian Developers Top Hugging Face Leaderboard with GenZ 70B (38:31) Supporting the Open Source AI Community Research & Advancements (40:31) Artificial intelligence allows paralysis patient to speak for first time in 18 years (45:42) Efficient Benchmarking (of Language Models) (49:31) Online AI-based test for Parkinson's disease severity shows promising results (52:52) Scientists used machine learning to perform quantum error correction Policy & Safety (56:18) Tech leaders including Musk, Zuckerberg call for government action on AI (01:01:32) US court rules that artificial intelligence generated artwork cannot be copyrighted (01:04:00) 2 Senators Propose Bipartisan Framework for A.I. Laws (01:05:47) Transcript: US Senate Judiciary Hearing on Oversight of A.I. (01:06:02) U.S. Copyright Office Invites Public To Comment On AI Synthetic Media & Art (01:09:10) Venice Film Festival 2023 Is Cinematic AI's Coming Out Party (01:13:52) Revolution Software is using their own AI technology to remake Broken Sword (01:16:24) As his Kickstarter passes $1.3M, publisher defends Terraforming Mars' generative AI art: ‘It's too powerful a technology' (01:17:23) Outro

Turley Talks
Ep. 1976 Pelosi Just Got Caught LYING About J6!!!

Turley Talks

Play Episode Listen Later Sep 20, 2023 11:41


It looks like Pelosi just got caught! Former U.S. Capitol Police Chief Steven A. Sund testified before the House Administration Subcommittee on Oversight, and dropped quite the bombshell accusing Pelosi of lying about the events of J6!    Highlights:  “Pelosi has apparently been denying that she had any contact with Sund, the capital police chief, as part of her denial of any culpability for the events that transpired!” “This fellow, Chief Sund, has reportedly told the subcommittee that he can provide documentation to prove that he spoke to Pelosi. Apparently, he's got the phone records to prove that Pelosi lied about not speaking with him!” Timestamps:  [00:49] Police Chief Steven Sund testifies against Pelosi [05:19] Police Chief Steven Sund had suspicions about Pelosi [08:52] Capitol Police Chief claiming about the cover-up with what really happened on J6   Resources:  Learn how to protect your life savings from inflation and an irresponsible government, with Gold and Silver. Go to  https://www.gcjdjhs3e.com/source_id=TurleyTalks_digital_dollar=Podcast Try Joint Support by going to https://GetJointHelp.com/Turley and claim your FREE Omega-3 The Courageous Patriot Community is inviting YOU! Join the movement now and build the parallel economy at https://join.turleytalks.com/insiders-club=podcast Show your support for President Trump with his new cards HERE: https://www.physicaltrumpcards.com/trump-cards-collection-podcast   Thank you for taking the time to listen to this episode. If you enjoyed this episode, please subscribe and/or leave a review. Sick and tired of Big Tech, censorship, and endless propaganda? Join my Insiders Club with a FREE TRIAL today at: https://insidersclub.turleytalks.com Make sure to FOLLOW me on Twitter: https://twitter.com/DrTurleyTalks BOLDLY stand up for TRUTH in Turley Merch! Browse our new designs right now at: https://store.turleytalks.com/ Do you want to be a part of the podcast and be our sponsor? Click here to partner with us and defy liberal culture! If you would like to get lots of articles on conservative trends make sure to sign-up for the 'New Conservative Age Rising' Email Alerts.

Jay Sekulow Live Radio Show
AG Garland Defends Corrupt DOJ In Ridiculous Testimony

Jay Sekulow Live Radio Show

Play Episode Listen Later Sep 20, 2023 49:57


Attorney General Merrick Garland will testify today before the House Judiciary Committee regarding President Joe Biden's DOJ being politicized in its Hunter Biden and Donald Trump investigations. Led by House Committee Chairman Rep. Jim Jordan (OH-4), the hearing is titled “Oversight of the U.S. Department of Justice.” Garland will also respond to allegations of the DOJ's weaponization against conservatives. Today's congressional hearing lays the groundwork for possibly launching an impeachment inquiry into Biden. The Sekulow team discusses Garland's testimony and whether the Deep State will answer questions about targeting conservatives, the ACLJ's upcoming appearance before the United Nations, and new developments in the ongoing 14th Amendment litigation.

District of Conservation
EP 384: The Antiquities Act Needs Congressional Oversight

District of Conservation

Play Episode Listen Later Sep 20, 2023 18:55


In Episode 384 of District of Conservation, Gabriella discusses a new Congressional bill to reform the Antiquities Act- a law in need of Congressional oversight and modernization since its enactment in 1906. Learn more about Congressional Oversight of the Antiquities Act today. SHOW NOTES Utah Policy: Congressional oversight aims to protect public lands and communities Curtis: CONGRESSIONAL OVERSIGHT AIMS TO PROTECT PUBLIC LANDS AND COMMUNITIES Senator Lee Takes on Monument Overreach Miller-Meeks Introduces the Congressional Oversight of the Antiquities Act Senate Bill 2820 + One Pager FACT CHECK: Can Presidents Unilaterally Declare Large National Monuments? Chief justice offers encouragement for monuments reform Biden Harms True Conservation by Misusing Antiquities Act --- Support this podcast: https://podcasters.spotify.com/pod/show/district-of-conservation/support

The Ricochet Audio Network Superfeed
Daily Signal Podcast: Indictment of Hunter Biden Is ‘A Smokescreen,' Oversight Project Director Says

The Ricochet Audio Network Superfeed

Play Episode Listen Later Sep 19, 2023


Special counsel David Weiss' indictment of President Joe Biden's son, Hunter Biden, is “a smokescreen,” according to Mike Howell, director of the Oversight Project, the watchdog arm of The Heritage Foundation. (The Daily Signal is the news outlet of Heritage.) Howell says the three drug-related gun charges against the younger Biden “are the smallest things that Hunter Biden should […]

Daily Signal News
Indictment of Hunter Biden Is ‘A Smokescreen,' Oversight Project Director Says

Daily Signal News

Play Episode Listen Later Sep 19, 2023 15:37


Special counsel David Weiss' indictment of President Joe Biden's son, Hunter Biden, is “a smokescreen,” according to Mike Howell, director of the Oversight Project, the watchdog arm of The Heritage Foundation. (The Daily Signal is the news outlet of Heritage.) Howell says the three drug-related gun charges against the younger Biden “are the smallest things that Hunter Biden should be facing in any fair and impartial investigation. It would be like charging the Unabomber with mail fraud or stamp fraud or something.”“I mean there are serious things like running an international pay-to-play, influencing-peddling scheme involving Chinese intelligence officers in some of the most corrupt corners of the world in Ukraine, and having your father fire a prosecutor over it,” says Howell, who is also an investigative columnist for The Daily Signal, adding: So, those are the big things that should be focused on, but instead, they're trying to get him on the small stuff here to give some appearance of the law actually being enforced.Howell joins today's episode of “The Daily Signal Podcast” to discuss the three charges, what's next for the younger Biden's indictment, and some of the other work the Oversight Project is doing.Link to Dr. Patrick Ho memo: https://thf_media.s3.amazonaws.com/2023/Oversite_Project/OP_The%20Investigation%20and%20Trial%20of%20Dr.%20Patrick%20Ho.pdf Hosted on Acast. See acast.com/privacy for more information.

ON THE CALL
ON THE CALL - CONSUL GENERAL, MR. J. ANDRE LAVEAU

ON THE CALL

Play Episode Listen Later Sep 18, 2023 29:37


J. ANDRE LAVEAU: Consul General and father of 3, born in Trinidad and Tobago, has served our beloved country and Republic of Trinidad and Tobago as a Foreign Service Officer for over 30 years. Mr. Laveau gained his BA in History and Law (Law Major) at the University of the West Indies, Barbados, a Postgraduate Diploma in International Relations, at the Institute of International Relations at UWI, St. Augustine, Trinidad, and his Master's degree in International Politics (Hons.) from the Universite Libre de Bruxelles (ULB) in Brussels, Belgium, where he became fluent in French. Since then, he became a Foreign Service Officer at the Foreign and CARICOM Affairs, in 1993, where his major assignments were: Director-Consular Division; Chief of Protocol; Director-European Affairs Division; Director-Mission Inspectorate; First Secretary-Trinidad & Tobago High Commission in Brussels; First Secretary-Mission to the European Union; Deputy High Commissioner-Trinidad & Tobago High Commission in Kampala, Uganda -[entrusted with the establishment of the High Commission in Kampala in 2007; also entrusted with heading a preparatory Mission for the re-establishment of a High Commission in Bridgetown in 2017], from November 2017-November2018, Mr. Laveau was the Deputy Permanent Secretary at the Ministry of Labor and Small Enterprise Development with duties such as: ILO matters, Launch of key labor related legislation, Communications, International Migration Policy - Chair of two inter-ministerial Committees, Oversight of International Affairs Unit, Work Permits, Heading Recruitment processes for new staff, from June 2016 - December 2016, he served at the Ministry of Energy and Energy Industries with duties that included Leading recruitment exercises, Policy Analysis of Renewable Energy matters, from December 2016 - July 2017, Mr. Laveau served in the Ministry of Agriculture Land & Fisheries, with Land Division related matters to Fisheries duties: from June 2005-June 2007, Mr Laveau as Communications Manager/Advisor to the Ministry of Sport and Youth Affairs, where he managed official participation: event management, publicity activities for the participation of Trinidad & Tobago, for the first time in the FIFA World Cup Soccer Tournament; assisted in steering Trinidad & Tobago participations in the hosting of the 2007 ICC World Cup Cricket Tournament. Since 2018, Mr. J. Andre Laveau has held the position of Consul General at the Trinidad & Tobago Consulate General in New York, with vested powers to represent the Government of Trinidad and Tobago, in all matters related to the bilateral relationship between Trinidad and Tobago and the United States of accreditation and related bodies. He serves as Head of Chancery, and manages the strategic direction and day to day operations of the Mission, providing professional and technical leadership. * We see and appreciate you, Mr. J. Andre Laveau. Thank you for all your excellent service to us and our country! Find out more about our Consul and our country at: https://foreign.gov.tt/cgnewyork -Host/Exec. Producer - Ozzie Stewart @onthecallpodcast.com -Editor: Kaleem -Website: James Bailey -Music: JLC Media @jacylamarcampbell -Camera: Jacy Campbell -Art: Dawad Philip --- Support this podcast: https://podcasters.spotify.com/pod/show/ozzie-stewart/support

ASC Podcast with John Goehle
Episode 198 - News Update, Responsible Adult, HIPAA Issues, Site Neutral Payments and Focus on Payment Cycle Controls and Fraud with Alex Pirotta of triValence - September 12, 2023

ASC Podcast with John Goehle

Play Episode Listen Later Sep 18, 2023 71:15


On this episode of the ASC Podcast with John Goehle we discuss the latest news in the ASC Industry, Review requirements for patients to go home with a responsible Adult, discuss HIPAA Issues related to AI Assistants like Siri and Alexa, Review recent discussions related to Site Neutral Payments and in our Focus Segment, discuss Payment Cycle Controls and Fraud and Abuse with Alex Pirotta of triValence. This episode is sponsored by triValence.   Notes and Resources from this Episode: Impact of Possible government shutdown: https://www.crfb.org/papers/government-shutdowns-qa-everything-you-should-know#whatservicesaffected AI (Alexa and Siri) and HIPAA: https://news.northeastern.edu/2020/07/14/are-alexa-siri-and-cortana-recording-your-private-conversations/ Pain Awareness Month: https://www.facs.org/for-medical-professionals/news-publications/news-and-articles/press-releases/2023/three-tips-for-managing-pain-after-surgery/ AHA Response to Site Neutral Payments: https://www.aha.org/news/headline/2023-08-02-aha-letter-editor-site-neutral-payment-policies-fail-account-site-differences triValence: Alex Pirrotta - alex.pirrotta@trivalence.com https://www.trivalence.com/ Join one of our Membership Programs! Our Patron Program: Patron Members of the ASC Podcast with John Goehle have access to ASC Central - an exclusive membership website that provides a one-stop  ASC Regulatory and Accreditation Compliance, Operations and Financial Management resource for busy Administrators, nurse managers and business office managers.  More information and Become Member The ASC-Central Premium Access Program A Premium Resource for Ambulatory Surgery Centers including access to bootcamps, education programs and private sessions More Information and Become a Premium Access Program Members Today! Important Resources for ASCs: Conditions for Coverage: https://www.ecfr.gov/cgi-bin/text-idx?c=ecfr&rgn=div5&view=text&node=42:3.0.1.1.3&idno=42#se42.3.416_150 Infection Control Survey Tool (Used by Surveyors for Infection Control)https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107_exhibit_351.pdf Updated Guidance for Ambulatory Surgical Centers - Appendix L of the State Operations Manual (SOM)https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_l_ambulatory.pdf https://www.cms.gov/medicareprovider-enrollment-and-certificationsurveycertificationgeninfopolicy-and-memos-states-and/updated-guidance-ambulatory-surgical-centers-appendix-l-state-operations-manual-som Policy & Memos to States and RegionsCMS Quality Safety & Oversight memoranda, guidance, clarifications and instructions to State Survey Agencies and CMS Regional Offices. https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions Other Resources from the ASC Podcast with John Goehle: Visit the ASC Podcast with John Goehle Website Books by John Goehle Get a copy of John's most popular book - The Survey Guide - A Guide to the CMS Conditions for Coverage & Interpretive Guidelines for Ambulatory Surgery Centers 

Congressional Dish
CD281: Private Policing of the Organ Transplant Network

Congressional Dish

Play Episode Listen Later Sep 18, 2023 75:35


The system for coordinating organ donations and transplants in the United States is broken, according to experts who have testified over the course of many years to Congress. In this episode, hear their testimony about what is wrong with the current system and then we'll examine the bill that aims to fix the problems. Please Support Congressional Dish – Quick Links Contribute monthly or a lump sum via Support Congressional Dish via (donations per episode) Send Zelle payments to: Donation@congressionaldish.com Send Venmo payments to: @Jennifer-Briney Send Cash App payments to: $CongressionalDish or Donation@congressionaldish.com Use your bank's online bill pay function to mail contributions to: Please make checks payable to Congressional Dish Thank you for supporting truly independent media! Background Sources August 3, 2022. Senate Finance Committee. Lenny Bernstein and Todd C. Frankel. August 3, 2022. The Washington Post. February 10, 2020. Senate Finance Committee. The Bill Audio Sources July 20, 2023 Senate Committee on Finance, Subcommittee on Health Care Witnesses: LaQuayia Goldring, Patient Molly J. McCarthy, Vice Chair & Region 6 Patient Affairs Committee Representative, Organ Procurement and Transplantation Network (OPTN) Matthew Wadsworth, President and CEO, Life Connection of Ohio Raymond J. Lynch, MD, MS, FACS, Professor of Surgery and Director of Transplantation Quality and Outcomes, Penn State Health Milton S. Hershey Medical Center Donna R. Cryer, JD, Founder and CEO, Global Liver Institute Clips 30:40 Sen. Ron Wyden (D-OR): HRSA, the Health Resources Agency, is on track to begin the contract process this fall and we're just going to be working here to complement their effort. 36:30 Sen. Chuck Grassley (R-IA): In 2005, I started the investigation of the deadly failures of UNOS, the monopoly tasked with managing the US organ donation system. Since then, more than 200,000 patients have needlessly died on the organ waiting list. There's a reason that I call UNOS the fox guarding the hen house. For nearly two decades, UNOS has concealed serious problems [at] the nation's organ procurement organizations, known as OPOs, instead of working to uncover and correct the corruption. This human tragedy is even more horrific because many of these deaths were preventable. They were the result of [a] corrupt, unaccountable monopoly that operates more like a cartel than a public servant. 44:45 LaQuayia Goldring: As a toddler, at the age of three, I was diagnosed with a rare kidney cancer that took the function of my left kidney. And when I was 17, I went back into complete renal failure and I received a first kidney transplant at that time. Unfortunately, in 2015, I went back into kidney failure. And at that time, I wasn't ready for another transplant, but I didn't have a choice but to go back on dialysis. I've been waiting nine agonizing years for a transplant, dependent upon a dialysis machine five days a week, just to be able to live. I was told that I would receive a kidney transplant within three to five years. But yet I am still waiting. I am undergoing monthly surgeries just to be able to get my dialysis access to work so that I can continue to live until I get a transplant. The UNOS waitlist is not like one to 100, where everybody thinks you get a number. I'm never notified on where I stand on the list or when I will get the call. I have to depend on an algorithm to make the decision of what my fate will be. 47:55 LaQuayia Goldring: Just a few weeks ago, a donor family reached out to me to be a directed kidney donor, meaning they chose me specifically for a kidney transplant. But unfortunately, due to the errors in the UNOS technology, I was listed as inactive and this was a clerical error. And all that they told me was this was a clerical error, and they could not figure out why I was inactive. But when it came down to it, I'm actually active on the transplant list. 51:45 Molly McCarthy: The Federal monopoly contractor managing the organ donation system, UNOS, is an unmitigated failure. And its leadership spends more time attacking critics than it does taking steps to fix the system. I've seen this firsthand in my five years as a patient volunteer with the OPTN and three years ago, I stepped into the role of Vice Chair of the Patient Affairs Committee, or PAC. 53:45 Molly McCarthy: Further, I have been called by a board member telling me to stop focusing on system outage and downtime of the UNOS tech system. He told me that having downtime wasn't a big deal at all, "the donors are dead anyway." That comment speaks volumes to me about the lack of empathy and respect UNOS has for donor families. 55:00 Molly McCarthy: Congress needs to break up the UNOS monopoly by passing 1668, ensuring that HHS uses its authority to replace UNOS as its contractor. 1:00:15 Matt Wadsworth: Break up the OPTN contract and allow for competition. 1:00:40 Matt Wadsworth: I commend this committee for introducing legislation to finally break up this monopoly and I stand ready to work with you in any way possible to ensure that this bill passes. It's the only way this industry will be able to save more patients' lives. 1:02:10 Dr. Raymond Lynch: I want to differentiate between organ donation, which is the altruistic decision of the donor patient and their family, and organ procurement, which is the clinical care provided by OPO staff. This is what turns the gift of donation into the usable organs for transplant. Organ procurement is a clinical specialty. It's the last medical care that many patients will ever receive. It's reimbursed by the federal government and it's administered by OPOs that are each the only provider in the territory to which they hold federal contracts. Right now patient care delivered by OPOs is some of the least visible in American healthcare. I can't tell you how many patients were evaluated by OPO workers in the US in 2022. I can't tell you how many patients were examined, or how many families were given information about donation, or how many times an OPO worker even showed up to a hospital to do this clinical duty. This lack of information about what OPO providers actually do for patients is a root cause of the variability in rates of organ procurement around the country. My research has shown that what we call OPO performance is a measurable restriction on the supply of organs that results in the unnecessary deaths of patients with organ failure. For example, if the lowest performing OPOs from around the country had just reached the national median over a recent seven year period, there would have been 4957 more organ donors, yielding an estimated 11,707 additional organs for transplant. Because many OPOs operate in a low quality data environment and without appropriate oversight, almost 5,000 patients did not get adequate organ procurement care, and nearly 12,000 other patients did not receive life saving transplants. 1:03:55 Dr. Raymond Lynch: OPO clinical work is currently not visible, it's not benchmarkable, and it's not able to be adequately evaluated, analyzed, or compared. However, much of the hidden data about how OPOs provide care to patients is known to one entity and that entity is UNOS. 1:05:20 Dr. Raymond Lynch: We need a new network of highly skilled specialist organizations, each attending to areas of expertise in the management of the OPTN contract. 1:21:15 Sen. Marsha Blackburn (R-TN): When we look at OPTN, and look at the Securing Organ Procurement Act, the bill would strip the nonprofit requirement for the manager of the Organ Procurement and Transplantation Network, which would open the door for profiting from organ procurement and donation. And to me, this is something that I think many people really fear, especially people that are on a waitlist. And so what I would like for you to do is to address that and address those concerns. And why or why not you think the Act has it right. Dr. Raymond Lynch: Thank you, Senator. I think it's unfortunate that people would be afraid of that and it needs to be changed. Many of the patients that you referenced are waitlisted at for-profit hospitals. For-profit is a part of American healthcare. And I can tell you that our not-for-profit entity doesn't work. And there are for-profit hospitals and for-profit transplant centers that do work. So patients don't need to be afraid of that. They do need to be afraid of the status quo. 1:28:30 Sen. Ben Cardin (D-MD): Ms. Cryer, do you have any views as to why it's much lower percentage chances for a racial minority to be able to have a transplant? Donna Cryer: Yes. And it really does come down to UNOS not doing its job of overseeing the organ procurement organizations. We know from many studies that black and brown communities donate organs in the same percentage they are the population. So it is not a problem of willingness to donate. It is a problem, as Miss Goldring was starting to discuss, about UNOS not ensuring that OPOs go out into the communities, develop relationships far before that horrible decision is needed to [be] made to donate the organs of a family member. 1:56:45 Sen. Elizabeth Warren (D-MA): And among the many reforms the legislation would support HRSA's proposal to break up the OPTN monopoly contract into multiple smaller contracts, which would allow some competition and allow the best vendors in the business to manage different parts of the transplant network operation. That means hiring IT experts to do the IT. It means hiring logistics experts to do logistics, and so on. 1:57:15 Sen. Elizabeth Warren (D-MA): UNOS does not want to lose control, so they're pushing to have the government limit eligibility only to nonprofit vendors that have worked in the past on organ donation, meaning, for instance, that the IT company that is hired to run OPTNs computers systems would have had to have worked on an organ transplant network in the past and be a nonprofit. So Ms. McCarthy, the requirement UNOS wants would seem to make it so that only one organization could apply for the new contract: UNOS. 1:58:35 Sen. Elizabeth Warren (D-MA): Right now, Congress has an opportunity to root out corruption in this system, but if we don't act before the current contract expires we won't have another shot for years. August 3, 2022 Senate Committee on Finance Witnesses: Brian Shepard, CEO, United Network for Organ Sharing (UNOS) Diane Brockmeier, RN, President and CEO, Mid-America Transplant Barry Friedman, RN, Executive Director, AdventHealth Transplant Institute Calvin Henry, Region 3 Patient Affairs Committee Representative, Organ Procurement and Transplantation Network (OPTN) Jayme Locke, M.D., MPH, Director, Division of Transplantation, Heersink School of Medicine, University of Alabama at Birmingham Clips 36:15 Sen. Ron Wyden (D-OR): A 1984 law created the first computerized system to match sick patients with the organs they need. It was named the Organ Procurement and Transplantation Network. Someone needed to manage that system for the whole country, so the government sought to contract an organization to run it. UNOS was the only bidder for that first contract in 1986. The contract has come up for bid seven other times, UNOS has won all seven. Today, the network UNOS overseas is made up of nearly 400 members, including 252 transplant centers, and 57 regional organizations known as Organ Procurement Organizations, or OPOs. Each OPO is a defined geographic service network. Families sitting in a hospital room thinking about donating a loved one's organs does not have a choice of OPOs. 37:40 Sen. Ron Wyden (D-OR): Between 2010 and 2020, more than 1,100 complaints were filed by patients and families, staff, transplant centers, and others. The nature of these complaints runs the gamut. For example, in a number of cases, OPOs had failed to complete critical mandatory tests for matters like blood types, diseases, and infection. Our investigation found one patient died after being transplanted with lungs that a South Carolina OPO marked with the wrong blood type. Similar blood type errors happened elsewhere and patients developed serious illness. Some had to have organs removed after transplant. Another patient was told he would likely die within three years after an OPO in Ohio supplied him with a heart from a donor who had died of a malignant brain tumor. UNOS did not pursue any disciplinary action. In a case from Florida, another patient contracted cancer from transplanted organs and the OPO sat on the evidence for months. In total, our investigation found that between 2008 and 2015, and 249 transplant recipients developed a disease from transplanted organs. More than a quarter of them died. 38:55 Sen. Ron Wyden (D-OR): Delivering organs has been another source of life threatening errors. We found 53 such complaints between 2010 and 2020, as well as evidence that this was just the tip of the iceberg. In some cases, couriers missed a flight. In others, the organs were abandoned at airports. Some organs were never picked up. Many of these failures resulted in organs being discarded. 39:20 Sen. Ron Wyden (D-OR): It's reasonable to assume that many more errors are going unreported. Why? Because filing official complaints with UNOS appears to accomplish zero productive oversight or reform. Organ transplant professionals repeatedly told the Finance Committee that the complaint process was, and I quote here, "a black hole." Complaints went in, UNOS went quiet. In interviews with the Committee UNOS leaders have dragged their feet, dodged tough questions, and shifted responsibility onto others. investigations and disciplinary measures rarely amount to much more than a slap on the wrist. Only one time -- just once -- has UNOS recommended that an OPO lose their certification. 55:05 Diane Brockmeier: We must update the archaic technology system at UNOS. As OPOs, we are required to work with UNOS technology DonorNet every day. DonorNet is outdated, difficult to us,e and often slow to function when every minute counts. Manual entry subjects it to error and OPO and Transplant Center staff are not empowered with the right information when time is critical. I did serve in leadership roles on the OPO Committee from 2017 to 2022. Committee members and industry leaders voiced repeated requests to improve DonorNet. The consistent response was UNOS IT did not have the bandwidth to address this work. The limitations of the UNOS technology are delaying and denying transplants to patients that are dying on the waitlist. Poor technology impacts the disturbingly high kidney discard rate in the United States, where one in four kidneys never make it to a patient for transplantation. Critical time is lost due to the inefficiency of DonorNet, wasting time on offers that will not be accepted. Of course an available organ should be offered to the patient in this sequence. However, far too much of the matching, particularly on older donors and organs that are difficult to place, are left to the individual OPOs and transplant centers to find each other despite, rather than facilitated by, UNOS technology. Mid-America Transplant intentionally identifies surgeons who accept kidneys that have been repeatedly turned down many times. These are life saving options for those patients. In May of 2022, one of these patients was number 18,193 on the list. Relying on DonorNet alone, that kidney would never had been placed and the chance to save a life would have been wasted. 55:20 Diane Brockmeier: UNOS lacks urgency and accountability around identifying and remediating this preventable loss of organs, and they are not required to publicly report adverse events when patients are harmed, organs are lost, or the quality of patient care is deemed unsafe. UNOS does not require clinical training, licensure, or certification standards for OPO staff delivering critical patient care. In this environment, who's looking out for the patient? Who's being held accountable for poor patient care? No OPO has ever actually been decertified, regardless of its performance or its safety record. 57:55 Diane Brockmeier: When an OPO goes out of sequence to place an organ that would otherwise be thrown away, UNOS requires an explanation; however, when organs are recovered and discarded, you must remain silent. 58:05 Diane Brockmeier: We must remove conflicts to ensure effective governance. From 2018 to 2020, I served as a board member for the OPTN. Serving on the board of the OPTN automatically assigns membership to the UNOS board. My board experience revealed that at times UNOS actions are not aligned with its fundamental vision of a life saving transplant for everyone in need. How can you fairly represent the country's interest and a contractor's interest at the same time? 58:35 Diane Brockmeier: Board members are often kept in the dark about critical matters and are marginalized, particularly if they express views that differ from UNOS leadership. Preparatory small group calls are conducted prior to board meetings to explore voting intentions, and if the board member was not aligned with the opinion of UNOS leadership, follow up calls are initiated. Fellow board members report feeling pressured to vote in accordance with UNOS leadership. 59:10 Diane Brockmeier: To protect patients, I urge Congress and the administration to separate the OPTN functions into different contracts so that patients can be served by best-in-class vendors, to immediately separate the boards of the OPTN and OPTN contractors, and to ensure that patients are safeguarded through open data from both the OPTN and OPOs. 1:00:45 Barry Friedman: Approximately 23% of kidneys procured from deceased donors are not used and discarded, resulting in preventable deaths 1:00:55 Barry Friedman: Organ transportation is a process left to federally designated Organ Procurement Organizations, OPOs. Currently, they develop their own relationships with couriers, rely on airlines, charter flights, ground transportation, and federal agencies to facilitate transportation. In many cases, organs must connect from one flight to another, leaving airline personnel responsible for transfers. While anyone can track their Amazon or FedEx package, there is currently no consistent way of tracking these life saving organs. 1:01:45 Barry Friedman: Currently there is no requirement for OPOs to use tracking systems. 1:02:20 Barry Friedman: I also believe there's a conflict of interest related to the management of IT functions by UNOS, as the IT tools they offer transplant centers come with additional costs, despite these being essential for the safety and management of organs. 1:02:35 Barry Friedman: UNOS is not effectively screening organ donors so that they can be quickly directed to transplant programs. UNOS asks centers to voluntarily opt out of certain organs via a filtering process. As a result, OPOs waste valuable time making organ offers to centers that will never accept them. Time wasted equates to prolonged cold ischemic time and organs not placed, resulting in lost organ transplant opportunities. 1:03:10 Barry Friedman: Due to the limited expertise that UNOS has in the placement of organs, it would be best if they were no longer responsible for the development of organ placement practices. The UNOS policy making [process] lacks transparency. Currently OPTN board members concurrently serve as the board members of UNOS, which creates a conflict of interest that contributes to this lack of transparency. UNOS committees are formed in a vacuum. There is no call for nominations and no data shared with the transplant community to explain the rationale behind decisions that create policy change. 1:11:35 Dr. Jayme Locke: The most powerful thing to know about this is that every organ represents a life. We can never forget that. Imagine having a medication you need to live being thrown away simply because someone took too long to get it to you. Your life quite literally in a trash can. Organs are no different. They too have shelf lives and they are measured in hours. Discarded organs and transportation errors may sound abstract, but let me make this negligence real for you. In 2014, I received a kidney that arrived frozen, it was an ice cube you could put in your drink. The intended recipient was sensitized, meaning difficult to match. The only thing we could do was tell the waiting patient that due to the lack of transportation safeguard, the kidney had to be thrown in the trash, the final generous act of a donor in Maryland. In 2017, I received a kidney that arrived in a box that appeared to have tire marks on it. The box was squished and the container inside had been ruptured. We were lucky and were able to salvage the kidney for transplant. But why should luck even play a role? 1:12:45 Dr. Jayme Locke: In one week, I received four kidneys from four different OPOs, each with basic errors that led to the need to throw away those life saving organs. One due to a botched kidney biopsy into the kidneys collecting system, another because of a lower pole artery that had been cut during procurement that could have been fixed if someone involved had assessed the kidney for damage and flushed it before packing, but that didn't happen. Two others arrived to me blue, meaning they hadn't been flushed either. 1:13:15 Dr. Jayme Locke: Opacity at UNOS means that we have no idea how often basic mistakes happen across the country, nor can we have any confidence that anything is being done to redress such errors so they don't keep happening. 1:13:40 Dr. Jayme Locke: Women who have been pregnant, especially multiple times, are harder to match, contributing to both gender and racial disparities in access to transplant. This is a very real example of how a constrained pool of organs and high discards disproportionately hurt women and women of color, who are more likely to have multiple pregnancies. 1:14:25 Dr. Jayme Locke: Number one, immediately separate the OPTN board from any of the boards of any contractors. Number two, bring in real experts to ensure our patients are served by the best of the best in each field, separating out key functions of the OPTN, including policy, technology, and logistics. And number three, ensure that patients are safer by holding all contractors accountable through public adverse event reporting and immediate redressing of problems. 1:22:00 Sen. Chuck Grassley (R-IA): The system doesn't seem to be fair to racial minorities or people living in rural communities. So what are your efforts underway to understand the root causes and help make the system fairer to patients on the waiting list to explain the factors that result in the disparity for minorities in rural populations in the process? And how can the federal government address a problem if we have to be involved in addressing it? Dr. Jayme Locke: One of the most important things that we don't currently do is we don't actually account for disease burden in terms of examining our waiting lists. So we have no way of knowing if we're actually serving the correct people, if the correct people are actually making it to the waiting list. Disease burden is super important because it not only identifies the individuals who are in need of transplantation, but it also speaks to supply. So areas with high rates of end stage kidney disease burden, like the southeastern United States are going to have much lower supply. And those waiting lists predominantly consist of African American or Black individuals. So if you want to make a truly equitable organ system, you have to essentially get more organs to those areas where there are higher disease burdens. I think the other thing is that we have to have more focus on how we approach donor families and make sure that we have cultural competence as a part of our OPOs, and how they approach families to ensure that we're not marginalizing minority families with regard to the organ donation process. 1:30:00 Brian Shepard: The OPTN IT system that UNOS operates has 99.99% uptime. It is a highly reliable system. We are audited annually by HRSA.... Sen. Ben Cardin (D-MD): My information shows it's had 17 days down since I think 1999. That's not correct? Brian Shepard: In 23 years, yes, sir. Sen. Ben Cardin (D-MD): Okay, well, every day there's a loss of life, isn't it? Brian Shepard: That's the total amount of time over the couse of -- Sen. Ben Cardin (D-MD): I hope our national event system isn't down 17 days a year. Brian Shepard: The system has never been down for a day. And to my knowledge, and I have not been at UNOS since 1999, there's been maybe one event that was longer than an hour, and that was three hours. But the total amount of time since 1999 -- Sen. Ben Cardin (D-MD): So you're satisfied with your technology? You think you have the right technology? You're satisfied with your tracking systems now? You think everything is okay? Brian Shepard: We constantly improve our technology. We're subjected to 3 million attempts a day to hack into the patient database and we successfully repelled them all. So we are never satisfied with our technology, but we do maintain 99.99% uptime. We disagree with the USDS analysis of our systems. 1:37:25 Brian Shepard: If you're asking whether UNOS can prevent an OPO from operating or for being an OPO -- Sen. Rob Portman (R-OH: Well not prevent them, but require them to do something .You don't have the ability to require them...? Brian Shepard: The peer review process has significant persuasive authority, but all the payment authority and all the certification and decertification authority live at CMS. 1:39:00 Sen. Rob Portman (R-OH: Do you think there should be tracking of organs in transit? Brian Shepard: I think that's a very beneficial thing. UNOS provides an optional service that a quarter of OPOs use. Many OPOs also use other commercially available trackers to do that. There is not a single requirement to use a particular system. 1:41:55 Sen. Elizabeth Warren (D-MA): Mr. Shepherd, you are the CEO of UNOS. We have documented these problems and you've received more than 1000 complaints in the last decade alone. So tell me, in the 36 years that UNOS has had the contract to run our national organ system, how many times has UNOS declared its OPO Members, any OPO members, not in good standing. Brian Shepard: Two times, Senator. 1:43:20 Sen. Elizabeth Warren (D-MA): How many times has UNOS put an OPO on probation? Brian Shepard: I don't know that number off the top of my head, but it's not a large number. Sen. Elizabeth Warren (D-MA): It's not large, in fact it's three. 1:45:20 Brian Shepard: Approximately 10% of the budget of this contract is taxpayer funded. The rest of that is paid by hospitals when they list patients. 1:49:30 Sen. Todd Young (R-IN): Once an OPO is designated not in good standing, Senator Warren referred to this as toothless. It does seem toothless to me. I'll give you an opportunity, Mr. Shepherd, to disabuse me of that notion and indicate for me what penalties or sanctions are actually placed on an OPO when they are designated not in good standing. Brian Shepard: The statute does not give UNOS any authority to offer sanctions like that. The certification, decertification, payment authorities belong entirely to CMS. UNOS's statute doesn't give us the ability -- Sen. Todd Young (R-IN): So it is toothless in that sense. Brian Shepard: It is designed to be, by regulation and contract, a quality improvement process, in contrast to the oversight process operated by a federal agency. 1:51:15 Sen. Todd Young (R-IN): To what extent is UNOS currently tracking the status of all the organs in transit at any given time? Brian Shepard: UNOS does not coordinate transportation or track organs in transit. We do provide a service that OPOs can use to use GPS trackers. Some of the OPOs use ours and some use other commercially available products. Sen. Todd Young (R-IN): So why is it, and how does UNOS plan to optimize organ delivery if you don't have 100% visibility into where they are at any given time? Brian Shepard: I think that the GPS products that we offer and that other people offer are valuable, they do help in the delivery of kidneys. Only kidneys travel unaccompanied, so this is a kidney issue. But I do think that GPS trackers are valuable and I think that's why you've seen more and more OPOs use them. 1:52:50 Sen. Ron Wyden (D-OR): Mr. Shepherd has said twice, with respect to this whole question of the power to decertify an OPO, that CMS has the power to do it. UNOS also has the power to refer an OPO for decertification under the OPTN final rule. That has been done exactly once. So I just wanted it understood with respect to making sure the committee has got what's really going on with respect to decertifying OPOs. 2:00:15 Dr. Jayme Locke: Obviously people have described that we have about a 25% kidney discard, so one in four. So if you look at numbers last year, these are rough numbers, but that'd be about 8000 kidneys. And really, I think, in some ways, these are kind of a victim of an entrenched and cumbersome allocation algorithms that are very ordinal, you have to go sort of in order, when data clearly have shown that introduction of multiple simultaneous expiring offers would result in more efficient placement of kidneys and this would decrease our cold ischemia time. 2:00:50 Dr. Jayme Locke: So if you take UNOS's organ center, they have a very rigid system, for example, for finding flights and lack either an ability or interest in thinking outside the box. So, for example, if there are no direct flights from California to Birmingham, Alabama, instead of looking for a flight from San Francisco to Atlanta, understanding that a courier could then pick it up in Atlanta and drive it the two hours, they'll instead put on a flight from SFO to Atlanta and allow it to go to cargo hold overnight, where it literally is rotting, if you will, and we're putting extra time on it. Sen. Ron Wyden (D-OR): Just to make sure everybody gets this. You're saying you've seen instances of something being put in cargo hold when it is very likely to rot? Dr. Jayme Locke: That is correct. So if the kidney arrives after 10pm at the Atlanta airport, it goes to cargo hold. We discovered that and made calls to the airlines ourselves and after several calls to the airlines, of course they were mortified, not understanding that that was what was happening and actually had their manager meet our courier and we were able to get the kidney out of cargo hold, but this went on before we figured out what was happening because essentially they fly it in, it sits in cargo hold, it comes out the next morning to catch the next flight. Instead of thinking outside the box: if we just get it to Atlanta, it's drivable to Birmingham. And those hours make a difference. Sen. Ron Wyden (D-OR): That sounds way too logical for what UNOS has been up to. 2:03:05 Sen. Ron Wyden (D-OR): Miss Brockmeier, UNOS has developed this organ tracking system. Do you all use it? I'm curious what you think of it. Diane Brockmeier: Thank you for the question, Senator. We did use and participate in the beta pilot through UNOS and made the decision to not move forward using their product, and have sought a commercial alternative. Sen. Ron Wyden (D-OR): And why was that? Diane Brockmeier: Part of the issues were some service related issues, the lack of the interconnectivity that we wanted to be able to facilitate a more expedited visual tracking of where the organ was. Sen. Ron Wyden (D-OR): Was the tracking technology low quality? Diane Brockmeier: Yes, sir. 2:11:25 Sen. Ron Wyden (D-OR): All right, let's talk for a moment about the boards that are supposed to be overseeing these, because it looks to me like there's a serious conflict of interest here and I'll send this to Ms. Brockmeier, and perhaps you'd like to get to it as well, Mr. Friedman. The Organ Procurement and Transplantation Network, which is the formal title of the organ network that operates under federal contract administered by HHS, and UNOS, which is the contractor that operates the network and controls information about the network, have the same boards of directors, despite efforts by the government to separate them. That means the people who look out for the best interests of UNOS, the multimillion dollar nonprofit, are the same people who look out for the interests of the entire organ transplant network. Sure sounds like a conflict to me. 2:12:55 Diane Brockmeier: I think there should be an independent board. I think the division of the responsibilities of the board and by the inherent way that they're structured, do pose conflicts. It would be like if you had an organization that was a supporting organization, you'd want to hold it accountable for its performance. And the current structure really limits that opportunity. 2:19:50 Dr. Jayme Locke: And if you think about IT, something as simple as having a system where we can more easily put in unacceptable antigens, this was a debate for many years. So for context, we list unacceptable antigens in the system that allows us to better match kidneys so that when someone comes up on the match run, we have a high probability that there'll be a good tissue match. Well, that took forever and we couldn't really get our unacceptable antigens in, so routinely people get offered kidneys that aren't going to be a match, and you have to get through all of those before you can get to the person that they really should go to. Those are simple examples. But if we could really have transparency and accountability around those kinds of things, we could save more lives. 2:23:10 Sen. Ron Wyden (D-OR): Mr. Shepherd told Senator Warren that only 10% of UNOS funds come from taxpayer money and the rest comes from fees paid by transplant centers who add patients to the list. But the fact is, Medicare is the largest payer of the fees, for example, for kidneys. So we're talking about inefficiency, inefficiency that puts patients at risk. And certainly, taxpayer dollars are used to cover some of these practices. May 4, 2021 House Committee on Oversight and Reform, Subcommittee on Economic and Consumer Policy Witnesses: Tonya Ingram, Patient Waiting for a Transplant Dr. Dara Kass, Living Donor and Mother of Transplant Recipient LaQuayia Goldring, Patient Waiting for a Transplant Steve Miller, CEO, Association for Organ Procurement Organizations Joe Ferreira, President, Association for Organ Procurement Organizations Matt Wadsworth, President and CEO, Life Connection of Ohio Dr. Seth Karp, Director, Vanderbilt Transplant Center Donna Cryer, President and CEO, Global Liver Institute Clips 5:15 Tonya Ingram: The Organ Procurement Organization that serves Los Angeles, where I live, is failing according to the federal government. In fact, it's one of the worst in the country. One analysis showed it only recovered 31% of potential organ donors. Audits in previous years found that LA's OPO has misspent taxpayer dollars on retreats to five star hotels and Rose Bowl tickets. The CEO makes more than $900,000. Even still, the LA OPO has not lost its government contract and it has five more years to go. 30:00 Rep. Raja Krishnamoorthi (D-IL): Unusual among Medicare programs, their costs are 100% reimbursed, even costs unrelated to care. So, extravagant executive compensation and luxury perks may be passed off onto the taxpayer. 46:55 Dr. Seth Karp: We have 10 hours to get a liver from the donor to the recipient, and about one hour to sew it in. For heart, we have about six hours. Time matters. 47:55 Dr. Seth Karp: Last year, I had the opportunity to co-write a viewpoint in one of the journals of the American Medical Association with TJ Patel, former Chief Data Scientist of the United States. In that article, we provided evidence that the metrics used to judge the performance of organ procurement organizations are basically useless. Until the recent OPO Final Rule, performance was self-reported, and OPO employees admitted to having gamed the system. When threatened with decertification, one of the OPOs themselves successfully argued that because the performance data were self reported and unaudited, they failed to meet a reasonable standard and the OPO should not be held accountable. In other words for decades, the metrics supposed to measure performance didn't measure performance, and the results have been disastrous, as you have heard. 49:45 Dr. Seth Karp: Whenever I, and quite frankly most everyone else in the field, gives a talk on transplantation, we usually make two points. The first is that organ transplantation is a miracle of modern medicine. The second is the tragedy that there are not enough organs for everyone who needs one. I no longer use the second point, because I don't believe it. Based on my work, I believe that there are enough organs for patients who require hearts, lungs, and probably livers, and we can make a huge improvement in the number of kidneys available. In addition to improving OPO performance, new technologies already exist to dramatically increase the organ supply. We need a structure to drive rapid improvement in our system. 54:00 Joe Ferreira: One common misconception is that OPOs are solely responsible for the entire donation and transplantation system, when, in fact, OPOs are the intermediary entity and their success is highly dependent on collaborations with hospitals and transplant programs. At the start of the donation process, hospitals are responsible for notifying any OPO in a timely manner when a patient is on a ventilator and meets medical criteria to be an organ donor. Additionally, transplant centers must make the decision whether to accept or decline the organs offered by OPOs. 57:55 Matt Wadsworth: As geographic monopolies, OPOs are not subject to any competitive pressure to provide high service. As the only major program in all of health care 100% reimbursed for all costs, we do not face financial pressures to allocate resources intelligently. 1:02:10 Rep. Raja Krishnamoorthi (D-IL): Mr. Ferreira, I'd like to turn to you. You run the OPO called the Nevada Donor Network. I have your OPO's 2019 financial statement filed with the CMS. It appears that your OPO spent roughly $6 million in 2019 on administrative and general expenses. Interestingly, in 2019, I see your OPO spent approximately $146,000 on travel meetings and seminars alone. And your itemization of Administrative and General has an interesting line item for $576,000 for "ANG". It took me a minute but that means you have an "Administrative and General" subcategory in your "Administrative and General" category. Very vague. Now Mr. Ferreira, I was informed by Mr. Wadsworth, a former executive of yours at the Nevada Donor Network, that your OPO has season tickets to the NHL's Las Vegas Golden Knights, isn't that correct? Joe Ferreira: That is correct, Mr. Chairman. Rep. Raja Krishnamoorthi (D-IL): And you also have season tickets to the Las Vegas Raiders too, right? Joe Ferreira: That is correct. Rep. Raja Krishnamoorthi (D-IL): And according to Mr. Wadsworth and others, your OPO took a board retreat to Napa Valley in 2018. Joe Ferreira: That is correct. Rep. Raja Krishnamoorthi (D-IL): And Sonoma in 2019, right? Joe Ferreira: That is correct. Rep. Raja Krishnamoorthi (D-IL): Mr. Ferreira, what you're spending on the Raiders, the Golden Knights, Napa Valley and Sonoma have one thing in common: they have nothing to do with recovering organs. 1:10:30 Dr. Seth Karp: In 2019, there were six heart transplants that were performed using donors after circulatory determination of death. And I don't want to get into the technical aspects of that. But in 2019, that number was six. In 2020, that number was 126. This is a new technology. This is a way that we can increase the number of heart transplants done in United States dramatically. And if we think that there were 500 patients in the United States waiting for a heart in 2020, 500 patients that either died or were delisted because they were too sick, and you think in one year, using a technology, we got another 100 transplants, if we could get another 500 transplants out of that technology, we could almost eliminate deaths on the on the heart transplant waiting list. That technology exists. It exists today. But we don't have a mechanism for getting it out to everybody that could use it and it's going to run itself through the system, it's going to take too much time. 1:24:05 Rep. Andrew Clyde (R-GA): You know, I'm a little disappointed that we're discussing race as a factor in organ transplant. We're all one race in my opinion; color makes no difference to me. We're the human race. And to me, the interjection of race into this discussion is very concerning. Discrimination based on race was outlawed almost 60 years ago through the Civil Rights Act of 1964. Now, I'm not a medical doctor, and I have very little knowledge of medicine. But last year, there was an article that came out in LifeSource and it says, "Does my race and ethnicity matter in organ donation?" And so my question here is for Dr. Karp. In your experience, would you agree that a donor's organs are more likely to be a clinical match for a recipient of the same ethnicity? Could you comment on that? Is that actually a factor, or not? I mean, we're all human beings, we all, you know, have similar bodies. Dr. Seth Karp: Yes. So there definitely are certain HLA types that are more common. That is race-based. So the answer to that question is yes. Rep. Andrew Clyde (R-GA): Okay. All right. And so if you have more of one particular race, more donations of one particular race, then naturally you would have more actual matches of that particular race. Is that correct? Dr. Seth Karp: That would tend to be the case. Rep. Andrew Clyde (R-GA): Okay. All right. All right. Okay, that's just a question that I wanted to clear up here. 1:34:20 Donna Cryer: We'd like to see investments in languages that are spoken by the community. Educational resources should be, as required by law, for those with limited English proficiency. They should be in the languages spoken by the community. They should be hiring diverse staff to have those most crucial conversations with families. The data shows, and certainly experience and common sense shows as well, that having people of color approaching families of color results in more donations. Executive Producer Recommended Sources Music by Editing Production Assistance

Slam the Gavel
Felix Leo Campos Discusses Oversight And Accountability In Family Court And Networking With Podcast Guests

Slam the Gavel

Play Episode Listen Later Sep 15, 2023 58:01


     Slam the Gavel welcomes back Felix Leo Campos to the podcast. He was last on Slam the Gavel Season 4, Episode 114, where we discussed how oversight and accountability is much needed in Family Court, CPS and the devastation of false allegations.     Felix gave his thoughts on the last podcast with guest Sabrina Berry and how networking is so important to connect with like-minded individuals, advocates and organizers.     There are a lot of concerned people, that are representative of a body of people generally family members that have been adversely affected by divorce court, family court, CPS and the Child Support collection enforcement unit.  Felix states that, "the individuals on this podcast represent a body  of people that are addressing these issues and are looking for solutions that  actually live up to the height of being in the "best interest of the children," and not  the institution that is in place currently."     Perhaps the "public," is uninvolved because it's not in direct relationship to them, but they have heard the stories of others and they know someone in their circle that is or has been in 'family court.' "There is an awareness," Felix states, "but it's a low hum, it's like a 'white noise,'  that you can just dismiss until it involves the person themselves and they fall into it and THEN it becomes a lot of yelling and they start to realize they are being manipulated."   We discussed the value of court- watching. It is HIGHLY important to follow-up AND follow through, after court watching, by filing complaints when needed on judges and attorneys. THEY ARE BEING WATCHED and there has to be caution on their part and the importance of CAMERAS IN THE COURTROOMS. People need to make their complaints BECAUSE IT'S SO IMPORTANT. It is so important to be a support for others, even though your case is over.   Patterns of behavior are very similar in family court in comparison to other courts such as in the film Erin Brockovich and Dark Waters. Experts were saying, "that the impact on the environment are minimal." Such as it is in the family courts even though children  and families are suffering, having heart attacks and committing suicide. It is difficult to hold those accountable.   To Reach Felix Leo Campos:  Felix_leo_c@hotmail.comThis episode of Slam the Gavel is sponsored by CPSprotect Consulting Services. A Child Protective Services case is one of the most frightening experiences for any parent. Don't face it alone. Face it with confidence! With UrgentAssist by CPSprotect, you can have access to former CPS investigators to make sure you preserve your rights and protect your family. If you're facing CPS involvement and aren't sure where to turn, their child welfare consultants can help you.  Visit cpsprotect.com/subscribe and enter the coupon code: SlamTheGavel for 60% off your first year of UrgentAssist AVAILABLE in ALL 50 STATES.Supportshow(https://www.buymeacoffee.com/maryannpetri)http://www.dismantlingfamilycourtcorruption.com/Support the showSupportshow(https://www.buymeacoffee.com/maryannpetri)http://www.dismantlingfamilycourtcorruption.com/

It's a New Day with Rip Daniels
It's a New Day: 9-13-23 Biden Impeachment Inquiry

It's a New Day with Rip Daniels

Play Episode Listen Later Sep 13, 2023 143:44


House Speaker Kevin McCarthy directed the chairmen of the House Judiciary, Oversight and House Ways and Means Committee to lead an impeachment inquiry into President Joe Biden despite their claims of possible wrongdoing previously having been debunked and the five former Memphis police officers indicted in the beating death of Tyree Nichols now also face federal charges.

Sara Carter Show
Enough Politics! Let's Demand the Truth on Biden, UFO's & More

Sara Carter Show

Play Episode Listen Later Sep 13, 2023 33:08


Are you sick of politicians and the media lying to you yet? In big story after big story, the left and their allies in the press either ignore the facts or gaslight us on the facts. And sometimes there are direct threats to the people bringing the truth to light.Here are just two examples. House Republicans are opening an impeachment inquiry into allegations that Joe Biden and members of his family were making millions of dollars as he influenced U.S. policy in Ukraine. Congress also heard stunning testimony recently about what our government knows about Unidentified Aerial Phenomena (UAP), more commonly known as UFOs.But instead of admitting those things, the spin, lies, and intimidation are rampant. You see Democrats claim the GOP is considering impeachment simply because Biden's son has battled addiction. Witnesses at the UAP hearing admitted they've received death threats for trying to bring the truth to light.Florida Rep. Anna Paulina Luna joins Sara to discuss the work Republicans are really doing, why the left and the media are determined to confuse or straight-up lie to the public, and much more. Sara and Rep. Luna also discuss the congresswoman's brand new book, "The Legend of Naranja."Buy the Book here: https://bravebooks.us/products/the-legend-of-naranjaSara on the Devin Nunes Podcast: https://www.devinnunes.com/listenPlease visit our great sponsors:Allegiance Goldhttps://protectwithsara.comClick or Call 877-702-7272 to tell them Sara sent you and get $5,000 of free silver on a qualifying purchase. Donor's Trusthttps://donorstrust.org/saraSimplify, increase, and protect with Donor's Trust. HumanN Super Beetshttps://getsuperbeets.comUse promo code SARA to get 15% off your first purchase.Time Stamps:1:39 My Guest Today4:39 Rep. Luna joins the Sara Carter Show5:35 The Legend of Naranja 8:28 J6 Jail12:05 Biden corruption15:25 Failed Republican leadership17:43 The press20:54 New baby22:49 UAP Hearings30:16 Interview close31:55 Show Close

Paul's Security Weekly TV
The Secrets of Top Performing CISOs as the Board Expands Cybersecurity Risk Oversight - BSW #319

Paul's Security Weekly TV

Play Episode Listen Later Sep 12, 2023 23:46


In the leadership and communications section, The importance of CISOs is not recognised by senior leadership, The secret habits of top-performing CISOs, Get *Free* copies of two of our favorite leadership books, and more!   Show Notes: https://securityweekly.com/bsw-319 

The Colorado Switchblade
The 14th Amendment's Stand Against Trump in Colorado: A Discussion with Donald K. Sherman.

The Colorado Switchblade

Play Episode Listen Later Sep 12, 2023 36:44


Jason Van Tatenhove of the Colorado Switchblade Podcast welcomes Donald K. Sherman, Executive Vice President and Chief Counsel at Citizens for Responsibility and Ethics in Washington (CREW). They discuss CREW's recent lawsuit in Colorado, aiming to keep former President Donald Trump off the ballot due to a provision in the 14th Amendment.Donald Sherman's expansive career has placed him in various oversight, ethics, and policy roles in both the Executive Branch and Congress. His roles span positions at the White House, the Senate Homeland Security and Governmental Affairs Committee, the House Ethics Committee, and the House Committee on Oversight and Government Reform. An alumnus of Georgetown University, Sherman earned both his Bachelor's degree and J.D. from the institution.With a steadfast mission, CREW seeks to ensure ethical governance while minimizing the influence of money in politics. The 14th Amendment, stemming from a Civil War-era provision, potentially disqualifies individuals from office if they've incited or supported an insurrection against the U.S. Constitution. Based on this, CREW argues that former President Trump's actions related to the January 6th events put him in violation. Representing six Colorado voters, including some renowned Republicans, the lawsuit seeks to prevent Trump from appearing on the state's ballot.Colorado's legal framework, which permits voters to challenge ballot placements, and the courageous plaintiffs made it an ideal state for this case. A favorable decision in Colorado could potentially pave the way for similar outcomes in other states.The episode also delves into the legal intricacies of the case, like why Secretary of State Jenna Griswold is listed as a defendant and the reasons the Trump team pushed for a federal court hearing.Sherman emphasizes the broad implications of a win for CREW. Both he and Jason touch upon the divisive public perceptions of January 6th, with some still seeing it as merely a "peaceful protest." Emphasizing the timeliness of this centuries-old provision, Sherman underscores its aptness, especially when democratic processes face threats.Join us for this enlightening discussion on the relevance of century-old amendments in today's political landscape. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit www.coloradoswitchblade.com/subscribe

Nomads You And I
Exercising Oversight According to the Will of God: A Scripture Hike through 1 Peter 5:1-5

Nomads You And I

Play Episode Listen Later Sep 12, 2023 34:04


Welcome to this Scripture Hike of 1 Peter 5:1-5 with the Nomads! There are certain things we learn about a mountain only by hiking it, one laborious, yet exhilarating step at a time. When we stay in the moment enough to let it fill our senses with freshness and beauty, the hike becomes a part of us. We nomads have set out on a new quest in this series of NomadsYouAndi podcasts we're calling “Scripture Hikes” to discuss the word of God at a pace that is similar to the hikes we've been taking while we're living nomadically. Come join us now for a hike through the Word where we'll encounter spiritual truths that we've found to be more strengthening to our spirits, more fragrant to our hearts, and more refreshing to our souls, than any evergreen forest, pristine mountain spring, or mountain peak we've ever experienced.

Reorg Ruminations
Party City; PROMESA Oversight Board's Second PREPA; Refinancings and Restructurings

Reorg Ruminations

Play Episode Listen Later Sep 12, 2023 8:42


This week's episode includes recaps of Party City's plan confirmation hearing, the PROMESA oversight board's second settlement with PREPA bondholders in connection with PREPA's third amended plan of adjustment and the Boardriders settlement. Also, updates on refinancings and near term restructurings from Trinseo, McDermott International, Cornerstone Chemical and EyeCare Partners. And, as always, a preview of what's on the docket for this week. If you are not a Reorg subscriber, request access here: go.reorg-research.com/Podcast-Trial We're looking for feedback to improve the podcast experience! Please share your thoughts here: www.research.net/r/Reorg_podcast_survey For more information on our latest events and webinars: reorg.com/resources/events-and-webinars/ Sign up to our weekly newsletter Reorg on the Record: reorg.com/resources/reorg-on-the-record/ #highyield #leveragedfinance

Humans of Travel
Encore: ASTA's Erika Richter on How Personal Tragedy Led Her to Fight for Change

Humans of Travel

Play Episode Listen Later Sep 11, 2023 50:59


Editor's Note: This episode of Humans of Travel includes discussions on the topics of infant death, child loss and grief. Erika Richter, the senior director of communications for the American Society of Travel Advisors, (also known as ASTA) has been a tireless advocate for travel advisors. She is well-known in the industry — by travel advisors and suppliers alike — and has spent nearly eight years as a spokesperson for the association. A Michigan native who started her professional career on the Hill in Washington, D.C., Richter spent years gathering experience and honing her skills in advocacy, public relations and communications until a personal tragedy led her to push for a new kind of change. In this episode of Humans of Travel, Richter recounts the horrific day that changed her life forever — the day she lost her two-week-old daughter, Emma, in August 2018. Richter shares how she spent her time in the months following, including the moment she found out that Emma had died due to positional asphyxiation from Fisher-Price's Rock ‘n Play Sleeper — an inclined infant sleep product that was recalled in 2019 — and her subsequent fight to hold the CEOs of Fisher-Price and Mattel (the owner of Fisher-Price) accountable by providing written and video testimony earlier this year during a Congressional hearing with the House Committee on Oversight and Reform. In This Episode 2:00: Meet Erika Richter, the senior director of communications for the American Society of Travel Advisors (ASTA)2:30: What does a typical day look like working for ASTA?3:55: What did Richter do prior to working for ASTA? 11:20: Richter recounts her experience losing her daughter, Emma, in August 2018.19:25: Richter reflects on the moment that she learned Emma died due to positional asphyxiation from Fisher-Price's Rock ‘n Play Sleeper.26:00: Richter embarks on a fight to hold the CEOs of Fisher-Price and Mattel accountable during a hearing with the House Committee on Oversight and Reform.30:50: Richter shares an excerpt from her written testimony.35:30: Richter speaks on the importance of updating the law, closing regulatory loopholes and educating consumers about the dangers of inclined sleepers.41:30: What's next for Richter as we head into 2022?  Resources Mentioned in This Episode Full Congressional Committee Hearing: Sleeping Danger: The Rock ‘n Play Sleeper and Failures in Infant Product Safety The Safe Sleep for Babies Act of 2021 Study Concludes Design of Rock 'n Play, Other Infant Sleepers Led to Deaths (The Washington Post) Fisher-Price Invented a Popular Baby Sleeper Without Medical Safety Tests and Kept Selling It, Even as Babies Died (The Washington Post) New Evidence Shows More Infant Deaths Tied to Inclined Sleepers Than Previously Reported (Consumer Reports) Contact Richter Facebook Email: erichter@asta.org / richter.erika@gmail.comSee omnystudio.com/listener for privacy information.

The Ruminant: Audio Candy for Farmers, Gardeners and Food Lovers
A Critique of Canada's Pesticide Oversight

The Ruminant: Audio Candy for Farmers, Gardeners and Food Lovers

Play Episode Listen Later Sep 11, 2023 68:48


In the summer of 2023, Bruce Lanphear, Professor of Health Sciences at Simon Fraser University, resigned his position as co-chair of a recently formed Science Advisory Committee of the PMRA, which regulates pesticide use in Canada. Dr. Lanphear felt he could no longer lend his credibility to the agency following disagreement about the Terms of Reference provided to Lanphear and seven other scientists comprising the committee. Lanphear has been critical of aspects of Canada's pesticide oversight regime. I invited him on the show to discuss the topic. You can read about Bruce's resignation here and here, or check out this google search.

The Security Student Podcast
Medicine & Security: Standards, Curriculums, and Oversight with George DeBusk, MD

The Security Student Podcast

Play Episode Listen Later Sep 9, 2023 95:14


#027 - In this next episode, I was honored to be joined by M. George DeBusk, MD, MSc, FACS, FCCP. He's a trauma surgeon and critical care physician specialized in trauma and emergency surgery. What makes him a fantastic resource for security practitioners like us is that he's made a career out of educating, training, and providing medical oversight for security providers, first responders, law enforcement, and even special operations groups.Dr. DeBusk holds dual certification from the American Board of Surgery in General Surgery and Surgical Critical Care and specializes in Trauma Surgery and Intensive Care Medicine. “Doc” completed a General Surgery residency at Harvard Medical School's, Beth Israel Deaconess Medical Center and completed a Post-Doctoral Fellowship at MIT during his residency. He is a Fellow of the American College of Surgeons (ACS) and College of Chest Physicians. He is an elected member of the American Association for the Surgery of Trauma and has held the position of State Vice Chair of the ACS Committee on Trauma in the States of Massachusetts and New Hampshire. Dr. DeBusk also holds full medical licensure to practice in multiple U.S. states and abroad where he provides concierge medical care for private clients worldwide. Topics that we focused on included: what type of medical training curriculum is most appropriate for security or executive protection professionals, how we can evaluate training providers, what the advantages are of having a physician like him supporting your team, and what deliverables you can expect to get from a medical director. And so much more!-- Support the podcast and future content creation projects -- Become a member or donate: https://www.buymeacoffee.com/securitystudent-- -- If you'd like to get the resources and show notes mentioned in this episode --https://thesecuritystudent.com/shownotes

Conduit Street Podcast
Oversight and Obstacles: The Civilian Role in Police Accountability

Conduit Street Podcast

Play Episode Listen Later Sep 8, 2023 35:41


On the latest episode of the Conduit Street Podcast, Moyah Panda and Ethan Hunt join Sarah Sample to discuss the role of police accountability boards and administrative charging committees in working with county governments and law enforcement agencies to improve policing and police accountability across Maryland.In keeping with the legislative mandate from 2021, all 24 Maryland counties have established a civilian oversight process for police misconduct. With the implementation of PABs and ACCs, these entities have a full year of operations under their belts. Anne Arundel County's Executive Director of the Office of Police Accountability Moyah Panda and Director of Government Relations Ethan Hunt discuss successes, challenges, and a few complicating factors that might need legislative remedies in the 2024 legislative session.The Anne Arundel County Office of Police Accountability was established to oversee and support the PAB and ACC. The PAB works with law enforcement agencies to review, provide policy advice, and report on disciplinary matters stemming from public complaints about police misconduct. The ACC reviews the findings of an investigation of misconduct by a police officer and determines to administratively charge or not charge and, if charged, recommends discipline.The Conduit Street Podcast is available on major platforms like Spotify, Apple, Google, and anywhere else you get your podcasts. Episodes are also available on MACo's Conduit Street blog.Useful LinksPrevious Conduit Street Coverage: Police Accountability Panel at #MACoCon Signals Necessary Changes to Reform LegislationAnne Arundel County Office of Police Accountability

Emily Chang’s Tech Briefing
Would better oversight have prevented First Republic from going under?

Emily Chang’s Tech Briefing

Play Episode Listen Later Sep 8, 2023 4:10


 Today, Holly Quan spoke with Bloomberg Banking Regulation Reporter Katanga Johnson. The FDIC is issuing a mea culpa for not doing more before First Republic Bank failed in May. 

Issues, Etc.
2501. An Update on Concordia University Texas’ Attempt to Reject the Governance and Oversight of the Lutheran Church Missouri Synod – Tom Halverson, 9/7/23

Issues, Etc.

Play Episode Listen Later Sep 7, 2023 68:50


Tom Halvorson, attorney and author, “Complaint Filed in LCMS v. Christian, Bannwolf & Concordia University Texas” Complaint Filed in LCMS v. Christian, Bannwolf & Concordia University Texas The Sovereignty of Nebulous Ethos at Concordia Texas Two Simple Questions about Concordia Texas Throwing Off the Bylaws of the LCMS The post 2501. An Update on Concordia University Texas' Attempt to Reject the Governance and Oversight of the Lutheran Church Missouri Synod – Tom Halverson, 9/7/23 first appeared on Issues, Etc..

Inside Oversight
Nurse Consultant Shares Challenges for Veterans with Opioid Use Disorder Transitioning from DoD to VHA

Inside Oversight

Play Episode Listen Later Sep 7, 2023 20:58


In this episode of Inside Oversight, Nicole Maxey, a nurse consultant with the Office of Healthcare Inspections, discusses the VA OIG's evaluation of the transition of clinical care for service members with opioid use disorder from the Department of Defense to the Veterans Health Administration. Nicole describes deficiencies in documenting patients' opioid use disorder, as well as the barriers faced by healthcare providers accessing records, during the transition.  “We want to make sure that all providers are aware of [opioid use disorder] to ensure that this vulnerable veteran population gets the care they need. Even if we prevent one death, this report will have reached the people we really wanted it to.” – Nicole Maxey  Related Report:  Review of Clinical Care Transition from the Department of Defense to the Veterans Health Administration for Service Members with Opioid Use Disorder 

Montana Public Radio News
Oversight office charges Knudsen with 41 counts of misconduct

Montana Public Radio News

Play Episode Listen Later Sep 7, 2023 1:18


In the charging document, the Office of Disciplinary Counsel argues Attorney General Austin Knudsen and his staff have “routinely and frequently undermined public confidence” in the state's judicial system. The office governs attorneys' conduct in Montana and is supervised by the Montana Supreme Court.

Total Information AM
Head of civilian oversight board for City Justice Center looks for answers

Total Information AM

Play Episode Listen Later Sep 7, 2023 6:18


Exclusively on KMOX, the chairman of the City Justice Center Oversight Board Reverend Darryl Gray talks in depth with Maria Keena about the problems at the jail and how he hopes to get answers since they are not coming from the Corrections Commissioner.

Hospice Insights: The Law and Beyond
Behind the Curtain: Enhanced Provider Enrollment Oversight

Hospice Insights: The Law and Beyond

Play Episode Listen Later Sep 6, 2023 43:42


In the midst of consolidation and restructuring among hospices, the Centers for Medicare & Medicaid Services (CMS) is scrutinizing initial enrollments and changes in ownership and management. In this episode, Husch Blackwell's Meg Pekarske and Adam Royal discuss new and proposed changes to CMS's provider enrollment screening and why it matters to hospices.

PackersNow
Evaluating the Packers 1st and 2nd year players; Huge oversight by Gutekunst missing these two hidden gems

PackersNow

Play Episode Listen Later Sep 5, 2023 22:56


Prior to the start of the regular season, let's do a quick recap of how these first and second year players are looking for the Packers. While there have been some huge homeruns by the Gutekunst, he's all whiffed quite a bit as well. Pride, attacking positions of need, only caring about athleticism, seem to be a consistent theme in Gutekunst' errors as a general manager. And a complete oversight results in the Packers missing out on even more talent.

Fringe Radio Network
Muddy, Slippery Hike in Idaho Leads Two Women to a Creepy Encounter - Bigfoot Terror In The Woods

Fringe Radio Network

Play Episode Listen Later Sep 1, 2023 41:27


On today's show in our Cryptids in the News and other oddities segment, Kevin covers some of the very recent whistleblower testimony in front of the House Oversight and Accountability subcommittee hearing on UFOs on July 27th, 2023. And in part two, Bill reviews a report from two women that were taking a steep 8 mile hike in the rain and come across some convincing Bigfoot tracts in the mud. And in part three, we've got some excellent listener mail which we will be reviewing, that you don't want to miss.Thank you for listening!www.bigfootterrorinthewoods.comProduced by: "Bigfoot Terror in the Woods L.L.C."This show is part of the Spreaker Prime Network, if you are interested in advertising on this podcast, contact us at https://www.spreaker.com/show/4656375/advertisement

TechStuff
Tech News: Meta Ignores its Oversight Board

TechStuff

Play Episode Listen Later Aug 31, 2023 20:23 Transcription Available


Meta's Oversight Board recommended that the company suspend a Cambodian leader's account, but the company has declined to acquiesce to the request. Plus, X is rolling out some new features soon, Google is ending a subscription service and Sony is preparing to charge gamers more for PlayStation Plus.See omnystudio.com/listener for privacy information.

Watching the Watchers with Robert Gruler Esq.
STOP the ARREST: Meadows' Emergency Filing; Rudy SURRENDERS to FANI; Oversight Questions Hunter OIG

Watching the Watchers with Robert Gruler Esq.

Play Episode Listen Later Aug 31, 2023 80:08


Former Trump Chief of Staff Mark Meadows files an emergency motion to request the Judge order to stop Georgia Prosecutor Fani Willis from issuing an arrest warrant. Meadows has a pending matter with the Federal District Court, but Fani is refusing to grant a self-surrender extension as Meadows fights on.Rudy Giuliani turns himself into Georgia authorities after posting a consent bond in the case brought by Big Fani Willis. We review the court documents and Rudy speaks to the media about the case. Newt Gingrich weighs in, calling this prosecution part of an open political civil war.The House Oversight Committee sends a letter to Michael Horowitz, the Inspector General assigned to investigate the Hunter Biden inquiry. Congress has doubts about the Office of Inspector General's capabilities given the recent revelations about the corruption throughout the Department of Justice during the Hunter Biden investigation.

ASC Podcast with John Goehle
Episode 197 - News Update, Takeaways from the Illinois Association Meeting and Focus on Credentialing and Privileging - August 30, 2023

ASC Podcast with John Goehle

Play Episode Listen Later Aug 31, 2023 54:01


On this episode of the ASC Podcast with John Goehle we discuss the latest news in the ASC Industry,  Review takeaways from the Illinois State Association Meeting and in our focus segment, review the requirements for Credentialing and Privileging providers.    This episode is sponsored by Surgical Information Systems, triValence and  Ambulatory Healthcare Strategies.   Notes and Resources from this Episode: DHHS is investing more than 100 million dollars to address the nursing shortage. https://www.hhs.gov/about/news/2023/08/10/biden-harris-administration-announces-100-million-grow-nursing-workforce.html  ASA guidelines on GLP 1 receptor agonists https://www.asahq.org/about-asa/newsroom/news-releases/2023/06/american-society-of-anesthesiologists-consensus-based-guidance-on-preoperative Credentialing: Watch our On-Demand Credentialing training program available for rent at: https://vimeo.com/ondemand/credentialing Access the AMA database at  https://profiles.ama-assn.org/amaprofiles/  They provide primary source verification for physicians (ie. not CRNA's, Podiatrists, Dentists).   For Podiatrists, access the American Board of Podiatric Medicine at https://www.abpmed.org/pages/credentialers/verification where you can perform primary source verification.   For CRNAs, access the national board at: https://portal.nbcrna.com/credential-verification to perform primary source verification.   Go to the National Practitioner Data Bank at:   http://www.npdb-hipdb.hrsa.gov/.   Check the Medicare Excluded individuals database at:  http://exclusions.oig.hhs.gov/ to make sure the practitioner has not been excluded from the Medicare program.   To Verify DEA directly go to this website: https://apps.deadiversion.usdoj.gov/webforms2/spring/validationLogin?execution=e1s1   Join one of our Membership Programs! Our Patron Program:Patron Members of the ASC Podcast with John Goehle have access to ASC Central - an exclusive membership website that provides a one-stop  ASC Regulatory and Accreditation Compliance, Operations and Financial Management resource for busy Administrators, nurse managers and business office managers.  More information and Become Member The ASC-Central Premium Access Program A Premium Resource for Ambulatory Surgery Centers including access to bootcamps, education programs and private sessions More Information and Become a Premium Access Program Members Today! Important Resources for ASCs: Conditions for Coverage: https://www.ecfr.gov/cgi-bin/text-idx?c=ecfr&rgn=div5&view=text&node=42:3.0.1.1.3&idno=42#se42.3.416_150 Infection Control Survey Tool (Used by Surveyors for Infection Control)https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107_exhibit_351.pdf Updated Guidance for Ambulatory Surgical Centers - Appendix L of the State Operations Manual (SOM)https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_l_ambulatory.pdf https://www.cms.gov/medicareprovider-enrollment-and-certificationsurveycertificationgeninfopolicy-and-memos-states-and/updated-guidance-ambulatory-surgical-centers-appendix-l-state-operations-manual-som Policy & Memos to States and RegionsCMS Quality Safety & Oversight memoranda, guidance, clarifications and instructions to State Survey Agencies and CMS Regional Offices. https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions Other Resources from the ASC Podcast with John Goehle: Visit the ASC Podcast with John Goehle Website Books by John Goehle Get a copy of John's most popular book - The Survey Guide - A Guide to the CMS Conditions for Coverage & Interpretive Guidelines for Ambulatory Surgery Centers 

The Gateway
Thursday, August 31, 2023 - St. Louis CIty Civilian Jail Oversight

The Gateway

Play Episode Listen Later Aug 31, 2023 8:10


A year ago, Mayor Tishaura Jones signed legislation that strengthened civilian oversight of police and corrections facilities. But there's evidence that the system is not working as intended. (Rod Milam hosting for Wayne Pratt)

Corruption Crime & Compliance
Board Oversight and Monitoring of AI Risks

Corruption Crime & Compliance

Play Episode Listen Later Aug 28, 2023 12:35


As companies rapidly adopt artificial intelligence (AI), it becomes paramount to have robust governance frameworks in place. Not only can AI bring about vast business benefits, but it also carries significant risks—such as spreading disinformation, racial discrimination, and potential privacy invasions. In this episode of Corruption, Crime and Compliance, Michael Volkov dives deep into the urgent need for corporate boards to monitor, address, and incorporate AI into their compliance programs, and the many facets that this entails.You'll hear Michael talk about:AI is spreading like wildfire across industries, and with it comes a whole new set of risks. Many boards don't fully understand these risks. It's important to make sure that boards are educated about the potential and pitfalls of AI, and that they actively oversee the risks. This includes understanding their obligations under Caremark, which requires them to exercise diligent oversight and monitoring.AI is a tantalizing prospect for businesses: faster, more accurate processes that can revolutionize operations. But with great power comes great responsibility. AI also comes with risks, like disinformation, bias, privacy invasion, and even mass layoffs. It's a delicate balancing act that businesses need to get right.Companies can't just use AI, they have to be ready for it. That means adjusting their compliance policies and procedures to their specific AI risk profile, actively identifying and assessing those risks, and staying up-to-date on potential regulatory changes related to AI. As AI grows, the need for strong risk mitigation strategies before implementation becomes even more important.The Caremark framework requires corporate boards to ensure that their companies comply with AI regulations. Recent cases, such as the Boeing safety oversight, demonstrate the severity of the consequences when boards fail to fulfill their responsibilities. As a result, boards must be proactive: ensure that board members have the technical expertise necessary, brief them on AI deployments, designate senior executives to be responsible for AI compliance, and ensure that there are clear channels for individuals to report issues.KEY QUOTES“Board members usually ask the Chief Information Security Officer or whoever is responsible for technology [at board meetings], ‘Are we doing okay?' They don't want to hear or get into all of the details, and then they move on. That model has got to change.”“In this uncertain environment, stakeholders are quickly discovering the real and significant risks generated by artificial intelligence, and companies have to develop risk mitigation strategies before implementing artificial intelligence tools and solutions.”“Board members should be briefed on existing and planned artificial intelligence deployments to support the company's business and or support functions. In other words, they've got to be notified, brought along that this is going to be a new tool that we're using, ‘Here are the risks, here are the mitigation techniques.'”Resources:Michael Volkov on LinkedIn | TwitterThe Volkov Law Group

Montana Public Radio News
State officials seek members for charter school formation oversight panel

Montana Public Radio News

Play Episode Listen Later Aug 24, 2023 1:42


Montana's head of public K-12 schools announced she's seeking applicants for members to be on a seven-member panel to oversee the formation of public charter schools.

The Capitol Pressroom
State Inspector General Lucy Lang talks prison oversight

The Capitol Pressroom

Play Episode Listen Later Aug 24, 2023 12:29


August 24, 2023 - New York State Inspector General Lucy Lang discusses her office's oversight of the state prison system, including a recent audit on the use of workers' compensation by prison guards.

CrossPolitic Studios
THE OTHER CLUB...on Pre-election Political Shadow Games [The Other Club]

CrossPolitic Studios

Play Episode Listen Later Aug 23, 2023 66:52


The Other Club with Mike and Tim ~ August 23, 2023On this episode of The Other Club, hosts Dr. Michael Thiessen and Tim Tysoe speculate about the recent political shadow games and lawfare currently happening in our nation and our neighbours to the South. Episode Resources: Bidens' influence peddling on the U.S. | House Committee on Oversight and Reform: https://oversight.house.gov/the-bidens-influence-peddling-timeline/; JOIN US ON Oct.31- Nov. 1 @ Spark Conference: https://www.sparkconferences.org/;Support Josh's Stand and Help Us Defend His Liberties! Sign Our Petition Here: https://libertycoalitioncanada.com/i-stand-with-josh-alexander/;SHOW SPONSORS:Join Red Balloon Today!: https://www.redballoon.work/lcc; Invest with Rocklinc: info@rocklinc.com or call them at 905-631-546; Diversify Your Money with Bull Bitcoin: https://mission.bullbitcoin.com/lcc;BarterPay: https://barterpay.ca/; Barter It: https://vip.barterit.ca/launch; Carpe Fide - "Seize the Faith": Store: https://carpe-fide.myshopify.com/, use Promo Code LCC10 for 10% off (US Store Only), or shop Canadian @ https://canadacarpefide.myshopify.com/ | Podcast: https://www.carpefide.com/episodes;Sick of Mainstream Media Lies? Help Support Independent Media! DONATE TO LCC TODAY!: https://libertycoalitioncanada.com/donate/ Please Support us in bringing you honest, truthful reporting and analysis from a Christian perspective.SUBSCRIBE TO OUR SHOWS/CHANNELS:LIBERTY DISPATCH PODCAST: https://libertydispatch.podbean.com; https://rumble.com/LDshow; OPEN MIKE WITH MICHAEL THIESSEN: https://openmikewithmichaelthiessen.podbean.com; https://rumble.com/openmike;THE OTHER CLUB: https://rumble.com/c/c-2541984; THE LIBERTY LOUNGE WITH TIM TYSOE: https://rumble.com/LLwTT;CONTACT US:Questions/comments about podcasts/news/analysis: mailbag@libertycoalitioncanada.com;Questions/comments about donations: give@libertycoalitioncanada.com;Questions/comments that are church-related: churches@libertycoalitioncanada.com;General Inquiries: info@libertycoalitioncanada.com. STAY UP-TO-DATE ON ALL THINGS LCC:Gab: https://gab.com/libertycoalitioncanada Telegram: https://t.me/libertycoalitioncanadanews Instagram: https://instagram.com/libertycoalitioncanada Facebook: https://facebook.com/LibertyCoalitionCanada Twitter: @LibertyCCanada - https://twitter.com/LibertyCCanada Rumble: https://rumble.com/user/LibertyCoalitionCanada YouTube: https://www.youtube.com/@liberty4canada - WE GOT CANCELLED AGAIN!!! Please LIKE, SUBSCRIBE, RATE & REVIEW and SHARE it with others!