Podcasts about Sharp HealthCare

In episode #93 in June of 2024 we met Dr. Vamsi Chavakula for a discussion on MR-Guided Focused Ultrasound. Now we're back with part 2. Dr. Chavakula, affiliated with Sharp Healthcare, has recently completed his 50th MR-Guided Focused Ultrasound procedure for people with Parkinson's disease and essential tremor. In this episode we look at recent advancements in the technology, discuss some of the differences between focused ultrasound and deep brain stimulation, and talk about some of the history of these treatments.Click here for more information on treating movement disorders at Sharp.For more information about the Parkinson's Association of San Diego, click here.

Dr. Diane Wintz, Medical Director of Trauma and Generational Health for Sharp Memorial Hospital, is joined by Kelly Wright, RN and Manager of Generational Health, and Shawna Fallon, Principal Gift Officer for the Sharp HealthCare, talk about the mission and programs of Generational Health.About Spotlight and Cloudcast Media"Spotlight On The Community" is the longest running community podcast in the country, continuously hosted by Drew Schlosberg for 19 years.  "Spotlight" is part of Cloudcast Media's line-up of powerful local podcasts, telling the stories, highlighting the people, and celebrating the gravitational power of local. For more information on Cloudcast and its shows and cities served, please visit www.cloudcastmedia.us.Cloudcast Media | the national leader in local podcasting.  About Mission Fed Credit UnionA community champion for over 60 years, Mission Fed Credit Union with over $6 billion in member assets, is the Sponsor of Spotlight On The Community, helping to curate connectivity, collaboration, and catalytic conversations.  For more information on the many services for San Diego residents, be sure to visit them at https://www.missionfed.com/

In this episode, Susan Green, Executive Vice President and CFO of Sharp HealthCare, discusses key healthcare trends, including workforce challenges, digital transformation, and cost management. She shares insights on Sharp's strategic initiatives, from AI-driven patient engagement to the launch of a new neuroscience hospital, and offers advice for financial leaders navigating today's evolving healthcare landscape.

This episode, recorded live at the Becker's Healthcare 12th Annual CEO + CFO Roundtable, features Zachary Lenert, Vice President of Integrated Care Management at Sharp HealthCare. Zach discusses the importance of cybersecurity in healthcare, the transformative role of AI in case management, and Sharp's innovative approaches to improving patient care and payer relationships in 2025. In collaboration with R1.

Bill Littlejohn is a nationally recognized leader in healthcare philanthropy. As Senior Vice President and CEO of the Foundations of Sharp HealthCare, he has driven initiatives raising more than $300 million and spearheaded Sharp's $2 billion ENVISION campaign to transform healthcare in San Diego. A former AHP Chair and Si Seymour Award recipient, Bill has advised healthcare systems worldwide and is widely celebrated for his visionary leadership and impact. In this wide-ranging conversation, we explore his beginnings in the field, the work he and his colleagues have done over the years, the critical importance of continual innovation, and his personal commitment to philanthropy.

Election Day is just a couple days away, and if you still need to vote, we'll tell you where to find a voting center near you. Thousands of Sharp Healthcare workers have voted to approve a five-day strike. If your child attends San Diego Unified School District, tomorrow is the deadline to submit your priority choice application. Here's NBC 7's Audra Stafford with the top stories of the day.

Charlene talks with Marla Poston, Director of Patient Care Services at Sharp Healthcare. AB977 and AB2975 are two recently signed bills that address the problem of workplace violence in hospitals. The ACNL Health Policy Committee has been following these bills closely, and Marla is here to talk about the current state of workplace violence and what changes these new bills will bring. We're running a survey to better understand our listeners and what topics you'd like to hear about. It would really help us out if you took just a couple minutes to fill it out. Click here to take the survey: https://www.surveymonkey.com/r/WSHVM8M Host: Charlene Platon, MS, RN, FNP-BC (@charleneplaton) Guest: Marla Poston MSN, RN, CEN, NE-BC (@marlapostonmsn) About the show: ACNL in Action is a production of the Association of California Nurse Leaders, the professional organization for nurse leaders. New episodes come out on the first Friday of every month. Want to support ACNL? Consider making a donation: http://bit.ly/cog-podcast . Learn more about ACNL, including how to become a member, at acnl.org.  Follow us on Facebook, Instagram, and LinkedIn at @acnlnurse.

Based on AHLA's annual Health Law Connections article, this special series brings together thought leaders from across the health law field to discuss the top ten issues of 2024. In the tenth episode, Sarah Bowman, Principal, PYA, speaks with Jolee H. Bollinger, Deputy General Counsel, Sharp HealthCare, and Andrew D. Ruskin, Partner, K&L Gates LLP, about potential 340B activity in 2024 as drug manufacturers continue to tighten access to 340B pricing. They discuss the impact of the Genesis case, how covered entities can navigate this uncertain environment and protect their access to 340B pricing, and trends pertaining to audits of covered entities. Sponsored by PYA. Watch the conversation here.To learn more about AHLA and the educational resources available to the health law community, visit americanhealthlaw.org.

MY NEW NORM Podcast- S4 E11 Guest: JOHN VERTEFEUILLEEpisode: BEHIND EVERY FACEA BEAR- NOOGA PRODUCTION.My guest today is JOHN VERTEFEUILLE- Chaplain, Advance Care Planning, Bioethics @ Sharp HealthCare.John Vertefeuille, based in San Diego, California, United States, is currently a Chaplain, Advance Care Planning, Bioethics at Sharp Healthcare. John holds a DMin. in Pastoal care @ Fuller Theological Seminary. With a robust skill set that includes Palliative Care, Pastoral Care, Behavioral Health, Pastoral Counseling, Leadership Development and more, John contributes valuable insights to the industry.-----------------MY NEW NORM- it's all about REAL PEOPLE and REAL STORIES!You can listen to all the episodes by using the link below:mynewnorm.buzzsprout.comNow you can help support this podcast with as little as the price of a cup of coffee.  Help support MY NEW NORM Podcast, go to the link below:https://ko-fi.com/mynewnormmynewnorm.buzzsprout.com/ / Find us on all major podcast platforms!

Chris Howard, CEO of Sharp HealthCare, joins the podcast to discuss his leadership, current trends capturing his attention, achievements from the past 18 months, and more!

Bill Littlejohn, SVP and CEO at The Foundations of Sharp HealthCare joins the podcast to discuss key insights into his background & organization, his focus on & the importance of philanthropy as an investment, advice for leaders, and more.

Advances in genomic testing reveal evidence-based opportunities to specifically and generally link food, nutrient and lifestyle components to individual and universal gene behaviors to optimize health. Built upon these new insights, The Genomic Kitchen s transformative offerings - from personalized gene profile support to online education -- provide deliciously sustainable lifestyle solutions for whole person health -- with or without genetic testing. Amanda teaches and mentors clinicians around the world in her efforts to make nutritional genomics more widely understood and accessible. She is equally sought out in private practice using genomics to guide individuals with complex health challenges on a journey to wellness. An avid collaborator, Amanda recently co-created C-Suite, a DNA-driven holistic health and wellbeing executive program in the United Kingdom with Celynn Morin. Her cutting-edge work in nutritional genomics has fostered institutional and corporate consulting for a variety of international innovators, including Sodexo (USA) and Hawkins Watts (New Zealand). Her work with Sodexo resulted in the successful launch of the first nutrigenomically-inspired menu to be offered to inpatients, guests, and hospital staff at Sharp Healthcare, San Diego. Amanda is a member of the Scientific Advisory Board for the newly formed Institute For Nutrigenomic Medicine, Australia. She is the author of the book Genomic Kitchen: Your guide to using and inderstanding then food-gene connection for a life time of health.

Amanda Archibald, Registered Dietitian and founder of The Genomic Kitchen returns to share her knowledge on how genes influence our appetite and weight control.    We also discuss:  The concepts of nutrigenetics and nutrigenomics How the information in food can influence gene activity The importance of understanding the differences between a monogenic and a polygenic approach Cautions around ordering genetic tests off the internet and the interpretation of the data Genes that influence appetite control and why you may feel constantly hungry or feel a loss of control in certain food environments Using keto for weight loss Dietary recommendations that aren't considering the genetic picture How genes and environment can affect the experience of menopause The power of olive oil Quotes: “Genetics is the map of how you are built. DNA information is a heat map for you.” “Genetics tells us where to start. Lab testing tells us if we're on the right track.” Links: Genomic Kitchen Follow Amanda on Facebook and Instagram @genomickitchen The olive oil that Amanda mentioned: https://www.ofdreamsandknowledge.com/ More about Amanda Archibald: Amanda Archibald, RD, founder of The Genomic Kitchen, is widely recognized for her trailblazing work as a clinician, educator, consultant, speaker, and mentor in the cutting-edge world of genomic medicine. She masterfully connects the dots between genes, food, lifestyle, and health restoration. In addition to working with a global clientele in private practice, Amanda also trains the next generation of healthcare providers in the art and science of using genomics as a foundational tool in medical and clinical practice. Amanda's pioneering work has been featured at clinical, health and industry conferences in the USA, Europe, South Africa, Australia and New Zealand.  Her work in Culinary Genomics has been successfully integrated, for the first time in the world, on to an in-patient menu at the Sharp Healthcare system in San Diego, California. She has just finished working on an international collaborative polygenic test project focused at public health and corporate wellness audiences that is in its pilot phase. The first of its type in the world.   Amanda is the author of The Genomic Kitchen, Your Guide to Understanding and Using the Food-Gene Connection for a Lifetime of Health. This episode is brought to you by All Around Snack Co. which features tasty snacks that are low in added sugars, contain zero dyes, colorings or additives and help control blood sugar for steady energy levels throughout the day.  Use code ISNPODCAST23 to save 15% on your purchase. Follow Bob on Instagram at @enrgperformance and Dina at @nutritionmechanic. Learn about Bob and Dina's nutrition and coaching services and programs at www.enrgperformance.com and www.nutritionmechanic.com. 

In this month's episode, Roberto and Martha chat with John Tastad, Program Coordinator for Advanced Care Planning at Sharp Healthcare. He also teaches bioethics and helps families make very difficult medical decisions. He is also a Chaplin and oversees the spiritual care and hospice at Sharp. Listen to their discussion about end of life planning, specifically for individual's with Alzheimer's or other types of dementia.Keywords: end of life, advanced care, decision making, medical ethics

This episode features Jon McManus, Chief Data & Software Development Officer at Sharp Healthcare System. Here, he discusses the evolution and growth of the Sharp Healthcare System as well as advancements in use of robotics and artificial intelligence within a clinical setting.

San Diego's largest healthcare provider, Sharp, began notifying more than 60,000 patients this week that cyber criminals may have their personal information. Then, how community outcry sank a plan for a cement factory on a Port of San Diego terminal. Plus, long-time Ocean beach resident Jay Kahn, who died in 2022, left the San Diego Foundation a surprise $100 million gift in his estate. How the money is being used to help some small San Diego music nonprofits. Next, choreographerJeremy McQueen is bring his ballet company, The Black Iris Project, to his hometown for the first time. We hear about the two original ballets the company will perform Wednesday at the Balboa Theater. And finally, San Diego State University graduate Lesley Paterson heard her name read as an Oscar nominee for Best Adapted Screenplay for, “All Quiet on the Western Front.” She discusses the long journey to have her work adapted and ultimately recognized by the academy.

We discuss the importance of Safety Culture and its impact on reliability in this episode of The Power of Why podcast. Craig Clapper is the founder and principal engineer of Reliability for Life Group, a consulting group specializing in improving human performance in complex systems using evidence-based methods derived from high-reliability organizations. Craig has 30 years of experience improving power, transportation, manufacturing, and healthcare reliability. He specializes in failure analysis, event analysis, reliability improvement, and safety culture improvement. Craig has led safety culture transformation engagements for Duke Energy, the US Department of Energy, ABB, Westinghouse, Framatome ANP, Sentara Healthcare, Sharp Healthcare, and others. Before R4L.Craig was the Chief Knowledge Officer of Healthcare Performance Improvement (HPI), the Chief Operating Officer of HPI, the Chief Operating Officer of Performance Improvement International, Vice President of Failure Prevention Inc (FPI), Systems Engineering Manager for Hope Creek Nuclear Generating Station, and Systems Engineering Manager for Palo Verde Nuclear Generation Station.To learn more about Craig, visit:LinkedIn: https://www.linkedin.com/in/craig-clapper-pe-701159145/Contact Craig at:email: craigclapperpe@gmail.comTo learn more, visit:https://humanerrorsolutions.com/Listen to more episodes on Mission Matters:https://missionmatters.com/author/ginette-collazo/

Meet Eric Langshur:Eric is the co-founder and Managing Partner of Abundant Venture Partners, a purpose-based incubator focused on improving the human condition by creating companies that improve Human Wellness, Human Performance and Human Engagement. He is also a New York Times best-selling author. His book Start Here: Master the Lifelong Habit of Wellbeing was published by Simon and Schuster: North Star Way in 2017 and has been translated and released internationally by Hachette/Larousse.Key Insights:Eric Langshur has founded multiple healthcare companies and has written a book on wellbeing that draws from the best of philosophy and science.● Industry Changes. As margins dwindle in healthcare, Eric sees opportunity, noting that “the same plays that worked yesterday aren't necessarily going to carry us through tomorrow.”● Purpose and Accomplishment. Concern for material needs can bring us to work every day, but to accomplish something meaningful, Eric advises us to discover our purpose. ● Science of Wellbeing. Eric has traced the science behind ancient wisdom, and affirms that mindfulness and meditation practices can improve bodily health. This episode is hosted by Rick Lemoine. He is the Chief Medical Information Officer for Sharp HealthCare.Relevant Links:o Follow Eric on Twittero Order a copy of Start Hereo Read about Abundant Venture Partners

Meet Gene Dantsker:Dr. Gene Dantsker is President and Chief Operating Officer of EvoNexus. He has been involved with EvoNexus since its founding as selection committee member, mentor to numerous portfolio companies, Executive-in-Residence and most recently Chief MedTech Officer. Gene is a seasoned entrepreneur, board member, advisor, operational executive and angel investor. He holds B.S. degrees in Physics and Mathematics from the University of Maryland, M.A. and Ph.D. in Physics from the University of California at Berkeley, and an MBA from San Diego State University, where he was class valedictorian. He is an inventor on over 60 issued patents. Key Insights:Gene Dantsker works at EvoNexus helping entrepreneurs turn good ideas into commercially-viable companies. ● Picking Winners. Because they are selective in their application process, EvoNexus has produced very positive results, with total capital raised approaching $1.7 billion for the 260 companies they've incubated.● Market Timing. Gene suggests that it is actually a good time for startups in general right now, as opposed to even six months ago. ● Diversity is Profitable. Offering examples like pre-diabetes, hypertension, or particular forms of therapeutics or diagnostics, Gene suggests that different strategic plans can be used to find and deliver healthcare to diverse markets. This episode is hosted by Rick Lemoine. He is the Chief Medical Information Officer for Sharp HealthCare. Relevant Links:o Learn More about EvoNexuso Read more about Gene Dantsker

Community health improvement and improving healthcare quality are both Accreditation Council for Continuing Medical Education (ACCME)  Accreditation with Commendation  criteria.In this episode of Write Medicine, Heather Clemons, MS, MBA, ATC, CHCP shared how she and her colleagues at Sharp Grossmont Hospital, Mesa, California, mobilized quality improvement (QI), a community needs assessment, and continuing medical education (CME) to improve community health and clinical care.As Heather describes, there are many facets to QI, including clinical analytics at the system level, performance improvement CME, and patient safety, which involves specialists to determine root cause analysis—which we'll be exploring in Season 5 of the podcast.We discuss how diversity, equality, and equity emerged as goals for Sharp Healthcare via a combination of an employee grassroots movement, California legislation, and a health system culture underpinned by an awareness of the social determinants of health and unconscious bias or stigma.The confluence of these factors allowed Heather and her colleagues to build a unique CME and QI process, that included:Regular discussions in different formats to create a safe learning spaceA tri-annual community needs assessmentAn established process to validate gap analysesProactively addressing community and clinician education needs through CMEAs Heather says, improving community health and clinical care involves,meeting people where they're at, seeing them for who they are, meeting their needs the way they need them met. And that's different for everybody.ResourcesU.S. Household Food Security Survey ModuleCalifornia Medical Association resources on Cultural & Linguistic Competency (AB1195) and Implicit Bias (AB241)California Dignity in Pregnancy and Childbirth Act (SB 464): resources on implicit bias and reproductive justice  Community Health Needs Assessments Sharp HealthCare/San DiegoChallenges and Opportunities in Healthcare Leadership (chapter: Sharp HealthCare Food Insecurity Education Initiative, Raine Arndt-Couch, Heather L. Clemons, Jeonathan Rodriguez Roman, and Jillian Warriner)AbbreviationsERAS: Enhanced recovery after surgery protocolsABIM: American Board of Internal MedicinePI-CME: Performance improvement continuing medical educationProduction TeamAlexandra Howson PhD, CHCP: Host/ProducerRhona Fraser BSc BVMS: Show notes➡️ Join the Write Medicine community☕ Buy me a Coffee⭐ Review the podcast

We got two new reviews this week on the podcast, which I was thrilled to see. The first was from, it turns out, Dave Chase from Health Rosetta, who wrote that “with so many people in healthcare practicing ‘innovation theater' and bloviating versus driving real change, it's a breath of fresh air to listen to Relentless Health Value.” Thank you so much for saying that, Dave. We try really hard to get guests who are actually doing great things such as yourself. And then there's another review from mattiw2002, who says, “For anyone trying to stay abreast of developments in the healthcare space, there's none better than … Relentless Health Value.” Thank you so much to the two of you who took the time to write a review—could not appreciate it more. There have been two inbetweenisodes this year where I get deep into the why behind the “why collaborate.” And when I say collaborate, what I mean is anybody in the healthcare industry working together with and for the patients that we're supposed to be serving here. It's creating alignment amongst stakeholders around what's best for the patient. Here is the nutshell version of the two previous shows. First point: Patients fall into one care gap after another. You hear this from any PCP you talk to who's working in a care setting when there's little, if any, collaboration effort on the front end to ensure a non-fragmented patient journey. So then, all these care gaps wind up getting surfaced, which, by the way—let's not forget this—these care gaps were there all along negatively affecting patient outcomes. It's just, in the past, we didn't know about them. But now that we know about them, it becomes the fee-for-service PCPs' job to mop up all the care gaps while the faucet is still running. So, that's the situation analysis, and if we're going to put an end to this, it means that payers have to align with providers and give enough incentive for those providers to create a non-fragmented patient journey (ie, making sure that the care gaps don't happen to begin with). This also means providers need to talk amongst themselves and collaborate. Keep in mind that a multi-morbid Medicare patient sees something like 5 to 13 doctors, on average, depending on what study you look at … 13! If anybody thinks that a patient can see 13 doctors not collaborating with each other and coordinating care and not wind up with some polypharmacy adverse event or materially conflicting advice … I don't know. Call me. I just do not understand how consistent excellence in patient outcomes or patient care even could be achieved. That whole cliché the left hand doesn't know what the right hand is doing? That's a cliché for a reason, and I seriously suspect the entire field of medicine isn't weirdly excluded from it. So, first point: Collaboration/alignment is required amongst healthcare stakeholders for patients to get decent outcomes, especially patients with multiple chronic conditions. Payers gotta pay for the right stuff, and providers have to coordinate care. Otherwise, you wind up with all of the care gaps that PCPs currently working in systems with fragmented patient journeys are seeing. Here's the second point from earlier episodes: Financial toxicity is clinical toxicity. Patients are forgoing care they need and not taking drugs they need because they cannot afford them. This is not speculation. Trilliant Health just released a report that showed this. Healthcare utilization, if you subtract COVID care and behavioral health, might be permanently down. Other reports speculated that by 2030, a leading cause of death might be nonadherence due to cost concerns. Wayne Jenkins, MD, in episode 358, talks about a whole constellation of negative effects when patients can't afford care; and yeah … here we are. Patients cannot afford their care. They cannot afford premiums, deductibles, out-of-pockets. These are insured patients a lot of times we're talking about here. Also, this is not a “Medicaid” problem, as Dan Mendelson put in episode 385. So, go back and listen to the earlier shows for the who and the what and the why of the above and much more context; but nothing I've just said is stuff that I personally would regard as my personal opinion. There is one study after another that bears all this out. There is just one anecdote after another. Fragmented patient care and care that is way more expensive than a patient can afford is going to result in outcomes that are not, let's just say, super. Alright, all of this being said, does then aligning payers and providers, and providers collaborating with each other and coordinating care … if these things are done, do patient outcomes improve? Do care gaps reduce? Are patients more satisfied with their care? Said another way, when physician practices get paid to deliver health and not paid for sick care, does patient health actually improve? Why, yes. Yes, it does. Why do I say this? First of all, this very much seems to be the conclusion of CMS. Here's from the Center for Medicare & Medicaid Innovation (CMMI). They released a report updating their strategic vision for implementing value-based care. One of the key new strategies focuses on creating greater care coordination between primary care doctors and specialists. What might be some of the success stories that precipitated the CMMI focusing their strategy on exactly what I've been running around squawking about for one to three years now? The ChenMed Case Study: ChenMed focuses on the most vulnerable patients and dramatically improves access for those patients, which has led to a 30% to 50% reduction in hospitalizations. They published there's been a 20% to 30% reduction of stroke. They've doubled six-month cancer survival rates and, in some cases, reduced heart failure readmissions by 50%, 70%, up to 90%. They see evidence that they are extending lives five or more years. How? By the providers being aligned with the payers and then also making sure that there is very coordinated care going on there. Johns Hopkins has a paper in JAMA that concluded that a care coordination model can be associated with improved outcomes, including substantial cost reduction. I was talking to Larry Bauer from FMEC, the Family Medicine Education Consortium; and he sent me probably a 40-page PDF of really great patient results when care is coordinated and payers are aligned to pay for health. As just one example, Dr. Daniel Hoefer from Sharp HealthCare, they have created what they call their Transitions program. And the idea is by moving aggressive care upstream via community-based palliative medicine, they have proven that the vast majority of people never need to see the inside of a hospital during the last year-ish of their life. The revolving door of hospitalization should be considered an archaic residual of a bygone era, as they put it. Again, this is very well-coordinated care with payer alignment. Do patients actually want this stuff? Before I get into our evidence here, just let me remind you that Kaiser is a payvider with a narrow network and also that Centivo is an innovative TPA (third-party administrator) pulling together narrow networks. On the podcast the other week, Dan Mendelson (EP385) from Morgan Health said that 40% of new employees are choosing lower-premium plans with either Kaiser or Centivo benefit designs. They are choosing lower-cost plans just as much for the lower premiums as for the care coordination and the “I don't want anybody between me and my doctor” messages. This is what happens when payers and providers are aligned. Nobody gets in the middle there. Heard a similar story from Nick Stefanizzi (EP383) from Northwell Direct. They're doing direct contracting with customers like Whole Foods. Everybody I talk to here is surprised how many employees are electing these kinds of plans. So, yeah … The Nuka System of Care in Alaska (EP312), where I get into this with Doug Eby, MD, MPH, CPE, in great detail. But wow, just wow there. With the Nuka ecosystem, they went from basically a failing mess into the health system that many consider to be the best or one of the best in the country at something like half the price per patient than in mainland US. They have this whole thing where they integrate specialty care into primary care. They have established an agreed-upon referral patterns and also an agreed-upon way to work with specialists that very much involves PCPs talking to specialists so that the whole person, the whole patient can be considered. They structure their whole program around paying for health and getting paid for health. Also, Nuka has a 96% patient satisfaction rate. So again, patients are certainly on board with this. If I was gonna sum up these five examples, I would certainly say that any physician practices looking to take better care of patients, rediscover clinical excellence and focus … get aligned with payers (CMS or otherwise). That's step one and certainly easier said than done. After that, work to collaborate with fellow providers. All of these entities that we just talked about who can brag about their patient outcomes and care quality are doing both of the stuff that we just talked about: aligning and collaborating with payers and other providers. They are also, at the same time, folding three other things into their strategy. And this other stuff is required because you kinda can't align with payers and you can't collaborate unless you're doing these three things at the same time: standardizing best-practice care, getting and using data, and using good technology in conjunction with that data. All of this in the service of this last thing, which is turning transactions into relationships. Human relationships. Relationships with patients. As Rebecca Etz, PhD, and her team at The Larry A. Green Center have shown quite crisply (discussed in episode 295), no relationship with a patient means worse outcomes for patients. End of sentence. But then there's also having relationships with colleagues and relationships with other docs who have patients in common. It is really tough to coordinate care without relationships, and it's also not very fulfilling. Alright, moving on to another question: Are doctors happy in these models where payers are paying for health and where it's a must-have to coordinate across the continuum of care? Well, I can tell you a couple of things. ChenMed has been named to Newsweek's “Most Loved Workplaces” list. Nuka System has a 93% employee satisfaction rating. Considering that elsewhere one out of two family practice docs are burned out, this is pretty striking in contrast. Also, here's another quote from a physician leader about good accountable care where health is being paid for. He said, “This has changed our physicians' lives … the idea that we can get paid to actually take care of people. To actually have data to send people to the best for follow-up care, who we know will continue and contribute to the patients' well-being in the same way. Burnout reduces here because burnout is moral injury in a cheap Halloween costume.” I'm really sorry I can't remember who said that because it's a great quote and so true. Larry Bauer from FMEC also told me the other day that DPC (Direct Primary Care) conferences have never had a session on burnout. Larry says he tells people if they want to see what 350 happy primary care docs look like, they need to come to a DPC summit. They're happy as clams. Now, while DPC isn't the “be entirely responsible for downstream costs” kind of accountable care, what is going on in DPC is, these docs are accountable to their patients and for the care that they are providing. Here's another anecdote which I think, in sum, adds up to a “yes” if the question is “Do docs really like this stuff?” I had a long conversation with Scott Conard, MD, the other day about his work with clinics in Queens. What I learned was, these clinics, they used to have waiting rooms overflowing with patients who had been waiting the entire day to be seen and just ... it wasn't good for anybody. Fast-forward a few years—high-risk patients get seen fast, and there's time for care coordination. Patients are happy; outcomes are better. But here is why I inferred that the docs are happy in this model: There was a new office manager. New office manager starts trying to go back to the old way, the “normal” way that practices are run. And it was mutiny on the bounty. No way no how were those docs going back. I took that as a pretty solid testimonial if I ever heard one. So, I don't know if anybody has done any sort of global physician satisfaction studies to determine if physicians who are in pay-for-health models where they're collaborating with one another are happier and less burned out than doctors in the current fee-for-service (FFS) environment. But I can tell you that if somebody did do this, there's gonna be one really big confounding factor … and this is what it is: There's a world of difference between a well-functioning accountable care model and a very terrible one. I have had a series of (as I said earlier) pretty heartbreaking, honestly, conversations with PCPs around the country who think value-based care pretty much sucks. For the big why on this, listen to the show with Dan O'Neill (EP359). But in short, in “not quite there yet” value-based care models, one's still in the two canoes messy middle (ie, they've got one foot in the value-based care world and one foot firmly in the FFS world). Life can get really hard for PCPs especially because they get the worst of both. They get to be care gap cowboys and cowgirls while, at the same time, having to do all of the FFS coding; and they still have seven-minute visits and RVU targets. There's not really great population health. Nobody's figured out how to defragment the care journey. And then there's the whole measurement industrial complex that gets piled on top of their day. I cannot stress this enough. Alright, so let's just check off our last big question here for the money motivated. This especially comes up when talking with especially specialists, who are doing very well, thank you very much—financially, I mean—in the current FFS status quo. So, let's not avoid the elephant in the room. Is taking on risk, getting paid for value, being accountable to deliver great results, deliver health … is it worth it from a financial standpoint? Alright, let's take a look at this. Here's from show 343 with David Carmouche, MD, when he was at Ochsner. He said, “Anything that we can do to convert the effective reimbursement in the Medicare space to something greater than Medicare fee-for-service rates, we think that this is in our best interest. So, we have gone very heavy into moving as much of our Medicare business into risk as we can. And we will take full capitation under a couple of Medicare advantage contracts.” So, that includes primary care as well as specialist care. Let's talk about One Medical for a moment. Five percent of One Medical members account for 51% of the company's revenue. You know which 5% account for that 51% of revenue? Right, the at-risk ones that are part of the Iora value-based medical group with a capitated model. That is a pretty strong financial endorsement there. There's a whole show with Brian Klepper, PhD (EP335), about why private equity is willing to pay $55,000 per patient in a capitated model. So, some actuaries somewhere think this is a very financially sound way to go. I am not sure if I would die on this hill, but I'd also say there's likely a downside to making zero effort on the accountable care front and banking on FFS being a forever cash cow. Everything I've just said, not a secret. Not at all. You see CMS moving in the “making providers accountable” direction. I already mentioned this and what CMMI is up to. But this is very much an overall strategy. Currently, 44% of traditional Medicare beneficiaries with parts A and B are in a care relationship with some accountability for quality and total cost of care. CMS aims to boost that number to 60% by 2024 and 100% by 2030. In sum across the industry, it looks like 19.6% of healthcare payments were risk-based in APMs (Alternative Payment Models) that include upside and downside. This is a couple points higher than in 2020, but it's not like it's skyrocketing. So, that might be a curb to our enthusiasm. However, in 2022 here, looking forward to 2023, you know who besides CMS is going heavy on trying to pay for health and not sick care? I have never seen my entire career more CEOs of Fortune 500 companies—CEOs!—who are actively taking a role in their employee health benefits. I think it's because they can't afford not to at this point. Again, financial toxicity is very, very real for employed individuals. Here's something that Jeff Hogan called out from a McKinsey report: “VBC [value-based care] models that show promise in the employer context include high-performance provider networks with cost- and quality-based metrics, episode-based payments for standardized patient-care journeys … , and risk-based contracts for end-to-end management of high-cost conditions.” You know what all those things have in common that I just rattled off? Only high-performing docs are in network—and this includes specialists. I say all this to say, I don't know, if I were a practitioner of healthcare and I knew that all this data was floating around about my practice patterns and given that doctors that don't perform well as per that data are being excluded from networks … I don't know, just given all of the signs that are pointing in a risk-based direction, learning to take on risk just seems like—I was never a Boy Scout, but the whole “Be prepared” seems pretty sound advice right now, especially given how long it takes to get good at this.   For more information, go to aventriahealth.com. To listen to the playlist of the mentioned episodes, click here. Each week on Relentless Health Value, Stacey uses her voice and thought leadership to provide insights for healthcare industry decision makers trying to do the right thing. Each show features expert guests who break down the twists and tricks in the medical field to help improve outcomes and lower costs across the care continuum. Relentless Health Value is a top 100 podcast on iTunes in the medicine category and reaches tens of thousands of engaged listeners across the healthcare industry. In addition to hosting Relentless Health Value, Stacey is co-president of QC-Health, a benefit corporation finding cost-effective ways to improve the health of Americans. She is also co-president of Aventria Health Group, a consultancy working with clients who endeavor to form collaborations with payers, providers, Pharma, employer organizations, or patient advocacy groups.   05:03 When physician practices get paid to deliver health and not paid for sick care, does patient health actually improve? 05:46 What is the ChenMed Case Study? 06:26 Can a care coordination model be associated with improved outcomes, including substantial cost reduction? 06:38 Are there examples of really great patient results when care is coordinated and payers are aligned to pay for health? 07:29 Do patients actually want this stuff? 07:46 Are employees choosing lower-cost plans just as much for the lower premiums as for the care coordination and the “I don't want anybody between me and my doctor” messages? 08:29 What is the Nuka System of Care in Alaska? 09:25 “I would certainly say that any physician practices looking to take better care of patients, rediscover clinical excellence and focus … get aligned with payers (CMS or otherwise). That's step one and certainly easier said than done.” 10:45 Are doctors happy in these models where payers are paying for health and where it's a must-have to coordinate across the continuum of care? 11:16 “This has changed our physicians' lives … the idea that we can get paid to actually take care of people. To actually have data to send people to the best for follow-up care, who we know will continue and contribute to the patients' well-being in the same way. Burnout reduces here because burnout is moral injury in a cheap Halloween costume.” —Physician leader 13:25 “There's a world of difference between a well-functioning accountable care model and a very terrible one.” 13:59 “Life can get really hard for PCPs especially because they get the worst of both. They get to be care gap cowboys and cowgirls while, at the same time, having to do all of the FFS coding; and they still have seven-minute visits and RVU targets.” 14:43 Is taking on risk worth it from a financial standpoint? 16:05 “There's likely a downside to making zero effort on the accountable care front and banking on FFS being a forever cash cow.” 17:11 “I have never seen my entire career more CEOs of Fortune 500 companies—CEOs!—who are actively taking a role in their employee health benefits. I think it's because they can't afford not to at this point. Again, financial toxicity is very, very real for employed individuals.” 17:54 “Only high-performing docs are in network—and this includes specialists.”   For more information, go to aventriahealth.com. To listen to the playlist of the mentioned episodes, click here.   Our host, Stacey, discusses #collaboration on our #healthcarepodcast. #healthcare #podcast When physician practices get paid to deliver health and not paid for sick care, does patient health actually improve? Our host, Stacey, discusses #collaboration on our #healthcarepodcast. #healthcare #podcast What is the ChenMed Case Study? Our host, Stacey, discusses #collaboration on our #healthcarepodcast. #healthcare #podcast Can a care coordination model be associated with improved outcomes, including substantial cost reduction? Our host, Stacey, discusses #collaboration on our #healthcarepodcast. #healthcare #podcast Are there examples of really great patient results when care is coordinated and payers are aligned to pay for health? Our host, Stacey, discusses #collaboration on our #healthcarepodcast. #healthcare #podcast Do patients actually want this stuff? Our host, Stacey, discusses #collaboration on our #healthcarepodcast. #healthcare #podcast Are employees choosing lower-cost plans just as much for the lower premiums as for the care coordination and the “I don't want anybody between me and my doctor” messages? Our host, Stacey, discusses #collaboration on our #healthcarepodcast. #healthcare #podcast What is the Nuka System of Care in Alaska? Our host, Stacey, discusses #collaboration on our #healthcarepodcast. #healthcare #podcast “Are doctors happy in these models where payers are paying for health and where it's a must-have to coordinate across the continuum of care?” Our host, Stacey, discusses #collaboration on our #healthcarepodcast. #healthcare #podcast “There's a world of difference between a well-functioning accountable care model and a very terrible one.” Our host, Stacey, discusses #collaboration on our #healthcarepodcast. #healthcare #podcast Is taking on risk worth it from a financial standpoint? Our host, Stacey, discusses #collaboration on our #healthcarepodcast. #healthcare #podcast “There's likely a downside to making zero effort on the accountable care front and banking on FFS being a forever cash cow.” Our host, Stacey, discusses #collaboration on our #healthcarepodcast. #healthcare #podcast “Only high-performing docs are in network—and this includes specialists.” Our host, Stacey, discusses #collaboration on our #healthcarepodcast. #healthcare #podcast   Recent past interviews: Click a guest's name for their latest RHV episode! Dr Eric Bricker (Encore! EP351), Al Lewis, Dan Mendelson, Wendell Potter, Brian Klepper (Encore! EP335), Dr Aaron Mitchell (EP382), Karen Root, Mark Miller, AJ Loiacono, Josh LaRosa, Stacey Richter (INBW35), Rebecca Etz (Encore! EP295), Olivia Webb (Encore! EP337), Mike Baldzicki, Lisa Bari, Betsy Seals (EP375), Dave Chase, Cora Opsahl (EP373), Cora Opsahl (EP372), Dr Mark Fendrick (Encore! EP308), Erik Davis and Autumn Yongchu (EP371), Erik Davis and Autumn Yongchu (EP370), Keith Hartman, Dr Aaron Mitchell (Encore! EP282), Stacey Richter (INBW34), Ashleigh Gunter, Doug Hetherington  

This time around on Compassion & Courage, Marcus sits down to talk with Cassandra Crowe of Sharp Health in southern California. Learn what she learned from bad leaders that she chose not to emulate in her career. Marcus and Cassandra both share why they're not cut out for clinical work, but why and how both are drawn to helping caregivers. Discover who inspired Cassandra's early life and what her grandparents saw in her so young. Cassandra says the label she was given set her feet on the path of patient experience and helping those who serve patients and families.Key topics:00:00 – Introduction01:10 – Cassandra Crowe talks about her journey through healthcare and career.06:57 – Marcus asks what Cassandra is able to do in her role as Chief Experience Officer to keep employees and patients happy.12:27 – Cassandra is asked if there was a time where she experienced compassion that inspired her. 18:10 – Cassandra describes the human condition and about yearning for compassion and servility. 22:48 – Marcus asks how to get rid of our “junk” and stress. Cassandra talks about the power in apology.28:25 – Cassandra talks about leadership and gives some examples of good and bad leaders. 33:30 – Marcus moves the conversation in to rapid fire question mode. Cassandra wants people to just “Be Kind.”42:00 – Thank you and conclusions! Resources for you: Connect with Marcus on LinkedIn: https://www.linkedin.com/in/marcusengel/Connect with Cassandra Crowe on LinkedIn: https://www.linkedin.com/in/cassandracrowemba/Learn more about Goodr: https://goodr.coSubscribe to the Compassion & Courage podcast through Apple: https://bit.ly/MarcusEngelPodcast More About Cassandra Crowe:Cassandra Crowe has more than 20 years of leadership experience in patient experience and service excellence. She is currently the Chief Experience Office at Sharp HealthCare in San Diego, California and has served as Vice President of Patient Experience for University of Maryland Upper Chesapeake Health and Senior Director, Office of Patient Experience and Service Excellence, at University of Colorado Health and Director of Service Excellence with Banner Health.  A Certified Patient Experience Professional, Crowe holds a Master of Business Administration from Pfeiffer University. She is a dynamic professional with a proven track record of elevating the human experience through collaborative relationships and high-impact strategies and initiatives. Date: 11/7/2022Name of show: Compassion & Courage: Conversations in HealthcareEpisode title and number: Episode 75 – Cassandra Crowe - When Good Leaders Are Inspired By Bad Leaders

How can we elevate the human experience in healthcare? COVID-19 has immensely affected the healthcare system, but how can it shift from the changes brought by the pandemic? Hospitals and systems really need to think about the experience of the patients, especially today in this new generated focus. So what is the role of Chief Experience Officers in breaking down these silos in healthcare? Is there still a space for collaboratives? How can we keep the human experience at the forefront? Join Shawn Nason as he talks to Cassandra Crowe to learn more. In This Episode (02:17) - Cassandra's transition to Sharp HealthCare in 2020 (05:42) - Breaking down the silos in the health system (10:08) - Cassandra's childhood dream, and her journey to becoming a CXO (14:09) - Working in an organization that does experience as a strategy (15:50) - The most important thing Cassandra learned as a certified patient experience professional (18:53) - How can we keep the human experience at the forefront? (21:15) - An experience idea that healthcare should emulate from another industry (22:59) - The best advice Cassandra has ever received about leadership (24:11) - The Combustion Questions What we learned from Cassandra Experience officers as bridge builders, dot connectors, and collaborative formers. You should expect good service when you walk into a healthcare organization. Experience is connected to everything that you do. In terms of creating a good experience, a lot of it is intuitive and based on regulations. The need to put experience design methodology at the forefront of your brain in everything we do. Notable Quotes [08:25] - “Our job is to make sure the work is meaningful and connected to a bigger strategic objective.” [16:27] - “In the healthcare space, letters behind your name mean a lot to certain people.” [17:29] - “If you're not sure where I fit, then we won't ever get to success.” [23:01] - “You don't have to have a title to be a leader, you have to have heart for people.” Our Guest Cassandra Crowe serves as chief experience officer at Sharp HealthCare, her latest stop in 20+ years of leadership in patient experience and service excellence. She is a dynamic professional with a proven track record of elevating the human experience through collaborative relationships, and high-impact strategies and initiatives. Resources & Links Cassandra Crowe LinkedIn: https://www.linkedin.com/in/cassandracrowemba/ Shawn Nason LinkedIn: https://www.linkedin.com/in/nasonshawn/ Instagram: https://www.instagram.com/manonfiresocial/ Twitter: https://twitter.com/manonfiresocial Website: https://shawnnason.com/ MOFI: https://www.mofi.co/ The Combustion Chronicles Podcast Website: https://shawnnason.com/combustion-chronicles-episodes/ Learn more about your ad choices. Visit megaphone.fm/adchoices

In this conversation with Cassandra Crowe, Chief Executive Officer at Sharp HealthCare, Cassandra shares some high-level insights regarding the employee experience transformation at Sharp HealthCare and the ways in which this multilayered process impacted business operations and patient experience.

Meet Carol Gallagher, Pharm.D.: Carol Gallagher, Pharm.D. is a Venture Partner at New Enterprise Associates. Previously, she was the  CEO of Calistoga Pharmaceuticals, and President and CEO of Metastatix. Dr. Gallagher currently  serves on the Board of Directors at Atara Biotherapeutics, Chromacode, PIONYR Biotherapeutics,  QPEX BioPharma, Recludix, Slope.io, TREX, and Turning Point Therapeutics, and is a Trustee for the  Salk Institute. She received a Doctor of Pharmacy from the University of Kentucky.Key Insights: Carol Gallagher, Pharm.D. explores the progression of her career through the pharmaceutical  industry and as a founder, CEO, and investor. • Complement Founders. Dr. Gallagher's co-founder had a scientific background with immune system cancers, whereas she had experience with clinical trials and patient application related to B cell and other immunological disease. Founding a company is a team sport and building a complementary team is fundamental to success.• Self-Assessment. For all leaders, it's important to have an honest self-assessment. Carol cites that the best CEOs are introspective. They understand their limitations and are also able to recruit the right team to fill those gaps.• Investment Philosophy. Innovators love to think about big changes, but sometimes incremental is good. When investing, Dr. Gallagher considers if the innovation can occur within the 3–5-year investment timeframe.This episode is hosted by Rick Lemoine, M.D. He is a member of the Advisory Council for Day Zero and is the Chief Medical Information Officer for Sharp HealthCare. Relevant Links:o Learn more about Carol Gallagher, Pharm.D.o Read “Salk Institute welcomes biopharmaceutical executive Carol Gallagher as new  trustee” 

Meet Gad Shaanan:Gad Shaanan is an entrepreneurial visionary with a thirty-five-year record of creating winning products for internationally recognized, mass-market brands. Gad's path is rooted in his passions for product innovation and go to market strategy. From identifying a gap in the marketplace, assembling the right team of experts, inventing the solution, executing on the development and finding the right partners to launch. As a business strategist, he fully comprehends the bigger picture and the nature of successful, global business.  Gad is a serial entrepreneur and trusted advisor to Fortune 500 companies, distinguished by his unique perspective and strategic risk-taking. Prior to moving to San Diego he founded, Gad Shaanan Design, a Montreal based consulting firm, with satellite offices in Taipei and Chicago. Key Insights:Gad Shaanan is a serial entrepreneur across multiple industries, spanning from design to drones. Entrepreneurship Philosophy. Gad looks at the marketplace to see where there is a “hole,” potential demand but no unique product. He builds a business around creating a solution to fill that hole.vGeneralist. Gad personally enjoys being a generalist as it gives him flexibility; his entrepreneurial endeavors have included drones, coffee making, and blood glucose monitoring. As a generalist entrepreneur, he knows that once he dives into something specific, he needs to hire a team with experts to have a successful business. A Simple Question.What are you passionate about? Gad was fueled by his interests and so his work never felt like work. This episode is hosted by Rick Lemoine, M.D. He is a member of the Advisory Council for Day Zero and is Chief Medical Information Officer for Sharp HealthCare. Relevant Links:Learn more about GadlightListen to “The Factor in Great Design” with Gad ShaananRead about all of Gad's patents 

August 22, 2022: https://www.linkedin.com/in/charlesboicey/ (Charles Boicey) from https://clearsense.com/ (Clearsense) joins Bill for the news. We hear almost daily about flashy new ventures just like Amazon's recent purchase of One Medical that promise transformative improvements in healthcare. But will Amazon's foray into primary care be easy? Meta faces yet another lawsuit alleging that its Pixel tracking tool harvests patients' private medical data and shares the information with Facebook. Why do they continue to violate state and federal laws? Sharp HealthCare and Sanford Health have joined with Dandelion Health on a project meant to build diversity into data science. And is the relative lack of competition in the EHR market good or bad for interoperability?  Key Points: Instead of artificial intelligence, it's intelligent assist Interoperability is a business problem, not a technical problem It's going to be interesting to watch the continuation of machine learning and AI, as it's applied to healthcare https://clearsense.com/ (Clearsense) Stories: https://hbr.org/2022/08/amazons-foray-into-primary-care-wont-be-easy (Amazon's Foray into Primary Care Won't Be Easy - Harvard Business Review) https://news.bloomberglaw.com/privacy-and-data-security/meta-sued-again-for-using-pixel-to-secretly-harvest-patient-data (Meta Sued Again for Using Pixel to Secretly Harvest Patient Data - Bloomberg Law) https://healthcareservicesinvestmentnews.com/2022/08/05/sharp-healthcare-sanford-health-partner-with-dandelion-health/ (Sharp Healthcare, Sanford Health Partner with Dandelion Health - Healthcare Services Investment News) https://www.beckershospitalreview.com/ehrs/q-a-with-cio-donna-roach-on-what-s-stalling-healthcare-data-sharing.html (Q&A with CIO Donna Roach on what's stalling healthcare data-sharing - Beckers)

August 3, 2022: It's hard to imagine a more complex and dense information ecosystem than that in healthcare. Petabytes of data flying around hybrid networks, a growing reliance on the cloud, a strict but often vague regulatory situation, a very active M&A environment and a severe shortage of skilled and experienced workers. https://www.linkedin.com/in/ryanzwitt/ (Ryan Witt) of https://www.proofpoint.com/us (Proofpoint) and http://www.linkedin.com/in/chasefranzen/ (Chase Franzen) of https://www.sharp.com/ (Sharp HealthCare) are here to help you protect your system. What are the key threats to patient data today? What are the main vulnerabilities? How can you prevent email attacks? What are the main “portals” for exfiltration? How do you safeguard these portals? What are the best solutions in the market to help mitigate these threats? Key Points: Healthcare is a virtual treasure trove. It attracts the full gamut of attackers. What are the key threats? Are cyber attacks getting more sophisticated? You've got to have a defense and death strategy https://www.proofpoint.com/us (Proofpoint) https://www.sharp.com/ (Sharp HealthCare) Webinar: How's Your Front Line? Recruit, Retain and Optimize Your Cybersecurity Team - Thu Aug 11 @ 1pm ET / 10am PT “Cybersecurity-what's your emergency?” “We need help. It's an attack.” “Hello? Hello!” What can we do about the staffing shortage in cybersecurity? With research suggesting that nearly a third of the cybersecurity workforce is planning to leave the industry in the near future, organizations are left in a worrisome position, especially as attack surfaces are growing. So, where do we move forward from here knowing that we are facing low numbers in the field already and it's likely to get even worse? https://thisweekhealth.com/webinar-sempris-cyberstaffing_recruit-retain-optimize-cybersecurity-team/ (Register here) Webinar: Don't Pay The Ransom - Thu Aug 18 @ 1pm ET / 10am PT Is your health system paying out for attacks on your data? How can we stop the cycle? Rubrik is offering incredible insight into the arising issues in cyber resilience in ransomware attacks, cloud data management with securing Epic in Azure, and unstructured data. In this webinar, we analyze the best practices to initiate in our hospital systems. https://thisweekhealth.com/dont-pay-the-ransom-insight-into-cyber-resilience-in-ransomware-attacks-cloud-data-management-unstructure-data/ (Register here)

One of the silver linings of the COVID-19 pandemic is that it has improved healthcare delivery systems and opened the door for better patient advocacy. Brent Steineckert and Sharp HealthCare are committed to giving patients more control over their own care. Simple things like self-scheduling, mobile check-in, virtual on-demand telehealth, mobile access, and remote monitoring help advance that goal.In this episode of The Connected Care Team, Will O'Connor, M.D. and Brent Steineckert discuss using technology to make life easier for clinicians, empowering patients, and teaching physicians the art of “webside manner.” Related:Connect with Brent Steineckert on LinkedIn.Learn more about the TigerConnect Product suite.Follow TigerConnect on LinkedIn for the latest episodes, news, and announcements.Subscribe to The Connected Care Team on your favorite platform to get notified of new episodes.

Post By: Adam Turteltaub At the 2022 HCCA Compliance Institute, Tonja Wise (LinkedIn), Corporate Director of Compliance, Sharp HealthCare will be leading a session “Your Audit Plan is on Point…but How is Your Moderating Game?”  It's a very good question, and in this podcast she offers very helpful advice on how to improve your monitoring efforts. First, since monitoring and auditing are often referred to together as if they are the same thing, she defines the difference between the two.  Monitoring, she explains, tend to come after a problem, or potential one, is identified and there is a need to ensure that the remediation in place is working. Like other areas of compliance she advises a risk-based approach.  Health care entities should focus on areas of recent government audits or any place they already have a correction plan in place.  Avoid focusing on areas where the risk is low of either an incident or having to pay a substantial penalty. To have a strong monitoring program in place, Tonja explains, you need an experienced staff and the right software.  An Excel spreadsheet to track things is probably not enough. Listen in to learn more about how to effectively monitor your healthcare compliance program, and then join us for the 2022 HCCA Compliance Institute.

Post By: Adam Turteltaub At the 2022 HCCA Compliance Institute, Tonja Wise (LinkedIn), Corporate Director of Compliance, Sharp HealthCare will be leading a session “Your Audit Plan is on Point…but How is Your Moderating Game?”  It's a very good question, and in this podcast she offers very helpful advice on how to improve your monitoring efforts. First, since monitoring and auditing are often referred to together as if they are the same thing, she defines the difference between the two.  Monitoring, she explains, tend to come after a problem, or potential one, is identified and there is a need to ensure that the remediation in place is working. Like other areas of compliance she advises a risk-based approach.  Health care entities should focus on areas of recent government audits or any place they already have a correction plan in place.  Avoid focusing on areas where the risk is low of either an incident or having to pay a substantial penalty. To have a strong monitoring program in place, Tonja explains, you need an experienced staff and the right software.  An Excel spreadsheet to track things is probably not enough. Listen in to learn more about how to effectively monitor your healthcare compliance program, and then join us for the 2022 HCCA Compliance Institute.

”It really does change an interaction when you can be present with someone. It does make the moments matter.” For years the healthcare industry has been dollars-focused and business-minded. Cassandra Crowe-Jackson, Chief Experience Officer at Sharp HealthCare, says the silver lining of the pandemic is the shift in perspective and taking a people-first approach in patient and employee experience. In this episode, Cassandra shares her strategies for making people feel seen and how it allows her to lift up others. Listen to learn ways to make your team members feel valued and create something powerful, together.

In this Huddle, Bob and Dina chat with Amanda Archibald, Registered Dietitian and founder of the Genomic Kitchen, to talk about the game changing science of nutrigenomics and culinary genomics. The way in which we choose and prepare our foods can better support our health at a gene and cellular level. Learning more about your genes and gene variants and how to “feed them” is the ultimate in personalized nutrition and aligns well with Bob and Dina's “Test, Don't Guess” philosophy. We cover: · Nuances and differences between genetics, genomics, epigenetics, nutrigenetics, and nutrigenomics · What are “SNPs” and how do nutrient bioactives play a role in “talking to” them? · A new way to look at ROI, your “Return on Ingestion” when choosing foods · Unique characteristics of cruciferous vegetables as an example of the nutrigenomic power of foods. “Cruciferous vegetables are your diamonds.” (--Amanda Archibald) · Why herbs and spices need to be included in meals and a trick for how to get your daily dose · The scoop on the dried greens powder products · Guidance around nutrigenetic testing Interested in learning more? Register for the GENE-IUS cooking course that starts on January 25, 2022. Info at https://www.genomickitchen.com/gene-ius Find Amanda at https://www.genomickitchen.com/and on Facebook/Instagram @genomickitchen More about Amanda Archibald: Amanda Archibald, RD, founder of The Genomic Kitchen, is widely recognized for her trailblazing work as a clinician, educator, consultant, speaker, and mentor in the cutting-edge world of genomic medicine. She masterfully connects the dots between genes, food, lifestyle, and health restoration. In addition to working with a global clientele in private practice, Amanda also trains the next generation of healthcare providers in the art and science of using genomics as a foundational tool in medical and clinical practice. Amanda's pioneering work has been featured at clinical, health and industry conferences in the USA, Europe, South Africa, Australia and New Zealand. Her work in Culinary Genomics has been successfully integrated, for the first time in the world, on to an in-patient menu at the Sharp Healthcare system in San Diego, California. She has just finished working on an international collaborative polygenic test project focused at public health and corporate wellness audiences that is in its pilot phase. The first of its type in the world. Amanda is the author of The Genomic Kitchen, Your Guide to Understanding and Using the Food-Gene Connection for a Lifetime of Health. Got a sports nutrition question for the Sport Dietitians? Email us your inquiry at hello@insidesportsnutrition.comand we'll get it on a future Q&A episode. Learn about Bob and Dina's services: Find Bob at www.enrgperformance.com and Dina at www.nutritionmechanic.com

This episode features John “Rick” LeMoine, Chief Medical Information Officer at Sharp HealthCare. Here, he discusses his career journey, COVID-19 in his community, and more.

Joining the Busy Leader's Podcast is Dr. Stephen Beeson who is an author, physician, speaker and founder of Practicing Excellence. He and his company have helped hundreds of medical groups and hospitals across the country develop their clinicians in ways that transform the experience for those receiving and providing care.Throughout this podcast, Dr. Beeson shares how they help clinicians, teams and leaders build new skills that help them experience more of those restorative moments of patient connectivity, team collaboration and leadership effectiveness. These are the moments that help people sore, and they can happen throughout an organization. Learn how creating a sense of belonging may be the greatest burnout counter method there is and how providing people the skills to allow “team” to manifest, so much so that people wake up Monday morning excited to go to work and hang out with their tribe. This podcast will give you a greater understanding that we have dominion over the things that drive the human experience and how adjusting one's is mindset and leadership approach are elements. About Dr. Stephen Beeson stephen@practicingexcellence.com  Dr. Stephen Beeson is a nationally recognized author, physician, and speaker. A board-certified family medicine physician, Dr. Beeson practiced with the Sharp Rees-Stealy Medical Group in San Diego County for 18 years. During his tenure with the medical group, Dr. Beeson was selected by Sharp HealthCare leadership to serve as the Physician Director for the Experience,” an organizational commitment tooperationalize service excellence. Dr. Beeson's patients ranked him in the 99th percentile nationwide, and the San Diego County Medical Society voted Dr. Beeson as one of San Diego's best physicians for eight consecutive years. During this time, the medical group improved their patient satisfaction from the bottom to the top decile, won three AMGA Acclaim Honoree awards for clinical performance, and with Sharp Healthcare was the recipient of the Malcolm Baldrige Award.Dr. Beeson's first book, “Practicing Excellence A Physician's Manual to Exceptional Health Care,” became a national bestseller that articulates a prescriptive “how-to” approach to improve physician performance to drive organizational success. In 2009, he released his second book, “Engaging Physicians: A Manual to Physician Partnership.” This critically acclaimed book takes system leaders on a staged journey to physician enrollment in organizational change efforts.Most recently, Dr. Beeson founded Practicing Excellence, which builds skills to drive outcomes in well-being, patient experience, and leadership effectiveness. Built for busy clinicians, their micro-learning approach delivers short, evidence-derived, video-based coaching to clinicians, leaders, and teams through a mobile app. They partner with some of the nations' largest health systems and medical groups to deliver coordinated skill-building programs that provide measurable results. Learn more at www.practicingexcellence.com. Resources: www.thegratitudegroup.com/Gratitude Symposium talk by Dr. Stephen Beeson - Finding Gratitude When Life is HardThe frontline care teams have been through one of the most challenging times in healthcare ever. Exacerbation of burnout, thoughts of retiring early, anxiety, depression, and PTSD have come into our beautiful healing profession.In this session, we spend a few moments on the personal impact of what healt

When leading their first project or the thousandth, a project manager's number-one priority is always the same: getting the job done. But how can they make it happen, all while leading a team? In this episode, host John Laurito is joined by T2 Group Managing Partner Kevin Torf. They talk about project management, engaging teams, and empowering people as a leader. They also talk about Kevin's book Getting the Job Done: Practical Advice and Real-World Anecdotes to Manage Successful P.R.O.J.E.C.T.S., which breaks down project management into eight core concepts that were key to T2 Group's success.Kevin is a co-founder and managing partner of T2 Group™. He developed the company's hybrid-Agile methodology, which is used by T2 Tech program and project managers to plan and develop client projects. Many of T2 Tech's clients have adopted this methodology in-house and are using it to manage all projects organization-wide. Kevin currently plays leading roles as the chief IT architect for extensive IT infrastructure projects and field operations. For example, Kevin oversaw the IT infrastructure design and implementation for a $636-million new hospital construction project at Children's Hospital Los Angeles. He's also acted as principal during the design and implementation of a redundant architecture and disaster recovery site for Sharp HealthCare. In another large-scale initiative, Kevin directed the IT remediation plan for a multimillion-dollar restructuring of the enterprise IT environment for a merged six-hospital system. In addition to his leadership abilities, Kevin has been instrumental in negotiating multimillion-dollar contracts with crucial technology vendors for many clients.Reach Kevin at:Website: https://t2group.us/LinkedIn: https://www.linkedin.com/in/kevintorf/Twitter: https://twitter.com/KevinBTorfGet a copy of the book: https://www.amazon.com/Getting-Job-Done-Kevin-Torf/dp/1736028367Show notes:[2:13] What motivated him to write his book?[3:23] The difference between a Project Manager and a Leader[4:55] What does empowering someone look like[7:55] Mistakes that leaders often make[10:12] The culture he typically sees in a winning organization[12:28] How should leaders handle an uncollaborative team member?[16:56] What readers can get from Getting the Job Done[21:55] OutroGet a copy of Tomorrow's Leader on Amazon https://tinyurl.com/huseae9hText LEADER to 617-393-5383 to receive The Top 10 Things That The Best Leaders Are Doing Right NowFor questions, suggestions, or speaker inquiries, contact me at john@lauritogroup.com

October is National Depression and Mental Health Screening Month.  On this week's episode, we are joined by Shanette Smith, LMFT,  a business development specialist at Sharp Mesa Vista Hospital and Sharp McDonald Center, to share information and awareness of screenings and prevention, as well as resources available at Sharp HealthCare to bring mental health awareness into the workplace to destigmatize the issue and support team members who may need help.RESOURCESStress First Aid: https://www.sharp.com/employees/stress-first-aid.cfmCheck Your Mood: https://www.livewellsd.org/content/livewell/home/news-events/check-your-mood.html

This episode features Cassandra Crowe Jackson, Chief Experience Officer at Sharp HealthCare. Here, she discusses the goals of Sharp HealthCare, how technology plays into the overall patient experience, and more.

Sharp employees are once again invited to the Virtual Benefits, Wellness and Safety Fair!  In this episode of The Coffee Break with Sharp Best Health, we are joined by Michael Janniere,  Director of  Benefits at Sharp HealthCare, to talk about  this event, scheduled for September 30, 2021 and titled Back to Better.  The fair will provide a full day of timely and relevant information designed to help employees make the most of their benefits options, keep their families healthy and safe, and be their very best selves in spite of the ongoing challenges of the Covid-19 pandemic.Learn more on sharpNET.

In advance of View from the Top 2021 on September 23 (click here to register) where Colorado's leading non-profit CEOs join us for an in-depth conversation on managing through crisis and the vital connection between business and non-profit communities., we feature some of our panelists on Profits & Purpose. This episode proudly features Janice Sinden. Janice Sinden joined the Denver Center for the Performing Arts as President & CEO in 2016. This fourth-generation Coloradan has had her eye on the future of her state for decades and now leads the 300 artisans and administrators of one of the nation's largest non-profit theatre organizations. Janice's diverse career has allowed her to support rich cultural experiences, access to education and community involvement. She previously served as Chief of Staff for Denver Mayor Michael B. Hancock where she managed 60 appointees, 26 departments and the day-to-day complexities of running a major metropolitan city. She served as Executive Director of Colorado Concern, Manager of Community Relations / Corporate Communications for Sharp HealthCare in San Diego, and worked for U.S. Senator Wayne Allard in both Washington, D.C. and Colorado. On this episode of Profits & Purpose, Janice shares her professional journey, discusses the unique challenges to live theatre and the arts presented by the global pandemic, how the Denver Center for Performing Arts is building back better, and what's on the horizon for the organization. It's a unique look into one of Denver's most iconic organizations. Hosted by Colorado Business Roundtable President Debbie Brown.

Janice Amon, CCDS, CCS is a visionary, innovative, and highly motivated compliance professional with a strong regulatory, clinical, coding, and billing knowledge and skills. She currently works for the largest health system in San Diego, California as Sharp Healthcare's (SHC) Corporate Compliance Audit and Clinical Manager. Janice is responsible for assisting Compliance Director for the oversight and maintenance of a high-quality, effective, best practices billing, coding, and reimbursement of SHC's Audit Compliance Program. She leads investigations and multidisciplinary projects and helped developed and implemented Sharp Healthcare's ethics and compliance strategic work plan. She has held previous leadership roles in 3M Health Information systems (3M HIS) and TrustHCs, where she provided education across the nation's top hospitals and health systems' staff. She is most proud of my strong leadership skills, passion, determination, and work ethics. Janice on LinkedIn: https://www.linkedin.com/in/janice-amon-ccds-ccs-73169a86/ Brian Cui on LinkedIn: https://linkedin.com/in/briancui/ Check out our supporting Medical Coding Geek Partners: https://medicalcodinggeek.com/partners Medical Coding Geek and NEC Podcast on Social Media https://facebook.com/medcodinggeek https://facebook.com/necpodcast https://instagram.com/medcodinggeek https://instagram.com/necpodcast https://tiktok.com/@medcodinggeek Subscribe to NEC Podcast on YouTube: https://www.youtube.com/channel/UCKh_A91__rieaSSPIRm4gBw Subscribe to Medical Coding Geek on YouTube: https://youtube.com/MedicalCodingGeekVideos Medical Coding Geek Facebook Groups: https://facebook.com/medcodinggeek/groups

Janice Amon, CCDS, CCS is a visionary, innovative, and highly motivated compliance professional with a strong regulatory, clinical, coding, and billing knowledge and skills. She currently works for the largest health system in San Diego, California as Sharp Healthcare's (SHC) Corporate Compliance Audit and Clinical Manager. Janice is responsible for assisting Compliance Director for the oversight and maintenance of a high-quality, effective, best practices billing, coding, and reimbursement of SHC's Audit Compliance Program. She leads investigations and multidisciplinary projects and helped developed and implemented Sharp Healthcare's ethics and compliance strategic work plan. She has held previous leadership roles in 3M Health Information systems (3M HIS) and TrustHCs, where she provided education across the nation's top hospitals and health systems' staff. She is most proud of my strong leadership skills, passion, determination, and work ethics. Janice on LinkedIn: https://www.linkedin.com/in/janice-amon-ccds-ccs-73169a86/ Brian Cui on LinkedIn: https://linkedin.com/in/briancui/ Check out our supporting Medical Coding Geek Partners: https://medicalcodinggeek.com/partners Medical Coding Geek and NEC Podcast on Social Media https://facebook.com/medcodinggeek https://facebook.com/necpodcast https://instagram.com/medcodinggeek https://instagram.com/necpodcast https://tiktok.com/@medcodinggeek Subscribe to NEC Podcast on YouTube: https://www.youtube.com/channel/UCKh_A91__rieaSSPIRm4gBw Subscribe to Medical Coding Geek on YouTube: https://youtube.com/MedicalCodingGeekVideos Medical Coding Geek Facebook Groups: https://facebook.com/medcodinggeek/groups

Cassandra Crowe-Jackson and Bonnie talk about how the patient experience has changed as a result of the pandemic and how leaders can rise to meet the needs of the workforce, as well as patients. Learn more about your ad choices. Visit megaphone.fm/adchoices

This episode features Brett McClain, Executive Vice President & Chief Operating Officer at Sharp HealthCare. Here, he discusses his top priorities as COO, what he's most focused on right now, and more.

Employees were met with diverse challenges during the pandemic. It split most hospitals into two groups: employees battling the front lines and employees supporting remotely.  With fear, uncertainty, and anxiety everywhere, how do you keep your employees engaged to push through tough work when you're also engulfed in the same unease?  To address this topic are two industry experts, Jennifer Pursifull, Vice President of Marketing and Sales at Medxcel and Cassandra Crowe-Jackson, Chief Experience Officer at Sharp HealthCare. Jennifer and Cassandra knew the best way to ensure people felt supported was to meet the employees where they were. Even with that mantra guiding them, successfully engaging thousands of employees in varying circumstances was still no simple task. Jennifer and Cassandra share specific examples of how they boosted engagement survey responses even during the toughest moments. Discover how to engage employees during challenging times in this episode of Outside the Patient's Door. On this episode, you'll hear: [03:46] Biggest challenges that impacted your employees this year [18:24] How compassion was exhibited in your organizations [23:16] What foundations made you successful in making tough pivots [28:23] The role employee engagement played during pandemic challenges

In episode 56, Listener Janet in the UK askes a great question that Chris answers as part of Maritime History. We have a bumper edition of cruise news as the UK restarted cruising this week and some great stories from around the world.This podcast is only possible thanks to our supporters, simply buying a coffee keeps us on air. It is just like shouting your mate a coffee, and we consider our listeners close mates. https://bit.ly/2T2FYGXMSC VirtuosaMSC Virtuosa, Galleria VirtuosaMSC Virtuosa, Savannah AquaparkMSC Virtuosa, MSC Yacht Club PoolImage Credit: Ivan Sarfatti, MSC CruisesMARITIME HISTORYJanet from the Isle of White, asked Chris “With cruising now re0starting across the world, do you know how passenger ships have restarted after past events like The Great Depression, SAR's etc.CRUISE NEWSCLIA – Ready, Set, Sail CampaignSupport the return of local cruising in Australia. CLIA is calling on the Australian government to finalise a phased and carefully controlled resumption of domestic cruising.Click now! TAKE ACTION https://bit.ly/3eQoXMaMSC restarts the UK Cruise seasonMSC Virtuosa, MSC Cruises' latest flagship, has arrived in Southampton, ready to welcome guests as cruising restarts in the UK. The newest and most innovative ship in MSC Cruises' fleet, MSC Virtuosa will embark on her maiden voyage around the British Isles on 20th May.With all of MSC Cruises' trademark glamour and European style, MSC Virtuosa is set to bring guests an unbeatable summer holiday, with everything in one place.The first cruise line to restart in the UK, MSC Cruises brings guests a choice of three- and four- night mini cruises starting from 20th May, then from 5th June, MSC Virtuosa will begin seven-night cruises. The week-long sailings include calls at the picturesque isle of Portland and the cultural city of Belfast in Northern Ireland, as well as offering multiple ports of embarkation including Liverpool and Greenock, close to Glasgow, Scotland, on top of Southampton.MSC Virtuosa is one of MSC Cruises' most innovative and environmentally advanced ships. The 19-deck ship will offer its British guests of all ages the very best of fine dining restaurants, world-class entertainment, relaxing bars and lounges, boutique shopping, spa and fitness centres, an aquapark and clubs for toddlers to teenagers. The ship's show stopping feature is its iconic 112-metre promenade with a stunning LED sky dome, the social heart and hub of the ship.The brand-new MSC Starship Club will launch on MSC Virtuosa. The world's first futuristic, immersive experience at sea, MSC Starship Club will feature humanoid robotic bartender, Rob, shaking up a galactic choice of cocktails for guests.MSC Baltic Sea Sailing restart from Germany in JulyMSC Cruises has announced it will restart its sailing operations in Germany on 3 July with is first ever deployment of an innovative Seaside class ship to operate in the Baltic Sea, MSC Seaview, and with a brand new itinerary for the region.The vessel will homeport in Kiel until September and offer 7-night voyages – all to include protected shore excursions – to Visby on Sweden's largest island of Gotland, the port of Nynashamn for Swedish capital city Stockholm, and Estonia's capital Tallinn, before returning to the northern Germany port.MSC Seaview will be available for guests of all ages from the Schengen area in Europe, plus residents of Croatia, Romania and Bulgaria. Australian domestic cruises only for P&O this year.P&O Cruises has this morning begun advising trade partners and guests of changes to all of its remaining 2021 international itineraries, which are being replaced with Australian domestic cruises.No action is required if clients are happy with the new voyage, with bookings automatically updated to reflect the change.P&O departures are currently paused until 17 September 2021, with the switch from international to domestic applying to selected cruises scheduled between 18 September and 31 December this year.Meanwhile P&O UK – Iona's naming ceremonyEarlier this week, In an electrifying private set, Gary Barlow performed two iconic Take That hits: ‘Greatest Day' and ‘Rule The World'. The rousing songs set the mood perfectly and had us in complete raptures.Jo Whiley (BBC Radio) was the host for the evening – introducing all special guests, building the excitement for each performance. It was fantastic to see her interacting with the ‘live' audience at home too – encouraging them to celebrate too.As a bottle of Alex James' Britpop sparkling cider smashed on Iona's bow, Dame Irene Hays (iconic UK Travel Agency Owner – Hays Travel) officially christened the newest, most innovative ship. We also saw messages of support and congratulations from members of the Hays Travel team.When Iona sets sail for her maiden cruise, Captain Wesley Dunlop will be at the helm. It was clearly a proud moment for the highly experienced captain as he introduced Dame Irene Hays and watched her officially name the shipNorwegian Prima prompts the lines biggest week of sales ever! Norwegian Cruise Line (NCL), is once again breaking the boundaries of conventional cruising and holiday experiences, with the reveal of Norwegian Prima, which has become the Brand's most in-demand ship ever, with record bookings on the first day and week of sales.With voyages beginning August 2022, Norwegian Prima, the first of six ships within NCL's all new Prima Class, will offer guests exciting itineraries, the highest staffing levels and space ratio of any new cruise ship in the contemporary and premium cruise categories, and Brand-first experiences with Ocean Boulevard, Indulge Food Hall, The Concourse, Infinity Beach and Oceanwalk.First of Six Next-Generation Vessels Sets Single-Best Booking DayBest Initial Booking Week Sales in the Company's 54-Year HistoryNorwegian Cruise Line's Record-Breaking Sales Demonstrate Strong Demand for Cruise TravelNearly 20 percent of bookings are for our Haven suites, indicating the desire for top-of-the-line experiencesNew Crystal Endeavor Iceland & Norway ExpeditionCrystal this week announced the next bold journey for its new expedition yacht Crystal Endeavor, a spectacular itinerary exploring Iceland, known as the “Land of Fire and Ice,” and the breath-taking fjords of Norway. The 10-night Journey of Vikings: Iceland & Norway will sail on September 5, 2021, from Reykjavík to Tromsø on a voyage that showcases some of nature's most remarkable wonders and the region's historic and charming cities. The new sailing follows Crystal Endeavor's recently announced inaugural series of five, 10-night Luxury Iceland Expeditions that opened to extraordinary demand with 50 percent of capacity reserved within the first 24 hours of its release.The 20,200-GRT vessel is designed to the highest standards of renowned German engineering and, with her responsive, agile manoeuvrability, safety and technical capabilities, the yacht is akin to a finely tuned German-built elite sports car for seakeeping (like Porsche, a fast, smooth, powerful ride) and little vibration (like Mercedes).Funnel suite anyone? Disney's ‘Imagineers' have dreamed up a first-of-its kind suite for the cruise line's upcoming Disney Wish.Set high in the vessel's forward funnel the Wish Tower Suite, will boast a design inspired by the seafaring animation Moana, as well as incomparable ocean views. The almost 200m2 penthouse in the sky will comfortably sleep up to eight guests with two main bedrooms, located on the upper-left loft, a children's room, a library that converts to a bedroom and four-and-a-half bathrooms.The living room will be flanked by an open dining area, and a large pantry and a bar, all offering extraordinary views across the upper decks to the horizon through an expansive two-storey window wall.Southampton Shore PowerAssociated British Ports is planning to install shore power for the Port of Southampton's Mayflower terminal by the end of the year.Once employed, the Port could see an 863 kilogram reduction in carbon dioxide emissions each year. The announcement is in line with Carnival UK's plans for sustainable cruising, following the Port's partnership with the cruise line, in readiness for its new LNG ship Iona. Costa restarts in Trieste Costa Cruises announced that Costa Luminosa set sail again on May 16 from the port of Trieste, becoming the company's second ship in 2021 to resume operations and the first to resume cruises in the Adriatic Sea and Greece. Overall, Costa has a total of four ships scheduled to resume cruises this summer.In addition to Trieste, Costa Luminosa's one-week itinerary includes visits to Bari and four beautiful Greek destinations: Corfu, Athens, Mykonos and Katakolon/Olympia. It will be available throughout the coming summer season and part of the autumn until mid-November 2021 for a total of 27 cruisesCosta Luminosa is the second of four Costa ships that will operate in summer 2021, offering cruises in the Mediterranean. On May 1, the flagship Costa Smeralda departed from Savona with an itinerary exclusively dedicated to Italy. On June 26, Costa Deliziosa will restart with week-long cruises in Greece. July 4 will see the departure of the Costa Firenze, the new ship inspired by the Florentine Renaissance, with one-week cruises in Italy. In addition, from 3 July Costa Smeralda will begin sailing in international itineraries, with one-week cruises in Italy, France and SpainCarnival Cruise Line Goes Global To Select Godmother For Mardi GrasWith a global television audience estimated at 500 million looking on, Carnival Cruise Line President Christine Duffy presented Miss Dominican Republic Kimberly Jiménez with the “Spirit of Carnival” award for embodying the company's values of fun, friendship, diversity and inclusion during the MISS UNIVERSE broadcast, and bestowed the honour of serving as godmother to the line's newest and most innovative ship, Mardi Gras, set to debut from Port Canaveral, Fla., later this year.Royal Caribbean cancels Israel debut of OdysseyThe current Israel-Palestine crisis has led to Royal Caribbean International cancelling its Odyssey of the Seas Jun journeys through to Oct. RCI was set to visit Israel for the first-ever time next month, with its newest ship Odyssey set to make its debut in Haifa, but will now spend its inaugural season sailing Florida. Details of the new deployment are yet to be announced.A-ROSA plans to resume cruising in JuneA-ROSA currently plans to resume cruising on Europe's rivers in June. The move follows the success shown in both the ongoing vaccination roll out and the measures put in place to control the pandemic across Europe.It is expected that A-ROSA's cruises on the Douro, Rhine and Danube will restart by mid-June at the latest and in France by the end of June.Countries across Europe are currently outlining their plans to reopen for tourism. Portugal has already opened its borders to tourists whilst Austria will allow river cruises on the Danube again from 19 May. Slovakia and Hungary have not yet given dates for when hotels (including river cruises) will open, but both countries are now recording low case numbers. The German federal states along the Rhine have included tourist accommodation (including river cruises) in their current reopening of tourism plans, expected to be in place by mid-June. The Netherlands and Belgium are also expected to follow suit and in Switzerland, hotels are already open. A four-stage plan in France is set to allow cruise and passenger ships to operate from 30 June.Last year A-ROSA sailed successfully for five months under a series of strict health and hygiene protocols.International guests will be welcomed on board in line with each countries entry and exit requirements.Viking Announces July 2021 Restart Of European River SailingsViking announced today that it will restart its European river operations in July 2021 with select itineraries in Portugal, France and along the Rhine. Offered exclusively for vaccinated guests as part of Viking's Welcome Back collection, the first five European river itineraries now available in July are among the company's most popular: Rhine Getaway (8 days; Amsterdam to Basel), Portugal's River of Gold (10 days; Lisbon to Porto), Paris & the Heart of Normandy (8 days; Paris roundtrip), Lyon & Provence (8 days; Avignon to Lyon) and France's Finest, a 15-day journey that combines the northern and southern France itineraries in one seamless experience. This announcement comes immediately after the European Union agreed today to reopen its borders to vaccinated Americans and other travellers.Viking Venus named as line restartsViking's newest ocean ship, Viking Venus, has officially been named by her godmother, British journalist & broadcaster Anne Diamond, as the cruise line prepares to return to service following 14 months of paused operations.The new 930-guest Venus was welcomed to the fleet with a celebration at sea in the English Channel, with Diamond offering a blessing of good fortune and safe sailing for the ship.Guests will embark this Sat from Portsmouth for the first of five roundtrip sailings of the England's Scenic Shores itinerary, which will carry British passengers to local destinations, including Liverpool, the Isles of Scilly, Falmouth and Portland.Lindblad Expeditions-National Geographic To Reactivate Two Additional Ships In Alaska This SummerLindblad Expeditions-National Geographic has announced plans to add additional voyages for the 2021 season in Alaska this summer.  Due to robust demand for their Alaska programming, Lindblad will reactivate its two remaining U.S.-flagged vessels – and has added an additional 13 departures. The 62-guest sister ships, National Geographic Sea Bird and National Geographic Sea Lion will explore Alaska on a series of Wild Escape departures starting June 25, 2021 and continuing through August.The 6-day Wild Alaska Escape: Juneau to Ketchikan and Wild Alaska Escape: Sitka to Juneau voyages explore Alaska on an active, exciting expedition to see the region's iconic wildlife and epic landscapes in the compact time frame of one work week. Guests will hike through forests of towering trees, kayak long routes deep into glacially carved fjords, with opportunities for active adventure —all with our nimble expedition ship as their moving base camp.  Guests looking for a more epic voyage can combine both Wild Alaska Escapes and benefit from 10% off. Rates begin at $4,570 per person based on double occupancy in a category 1 cabin.All guests 16 years of age and over will be required to be vaccinated prior to travelling onboard. A complete list of health and safety protocols are listed here.  Key components include: negative COVID-19 tests, daily guest temperature checks, and thorough cleaning protocols.  From start to finish, guests will travel exclusively with their expedition community.Seabourn focusses on longer Alaska Voyages for 2023Seabourn, the ultra-luxury cruise line, is already looking forward to setting sail in 2023 with immersive voyages scheduled for Alaska, the Pacific Coast, and Canada/New England. Seabourn Odyssey will head north to “The Great Land” of Alaska with a total of 18 sailings from May through October, including voyages ranging from 7 to 11 days, with the option to sail from Vancouver, British Columbia, on 14-day Combination Cruises. The season concludes with an 8-day cruise down the Pacific Coast to Los Angeles. To the east, Seabourn Quest will offer six sailings along the coasts of Canada and New England from August 24 to November 6, with voyages from 12 to 14 days including a final repositioning cruise from Montreal to Miami. These 2023 voyages open for sale and available to book today, May 19, 2021.With its boutique, club-like atmospheres, and award-winning onboard luxury services and amenities rivalling any resort, Seabourn is the best way for travellers to explore these North American treasures, as well as to lock in a great vacation for summer and fall 2023. As with all Seabourn vessels, the intimate size and manoeuvrability of Seabourn Odyssey and Seabourn Quest – carrying just 458 guests – assure privileged views at every turn, as well as exploration of coastal areas that larger cruise ships cannot access.Highlights of the season include 14 7-day itineraries sailing north or south between Vancouver and Juneau; seven 14-day voyages, created by pairing two of the above, with multiple glacier experiences and no repeating ports of call. Three of the 7-day itineraries (and their corresponding Combination Cruises) will include a visit to Glacier Bay National Park, departing May 26, September 1 and October 6. The season will also offer two 10-day Alaska Fjords Odyssey voyages sailing round-trip from Vancouver on June 9 and September 8, and two 11-day Inside Passage & Alaska Fjords voyages sailing round-trip from Vancouver on June 19 and September 18.HAL commences the vaccination of crewHolland America Line crew members from Koningsdam received their first dose of the Pfizer COVID-19 vaccination today at the Port of San Diego in California. Arranged in partnership with Sharp HealthCare, a not-for-profit regional health care group, 118 crew came ashore to be vaccinated.During a brief ceremony, Captain Henk Draper, master of Koningsdam, remarked how the crew vaccinations were a welcome step as the ship waits to resume cruising. Also on hand were Rafael Castellanos, commissioner of the Port of San Diego, and Brett McClain, executive vice president and COO of Sharp HealthCare.On Thursday, May 20, Sharp HealthCare also will vaccinate 179 crew aboard Noordam, which will be at a nearby anchorage just off Coronado for the day.Likewise, 231 crew from Nieuw Amsterdam will receive Pfizer vaccines from healthcare provider Ambulnz on Friday, May 21, while the ship is alongside at San Pedro, California.Starting in October 2021 through April 2022, Koningsdam and Zuiderdam will homeport out of San Diego for a season of cruises to Hawaii, Mexico, the Pacific Coast, Panama Canal and South Pacific. In total, fours ships will make 35 calls: Koningsdam in its inaugural season in San Diego (21 calls), Zuiderdam (12 calls), Eurodam (one call) and Nieuw Amsterdam (one call). The estimated economic impact of each ship visit is $300,000 for the San Diego region. AIDA Cruises announces sailings in Winter 2021-2022 for its newest ship, AIDAcosma, and AIDAnovaAida Cruises today announced the itinerary for its newest ship, AIDAcosma, will feature 7-day cruises around the Canary Islands in its debut season in winter 2021-2022.Before the Canary Islands itinerary starts, AIDA Cruises will offer travellers a special voyage over Christmas and New Year's Eve, with AIDAcosma embarking December 22, 2021, on a unique positioning cruise from Hamburg to Gran Canaria.AIDAcosma, like its sister ship AIDAnova, is powered by environmentally friendly liquefied natural gas (LNG). It will offer guests exciting experiences with signature features from AIDAnova such as the Beach Club, the Theatrium with its 360-degree stage, TV studio and the lavish Body & Soul Organic Spa. Guests will have extensive options for dining and celebrating with 17 restaurants and 23 bars. More highlights include a boulder wall, a waterpark with double water slide and a spacious pool deck at the stern, which extends across the entire width of the ship. The breath-taking infinity pool offers magnificent views of the sea.During the Canary Islands season, AIDAcosma sailings will be offered from January 5, 2022, to April 9, 2022. From April 13, 2022, the ship departs on a positioning cruise toward the Mediterranean. Subsequently, 7-day cruises to popular Mediterranean destinations starting in Palma de Mallorca or Barcelona are offered.AIDAcosma's sister ship AIDAnova will offer voyages in the Arabian Gulf. On November 5, 2021, the positioning cruise will start from Palma de Mallorca to Abu Dhabi or Dubai. The 7-day cruises in the Arabian Gulf will be offered throughout the winter season, starting November 26, 2021. Then on April 7, 2022, AIDAnova will return to Hamburg via the Mediterranean on a variety of positioning cruises.Cruises with AIDAcosma departing from October 23 through December 21, 2021, cannot take place. Guests who were booked on impacted cruises and their travel advisors are being notified.Three Carnival Corporation Cruise Line Brands Plan to Resume Cruising in U.S. with Alaska Sailings in JulyPrincess Cruises will resume operations in Alaska starting July 25 through September 26, with seven-day cruises onboard Majestic Princess, a MedallionClass ship. Its cruises will visit signature ports, glaciers and attractions in Alaska including Glacier Bay National Park, Juneau, Skagway and Ketchikan.Holland America Line will resume its cruise operations to Alaska with seven-day itineraries aboard Nieuw Amsterdam, calling at Juneau, Icy Strait Point, Sitka and Ketchikan, with scenic cruising in Alaska's iconic locales, including Glacier Bay and Stephens Passage. The first cruise for the brand is scheduled to depart July 24, with 11 Saturday departures that will operate through October 2.Carnival Cruise Line has already opened Alaska sailings departing from Seattle beginning July 27, with weekly departures through September 14 aboard Carnival Miracle. There are seven 7-day cruises featuring calls in Juneau, Skagway, and Ketchikan, as well as scenic cruising in Tracy Arm Fjord. The September 14 departure is an 8-day cruise with an additional stop in Icy Strait Point. Carnival Cruise Line is also working to finalize its plans to operate Carnival Horizon from Miami, and Carnival Vista and Carnival Breeze from Galveston in July. Itineraries along with specific details about protocols are expected to be finalized and announced next week.Additional details on the Alaska sailings will be announced in the coming weeks by each respective brand and available on their websites.and Finally…Portugal, Malta and Barcelona all relax cruise restrictions and invite cruise lines to bring back the ships!!! Come on Australia!Ethical Cruise T-ShirtsNow available branded podcast t-shirts, cruise-tees and Christmas gifts or design your own in the studio. All using organic cotton, printed using green energy and plastic-free packaging! https://bit.ly/32G7RdhJoin the show:If you have a cruise tip, burning question or want to record a cruise review get in touch with us via the website https://thebigcruisepodcast.com/join-the-show/ Guests:Chris Frame: https://bit.ly/3a4aBCg   Chris's Youtube: https://www.youtube.com/user/ChrisCunard Peter Kollar: https://www.cruising.org.au/Home Listen & Subscribe:Apple Podcasts: https://apple.co/2XvD7tF Castbox: https://bit.ly/2xkGBEI Google Podcasts: https://bit.ly/2RuY04u I heart Radio:  https://ihr.fm/3mVIEUASpotify: https://spoti.fi/3caCwl8 Stitcher: https://bit.ly/2JWE8Tz Pocket casts: https://bit.ly/2JY4J2M Tune in: https://bit.ly/2V0Jrrs Podcast Addict: https://bit.ly/2BF6Ln Hosted on Acast. See acast.com/privacy for more information.

Medical tourism is a process of leaving your home country in order to have treatment in another country. It is appealing for a wide variety of reasons, ranging from the cost of surgery at home to being immigrants who prefer to have surgery in their country of origin. But what is the catch? Why does medical tourism seem so foreign? Find out and listen to our special guest Dr. Andres Smith, Medical Director of Emergency Services at Sharp Chula Vista Medical Center, Medical Director of Global Patient Services for Sharp HealthCare, and President of La Cruz Roja (Red Cross) in Tijuana.

Dr. Sean Stephenson (1979-2019) was predicted not to survive at birth because of a rare bone disorder that stunted his growth and caused his bones to be extremely fragile (fracturing over 200 times by the age of 18). Despite his challenges, he took a stand for a quality of life that has inspired millions of people around the world. Since 1994, his powerful message has been heard at live events in nearly all 50 states and in 16 countries. Sean has presented at hospitals, universities, prisons, and companies such as Nike, Whole Foods, Zappos, Walmart, and Sharp Healthcare. He's shared the stage with U.S. Presidents, billionaire business moguls, celebrities, and His Holiness the 14th Dalai Lama. Sean has appeared on everything from The Oprah Show to Jimmy Kimmel, in addition to online videos with tens of millions of views. The Biography Channel produced an hour-long feature on his life called Three Foot Giant. He is author of the book Get Off Your 'But.' Originally from Chicago, he lived in Scottsdale with his wife and business partner, Mindie Kniss, until his death in 2019.

Kevin Rothstein, Sharp HealthCare shares his experiences managing the pace of technology change for San Diego, California's leading healthcare provider.

Dr. Stephen Beeson, founder of The Physician Effectiveness Project discusses his journey into medicine, his experience as the Physician Director for the "Sharp Experience" with Sharp HealthCare, and how they improved patient satisfaction from the bottom to the top decile and won a 2007 Malcom Baldrige Award. Dr. Beeson, who also wrote Practicing Excellence: A Physician's Manual to Exceptional Heatlh Care and Engaging Physicians: A Manual to Physician Partnership, also discusses the Physician Effectiveness Project, which is a web based learning management system which equips physician to deliver high-value health are by more effectively leading clinical teams, improving the patient experience, coodinating care, managing resources, and enchancing quality.