Geographic and cultural region in Florida, United States
POPULARITY
Categories
In this very special episode of The Kelly Roach Show, we're pulling back the curtain on an unforgettable day that sparked inspiration, connection, and legacy-building for generations to come. Earlier this year, Kelly teamed up with Sandi Glandt to host the first-ever South Florida Live Podcasting Event – an experience that brought together powerhouse women, their children, and families for candid conversations on life, leadership, and living your legacy now. This episode is packed with heart, humor, and practical wisdom as Kelly and Sandy are joined by their kids on stage, sharing real-life lessons on business, motherhood, time management, and the importance of exposing the next generation to the mindset of abundance and possibility. If you're a business owner, a parent, or simply someone who wants to create a meaningful impact with your life, this episode is for you. Here's what we cover in this episode: How to merge family, business, and legacy seamlessly—without compromising what matters most Breaking the old paradigm of legacy—why legacy isn't what you leave behind, but what you live every day The ripple effect of including your kids in your business journey—from attending events to learning about money, investing, and entrepreneurship The real truth about “doing it all” as a mom, business owner, and leader—and why giving yourself grace (and flexibility) is the secret to longevity Raising kids with an abundance mindset—the mantra Kelly and Sandy teach their kids: It's never a no, it's a “How are we going to make it happen?” Practical time management and productivity tips for high-achieving moms—why some days are heavy on work, and others are all about family, and that's okay The importance of community and connection for women in business—and how the relationships you build today can change your life tomorrow Why your imperfections matter more than your perfection—and how embracing authenticity will create stronger impact in the AI age This episode will inspire you to: ✨ Reimagine your legacy as something you build now—not later. ✨ Invite your kids (or loved ones) into your business journey and plant seeds of possibility early. ✨ Release the pressure of perfection and focus on what matters most. ✨ Build a faith-filled, family-first empire that creates wealth, impact, and joy for generations to come. Join Kelly's next in-person event! Grab your ticket for Momentum Live in Charlotte, NC on June 13th – your opportunity to up-level your marketing, branding, and business strategy in a room full of powerhouse entrepreneurs: https://advancesociety.org/juneevent Don't miss Called to Lead with Sandy Glandt on September 25th in South Florida – an event for faith-based women who want to build a family-first empire: https://www.sandiglandt.com/lead Ready for a reset? Join us for The Escape & Uplevel Retreat in South Florida on November 8-9 – an intimate space to renew your energy and vision heading into the new year: https://thekellyroach.com/sales-page-page Resources: Follow Sandi Glandt on Instagram: https://www.instagram.com/sandiglandt/ Work with Sandi Glandt: https://www.sandraglandt.com/welcome Apply for a Power Hour with Kelly — Get clarity, strategy, and results in just one high-impact session https://thekellyroach.com/power-hour Apply for a Power Hour with Kelly's team: https://programs.thebusinessadvisory.com/powerhour SUBSCRIBE TO THE KAIROS NEWSLETTER: Faith leadership strategies to bulletproof your business and life that are delivered to your inbox every Saturday morning. https://thekellyroach.com/kairosnewsletterorganic Follow Kelly on Instagram: https://www.instagram.com/kellyroachofficial/ Follow Kelly on Facebook: https://www.facebook.com/kelly.roach.520/ The Kelly Roach Show is your business podcast that gives you quick, actionable trainings for business growth, sales growth, and leadership. Kelly teaches about the entrepreneurial mindset and how to leverage building an unstoppable team with high performance strategies for rapid and sustainable business growth.
CK Alchemy is a multidimensional teacher, coach, and co-creator, specializing in biohacking, Reiki healing, and law. With degrees in psychology and law, CK combines analytical and intuitive skills to guide clients on their spiritual and personal journeys. With a strong connection to the Sidhe—beings known as fae or fairies—CK channels insight and confirmation through readings, healings, and meditations. She has her own fairy oracle deck to boot. CK leads a weekly reading room on the Clubhouse app, engaging audiences in spiritual exploration. As both a lecturer and podcast guest, CK shares expertise on meditation, law, and consciousness expansion. CKALCHEMY
00:00:00- Show Intro00:13:10- What Happened With Jbird Falling Off His Roof?00:20:58- What is the average home price in South Florida?00:26:50- Basic Life Skills Classes in College00:31:27- Embracing A.I00:39:59- Dirt of the Day00:55:10- A.I Music Is Going To Fool Us All01:03:54- Am I The Jerk?01:12:44- Dirt of the Day01:22:56- Do It Bitch!01:34:26- Best Trash Trophies01:39:59- Whacked Out News01:50:02- What's On Your Mind01:57:50- Cheese It Pizza02:05:22- Euthanasia Chambers02:10:35- Thought of the DaySee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
On today's edition of ZASLOW SHOW 2.0, Zaslow believes Tyrese Haliburton had an all-time great playoff performance last night vs New York. Also, the Panthers are healthy, and Zaslow is ready for this series to end. Plus, Zas is joined by NHL on TNT's, Darren Pang, ahead of tonight's Game 5 in Raleigh. The Law Offices of Anidjar & Levine "ZASLOW SHOW 2.0" is presented by Anidjar & Levine, Accident Attorneys. Call 800-747-FREE (3733) and get the money you deserve. CanesWear has the largest selection of Miami Hurricanes items. And, an amazing selection of all your favorite South Florida Pro teams. Dolphins, Panthers, Heat, Inter Miami and Marlins items, are all available. No matter which South Florida Team you root for, CanesWear is the spot, Miami fans shop, CanesWear.com Signature Real Estate Whether you're buying your dream home, selling your property, or looking to join the best in the business, contact Matthew H. Maschler at 561-208-3334 or Matt@RealEstateFinder.com Johnny Cuba Official beer of ZASLOW SHOW 2.0 - European Roots with a Caribbean Soul #StayTranquilo Brunt Insurance Official insurance agency of ZASLOW SHOW 2.0. Wherever you're located in Florida, from Pensacola to The Keys and beyond, Brunt Insurance delivers you comprehensive insurance tailored exactly to your needs. Home, auto, boat, life insurance, call 954-589-2204. BioResponse When disaster strikes, every second counts. BioResponse is South Florida's trusted leader in emergency restoration—specializing in water damage, mold removal, and fire cleanup. We're available 24/7, ensuring your home or business gets back to normal—fast. BioResponseCorp.com If your business targets 25-54 year old Men, let's advertise on ZASLOW SHOW 2.0!! Email jonathanzaslow@gmail.com and join the growing list of partners!!
In this week's coaching conversation, South Florida head coach Jose Fernandez joins the Basketball Podcast.to share insights on zone offense, relationships and practice.Fernandez has carved out a 25-year head coaching career at South Florida with multiple accolades. He is the program's all-time winningest coach, has claimed American Athletic Conference Coach of the Year honors twice in 2018 and 2021, and has led the Bulls to 10 NCAA Tournament appearances and secured four Conference Championships, including two Conference Tournament Championships (2020-21 & 2024-25) and two Regular Season Titles (2020-21 & 2022-23). Fernandez's influence extends beyond his program, as he is set to become the WBCA President from 2025-27. His coaching has produced nine WNBA Draft Picks and Signees, and twenty-four of his former players are competing professionally worldwide.Fernandez has also demonstrated success against top-tier competition, with twenty wins against top 25-ranked teams. He has also achieved considerable consistency, with fourteen straight nineteen-win seasons and twelve twenty-win seasons. During the 2024-25 season, he recorded his 485th career victory. Under his leadership, South Florida won the 2008-09 WNIT Championship, defeating the Kansas Jayhawks.Throughout his career, Fernandez has recruited and coached over forty all-conference players, two Associated Press Honorable Mention All-Americans, three members of the USF Athletics Hall of Fame, two AAC Players of the Year, two AAC Newcomers of the Year, four AAC Freshmen of the Year, one AAC Defensive Player of the Year, one AAC Most Improved Player, and seven WNBA draft picks. His contributions to the sport were further recognized with his induction into the Sports Club of Tampa Bay's Hall of Fame on June 8, 2022.This year Fernandez will return to USA Basketball for his second assistant coaching stint with USA Basketball as an assistant for the 2025 Women's U19 National Team. He previously served in the role for the 2024 Women's U18 National Team and was also a court coach at the 2018 USA Women's U18 National Team Trials.
Marcos Orozco was born and raised in Texas and became passionate about fitness at the age of 12 when his Dad bought him his first gym membership. He played sports throughout high school and ran track for ASU (400m and 4x400m relay) where he got a Bachelor's Degree in Exercise Science/Kinesiology. Marcos has been a career fireman for 17 years and has been training and working out in gear for about 15 + of those years. His passion for fitness as it relates to performance on the fire ground is what he is passionate about and what he is best known for. He has spent the past decade plus training “tactical athletes” and helping them become the best version of themselves, making them an asset rather than a liability. Marcos is the owner of Hardknox Sunday where he has programs designed to help firefighters improve their fitness as it relates to performance on the fire ground. He is a big believer in “you are either an asset or a liability, there is no in between.” Marcos is co-founder of The Crucible with John Spera and Logan Broberg. The Crucible is a 24hr class where the participants will do 12 in full-gear workouts over that 24hr period where a standard must be met under the required time frame. This class is meant to help build that mental fortitude and resiliency, and to share with the participants what has worked for us, the cadre. We will be focusing on building the participants up and helping them work through those dark moments. In addition, The cadre will be doing the workouts with the participants, and embracing the shared suffering. Marcos is also co-owner of True Grit Training, where they provide realistic “live fire” trainings as well as RIT and Search and Rescue classes in the Denver metropolitan area. Marcos has been an instructor for over 11 years and travels all over the country teaching HOT classes and giving his lecture “Improving fire ground performance through fitness and mental fortitude” as well as being on several podcasts in the last couple of years. @hardknoxsunday Sponsorship: @southwest_fire_academy Editing: @bradshea Marketing: @m.pletz Administration: @haileygreenfitness Partnership: @firefighternationhq Mid-roll Sponsor - @firehumorcompany Some of his fire conferences include: Ft Lauderdale Fire Expo (Ft Lauderdale, FL) Fire Shows West (Reno, NV) FDIC (Indianapolis, IN) The Castillo Way, (Houston, TX) Mile High Fire Conference (Denver, CO) Mid America Fools OKC Conference (OKC, OK). Some of his podcasts include: Behind The Shield Podcast Tailboard Misfits Podcast Fit to Fight Fire Podcast Student of the Game Podcast Undisclosed Agents Podcast The Sheepdog Society Podcast Some of his “HARD” accomplishes include completing the Dunes 100-mile Ultra Race (2019-FL), completing the Georgia Smoke Diver Program at age 45 (2022-GA), running Pikes Peak Ascent (13.3 miles up to 14,115ft of elevation) in bunker coat/pants (2023-CO), and completing OBT 6 (2024-FL). Challenging himself and others is what Marcos is passionate about, and he enjoys showing others what is possible. Marcos moved from South Florida to Colorado in January of 2023 and has been working for Brighton Fire District where he was in the Training Division for all of 2024 teaching at The North Area Fire Academy (NAFA 14 & 15), sharing his knowledge and passion. Marcos believes you must do HARD things you do not want to do daily; you are only as good as what you are currently doing, and what are you currently doing to make people around you better. “It is our responsibility to show them what is possible.”
On today's edition of ZASLOW SHOW 2.0, Zaslow is obviously bummed out that the Florida Panthers could not complete the sweep of the Carolina Hurricanes, as the series now goes to a Game 5. Plus, Zaslow had an unlikely supporter of his Top 5 Most Overrated Cookout Foods. And, NHL on ESPN's, Bob Wischusen, joins Zaslow to talk about the Panthers and the Stanley Cup Playoffs. The Law Offices of Anidjar & Levine "ZASLOW SHOW 2.0" is presented by Anidjar & Levine, Accident Attorneys. Call 800-747-FREE (3733) and get the money you deserve. CanesWear has the largest selection of Miami Hurricanes items. And, an amazing selection of all your favorite South Florida Pro teams. Dolphins, Panthers, Heat, Inter Miami and Marlins items, are all available. No matter which South Florida Team you root for, CanesWear is the spot, Miami fans shop, CanesWear.com Signature Real Estate Whether you're buying your dream home, selling your property, or looking to join the best in the business, contact Matthew H. Maschler at 561-208-3334 or Matt@RealEstateFinder.com Johnny Cuba Official beer of ZASLOW SHOW 2.0 - European Roots with a Caribbean Soul #StayTranquilo Brunt Insurance Official insurance agency of ZASLOW SHOW 2.0. Wherever you're located in Florida, from Pensacola to The Keys and beyond, Brunt Insurance delivers you comprehensive insurance tailored exactly to your needs. Home, auto, boat, life insurance, call 954-589-2204. BioResponse When disaster strikes, every second counts. BioResponse is South Florida's trusted leader in emergency restoration—specializing in water damage, mold removal, and fire cleanup. We're available 24/7, ensuring your home or business gets back to normal—fast. BioResponseCorp.com If your business targets 25-54 year old Men, let's advertise on ZASLOW SHOW 2.0!! Email jonathanzaslow@gmail.com and join the growing list of partners!!
We caught up with Jerry Plush, Chairman & CEO of Amerant Bank, at the Latinos In Sports event in Miami, FL to talk about the growing intersection between sports, community, and culture.As presenting sponsor, Amerant is making major moves across South Florida—partnering with teams like the Florida Panthers, Miami Heat, Tampa Bay Rays, and now Fort Lauderdale United. Jerry shares how the bank's initiatives support not only the Latino community, but also veterans, women in sports, and the broader mission of inclusion through athletics. From Stanley Cup wins to grassroots impact, this conversation is all about showing up where it matters.
Dr. Deidre Reid-Thomas: The Educator Giving South Florida Kids a Real AdvantageJoin Dr. Thomas and get help for your child at https://thomasedsolutions.com/ Buy Courses at https://bit.ly/PrepareforyourfirsttriptoAfricaudemySupport Us On Patreon:https://www.patreon.com/gamediversified
Join hosts J.D. Barker, Christine Daigle, Jena Brown, and Kevin Tumlinson as they discuss the week's entertainment news, including stories about fake summer reading lists, Dani Francis, and Taylor Jenkins Reid. Then, stick around for a chat with Heather Graham!New York Times and USA Today bestselling author, Heather Graham, majored in theater arts at the University of South Florida. After a stint of several years in dinner theater, back-up vocals, and bartending, she stayed home after the birth of her third child and began to write. Her first book was with Dell, and since then, she has written over two hundred novels and novellas including category, suspense, historical romance, vampire fiction, time travel, occult, sci-fi, young adult, and Christmas family fare.She is pleased to have been published in approximately thirty languages and has written over 200 novels and has 70 million books in print. Heather has been honored with awards from booksellers and writers' organizations for excellence in her work, and she is the proud to be a recipient of the Silver Bullet from Thriller Writers and was awarded the prestigious Thriller Master Award in 2016. She is also a recipient of the Lifetime Achievement Award from RWA. Heather has had books selected for the Doubleday Book Club and the Literary Guild, and has been quoted, interviewed, or featured in such publications as The Nation, Redbook, Mystery Book Club, People and USA Today and appeared on many newscasts including Today, Entertainment Tonight, and local television.
Dr. Luis Raez and Michael Reff share the newest update to the medically integrated dispensing pharmacy standards from NCODA and ASCO. They review updates to domain one, on key patient-centered quality standards on health equity and social determinants of health, drug access, patient safety, education, and adherence to maximize treatment outcomes and domain two, on key operational quality standards on logistics, care coordination, and waste prevention. We also cover the impact of these updated standards for clinicians, oncology practices, and people receiving oral anti-cancer medications. Read the complete standards, “Medically Integrated Dispensing Pharmacy: ASCO-NCODA Standards.” Transcript These standards, clinical tools, and resources are available on ASCO.org. Read the full text of the guideline and review authors' disclosures of potential conflicts of interest in the JCO Oncology Practice. Brittany Harvey: Hello, and welcome to the ASCO Guidelines podcast, one of ASCO's podcasts delivering timely information to keep you up to date on the latest changes, challenges, and advances in oncology. You can find all the shows, including this one, at asco.org/podcasts. My name is Brittany Harvey, and today I'm interviewing Michael Reff from the Network of Collaborative Oncology Development and Advancement and Dr. Luis Raez from Memorial Cancer Institute and Florida Atlantic University, co-chairs on "Medically Integrated Dispensing Pharmacy: American Society of Clinical Oncology – Network of Collaborative Oncology Development and Advancement Association Standards Update." Thank you for being here, Michael and Dr. Raez. Dr. Luis Raez: Thanks for inviting us. Michael Reff: Thank you for having us. Brittany Harvey: Then, before we discuss these standards, I'd like to note that ASCO takes great care in the development of its standards and ensuring that the ASCO Conflict of Interest policy is followed for each guidance product. The disclosures of potential conflicts of interest for the expert panel, including Michael and Dr. Luis Raez who have joined us here today, are available online with the publication of the standards in JCO Oncology Practice, which is linked in the show notes. So then, to dive into the content here, Michael, I'd like to start with what prompted an update to these ASCO-NCODA standards and what is the scope of this update? Michael Reff: Thank you, Brittany. What led NCODA and ASCO to endeavor in this, and it started back in 2019 as the amount of oral anticancer medications became more and more prevalent in cancer treatment, we saw the need providing a blueprint for excellence in care for patients prescribed oral anticancer medications, specifically in the outpatient setting. And the update was driven by the rapid growth of these oral oncolytics starting back in the mid to late 2015 through 2019 or so, and then continued on into the 2020s where we are today. We saw the increase in the complexity of the management of these patients with these therapies basically outside the traditional clinical settings. And we wanted to make sure that with more cancer treatments that are taken at home than just at the clinic, like in the oral setting, new challenges had emerged around patient safety, access, adherence, and overall treatment success. The updates now address patient-centered and operational interventions designed to improve access, safety, quality, accountability, and outcomes of oral anticancer and other supportive care medications prescribed for the cancer patient. Dr. Luis Raez: As Mike said, these guidelines help improve patient care tremendously, but also help us a lot as an oncologist, you know, community oncologists that- now that we have opportunity to dispense these oral oncolytics, we need help to create our medical integrated pharmacies, and NCODA is providing here a way that, how to do this safely, efficaciously, good quality, you know? So that's why I think we always do everything for the patients, but also this helps a lot to the doctors. And there are a lot of what we call specialty pharmacies or medical integrated pharmacies now nationwide. Michael Reff: I'll build on what Dr. Raez had mentioned. This is the impetus. If you looked at the innovation that was coming from the pharmaceutical companies, many of it coming in the oral form for anticancer medications, and based on that, taking a look at the infrastructure that is in place in these practices, whether it's in the community or the IDN or health system settings, this amount of innovation that was coming needed to be addressed by taking a look at the medically integrated oncology team. And these standards address not just the pharmacy component, but also the whole continuum of care, starting with a medical oncologist or the hematologist, with the pharmacists, nurses, the pharmacy technicians, others that are involved in the care of the patient. And there were no standards involved. And when we approached ASCO back in 2018 to eventually publish the first version of these standards, the need was identified, and we worked collaboratively with ASCO to create the first set and then the revisions as we talked about. One thing to note regarding the revision plus the original standards, we had a cross-section of the care team on the committee, and we did that very purposefully. So, the ASCO-NCODA team curated a committee to help develop these original standards and the revision of these standards with medical oncologists both from community and health systems, pharmacists from both community and health systems, and also nurses. And we also included a patient that currently has and currently receives oral anticancer medication. And so NCODA and ASCO are very proud of the committee that we put together because of the experts in their field, but also extended the invitation to a current patient. And we embedded everybody's expertise in the curation of these standards. Brittany Harvey: Absolutely. I appreciate that background and context and how it's critical to improve patient care. And these standards really help oncologists, and we're looking across the continuum of care to provide optimal care for our patients. So then next, Dr. Raez, I'd like to review the key points of the revised standards for our listeners. So for Domain 1, what are the key patient-centered quality standards on health equity and social determinants of health, drug access, patient safety, education, and adherence to maximize treatment outcomes? Dr. Luis Raez: Yeah, this was a great effort, you know, at the multidisciplinary team. And as you can read in the standard, there were more than 240 publications reviewed; more than 55 of them are quoted here. And the standards are in two groups, as you said. With the group one, I'll briefly mention some of them. For example, SDOH, social determinants of health, is very important because as doctors, we prescribe, and sometimes patients don't get the medication, you know? And we prescribe assuming that 100% of the patients will get the medication. But something simple like the patient doesn't have insurance, the patient is underinsured. I have a patient that we didn't have an address to send the medication because he's homeless. Something that as a doctor you say, "Oh, oh my God, this is outside my realm," but it's not outside reality. So that's why, even if we don't think that this is part of our expertise dealing with social determinants of health, the fact that the patients have food insecurity, they don't have transportation, they don't have insurance, they don't have a caregiver, impact tremendously in the outcomes of the therapy. So that's why, basically, in this standard, we want to call attention that SDOH, social determinants of health, needs to be identified. There are in the literature countless examples of why this is important. For example, in the guidelines, we quote two or three examples of prostate cancer studies that, for example, we quote a study of 27,000 people with prostate cancer that were taking oral oncolytics, and how come the fact that the elderly, seniors, the fact that they have high prescription costs, and how all of this affected the adherence to the medication. And that's why it's important to identify the SDOH. And in other sections of the guidelines, we said how to address them, no? Another important thing in this domain is the cultural, you know, we need to be culturally sensitive and to take care of all of these social factors. For example, here in South Florida, we deal with the Haitian culture, Filipino culture, Latin culture, and American culture, and it's a blend, but it's not easy to go from one to the other. Another one is the fact that we have to include new technologies. A lot of patients, for example, we use EMR, EMR Epic, and now Epic has everything in the phone. The fact that we can have now the patient can see her prescription medication over the phone, the fact that they can use the phone to request from you a refill, and from your phone, you send the refill to the pharmacy, and you notify from your phone to the patient that the refill is sent, and the patient can check in his phone that the refill is ready. These things are amazing because that's why it's important that we incorporate these technologies to the patient care, and in this specific case, of dispensation of oral therapies, no? Another crucial point is education. You cannot be sending a patient a package of 300 pills without education. So that's why in our guidelines, mainly pharmacy, clinical pharmacies, or in some centers like mine, we have advanced practice providers, it's mandatory in our centers to have like a one hour of education before you send the prescription. So the patient is aware about side effects and contraindications, all of these things. They provide them also materials and also consent. You know, in the old times, you don't give chemo without a consent. Now, a lot of people say, "Oh, it's only a pill." There is a lot of benefits or side effects that can come from the pill, so you need to consent everybody, you know? So, another aspect is adherence. I already told about that, but we need to provide patients with a baseline assessment, no? So, you cannot send again the prescription and hope, "Oh, I'll figure it out what happened next month when the patient comes back." I tell you, the patient is homeless, where are you going to send it? If the patient is telling you, "I don't have insurance," what good is it for you to send a prescription? The patient will not get it. So that's why you need to do a baseline assessment of adherence. You need to do a calendar. You need to do electronic support, I mentioned already with the EMR and the phones. For example, my MIP, my specialty pharmacist, sends me a message in the EMR, "Dr. Raez, the insurance is not covering, the patient has a high copayment, we are going to delay the dispensation of the medication." So there needs to be a communication. Or sometimes there is a confusion with the insurance, and I cannot wait for the poor patient to call three, four weeks later, "Oh, I didn't get the medication," to know what happened, no? My MIP is very good. They send the clinical pharmacist a message, "Hey, you know, the insurance doesn't believe that the pill is adequate, or you need to provide more documentation. You need to prove the mutation, the genetic aberration." So if you provide us that, the insurance may approve. So that communication with the doctor is very important to improve adherence. And one important thing that we have in this one that we didn't have in the anterior is the tracking of outside medications. A lot of times you say, "Okay, the insurance allowed us to provide the medication it's 100% responsible." But then the insurance says, "Oh, no, no, don't worry. CVS will provide the medication." So it says, "Well, it's you know, it's not my responsibility. CVS will provide the medication, they have to take care." But we know that outside our specialty pharmacies or MIPs, the care is not very good. So that's why we are taking our ownership that, "Okay, the insurance said the patient will get the medication from some outside pharmacy." But our clinical pharmacists track that. What happened? Did the patient get it? The patient didn't get it. The copayment is still high. So even if you get the medication from somewhere else, if the copayment is high, we, our clinical pharmacists, help the patient to navigate and get the foundation or the copayment or finally the maker, the industry partner, provides the drug for free, but somebody needs to do the paperwork. And that's why this is very important. We cannot abort our responsibility because, "Oh, the insurance said somebody else will give it." I work for the public healthcare system, so my patients, some of them don't have insurance, they are underinsured. So we see these problems every day. And finally, the standards talk about the importance of safety, documentation, verification, monitoring, refills, you know, you need to keep track of refills. We already mentioned how important is the technology to facilitate the refills, and the quality. Brittany Harvey: Yes, thank you for touching on those highlights for Domain 1. It's important that all patients have access to care and these oral anticancer medications, and not only just access to care, but safe and effective care. It's really important, as you mentioned, Dr. Raez, to meet patients where they're at and incorporate technology. And I also want to note the coordination with external pharmacies that you mentioned in tracking outside medications as well. It's not only important for multidisciplinary care within the oncology practice itself, but also external to the oncology practice. That's why we put together this multidisciplinary panel to develop these standards. So then, expanding on that, Dr. Raez, for Domain 2, what are the key operational quality standards? Those on logistics, care coordination, and waste prevention. Dr. Luis Raez: Yeah, we have a lot of standards here, but maybe we can summarize in five or six points, no? For example, financial toxicity in cost and waste are very important because the patients, yeah, you put them on therapy, but as you can understand, if there is disease progression, the patient don't need the medications. And sometimes you get refills even if the patient has disease progression. If you do a dose reduction, the same problem. Or you discontinue medication and the patient keeps getting the drugs. So, you're talking about drugs that are between 20 and 30 thousand dollars per month. This is a lot of money. There are studies that we're quoting in the standards that the waste could be from 1 to 3 or 4 thousand per patient, no? Another aspect is dispensing. When you dispense the medication, this is not as easy as, "I'll ship to your house a bag of medications." You know, there needs to be a diagram, a decision tree. You need to train the staff to know what we're doing. There needs to be an auditing of the process. They need to be even packaging and shipping, you know? For example, I'm in Florida today and outside in summer it's going to be 95 degrees. So, everybody leaves the package outside your house, and sometimes you go the whole day until when you come at 6:00 p.m. There are medications that cannot be left outside there, you know? I don't know, it sounds like a joke, but I have a patient that the medication used to be stolen because people thought that that was something important, you know? And of course, it's important because it's a $20,000 medication. So, the poor patient, because he lives in an area that is not safe, has to come and pick up in person. All of these things sound very trivial, but that's real life that affects adherence. Another important thing is shortage. This is something that we just suffered two or three years ago, and we have to think about what happens in the next shortage. What happens if there's going to be a shortage? What do we do or how are we going to do that? Now we know it's something that is happening probably very soon again, and something that we have to consider. Another standard is the care coordination. You need to have probably, if it's possible, a coordinator. I know that for small practices it's very hard, but for big cancer centers, you should have a coordinator of this. I already mentioned before, the communication between the physicians and the doctors to coordinate the care, no? You need to write the prescription again, you need to provide more information, or to be notified, "Hey, you know, the patient is throwing up in the first week, you need to see the patient, please," no? So, this type of communication needs to exist so we can serve the patient better. It's also important, you know, we're improving quality and we're improving care. It's important to try to collect patient-reported outcomes. This is something that now we have the opportunity, if we do things well, to do it and show that we're providing a better care. The other thing is that we already mentioned SDOH in the other standard. In this standard, we mention mainly SDOH to partner. For example, we collect in my center SDOH, and I always get frustrated when the patient doesn't have transportation. But I didn't know that there are local institutions that provide free Uber rides, free Lyft rides. So that's why it's important to partner with these institutions. I have a local grocery chain that provides free food for the patients, and I didn't know that. It's important to be aware what the patient needs and what resources do you have to fulfill the SDOH. That's the part that we mention in here. So that's why, in summary, those are the six probably most important points here. I'll ask Mike for some comments. Michael Reff: Thank you, Dr. Raez. Brittany, to answer your question, and as was pointed out on logistics, care coordination, and prevention of waste, certainly that is an aspect that has changed in the revision that we're here to talk about. There's really two components to waste, and it's cost avoidance and then waste prevention. And as Dr. Raez mentioned several times, the importance of the medically integrated team and having the ability for that practice to fill that prescription internally and have robust documentation. Cost avoidance is a critical component that the medically integrated pharmacy, or the MIP, can help the total cost of care. And that is by preventing errant fills or waste that can occur by intervening in the care of the cancer patient, as we do every day. But when the practice has access to the medication and can fill that prescription in-house in the medically integrated pharmacy, that team, that care coordination that takes place, can prevent those errant fills or additional fills when there's dose reductions, there's holidays, there's things that happen in real time. And it's impossible for a mail-order pharmacy that's in another state that has lead times, when a prescription needs to be mailed 7 days or 10 days before the patient will run out of the medication, it's impossible for them to logistically coordinate that care like we can internally within the medically integrated pharmacy. So, we prevent waste and overall cost of care by cost avoidance and having that coordination or that continuity of care that we talk about. And we prevent waste from the mail-order pharmacies by taking that prescription internally and filling it, but also doing it in a way that's more sustainable and cost-effective for all stakeholders in the oncology ecosystem. Brittany Harvey: Absolutely. Thank you both for reviewing those key standards for Domain 2 and touching on the importance of distribution logistics and all the things that a medically integrated pharmacy needs to think through in getting oral anticancer agents to patients. Following that, Michael, we've touched on this a little bit earlier, but how will these updated standards impact clinicians and oncology practices? Michael Reff: Yes, and as Dr. Raez and I have discussed throughout this podcast, these additional standards are there to help support that continuity of care by educating the clinicians that are in the oral anticancer medication space to elevate their provision for these oral therapies. What I mean by that is the practice has to perform at a certain level in order for them to, as I call it, deserve the right to fill that prescription by having the processes and procedures in place. And these standards, these updated or revised standards, are the blueprint for better patient care and to help the practices execute on that journey of continuous improvement. Dr. Luis Raez: Yeah, I only want to add, we have practical examples in the guidelines. We quote a couple of studies that have been successful. And this year, for example, I am a lung cancer doctor, we are presenting in World Lung our standards of adherence to oral oncolytics for EGFR therapy, following the NCODA-ASCO standards. We're around 95% of adherence. We are a healthcare system that is public. We have people with no insurance and a lot of social determinants of health. We are trying to show that it's feasible, even in the most difficult circumstance, when you follow the standards, to be successful. Brittany Harvey: Definitely, these standards can help clinicians and oncology practices succeed in providing these medications. So then beyond that, and to wrap us up, Michael, what do these revised standards mean for patients who are receiving oral anticancer medications? Michael Reff: Yes, great point and question, Brittany, because we have covered the benefits to the clinicians and the practices themselves. But how is this going to support better patient care? And it does it in a whole host of ways. I'll cover just a few of them. What I'm about to share with you relates back to what we call at NCODA the "core claims." Like, what's the core claims of having a medically integrated pharmacy within the practice? And there are seven different core claims that we feel practices that are focused on the continuity of care can deliver better outcomes that are embedded in these standards. And it's talking about abandonment, adherence, access and affordability, speed to therapy or time to fill, as we call it, education, patient satisfaction, and cost avoidance that we covered earlier. So those are the core claims that a practice that follows these revised standards can help elevate. So, faster and more affordable access to the oral cancer medications; individualized support to address barriers like transportation, finance, language, or health literacy, and so on; clear, patient-friendly education; something that is near and dear to all clinicians' hearts, and of course, the patient that was on our panel or on our committee, to empower them to manage side effects and recognize when to seek help; and a stronger partnership with a care team, with regular follow-ups focused on their experience, challenges, and successes; and then, greater overall safety through proactive monitoring for medication errors or complications. So all of these aspects, or tenets, as I'll call them, are baked into these quality standards that are totally aligned with NCODA's core claims document that, again, talks about abandonment, adherence, access and affordability, speed to therapy, education, satisfaction for the patients, and also cost avoidance. Dr. Luis Raez: I only want to add and invite the community to adhere to these standards, to practice the standards. You will be providing the best patient care that we can nowadays. Brittany Harvey: Definitely. I think these standards are very important. And Michael, I thank you for touching on those key claims from NCODA. I think those, along with these updated standards, will improve outcomes for patients everywhere. So I want to thank you both so much for your work to update these standards and all the time you put into it. And thank you for your time today too, Michael and Dr. Raez. Michael Reff: I'd like to thank not only the committee, my esteemed committee that helped support the standards and the revision. Many of the original healthcare providers and patient that were on the first go of the standards were part of the second standards. We revised it, of course, and we got additional support from the new committee. And certainly ASCO and their partnership and collaboration with NCODA has been tremendous. And we look forward to the oncology community at large adopting these standards, again, to work together, we do become stronger, and it will improve cancer care for patients receiving oral anticancer medications. So thank you, Brittany. Dr. Luis Raez: I only want to say the same thing. Actually, there is probably more people in NCODA that is not in the publication that has helped. Same in ASCO. Also, we want to give thanks to Dr. Stephen Grubbs, our leader in quality. He's retiring. We're going to miss him, but he has been a key collaborator with Mike organizing these standards for the last five or six years. So, looking forward to these standards in practice. Brittany Harvey: Absolutely. A big thank you to the entire panel and everyone who contributed to this, and NCODA as well. And then finally, thank you to all of our listeners for tuning in to the ASCO Guidelines podcast. To read the complete standards, go to www.asco.org/standards. I also encourage you to check out the companion episode on these standards on the PQI podcast by NCODA, which you can find on Apple Podcasts and Spotify. You can also find many of our standards and interactive resources in the free ASCO Guidelines app, which is available in the Apple App Store or the Google Play Store. If you have enjoyed what you've heard today, please rate and review the podcast and be sure to subscribe so you never miss an episode. The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement.
They say Star Wars means family and this episode is a prime example of that. While Glen is away enjoying the Memorial Day holiday weekend, Jason has his brother, Todd, on to talk all things Star Wars. They reminisce about growing up with MicroMachines, watching the original trilogy while sick from school, collecting stormtroopers, and so much more. Todd is also a graffiti artists, and he shows off some of his Star Wars pieces. He also shares walking into a 501st warehouse in South Florida where they had props and sets stored.
In hour two, Hoch is still hung up on Solana's revelation Friday that he has never visited Sawgrass Mills Mall despite living in South Florida for all 31 years of his life. Rainforest Cafe = criminally underrated. Plus, National radio broadcaster on the call of tonight's game 4 - John Forslund - joins the show to preview the game and explains why he views this Cats team in the same light as the early 80s Islanders dynasty.
In the best of the Panthers on WQAM this week, The Joe Rose Show breaks down the Game 2 beatdown of the Hurricanes to go up 2-0; CBS4 anchor Mike Cugno talks Game 2 with Hochman & Crowder; Tobin & LeRoy discuss how the Panthers weathered the Hurricanes; Hochman & Crowder talk about how this team is stealing the hearts of sports fans across South Florida
In the best of the Panthers on WQAM this week, The Joe Rose Show breaks down the Game 2 beatdown of the Hurricanes to go up 2-0; CBS4 anchor Mike Cugno talks Game 2 with Hochman & Crowder; Tobin & LeRoy discuss how the Panthers weathered the Hurricanes; Hochman & Crowder talk about how this team is stealing the hearts of sports fans across South Florida
In the best of the Panthers on WQAM this week, The Joe Rose Show breaks down the Game 2 beatdown of the Hurricanes to go up 2-0; CBS4 anchor Mike Cugno talks Game 2 with Hochman & Crowder; Tobin & LeRoy discuss how the Panthers weathered the Hurricanes; Hochman & Crowder talk about how this team is stealing the hearts of sports fans across South Florida
I legit almost passed out. Like, hit-the-deck, black-out fainted. And not because I didn't know what I was doing—but because my body hit its edge.This episode is NOT just a random story—it's exactly what your body is probably doing right now if you feel stuck, bloated, burned out, or like no plan is working.I'm breaking down what really happened to me that morning in South Florida, what HRV (heart rate variability) actually tells you about your nervous system, why most women are under-eating (even if they're fitness pros), and how survival mode is keeping your body from losing fat—no matter how “healthy” your routine looks.You'll also hear my emergency hack that saved me (hint: sweet potato baby food
The Florida Panthers have officially stolen the hearts of every South Floridian after routing the Carolina Hurricanes in game 2 and taking a commanding 2-0 series lead in their third consecutive ECFs.
Mike Florio & Chris Perkins talks Dolphins, The Panthers may be biggest draw in South Florida and Pimp Friends.
Chris Perkins says The Dolphins may not have enough to move the needle this year, can The Panthers be the most popular team in South Florida and moochers suck.
I'll bet you dollars to donuts that Tyrese Haliburton and Aaron Nesmith brought the Shipping Container more joy than any non-South Florida athletes in sports history. Today's cast: Dan, Stugotz, Chris, Amin, Jeremy, Mike, and Tony. Learn more about your ad choices. Visit podcastchoices.com/adchoices