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Send us a textToday, we're diving into highlights of the annual Media Symposium hosted by the Georgia Partnership for Excellence in Education, held on January 9, 2026. One of the standout sessions was a dynamic panel focused on early learning, featuring Dr. Bentley Ponder, Deputy Commissioner for Quality Innovations and Partnerships, Kristen Bernhard with Primrose Schools, Shawnell Johnson with Promise All Atlanta Children Thrive, and Ellyn Cochran from Quality Care for Children.Support the show
Leader 2 Leader Series:Join Chamber President and CEO, Susan Spears on a journey as she interviews some of the top community leaders in this series. Susan and her guests will share their insight and wisdom on making teams more effective, leveling up your communication skills, and building the courage to lead during difficult times. The Leader2Leader series is about making the most of it all —with insights, research, advice, practical tips, and expertise to help you become the leader you desire to be.Today's Guest: Thomas Magrino, Associate Vice President of Quality, Patient Safety, and Clinical Analytics at Mary Washington Healthcare
Dr. Monty Pal and Dr. Fumiko Chino discuss several of the top abstracts presented at the 2025 ASCO Quality Care Symposium, including research on federally funded clinical trials and financial reimbursement for trial participation. TRANSCRIPT Dr. Monty Pal: Hello, and welcome to the ASCO Daily News Podcast. I am your host, Dr. Monty Pal. I am a medical oncologist, professor, and vice chair of academic affairs at the City of Hope Comprehensive Cancer Center in Los Angeles. Today, we are highlighting key abstracts that were presented at the 2025 ASCO Quality Care Symposium. I am delighted to be joined today by the chair of this year's meeting, Dr. Fumiko Chino. Dr. Chino is an associate professor in radiation oncology at MD Anderson Cancer Center with a research focus on access, affordability, and equity. She is also a consultant editor of JCO Oncology Practice and the host of the Put into Practice podcast. I have got to listen to that. Dr. Chino, welcome, and thanks so much for being on the podcast today. Dr. Fumiko Chino: I am overjoyed to be here, and absolutely, you should take a listen. Dr. Monty Pal: Definitely. And FYI for listeners, our full disclosures are all available in the transcript of this episode, so do have a look if you are inclined. Now, we have really seen some fantastic advances in health services and quality and supportive care, digital health, and beyond. There are some great abstracts that were presented at this year's meeting. I have actually picked a couple that I am particularly interested in and that I believe you share my interest in as well. So, the first is an abstract actually from my friends at SWOG (Abstract 94). So, this was a terrific abstract from Joe Unger and Michael LeBlanc and Dawn Hershman. And this, I think, really hits on a very, very key issue right now, which is the benefit of federally funded trials. Do you mind just kind of spelling out some of the observations from what I think is a really brilliant piece of work? Dr. Fumiko Chino: Absolutely, and I think Dr. Unger's work is really important for our current funding environment. I think that this research is really essential to do to show the role of federal sponsorship in the design and conduct of clinical trials. Because what they did was really look at a landscape analysis over the last 20 years looking at funding and were able to show quite clearly that federal funding really matters for advancing the science in cancer care. So what they showed was that the federal funding was more commonly essential for early-stage clinical trials, so those phase 1, phase 2 trials that really help advance the science. And that federal funding was really essential for multimodality drug combinations, combinations with drug and surgery, combinations with drug and radiation. Those trials were much more likely to be federal funded. And then the last thing is that they showed that the patients that are, I think, the largest at risk for gaps in care who really need the advancements in science that keep U.S. health care amazing and wonderful and world-leading, so the kids, the pediatric patients, the patients with rare cancers, and the patients actually that could benefit from de-escalation or right-sizing of treatment, they were also all more likely to have federal funding. So I think this research that was presented really shows that if, unfortunately, current status of restricted federal funding continues, that we are going to lose out in terms of the next generation of cancer cures, cancer de-escalations, and the type of combination treatments that make advancements in science. Dr. Monty Pal: Indeed. You know, I always point to Joe Unger's paper, and I think it is in JAMA Oncology, right, that showed life-years gained from NCI trials. It is such an important piece of work. I think this is a really nice complement to that, isn't it, to show the specific areas that otherwise would be, am I right in saying, kind of largely untouched? Dr. Fumiko Chino: I think you are right in that what we know from what industry will sponsor versus what the federal government will sponsor, that the federal government really helps make up the gap to really make those advancements that save lives, that lead to more birthdays, that advance our knowledge and our capacity for providing more cures and more successful futures for our patients. I always like pointing to the de-escalation research, which is, and this is not to dig pharma, but no pharmaceutical company is going to run a trial that says you can give less of their drug, right? It just does not make sense for the business end of the science. And so, thinking about how to right-size treatments, how to do more with less, that really is the purview of the federal government. Dr. Monty Pal: Absolutely. Absolutely. I am going to shift gears here and bring up another abstract that I found to be quite intriguing, and this relates to reimbursement of expenses, et cetera, for clinical trials. This is an abstract from Courtney Williams and team. It brings to mind the importance, I think, of recognizing the hardships that patients take on by clinical trials, but I also would love for you to comment on that sort of fine line between reimbursement for expenses and then, you know, sort of undue enticement. It is a challenging balance there. But give me your reflections on this abstract. Dr. Fumiko Chino: Absolutely. You are speaking about Dr. Williams' Abstract 93 from the Alabama group, and Alabama actually has this incredible group of health services researchers which is, are doing really important work in this space. What this trial shows is that, you know, it is a small pilot study, it is 30-something patients that received some support primarily for their travel and additional expenses related to their clinical trial participation for breast cancer. It showed that the money helps, and I think what we all know is that it is expensive to participate in clinical trials. It requires additional visits. It often requires some significant travel burden for our patients, and I do not feel that money reimbursement for clinical trial expenses is an inducement. Nobody participates in a clinical trial to get the money for their gas, right? We know that our patients are making some pretty significant sacrifices in order to participate in clinical trials, and what this type of program does is just actually reimburse them for their outlaying of funds. And I loved this trial because the patients were actually given $1,000 a month for the first 4 months of their trial participation, and what the study showed is that the patients were using it for things like travel-related food, for things like transportation, caregiver expenses, or even some of their out-of-pocket medical expenses like cost sharing or prescriptions. And that they said that overall, the reimbursement really made a difference in terms of their capacity for staying on the clinical trial. Because we know our clinical trials really are not able to enroll the full diversity of patients that often have a disease, and that the patients that are at biggest risk for a health care disparity or a gap in care are also the least likely to enroll in a clinical trial. Programs like this are an essential part of showing how financial toxicity can be overcome with pretty straightforward assistance to patients to help reimburse them for the things that they are already taking out of their pocket, for parking costs, for that $10 soup that they buy at the cancer center, for those additional expenses that we are, unfortunately, putting on them. Dr. Monty Pal: Very well said. And you know, I have started to dabble in clinical trials looking at CAR T-cell therapies for kidney cancer, and I have to tell you, it is just insane the amount of cost that a patient would have to take on to comply with the stipulations for some of these novel therapies. We require that they stay within 30 minutes of the facility for 28 days, and unless we are compensating for some of that, I mean, how can one afford a hotel stay that is that long? I mean, it is just, it is unprecedented, and it would certainly provide a huge barrier to many patients who would otherwise enroll. Really well said. I also wanted to bring up another financially driven topic, and treating renal cell, again, I would say the vast majority, 90% plus of my patients in clinic are on oral drug therapies. And I cannot tell you how often a patient will show up in my practice and say, "Doc, I have got 15 days out of this 30-day prescription left. What do I do with it?" You know, or some come with pill bottles from a deceased loved one. And it is so frustrating to say, "Take it to the pharmacy and they will just get rid of it for you." But sounds like there is an abstract from Dr. Mackler, Abstract 102, that seems to address this topic quite well. Am I right? Dr. Fumiko Chino: Absolutely. This presentation, I was the most excited about seeing because this group, which helps run a cancer drug repository, theirs is called YesRx, presented their data from the last approximately two years of running this repository, and they were able to show incredible benefit for their patients in Michigan. And it is a really straightforward program. It is run by pharmacists. It has support from the legislation in Michigan. And what they were able to show is that they repurposed medications that would otherwise have been discarded. They delivered them directly to the oncologist, which then actually dispersed them to the patients. They helped 1,000 patients in less than two years. They saved them millions of dollars, over $15 million presented in the abstract. And it is just a win-win-win because I know that patients actually, and sometimes patient caregivers, they feel very sad to have spent a lot of money out of pocket for their medication, and then if they have a dose reduction or, obviously, you know, if the surviving spouse then has to get rid of their medication, just dispose of them, it is very disheartening. And this is a way of kind of reclaiming power for patients. So they were able to accept donations from all over the state of Michigan and then also help over 1,000 patients. And so, it is a phenomenal program. Dr. Monty Pal: Just wild when I came across the dollar amounts, right, that they were saving. It just, it seems like a place that, you know, we just have to look, as cancer centers, right, and really take this on. Just brilliant. On that same theme of cost savings and so forth, you know, I think there has been a lot of focus on what recent policies have done in the context of us having access to therapies and so forth. And one of the topics that has come up is the Inflation Reduction Act and how changes pertaining to the IRA have really played a role in one's ability to take on some of these expensive prescriptions. And I believe John Lin and colleagues tackled that issue in Abstract 97. Could you comment on that, Fumiko? Dr. Fumiko Chino: Absolutely. Dr. Lin is one of my colleagues here at MD Anderson, so I know him very well, and he has been doing really phenomenal work over the last several years with looking at drug affordability and access. And what his analysis shows is that for patients, after the Inflation Reduction Act's cap on out-of-pocket expenses, is that it really did show that out-of-pocket expenses decreased. So what the Inflation Reduction Act did is that it eliminated the 5% co-insurance and placed this $2,000 cap on out-of-pocket expenses. And what that led to for these patients that were not able to have the low-income subsidy is that there were lower costs, and that there was a lower rate of drug abandonment, meaning that the prescription was not refilled. There was also a lower rate of unfilled prescriptions as well. And I think that it shows that health policy really can improve access to care. I think the flip side of the fact that the IRA, this policy, really did seem to help people is that what his research showed is that actually, even with the benefits of this cap, is that actually it is still really high in terms of the rate of people who are not able to fill their prescriptions or that completely abandon them over time. And that unfortunately, even with this change, that over half of people without the low-income subsidy were potentially not getting the full benefit of their medications because they were not able to afford them. And so I think it really kind of highlights that we still need to do more work about making drugs affordable. Dr. Monty Pal: Indeed, indeed. And I mean, in a setting like this, I mean, I think it is important to recognize that $2,000 is a lot, it is a big chunk of change, right, for a lot of families in the U.S. What do you think of the prospect of, like, decreasing that cap? Is that something that from a policy standpoint you would be supportive of? Dr. Fumiko Chino: Well, so something that is a real option for patients on Medicare is there is something called the Medicare Prescription Payment Plan, and what it allows you to do is actually prorate the $2,000 over the whole year. And so instead of having to pay $2,000 as soon as you fill your prescription, because you are going to have, if you have an expensive medication, it is essentially you have to pay the $2,000 in January, right? It allows you to prorate it, so essentially $170 a month, and that comes to you as like a regular bill. And I think that as rolled out as part of the IRA is a really lovely way of thinking about how do we make these payments more stable over time, so it is not a huge hit sort of at the beginning of the year. And I think that alone actually can make a difference in terms of trying to help make sure that people can actually get their medications. Dr. Monty Pal: That is an excellent tip. Excellent tip. We are going to shift gears entirely. We have been talking a lot about the dollars and cents of things and talk about an abstract from Sophia Smith and colleagues. So this is Abstract 550 at your meeting. And this hinged on a program of sorts to deal with post-traumatic stress disorder. We do not often think about PTSD in the vernacular for oncology patients, but indeed, I mean, it is something that they must face, especially in the context of long-term survivorship. Can you talk a little bit about Dr. Smith's abstract? Dr. Fumiko Chino: Absolutely. I love this work from Dr. Smith, who is at Duke. She worked with Dr. Applebaum, who was my old colleague at Memorial Sloan Kettering. And this group of researchers really is trying to figure out how to best support people into survivorship so that they can actually thrive. And their patient population for this work was actually people who received stem cell transplant, and they focused on people who had PTSD symptoms. And what they were able to show through this SMART design, which is essentially this serial, multiple randomized trial, so everyone got randomized upfront to either usual care or this app, so this digital app that actually helped coach people through cancer distress. And then for the people who were non-responders, they were then additionally randomized to either the app plus coaching or a therapist versus the cognitive behavioral therapy or CBT. And what they were able to show is that, number one, anyone who had the app seemed like they did better than those who did not start the path with the app. But then the additional help of either the therapist or the coach or the CBT made additional benefit over time. And so, I think this shows a really nice stepped care, which is you can potentially have some right-sizing of treatments cost saving, if we sort of give everyone the app, which is, I think, overall pretty low cost. And that for the people who do not get the full benefit from the app, then you can think about these maybe more tailored approaches, the therapist, the coach, the CBT, but that some people actually just respond to the app. And I think it allows us to, again, right-size the care for our patients. And I think it is really innovative to think about how technology can help improve access to care in the setting of something like PTSD. Dr. Monty Pal: Brilliant summary. Brilliant summary. Gosh, it looks like such an exciting meeting this year. Congratulations on a terrific program for the ASCO Quality Care Symposium. I know you played a huge role in developing it, and thanks for sharing your insights on the ASCO Daily News Podcast. Dr. Fumiko Chino: No, I really appreciate you having me. ASCO Quality is my favorite meeting of the year. You know, it is really a phenomenal meeting, and I am so excited for next year in Boston in 2026. Dr. Monty Pal: Awesome. And thanks to our listeners too. You are going to find links to all the abstracts that we discussed today in the transcript of this episode. Finally, if you value the insights that you heard today on the ASCO Daily News Podcast, please rate, review, and subscribe wherever you get your podcasts. Disclaimer: The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity or therapy should not be construed as an ASCO endorsement. More on today's speakers: Dr. Sumanta (Monty) Pal @montypal Dr. Fumiko Chino @fumikochino Follow ASCO on social media: @ASCO on Twitter ASCO on Bluesky ASCO on Facebook ASCO on LinkedIn Disclosures of Potential Conflicts of Interest: Dr. Monty Pal: Speakers' Bureau: MJH Life Sciences, IntrisiQ, Peerview Research Funding (Inst.): Exelixis, Merck, Osel, Genentech, Crispr Therapeutics, Adicet Bio, ArsenalBio, Xencor, Miyarsian Pharmaceutical Travel, Accommodations, Expenses: Crispr Therapeutics, Ipsen, Exelixis Dr. Fumiko Chino: Consulting or Advisory Role: Institute for Value Based Medicine Research Funding: Merck
Clinical psychologist, Dr. Sarah Adler, joins the show this week to talk about why “AI Therapy” doesn't exist, but is bullish on what AI can help therapists achieve.Dr. Adler is a clinical psychologist and CEO of Wave. She's building AI tools for mental healthcare, which makes her position clear—what's being sold as "AI therapy" right now is dangerous.Chatbots are optimized to keep conversations going. Therapy is designed to build skills within bounded timeframes. Engagement is not therapy. Instead, Dr. Adler sees AI as a powerful recommendation engine and measurement tool, not as a therapist.George K and George A talk to Dr. Adler about what Ethical AI looks like, the model architecture for personalized care, who bears responsibility and liability, and more.The goal isn't replacing human therapists. It's precision routing—matching people to the right care pathway at the right time. But proving this works requires years of rigorous study. Controlled trials, multiple populations, long-term tracking. That research hasn't been done.Dr. Adler also provides considerations and litmus tests you can use to discern snake oil from real care.Mental healthcare needs innovation. But you cannot move fast and break things when it comes to human lives.Mentioned:A Theory of Zoom FatigueKashmir Hill's detailed reporting on Adam Raine's death and the part played by ChatGPT (Warning: detailed discussion of suicide)Colorado parents sue Character AI over daughter's suicideSewell Setzer's parents sue Character AIDeloitte to pay money back after caught using AI in $440,000 report
This episode features Viren Shetty, Vice Chairman of Narayana Health, discussing how his father founded a cardiac surgery hospital in India 25 years ago that revolutionized healthcare delivery by applying manufacturing efficiency principles to drastically reduce costs while maintaining quality. The conversation explores how Narayana Health scaled from one cardiac center to 19 multi-specialty hospitals across India and one in the Cayman Islands by implementing supply chain optimization, standardization of care, physician specialization, and high-volume operations—enabling them to perform cardiac surgeries at a fraction of Western costs. Shetty discusses the challenges and opportunities of operating in India's largely out-of-pocket healthcare market, the hospital's expansion into insurance and primary care to become a fully integrated provider, their measured approach to AI adoption, and why their high-volume, efficiency-driven model wouldn't directly translate to the US healthcare system despite offering valuable lessons in operational excellence and cost reduction. (0:00) Intro(1:20) Founding and Growth of Narayana Health(2:48) Cost Reduction Strategies in Indian Healthcare(6:04) Challenges and Cultural Shifts in Standardization(8:16) Scaling and Expansion Bottlenecks(14:10) Impact of COVID-19 on Narayana Health(19:15) Medical Tourism and the Cayman Islands(23:03) High Patient Volume in Indian Hospitals(24:29) Exploring Healthcare Ecosystems(25:25) Automating Healthcare Administration(26:39) Challenges in US Healthcare(28:18) Innovative Healthcare Models(30:28) AI in Medicine(33:22) Driving Efficiency in Hospitals(37:48) Opportunities in Indian Healthcare(40:34) Quickfire With your co-hosts: @jacobeffron - Partner at Redpoint, Former PM Flatiron Health @patrickachase - Partner at Redpoint, Former ML Engineer LinkedIn @ericabrescia - Former COO Github, Founder Bitnami (acq'd by VMWare) @jordan_segall - Partner at Redpoint
Will the 1000 year flood in Southeast Wisconsin finally convince policymakers that the climate crisis is already impacting Wisconsin? The appropriate response would be to quickly enact the Climate Accountability Act, which requires Wisconsin for the first time to adopt an accountable climate action plan that cuts greenhouse gas emissions in half by 2030 and maximizes the economic benefits especially for people in urban and rural areas currently locked out of economic opportunities. We encourage our listeners to contact their state legislators and urge them to support the new Climate Accountability Act We get into the weeds of the scandalous news that Ascension Wisconsin will outsource its ICU Doctors, further imperiling care for patents. This is what happens when you put big profit-maximizing monopolies in charge of health care with virtually no oversight. Robert tells us about developing state legislation to re-regulate the hospital industry in the public interest. Fair maps advocates are rightly appalled by the national gerrymandering fight instigated by President Trump and apparently matched by California Governor Gavin Newsom. But, is it realistic to ask Democrats to unilaterally disarm in the face of attempted authoritarian consolidation? Robert tells us that Ruth Conniff makes a strong case for holding onto the principle, but can progressives hold onto abstract norms in the face of the shredding of democratic norms by a would-be authoritarian movement? Robert argues that outcomes have moral consequences, and that pro-democracy forces must find a way to uphold the principles of democracy while being effective in preventing Trump and his MAGA allies from rigging the 2026 election. We close with an honest conversation about the short-sighted state budget, which leaves a structural deficit for the next two year budget, potentially forcing cuts to critical services even if the Democrats win a trifecta, unless they are willing to reverse decades of regressive tax cuts dolled out to corporations and the wealthy.
Driven by purpose, this dental team delivers personalized, quality care, driven by metrics. Hear how Rachel has supported success with her practice and dental hygiene team.
In this episode of the PQS by Innovaccer Quality Corner Show, host Stephanie Hale spoke with Katherine Weiss, Certified Pharmacy Technician, Lead Pharmacy Technician, and Manager at Kashat Pharmacy, about how their independent community pharmacy in Michigan prioritizes quality care through the strategic use of tools like EQUIPP.Katherine explains how the pharmacy integrates EQUIPP into their daily workflow and specifies which programs are the most helpful. She provides helpful tips in using EQUIPP including how to maintain focus during busy seasons.
Your life insurance policy might be a valuable financial tool you can leverage now, not just in the future? Discover the surprising potential of life insurance as a current asset. For those navigating the financial realities of dementia care or planning for aging in place, the often-overlooked value within a life insurance policy could offer unexpected solutions. We'll explore how accessing this value could help fund crucial long-term care needs. Perhaps you need to make essential home modifications for independent living. Learn why the 90% of life insurance policies are surrendered; representing a missed opportunity for many. Discover a different perspective on your life insurance and how it could provide financial flexibility you might not have realized was possible. Our Guest: Rob Haynie - Settlements.com Rob has significantly shaped the life settlement industry. For instance, he's directly negotiated thousands of settlements. Currently, he serves on the Board of Directors of LISA. Furthermore, he's a charter member of LISA's PPC committee. This committee focuses on the industry's regulations and laws. +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ Related Episodes: Long-term Care - Low Cost Options Home Dementia Care Alarm: Crisis in Long-term Care ++++++++++++++++++++++++++++++++++++++++ Sign Up for more Advice & Wisdom - email newsletter. Please help us keep our show going by supporting our sponsors. Thank you. ++++++++++++++++++++++++++++++++++++++++ Make Your Brain Span Match Your LifeSpan Relevate from NeuroReserve With Relevate nutritional supplement, you get science-backed nutrition to help protect your brain power today and for years to come. You deserve a brain span that lasts as long as your lifespan. ++++++++++++++++++++++++++++++++++++++++ Feeling overwhelmed? HelpTexts can be your pocket therapist. Going through a tough time? HelpTexts offers confidential support delivered straight to your phone via text message. Whether you're dealing with grief, caregiving stress, or just need a mental health boost, their expert-guided texts provide personalized tips and advice. Sign up for a year of support and get: Daily or twice-weekly texts tailored to your situation Actionable strategies to cope and move forward Support for those who care about you (optional) HelpTexts makes getting help easy and convenient. ++++++++++++++++++++++++++++++++++++++++ List of the Top 20 Alzheimer's Podcasts via FeedSpot! See where we rank. Join Fading Memories On Social Media! If you've enjoyed this episode, please share this podcast with other caregivers! You'll find us on social media at the following links. Instagram LinkedIn Facebook Contact Jen at hello@fadingmemoriespodcast.com Or learn more at Our Website
IBD Drive Time: Corey Siegel, MD, on Quality Care for IBD by Gastroenterology Learning Network
Wine, sugar, shopping, scrolling, chips, porn, and even exercise — these aren't just habits. For many over 40, they become coping mechanisms to deal with unprocessed emotional pain. In this powerful and eye-opening episode, Dr. Jannine Krause sits down with Rachel Graham, CEO and Co-founder of Healing Springs Ranch, in Tioga, Texas, to explore the often overlooked world of process addictions — and why they commonly emerge or worsen in midlife. You'll learn: ✅ What process addictions actually are — and how they differ from substance abuse ✅ Why midlife events like divorce, empty nesting, and hormone shifts (hello, estradiol and testosterone crashes) can spike addictive behaviors ✅ Why sugar cravings aren't just about willpower — and why even health pros like Dr. Krause aren't immune ✅ The crucial role of family involvement in the healing process ✅ Why treating addictions separately often fails — and what it takes to heal the root cause: emotional pain ✅ How to stop feeling ashamed — and start getting curious about your behavior Dr. Krause shares her own story of feeling out of control with chips and chocolate — and what she learned about the real drivers of compulsive habits. If you've ever felt like you're “better than this” but still find yourself reaching for things to numb or distract — this episode is for you.
Community organizations in Lincoln are hosting mental health support groups in both English and Spanish. The sessions are meant to provide a service otherwise inaccessible for some of the state's populations.
How do you know if you're caring TOO MUCH for others?In this episode, we have Dr. Laura Brenner—a seasoned dentist and insightful career coach—to dive deep into the pressing issue of burnout in dentistry. Laura brings a wealth of experience to the table, having navigated her own burnout journey. She candidly shares the nuanced challenges that dentists face and outlines how setting firm boundaries can be the key to preserving well-being. Listening to Laura, you'll uncover the pivotal role self-awareness plays in managing stress and preventing burnout, and how dentists—who are often in service to others—must learn to prioritize their health too.Laura doesn't just highlight problems; she offers actionable solutions. By encouraging dentists to dismiss troublesome patients, she advocates for a proactive approach to mental well-being. This episode also stresses the importance of reflecting on personal feelings and engaging in open dialogues with both dental teams and patients. By the end, you'll be equipped with practical tools to take control of your professional life and preserve your passion for dentistry.What You'll Learn in This Episode:How to address and prevent dentist burnout through strategic boundary setting.The power of dismissing troublesome patients for mental well-being.The importance of self-reflection in managing professional stress.Strategies for open communication with your team and patients.Techniques to protect personal time and energy effectively.Laura's personal journey through burnout and the lessons learned.Why personal development is crucial for career longevity in dentistry.Take a break and join us for this insightful chat—it could change your perspective!Sponsors:CallRail: Call tracking + AI that turns calls into campaigns that convert, quality patients, and cost savings. Click our link to start a free trial today! callrail.com/dentalmarketerClick here for a special offer!Guest: Dr. Laura BrennerBusiness Name: Lolabees Career CoachingCheck out Laura's Media:Website: lolabeescareercoaching.comInstagram: instagram.com/drlolabeesFacebook Group: facebook.com/groups/dentistsidegigsLove the Podcast? Let Us Know How We're Doing on Apple Podcasts!Host: Michael AriasWebsite: The Dental Marketer For more helpful tips, strategies, ideas, and marketing advice, join my weekly newsletter here.Join this podcast's Facebook Group: The Dental Marketer Societyp.s. Some links are affiliate links, which means that if you choose to make a purchase, I will earn a commission. This commission comes at no additional cost to you. Please understand that we have experience with these products/companies, and I recommend them because they are helpful and useful, not because of the small commissions we make if you decide to buy something. Please do not spend any money unless you feel you need them or that they will help you with your goals.
In alignment with the World Health Day 2025 theme—Healthy Beginnings, Hopeful Futures—our new podcast episode, Healthy Beginnings, Hopeful Futures: Ending Preventable Maternal and Newborn Deaths, is now live! Tune in as we spotlight the urgent need for governments and the global health community to intensify efforts to end preventable maternal and newborn deaths while prioritising women's long-term health and well-being.
Jeff is joined by Garrett and Angel from Country Meadows Retirement Communities for an important conversation about senior living—how providing a personalized approach to care and a comfortable home environment can make all the difference, and how it all starts with a passion for serving seniors. Their discussion offers a valuable perspective on what to look for and how to spot it when assessing retirement communities. Visit https://www.countrymeadows.com/ or call (717) 741-5118 and ask for Garrett or Angel to learn more or schedule a tour. WHAT YOU NEED TO KNOW (00:00) Episode introduction. (04:10) Country Meadows is home to seniors, a place where they receive help with everyday tasks and activities. (05:04) Angel started with the organization 18 years ago as their memory care nurse. Garrett started as a 16-year-old working in the dining room while still in high school. He fell in love with the residents, and it prompted him to pursue senior care as his career. (08:06) Family members don't always have the knowledge or capacity to provide care for a senior at home. (10:24) There are tremendous health benefits to the social aspects and opportunities in community living. (12:32) Country Meadows offers multiple levels of care—supported independent living, 24-hour personal care, secured memory care, a restorative care neighborhood, and more. (15:06) The organization is proud of its team of nurses, which is accountable to the Director of Nursing. Every level of care also has a Program Manager who helps to coordinate custom care based on individual needs. (16:57) Country Meadows is family owned and operated. The organization prides itself on the dedication and longevity of its team members. (22:04) When looking for a senior community, you can learn a lot by observing the care team. Do they appear to be well trained and happy? Do they interact well with each other and the residents? ABOUT BELLOMO & ASSOCIATES Jeffrey R. Bellomo, the founder of Bellomo & Associates, is a licensed and certified elder law attorney with a master's degree in taxation and a certificate in estate planning. He explains complex legal and financial topics in easy-to-understand language. Bellomo & Associates is committed to providing education so that what happened to the Bellomo family doesn't happen to your family. We conduct free workshops on estate planning, crisis planning, Medicaid planning, special needs planning, probate administration, and trust administration. Visit our website (https://bellomoassociates.com/) to learn more. LINKS AND RESOURCES MENTIONED Bellomo & Associates workshops:https://bellomoassociates.com/workshops/ Life Care Planning The Three Secrets of Estate Planning Nuts & Bolts of Medicaid For more information, call us at (717) 845-5390. Connect with Bellomo & Associates on Social Media Tune in Saturdays at 7:30 a.m. Eastern to WSBA radio: https://www.newstalkwsba.com/ X (formerlyTwitter):https://twitter.com/bellomoassoc YouTube: https://www.youtube.com/user/BellomoAssociates Facebook:https://www.facebook.com/bellomoassociates Instagram:https://www.instagram.com/bellomoassociates/ LinkedIn:https://www.linkedin.com/in/bellomoandassociates WAYS TO WORK WITH JEFFREY BELLOMO Contact Us:https://bellomoassociates.com/contact/ Practice areas:https://bellomoassociates.com/practice-areas/
This conversation delves into the intricacies of auto detailing, focusing on common challenges faced by detailers, pricing strategies, and the importance of real-world experience over online content. The hosts discuss effective tire shine techniques, the profitability of detailing services, and explore alternative income streams within the industry. They also touch on the role of tools like gorilla tape in the detailing process, emphasizing the need for practical knowledge and understanding of the business. In this conversation, Nick and Marshall delve into various aspects of car detailing, including the challenges of using duct tape, the unpredictability of carbon fiber repairs, and the importance of setting customer expectations. They discuss the mindset required for successful detailing, the rise of DIY car care, and the critical distinction between sales and marketing in business. The conversation emphasizes the need for detailers to genuinely believe in the products they use and the importance of commitment to quality care for vehicles.TakeawaysDetailing challenges often arise from unexpected spills and messes.Knowing how to charge for services is crucial for success.Understanding your costs and pricing is essential for profitability.Different tire shine products yield varying results and application methods.Content creation is valuable but should not replace real-world learning.The most profitable aspect of detailing is providing the service itself.Alternative income streams can supplement detailing work.Practical experience is more beneficial than online tutorials.Gorilla tape and similar products can be useful in detailing.Detailing is a cyclical industry with many entering and leaving. Duct tape should not be used on most vehicles.Carbon fiber repairs can be unpredictable and risky.Setting clear customer expectations is crucial in detailing.Mindset plays a significant role in how detailers approach their work.DIY car care is on the rise as people cut costs.Sales and marketing are distinct but both are essential for business success.Believing in the products you sell is key to effective marketing.Detailers should regularly use and test the products they recommend.Commitment to quality care is essential for customer satisfaction.Understanding the risks involved in detailing jobs is important. Chapters00:00 Introduction to Detailing Challenges03:05 Pricing Strategies in Detailing05:53 Tire Shine Techniques and Products08:56 Content Creation vs. Real-World Experience12:01 Profitability in Auto Detailing15:06 Exploring Alternative Income Streams18:02 The Role of Gorilla Tape in Detailing31:12 The Duct Tape Dilemma32:36 Navigating Carbon Fiber Repairs34:59 Understanding Customer Expectations35:48 The Importance of Mindset in Detailing36:11 The Weekend Warrior's Detailing Routine39:37 The Rise of DIY Car Care42:00 Sales vs. Marketing in Business46:37 Believing in Your Products55:20 Commitment to Quality Care
In EPISODE 197 OF GROWING OLDER LIVING YOUNGER, Dr. Gillian Lockitch and Dr. Joe Sherman discuss the challenges faced by both healthcare providers and patients in modern healthcare systems. Dr. Sherman, a board-certified pediatrician with 35 years of experience, shares his journey from treating medically complex children in the USA, Uganda and Bolivia to becoming a physician coach. He is a Master Certified Physician Development Coach through the Physician Coaching Institute, and a trained facilitator with the Center for Courage and Renewal. His services include individual coaching, medical team support, physician retreats and workshops. He has helped over 200 physicians and other health professionals through the journey of examining their own life experiences, discovering their core values, and using self-awareness to inform their future career choices. He highlights the systemic issues contributing to physician burnout, including administrative burdens and societal expectations, and advises us, as patients, to advocate for more quality care and to foster better relationships through empathy towards their healthcare providers. Episode Timeline: 0:01 Introduction to the podcast theme of systemic healthcare issues effect on both providers and patients 5:40 Dr.Joe Sherman's career as a paediatrician and work in Uganda, Bolivia and the US 27:47 Navigating Career Challenges and Preventing Burnout in Modern Healthcare 35:42 How Patients can Advocate for Quality Care 40:29 Conclusions and Takeaways Learn about Dr. Sherman's work www.linkedin.com/in/joeshermanmd Action Steps: Access Your Free E-book Guide from Dr. Gillian Lockitch Guide to Mind and Memory Boosting Strategies Schedule a complimentary CALL with Dr. Gillian Lockitch. Join the GOLY Community: https://www.facebook.com/groups/growingolderlivingyounger
This series aims to demystify Medicaid, starting with insights from federal and state agencies, FQHCs, and managed care organizations, before exploring successful founders' strategies. Readour primers on the key players and innovations here, and stay tuned for upcoming posts featuring interviews with key opinion leaders, purchasers, and startup founders.Cityblock Health is a value-based healthcare provider focused on the complex clinical, behavioral health, and social needs of dually eligible and Medicaid recipients. Cityblock offers the only fully integrated and multi-modal solution that directly delivers clinical care to one of the most at-risk and hardest-to-reach populations. Powered by advanced technology that provides its care team with a data-driven understanding of member needs and risks, Cityblock has demonstrated industry-leading engagement, member retention, meaningful reductions in avoidable hospital readmissions, and reduced total cost of care.Founded in 2017, spun off by Sidewalk Labs, and based in New York, Cityblock has raised nearly $900M to date from investors such as SoftBank, Tiger Global, Maverick Ventures, General Catalyst, Thrive Capital and 8VC, among others. It is now valued at $5.7B. Cityblock currently serves more than 100,000 members, and partners with four national Medicaid health plans and several health systems in 15 cities across seven states.Mike's career has spanned both legal and healthcare leadership roles, starting as a commercial litigator before joining UnitedHealth Group as National Vice President of Medicaid Policy and Product. He went on to serve as CEO of UnitedHealthcare Community Plan of Ohio, then as Chief Transformation Officer and President of Government Programs for Optum BH Solutions, and later as Chief Growth Officer and SVP of Growth and Product at UnitedHealth Community and State. In 2024, he joined Cityblock as President to help drive the company's next phase of growth.Mike holds an undergraduate degree from the University of Notre Dame, a JD from Notre Dame Law School, and attended an Executive Education Program at Stanford Graduate School of Business.In this episode, we learn about how health plans evaluate startups, the complexities of improving access for Medicaid and dual-eligible populations, and Cityblock's innovative approach to building trust and engagement.
Send us a textIn this episode we welcome Dr. Na Tosha Gatson, Director of Neuro-Oncology & Professor of Neurology and Medicine at IU Health. A leader in the field, Dr. Gatson shares insights on advancements in neuro-oncology, the impact of brain tumors on women's health, addressing health disparities, and the importance of quality-of-life care. Support the show
In this episode of IDD Health Matters, Dr. Craig Escudé welcomes Sharon Parker Love, a nurse with 56 years of experience, to discuss her journey in the field of intellectual and developmental disabilities (IDD) nursing. Recorded at the Illinois Developmental Disabilities Nurses Association Conference, Sharon shares her remarkable career—from starting with a state grant program to dedicating over three decades to Trinity Services, where she has helped individuals with dual diagnoses and complex medical needs. Sharon dives into her work in crisis prevention, recounting heartbreaking and inspiring stories of individuals in need, including an individual who spent eight months in an emergency room before receiving proper care. She emphasizes the importance of observation skills, direct care staff training, and a detective-like approach to uncovering hidden medical conditions that often manifest as behavioral challenges. Tune in for invaluable insights into the evolving role of nurses in IDD care and the crucial need for more professionals in this field.
In this episode of IDD Health Matters, Dr. Craig Escudé welcomes Sharon Parker Love, a nurse with 56 years of experience, to discuss her journey in the field of intellectual and developmental disabilities (IDD) nursing. Recorded at the Illinois Developmental Disabilities Nurses Association Conference, Sharon shares her remarkable career—from starting with a state grant program to dedicating over three decades to Trinity Services, where she has helped individuals with dual diagnoses and complex medical needs. Sharon dives into her work in crisis prevention, recounting heartbreaking and inspiring stories of individuals in need, including an individual who spent eight months in an emergency room before receiving proper care. She emphasizes the importance of observation skills, direct care staff training, and a detective-like approach to uncovering hidden medical conditions that often manifest as behavioral challenges. Tune in for invaluable insights into the evolving role of nurses in IDD care and the crucial need for more professionals in this field.
"I think I'd say our patients deserve better. Our Americans who are encountering the healthcare system deserve better." - Binu Samuel Binu Samuel, Director of Commercial Partnerships at Carrum Health, joined me for the first podcast of 2025 to discuss how we lower healthcare costs for self-funded employers. Binu, and Carrum's, mission is to make healthcare easier for the employers, employees, and physicians, which includes focusing on making healthcare cost nothing out of pocket to employees. That also typically increases the amount of proactive care that members engage with, which is key to catching huge health problems before they happen. Join us this week to learn how to save money for employers and employees! Chapters: 00:00:00 Meet Binu Samuel 00:04:42 Outcome-Driven Healthcare 00:05:12 Value-Based Care 00:10:55 Cost-saving Strategies For Employers 00:20:01 Enhanced Healthcare Cost Savings 00:25:51 Carrum's Mission 00:29:51 Predictive Member Care Outreach for Procedures 00:34:20 The Benefits Of Proactive Healthcare Key Links for Social: @SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFunded Listen on Spotify - https://open.spotify.com/show/1TjmrMrkIj0qSmlwAIevKA?si=068a389925474f02 Listen on Apple Podcasts - https://podcasts.apple.com/us/podcast/self-funded-with-spencer/id1566182286 Follow Spencer on LinkedIn - https://www.linkedin.com/in/spencer-smith-self-funded/ Follow Spencer on Instagram - https://www.instagram.com/selffundedwithspencer/ Key Words: Value Based Care, Patient Experience, network, Employers, Cancer Treatment, Cost Savings, Proactive Care, Warranty System, Healthcare Innovation, Quality Care, Transparent Healthcare, fixing healthcare, podcast, benefits, health, healthcare, health insurance, self funded, self funding #ValueBasedCare #PatientExperience #network #Employers #CancerTreatment #CostSavings #ProactiveCare #WarrantySystem #HealthcareInnovation #QualityCare #TransparentHealthcare #fixinghealthcare #podcast #benefits #health #healthcare #healthinsurance #selffunded #selffunding
"I think I'd say our patients deserve better. Our Americans who are encountering the healthcare system deserve better." - Binu Samuel Binu Samuel, Director of Commercial Partnerships at Carrum Health, joined me for the first podcast of 2025 to discuss how we lower healthcare costs for self-funded employers. Binu, and Carrum's, mission is to make healthcare easier for the employers, employees, and physicians, which includes focusing on making healthcare cost nothing out of pocket to employees. That also typically increases the amount of proactive care that members engage with, which is key to catching huge health problems before they happen. Join us this week to learn how to save money for employers and employees! Chapters: 00:00:00 Meet Binu Samuel 00:04:42 Outcome-Driven Healthcare 00:05:12 Value-Based Care 00:10:55 Cost-saving Strategies For Employers 00:20:01 Enhanced Healthcare Cost Savings 00:25:51 Carrum's Mission 00:29:51 Predictive Member Care Outreach for Procedures 00:34:20 The Benefits Of Proactive Healthcare Key Links for Social: @SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFunded Listen on Spotify - https://open.spotify.com/show/1TjmrMrkIj0qSmlwAIevKA?si=068a389925474f02 Listen on Apple Podcasts - https://podcasts.apple.com/us/podcast/self-funded-with-spencer/id1566182286 Follow Spencer on LinkedIn - https://www.linkedin.com/in/spencer-smith-self-funded/ Follow Spencer on Instagram - https://www.instagram.com/selffundedwithspencer/ Key Words: Value Based Care, Patient Experience, network, Employers, Cancer Treatment, Cost Savings, Proactive Care, Warranty System, Healthcare Innovation, Quality Care, Transparent Healthcare, fixing healthcare, podcast, benefits, health, healthcare, health insurance, self funded, self funding #ValueBasedCare #PatientExperience #network #Employers #CancerTreatment #CostSavings #ProactiveCare #WarrantySystem #HealthcareInnovation #QualityCare #TransparentHealthcare #fixinghealthcare #podcast #benefits #health #healthcare #healthinsurance #selffunded #selffunding
Enhancing Pediatric Practices with Technology: Security, Efficiency, and AI IntegrationThis episode is sponsored by our friends at Freed.ai. Without their generous contribution, the show would not be possible. Dr. Rougu uses this product daily, and as he says, "It has changed my life. I don't work anymore." Please visit their website and support our sponsors. In this episode, we meet with Dr. Igor Trogan, a physician executive leader, to discuss technology that enhances medical practice quality, maximizes profits, and prevents physician burnout. Dr. Trogan shares insights into using security systems like Ring to monitor office activities, integrating electronic door locks, and employing virtual medical assistants (VMAs) from the Philippines for cost-effective staffing. The conversation also covers the usage of AI medical scribes like Freed AI to reduce documentation burdens, improve workflow efficiency, and various technology solutions like voice-over IP for better communication and patient care.00:00 Introduction and Guest Welcome00:23 Importance of Technology in Medical Practices01:56 Security Systems in Medical Offices05:45 Managing Multiple Office Locations13:52 Vaccine Storage and Monitoring21:05 Text-Enabled Communication Systems29:37 AI Medical Scribes: A Game Changer30:36 The Benefits of Voice Over IP in Medical Practices34:16 Efficient Call Center Operations38:38 Leveraging Virtual Medical Assistants49:54 Implementing AI for Documentation01:02:51 Conclusion and Final ThoughtsSupport the show
In the second part of this insightful series, Dr. Brett Beckman, a board-certified veterinary dentist, continues his conversation with Annie Mills, LVT, VTS (Dentistry). They discuss actionable steps for building or improving a dental service in general veterinary practices, even when resources and equipment are still in development. The focus remains on education, team building, and fostering a quality-over-quantity approach for exceptional patient care. Guest Information: Host: Dr. Brett Beckman, DVM, FAVD, DAVDC, DAAPM Guest: Annie Mills, LVT, VTS (Dentistry) Veterinary Technician Specialist with extensive expertise in dental care. Educator offering live, virtual, and on-demand courses tailored for veterinarians and technicians. Main Talking Points: 1. Building a Dental Practice Without Full Resources: Education First: Encourage staff to attend seminars (live, virtual, and online) to build a strong foundation of knowledge. Form a Dedicated Dental Team: Identify passionate team members (ideally 2-3 technicians and 2 veterinarians). Invest in continuing education for this small, focused team. Prepare for Equipment Integration: Train on key skills like dental x-rays, pathology recognition, and nerve blocks in advance. 2. Recruiting and Retaining Skilled Staff: Utilize the VTS Network: Leverage the growing community of Veterinary Technician Specialists (VTS) in Dentistry. Access resources through the Academy of Veterinary Dental Technicians (ABDT.us) to find qualified candidates. Promote Specialized Credentials: Highlight VTS expertise in marketing to demonstrate advanced care. 3. Learning from Experience: Key Lesson: Dental x-rays are indispensable for comprehensive care. Early pathology detection prevents unnecessary suffering and improves outcomes. Cautionary Tale: Practices operating without dental x-rays often miss critical issues, resulting in poor patient quality of life. 4. Overcoming Challenges in Dentistry Services: Quality Over Quantity: Start with no more than 2-3 patients per day to ensure thorough assessment and treatment. Patient Scheduling Tips: Avoid scheduling multiple periodontal cases in one day. Gradually scale up as team efficiency improves. Practice-wide Buy-In: Have conversations with managers and owners to ensure proper time allocation and support for dentistry cases. 5. Encouragement for General Practices: Take the pressure off by focusing on providing quality care. Recognize that building a successful dentistry service is a gradual process that requires dedication and teamwork. Key Quotes: "Dentistry is one of those services that just can't be rushed." – Annie Mills "It's about quality, not quantity. Three patients a day is a great starting point." – Annie Mills "Without dental x-rays, we're leaving patients to suffer in silence." – Annie Mills Episode Timeline: 00:00-04:00: Preparing for dentistry services with limited resources. 04:00-08:00: Identifying and training the dental team. 08:00-12:00: Recruiting VTS-trained technicians and their impact. 12:00-18:00: Lessons learned and the value of dental x-rays. 18:00-22:00: Addressing challenges and adopting a quality-first mindset. 22:00-28:00: Encouragement and actionable advice for general practices. Key Takeaways: Education: Prioritize staff training before investing in equipment. Team Focus: Build a small, passionate dental team for maximum efficiency. X-Ray Integration: Use dental x-rays to detect early pathology and improve care. Gradual Scaling: Start with a manageable caseload and grow as skills improve. Practice Support: Secure management and owner buy-in for proper time allocation. Learn More: Explore the Veterinary Dental Practitioners Program: https://ivdi.org/inv Keywords: Veterinary dentistry education, Building a dental team, Veterinary x-ray importance, VTS dental technicians, Quality dental care tips.
Visit NurseStudy.net for more FREENursing Diagnosis, Care Plans, Study Guides.Download my Audiobook Version for FREE If you love listening to audiobooks on-the-go, you can download the audiobook version of our NCLEX Prep book for FREE (Regularly $19.95) just by signing up for a FREE 30-day audible trial! Get this book for FREE when you sign up for a 30-day free-trial with Audible Audible US: https://bit.ly/42j6grx Audible UK: https://bit.ly/3Sp7SLN Audible FR : https://bit.ly/3UnJeOb Audible Canada : https://bit.ly/4bxh7T1 ___________________________________________See all of our FREE Nursing Exams onlineGet a FREE Copy of Pass The NCLEXVisit NurseStudy.Net we have over 800 Nursing care plans available.Nursing ResourcesRecommended NCLEX Nursing School Review ProgramNCLEX Review ProgramRecommended BooksLab Values for Nurses Over 160 Test QuestionsFundamentals of Nursing Review 110 Test QuestionsFluids and Electrolytes 100 Test QuestionsNursing Diagnosis HandbookNursing Care Plans HandbookMedical Surgical NursingComprehensive NCLEX Review*Social*Web: https://nursestudy.net/Shop: https://amzn.to/36jrZCNInstagramFacebookPinterestTikTokThe description contains affiliate links and I may be compensated a small amount if you make a purchase after clicking on my links.DisclaimerThis lesson is not intended to provide medical advice. The articles on this website are intended for entertainment or educational value only. While we strive to offer 100% accuracy, we cannot guarantee the validity or accuracy of any content. Medical procedures are rapidly changing, and laws vary greatly from location. #NCLEX #Nursing #NursingStudent
Join the Hui Deal Pipeline Club and secure a personal one-on-one call with Lane!https://thewealthelevator.com/clubIn this episode, we diverge from our usual topics of taxes and real estate to focus on a crucial aspect of personal finance: healthcare. Joined by Dr. Vedat, author of 'The Roadmap to Hospital Care,' we delve into patient advocacy, navigating health emergencies, and the importance of preventative care. Learn about the intricacies of the U.S. healthcare system, the role of primary and functional medicine, and how to prepare for unexpected medical costs. Dr. Vedat shares her personal experiences and offers practical advice on how to ensure you receive the best care possible. Whether you're dealing with a health crisis now or planning for the future, this episode provides valuable insights into safeguarding your health and finances.00:00 Introduction to Today's Unique Podcast03:20 Meet Dr. Vedat: A Passionate Advocate for Patient Care04:20 The Importance of Health Over Wealth06:31 Preventative Care and Integrative Medicine08:34 Navigating the Healthcare System10:55 The Role of Functional Medicine16:00 Planning and Preparing for Health Emergencies24:51 The Importance of Patient Advocacy29:44 Conclusion and Final ThoughtsConnect with me:LinkedIn: https://www.linkedin.com/in/lanekawaoka/Facebook: https://www.facebook.com/TheWealthElevatorInstagram: https://www.instagram.com/TheWealthElevatorLane Kawaoka is a developer and multi-family syndicator who owns 10,000+ rental units and is the leader of “Hui Deal Pipeline Club” which has acquired over $2.1 Billion AUM of real estate by syndicating over $200 Million Dollars of private equity and most importantly distributed more than $45M back to our investors since 2016. Check out our Top-50 Investing Podcast, The Wealth Elevator. Hosted on Acast. See acast.com/privacy for more information.
We're discussing Pursuing Equitable Access to High Quality Care! Faisel and Dan are joined by Dr. Mark Gwynne, President of the University of North Carolina Health Alliance.Our conversation revolves around the core principles of providing holistic value based care, the high quality outcomes from collaborative care, and the potential to transform access to care for better population health.
Aligning financial incentives with high-quality patient outcomes is essential for transforming healthcare economics and improving both cost-effectiveness and quality. In this episode, Nick Reber, founder and CEO of Garner Health, talks about how his company is revolutionizing healthcare economics by aligning incentives to improve provider performance and patient outcomes. Garner Health works primarily with employers, offering incentives to encourage the use of high-quality doctors while maintaining existing networks. Nick points out the challenges faced during COVID-19 when healthcare costs dropped, and interest in their services waned, but they remained committed to their long-term goals. He also warns of rising healthcare inflation trends and stresses the need for solutions to manage escalating costs effectively. Tune in to find out how Garner Health is changing the game in healthcare by making sure costs match the quality of care in our chat with CEO Nick Reber! Resources: Connect with and follow Nick Reber on LinkedIn. Follow Garner Health on LinkedIn and explore their website.
My guest Susan Hearn is talking about how she is moved and motivated by her work as executive director of a residential hospice home, and why she stays in this industry. #hospice #endoflife #death #dying #caregiver #caregiving https://pod.co/the-heart-of-hospice-podcast/quality-care-is-the-goal-at-residential-hospice-homes Residential hospice homes provide compassionate caregiving support for the dying. My guest Susan Hearn is talking about how she is moved and motivated by her work as executive director of a hospice home, and why she stays in this industry. Susan has a passion for serving hospice and palliative care patients and families and has been a pioneer in developing hospice programs throughout Oregon since 1993 when she helped to establish the Asante Hospice in Southern Oregon. Susan went on to pioneer a residential hospice model in Oregon, leading the way with both fundraising and the full building and policy development of Celia's House in Medford, Oregon and Hopewell House in Portland. She is motivated to give patients and their caregivers a greater voice in their end-of-life experience and in facilitating meaningful advanced care planning conversations between patients and families. Social media for Susan Hearn LinkedIn Interested in purchasing a GrandPad to stay connected with a senior loved one? Get more information at https://www.grandpad.net/thoh. GrandPad website: https://www.grandpad.net/ Social Media for GrandPad https://facebook.com/grandpad https://instagram.com/grandpad_social/ https://www.linkedin.com/company/grandpad https://www.youtube.com/channel/UCuFAJCb7_tTneM_ikABq08Q Order your copies of The Hospice Care Plan: A Path to Comfort here, now available in English and Spanish! Check out the free library of video tutorials from the creators of The Hospice Care Plan hospice nurses Nancy Heyerman and Brenda Kizzire here. Read more about Nancy and Brenda and their mission to improve hospice care here. Find Odonata Care on social media: Facebook YouTube IG TikTok Hospice Navigation Services is here for you. If you have questions about hospice care or need to troubleshoot the care you're already receiving, book a session with an expert Hospice Navigator at theheartofhospice.com.
Dr. Fumiko Chino and Dr. Raymond Osarogiagbon share highlights from the 2024 ASCO Quality Care Symposium, including patient perspectives and compelling research on topics like equity, supportive care, survivorship, and technology and innovation. TRANSCRIPT Dr. Fumiko Chino: Hello and welcome to the ASCO Daily News Podcast. I'm Dr. Fumiko Chino, an assistant professor in radiation oncology at the MD Anderson Cancer Center. On today's episode, we'll be highlighting key research and compelling perspectives that were featured at the 2024 ASCO Quality Care Symposium. I was delighted to serve as the chair-elect of this meeting's program committee, and I'm overjoyed to welcome its chair, Dr. Raymond Osarogiagbon, to the podcast today. He is the chief scientist at the Baptist Memorial Health Care Corporation and the director of the Multidisciplinary Thoracic Oncology Program at the Baptist Cancer Center in Memphis, Tennessee. Our full disclosures are available in the transcript of this episode, and we've already agreed to go by our first names for this podcast today. Ray, it's so great to speak with you today. Dr. Raymond Osarogiagbon: Thank you, Dr. Chino, and thank you for letting me call you by your first name. Dr. Fumiko Chino: I think both of our names are complicated enough and so I appreciate the level of familiarity that we've had with each other during the planning process for this fantastic meeting. Now, the Quality Care Symposium featured some really compelling research on very timely topics that address a wide range of issues in cancer care, including quality, safety, equity, supportive care, survivorship, and technology and innovation. Wow, what a lot to cover. Ray, do you mind sharing with me some of the key sessions that really stood out for you? Dr. Raymond Osarogiagbon: Yes, Fumiko, this was such a great conference. Our tagline this year was ‘Driving Solutions, Implementing Change.' We had more than 700 attendees in person and virtually. The Symposium featured many fantastic speakers, oral abstracts, posters, and we had networking opportunities for junior colleagues to interact with leaders in the space. We had conversations that will surely inspire future collaborations to improve quality cancer care. We had patients, advocates. I was inspired by the patient perspectives that were presented, learned a lot. And I really felt like this enhanced our understanding of some of the key issues that we see in our clinics. I was honored to be able to introduce my dear friend, Dr. Ethan Basch from the University of North Carolina, Chapel Hill, who received the Joseph Simone Quality Care Award this year. Dr. Basch gave a talk titled, “On the Verge of a Golden Age in Quality Cancer Care.” In his talk, which received a standing ovation, Dr. Basch tracked his personal development from fellowship training at Memorial Sloan Kettering through a junior faculty position at the same institution under the mentorship of Dr. Deborah Schrag, and ultimately to his current position as chair of oncology at the University of North Carolina and as physician-in-chief at the North Carolina Cancer Hospital. In parallel, with the evolution of the patient-reported outcomes movement that he has been right at the heart of, and also the evolution of cancer care delivery research into its current position of prominence in oncology. That was a spectacular talk, and it rightly received a standing ovation. We also had presentations and panel discussions that addressed patient navigation and cancer care moving from theory to practice, which provided wonderful, diverse perspectives on the evidence-based approaches to patient navigation and cancer care. And a wonderful session on the complexities of the pharmaceutical supply chain and what everyone in oncology should know that looks at the current challenges in the pharmaceutical supply chain. Leveraging technology to support patient-centered multidisciplinary care [was also covered], and we talked about health-related social needs and the impact of diversity, equity and inclusion on the oncology workforce. Patient care perspectives were just incredible. So, Fumiko, as an equity researcher, I really want to hear your key takeaways from some of these discussions. Dr. Fumiko Chino: I have to say, I was so impressed with not just the science that was presented, but also the passion from some of our educational speakers who are really speaking from their expertise and their commitment to try to continue to advance equity in the field of cancer care. And as someone who is still a relatively junior researcher, I feel that the work that I've done over the last decade has really been built on the shoulders of these giants. Just harkening back to you had mentioned that Dr. Basch essentially gave an overview of his career and as a young health services researcher, I've been really impressed about how generous the leaders in the field have been with their time not only to discuss their research at this conference, but also to talk to trainees and fellows and junior researchers and really share the wealth of their knowledge. In terms of equity research presented at the conference though, I was really struck by the overview we were able to provide about the best care to provide to LGBTQ patients. Dr. Mandy Pratt-Chapman actually gave a really lovely overview that was always centered in the patient. It really taught me a lot about what the best practice is to not just collect SOGI data to improve research, but also that there's billing codes that can actually help decrease the chance that a patient may be misbilled based on anatomical misunderstanding of their gender identity. I was very impressed about the capacity for some of our researchers to really think outside of the classic box for DEI research. So not just race as a social construct, ethnicity, but also health literacy barriers. There was a fantastic analysis looking at a randomized control trial (Abstract 385) that actually showed that patients with low health literacy actually got the most benefit from a digital intervention that involved text reminders to increase adherence. And the flip side of health literacy is that we know that the specific interventions that we do really need to be explicitly designed for the populations that they will be implemented on. Dr. LoConte actually had the results from her intervention looking at a radon mitigation indigenous communities (Abstract 44). And I was so impressed about her commitment to the process of listening to the communities and what their needs were, what their concerns were, and then implementing this community led intervention that helped mitigate the radon risk from many households where the actual radon levels were surprisingly high, beyond what they were that what they were anticipating. And so, it's all of these manifestations of how do we actually improve research, how do we advance the field and further the conversation in an era when it seems like DEI is really under attack. Well, I know you've long been an advocate for equity for lung cancer. And I know that you were actually involved in one of the amazing abstracts being presented that was essentially a decade- long QI (quality improvement) project to try to improve standards of care for lung cancer in a high-risk community in the Mississippi Delta (Abstract 278). And it actually showed over time that this surgical pathology intervention actually was able to improve overall survival for lung cancer. I know that this is part of the work that you've been doing for years. Can you talk a little bit about what was presented within the Symposium specifically for lung cancer, including your study? Dr. Raymond Osarogiagbon: Yes, Fumiko. The member of my team, Olawale Akinbobola, who has an MPH that he actually acquired within my research team I'm proud to say, had the wonderful opportunity to present this work on implementing surgical quality improvement, and in parallel, pathology quality improvement in a well-defined population involving 14 hospitals in seven health care systems across five contiguous hospital referral regions in Mississippi, Arkansas, and Tennessee, at the heart of the Mississippi Delta region. So Olawale showed that over the course of four consecutive 5-year time spans, the quality of surgery has improved from a time when using current objective benchmarks of surgical quality, anywhere from 0-5% of resections met these current standards. So basically, applying today's standards, but retrospectively, to where, as the interventions took hold, we now got to a point where about 67% of the sections in this population now attain surgical quality. And we saw in sequential lockstep with that, that the hazard of death among these patients has significantly decreased. All the way, I think using the first 5 years as the reference, the hazard reduced about 64%. Really amazing to see. But you know, there were other fascinating abstracts. There was a randomized controlled trial, Abstract 185, that demonstrated that olanzapine therapy was actually way more effective than prochlorperazine for patients with intractable chemotherapy-induced nausea and vomiting. I found that very compelling abstract. And then there was Elyse Richelle Parks who reported on the effectiveness of a virtual sustained tobacco treatment, Abstract 376 [a clinical trial conducted by ECOG-ACRIN within the NCI Community Oncology Research Program]. This tobacco control intervention is remotely administered using technology that was presented in today's session on leveraging technology to enhance multidisciplinary care delivery. That too was amazing to behold. Dr. Fumiko Chino: I've been so impressed within my, at least my interactions with the Quality Care Symposium for the last several years about how this meeting really creates the perfect space for this type of science, which can be frankly underappreciated at other meetings. You know, something like a QI project, a quality improvement project leading to an overall survival benefit or a trial like you mentioned, the randomized control trial for olanzapine, which specifically had a quality-of-life endpoint, meaning that patient quality-of-life was a compelling justification for optimal nausea control. These things are really underappreciated sometimes at the larger scientific meetings, and the ASCO Quality Care Symposium is really where these types of studies and this type of research really shines; it's very patient-centered. You mentioned the patient voice being a really integral part, and I certainly agree with that. The entire meeting started with a session featuring a phenomenal patient advocate, Jamil Rivers, who was diagnosed with de novo stage 4 metastatic breast cancer. And her experience with her primary treatment really highlighted some of the care gaps that Black women experience in their journey with breast cancer. And it really charged her to actually create a patient navigation organization to help Black women with breast cancer get more evidence-based care to make sure that they were actually asking the questions that needed to be asked, getting the resources that they qualified for, and making sure they were getting evidence-based care. Now shifting gears a little bit, in oncology and across medicine, there's actually been some major challenges with drug shortages. I'd like to ask you about the session that was featured to inform oncologists about what we need to know about navigating the complexities of the pharmaceutical supply chain. Do you mind sharing highlights from that discussion, Ray? Dr. Raymond Osarogiagbon: I will, Fumiko, but before I do that, I have to follow up on what you said about Jamil Rivers, the breast cancer survivor and advocate who leads the Chrysalis Initiative. She made the statement of the meeting [in my opinion] when she said, “A hospital encounter for a Black woman is like a Black man being pulled over by the police.” Wow. I mean, that's a direct quote. It suddenly helped me understand my wife's many years-long anxiety whenever she has to deal with encounters with clinicians and health care systems. But about that wonderful session on the challenges with the pharmaceutical supply chain. For me, there were two key highlights. One was Dr. Deborah Patt's discussion on the growing influence of pharmacy benefit managers, PBMs, on the cost and delivery of cancer care. And then there is Jason Weston's discussion of how U.S. generic oncology drug manufacturing has moved almost entirely out of the U.S. with this incredible unrealistic price focus, almost so focused on price competition, almost totally ignoring quality and safety. And paradoxically, that fierce competition has inhibited competition, right? So as the margins have shrunk and all these generic drug manufacturers have moved overseas with little oversight, the supply chain gets disrupted because these companies are not able to invest in processes, in their manufacturing facilities and so on. So, when something goes wrong, all of us become vulnerable. And the other striking thing I learned from Jason was this problem is not new. It is not new. It's been with us for decades. And without comprehensive solutions, unfortunately, it's not going to go away. So, these are some of the examples of things that I would really love the podcast audience to go and check out for themselves. Dr. Fumiko Chino: I will just highlight one additional aspect of that session, which was actually the oral abstract (Abstract 1) that was embedded into the session that was specifically about how when during the cisplatin shortage of last year, when that drug was out of stock, which is honestly a very widely available, typically cheap medication, Dr. Jody Garey actually presented on the fact that the things that were substituted were actually far more expensive, and that actually led to not just people not getting the standard of care due to the drug shortages, but also increased costs. So, the bizarre side effect of the race to the bottom in terms of price competition is the fact that during these shortage periods, there's actually a sharp increase in the overall cost, not just to the administration, but also in terms of payer costs and patient cost sharing. So, it is sort of a lose-lose situation. And that was really highlighted to me by that abstract. And I'm so grateful for the research that really puts these experiences that we see in our clinic, things like drug shortages, in a larger perspective of how things like health policy and reimbursement and some of the nitty-gritty that goes on beyond the scenes in terms of oncology practice really is ending up impacting patient care. Now Ray, is there anything else you'd like to highlight before we wrap up the podcast? Dr. Raymond Osarogiagbon: One I maybe should highlight was the discussion about DEI, which is obviously a contentious topic. And we had Dr. Tawana Thomas Johnson with the American Cancer Society tell us how DEI has evolved from something that everybody seemed like they were eager to support and champion in 2020 to a kind of backlash...how we moved from $5 billion in pledges by corporations to support DEI initiatives in 2020 after the George Floyd murder to now where everybody is wanting to roll things back. And yet in the face of this, wanting to roll things back, wanting to respond to the inevitable backlash, there is this commitment still that some companies have had to DEI and workforce development ideas, so nevertheless, ongoing support. For me, that was a bright spot. Dr. Fumiko Chino: I have to say, as someone who started going to the ASCO Quality Care Symposium as a trainee, I've been really encouraged myself in terms of bright spots for this meeting about the engagement from trainees, from medical students to residents and fellows to early faculty. We even had someone who had just graduated high school ask us one of the questions in a session. And that really highlighted for me that this meeting is a very young meeting. It really is the next generation of health services researchers. And that has always been one of the joys about some of the discussions because I feel like the science presented, the education presented is sparking new collaborations, new research paradigms, new mission driven research for another generation. And it's been just simply phenomenal. Dr. Raymond Osarogiagbon: Yeah, the networking opportunities. Wow. It was such a joy to behold people getting together, breaking off in small clusters, interacting with each other, strangers meeting and hitting it off. I mean, just what a wonderful meeting this is. Dr. Fumiko Chino: Yeah, I have to highlight that. Certainly, at my first ASCO Quality meeting at this point, I think eight years ago, I went to one of those Meet the Expert luncheons, had a great conversation with a phenomenal researcher who I still obviously very much admire. And I was sitting at a table at a Meet the Expert luncheon today. And I just felt so invigorated by some of the conversations that I had with the next generation of researchers about how to define their lane, their passion, and how to continue to advance the field. Thank you, Ray, for sharing your key takeaways from the 2024 ASCO Quality Care Symposium and for leading a truly robust program this year. Dr. Raymond Osarogiagbon: Thank you, Fumiko. This has been a labor of love as you will find when you take on this responsibility for next year's meeting. This has been my pleasure. Dr. Fumiko Chino: Thank you so much. I'm really excited about the program that we're going to start planning in Chicago next year. Everyone listening can mark their calendars for October in Chicago. I really want to thank our listeners for your time today. You will find the links to the sessions and the abstracts that we discussed in the transcript of this episode. And if you value the insights that you hear on the ASCO Daily News Podcast, please take a moment to rate, review, and subscribe wherever you get your podcasts. Disclaimer: The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement. Follow today's speakers: Dr. Fumiko Chino @fumikochino Dr. Raymond Osarogiagbon @ROsarogiagbon Follow ASCO on social media: @ASCO on Twitter ASCO on Facebook ASCO on LinkedIn Disclosures: Dr. Fumiko Chino: No relationships to disclose Dr. Raymond Osarogiagbon: Stock and Other Ownership Interests: Lilly, Pfizer, Gillead Honoraria: Medscape, Biodesix Consulting or Advisory Role: AstraZeneca, American Cancer Society, Triptych Health Partners, Genetech/Roche, National Cancer Institute, LUNGevity Patents, Royalties, Other Intellectual Property: 2 US and 1 China patents for lymph node specimen collection kit and metho of pathologic evaluation Other Relationship: Oncobox Device, Inc.
Emily Endres, VP of Pharmacy for PQS by Innovaccer conversed with Abdou Bah, SVP, Medical Management and Chief Health Equity Officer at EmblemHealth, on how community pharmacies are reshaping healthcare delivery in a recent online webinar.Discussions revolved around pharmacy partnerships, clinical services, blood pressure management and encouraging seasonal immunizations. Listeners can learn more about how innovative, team-based strategies are driving quality outcomes and improving chronic disease management. This webinar was originally presented on September 27, 2024.
In this episode, Piyush Khanna, Vice President of Clinical Services at CareFirst BlueCross BlueShield, joins the podcast to discuss the importance of timely data from provider networks. He shares insights on quality reporting requirements, operational challenges, and how advancements in data exchange are shaping the future of healthcare delivery.
In this episode, Piyush Khanna, Vice President of Clinical Services at CareFirst BlueCross BlueShield, joins the podcast to discuss the importance of timely data from provider networks. He shares insights on quality reporting requirements, operational challenges, and how advancements in data exchange are shaping the future of healthcare delivery.
There's a real drive to strengthen quality of care in facilities around the world. However, no matter where you are, improving healthcare depends on quality data—and collecting and using that data can be challenging without the time and expertise. In this podcast, we explore how different healthcare systems, especially those with limited resources, are tackling the challenge of data collection and use head-on. The BMJ has partnered with the World Health Organization and the World Bank on a Collection on Quality of Care. This podcast, the second in a series exploring themes from the Collection, features researchers and implementers from Ghana, Qatar, and the US. They share insights on improving and using data in resource-constrained environments, offering valuable perspectives relevant to healthcare systems worldwide facing similar challenges. Provenance statement: This podcast is part of a Collection on Quality of Care proposed and funded by the World Health Organization and the World Bank. The BMJ commissioned, edited, and published the podcast. Emma Veitch, Rachael Hinton and Duncan Jarvis were the lead editors for The BMJ.
"The best way I can explain it is the concept is like your house is on fire, and now you go get homeowners insurance." - Kevin Chambers Kevin Chambers (Lucent Health) joined me this week to help me understand just what makes tribal healthcare plans so unique. As Kevin shares in this episode, many companies are somewhat scared to insure tribes, as they have sovereignty and so any potential lawsuits are tried in tribal court. That doesn't mean that this niche needs to be neglected, though; tribes actually have some huge opportunities to build really effective healthcare plans. Kevin and I discussed the federal government's role in tribal healthcare, and the four main “pillars” he uses to insure tribes; four little-known government sponsored entitlements that subsidize tribal healthcare, including the ability for native people to pay Medicare rates for their healthcare, which Kevin calls “the ultimate Reference-Based Pricing”. Tune in this week for a look into the world of tribal healthcare! Chapters: (00:00:00) Introducing Kevin Chambers (00:01:32) Self-Governed Tribal Healthcare Clinics (00:16:24) Medicare Savings Program for Tribal Healthcare (00:23:24) Tribal Healthcare: Self-Governance and Affordable Medicine (00:27:26) High-Cost Medical Expense Reimbursement Fund (00:36:20) Crucial Role of TPAs in Tribal Healthcare (00:39:02) Reducing Fraudulent Charges through Healthcare Billing Transparency (00:40:08) Exposing Wasteful Healthcare Practices Key Links for Social: @SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFunded Listen on Spotify - https://open.spotify.com/show/1TjmrMrkIj0qSmlwAIevKA?si=068a389925474f02 Listen on Apple Podcasts - https://podcasts.apple.com/us/podcast/self-funded-with-spencer/id1566182286 Follow Spencer on LinkedIn - https://www.linkedin.com/in/spencer-smith-self-funded/ Follow Spencer on Instagram - https://www.instagram.com/selffundedwithspencer/ Key Words: #TribalHealthcare #SelfGovernance #EducationalInitiatives #HealthcareSolutions #CatastrophicHealthFund #TPAs #TransparencyInHealthcare #HealthcareEfficiency #TribalSpace #QualityCare #FinancialEfficiency #LegalCompliance #selffunded #podcast Tribal Healthcare, Self Governance, Educational Initiatives, Healthcare Solutions, Catastrophic Health Fund, TPAs, Transparency In Healthcare, Healthcare Efficiency, Tribal Space, Quality Care, Financial Efficiency, Legal Compliance, self funded, podcast --- Support this podcast: https://podcasters.spotify.com/pod/show/spencer-harlan-smith/support
Welcome to part 2 of our 2 part series with Dr. Ahmad Ammous. Dr. Ahmad Ammous is an internal medicine physician and advocate for the carnivore diet and Bitcoin. Dr. Ammous earned his medical degree from the American University of Beirut and has been practicing medicine for five years. He is passionate about helping his patients achieve optimal health, advocating for disease prevention through a healthy lifestyle and natural therapies.Dr. Ammous has critically examined mainstream nutritional advice, embracing a low-carb, high-fat diet. He is a passionate advocate of Bitcoin, linking economic principles of hard money to health and wellness. Dr. Ammous challenges the status quo in both medicine and nutrition, advocating for a more individualized and holistic approach to health.A strong advocate of Bitcoin, like his brother Saifedean Ammous, Dr. Ammous sees its potential to revolutionize healthcare with a more secure, efficient, and decentralized system.Key topics discussed:Unhealthy environments in hospitals affecting both staff and patientsThe rise of online and Bitcoin-based alternative healthcare systemsThe inefficiencies and failures of the current medical system in addressing root causes of illnessThe importance of diet, exercise, and lifestyle in managing mental health and overall well-beingPractical strategies for meal preparation and maintaining a healthy diet despite a busy scheduleTimestamps:(00:02) Challenges in Healthcare and Advocacy(06:29) Future of Personalized Medicine and Diet(15:29) Health and Wellness Discussion(25:54) Inspiring Health Conversations and Hope*** LINKS***Check out our Newsletter - Food for Thought - to dramatically improve your health this year!Join The Meat Mafia community Telegram group for daily conversations to keep up with what's happening between episodes of the show.Connect with Dr. Ahmad Ammous:TwitterConnect with Meat Mafia:Instagram - Meat MafiaTwitter - Meat MafiaYouTube - Meat MafiaConnect with Noble Protein:Website - Noble ProteinTwitter - Noble ProteinInstagram - Noble ProteinAFFILIATESLMNT - Electrolyte salts to supplement minerals on low-carb dietThe Carnivore Bar - Use Code 'MEATMAFIA' for 10% OFF - Delicious & convenient Pemmican BarPerennial Pastures - Use CODE 'MEATMAFIA' 10% OFF - Regeneratively raised, grass-fed & grass-finished beef from California & MontanaFarrow Skincare - Use CODE 'MEATMAFIA' at checkout for 20% OFFHeart & Soil - CODE ‘MEATMAFIA' for 10% OFF - enhanced nutrition to replace daily vitamins!Carnivore Snax - Use CODE 'MEATMAFIA' Crispy, airy meat chips that melt in your mouth. Regeneratively raised in the USA.Pluck Seasoning - 15% OFF - Nutrient-dense seasoning with INSANE flavor! Use CODE: MEATMAFIAWe Feed Raw 25% OFF your first order - ancestrally consistent food for your dog! Use CODE 'MEATMAFIA'Fond Bone Broth - 15% OFF - REAL bone broth with HIGH-QUALITY ingredients! It's a daily product for us! Use CODE: MAFIA
Oversight of Medicaid Quality Care: Data Analytics Manager Chris Magee recaps a new LLA report that evaluates the Louisiana Department of Health's oversight of managed care organizations to ensure Medicaid beneficiaries are receiving quality care and necessary services. | https://LLA.La.gov/go/podcast
Oversight of Medicaid Quality Care: Data Analytics Manager Chris Magee recaps a new LLA report that evaluates the Louisiana Department of Health's oversight of managed care organizations to ensure Medicaid beneficiaries are receiving quality care and necessary services. | https://LLA.La.gov/go/podcast
In a compelling episode of the Nurse Man Dan Show, our host, Nurse Man Dan, takes us through an emotionally charged and humor-filled journey past a typical day in his life as a home health nurse. Capturing the frustrations, challenges, and intense expectations faced by home health workers, the episode reflects an urgent need for reform in the healthcare sector. Focusing on his personal struggles with dark-color scrubs under extreme heat, Dan sets the scene with his desire for a flexible dress code for nurses. The conversation takes a personal turn as he opens up about colleagues noticing his weight gain, using it to fuel his journey to self-improvement rather than succumbing to societal pressures. His candid discussion about body image provides a refreshing perspective on maintaining one's health. Adding depth to the discussion, Dan reveals the crushing pressures catching up with home health nurses - the need to meet targets despite obstacles such as canceled appointments, long distances, and time. As he condemns the insistence on home health services for elderly patients, even when unnecessary, he highlights the toll it takes on the healthcare system and patient dignity. However, the episode isn't all about challenges and despair. Dan presents evidence of successful health intervention, shedding light on the power of quality care. Advocating patient-centric approach over financial considerations, he emphasizes the need for a systemic overhaul to pave the way for sustainable healthcare practices geared towards quality. Join us in this engaging episode where we explore the daunting realities of the healthcare system through the eyes of a dedicated home health nurse, and understand the urgent need for change in the struggle for better home healthcare services.
Like so many women in the swirl of perimenopause, health care founder and venture capitalist Joanna Strober found herself in midlife, suffering the fallout from fluctuating hormones and repeatedly misdiagnosed. What came next was Midi Health, a virtual care company for women 40+, offering high-quality medical care to women in perimenopause and menopause in all 50 states—covered by insurance. We dive into the ways the current healthcare system fails women 40+, cover menopause and its collateral impact ranging from disrupted sleep to depression to “toxic rage,” and get into capital raising as a female founder in the femtech space. Bonus: Joanna and Katie share a peek at their personal meno care routines, products, and must-haves. SHOW NOTES + TRANSCRIPT acertainagepod.com FOLLOW A CERTAIN AGE: Instagram Facebook LinkedIn GET INBOX INSPO: Sign up for our newsletter AGE BOLDLY We share new episodes, giveaways, links we love, and midlife resources
In this episode of Healthcare Americana, Christopher Habig is joined by Dr. Cristin Dickerson, founder of Green Imaging, to discuss the innovative world of direct care and its intersection with transparent, affordable medical imaging. Dr. Dickerson explains how Green Imaging was founded to solve the problem of unaffordable imaging in her community and how it has expanded to provide savings and improved quality in employer health plans. Dr. Dickerson also highlights the importance of transparency and quality in healthcare and the impact of Green Imaging on the direct care movement. She discusses recent legislation in Texas that allows for more flexibility in healthcare plans and shares her insights on future challenges and opportunities in the industry.TakeawaysGreen Imaging was founded to solve the problem of unaffordable imaging in the community by using untapped resources and offering savings through per click lease arrangements.Green Imaging has expanded to provide savings and improved quality in employer health plans by customizing solutions based on the specific needs of each employer.Transparency and quality are key factors in transforming the healthcare industry, and Green Imaging is leading the way by providing affordable imaging services with high quality.Recent legislation in Texas, such as House Bills 711 and 2002, has allowed for more flexibility in healthcare plans and has sparked interest from other states.More on Freedom Healthworks & FreedomDocSubscribe at https://healthcareamericana.com/episodes/More on Dr. Cristin Dickerson & Green ImagingFollow Healthcare Americana: Instagram & LinkedIN
Guest: Nikita Pangarkar, MA, CCC-SLP - In this episode, Renee is joined by Nikita Pangarkar for a discussion about culturally sensitive care for immigrant clients. What considerations should we, as SLPs, consider when evaluating and treating across the lifespan? How can we empower ourselves to provide quality care that demonstrates cultural humility? Join Renee and Nikita for a deep dive into serving the immigrant client community.
Centers for Medicare and Medicaid Services (CMS) implements quality initiatives for Medicare beneficiaries on dialysis. CMS uses these measures to see how the dialysis facility is performing. Dawn Curtis, VP of Clinical Quality, Fresenius Medical Care and Lori discuss the measures dialysis clinics look at and how the kidney care team uses them as a benchmark to provide adequate care for people on dialysis.
Family caregivers have always played an integral role in promoting and achieving quality care for their loved ones living in a long-term care facility. The importance of the informal care and support provided by family members for a resident's physical, mental, and emotional well-being became abundantly clear during the pandemic when those essential supports were taken away during the pandemic. Yet, advocacy and engagement by family members benefits not only their own loved ones, but ultimately all residents in a long-term care facility. In our conversation with Marcella Goheen, a family member and advocate, we discuss how families can individually and collectively, through family councils, be a strong voice for quality and for change in nursing homes.
Ever wondered what it takes to lead in one of the world's most challenging environments, the US Navy? Do you find yourself intrigued by the thought of making critical decisions under immense pressure? Then this episode is for you. As we sit down with retired Navy Rear Admiral and Medical Service Corps officer Terry J Moulton, we uncover a lifetime of leadership lessons, critical decision-making insights, and stories from his remarkable 37-year-long career. Admiral Moulton shares his experiences deployed during Operation Desert Storm to the heart of the Pentagon on one of the darkest days in US history. In our conversation, Admiral Moulton delves into the challenges he faced during his deployment on the USS Nimitz, his time in Okinawa, and the unforgettable experience of being in the Pentagon on 9/11. His accounts of these events, woven with lessons on leadership, draw a vivid picture of the realities of Military Medicine. You will hear about the intuitive decisions Admiral Moulton made to handle patient safety concerns, his performance-based approach to promotions, and the importance he placed on trusting his staff. His story illustrates the courage, resilience, and dedication necessary to thrive in high-stakes environments. RADM (Ret) Moulton opens up about his time leading the Tidewater Multiservice Market Office. His unique perspective on uniting the three Services, aligning with the needs of the MHS, and managing dual responsibilities offers invaluable advice for those navigating leadership roles within similar structures. Whether you're a veteran, on active duty, or simply interested in learning about leadership from a unique perspective, this episode promises a wealth of wisdom and a deeper understanding of Military Medicine. Terry's wisdom and advice, combined with his fascinating experiences, make this episode a must-listen for anyone seeking inspiration and leadership guidance. Chapters: (0:00:00) - Lessons From Early Years in Navy Medicine (0:05:28) - Military Assignments, Mentoring, and Medical Readiness (0:12:08) - Military Experience Around 9/11 (0:19:04) - Leadership Challenges in Okinawa and During Deployment (0:26:18) - Leadership Approach in Multiservice Market Chapter Summaries: (0:00:00) - Lessons From Early Years in Navy Medicine (5 Minutes) We speak with retired Navy Rear Admiral and Medical Service Corps officer Terry J Moulton. Admiral Moulton shares his story of joining the Navy, his deployment lessons learned aboard the USS Nimitz, and the experience of being in the Pentagon on 9-11. He provides advice to those advancing in roles with increased levels of accountability and responsibility. Admiral Moulton also shares his understanding of how enhanced multi-service markets and managed care support contractors can enable a ready medical force and a medically ready force. We discuss his early years and his early assignments, his roles and responsibilities, and the leadership lessons he learned. Join us as we explore these topics and more with Admiral Moulton. (0:05:28) - Military Assignments, Mentoring, and Medical Readiness (7 Minutes) Retired Navy Rear Admiral and Medical Service Corps officer Terry J Moulton reflects on his experience joining the Navy and the people who had a lasting impact on his career. He recounts his deployment on the USS Nimitz during Operation Desert Storm, and his efforts to ensure medical readiness on the ship. Finally, Admiral Moulton shares how the USS Midway Fire After-Action Report informed his approach to medical readiness. (0:12:08) - Military Experience Around 9/11 (7 Minutes) RADM (Ret) Moulton recalls his time serving in the Pentagon on 9/11. He reflects on the events of that day and how staying in the Pentagon to help set up a triage station transformed his future medical and military service. He speaks about the training he had done in the past that prepared him for this moment and the leadership challenges he faced when he was put in command roles. (0:19:04) - Leadership Challenges in Okinawa and Navy (7 Minutes) RADM (Ret) Moulton reflects on his leadership challenges in Okinawa. He discusses how he addressed patient safety concerns and relied on his intuition when making decisions. Admiral Moulton also shares his involvement in the planning for the evacuation of US citizens from mainland Japan and his role in ensuring their safe arrival to Okinawa. He emphasizes the importance of trusting his staff and the performance-based approach to promotion boards. (0:26:18) - Leadership Approach in Multiservice Market (17 Minutes) Terry speaks about his experience leading the Tidewater Multiservice Market Office. Admiral Moulton shares his approach to leading the three services with a focus on unity of effort and alignment with what the MHS needed. He then offers advice to the nine DHA directors and MTF directors on how to effectively communicate direction and understand their dual-hatted responsibilities. Lastly, Admiral Moulton counsels those in leadership positions on resolving conflicts between the hats they are wearing. Take Home Messages: Leadership often involves tackling difficult situations with honesty and integrity, whether it's addressing patient safety concerns or making critical decisions in high-pressure situations. Trusting your staff and adopting a performance-based approach to promotions are key leadership principles in any organization. When leading diverse teams, it's crucial to unite everyone with a common vision and align them with the organization's needs. Good leaders communicate effectively, providing clear direction and follow-ups. They ensure their teams understand what is important and what needs to be executed. It's essential for leaders to understand their dual responsibilities and roles, particularly in complex organizations where they might be wearing different 'hats.' Effective leadership requires an understanding of when to delegate tasks and when to be directly involved, often trusting one's gut instinct to make this decision. In challenging times, such as the evacuation of citizens during a crisis, leaders must make quick decisions, trust their staff, and have a plan in place to ensure safety and security. In healthcare, patient safety and quality of care should always be the top priorities. Leaders should pay close attention to these aspects and act promptly on any concerns. Mentorship is a valuable tool in leadership. It's important to learn from senior leaders and, in turn, guide those who are new to the organization or role. Embracing change and adaptability are critical to leadership. With changing scenarios, leaders must be ready to adapt their strategies and reassure their teams about the future. Episode Keywords: Navy, Medical Service Corps, Terry J Moulton, USS Nimitz, Operation Desert Storm, Pentagon, 9/11, Leadership Challenges, Medical Readiness, Military Assignments, Mentoring, Evacuation of US Citizens, Performance-Based Approach, Multiservice Market, DHA Directors, MTF Directors, Unity of Effort, Alignment with MHS, Effective Communication, Dual-Hatted Responsibilities, Conflict Resolution, Local Civilian Medical Providers, Quality Care for Veteran Patients, Leadership Impact Hashtags: #wardocs #military #medicine #podcast #MilMed #MedEd #NavyLeadership #MilitaryMedicine #TerryMoulton #RearAdmiralInsights #Pentagon911 #LeadershipPrinciples #TidewaterMultiservice #MilitaryCareer #LeadershipChallenges #DHAAdvice Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation. Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all Military Medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms. Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast
Join Dr. Natalie Keith and Dr. Josiah Dame in this enlightening episode of Vet Tales where they tackle the sensitive subjects of pet treatment plans and finances. Their discussion touches on the importance of pet care education and how costs can impact the care prescribed to pets. It also provides insights into leveraging pet insurance and the significance of accurate diagnostics in treatment through real-world examples. In this candid conversation, Keith and Dame intend to make listeners better equipped, empathetic, and informed pet caretakers. They explore the challenges of managing pet health, balancing quality care, diagnostic measures, and costs. Also, they narrate their experience from real-world cases that they have encountered. They discuss the constant tug-of-war between providing the best care and being mindful of financial implications. Their conversation also sheds light on routine checks, such as checking for worms in puppies, and how even routine practices need to be adjusted depending on individual cases. Furthermore, the noted veterinarians talk about the repetitious challenge of infections and viruses and why they can sometimes be frustrating for all parties involved. With personal anecdotes and clinical examples, Keith and Dame give an engaging glimpse into the medical mysteries they encounter. They passionately convey that their goal is neither wealth nor fame but the welfare of their patients. They convey a beautiful reminder that trust and maintaining open communication with clients is paramount to their profession. Tune in for this engaging episode that offers a comprehensive glimpse into the complex world of veterinary medicine.
Dr. Barrett made the switch to full-time locums six years ago, and he isn't looking back. Locums allows him time to develop his many hobbies and gives him the time off needed to schedule medical missions around the world, without diminishing his skills and abilities as a general surgeon. In this episode we talk about what it takes to be a locums surgeon, and how controlling your schedule can make all the difference in your career.
In this episode of the Healthy, Wealthy, and Smart podcast, guest host Dr. Stephanie Weyrauch interviews Dr. James Denisar-Green about rural healthcare. Dr. Denisar-Green shares his background and experiences growing up in Montana and his journey through medical training in both urban and rural settings. He discusses the challenges and rewards of practicing medicine in smaller communities and highlights the close-knit nature of these communities. Tune in to gain insights into the unique aspects of rural healthcare. Show notes: [00:00:23] Rural healthcare challenges. [00:05:58] Family medicine filling OB gap. [00:09:22] Challenges in rural healthcare. [00:12:55] Overcoming transportation challenges. [00:16:23] The conundrum of patient responsibility. [00:21:13] Healthy options at the supermarket. [00:26:38] Getting more providers in rural areas. [00:27:38] Bringing in rural providers. [00:32:01] Training physicians to stay. [00:35:36] Finding Meaning in Primary Care. More About Dr. James Denisar-Green: Dr. James Denisar-Green is a dedicated medical professional with a diverse range of clinical expertise, including general preventive medicine, maternity care, and graduate medical education. He currently serves as an Attending Faculty Physician with a Federally Qualified Health Center and Associate Program Director for a Family Medicine residency program located in Billings, Montana. He provides full-spectrum care in multiple settings including outpatient, inpatient, adult, pediatric, and maternity care. Dr. Denisar-Green completed his residency in Family Medicine with UNLV School of Medicine and holds a Ph.D. in Cell and Molecular Physiology as well as M.D. from the University of North Carolina. He has been recognized for his achievements, including the 40 under 40 award from the Billings Gazette in 2023 and the Resident Teacher Award from the Society of Teachers of Family Medicine in 2019. His research contributions include publications in PubMed and primary care lecture presentations. His passion for improving healthcare extends beyond the clinic, as evidenced by his involvement in hospital committees and community initiatives. Resources from this Episode: Website email: mudphudgreen@gmail.com Follow Dr. Karen Litzy on Social Media: Karen's Twitter Karen's Instagram Karen's LinkedIn Subscribe to Healthy, Wealthy & Smart: YouTube Website Apple Podcast Spotify SoundCloud Stitcher iHeart Radio
we have the pleasure of hosting Sharon Vitti, a Chief Executive Officer with over 30 years of experience in healthcare. Sharon is passionate about expanding access to high-quality and affordable care for more patients. She currently serves as the CEO of ATI Physical Therapy, following her successful tenure as the Senior Vice President at CVS Health and President of MinuteClinic, where she led various aspects of care delivery, business operations, and strategic development.During our conversation, we delve into several compelling topics with Sharon. Firstly, we explore what drew her to healthcare, physical therapy, and ultimately her role at ATI. From her early days as a candy striper to her unwavering passion for working in healthcare, Sharon shares her journey and the factors that shaped her professional path.Accessibility to high-quality and affordable physical therapy care is a prominent theme we discuss. Sharon emphasizes the importance of getting people to think "PT First" for musculoskeletal-related injury care and prevention. We also explore how improving access to care benefits both patients and providers and how the expansion of telehealth plays a vital role in enhancing accessibility.Moreover, we delve into what ATI Physical Therapy is doing to advance the cause of accessibility. Sharon sheds light on initiatives such as making it easier to schedule appointments with providers in their clinics or through telehealth. Additionally, we explore ATI's efforts to improve access to quality care in underserved communities, as well as their plans to expand their telehealth offering.Throughout our conversation, Sharon also addresses her role and responsibilities as one of the few female CEOs in the healthcare industry. She credits her mentors at Brigham and Women's Hospital and CVS, highlighting the significance of their guidance and support. Sharon further discusses the gender disparity in healthcare leadership roles and shares eye-opening statistics from the World Health Organization and Becker's.Join us as we gain insights from Sharon Vitti's impressive background and discover the superpowers she acquired from each role she fulfilled. Prepare to be inspired by her dedication to expanding access to care, and gain a deeper understanding of the importance of accessibility in the healthcare landscape.