Podcasts about public reporting

Chris Adams sits down in-person with Max Schulze, founder of the Sustainable Digital Infrastructure Alliance (SDIA), to explore the economics of AI, digital infrastructure, and green software. They unpack the EU's Energy Efficiency Directive and its implications for data centers, the importance of measuring and reporting digital resource use, and why current conversations around AI and cloud infrastructure often miss the mark without reliable data. Max also introduces the concept of "digital resources" as a clearer way to understand and allocate environmental impact in cloud computing. The conversation highlights the need for public, transparent reporting to drive better policy and purchasing decisions in digital sustainability.

In this installment of The Standard Formula's series on Solvency II, host Robert Chaplin and Chiara Iorizzo unpack the regime's public reporting element. As Rob explains, public reporting “bolsters transparency and market discipline across the insurance industry.”Rob and Chiara cover requirements of the Solvency and Financial Condition Report (SFCR) and discuss some proposed changes to these reporting requirements. They also explore external audit requirements and review the role of the European Insurance and Occupational Pensions Authority (EIOPA) in information disclosure.

This week we review a recent editorial commentary from multiple congenital heart surgical leaders in the US today. The topic of their expert opinion piece is the concept of public reporting of results and their 'amplification' through organizations such as US News and World Report, to name one. How has the use of the database from STS been sometimes misinterpreted through public reporting or ranking systems? What was the initial intent of the STS database and how does the present usage of these data differ from the initial intent? Do STS risk adjustment models capture all aspects of risk for patients undergoing surgery and how do deficiencies in this result in unfair 'rankings' of programs? Can we 'take control' of our data and interpret it more clearly and accurately for the public and reduce misusage or misinterpretation of the data? How can public reporting result in improved outcomes? How can 'gaming' of the system be reduced? Dr. Emile Bacha, Professor of Surgery at Columbia University shares his deep insights into a complex and challenging topic. DOI: 10.1016/j.jtcvs.2023.03.022

US healthcare emits a massive amount of carbon pollution at approximately 600 million tons annually or roughly 9% of total US greenhouse gasses.  Because of the rapid increase in climate crisis-related harms projected economic losses worldwide over the next few years are estimated in the trillions.  Consequently, the US is beginning to follow Brazil, Canada, France, Japan, Switzerland and the UK in mandating GHG emission and climate-risk disclosures.  Most noteworthy, in April 2022 the Security Exchange Commissions (SEC) issued a proposed rule, anticipated to go final this month, that will require publicly traded companies to disclose information about climate-related financial risks and financial metrics to inform investors in making corporate investment and voting decisions.  Just recently the California governor signed a “Climate Accountability Package,” the White House in late September charged the OMB to work with fed agencies to measure GHG emissions in order to calculate impacts on fed programs and the European Union has moved related reporting regulations that will impact American companies doing business overseas. During this 34 minute interview Ms. Hanawalt begins by outlining the proposed SEC climate disclosure rule. She next outlines CA's “Climate Accountability Package (S253 and S261) that address CA reporting for different sized private and public companies and discusses related European Union regulatory rules. Ms. Cynthia Hanawalt is the Director of the Sabin Center's financial regulation practice. Her work supports regulatory and policy responses to climate-related financial risk at the federal and state level and includes a focus on the complex intersections of ESG and antitrust law with sustainability goals and climate resiliency measures. Ms. Hanawalt is affiliated with Columbia Climate School and the Initiative for Climate Risk & Resilience Law. Prior to joining the Sabin Center, Ms. Hanawalt served as Chief of the Investor Protection Bureau for the New York State Office of the Attorney General and was a litigation partner at the firm Bleichmar Fonti & Auld. She was graduated from Columbia Law School where she was a Harlan Fiske Stone Scholar and Duke University where she received the William J. Griffith University Service Award.For more information regarding climate disclosure see these Sabin Center writings:https://blogs.law.columbia.edu/climatechange/2023/08/08/new-california-legislation-would-be-a-major-step-forward-for-climate-disclosure/https://blogs.law.columbia.edu/climatechange/2023/03/28/global-consensus-is-emerging-on-corporate-scope-3-disclosures-will-the-sec-lead-or-lag/ This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.thehealthcarepolicypodcast.com

Pay for performance (P4P) in healthcare is a reimbursement model that links payments to healthcare providers, such as hospitals or physicians, to the quality of care they provide. In other words, providers are rewarded for delivering high-quality care or achieving specific healthcare outcomes, rather than simply being paid based on the volume of services they provide. The goal is to improve the quality of care and patient outcomes while controlling costs. Hospitals are incentivized to deliver more effective, efficient, and patient-centered care, which can lead to better health outcomes, reduced medical errors, and lower healthcare costs in the long term. P4P programs typically involve the use of performance metrics, such as clinical quality measures or patient satisfaction ratings, to evaluate the quality of care provided by healthcare systems. Hospitals that meet or exceed these metrics may be eligible for financial incentives or bonuses, while those who fall short may face penalties or reduced payments. There is ongoing debate over the effectiveness and fairness of P4P programs, as well as concerns about unintended consequences. Let's listen to the conversation to learn more.

In this week's podcast, Brett and Phil discuss an article just published in the American Journal of Infection Control titled "Concerns and frustrations about the public reporting of device-related healthcare-associated infections: Perspectives of hospital leaders and staff". The link to the article is here: https://pubmed.ncbi.nlm.nih.gov/35948123/ Other papers mentioned in this podcast: Mary Dixon Woods study: What Counts? An Ethnographic Study of Infection Data Reported to a Patient Safety Program. Dixon-Woods, M. Leslie, J. Bion and C. Tarrant Milbank Quarterly 2012 Vol. 90 Issue 3 Pages 548-91 Phil Russo study: Consumer knowledge and attitudes toward public reporting of health care–associated infection data  Russo, P. Digby and T. Bucknall. American Journal of Infection Control 2019 Jun;47(6):656-660    

In this week's podcast, Brett and Phil discuss an article just published in the American Journal of Infection Control titled "Concerns and frustrations about the public reporting of device-related healthcare-associated infections: Perspectives of hospital leaders and staff". The link to the article is here: https://pubmed.ncbi.nlm.nih.gov/35948123/ Other papers mentioned in this podcast: Mary Dixon Woods study: What Counts? An Ethnographic Study of Infection Data Reported to a Patient Safety Program. Dixon-Woods, M. Leslie, J. Bion and C. Tarrant Milbank Quarterly 2012 Vol. 90 Issue 3 Pages 548-91 Phil Russo study: Consumer knowledge and attitudes toward public reporting of health care–associated infection data  Russo, P. Digby and T. Bucknall. American Journal of Infection Control 2019 Jun;47(6):656-660    

We are joined by special guest, Dr. Ram Kumar Subramanyan (Children's Hospital of Los Angeles), the current chair of the STS - Congenital Heart Surgery Database Taskforce for this edition of NewsTalk. We discuss the new changes in the STAT Categories, the updates to the STS-CHSD, and the future of programmatic quality assessment and public reporting in the field of pediatric cardiology. Hosted by David Werho (UC San Diego), Jill Zender (UT Southwestern), and Saidie Rodriguez (Children's Hospital of Atlanta). Editor/Producer: David Werho, MD (UC San Diego).

Public Reporting of Failures Abstract Kirk and Fred discussing the challenges of failure analysis and reporting of the root cause of electronic system failures and corrective action to the consuming public Key Points Join Kirk and Fred as they discuss product failure reporting to the public. Topics include: Backblaze, a data storage company, publishes the […] The post SOR 683 Public Reporting of Failures appeared first on Accendo Reliability.

I had the opportunity to speak to Mahlet Konjit-Solomon, MSIT-HIT on Saturday July 31, 2021 about her Tech Journey. Mahlet has an amazing Tech career path which started from Ethiopia and now she is Chief of Public Reporting and Data Release at Maryland Health Care Commission in the US. She studied Electrical Engineering at Bahir Dar University and worked in different companies in Ethiopia and moved to the US. Mahlet is open to learn 'the new' and explore opportunities whenever she encounters them. We discussed about her #healthcare #career and how it ties to tech - through Data. She is also Founder of EthiopianHealthData, a side project to help her home country Ethiopia by developing a website and feeding #Covid19 daily cases #data and making it available to the public use. She is interested in supporting her community and collaborate on multiple other project mainly African & Ethiopian Digital Data. Thank you Mahi for sharing your journey with us. If you missed the conversation or would like to listen to it again, you can find the recording in our podcast (Apple, Google, Spotify and more).

On 1 June, political agreement was reached on the introduction of public country by country tax reporting rules (public CBCR). Stefaan De Baets and Carla Buyens discuss the impact of these rules, how they fit in the broader move towards tax transparency and how companies can prepare.

Polly Toynbee has been a columnist for The Guardian for more than 20 years. She was the BBC's Social Affairs editor in the late eighties and early nineties and made a brief sally into politics as a Social Democrat candidate in the 1983 general election. Her husband David Walker, also a Guardian journalist, is contributing editor to the Public Leaders Network and a former Director of Public Reporting at the Audit Commission.Their previous books together include: The Verdict: Did Labour Change Britain? published in 2010 and Dismembered: How the Conservative Attack on the State Harms Us All, published in 2017.In The Lost Decade 2010 – 2020 and What Lies Ahead for Britain, they look at the impact on life in the UK of the austerity years under Conservative rule.Bridget Osborne, Editor of The Chiswick Calendar, talks to Polly Toynbee and David Walker about their book and the issues it raises.

With Morton Kern and Arnold Seto, Univ. of California - Irvine, USA. Link to paper  

This podcast is part of the pre-work for Insterstitial #2. Titled "An Intro to Quality Measures & Public Reporting". By Patricia Seymour, MS MD, FAAFP, FHM. Associate Professor FMCH - Division of Hospital Medicine. University of Massachusetts Medical School.

https://accadandkoka.com/wp-content/uploads/2019/05/Pic-e1557966323628.jpg ()Ben Harder Quality ratings of hospitals and physicians: help or hindrance?  Surely, the general public demands and is entitled to an assessment of hospital quality based on sound methodology.  And ratings coming from the private sector are far more likely to be unbiased and to adjust to an ever changing healthcare landscape than those coming from the government and public policy sector.  But is there a downside to scrutinizing the healthcare enterprise? We have a fascinating conversation with one of the most knowledgeable persons on the topic.  Ben Harder is Chief of Health Analysis and US News and World Report and oversees the team of analysts and statisticians who produce the most recognized ranking of hospitals in the country.  Ben holds a Bachelor of Science in Biological Anthropology from Harvard University and began his career in health and science journalism before taking the job of quality czar at US News and World Report and GUEST: Ben Harder https://twitter.com/benharder (Twitter) LINKS: https://www.nytimes.com/2001/06/12/health/an-expert-on-health-care-evaluates-his-own-case.html (An Expert on Health Care Evaluate his Own Case.)  New York Times 2001 interview of Avedis Donabedian Avedis Donabedian. https://www.milbank.org/wp-content/uploads/2016/10/DONABEDIAN-2005-The_Milbank_Quarterly.pdf (Evaluating the Quality of Medical Care) (1966, Milbank Quarterly) Anish Koka.  https://thehealthcareblog.com/blog/2017/09/18/the-cost-of-public-reporting/ (The High Cost of Public Reporting) (2017, in The Health Care Blog) Michel Accad.  https://accadandkoka.com/blog/key-problems-report-cards/ (Key Problems for Report Cards) (2018, Accad & Koka blog) RELATED EPISODE: https://accadandkoka.com/episode19/ (Ep. 19 Public Reporting: Necessary Evil or Harmful Fake News?) (with guest Robert Yeh, MD) Support this podcast

Speakers: Dr. Arjun Srinivasan, MD and Dr. Sarah Haessler, MD, MS Summary: Exploring NHSN, Definitions, HAI, CMS and regulatory agencies Learning Objectives:     - Understand NHSN program - Understand HAI program - Understand the HAI definitions  - Understand how to communicate the definitions and difference - How to use the data to evaluate and improve the program

Trish Kritek is joined by Dr. Mitchell Levy to discuss his article “Mortality Changes Associated with Mandated Public Reporting for Sepsis: The Results of the New York State Initiative”

Few are aware of the practice of public reporting for health care and on its face, it seems to be an obvious goal for policymakers. However, comparing health care systems, hospitals, or individual physicians is incredibly complex and probably impossible to do in any sort of meaningful way. Traditionally, patients relied upon local knowledge with their primary care physician to refer to the best few specialists. Today, with employed physicians compelled to refer internally within their network and public reporting processes encouraged by the state and federal government clinicians are discouraged from caring for those who are sick and might lead to poor outcomes. My guest, Dr. Anish Koka, is a cardiologist who writes extensively about health care and tells his story about how a patient of his was harmed because of public reporting. His patient was a sick man with an infection that could only be cured by surgery. The patient had other diseases which put him at a higher risk for recovering and surviving longer than six months but his quality of life was good before getting the infection. Despite a 100% certainty that he would die without the surgery, Dr. Koka could find no surgeons and facilities willing to operate on the man because the surgeons and hospitals would be penalized if there was a poor outcome. One surgeon even referred to the patient as a casualty of the public reporting system because it impacts hospital payments. What is most upsetting is public reporting risks millions of dollars to hospitals to take care of the sickest and those without any political power. Clearly, those who have political power (public officials) would receive the riskier care while those without are left to die and/or suffer. The real outcome - proven in many studies - is that public reporting encourages risk aversion which means those who need care the most are more likely to not receive it. Dr. Anish Koka is a co-host of the AccadKoka podcast and an extensive writer on health care.   show notes The High Cost of Public Reporting: The article by Dr. Koka with the anecdote about his patient who was denied surgery because of public reporting and its tendency to discourage caring for difficult patients. He discusses the history and problems of public reporting Accad & Koka Report: Dr. Koka's fantastic health care podcast that he co-hosts with Dr. Accad (star of episode 011). Well worth your time and subscribing (after this one, of course!) Anish_Koka: Dr. Koka's twitter handle where you can follow his musings and writings. Health Care Blog: Search for Anish Koka and find his great writing. Episode 011: Dr. Accad of the same podcast describing the problem with Memorial for Andy Larson: This is the donation link to honor Andy's death with the Grand Rapids Choir of Men and Boys where he blossomed and served as a head chorister. YouTube for Paradocs: Here you can watch the video of my late son singing his solo on the Paradocs YouTube page. Patreon - Become a show supporter today and visit my Patreon page for extra bonuses. Every dollar raised goes towards the production and promotion of the show.  

https://accadandkoka.com/wp-content/uploads/2018/08/Photo-yeh-e1533948052589.jpg ()Dr. Robert Yeh Public reporting of outcomes aims at improving quality but has also harmed patients and doctors alike.  Can any good come out of it?  Our guest on this episode is Dr. Robert W. Yeh, Associate Professor of Medicine at Harvard Medical School and Director of the Smith Center for Outcomes Research in Cardiology at the Beth Israel Deaconess Medical Center in Boston.  He is an expert on the outcomes of outcome reporting. GUEST: Robert W. Yeh, MD: https://twitter.com/rwyeh (Twitter) Papers by Dr. Yeh and colleagues on public reporting: http://www.onlinejacc.org/content/65/11/1119 (http://www.onlinejacc.org/content/65/11/1119)– paper suggesting an association between public reporting of PCI mortality and lower rates of PCI especially for high risk patients, and higher mortality for MI patients overall. https://jamanetwork.com/journals/jamacardiology/fullarticle/2537379 (https://jamanetwork.com/journals/jamacardiology/fullarticle/2537379) – paper showing that after New York removed cardiogenic shock patients from public reporting of PCI, PCI rates went up and shock-related mortality went down. https://www.ncbi.nlm.nih.gov/m/pubmed/28249879/ (https://www.ncbi.nlm.nih.gov/m/pubmed/28249879/) – study showing that hospitals identified as PCI mortality outliers tend to be the large hospitals with CT surgical programs where complex patients are referred. In addition, after being identified as outliers, hospital appeared to improve mortality without worsening risk avoidance. https://jamanetwork.com/journals/jamacardiology/article-abstract/2680626 (https://jamanetwork.com/journals/jamacardiology/article-abstract/2680626) – a survey of interventional cardiologists in public reporting states on the extent to which reporting programs have changed their and their colleagues practice. RELATED LINKS: Anish Koka. http://thehealthcareblog.com/blog/2017/09/18/the-cost-of-public-reporting/ (The High Cost of Public Reporting) (published in “The HealthCare Blog”) RELATED EPISODES: https://accadandkoka.com/episode8/ (The dangerous business of public reporting.) WATCH ON YOUTUBE: https://youtu.be/7O4MSxZ068A (Watch the episode) on our YouTube channel Support this podcast

We discuss the background policies the effects of public reporting of outcomes on the behavior of physicians and the reactions to a paper that was just published on this topic.  Anish shares a real life experience of a patient of his who was a tragic victim of these misguided healthcare policies. LINKS: Blumenthal et al.  https://jamanetwork.com/journals/jamacardiology/article-abstract/2680626 (A Survey of Interventional Cardiologists’ Attitudes and Beliefs About Public Reporting of Percutaneous Coronary Intervention) (JAMA Cardiology) Anish Koka. http://thehealthcareblog.com/blog/2017/09/18/the-cost-of-public-reporting/ (The High Cost of Public Reporting) (published in “The HealthCare Blog”) WATCH ON YOUTUBE: https://youtu.be/glNGrCUMPdw (Watch the episode) on our YouTube channel Support this podcast

A recent viewpoint by Dr Bhatt against public reporting of PCI outcomes garnered a lot of support in the cardiology community and beyond. Dr Harrington asks how it can be done better.

Commentary by Dr. Valentin Fuster

Commentary by Dr. Valentin Fuster

Commentary by Dr. Valentin Fuster

Prof. Robert Huckman is a Professor of Business Administration at the Harvard Business School. Stephen Morrissey, the interviewer, is the Managing Editor of the Journal. R.S. Huckman and M.A. Kelley. Public Reporting, Consumerism, and Patient Empowerment. N Engl J Med 2013;369:1875-7.

Interview with Karen E. Joynt, MD, MPH, author of Association of Public Reporting for Percutaneous Coronary Intervention With Utilization and Outcomes Among Medicare Beneficiaries With Acute Myocardial Infarction

Interview with Tara Lagu, MD, MPH, author of Putting the Public Back in Public Reporting of Health Care Quality

How can we hold health care managers accountable if what they are managing cannot be measured? If we are to build a better health system, we need a better information sharing system so that all governments and all providers can be held accountable to Canadians.

Current quality measures focus on care upon admittance and care at end of stay and/or at discharge but ignore all aspects of care during the patient's stay, says Dr. Dale Bratzler, medical director of the Hospital Interventions Quality Improvement Organization Support Center. He identifies several areas that if given attention may result in better transitions of care, including the patient's discharge from the hospital. A cultural shift toward accepting quality ratings as part of practicing medicine is occuring in healthcare organizations from the top down, he observes, and believes that team-based training -- both for medical students and current doctors and nurses -- will help ensure high-quality care for patients. Bratzler will provide a brief overview of the potential unintended consequences of public reporting that could lead to patient harm in both direct and indirect ways. Bratzler will also describe how avoiding these unintended consequences of performance measurement requires careful attention to the development of measure specifications and setting realistic goals for improvement. Conference participants will then have the opportunity to probe for more details and bring to the "table" the areas of concern in their organization during a September 6, 2007 audio conference, Ensuring the Benefits of Public Reporting and Pay-for-Performance Programs Outweigh the Unintended Consequences.

Paul L. Green, director, clinical quality improvement, John F. Kennedy Memorial Hospital, describes the growth of public interest in hospital report cards and whether these report cards truly make a difference among consumers as they select sites of care. Green and Christine Profita Orok, project leader of cost and quality at Blue Cross Blue Shield of Massachusetts, presented at a June 7, 2006 audio conference, Healthcare Report Cards: How to Get an A+ in the Public Reporting of Healthcare Quality Data.

Christine Profita Orok, project leader of cost and quality at Blue Cross Blue Shield of Massachusetts, defines the goals and principles of its quality reporting program. Paul L. Green, director, clinical quality improvement, John F. Kennedy Memorial Hospital and Profita Orok presented at a June 7, 2006 audio conference, Healthcare Report Cards: How to Get an A+ in the Public Reporting of Healthcare Quality Data.