Podcasts about readmissions

Show Notes Today's Guests: Jason Falvey PT, DPT, PhD jfalvey@som.umaryland.edu https://www.medschool.umaryland.edu/profiles/falvey-jason/ Twitter: @JayRayFalvey Please look for Jason's full speech in a future 2024 Journal of Acute Care Physical Therapy issue. Guest Quotes: 2:44 “physical function is a really, really important predictor of how successfully people are going to transition to the next level of care. And when I say successful discharge, I don't just mean readmissions…if you ask patients what they care about, that's not necessarily what they're going to say is they're not going to say, I don't want to visit the hospital in the next 30 days. And then after that, I don't care.  They really care about being at home, being able to age in place successfully, being able to functionally improve. So PTs have a lot to do with, you know, helping patients reach their goals and things that are maybe not exactly the same as the things your hospital system says are important.” 6:54 “Acute care PTs never know what happens to that person when they leave. They can't close the loop on equipment or modifications or caregiver training that they recommend. And you're hoping that everything goes smoothly with a care, you know, transition where that person gets the home care that you recommended or goes to outpatient that you recommended. But you don't have You know value from your organization to say we're going to consider it productive time for you to call and follow up …” 15:26 “I think one of the issues I have with productivity systems that are built on touching people is we really have created a volume based model. And do you really feel like you're able to address every person's need comprehensively? When, you have, you know, more credit for initial evaluations or new patients or metrics to see every patient within 24, 48 hours, right, it's, if we started highlighting the value of these other things, maybe there's advocacy and support and budgets at the hospital for more therapists or people to take on different roles.” Rapid Responses: If you had to co treat with a cartoon character on a home health visit, which cartoon character would you co treat with? “Oh, the genie from Aladdin for sure.” You know you work in Post-acute care when: You are working on a Sunday to get your last visit slash minute slash whatever you need to hit your metrics for the week are. Connect with our hosts and the podcast! Leo Arguelles (LEE-O R-GWELL-IS) largue2@uic.edu Twitter @LeoArguellesPT Ashley Poole Twitter @AshleyPooleDPT Interested in being a future guest? APTA Acute Care: Website Awards Journal Access Twitter @AcuteCareAPTA Facebook APTA Acute Care Instagram @AcademyAcutePT YouTube  APTA Acute Care Podcast Bridge the Gap APTA Acute Care Resources APTA Adult Vital Signs APTA Lab Values Document Webinar Recordings 2023 Long Covid Webinar Series

Editor's Summary by Preeti Malani, MD, MSJ, Deputy Editor of JAMA, the Journal of the American Medical Association, for the January 9, 2024, issue. The Morris Fishbein Fellowship in Medical Editing

Reducing preventable hospital readmissions is a national priority for payers, providers, and policy makers seeking to improve health care and lower costs. More important than costs, are the goals of providing quality care to patients who present with healthcare needs, helping them heal, and returning them safely to their home and loved ones.   Tod Baker, Principal, Dawn Sagliani, Consulting Director, and Christine Pilley, Consulting Director, all from Vizient join host Marilyn Sherrill, Sr. Performance Improvement Program Director, to discuss the emerging practices related to reducing readmissions.   Guests: Tod Baker Principal Vizient Dawn Sagliani Consulting Director Vizient Christine Pilley Consulting Director Vizient Moderator: Marilyn Sherill Sr. PI Program Director Vizient   Show Notes: [01:14 – 02:48]  How hospitals are managing the financial challenges, and taking risks for readmissions [02:49 – 03:11]  What hospitals are doing to reduce readmissions through better processes [03:12 – 05:41]  Why are patients being readmitted to hospitals [05:42 – 09:49]  The key elements to consider during the critical time of transition that can reduce a patient's risk of readmission [09:50 – 010:40]  Role of Nurse Navigators [10:41 – 11:41]  Benefit of assessing the home environment [11:42 – 15:34]  Barriers to reducing readmissions [15:35 – 16:13]  One recommendation for hospitals to bring about a more robust readmission program   Links | Resources: For more information, email picollaboratives@vizientinc.com   Subscribe Today! Apple Podcasts Spotify Google Podcasts Android RSS Feed

Contributor: Nick Tsipis MD Educational Pearls: The review article assessed 16.3 million patients across six states to identify those at high-risk for critical revisit Criteria for critical revisit was ICU admission or death within three days of discharge from the ED Critical revisits are extremely rare  0.1% of patients have a critical revisit after discharge 0.00001% die after revisit Of the patients that do experience critical revisits, the two major risk factors are Asthma - relative risk 2.24 Chronic medical conditions - incidence rate ratio 11.03  Of the top ten diagnoses that lead to critical revisits, 5 are respiratory Others include cellulitis, seizures, gastrointestinal disease, appendectomy, and sickle cell crisis.  References 1. Cavallaro SC, Michelson KA, D'Ambrosi G, Monuteaux MC, Li J. Critical Revisits Among Children After Emergency Department Discharge. Ann Emerg Med. 2023;82(5):575-582. doi:10.1016/j.annemergmed.2023.06.006 Summarized by Jorge Chalit, OMSII | Edited by Meg Joyce & Jorge Chalit, OMSII  

Anyone working in healthcare today knows the importance of reducing hospital or rehabilitation facility readmissions. Older adults are at risk for readmissions if they lack proper support at home. The days following the transition back to the home can be crucial to keeping the older adult safe. However, older adults and their families may not be prepared for all that is involved in the person's care as they adjust to their old environment. Listen to this episode to learn how support and help at home can be crucial to a successful transition and reduce the risk of readmission.

Commentary by Dr. Candice Silversides

Recent studies have demonstrated that sepsis patients have a much higher readmission risk than other common conditions such as heart failure, heart attacks, and pneumonia. The National Institutes of Health states that sepsis is a substantial healthcare burden, accounting for 6.2% of total hospital costs in the United States.   Shannon Chase Weck, Performance Improvement Specialist and Sepsis Coordinator at Houston Methodist West in Texas joins Host Shannon Hale to discuss share their work to decrease sepsis readmissions.   Guests: Shannon Chase Weck Performance Improvement Specialist and Sepsis Coordinator Houston Methodist West Hospital Moderator: Shannon Hale PI Program Director Vizient   Show Notes: [00:58 – 01:24] Looking at Sepsis as an organization [01:25 – 02:30] Organizations approach to sepsis readmissions [02:31 – 03:09] Grand Prix theme and outcomes [03:10 – 04:58] How they have sustained improvements [04:59 – 06:15] The barriers [06:16 – 07:23] Ah-has to share   For more information, email picollaboratives@vizientinc.com  

Commentary by Dr. Candice Silversides

Tough times don't last, tough people do. How to reduce 30 day readmissions and improve care for older adults. Learn how to create more geriatric pharmacist positions. Join podcast host, Kelly Ulen, as she interviews Jaylan Hayes Yuksel about these great topics.

Well... we've made it through 96 whole episodes without getting on our soap box. We guess it's time. "In an ideal world, hospital discharge would take place when both you and your healthcare provider think the time is right. You would be strong enough and healthy enough to handle not only the important discharge tasks and details, but also to take care of yourself once you arrive at your destination. However, we don't live in an ideal world" (Verywell Health). "Unfortunately, as many as one in six people on Medicare gets readmitted to the hospital within 30 days" (Verywell Health). This week, we're talking about the events surrounding a premature hospital discharge and the all-too-common ensuing readmissions. Strap in... if we get a little passionate, it's because we've been on the receiving end of these disastrous outcomes a few too many times. Our goal in sharing this information is only to bolster your personal awareness so you can be better prepared to be an advocate for yourself and your loved ones. SHOW NOTES Julie's Uplifting Story: August Edition of Rural Montana to be released online at a date TBD Inga's Uplifting Story: Woman gets tattoo so dad with Alzheimer's can always remember her Read the Articles: How to Fight a Hospital Discharge | How to Prevent Hospital Readmissions Join in on more of the fun on Youtube: https://youtu.be/nUe96_nNVy0 ⁠⁠⁠⁠⁠ FOLLOW INGA + JULIE! Connect with Inga on LinkedIn: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.linkedin.com/in/inga-lake-4857301b8/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Connect with Julie on LinkedIn: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.linkedin.com/in/julie-brubaker-3a89b2114/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Follow Caregiven on Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/thecaregivenpodcast/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Follow Caregiven on TikTok: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.tiktok.com/@thecaregivenpodcast?lang=en⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Subscribe to the Caregiven YouTube Channel: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.youtube.com/channel/UChtq-gS4yCWGE5UFnrU8OAA⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Follow EPAGA Home Care on Facebook: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.facebook.com/EPAGAHomeCare⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Join the Care and Share Facebook Group: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.facebook.com/groups/715609402176814⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Follow EPAGA Home Care on Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/epagahomecare/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Follow EPAGA Home Care on LinkedIn: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.linkedin.com/company/epaga-home-care⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Visit EPAGA's Website for more articles about home care: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.epagahomecare.com/articles⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Interested in opening your own EPAGA Home Care? Check out our Franchise Opportunities: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.epagahomecarefranchise.com⁠

Commentary by Associate Editor Paul Heidenreich

In this episode, the third in our health policy series, Dr. McGinn is joined by health services researcher and thought leader Dr. Peter Cram for a wide-ranging discussion on the issue of readmissions as a quality metric, including looking at the complexity of the measure through the lens of: - Practicing Clinicians- Department Chairs and CMOs- Health systems, including research findings and international health system comparisonsOther topics covered include the interplay of length of stay and readmissions and HRRP.Dr. Cram has published over a hundred peer reviewed papers, many in top tier journals and often challenging many closely held assumptions in the area of health policy. Article discussed: JAMA: https://jamanetwork.com/journals/jama/fullarticle/2797277Previous episodes:Medicare Advantage 101, Trends & Recent Headlines https://www.buzzsprout.com/1903646/12785423Medicaid Redeterminationhttps://www.buzzsprout.com/1903646/12690681

Patients who are high utilizers, also known as multi-visit patients (MVPs) or frequent flyers, whether found in the ED, inpatient units or other departments, drive up readmission rates and tie up resources. Often, clinicians and administrators hold out little hope that they can end the multi-visit cycles of these patients. Yet, by looking at a patient's multiple visits as a symptom of a deeper problem, and then identifying and rectifying that underlying problem, clinicians can end a patient's cycle of care utilization. On this podcast, a leading expert in high-utilizer care discusses her MVP Method which has been used by rural hospitals, community hospitals, safety net hospitals, and academic medical centers across the country. Dr. Amy Boutwell, President of Collaborative Healthcare Strategies, is a nationally recognized thought leader in the field of reducing readmissions and improving care for highest risk and multi-visit patients. She is the developer of the STAAR, ASPIRE, ASPIRE+ and MVP methods to reduce avoidable acute-care utilization and deliver whole-person care across settings and over time. The general principles and actions of the MVP Method can revolutionize care, break the cycle of utilization and change the life of your patients.  The Institute for Advancing Health Value has released an Intelligence Brief and Case Study to accompany this special podcast episode. Download the Open Access Intelligence Brief: “Building An Effective Care Pathway for Multi-Visit Patients: The MVP Method” (Available to Everyone!) https://www.advancinghealthvalue.org/building-an-effective-care-pathway-for-multi-visit-patients-the-mvp-method/ Download the Members-Only Case Study Brief: “Transforming Care MVPs at a Safety-Net Health System” (Available to Institute Members – Join the Institute for free if you work for a Provider Organization!) Episode Bookmarks: 01:30 High utilizers, also known as multi-visit patients (MVPs) or frequent flyers, whether found in the ED, inpatient units or other departments, drive up readmission rates and tie up resources. 02:00 Can high utilization by MVPs be impacted by addressing symptoms of a deeper problem? 02:30 Introduction to Dr. Amy Boutwell and the MVP Method to improve care for High Utilizers. 03:15 Support Race to  Value by subscribing to our weekly newsletter and leaving a review/rating on Apple Podcasts. 04:45 Referencing the Dr. Atul Gawande article called “The Hot Spotters” which showed how a health system experienced a 40% reduction in super-utilizer reduction. 07:00 The risk of conflating the terms of “high risk,” “high utilizer,” “high cost,” and “complex”. 07:45 Busting the myth that multi-visit patients are un-impactable. 08:30 “We must walk away from the dogma that it is not worth serving high utilizers. The industry must reengineer its thinking around that to advance health equity.” 09:00 Dr. Boutwell references the work of the Camden Coalition and how “Hot Spotters” did not confirm the myth of un-impactability. 10:30 The Hospital Readmissions Reduction Program (HRRP) aims to minimize the number of avoidable hospital readmissions by incentivizing hospitals to improve post-discharge planning. 11:30 Dr. Boutwell discusses the challenges of HRPP as a health policy and why hospitals have still yet to evolve in care delivery transformation. 12:30 Readmissions programs often are treated as a pilot instead of as a strategy for transformation. 13:30 Dr. Boutwell's work in partnering with health systems to develop a population health playbook to lower hospital readmissions. 14:30 The challenge of focusing on just one chronic condition in a readmission reduction strategy (e.g. heart failure). 15:45 “Multi-visit patients account for over half of all readmissions at every single hospital in the United States.” 16:45 “We have to go beyond payer-specific or disease-specific paradigms to find higher leverage population segments to impact.”

In this episode, Meliza Weiner, BESLER's Senior Manager of Revenue Cycle & Clinical Review Nurse, gives us a glimpse into the upcoming webinar - The Impact of Utilization Management & Readmissions - coming on April 19, 1 PM ET.

Preparation is key to reducing 30-day readmission rates and decreasing avoidable trips to the emergency department (ED). How do you get started? In today's episode, we discuss preparations your facility can make to lay the groundwork for success. This is the second of a two-part discussion on reducing 30-day readmissions and avoidable ED trips. Listen to “Reducing 30-Day Readmissions and Avoidable Emergency Department Trips (Part 1)" here.Related links: View video recording of this webinarDownload presentation slidesIf you'd like to contact guest speaker Patty Austin, email paustin@qualityinsights.org. Check out our other interviews by visiting https://www.qualityinsights.org/qin/multimedia This material was prepared by Quality Insights, a Quality Innovation Network - Quality Improvement Organization under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services (HHS). Views expressed in this material do not necessarily reflect the official views or policy of CMS or HHS, and any reference to a specific product or entity herein does not constitute endorsement of that product or entity by CMS or HHS. Publication number 12SOW-QI-GEN-120822-CC-A 

Your facility wants to reduce 30-day readmission rates and decrease avoidable trips to the emergency department (ED). How do you get started? In today's webinar, we'll discuss preparations your facility can make to lay the groundwork for success.This is Part 1 of a two-part discussion on reducing 30-day readmissions and avoidable ED trips. Related links: View video recording of this webinarDownload presentation slidesCheck out our other interviews by visiting https://www.qualityinsights.org/qin/multimedia This material was prepared by Quality Insights, a Quality Innovation Network - Quality Improvement Organization under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services (HHS). Views expressed in this material do not necessarily reflect the official views or policy of CMS or HHS, and any reference to a specific product or entity herein does not constitute endorsement of that product or entity by CMS or HHS. Publication number 12SOW-QI-GEN-120122-CC-A 

Preventable hospital readmissions cost the healthcare system approximately $25 billion annually, and it is estimated that one of every five Medicare patients is readmitted to the hospital within 30 days of discharge. Our panel of experts shares insights and best practices on lowering readmission rates for patients with chronic health conditions through proven prevention and discharge programs and follow-up plans. Panelists: Troy Garland, MBA, RN, Vice President, Clinical and Quality Operations, Equality Health Sarah Keenan, RN, BSN, MSIHM, Chief Clinical Officer/President, Integrated Care, Bluestone Physician Services Michelle Nelson, Director, Health Improvement, United Regional Health Center ​Ashish V. Shah, CEO, Dina​   This episode is sponsored by Dina Dina powers the future of home-based care with its care-at-home platform and network that can activate and coordinate multiple home-based service providers, engage patients directly, and unlock timely home-based insights that increase healthy days at home. Dina works with many leading health systems, ACOs and health plans to extend their reach into the home to help people live their best lives.   The platform creates a virtual experience for the entire healthcare team so they can communicate with each other--and help patients and families stay connected--even though they may not physically be under the same roof. Dina helps professional and family caregivers capture rich data from home, using artificial intelligence to recommend evidence-based, non-medical interventions. Visit their website at dinacare.com

August 2022 Journal Club Podcast Machine Learning–based Analysis and Prediction of Unplanned 30-Day Readmissions after Pituitary Adenoma Resection: A Multi-Institutional Retrospective Study with External Validation To read the journal article: https://journals.lww.com/neurosurgery/Fulltext/2022/08000/Machine_Learning_Based_Analysis_and_Prediction_of.6.aspx Authors: Michael Karsy, MD, PhD, MSc and Brendan T. Crabb, BS Guest Faculty: Steven N. Roper, MD Moderator: Megan Still, MD Committee Co-chair: Rafael A. Vega, MD, PhD

In this episode, we welcome back Mary Devine, BESLER's Vice President of Revenue Integrity, to discuss discharge dispositions in readmissions. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: CMS Medicare Readmissions rule What patient data is reviewed Impacts on readmissions Recommendations on readmissions and discharge...

In this episode, we welcome back Mary Devine, BESLER's Vice President of Revenue Integrity, to discuss discharge dispositions in readmissions. Learn how to listen to The Hospital Finance Podcast® on your mobile device. Highlights of this episode include: CMS Medicare Readmissions rule What patient data is reviewed Impacts on readmissions Recommendations on readmissions and discharge Read More

Pulmononologists, Drs. Ravi Kalhan and Nick Hanania join the podcast to discuss the topic of COPD readmissions including how serious a hospitalization for COPD actually is in terms of morbidity and mortality, appropriate pharmacotherapy, as well as nonpharmacologic treatments such as pulmonary rehab. They also share their thoughts on the importance of an exacerbation prevention strategy, the utility of a pulmonary discharge team, and close follow-up postdischarge.

In this episode, Lexman welcomes back Chris Duffin to the show. The two discuss his recent experience with anuria and how downrightness can lead to penholders and readmissions. As always, the conversation is packed with laughs.

Today, it's not enough to just pick a few quality initiatives to work on each year and hope for the best. Complex systems like hospitals need a comprehensive approach: an interlinked series of people, programs, and analytics to consistently improve and sustain quality. This episode of Modern Practice covers comprehensive and sustained quality transformation.   Guest speakers: Rick May, MD Senior Principal, Clinical Quality Improvement Vizient Orthopedic Surgeon   Tod Baker, BS Principal, Clinical Quality Improvement Vizient   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Principal, Clinical Operations and Quality Vizient   Show Notes: [01:30] Comprehensive clinical quality transformation program [03:03] When initiatives run out of steam [04:25] Quality is the great impactor, the holy grail, the fixer and differentiator [05:44] Readmissions in a new light [07:00] Why there is no sustainability [08:36] Mistaken emphasis on lagging instead of leading metrics   Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Dr. May's contact email: rick.may@vizientinc.com Tod Baker's contact email: tod.baker@vizientinc.com   Subscribe Today! Apple Podcasts Amazon Podcasts Android Google Podcasts Spotify Stitcher RSS Feed  

Dr. Jack Cush reviews the news and journal reports from the past week on RheumNow.com. Bad news for digitial ulcers in Systemic sclerosis, Readmissions in Lupus and Thrombocytopenia in APL patients.

Dr. Jack Cush reviews the news and journal reports from the past week on RheumNow.com. Bad news for digitial ulcers in Systemic sclerosis, Readmissions in Lupus and Thrombocytopenia in APL patients.

Host: Timothy Morgenthaler, M.D. @DrTimMorg Guest:  Anupam Chandra, M.D., Consultant, Internal Medicine, Mayo Clinic Hospitals discharge more Medicare beneficiaries to skilled nursing facilities (SNFs) than to any other post-acute care setting. Approximately 25% of those patients return to the hospital within 30 days. Many of these readmissions are preventable. In this podcast Anupam Chandra, M.D., Internal Medicine, Mayo Clinic shares how artificial intelligence is employed to determine which patients are at the highest risk for readmission and why. Dr. Chandra discusses Mayo Clinic's approach to readmission reduction for skilled nursing home patients, how it was implemented, and what factors are monitored to gain additional insights into clinical practice.  Find out more about Mayo Clinic's Quality program at https://www.mayoclinic.org/about-mayo-clinic/quality/. Connect with us on Twitter or Facebook using #mayokeyintoquality or at: https://www.facebook.com/MayoClinic https://twitter.com/MayoClinic

Hosted by: John Farley, MD, Associate Editor of Gynecologic Oncology Featuring: Catherine H. Watson, MD, Vanderbilt University Medical Center Larissa Alejandra Meyer, MD MPH, The University of Texas MD Anderson Cancer Center Editor's Choice Paper: Reducing non-surgical readmissions on a gynecologic oncology service Editorial: Our dual responsibility of improving quality and questioning the metrics: Reflections on 30-day readmission rate as a quality indicator

Hosted by: John Farley, MD, Associate Editor of Gynecologic Oncology Featuring: Catherine H. Watson, MD, Vanderbilt University Medical Center Larissa Alejandra Meyer, MD MPH, The University of Texas MD Anderson Cancer Center Editor's Choice Paper: Reducing non-surgical readmissions on a gynecologic oncology service Editorial: Our dual responsibility of improving quality and questioning the metrics: Reflections on 30-day readmission rate as a quality indicator

A randomized controlled trial across 8 acute care hospitals showed that patients in the group that used Remote Patient Monitoring (RPM) after surgery, were 5.3% less likely to be readmitted, were 13.9% less likely to report pain 7 days after surgery, and were 24.2% safer because medication errors were detected. Hear from two leaders of this groundbreaking study: Dr Michael McGilion and Dr. PJ Devereaux from McMaster University. Find more great health IT content: https://www.healthcareittoday.com/

Tom Robertson, Executive Director of the Vizient Research Institute discusses the challenges of balancing research and patient care with Johnese Spisso, who before taking on her current role as President of UCLA Health, spent 22 years at UW Medicine in Seattle, another academic medical center in the top tier of research funding by the National Institutes of Health. Johnese describes UCLA's innovation center, designed to bring new clinical discoveries to the bedside, and a purposeful focus of philanthropy on the translation of innovation into improved patient care, exemplified by UCLA's recent ranking on the U.S. News and World Report's honor roll.   Guest speaker: Johnese Spisso, RN, MPA President, UCLA Health CEO, UCLA Hospital System    Moderator: Tom Robertson Executive Director Vizient Research Institute   Show Notes: [0:55] UCLA Health System's high rankings with the U.S. News & World Report [2:30] UCLA focuses on delivering patient safety and performance improvement plan, not rankings [3:55] MOVERS dashboard: Mortality, Outcomes, Value-based care, Experience of the patient and family and quality measure for Readmissions. It is reviewed monthly by department chairs. [4:53] UCLA relies on Vizient to lead them through the quality, safety and service rankings; the ability to benchmark against similar academic medical centers and to be able to share ideas and lessons learned with peers has been invaluable [6:56] All academic medical centers need to do more work on health equity [7:37] Balancing priorities between research and patient care [9:38] UCLA started an innovation center to develop new therapies, new technologies that are coming forward from bench to bedside.  It also created a bio design program to take clinical ideas from thought to commercialization. [10:55] UCLA has patient and family advisory councils for innovations [11:15] COVID has allowed the public to see the value of the investment in research because UCLA was able to bring COVID tests and participate in clinical trials faster than before. [12:40] Philanthropy is investing in innovation to advance health care forward. [14:00] Hospital systems struggle to consolidate clinical programs to reduce variation and cost   Links | Resources: Johnese Spisso biographical information   Subscribe Today! Apple Podcasts Amazon Podcasts Google Podcasts Android Spotify Stitcher RSS Feed

Friends, This episode is about a domain of healthcare delivery that will undergo a fundamental transformation over the next 3 – 5 years. It is the most precarious and fragmented ...

Friends,This episode is about a domain of healthcare delivery that will undergo a fundamental transformation over the next 3 - 5 years. It is the most precarious and fragmented stage of care - post-hospital discharge and post-acute care transitions. It is a side of healthcare that is ripe for disruption, with the potential to greatly reduce readmissions, reduce total costs of care, and dramatically reduce preventable pain and suffering for patients and their families.Our guest today, Yoni Shtein, is a serial entrepreneur who started his journey as a software engineer at Microsoft. Having completed his MBA at Harvard, Yoni joined RPX Corp as a founding member of the insurance business. After RPX went public, Yoni left to co-found and merge a tech fund into Fortress Investment Group, where he spent six years as an investor. Yoni then moved to Israel and launched Laguna Health, a ‘digital recovery assurance company', with his longtime friend and colleague from Microsoft, Yael Peled Adam. They also have recently brought Dr. Alan Spiro on as their President and Chief Medical Officer. In this episode, we'll discover:Why Yoni states that “recovery is everyone's problem and no one's job”, and how Laguna is making it their job!Why and how Laguna is focused on the behavioral and contextual aspects of care, even more than the clinical signs and symptoms.The three platforms that Laguna has created to engage patients and guide providers in optimizing transitions of care: their patient-facing app, the Harmony Case/Care Management Platform, and their Clinical Care EngineHow Laguna is customizing care through a “choose your own adventure” approach.The tremendous outcomes Laguna is achieving in readmission reduction.During the interview Yoni states his fundamental thesis: “Laguna is reframing healthcare in changing the dialogue from readmissions and provider penalties to member ‘recovery journeys' and payer cost drivers.” He points out that the most fundamental problem in transitions of care is the misalignment of incentives. Let's unpack his statement.The reality is that healthcare systems and provider groups are not financially incentivized to optimize patients' health after discharge. While there has been an increased focus over the past few years on reducing readmission rates (driven in large part by CMS readmission penalties); the fact is that hospitals' financials are not aligned to post-hospital care. And, just to be clear, this is not to blame hospital systems. Instead, it's a commentary on how care is paid for in our country. Given that reality, Yoni and his colleagues are targeting their efforts at entities whose business models are aligned with improving post-discharge care: (1) self-insured employers; (2) Medicare Advantage Health Plans; and (3) payers or healthcare systems that are taking financial risk for their populations' total cost of care.A second reframe that Laguna is introducing is instead of focusing on a metric (i.e. 30-day readmission rate); they are focused on the patient's “recovery journey”. They're using decades of published research to identify “recovery barriers”, and are designing their products and services to mitigate and eliminate those barriers. A third reframe that Laguna has introduced is that they have designed their care model to address the behavioral and contextual aspects of care.  They're identifying and solving for the daily barriers that people face in engaging with healthcare and optimizing their health.According to Yoni, over 50% of all readmissions are preventable. That means that the American healthcare system is failing patients and their families one out of every two readmissions. It's been said that our healthcare system is perfectly designed to deliver the results it delivers. But if we understand how wrong those results are, why aren't we changing the system more intentionally and more immediately? Why aren't more healthcare leaders not pushing to create a new healthcare? Far from being discouraged, these questions only strengthen my resolve to seek avenues to create a new and more humanistic healthcare system. And, it also strengthens my belief that we need more leaders like those in Laguna, who are reframing healthcare to be what patients, their families, as well as providers need it to be, and not what ‘the system' dictates it be. Until Next Time, Be Well.Zeev Neuwirth, MD 

People Get admitted and discharged from the hospital every day- What we don't want is to come back within 30 days of that last admission. Face it No one wants to be in the hospital and NO ONE wants to be back within 30 days of being discharged or at all! There's no place like home ! Lets keep you there by talking about which conditions are the ones that can cause the most readmissions and how to prevent that. And yes I do say Myocardial Infection not Infarction. Told you it's all me in all my glory ready or not I do not edit- I just upload. You get a very raw Joyce. Text or call 847-809-1214 for questions or comments. #advocate #privateadvocate

This episode is presented by the American Case Management Association. Join our host, Deb McElroy, along with featured guest, Thomas Rhodes. Thomas has over 16 years of experience in respiratory care with ten of those years in leadership. He currently oversees two locations for Houston Methodist. Today the conversation focuses on the impact of a respiratory therapist led COPD education program on acute care hospital readmissions. Join thousands of your peers who have made the decision to further their connections, learning and knowledge afforded through ACMA membership. Take advantage of local chapter engagement. Gain access to insights and professionals in your area by joining one of over 30 ACMA chapters across the country; available exclusively to ACMA Members. Visit acmaweb.org/membership to learn more. Please visit acmaweb.org/podcast for more information about the podcast, or contact us directly at podcast@acmaweb.org with questions, topic requests, or other feedback.

This podcast covers the JBJS June 16, 2021 issue. Featured are articles covering Volumetric Bone Mineral Density in Cementless Total Hip Arthroplasty in Postmenopausal Women; recorded commentary by Dr. Blaha; Length of Stay, Readmissions, Complications in Unicompartmental Versus Total Knee Arthroplasty.

In this episode of the SeamlessMD Podcast, Dr. Joshua Liu, Co-founder & CEO at SeamlessMD, and marketing colleague, Alan Sardana, chat with Caroline Fanti, Director of the Regional Surgical Services at Thunder Bay Regional Health Sciences Centre on "Using Surgical Remote Monitoring to Reduce ED Visits & Readmissions". For full show notes, please visit:

On this episode Nikki Starrett, the Director of Value-based Care at Collective Medical, a PointClickCare Company joins the podcast. Here she discusses specific pain points for ACOs, including readmissions and revenue leakage. She also gives advice to ACOs who are just getting started with value-based care. This podcast is sponsored by PointClickCare.

The launch of eRemede, a telehealth platform, has been announced. The software is fully HIPAA compliant and facilitates communication between patients and healthcare providers. Go to https://eremede.com (https://eremede.com) to learn more, or https://bensever.com (Ben Sever)

Today's guest is Cheryl Ericson, RN, MS, CCDS, CDIP, clinical program manager for Iodine Software in Charleston, South Carolina. The show is co-hosted by Laurie Prescott, RN, MSN, CCDS, CCDS-O, CDIP, CRC, CDI education director at HCPro/ACDIS in Middleton, Massachusetts. Featured solution: Today's featured ACDIS solution is ACDIS Online: CDI Summer Retreat. A retreat is a place of privacy, safety, and security. A place where like-minded individuals can come together to withdraw from the day-to-day, to study, meditate, and learn from one another. A place to take a collective breath, let the worries of the past year pass by, and recharge both personally and professionally. That's why ACDIS and the 2021 Events Committee developed this three-day, two-track, ACDIS Online: CDI Summer Retreat—kicking off the first official week of summer, June 23-25. Be inspired by sessions focused on CDI growth and advancement. Learn networking strategies that will help you take your career to the next level. Hone your CDI skills in sessions focused on becoming a stronger reviewer. Become a better manager by learning how to build trust within your department and organization. Connect with physicians through multiple sessions offering tactics for engagement. Sessions begin at noon, eastern, allowing attendees to come together regardless of their geographic location. There will also be live question and answer sessions with event speakers, an inspiring live keynote, a virtual cocktail hour, and live-stream discussion strings enabling attendees to share in the most valuable asset of all—our CDI experiences. This is our biggest virtual event yet offering more than a dozen continuing education credits. When you listen live, you can choose sessions from two tracks, but all sessions are available on demand for 60 days after the close of the event, so no need to miss any education! Click here to learn more and to register today! (http://ow.ly/xFQe30rEvqZ) In the News: “Supporting the next wave of CDI professionals,” by Cheryl Ericson, RN, MS, CCDS, CDIP, in ICD10Monitor (http://ow.ly/vP6a30rEvst)   ACDIS update: “Note from the Associate Editorial Director: A fresh look for the ACDIS logo,” from CDI Strategies (http://ow.ly/QqCn30rEvrq)

Over the last several years there has been a trend of self-funded employers overlaying Centers of Excellence networks on top of their broad Health Plan networks.  These COE networks are typically focused on high cost or complex procedures.  But why is an employer purchasing access to a separate network?  Doesn’t the Health Plan offer a comprehensive network that covers these procedures?  Isn’t this overlay confusing to the patient? Here today to share with us how these COE solutions benefit both employers and consumers is Sach Jain, CEO of Carrum Health, a national Centers of Excellence solution focused on high volume surgeries such as coronary bypass, hip and knee replacements and more.  Founded in 2014, Carrum Health offers a platform that includes everything from provider contracting to member engagement.  Sach is a computer scientist and engineer by training and is one of the leading national experts in the value based care space, especially bundled payments. Show Notes:  Favorite Book:  Sapiens: A Brief History of Humankind by Yuval Noah Harari. Podcast: How I Built This with Guy Raz

Commentary by Dr. Kathleen Zhang

Transitions of care can be arduous for clinicians and confusing to patients. Often, clinicians and patients alike face unreal expectations as to the level of care that results. As an answer, NYU Langone Health fostered better communication between clinicians in the acute-care areas and clinicians in the post-acute facilities to improve on the inefficiencies and drawbacks involved in care transitions. Ana Mola, PhD, ANP-BCDirectorCare Transitions and Population Health ManagementNYU Langone Health. Adrienne Goldberg, MPTDirectorPost-acute Innovation and Special ProjectsNYU Langone Medical Center Subscribe Today!Apple PodcastsSpotifyGoogle PodcastsAndroidStitcherRSS Feed 

In this episode of the SeamlessMD Podcast, Dr. Joshua Liu, Co-founder & CEO at SeamlessMD, and marketing colleague, Alan Sardana, chat with Meherazade Sumariwalla, MHA, Director of Customer Success at SeamlessMD, about how a client reduced cardiac readmissions by 45% with SeamlessMD. For full show notes, please visit: https://seamless.md/2020/10/27/seamlessmd-podcast-episode-20-reducing-cardiac-readmissions-by-45-percent-with-digital-patient-engagement/

This week, Amol and Kieran discuss two studies: How can we prevent readmission? An observational study of 1000 general internal medicine patients from 12 United States academic medical centres found that 26.9% of readmissions were potentially preventable. Key factors associated with potential preventability included decision making in the emergency department, lack of information to outpatient ... The post Summer Replay – Pondering Preventability: Readmissions and Catheter-Associated UTI appeared first on Healthy Debate.

This week, Amol and Kieran discuss two studies: How can we prevent readmission? An observational study of 1000 general internal medicine patients from 12 United States academic medical centres found that 26.9% of readmissions were potentially preventable. Key factors associated with potential preventability included decision making in the emergency department, lack of information to outpatient ...The post Summer Replay – Pondering Preventability: Readmissions and Catheter-Associated UTI appeared first on Healthy Debate.

This week, Amol and Kieran discuss two studies: How can we prevent readmission? An observational study of 1000 general internal medicine patients from 12 United States academic medical centres found that 26.9% of readmissions were potentially preventable. Key factors associated with potential preventability included decision making in the emergency department, lack of information to outpatient ... The post Pondering Preventability: Readmissions and Catheter-Associated UTI appeared first on Healthy Debate.

This week, Amol and Kieran discuss two studies: How can we prevent readmission? An observational study of 1000 general internal medicine patients from 12 United States academic medical centres found that 26.9% of readmissions were potentially preventable. Key factors associated with potential preventability included decision making in the emergency department, lack of information to outpatient ...The post Pondering Preventability: Readmissions and Catheter-Associated UTI appeared first on Healthy Debate.

This Week: Reena and Amol want you to: 1. Appreciate the challenges in reducing unplanned readmissions to hospital and concerns about that metric as a quality indicator. 2. Recognize that malpractice reform in three US states did not reduce the intensity of physician practice or resource utilization, suggesting that “defensive medicine” may not be a large ... The post Health Systems Failures 2: Unplanned Readmissions and Malpractice Reform appeared first on Healthy Debate.

Margaret Parker, MD, FCCM, speaks with MD, MPH, Angela S. Czaja, MD, MSc, lead author on an article published in the July Pediatric Critical Care Medicine.