Podcasts about summa health

Rob Gerberry, Senior Vice President and Chief Legal Officer, Summa Health, speaks with Michael Peregrine, Partner, McDermott Will & Emery, about the Department of Justice Criminal Division's recent release of its new white collar criminal enforcement plan and the board's oversight responsibility for corporate compliance with the law. They discuss how the new plan relates to governance, the government's current approach to health care fraud and abuse enforcement, and key compliance takeaways for boards to consider. Watch the episode: https://www.youtube.com/watch?v=z2APW87JznYEssential Legal Updates, Now in Audio AHLA's popular Health Law Daily email newsletter is now a daily podcast, exclusively for AHLA Premium members. Get all your health law news from the major media outlets on this podcast! To subscribe and add this private podcast feed to your podcast app, go to americanhealthlaw.org/dailypodcast. Stay At the Forefront of Health Legal Education Learn more about AHLA and the educational resources available to the health law community at https://www.americanhealthlaw.org/.

Rob Gerberry, Senior Vice President and Chief Legal Officer, Summa Health, speaks with Michael Peregrine, Partner, McDermott Will & Emery, about the concept of “refreshment” and how health care systems can use this concept to effectively address board turnover. They discuss various refreshment tools such as director removal, term limits, mandatory retirement, evaluation mechanisms, director offboarding, and fitness to serve, as well as when to use exceptions in a board refreshment policy.AHLA's Health Law Daily Podcast Is Here! AHLA's popular Health Law Daily email newsletter is now a daily podcast, exclusively for AHLA Premium members. Get all your health law news from the major media outlets on this new podcast! To subscribe and add this private podcast feed to your podcast app, go to americanhealthlaw.org/dailypodcast.

Rob Gerberry, Senior Vice President and Chief Legal Officer, Summa Health, speaks with Michael Peregrine, Partner, McDermott Will & Emery, about the distinction between the role of the health care board and the role of management. They discuss the current landscape of board and management roles and responsibilities, what corporate law says, what governance organizations are saying, the leading duties of board members versus those of management, decisions around organizational risk, and lessons for health care organizations.AHLA's Health Law Daily Podcast Is Here! AHLA's popular Health Law Daily email newsletter is now a daily podcast, exclusively for AHLA Premium members. Get all your health law news from the major media outlets on this new podcast! To subscribe and add this private podcast feed to your podcast app, go to americanhealthlaw.org/dailypodcast.

Rob Gerberry, Senior Vice President and Chief Legal Officer, Summa Health, speaks with Michael Peregrine, Partner, McDermott Will & Emery, about what the change of administrations in Washington, DC can teach health care boards about managing conflicts of interest. They discuss lessons learned from the current transition, including the difference between “potential” and “actual” conflicts of interest, financial interests, personal ethics programs, and non-traditional arrangements and relationships.AHLA's Health Law Daily Podcast Is Here! AHLA's popular Health Law Daily email newsletter is now a daily podcast, exclusively for AHLA Premium members. Get all your health law news from the major media outlets on this new podcast! To subscribe and add this private podcast feed to your podcast app, go to americanhealthlaw.org/dailypodcast.

Michael Dalton, the CEO of Ovatient, is redefining virtual healthcare by bringing high-quality, patient-centered care directly to the people who need it. With a background in healthcare leadership at The MetroHealth System and Summa Health in Ohio, Michael saw firsthand the barriers patients face—from transportation and family/work schedules, to limited availability of specialists. His passion for improving healthcare accessibility led to the creation of Ovatient, a virtual-first care model seamlessly integrated with major health systems like MetroHealth and The Medical University of South Carolina in Charleston. In this conversation, Michael discusses the power of digital health, the importance of rebuilding trust between patients and providers, and how Ovatient leverages technology to enhance care, while keeping the human connection at its core. From his Midwest roots to his leadership in healthcare innovation, Michael shares how virtual care is transforming the industry. Join our conversation with Michael Dalton today on Radio Maine–and subscribe to the channel for your weekly dose of creative inspiration!

Dr. Meet Patel, cardiologist at Summa Health, discusses atrial fibrillation.

Rob Gerberry, Senior Vice President and Chief Legal Officer, Summa Health, speaks with Michael Peregrine, Partner, McDermott Will & Emery, about the governance trends that health care boards should anticipate in 2025. These trends fall into three categories: those that arise from the change of administrations in Washington, DC, those that are relatively new and emerging on the governance canvas, and those that reflect an evolving perspective on traditional governance trends.New Health Law Daily Podcast Coming in January 2025 Coming in January 2025, AHLA's popular Health Law Daily email newsletter will also be available as a daily podcast, exclusively for AHLA Premium members. Listen to all the current health law news from the major media outlets on this new podcast! Subscribe Now

SummaryYour CXO host Jackie Kimmell discusses three significant developments in the healthcare sector that highlight innovative approaches to value-based care and investment. The first topic covers the surprising acquisition of Summa Health by General Catalyst, exploring the implications of this investment for healthcare systems. The second segment focuses on Longitude Health, a new collaborative initiative among several health systems aimed at driving innovation and efficiency in value-based care. Finally, Jackie delves into Risen Health, a consortium that aims to transform healthcare delivery through technology and shared resources, featuring insights from Chris Cornue on the motivations behind these partnerships.Welcome to the Health System CXO Podcast, sponsored by The Health Management Academy, featuring content designed for Health System Nurse Executives, Health Equity Officers and Strategy Executives provided by our company SME's - Anne Herleth, Jasmaine McClain, Ph.D. and Jackie Kimmell. Subscribe today and receive the latest insights from the country's leading Health System CXO experts regularly, helping you remain current and guide your health system strategy with thought leadership and success.The Health System CXO Podcast activates health system leaders towards outcomes and scalable solutions you can implement now.About The Health Management Academy:Since 1998, The Health Management Academy has cultivated the premier community of healthcare's most influential changemakers from the top U.S. health systems and innovative industry partners. We power more than 2,000 health system senior executives and 200 industry organizations through exceptional peer groups, original market insights, world-class leadership development programs and novel member alliances. Our industry-leading programs and solutions enable members to facilitate meaningful relationships, navigate strategic transformation and address critical industry issues. To learn more, visit hmacademy.com and follow The Health Management Academy on ...

Rob Gerberry, Senior Vice President and Chief Legal Officer, Summa Health, speaks with Michael Peregrine, Partner, McDermott Will & Emery, about the proper role of health care organization boards in relationship to technology, including artificial intelligence. They discuss the National Association of Corporate Directors' (NACD's) 2024 Blue Ribbon Commission Report, the report's focus on governance oversight of technology, and how boards can implement the report's recommendations.To learn more about AHLA and the educational resources available to the health law community, visit americanhealthlaw.org.

General Catalyst's HATco signs a definitive agreement to purchase Akron, OH-based Summa Health. The Food and Drug Administration plans to remove a common—but ineffective—decongestant ingredient from the market. And, more young people are landing in the emergency department for consuming too much caffeine. We'll get that story—and more—coming up on today's episode of the Gist Healthcare Hosted on Acast. See acast.com/privacy for more information.

Rob Gerberry, Senior Vice President and Chief Legal Officer, Summa Health, speaks with Michael Peregrine, Partner, McDermott Will & Emery, about the Department of Justice's (DOJ's) updated compliance program guidance and its implications for Board oversight of compliance. They discuss the DOJ's updated Evaluation of Corporate Compliance Programs guidance, what Boards need to know, and specific considerations for the health care industry.To learn more about AHLA and the educational resources available to the health law community, visit americanhealthlaw.org.

Rob Gerberry, Senior Vice President and Chief Legal Officer, Summa Health, speaks with two health IT leaders, Daniel Clark and Supantha Banerjee, about the current landscape of health IT and some of the biggest challenges they are seeing. They discuss how to drive efficiency and value in health IT systems, how to engage providers in the use of data, how to manage artificial intelligence, the future of innovative delivery care models, and issues related to cybersecurity.To learn more about AHLA and the educational resources available to the health law community, visit americanhealthlaw.org.

The number of Americans battling Alzheimer's Disease is skyrocketing. According to the Alzheimer's Association, nearly 7 million individuals are currently living with this debilitating condition. Projections indicate that by 2050, this figure could soar to nearly 13 million.Joining us today are clinical experts Anna Caldwell, a Geriatric Nurse Practitioner, and Joe Marchiano, a Geriatric Pharmacist from Summa Health. They'll discuss the challenges posed by Alzheimer's Disease and the critical importance of early-stage diagnosis.

Rob Gerberry, Senior Vice President and Chief Legal Officer, Summa Health, speaks with Michael Peregrine, Partner, McDermott Will & Emery, about the nature, role, and purpose of corporate officerships. They discuss general principles related to the roles and fiduciary duties of officers and the specific duties of the Chairman of the Board, CEO, secretary, treasurer, and Executive Chair.To learn more about AHLA and the educational resources available to the health law community, visit americanhealthlaw.org.

Rob Gerberry, Senior Vice President and Chief Legal Officer, Summa Health, speaks with Michael Peregrine, Partner, McDermott Will & Emery, about how the Biden Administration's antitrust and competition enforcement initiatives are impacting health care board duties. They discuss how health care antitrust risk and enforcement have changed and how health care boards can respond.To learn more about AHLA and the educational resources available to the health law community, visit americanhealthlaw.org.

In this episode, Karrie and Penny will discuss the importance of applying the latest and best research to caring for patients. They will also describe how Summa Health's Center for Clinical Inquiry is promoting and supporting staff in using the best evidence to improve patient care. Additionally, Summa Health has re-instituted the advanced practice registered nurse called the Clinical Nurse Specialist at the bedside.

0:16 Intro 2:29 Updated community-acquired pneumonia guidelines 5:41 Diagnostic tools for CAP following COVID-19 9:35 Procalcitonin levels as a biomarker 12:30 The CAP treatment algorithm 18:36 Best practices for antibiotic stewardship 20:40 New CAP therapies on the horizon 22:36 ACIP recommendations for vaccination 24:30 Remaining areas of CAP uncertainty 26:30 Final thoughts 27:25 Outro Featuring infectious disease expert Dr. Thomas File of Summa Health in Ohio, this episode delves into how community-acquired pneumonia has been affected by the COVID-19 pandemic. It additionally covers the role and importance of antibiotic stewardship and the concern of ‘superbugs' due to antimicrobial resistance. Want more Lungcast? Visit us at HCPLive.com/podcasts/lungcast or www.lung.org/professional-education/lungcast

Rob Gerberry, Senior Vice President and Chief Legal Officer, Summa Health, speaks with Michael Peregrine, Partner, McDermott Will & Emery, about the role of health care corporate boards in reviewing major transactions. They discuss key elements of corporate policies related to transactions, the board's standard of conduct when reviewing transactions, how to handle transactions that are not consummated, common fiduciary “landmines,” and management's role in navigating transaction activity. To learn more about AHLA and the educational resources available to the health law community, visit americanhealthlaw.org.

Rob Gerberry, Senior Vice President and Chief Legal Officer, Summa Health, speaks with Michael Peregrine, Partner, McDermott Will & Emery, about how health care corporate boards can effectively exercise oversight of the corporate legal function. They discuss the general counsel's dual reporting relationship, the history of the corporate responsibility movement, effective monitoring practices, and the significance of the recent Association of Corporate Counsel survey of general counsel.To learn more about AHLA and the educational resources available to the health law community, visit americanhealthlaw.org.

In this episode, Rebecca Urban, System Director for Surgical Services and Orthopedics, Summa Health discusses different ways the utilization of data and analytics can improve care.

On this episode of DGTL Voices, Ed welcomes Cindy Kelley, DO, Vice President of Medical Education at Summa Health. They discusses graduate medical education (GME) and the role of the Accreditation Council for Graduate Medical Education (ACGME). She shares her personal and professional journey, her passion for teaching, and the importance of continuous improvement in medical education. Kelley emphasizes the need for vulnerability and open-mindedness in leadership and highlights the value of diverse leadership styles. She encourages aspiring leaders to embrace their unique strengths and contributions.   Takeaways Graduate medical education (GME) is the post-medical school training period where physicians specialize in a specific field through residency and fellowship programs. The Accreditation Council for Graduate Medical Education (ACGME) accredits residency and fellowship programs and institutions that sponsor these programs. The ACGME is forward-looking and considers the impact of technology, artificial intelligence, and consumerism on medical education. Leadership requires vulnerability and open-mindedness, listening to feedback, and focusing on solutions. There is a place for all leadership styles at the table, and leaders should embrace their unique strengths and contributions.  

Get ready for expert insights and practical advice to improve your sleep and overall well-being.Tammy Potts, Director of the Sleep Medicine Center at Summa Health discusses what to expect at a sleep study.

Corporate entities like health plans, retail companies, and PE firms have aggregated large, diverse portfolios of care delivery assets over the past decade – with one notable exception: no one was buying hospitals. But in January, venture capital firm General Catalyst bucked that trend and announced its intent to acquire Summa Health, a 3-hospital health system in northeastern Ohio. What are they thinking? And what could this mean for the industry? In this episode, host Rachel (Rae) Woods and co-host Abby Burns invite Advisory Board's health system expert Vidal Seegobin to unpack the details of the story, interpret General Catalyst's ambition, and share what they'll be watching in the coming months. Links: Radio Advisory's financial impact playlist Survey insights: 6 priorities for health system strategists in 2024 Ep. 193: Is health system growth still possible? Ep. 123: Is private equity health care's bad guy? The Hospital Benchmark Generator Improving detection of ATTR-CM: Insights from experts A transcript of this episode as well as more information and resources can be found on radioadvisory.advisory.com.

The podcast features Dr. Yoleetah Ilodi, discussing diversity and inclusion in medical education at Summa Health. Dr. Ilodi addresses obstacles faced by underrepresented minorities, emphasizing the importance of diversity for better patient outcomes. She explains her role as the Medical Director of DEI and highlights Summa Health's efforts to increase underrepresented minority residents and faculty, underscoring the impact of diversity on patient satisfaction and reducing health disparities. To learn more about Summa Health's Department of Medical Education, go to summahealth.org/medicaleducation.

Rebecca Urban, System Director for Surgical Services and Orthopedics at Summa Health joins the podcast to discuss how she is looking at workforce development & OR efficiencies in 2024.

What's the Payoff from General Catalyst's Big Gamble? David W. Johnson and Julie Murchinson debate what's at stake for the participants and the industry from General Catalysts's proposed acquisition and conversion of Summa Health on the new episode of the 4sight Health Roundup podcast moderated by David Burda. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/

David W. Johnson and Julie Murchinson debate what's at stake for the participants and the industry from General Catalyst's proposed acquisition and conversion of Summa Health. What will happen next? We talked about it on, “What's the Payoff from General Catalyst's Big Gamble?” the new episode of the 4sight Health Roundup podcast.

When Swathi West started at Summa Health in early 2023, she embarked on a 90-day assessment that included reviewing job descriptions, along with policies and standards. It's an approach she heartily recommends for a number of reasons. First, in reviewing job descriptions, West founds a lack of detail that could cause confusion around roles and […] Source: Q&A with Summa Health CISO Swathi West: “A Solid 90-Day Assessment Can Make All the Difference” on healthsystemcio.com - healthsystemCIO.com is the sole online-only publication dedicated to exclusively and comprehensively serving the information needs of healthcare CIOs.

Venture capital firm General Catalyst's healthcare arm plans to purchase Akron, Ohio-based Summa Health, and turn it into a for-profit system. CMS issues a final rule that aims to streamline health insurer prior authorizations. And, the FDA approves a groundbreaking CRISPR treatment for a second blood disease. That's coming up on today's episode of Gist Healthcare Daily. Hosted on Acast. See acast.com/privacy for more information.

Thursday, January 18, 2024: A SWAT standoff in Cleveland's Slavic Village ends with a 36-year-old man sent to MetroHealth hospital in serious condition with a gunshot wound. On Cleveland's East Side, a Huntington Bank branch is closing much to the dismay of residents. As we get ready for snow to come in tonight, we let you know what the state and the city of Cleveland are doing to prepare. Plus, we have the details on Summa Health turning into a private, for-profit hospital. Then, we show you a brand new bagel spot in the Flats, deliver great news to Swensons fans, and more on 3News Daily with Stephanie Haney. Watch Stephanie Haney's Legally Speaking specials and segments here: https://www.youtube.com/playlist?list=PL_SLtTChKczKEzKhgSopjxcmFQniu28GN Connect with Stephanie Haney here: http://youtube.com/@_StephanieHaney http://twitter.com/_StephanieHaney http://instagram.com/_StephanieHaney http://facebook.com/thestephaniehaney Read more here: Standoff ends in Cleveland's Slavic Village neighborhood https://www.wkyc.com/article/news/local/cleveland/cleveland-police-suspect-shooting-out-window-slavic-village/95-65ae1cb5-11ef-44d9-b694-689057300503 City of Cleveland prepares for latest winter storm, which is expected to bring most significant snowfall of the season https://www.wkyc.com/article/weather/severe-weather/cleveland-odot-winter-storm-most-significant-snowfall-season/95-0193d7d0-b7dc-492d-b983-4d6d4b680084

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This episode features Rebecca Urban, System Director for Surgical Services and Orthopedics at Summa Health & Dr. Kiel Pfefferle, Medical Director for Summa Health's Joint Center of Excellence. Here, they discuss key insights into Summa Health's Joint Center of Excellence, what they are focusing on and excited about going into the new year, advice for leaders, and more.

It is critical that health care boards remain aware of trends and developments in corporate governance. This helps board members execute their oversight and decision-making functions and better evaluate the effectiveness of their own board's operations. Rob Gerberry, Senior Vice President and General Counsel, Summa Health, speaks with Michael Peregrine, Partner, McDermott Will & Emery, about the ten most significant corporate governance developments of 2023. To learn more about AHLA and the educational resources available to the health law community, visit americanhealthlaw.org.

Rob Gerberry, Senior Vice President and General Counsel, Summa Health, speaks with health care corporate leaders about strategies they are using to help their hospitals and health systems navigate the current challenges facing the industry. They discuss how they are tackling financial headwinds, dealing with inflationary pressures when working with payer partners, keeping the Board educated on industry trends and getting buy-in for strategies, working with ancillary businesses and real estate portfolios, striking the balance between clinical and corporate assets, and creating partnerships between the operational and legal teams. Rob's panel includes Kyle Armstrong, President, Baylor University Medical Center, Matt Morgan, Vice President and Hospital Administrator, Deer Valley Medical Center, and Joe Yoder, President, Legacy Health Willamette Region. To learn more about AHLA and the educational resources available to the health law community, visit americanhealthlaw.org.

A well-organized, thoughtfully composed, and industry-attentive committee structure can provide substantial support to the governing board of a health care organization, especially when multiple items compete for attention on the board's agenda. Rob Gerberry, Senior Vice President and General Counsel, Summa Health, speaks with Michael Peregrine, Partner, McDermott Will & Emery, about the role of board committees and why it is so important to monitor their formation and operation. They discuss common traits of effective committee practice and structure, delegated powers versus advisory powers, the importance of having independent members on committees, and some of the key issues facing health care board committees in 2024. To learn more about AHLA and the educational resources available to the health law community, visit americanhealthlaw.org.

Rob Gerberry, Senior Vice President and General Counsel, Summa Health, explores the role Chief Financial Officers (CFOs) play in helping health care systems navigate the financial headwinds facing the industry. CFOs must work with commercial payer partners on pricing, Medicare and Medicaid on payment issues, and Boards on developing appropriate financial strategies. They must also confront issues like labor and staffing, the balance between maintaining bedside resources while keeping corporate staffing at a necessary level, and the rise of private equity. Rob's panel includes Robin Damschroder, Executive Vice President and Chief Financial and Business Development Officer, Henry Ford Health System, and Mike Browning, Chief Financial Officer, Ohio Health. To learn more about AHLA and the educational resources available to the health law community, visit americanhealthlaw.org.

This episode features regular guest Rebecca Urban, System Director for Surgical Services and Orthopedics at Summa Health. Here, she discusses the importance of breaking down barriers between physicians & administrators, her current focus on preauthorizations, and more.

Brian White, Vice President and General Counsel, Wake Forest University, speaks with Rob Gerberry, Senior Vice President and General Counsel, Summa Health, and Aletheia Lawry, about how in-house counsel are responding to some of the key issues currently affecting the health care industry. These issues include remote/hybrid work, legal specialization and diversification, financial challenges and cost pressures, non-legal functions, key performance indicators, and severance. They also discuss AHLA's recently released resource for in-house counsel, Health Care In-House Counsel Salaries and Departmental Resources 2022-2023 Survey Report. From AHLA's In-House Counsel Practice Group.Watch the conversation here.To learn more about AHLA and the educational resources available to the health law community, visit americanhealthlaw.org.

This episode features Rebecca Urban, M.Ed  System Director Surgical Services Service Lines & System Director of Orthopedics at Summa Health. Here, she discusses Summa shifting surgeries to an outpatient setting, challenges surrounding pre-authorizations, key insights into Akron Ohio, and more.

Rob Gerberry, Senior Vice President and General Counsel, Summa Health, explores the role Chief Human Resources Officers play in helping health care systems navigate workforce issues and implement strategies that retain and attract workforces. Some of these issues include inflationary pressures around labor and temporary staffing costs, remote work, clinical versus non-clinical workforce standards and expectations, Board governance, and the future of the health care workforce.Rob's panel includes Casey Parker, Chief Human Resources Officer, Wellpath, Trevor Walker, Senior Vice President of Human Resource Strategy & Integration and HR Chief of Staff, Advocate Health, and Joe Gage, Chief Human Resources Officer, Bon Secours Mercy Health.To learn more about AHLA and the educational resources available to the health law community, visit americanhealthlaw.org.

Unveiling Summa Health's Epic implementation and MyChart portal. Get exclusive insights on the game-changing impact for patients and providers from Elbridge Locklear, Senior Vice President and Chief Information Officer, and Dr. Justin Catlett, Vice President, and Chief Medical Information Officer.

Wellness has become a buzzword we hear a lot about, but maybe we don't know precisely what it means. It can also mean different things to different people. Today's guest, Ashley Krul, program coordinator of employee wellness at Summa Health, discusses the many dimensions of wellness and how they impact our lives. She also shares how Summa Health focuses on keeping employees well in the workplace.

David Seaberg, MD, Summa Health / Moderated by: Hamza Ijaz, MD, University of Cincinnati by SAEM

David Seaberg, MD, Summa Health / Moderated by: Hamza Ijaz, MD, University of Cincinnati by SAEM

In the third episode of this three-part series focusing on director/officer liability, Rob Gerberry, Senior Vice President & Chief Legal Officer, Summa Health, speaks with Michael Peregrine, Partner, McDermott Will & Emery LLP, about new developments in officer and director liability matters. They discuss the Delaware Chancery Court's recent decisions in the McDonald's Corporation stockholder derivative litigation; why health lawyers should care about what is coming out of the Delaware courts and the level of activity there; and the connection between corporate governance, officer and director liability, and the Department of Justice's renewed focus on corporate crime and individual accountability. From AHLA's Business Law and Governance Practice Group. Listen to the first episode, which discusses the concept of officer and director liability and related standards of care, here. Listen to the second episode, which discusses parties with primary jurisdiction to challenge officer and director conduct, here. To learn more about AHLA and the educational resources available to the health law community, visit americanhealthlaw.org.

In the second episode of this three-part series focusing on director/officer liability, Rob Gerberry, Senior Vice President & Chief Legal Officer, Summa Health, speaks with Michael Peregrine, Partner, McDermott Will & Emery LLP, about the parties that have primary jurisdiction to challenge officer and director conduct. They discuss the different tiers of parties that have an interest in officer and director conduct, the kinds of circumstances that can create exposure with these parties, and mitigation measures that officers and directors can take to protect themselves from actions by these parties. From AHLA's Business Law and Governance Practice Group.Listen to the first episode, which discusses the concept of officer and director liability and related standards of care, here.Listen to the third episode, which discusses new developments in officer and director liability matters, here.To learn more about AHLA and the educational resources available to the health law community, visit americanhealthlaw.org.

Dr. Aziken, a cardiothoracic surgeon at Summa Health, reviews the importance of lung cancer screenings, who is at risk of developing lung cancer, some of advancements in the treatment of lung cancer and debunks common myths.

In the first episode of this three-part series focusing on director/officer liability, Rob Gerberry, Senior Vice President & Chief Legal Officer, Summa Health, speaks with Michael Peregrine, Partner, McDermott Will & Emery LLP, about the basic concept of officer and director liability and related standards of care. They discuss the importance of director and officer liability in today's health care environment, basic standards of conduct, the kinds of circumstances that most typically create liability exposure for officers and directors, and defenses and protections available to officers and directors. From AHLA's Business Law and Governance Practice Group.To learn more about AHLA and the educational resources available to the health law community, visit americanhealthlaw.org.

This episode features Dr. Dean Frate, Physician Advisor at Summa Health. Here, he discusses the issues he is spending the most time on, his pride in the strong culture that Summa exudes, advice for emerging leaders, and more.

CardioNerds (Amit Goyal and Daniel Ambinder) join Dr. Phoo Pwint Nandar (former FIT Ambassador), Dr. Deep Shah (current FIT Ambassador), and Dr. Sugat Wagle from the Summa Health Cardiology Department for an afternoon at Cuyahoga National Valley Park. We discuss a case of a post-partum woman who presented with ventricular fibrillation arrest due to SCAD. She had ongoing advanced cardiac life support (ACLS) for nearly 60 minutes before obtaining return of spontaneous circulation. We discuss the broad differential of VF arrest, including acute coronary syndrome and spontaneous coronary artery dissection (SCAD) – among many others. We also go over the etiology and management of SCAD as well the complications. Pregnancy is a crucial stressor to the cardiovascular system and understanding its hemodynamic changes is crucial to all physicians. The E-CPR segment is provided by Dr. Grace Ayafor, Interventional cardiology faculty, Summa Health. Jump to: Case media - Case teaching - References CardioNerds Case Reports PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Case Media Episode Schematics & Teaching - SCAD Pearls - SCAD SCAD remains underdiagnosed. It has a wide range of clinical presentations, including chest pain, ACS, VT/VF arrest, and cardiogenic shock.Underlying etiologies of SCAD include autoimmune diseases, connective tissue disorders, fibromuscular dysplasia, external stressors, and pregnancy.There are 3 types of SCAD, and coronary angiogram is the gold standard for diagnosis.Common areas of involvement of SCAD include left anterior descending and left circumflex arteries; however, SCAD can manifest in any coronary artery as well as simultaneously in multiple coronary arteries. Left main trunk involvement is rare, more likely to be associated with the peri-partum state, and requires complex management decisions guided by a heart team approach.Most SCAD cases are benign and treated conservatively, however, some require intervention (PCI or CABG) depending on clinical severity and course.Recurrent SCAD has been reported in 10-30% of the patients and aggressive management of hypertension is recommended.Guidelines regarding SCAD management are largely based on expert consensus due to a dearth of high-quality data. Efforts to raise awareness and study this syndrome are of paramount importance. Notes - SCAD 1. What is SCAD and how does it present? Spontaneous coronary artery dissection (SCAD) is defined as an epicardial coronary dissection that is not associated with atherosclerosis or instrumentation.This occurs with hematoma formation within the tunica media,  thereby potentially compressing the arterial true lumen leading to ischemia.There are two proposed mechanisms of hematoma formation: “inside-out” and “outside-in”. The inside-out hypothesis posits that the hematoma arises from the true lumen via a dissection flap – an endothelial-intimal disruption. Conversely the outside-in hypothesis posits that the hematoma arises de novo within the media through disruption of traversing microvessels.There is a wide range of clinical presentation for SCAD varying in severity including asymptomatic / benign presentation, anginal syndromes, acute myocardial infarction, VT/VF arrest, and cardiogenic shock. Our patient presented with VF arrest and ACS.SCAD epidemiology is confounded by a lack of awareness. A high index of suspicion is warranted. Diagnosis can be missed in young or mid-life without CV risk factors who would present with atypical/mild chest pain. 2. What are the etiologies of SCAD? SCAD is associated with the peripartum state (presumed due to combination of hormonal mediated vessel wall integrity changes and hemodynamic stressors), illicit substance use, autoimmune disorders,