Podcast appearances and mentions of shannon brownlee

The endurance of medication overload: Rethinking the medication review process by James P. McCormack, Pharm.D., University of British Columbia; Shannon Brownlee, M.Sc., Lown Institute; Judith Garber, MPP, Lown Institute; and John W. Devlin, Pharm.D., FCCP, Northeastern University. Download the editorial at: https://accpjournals.onlinelibrary.wiley.com/doi/10.1002/jac5.1150. View the full Opinions in JACCP Virtual Issue at: https://accpjournals.onlinelibrary.wiley.com/doi/toc/10.1002/(ISSN)2574-9870.editorial.

Recently I was talking to someone, a civilian not in health care, and I mentioned something about how patients don't always get a treatment plan (a care plan) based on the best evidence or sometimes even any evidence. Here's how I explained it to him—what this looks like in the real world: Let's say two patients, patient 1 and patient 2, with the exact same clinical needs and zip code … both these two patients see the exact same doctor. The only difference between these two patients is that they're two different colors. And let's add a third patient into this mix: say, ME. Let's say I have the exact same profile and zip code as those first two patients. I see a different clinician in the same exact practice, though. In all these circumstances, evidence is evidence, right? There should be one care plan that all three of us get when we show up at that same care setting. Until the evidence changes, that is, right? But the reality is that it's just as likely that those other two patients and I, we all get various shades of different care plans. The civilian I was having the original conversation with about evidence-based medicine and this care planning? He literally recoiled in surprise. He was shocked. He said he thought medicine was more science than that. I'm going to take that anecdote as a data point to suggest that there is a disconnect between what patients think is going on and what is actually going on relative to how care plans tend to happen in health care. Alex Akers from Health Catalyst in episode 176 and Clint Phillips from Medici in episode 201 get into this in detail. You can listen to full episodes and learn more about this week's guests at relentlesshealthvalue.com.  Jeffrey Hogan is the northeast regional manager for Rogers Benefit Group, a national benefits marketing and consulting firm. Jeff has been with Rogers Benefit Group for 30 years. Additionally, Jeff operates a consulting firm, Upside Health Advisors, where he provides expert witness services on health care–related litigation, is a consultant to payers and large provider groups for product development and launch, and is a resource to employers desirous of implementing strategies to manage their health spend. Jeff is focused on health care payment reform, health policy, care coordination, value-based health care, health care quality, and precision medicine. Jeff regularly appears on national forums focused on moving to value-based health care and is actively working to promote health care–related transparency measures in the market. He serves as the group's liaison to the National Alliance of Healthcare Purchaser Coalitions. Jeff is the regional leader for The Leapfrog Group. He is also one of the coordinators of Connecticut's Moving to Value Alliance. Darrell Moon founded Orriant in 1996 to change the dynamics of health care and give employers some control over the ever-increasing costs of the health care benefits they offer their employees. Darrell believed that engaging individuals in the management of their own health was a key that had to be inserted back into the economic equation of health care. Darrell received both his bachelor's degree in finance and his master's degree in healthcare administration from Brigham Young University. As the CEO, COO, or CFO, Darrell managed medical and psychiatric hospitals throughout the country for over 10 years prior to creating Orriant. He also has more than a decade of experience managing insurance and managed care products. Darrell is a Forbes leadership contributor. Grace E. Terrell, MD, MMM, is CEO of Eventus WholeHealth, a company focused on integrated value-based behavioral medicine and primary care in the long-term care space. She is a national thought leader in health care innovation and delivery system reform and a serial entrepreneur in population health outcomes driven through patient care model design, clinical and information integration, and value-based payment models. She is the former CEO of Cornerstone Health Care, one of the first medical groups to make the “move to value” by lowering the cost of care and improving its quality for the sickest, most vulnerable patients; the founding CEO of CHESS, a population health management company; and the former CEO of Envision Genomics, a company focused on the integration of precision medicine technology into population health frameworks for patients with rare and undiagnosed diseases. Dr. Terrell currently serves on the US Department of Health and Human Services Physician-Focused Payment Model Technical Advisory Committee and the board of the AMGA (American Medical Group Association), is a founding member of the Oliver Wyman Health Innovation Center, and is the coauthor of Value-Based Healthcare and Payment Models. Rich Klasco, MD, FACEP, has focused throughout his career on rendering evidence-based medicine operational—that is, making the right thing the easy thing to do. He has pursued this goal in academia, in industry, in policy, and in the press. In addition to publishing extensively in both peer-reviewed journals such as JAMA and lay publications such as The New York Times, Dr. Klasco has taught at leading academic medical centers, including Harvard, Stanford, Mayo, and the University of California, San Francisco; served on the executive committee of Brigham and Women's Hospital Center for Patient Safety Research and Practice; testified before the United States Congress on evidence-based practices; and won CMS (Centers for Medicare & Medicaid Services) approval for an officially designated compendium of evidence-based oncologic drug information. Dr. Klasco previously served as chief medical officer and editor-in-chief for the Thomson Reuters group of health care companies, where he had editorial responsibility for companies including Micromedex, the Physicians' Desk Reference (PDR), and the United States Pharmacopoeia (USP) Drug Information. For the past 15 years, Dr. Klasco has served as chief medical officer for Motive Medical Intelligence, where he provides clinical leadership for the development and deployment of solutions that quantitative assess physician performance for payers, providers, and patients, and integrate scientific knowledge into workflow systems where it can be accessed and applied in real-time. Dr. Klasco received his medical degree from Harvard Medical School. He completed his internship and residency in internal medicine at Brigham and Women's Hospital, and he completed his residency in emergency medicine at the Denver Health Residency in Emergency Medicine, where he served as chief resident. Nicole Bradberry is the founder and chief of growth and innovation officer for MIND 24-7. MIND 24-7 runs mental health crisis centers with a focus on immediate access, quality care, and the understanding that mental health and substance abuse drive significant health cost. She is also the founder of ValueH Network, which aggregates high-performing value-based care network providers in order to enable the best performance in new innovate contracts. In addition, she is currently the chief executive officer and chairman of the board of the Florida Association of ACOs (FLAACOs). FLAACOs is the premier professional organization for accountable care organizations (ACOs) throughout Florida which provides education and collaboration in the fee for value health care space. Nicole spent 16 years leading operations and information technology programs for UnitedHealth Group and Cigna HealthCare. While there, she served as business lead for the technology transformation of the country's largest dental and vision services company, led the national deployment of health care quality and affordability programs, and was responsible for the successful integration of many major health plans. Nicole holds a bachelor's degree in statistics from the University of Florida. She has been recognized for her personal and professional achievements many times, recently as the nation's Outstanding Midmarket IT Leader of the Year and one of the Business Journal's “Women of Influence.” She is often found on the speaker faculty for health care conferences focused on ACOs, population health, and value-based care. She is passionate about changing health care and enabling physicians to provide high-quality, cost-effective, and consumer-focused care. Kelly A. Conroy is director of Pinnacle Healthcare Consulting and brings more than 30 years of health care finance, management, and leadership experience with significant experience in value-based care. As a leader in the field, she'd contributed through multiple start-up health care companies with a leading-edge focus on advancements in care delivery and alignment. Kelly started the first Medicare ACO in the country, which delivered nearly $40 million in savings in its first year and has gone on to manage some of the most profitable ACOs in the country. She is now sought after as a senior advisor and consultant, having developed a reputation as one of the most experienced and effective ACO professionals in the country. As a true catalyst driving the shift in health care culture toward physician leadership, her understanding and strategic vision are unmatched, along with her comprehension of the latest government-proposed valued-based agreements. From starting health care organizations to serving in multiple senior executive leadership roles, Kelly is a seasoned executive with a career record of negotiating and increasing revenues through new product offerings while optimizing efficiency and productivity in the medical field. 02:10 Jeff Hogan (EP309) talks about the consequences of when there's a disconnect between what the patient thinks is happening and what is actually happening in a care plan.03:48 EP315 with Bob Matthews. 03:58 Merrill Goozner's perspective on successful population health.04:55 Why did Darrell Moon (EP305) give up being a hospital administrator because of care plans? 08:02 “It's a myth that population medicine … and precision medicine are incompatible or opposites.”—Dr. Grace Terrell (EP319) 11:28 Dr. Rich Klasco (EP321) explains “noncognitive” medicine and why it bogs physicians down.14:45 What is at the core of appropriateness for care? 16:33 “You start to bring that data to the physician, and it really does open their eyes.”—Nicole Bradberry (EP324) 16:51 Nicole Bradberry and Kelly Conroy (EP324) discuss how to really change the way physicians work. You can listen to full episodes and learn more about this week's guests at relentlesshealthvalue.com.  Jeff Hogan, Darrell Moon, @gracet22, Dr. Rich Klasco, Nicole Bradberry, and Kelly Conroy discuss #careplans in our #healthcarepodcast. #healthcare #podcast #digitalhealth What are the consequences when there's a disconnect between what the patient thinks is happening, and what is actually happening in a care plan? Jeff Hogan, Darrell Moon, @gracet22, Dr. Rich Klasco, Nicole Bradberry, and Kelly Conroy discuss #careplans in our #healthcarepodcast. #healthcare #podcast #digitalhealth Why did Darrell Moon give up being a hospital administrator because of care plans? Jeff Hogan, Darrell Moon, @gracet22, Dr. Rich Klasco, Nicole Bradberry, and Kelly Conroy discuss #careplans in our #healthcarepodcast. #healthcare #podcast #digitalhealth “It's a myth that population medicine … and precision medicine are incompatible or opposites.” Jeff Hogan, Darrell Moon, @gracet22, Dr. Rich Klasco, Nicole Bradberry, and Kelly Conroy discuss #careplans in our #healthcarepodcast. #healthcare #podcast #digitalhealth What is “noncognitive” medicine, and why does it bog physicians down? Jeff Hogan, Darrell Moon, @gracet22, Dr. Rich Klasco, Nicole Bradberry, and Kelly Conroy discuss #careplans in our #healthcarepodcast. #healthcare #podcast #digitalhealth What is at the core of appropriateness for care? Jeff Hogan, Darrell Moon, @gracet22, Dr. Rich Klasco, Nicole Bradberry, and Kelly Conroy discuss #careplans in our #healthcarepodcast. #healthcare #podcast #digitalhealth “You start to bring that data to the physician, and it really does open their eyes.” Jeff Hogan, Darrell Moon, @gracet22, Dr. Rich Klasco, Nicole Bradberry, and Kelly Conroy discuss #careplans in our #healthcarepodcast. #healthcare #podcast #digitalhealth How do you really change the way physicians work? Jeff Hogan, Darrell Moon, @gracet22, Dr. Rich Klasco, Nicole Bradberry, and Kelly Conroy discuss #careplans in our #healthcarepodcast. #healthcare #podcast #digitalhealth   Recent past interviews: Click a guest's name for their latest RHV episode! Dr Tony DiGioia, Al Lewis, John Marchica, Joe Connolly, Marshall Allen, Andrew Eye, Naomi Fried, Dr Rishi Wadhera, Dr Mai Pham, Nicole Bradberry and Kelly Conroy, Lee Lewis, Dr Arshad Rahim, Dr Monica Lypson, Dr Rich Klasco, Dr David Carmouche (AEE15), Christian Milaster, Dr Grace Terrell, Troy Larsgard, Josh LaRosa, Dr David Carmouche (EP316), Bob Matthews, Dr Douglas Eby (AEE14), Dr Sheldon Weiss, Dan Strause and Drew Leatherberry, Dr Douglas Eby (EP312), Ge Bai, Sumit Nagpal, Dr Vikas Saini and Shannon Brownlee

Race to Value listeners -- April is National Minority Health Month, and this year, the HHS Office of Minority Health is focusing on the disproportionate impact the COVID-19 pandemic is having on racial and ethnic minority communities.  This Bonus Episode is a compilation of viewpoints on health equity and racial disparities of care from some of our former guests in the past year.  We hope you take the time to listen intently to their message. Certainly over the last many year we have been exposed to the great inequities that have existed in our society for far too long.  We have one major obligation we have to each other…that is to tell the truth.  And the truth is, there are so many inequities in our society for minorities, including the manifestation of institutional racism within our nation's health system. As leaders in value-based care, we have to be accountable to the endeavor that we are about. We endeavor to, in fact, ensure every patient receives the best treatment possible so they can live the life they are intended to live. That we endeavor to create the opportunity for health equity, and that is true regardless of race, ethnicity, gender, sexual orientation, or otherwise. We hope you find meaning in this Bonus episode and gain awareness for how important health equity and social justice is to win this Race to Value. Episode Bookmarks: 1:39 Daniel Chipping introduces National Minority Health Month and its' focus on COVID-19 impact on minority communities 2:10 Dr. Eric Weaver delivers a special message on overcoming institutional racism in our nation's healthcare system 3:29 Dr. Farzad Mostashari reflects on the murder of George Floyd and how it was a reckoning for social justice (and health equity) 6:33 Dr. Lerla Joseph discusses how she has devoted most of her life committed to health equity, how ACOs are a vehicle for change 12:30 David Smith provides a powerful social commentary on how pervasive systemic racism is in our society and his awakening as a white male 18:41 Christina Severin on the country's reckoning, how her white privilege as conditioned her to be a racist, and how health centers can address inequities 23:10 Dr. Ernest Grant on the public health crisis of systemic racism, the disproportionate burden of disease related to SDOH, and how nurses can call for change 30:19 Dr. Stephen Klasko on how the zip code of communities ultimately determine health, and how the pandemic has raised awareness of inequities 31:46 Christina Severin on how the calling for racial justice, coupled with the pandemic, has created urgency to “bridge the digital divide” 33:36 Dr. Gordon Chen on the social injustice of different lifetime expectancy rates between white and minority communities 36:04 Shannon Brownlee on how Black Lives Matter has forced hospitals to focus on health equity 38:24 Dr. Mark Gwynne on how investment in data analytics can help ACOs identify opportunities in populations where there are disparate outcomes 39:11 Dr. Christopher Crow on how health equity in communities can be addressed through reforms in education, health, and business 40:27 Cheryl Lulias on building community-based coalitions to address health equity 42:10 Robert Sepucha on the disproportionate burden of kidney disease in minority populations 42:57 Dr. Edwin Estevez on the vulnerability of the Hispanic population on the Texas/Mexico border and how his ACO focuses on nutrition and health literacy 46:17 Mike Funk on how health plans can address disparities in minority communities 48:15 Dave Chase on the opportunity for social impact investment to creative cooperative structures in disadvantaged communities 48:53 Dr. Mark McClellan on health policy approaches to address health equity 49:30 Andrew Croshaw on how the Biden Administration will define value through health equity

Decades of poor outcomes in terms of cost, quality, and access have not created societal commitment to confronting the issue of low-value care in hospitals. Despite medical errors serving as the #3 cause of death, unpaid hospital bills leading as the #1 reason for personal bankruptcy in our country, vast disparities in care prevalent across racial and sociodemographic lines, and a general sense of pricing opaqueness, we have not yet seen a community-led movement towards hospital accountability for health equity, quality of care, and avoidance of low-value care.   If hospitals are to equitably deliver the high-quality care that is essential to improving community health, the time is now. Assessing how well hospitals are serving all of their patients in their communities is a key first step in improving their quality of care. The Lown Institute, a think tank generating ideas for a just and caring system for health, has developed a tool to answer the question, “Are hospitals providing high-value care, achieving excellent patient outcomes, and meeting their obligation to advance health equity in their communities?”   Today we are joined Vikas Saini & Shannon Brownlee of the Lown Institute to discuss The Lown Institute Hospitals Index, a novel way of evaluating and ranking hospitals in order to help them better serve their patients and communities and to hold them accountable to addressing social determinants of health. This unique hospital ranking system is breaking new ground as we move forward in the race to value.   Episode Bookmarks: 02:00 Despite decades of dreadful outcomes, society has yet to confront the issue of hospitals providing low-value care 04:30 The legacy of Dr. Bernard Lown, as a pioneering cardiologist, humanitarian, and early advocate of value-based care 08:20 Dr. Lown's philosophy of value-based care and the subtle distinction between doing as little “to” patients, but doing as much as possible “for” them 11:15 A new hospital ranking tool is needed in value-based care -- one that factors in civic leadership and racial equity 12:50 The Lown institute Hospitals Index is the first ranking system that actually measures overuse and unnecessary care 13:20 Economic tradeoffs matter when you look at racial equity 14:05 In ranking hospitals, the value of the care is as important as clinical outcomes. 15:05 Good hospitals are vital to healthy communities, but how you define and measure “good” matters. 15:30 The Civic Leadership component of the Hospital Index which accounts for spending on charity care, pay equity, and racial inclusivity 19:00 Variation in social and civic leadership metrics with academic medical centers, particularly inclusivity and pay equity 20:20 How Black Lives Matter has forced hospitals to reexamine their culture and commitment to health equity 21:45 Neighboring hospitals with drastically different racial inclusivity scores and the impact of residential segregation 25:00 Segregated (“separate and unequal”) hospitals with disproportionate impacts in COVID outcomes for those in low-income communities 26:30 The way we have organized and funded the hospital sector will not meet population health needs for communities 27:30 The need for regional coordination, changes in payment mechanisms, and global budgeting for health care transformation. 29:00 The Big Business of Healthcare and why “Health care is too important to leave to the Healthcare sector.” 30:00 Having a hospital system based on cooperation in population health versus having individual healthcare businesses competing against each other for volume 31:00 The disappointing, yet predictable, inequitable distribution model for COVID-19 vaccines 36:00 Low-value care is a significant portion of waste; estimates of spending on low-value care range from $100 billion to $700 billion each year! 39:00 Vikas discusses how his clinical training with Dr.

  The Shkreli Awards have been published each year, for the past five years and counting, by the Lown Institute. The Shkreli Awards are a much-anticipated top 10 list of the worst examples of profiteering and dysfunction in health care. This year’s list, celebrating the most excellently egregious profiteering in 2020, are unique in the sense that everybody on this list this year—every one of them—decided, deliberately, that a pandemic might be a super opportunistic global stroke of luck to exploit fear and anguish to line their own pockets. The list is named for Martin Shkreli, the price-hiking “pharma bro” that is easy to point to as a model of pure, unadulterated health care profiteering. Here’s the point: Just because you can be clever and shifty enough to make a whole lot of money in health care doesn’t mean you should. Every dollar anyone earns without adding commensurate value back is just one more nail in the financially toxic coffin that patients and employers face in this country—and taxpayers. The Lown Institute is a nonpartisan think tank advocating bold ideas for a just and caring system for health. Their work is centered around four main topics: low-value or unnecessary care, accountability, health equity, and the human connection. In this health care podcast, I am looking so forward to speaking with Vikas Saini, MD, and Shannon Brownlee from the Lown Institute about this year’s Shkreli Award winners. (I wish I had a soundtrack of audience clapping. I’d cue it right now.) There are 10 winners, and we talk about most of them in this episode. You can learn more by connecting with Dr. Saini (@DrVikasSaini) and Shannon (@ShannonBrownlee) on Twitter.  Vikas Saini, MD, is president of the Lown Institute. He is a clinical cardiologist trained by Dr. Bernard Lown at Harvard, where he has taught and done research. He has also been an entrepreneur as scientific cofounder of Aspect Medical Systems, the pioneer in noninvasive consciousness monitoring in the operating room with the BIS device. He was in private practice in cardiology for over 15 years on Cape Cod, where he also founded a primary care physician network participating in global payment contracts. Dr. Saini is board certified in cardiovascular disease, internal medicine, and nuclear cardiology. He has served on the faculty of Harvard Medical School and the Harvard School of Public Health, where he initiated the first course focused on policy translation for cardiovascular disease prevention. In April 2012, Dr. Saini convened the Avoiding Avoidable Care Conference with the noted author Shannon Brownlee. This was the first major academic conference focused on the problem of overuse of health care services. Dr. Saini led the international writing group of the Right Care series of papers commissioned by The Lancet and published in January 2017. With Ms. Brownlee, he is a convener of the Right Care Alliance, a grassroots network of physicians, nurses, patient activists, and community leaders dedicated to creating public demand for care that is safe, effective, affordable, and just. Dr. Saini has spoken and presented research about avoiding unnecessary care at professional meetings around the world and has been quoted in numerous print media and on radio and television. Shannon Brownlee is senior vice president of the Lown Institute. She and Lown Institute President Dr. Vikas Saini are cofounders of the Right Care Alliance, a network of activist patients, clinicians, and community leaders devoted to organizing a broad-based movement for a radically better health care system. Before joining the Lown Institute, Brownlee served as acting director of the health policy program at the New America Foundation. As a senior fellow at New America, she published the groundbreaking book, Overtreated: Why Too Much Medicine Is Making Us Sicker and Poorer, which was named the best economics book of 2007 by the New York Times. She was a senior writer at US News and World Report and Discover Magazine and is the recipient of numerous awards, including a Congressional Commendation, and was named one of “four writers who changed the world” by the World Congress of Science Journalists. Her stories and essays have appeared in such publications as The Atlantic, New York Times Magazine, The Washington Post, Times of London, Time, New Republic, Los Angeles Times, BMJ, The Lancet, and Health Affairs. Brownlee is a nationally recognized speaker, has been featured in several documentary films, and has appeared on such broadcast outlets as ABC World News, Good Morning America, Fox News, NPR, and The Diane Rehm Show and is quoted regularly in the press. She is the author of several peer-reviewed articles in medical journals and has served on numerous scientific panels, working groups, and roundtables. From 2014-2016, she was an editor of the “Less is More” section of JAMA Internal Medicine and was a lecturer from 2011-2014 at the Dartmouth Institute for Health Policy and Clinical Practice. She is currently a member of the boards of the Robert Graham Center of the American Academy of Family Practice and Families USA and is a visiting scientist at the Harvard T.H. Chan School of Public Health. Brownlee holds a master’s degree in marine science from the University of California, Santa Cruz. 02:51 “COVID was like … just a glare of x-ray that revealed everything … going on in the health care system.” 05:14 “There’s always profiteering whenever there’s a buck to be made.” 05:33 Is profiteering in the health care system deteriorating? 06:07 How did the winners of the 2020 Shkreli Awards get chosen? 07:18 “The categories that this falls into is really the stakeholders in health care.” 08:11 What did Connecticut internist Steven Murphy, MD, do to earn his place at #8 on the awards list? 09:29 How did big pharma companies (some of which have been developing COVID vaccines) like Pfizer get on the Shkreli Awards list? 11:16 “We do have to start asking some hard questions about who is supposed to benefit from the … public funding that goes into these kinds of products—vaccines and drugs.” 12:49 “The thing about private equity … is that the business model really is profiteering in health care.” 19:43 Why did the federal government win the first place in the Shkreli Awards? 24:13 “Most of this is not illegal. It’s merely unethical.” 26:56 “There really is a radically better health care system that’s possible, but we’re not really going to get there if people are shy about talking publicly about some of these issues.” You can learn more by connecting with Dr. Saini (@DrVikasSaini) and Shannon (@ShannonBrownlee) on Twitter.  @DrVikasSaini and @ShannonBrownlee discuss the 2020 Shkreli Awards on our #healthcarepodcast. #healthcare #podcast #digitalhealth #valuebasedcare #profiteering “COVID was like … just a glare of x-ray that revealed everything … going on in the health care system.” @DrVikasSaini and @ShannonBrownlee discuss the 2020 Shkreli Awards on our #healthcarepodcast. #healthcare #podcast #digitalhealth #valuebasedcare #profiteering “There’s always profiteering whenever there’s a buck to be made.” @DrVikasSaini and @ShannonBrownlee discuss the 2020 Shkreli Awards on our #healthcarepodcast. #healthcare #podcast #digitalhealth #valuebasedcare #profiteering How did the winners of the 2020 Shkreli Awards get chosen? @DrVikasSaini and @ShannonBrownlee discuss the 2020 Shkreli Awards on our #healthcarepodcast. #healthcare #podcast #digitalhealth #valuebasedcare #profiteering “The categories that this falls into is really the stakeholders in health care.” @DrVikasSaini and @ShannonBrownlee discuss the 2020 Shkreli Awards on our #healthcarepodcast. #healthcare #podcast #digitalhealth #valuebasedcare #profiteering How did big pharma companies (some of which have been developing COVID vaccines) like Pfizer get on the Shkreli Awards list? @DrVikasSaini and @ShannonBrownlee discuss the 2020 Shkreli Awards on our #healthcarepodcast. #healthcare #podcast #digitalhealth #valuebasedcare #profiteering “We do have to start asking some hard questions about who is supposed to benefit from the … public funding that goes into these kinds of products—vaccines and drugs.” @DrVikasSaini and @ShannonBrownlee discuss the 2020 Shkreli Awards on our #healthcarepodcast. #healthcare #podcast #digitalhealth #valuebasedcare #profiteering “The thing about private equity … is that the business model really is profiteering in health care.” @DrVikasSaini and @ShannonBrownlee discuss the 2020 Shkreli Awards on our #healthcarepodcast. #healthcare #podcast #digitalhealth #valuebasedcare #profiteering Why did the federal government win the first place in the Shkreli Awards? @DrVikasSaini and @ShannonBrownlee discuss the 2020 Shkreli Awards on our #healthcarepodcast. #healthcare #podcast #digitalhealth #valuebasedcare #profiteering “Most of this is not illegal. It’s merely unethical.” @DrVikasSaini and @ShannonBrownlee discuss the 2020 Shkreli Awards on our #healthcarepodcast. #healthcare #podcast #digitalhealth #valuebasedcare #profiteering “There really is a radically better health care system that’s possible, but we’re not really going to get there if people are shy about talking publicly about some of these issues.” @DrVikasSaini and @ShannonBrownlee discuss the 2020 Shkreli Awards on our #healthcarepodcast. #healthcare #podcast #digitalhealth #valuebasedcare #profiteering

The American health care system is dominated by misaligned financial incentives, rewarding providers for more--but not necessarily BETTER--treatment. In this episode, Ceci and guests we discuss ways to shift our health care approach away from volume – and the waste and unnecessary care it involves - and to a model focused on value. Research repeatedly shows that a value-based, outcome-focused system reduces costs and produces better health outcomes. Hear what the experts have to say in Ep 4 of Healthy Dialogue.   Guests: https://lowninstitute.org/staff/shannon-brownlee/ (Shannon Brownlee), Senior Vice President, https://lowninstitute.org/ (Lown Institute) https://www.upmc.com/media/experts/diane-p-holder (Diane Holder), President and CEO, https://www.upmchealthplan.com/ (UPMC Health Plan) -------------- Resources: https://lownhospitalsindex.org/rankings/ (Lown Institute Hospitals Index)

Dr Zieve talks with writer Shannon Brownlee about how systemic problems with our health-care system are causing poor outcomes for many Americans. Shannon Brownlee MS is acting director of the New America Health Policy Program at dartmouth College. A nationally known writer and essayist whose work has appeared in the Atlantic Monthly, New York Times Magazine, The New Republic, Slate, Time, and Washington Monthly among many other publications, she is best known for her groundbreaking work on avoidable health care, the patchy quality of medical evidence, and the implications for health-care policy. Her book, Overtreated: Why Too Much Medicine is Making Us Sicker and Poorer, was named the best economics book of 2007 by New York Times economics correspondent David Leonhardt. Brownleeís current research and writing focus on issues surrounding delivery system reform, clinical evidence, and health care costs. If you cannot see the audio controls, your browser does not support the audio element

This episode was recorded prior to COVID-19 hitting our shores. Irrespectively, it is incredibly relevant. Right now, more than ever, we need physician leadership and we need partnership across organizations and within organizations so that good decisions can be made as fast as possible. Look, we don’t have time to mess around right now. We need to be making good decisions—and fast. And these decisions on digital health solutions and other technologies and processes and workflows need to really be made by those who are participating in the care of patients directly. Or by the patients themselves. Or, best case, by both together working as partners, if you will. It doesn’t go well for all kinds of reasons when decisions about what patient care is going to look like at a macro level are made by the suits and people or departments or companies who are “over there” as opposed to here in the exam rooms. In this health care podcast, I speak with Matt Anderson, MD, MBA. Matt is the innovation lead over at Banner Health. He talks about the importance of physician leadership a lot. And, by that, he means doctors and nurses and other clinicians demanding to be heard and demanding that their point of view be a decision-making criterion in how a care delivery system operates. But as we dug deeper, Dr. Anderson and I, a theme emerged. Along with multiple mentions of the Shkreli Awards and my conversation with Shannon Brownlee and Vikas Saini (which is episode 260 if you want to look back and listen to that), the theme that emerged in the conversation you’re going to hear was the importance not just of physicians in leadership roles but of the scrubs partnering with the suits in almost every leadership decision. Doctors and nurses and administrators really have to work together so that the business is sustainable, for sure, but while patients continue to get the best care—also for sure. One cannot sacrifice the other without consequence. You can learn more at bannerhealth.com and drmatthewanderson.com. You can also connect with Dr. Anderson on Twitter at @DrAnderson19 and on LinkedIn. Matthew Anderson, MD, MBA, is a father, husband, and family physician living in Arizona. He serves as innovation lead and division medical director for Banner Health. Since joining Banner Health in 2018, Matthew has been an active member of the AZBio Government Affairs Committee. By providing primary care medical services to his patients in Arizona, Matthew has seen many of the inefficiencies and difficulties within their health care system. His training at Mayo Clinic taught him what it means to put the patient first, and that focus has stayed with him for every patient encounter. Recently, Matthew completed an MBA program at Arizona State University’s WP Carey School of Business. His goal is to take the foundation he has in good-quality medical care and combine that with an understanding of the economics of health care to use technology to create a better, safer, and healthier medical system. 02:30 Distinguishing between billing technology and technology improving bonds between clinicians. 04:03 “The scribe is literally just there to take the burden of the EMR off the physician.” 04:41 “If all of your goals begin and end with patients, you’re not gonna go wrong.” 06:07 “We gotta get a little bit tribal in medicine.” 06:27 “Physicians have to be leaders in this space.” 07:21 Suits vs scrubs. 08:47 Why low-revenue care is sometimes better than high-revenue care. 13:49 EP260 with Shannon Brownlee and Vikas Saini, MD, from the Lown Institute.16:11 “There’s a role to play for all of our clinical partners in the leadership of our health care systems.” 16:38 “You have to be able to be curious.” 18:35 The movement to humanize medicine with technology, led by Eric Topol. 20:45 Creating a culture where it’s okay to fail. 22:31 Starting the educational process on the business of health care earlier. 25:48 Technology as top-down vs physicians as bottom-up. You can learn more at bannerhealth.com and drmatthewanderson.com. You can also connect with Dr. Anderson on Twitter at @DrAnderson19 and on LinkedIn. Check out our #healthcarepodcast with @DrAnderson19. #healthcare #podcast #digitalhealth #healthtech #physicians #clinicians #healthsystems #hospitals Billing #technology vs technology that improves clinician work. @DrAnderson19 discusses in our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthtech #physicians #clinicians #healthsystems #hospitals “The scribe is literally just there to take the burden of the EMR off the physician.” @DrAnderson19 discusses in our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthtech #physicians #clinicians #healthsystems #hospitals “If all of your goals begin and end with patients, you’re not gonna go wrong.” @DrAnderson19 discusses in our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthtech #physicians #clinicians #healthsystems #hospitals “We gotta get a little bit tribal in medicine.” @DrAnderson19 discusses in our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthtech #physicians #clinicians #healthsystems #hospitals “Physicians have to be leaders in this space.” @DrAnderson19 discusses in our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthtech #physicians #clinicians #healthsystems #hospitals Suits vs scrubs. @DrAnderson19 discusses in our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthtech #physicians #clinicians #healthsystems #hospitals Why is low-revenue care sometimes better than high-revenue care? @DrAnderson19 discusses in our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthtech #physicians #clinicians #healthsystems #hospitals “There’s a role to play for all of our clinical partners in the leadership of our health care systems.” @DrAnderson19 discusses in our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthtech #physicians #clinicians #healthsystems #hospitals “You have to be able to be curious.” @DrAnderson19 discusses in our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthtech #physicians #clinicians #healthsystems #hospitals Humanizing #medicine with #technology. @DrAnderson19 discusses in our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthtech #physicians #clinicians #healthsystems #hospitals Creating a culture where it’s okay to fail. @DrAnderson19 discusses in our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthtech #physicians #clinicians #healthsystems #hospitals Educating on the business of health care. @DrAnderson19 discusses in our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthtech #physicians #clinicians #healthsystems #hospitals Technology as top-down vs physicians as bottom-up. @DrAnderson19 discusses in our #healthcarepodcast. #healthcare #podcast #digitalhealth #healthtech #physicians #clinicians #healthsystems #hospitals

In the last two decades the number of people age 65 or older who are taking five or more medications has increased 300 percent. A problem that is much bigger than America's opioid crisis, the scope and impact of over-prescribing in older adults is detailed in “Medication Overload: America's Other Drug Problem,” a report co-authored by The Lown Institute's Judith Garber, a Health Policy and Communications Fellow at Lown; and Shannon Brownlee, Senior VP at the Institute and author of the book, “Overtreated: Why Too Much Medicine is Making Us Sicker and Poorer.” We talk with Shannon and Judith about what's driving the practice of over-prescribing, solutions that have been effective in tackling the problem and what you can do to prevent adverse drug events. This episode airs on the heels of a newly-released report from Lown titled, “Eliminating Medication Overload: A National Action Plan.” Note: this episode originally aired April 11, 2019.To purchase a transcript of this episode from its original airdate, please visit this page: Transcripts Original Report: Medication Overload: America's Other Drug ProblemJust released: “Eliminating Medication Overload: A National Action Plan”Lown Institute Action Plan Issue Briefs (quick takes):Reducing Pharmaceutical Industry InfluenceImplementing Prescription CheckupsImproving Information at the Point of CareRaising Awareness of Medication OverloadEducating and Training Health ProfessionalsNEW from Agewyz Media! Life Stories for the AgesSubscribe to The Agewyz Podcast: iTunesGot a story to share? Email us any time at jana@agewyz.com

Today, Becka Barker from our festival organizing team talks in the studio with festival installation curator (and award-winning animator) Sam Decoste and fine artist/playwright (and co-founder of the Emerging Lens Cultural Film Festival) Tara Taylor about Under the Rug, AFX’s first foray into programming gallery-oriented, installation-based animated works for this year’s festival. Shannon Brownlee, Associate Director Cinema & Media Studies at Dalhousie University’s Fountain School of Performing Arts, is also in the studio to talk about moderating this year’s Big Picture Panel, focusing on the issue of animation production and labour issues.

Senior Vice President of the Lown Institute, Brownlee is author of Overtreated: Why Too Much Medicine is Making Us Sicker and Poorer, the internationally acclaimed book that launched the movement against unnecessary medical care. Brownlee will discuss the dramatic rise in medication overload among older Americans, the structural and cultural drivers of this growing epidemic, including the role of the pharmaceutical industry, and the effort to catalyze a national strategy to address medication overload. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app

 Senior Vice President of the Lown Institute, Brownlee is author of Overtreated:  Why Too Much Medicine is Making Us Sicker and Poorer, the internationally acclaimed book that launched the movement against unnecessary medical care. Brownlee will discuss the dramatic rise in medication overload among older Americans, the structural and cultural drivers of this growing epidemic, including the role of the pharmaceutical industry, and the effort to catalyze a national strategy to address medication overload. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app

We hear a lot about how the opioid crisis is destroying families and communities. But the scope and impact of medication overload is much bigger: in the last two decades the number of older adults taking five or more medications has increased 300 percent.  There's also been a spike in the number of serious adverse drug events (ADEs).  These alarming facts and others are outlined in a new report from the Lown Institute titled, “Medication Overload: America's Other Drug Problem.”  Jana talks with the report's co-authors: Judith Garber, a Health Policy and Communications Fellow at the Lown Institute; and Shannon Brownlee, Senior VP at the Institute and author of the book, “Overtreated: Why Too Much Medicine is Making Us Sicker and Poorer.”  Judith and Shannon talk about the dangers of medication overload, what's driving the practice, solutions that have been effective in tackling the problem and what you can do to prevent adverse drug events.To purchase a transcript of this episode please click  hereRead the Lown Institute report: Medication OverloadCheck out the Lown Institute websiteSubscribe to The Agewyz Podcast: iTunesGot a story to share? Email us any time at jana@agewyz.comTIPS FROM JUDITH AND SHANNON...Before adding another medication, ask your doctor these questions to avoid unnecessary medications and set a “stop date” for medications that aren't meant to be taken long-term:What is this medication for? What disease is it treating?Is there evidence that this drug is effective for patients of my age and with my medical conditions?Out of 100 patients like me, how many are helped and how many are harmed by this medication?How will we know when the medication is working or not working?Can I start on a lower dose and see if that works?How long should I take this medication? When should I stop taking it?Do you know how this medication might interact with other drugs I'm already taking?Are there side effects I should watch out for if I take this medication?

Animation burrows into our hearts, changes our minds, expands our imaginations, and consequently transforms our society. In this episode, join Siloën Daley, Philip Stamp, Shannon Brownlee and Andrea Dorfman as they talk about creating animated works with powerful social impact. They see – and show us – the Big Picture. For more information about screenings, events and workshops, please visit us on the web at: FESTIVAL WEBSITE: anifx.squarespace.com/ FB: www.facebook.com/AnimationFestivalHalifax/ INSTAGRAM: afx.2018 TWITTER: @carbon_arc

Sometimes journalists - and even the US Food & Drug Administration - will say that they can't find health care experts without financial conflicts of interest involving the health care industry. Well, for 9 years, we've hosted what we think is a one-of-a-kind list of industry-independent experts, and now a newly revised list is available. Listen to the list originators, Shannon Brownlee and Jeanne Lenzer, talk about the history and the need for such a list. Read more about them at https://www.healthnewsreview.org/2017/07/podcast-32-newly-revised-list-of-industry-independent-experts-for-journalists/. This podcast was published on July 17, 2017.

Date: October 1, 2015 ​ Featuring:  ​Shannon Brownlee, MS, Senior Vice President, Lown Institute; Visiting Scientist, Harvard T.H. Chan School of Public Health Jim Conway, MS, Adjunct Faculty, Harvard T.H. Chan School of Public Health; Member, IOM Committee on Optimizing Scheduling in Health Care Kedar Mate, MD, Senior Vice President, IHI Aaron Stupple, MD, Hospitalist, Department of Medicine, Beth Israel Deaconess Medical Center   There’s growing awareness of the need to curb health care’s overuse of interventions that lack a strong evidence base, unnecessarily subject patients to potential harm, and are more expensive than equally effective, cheaper alternatives. Initiatives like Choosing Wisely and Costs of Care have done a great job sounding the proverbial alarm about particular treatments and procedures doctors have grown too accustomed to prescribing automatically; antibiotics, certain screenings, and imaging tests often top the list. Costs of Care has put the spotlight on the financial harm of overtreatment on individual patients themselves, many of whom are now shouldering a larger and larger share of the health care bill.  Against this backdrop, a new initiative called the RightCare Alliance encourages providers to take action to eliminate practices and procedures of little benefit to patients. They’re currently crowdsourcing a number of ways care providers across the US can engage in more thoughtful interactions with patients that can result in better treatment decisions. The most-favored suggestions will get top billing during RightCare Action Week, October 18-24. We explored those suggestions and more on this WIHI. 

A conversation with Shannon Brownlee featuring Kathy Miller.

Shannon Brownlee is a national leader in highlighting the scope and consequences of overuse in healthcare, and she explores many of these worrying issues in her book, “Overtreated: Why too much Medicine is Making us Sicker and Poorer.” Millions of people in the U.S. are being harmed — and are even dying — by having unnecessary health interventions, as she discusses with KQED Health Editor Lisa Aliferis. Recorded at the 2015 Uncharted Festival of Ideas. 

In California, the end-of-life care you receive may have more to do with where you live than what you want. Shannon Brownlee, acting director of the New America Foundation Health Policy Program, discusses what’s behind this variation, and what can be done to make sure all patients get the care they want and need - rather than the care dictated by where they live.

We like to think we have choices, but when it comes to health care in California, geography is destiny. If you live in Clear Lake, you are ten times more likely to have an elective cardiac stent or angioplasty than if you live in nearby Sonoma -- whether or not that's the right treatment for you. Women who live in El Centro are 22 times less likely than women who live in Greenbrae to have a vaginal birth after C-section. Men living in San Luis Obispo have the highest rate of prostate surgery in the nation. When facing a decision about elective surgeries and tests, patients need two things: honest information they can understand, and doctors who make sure their patients receive the treatment they prefer. Yet all too often, patients don't understand their choices, or they leave the decision up to their doctor in the mistaken belief that "doctor knows best." Shannon Brownlee, acting director of the health policy program at the New America Foundation, visited Zócalo to discuss how these disparities happen, and what individuals can do to make sure they get the treatment they want and nothing more, what they need and nothing less.

Shannon Brownlee

Guest: Shannon Brownlee Host: Leslie P. Lundt, MD Are cutting healthcare costs and improving quality of healthcare incompatible goals? Shannon Brownlee author of “Overtreated: why too much medicine is making us sicker and poorer” is welcomed by host Dr. Leslie Lundt to share what she has learned about health care reform.

Guest: Shannon Brownlee Host: Leslie P. Lundt, MD Given the easy access to technology such as the internet and cable television, Does it really matter in what part of the country you practice? Author of “Overtreated: why too much medicine is making us sicker and poorer”, Shannon Brownlee explains to host Dr. Leslie Lundt the wide variation in health care patterns across the US.