Podcast appearances and mentions of tom robertson

Force prop Tom Robertson talks about THAT try, his time at Oxford and the differences he's seen at the Club since his return to Perth. Mitch sounds like he's on dial up, but at least he was there Tess...

In the old Swedish calendar, Dec. 13 was the shortest day of the year. And this weekend there will be a celebration on that day to honor St. Lucia, the lady of light. It's been going for 400 years in Sweden.In Bemidji, people have been gathering for the Santa Lucia festival for not quite that long. Listen to the story MPR News' Tom Robertson did in 1998.

The wait is over, 2023 be gone, the international test season is back!The guests come thick and fast this week, as Christy Doran and Matt Toomua preview the first match of the Joe Schmidt Wallaby era against Wales, and are joined by newly returned Western Force prop (Dr.) Tom Robertson and BBC Wales Sport journalist Gareth Griffiths to discuss this critical fixture for both sides.Gareth Griffiths (X): https://mobile.x.com/gazg2000Hosts: Christy Doran & Matt ToomuaGuests: Tom Robertson & Gareth Griffiths Producer: Nick Wasiliev Hosted on Acast. See acast.com/privacy for more information.

For a long time, conventional wisdom ruled that companies should avoid reselling their own products in used condition. There's the threat of cannibalization, marketing confusion, and tricky logistics that can erase margins. But more name-brand retailers are jumping into resale, says Wharton marketing professor Tom Robertson. Thanks in part to Gen Z with its zeal for sustainability, he says consumer demand is rising fast for reused goods. He sees a revolution where brands cash in on resale, knowing that if they don't own those customer relationships and sales, others will. Robertson wrote the HBR article “The Resale Revolution.”

EDITOR NOTE: Due to technical audio issues, this episode might sound better for those listening at 1.5x or 2x speed.   Tom Robertson is an IT professional, currently leading IT at FreshBooks out of Toronto, Canada. Tom has a background in theatre, and has written and produced several shows in the Toronto area. In his spare time, he enjoys computer related hobbies, and has built a retro arcade cabinet, a kitchen display, and during Covid wrote an automated newsletter summarizing Covid numbers for his home province of Ontario. His website is tommertron.com.   TOOLS: 0:00 - Intro 1:40 - Ryobi Inflator: https://www.homedepot.ca/product/ryobi-18v-one-high-volume-power-inflator-tool-only-/1001063829 7:43 - Partake Non-Alcoholic IPA: https://drinkpartake.com/collections/beers/products/ipa-ca?variant=40002665611469 11:16 - Anker GAN Prime Charger: https://www.anker.com/products/a2148?ref=ganprime_top_itemlist&discount=WS7D5ZM242 15:26 - Dakboard: https://dakboard.com/site   Watch on YouTube: https://youtu.be/uw1vvpwFeHI   For show notes and transcript visit: https://kk.org/cooltools/tom-robertson-it-professional   To sign up to be a guest on the show, please fill out this form: https://forms.gle/qc496XB6bGbrAEKK7  

Tom Robertson, Executive Director of the Vizient Research Institute, is joined by Rich Liekweg, President and Chief Executive Officer of BJC Healthcare in St. Louis. Rich describes the similarities and differences between three models of academic medical center health systems in which he has worked - Duke, UCSD, and BJC - they then turn their attention to some of the macroeconomic drivers affecting medical spending across the country. They discuss the role of the traditional payment system in creating economic pressure on providers to establish and maintain low-volume surgical programs and they share an aspiration for new approaches to tackle the medical manifestations of social determinants of health.  Guest speaker: Richard J. Liekweg, MHA, MBA President and CEO BJC HealthCare    Moderator: Tom Robertson Executive Director Vizient Research Institute    Show Notes: [00:55] Richard Liekweg discusses the similarities of the three hospitals he worked in during his career.   [04:11] Declaring a health organization a system is not enough to achieve the level of standardization and integration to bring real value to patients and healthcare.    [07:15] Sometimes variation of services is a function of innovation. Health organizations need to make sure it's true innovation and not just preferences driving the variation. [08:11] Recent cost pressures encourage health systems to move some inpatient care out of the larger hospitals to the smaller community hospitals.  [11:35] Healthcare's current payment structure is problematic. It doesn't align incentives across those who pay for care, those who provide care and those who are receiving care. [14:55] Regional health systems have an opportunity to pursue true clinical integration by placing low-volume, high-risk surgical programs in one or two locations. [20:36] It will take investing in social programs rather than looking to healthcare providers to fix social determinants of health.       Links | Resources: Richard J. Liekweg's biographical information   Subscribe Today! Apple Podcasts Amazon Podcasts Google Podcasts Android Spotify Stitcher RSS Feed

Tom Robertson, Executive Director of the Vizient Research Institute, is joined by Dr. Bryce Gartland, Hospital Group President and Co-Chief of Clinical Operations for Emory Healthcare. The conversation opens with an examination of the challenges health systems face when trying to standardize clinical practices across multiple institutions and cultures. Bryce and Tom then discuss the role of the traditional payment system in creating economic pressure on providers to establish and maintain low-volume surgical programs and share an aspiration for a new reimbursement system – a more sustainable model that would enable providers to be more innovative in attacking the medical manifestations of social determinants of health. They close with a shared view of the potential for healthy seniors to contribute to a new approach to elder care.   Guest speaker: Bryce Gartland, MD Hospital Group President and Co-Chief of Clinical Operations Emory Healthcare    Moderator: Tom Robertson Executive Director Vizient Research Institute    Show Notes: [00:34] How to standardize intra-system variation of resource consumption   [03:08] Workforce burden – how do we work smarter, not harder [03:48] Mergers and acquisitions come with commitments to services and practices within the facility or community [04:23] Emory's successes in standardization for care [07:59] Reimbursement payment systems for care and surgical procedures [13:09] Price disparities and health disparities [13:47] Covid pandemic was a great accelerator that exposed care vulnerabilities and reimbursement system flaws [17:57] Social determinants of health [20:25] ‘Elder Corps' concept   Links | Resources: Dr. Bryce Gartland's biographical information   Subscribe Today! Apple Podcasts Amazon Podcasts Google Podcasts Android Spotify Stitcher RSS Feed  

Tom Robertson, Executive Director of the Vizient Research Institute, is joined by Kathy Parrinello, Chief Operating Officer and Executive Vice President of the University of Rochester's Strong Memorial Hospital. The conversation centers around what Kathy describes as a feeling of moral distress among health care professionals when systemic barriers prevent them from providing everything needed by their patients. Brought into clearer focus by the pandemic, but not caused by it, were health care disparities – both access and experiential – that have been building for decades. The discussion explores the role of the traditional financing system in fostering such disparities and closes with Kathy's thoughts related to the challenges posed by the labor shortage.   Guest speaker: Kathy Parrinello, RN, PhD, FACHE Chief Operating Officer & Executive Vice President Strong Memorial Hospital, University of Rochester Medical Center    Moderator: Tom Robertson Executive Director Vizient Research Institute    Show Notes: [00:32] Clinician felt moral distress during the pandemic because of health disparities, community mistrust, staffing shortages, inadequate insurance coverage, etc.    [06:00] Healthcare has changed since COVID, but it isn't all due to the disease but rather a factor of post-traumatic stress and supporting clinicians leaving healthcare [09:27] Healthcare systems rely on surgeries for their financial health. The pandemic's cancellation of “elective” surgeries exposed the vulnerabilities of that system, and a reevaluation of the term “elective” vs. “scheduled” surgeries. [13:42] Experiential disparities [18:40] Labor shortages [22:42] Using community partners to help with patients with social determinants of health   Links | Resources: Dr. Kathy Parrinello's biographical information   Subscribe Today! Apple Podcasts Amazon Podcasts Google Podcasts Android Spotify Stitcher RSS Feed

Preview also available on our YouTube channel IRELAND : 15. Hugo Keenan 14. Mack Hansen 13. Garry Ringrose 12. Stuart McCloskey 11. Jimmy O'Brien 10. Johnny Sexton > CAPTAIN 9. Jamison Gibson Park 1. Andrew Porter 2. Dan Sheehan 3. Tadhg Furlong 4. Tadhg Beirne 5. James Ryan 6. Peter O'Mahony 7. Josh van der Flier 8. Caelan Doris 16. Rob Herring 17. Cian Healy 18. Finlay Bealham 19. Joe McCarthy 20. Jack Conan 21. Craig Casey 22. Jack Crowley 23. Bundee Aki AUSTRALIA : 15 Andrew Kellaway 14 Mark Nawaqanitawase 13 Len Ikitau 12 Hunter Paisami 11 Tom Wright 10 Bernard Foley 9 Nic White 1 James Slipper (c) 2 David Porecki 3 Allan Alaalatoa 4 Nick Frost 5 Cadeyrn Neville 6 Jed Holloway 7 Michael Hooper 8 Rob Valetini 16 Folau Fainga'a 17 Tom Robertson 18 Taniela Tupou 19 Will Skelton 20 Pete Samu 21 Jake Gordon 22 Noah Lolesio 23 Jordan Petaia Bank of Ireland Autumn Nations Series Saturday, November 19, 2022 Aviva Stadium Kickoff 8pm Our guest TOM COLEMAN https://twitter.com/LeinsterRoyalty Where to find Harpin' On Rugby Website > https://harpinonrugby.com/ Mastodon > @HarpinOnRugby@mastodon.ie Twitter > https://twitter.com/HarpinOnRugby Facebook > https://www.facebook.com/HarpinOnRugby Instagram > https://www.instagram.com/harpinonrugby/ TikTok > https://www.tiktok.com/@harpinonrugby YouTube > https://youtube.com/@HarpinPreviewShow --- Send in a voice message: https://podcasters.spotify.com/pod/show/harpinonrugby/message

Tom Robertson, Executive Director of the Vizient Research Institute is joined by Alison Brown, President of the University of Maryland Medical Center Midtown Campus in Baltimore. Alison describes a number of hospital initiatives that evolved in response to atypical provider incentives arising from Maryland's unique payment system, most recently including global spending budgets. From interdisciplinary rounds and transitional care teams to coordinated post-discharge care for chronically ill and socioeconomically vulnerable populations, Alison shares experiences viewing patient needs through both an “inside-out” and an “outside-in” lens. The conversation turns to an innovative Maryland program involving “peer recovery coaches” to assist emergency patients battling substance abuse. Tom extends that concept by describing a conceptual patient navigation volunteer program that he calls the “Elder Corps”.   Guest speaker: Alison G. Brown, MPH, BSN President University of Maryland Medical Center Midtown Campus    Moderator: Tom Robertson Executive Director Vizient Research Institute   Show Notes: [01:21] In 2014, CMMI issued a waiver that capped what any individual hospital could charge on an annual basis. Each hospital had to rethink how they manage their operating margins. [03:17] Development of “Transitional Care Teams” that help patients with a safe and timely hospital discharge. [09:35] Workforce challenges for serving traditionally underserved or marginalized patients [12:27] Peer recovery coaches [13:09] Elder Corps [16:00] Redeploying staff to support the team that provides care [19:31] Addressing the “experiential disparities” for patients who can't afford a concierge experience   Links | Resources: Alison G. Brown's biographical information   Subscribe Today! Apple Podcasts Amazon Podcasts Google Podcasts Android Spotify Stitcher RSS Feed

Tom Robertson, Executive Director of the Vizient Research Institute is joined by Marcos Irigaray, long-time chief marketing and strategy officer at VCU Health, who now leads strategy and business development for the VCU Stravitz-Sanyal Institute for Liver Disease and Metabolic Health. Marcos discusses VCU's role as an academic research institution that also serves as the principal care delivery system for the region's socioeconomically vulnerable population. The conversation moves from managing the medical manifestations of social determinants of health to VCU's success in launching innovative care programs focusing on the complex needs of the chronically ill.   Guest speaker: Marcos Irigaray, MHA Chief of Business Development and Communications VCU Stravitz-Sanyal Institute for Liver Disease and Metabolic Health   Moderator: Tom Robertson Executive Director Vizient Research Institute   Show Notes: [00:45] VCU's mission to be a safety net for the Commonwealth's disenfranchised or indigent population [03:38] Chronic disease medical home program for patients with challenging social determinants of health uses a team that includes a primary care physician, social worker, pharmacist and dietician. [07:13] Performing house calls for complex care populations [10:26] Children with chronic conditions as well as elder patients benefit from wraparound care [12:21] Marcos' new role as Chief of Business Development and Communications at VCU's Stravitz-Sanyal Institute for Liver Disease and Metabolic Health   Links | Resources: Marcos Irigaray's Biographical Information   Subscribe Today! Apple Podcasts Amazon Podcasts Google Podcasts Android Spotify Stitcher RSS Feed

Tom Robertson, Executive Director of the Vizient Research Institute, and David Randall, Chief Strategy Officer, UAB Medicine, discuss the vulnerability of the traditional health system business model, driven by a payment system that creates unintended consequences. The conversation then turns to how things could change, and David describes a unique experiment underway involving a completely different funding method for indigent care.   Guest speaker: David Randall, MBA Chief Strategy Officer, UAB Medicine CEO Cooper Green Mercy Health Services Authority    Moderator: Tom Robertson Executive Director Vizient Research Institute    Show Notes: [01:00] Provider operating margins affected by increasing Medicare population [03:45] Diversifying revenue [04:50] Global spending budget allows provider organizations to be more innovative and think about capacity differently [07:18] Current payor system based on sickness and volume does not incentivize preventive wellness care [09:36] If price wasn't an issue, it may help payors and providers to focus more on care processes [10:47] Example of shifting from unit price to episodic cost – cancer care [11:36] Would be good to have a national discussion between the payers and providers focused on optimizing episodes of care [12:48] UAB's fund-flow model is relatively payer agnostic. [14:55] Have to figure out how to get paid for services outside the four walls of the hospital, such as community outreach programs for mental health [16:47] Even if we are paid more money, there's still a capacity issue [18:44] Global payments example: Jefferson County Indigent Clinic   Links | Resources: David Randall's biographical information   Subscribe Today! Apple Podcasts Amazon Podcasts Google Podcasts Android Spotify Stitcher RSS Feed

AHN internal medicine physician Dr. Tom Robertson breaks down the details. 

Tom Robertson, Executive Director of the Vizient Research Institute is joined by Malcolm Isley, Executive Vice President and Chief Strategy Officer for Prisma Health, headquartered in Greenville, South Carolina. Malcolm describes the unique challenges of delivering health care to rural populations and of striking a balance between local access and the need to consolidate higher acuity services, before he and Tom discuss the transition from large community system to newly-developed academic partnerships.   Guest speaker: Malcolm Isley, MHA EVP & Chief Strategy Officer Prisma Health   Moderator: Tom Robertson Executive Director Vizient Research Institute   Show Notes: [01:09] A third of South Carolina's 5.2 million population lives in rural areas and making health care accessible and affordable is a challenge, given the disparities in social determinants of health.  [03:32] Prisma Health covers half of the state's population. Prisma also partners with Federally Qualified Health Centers (FQHCs) for clinically integrated networks and other activities. [06:05] Accountable Communities Programs [07:25] Virtual care [09:58] Prisma Health has developed local systems of care, with each region aligning services to provide the highest value to the patients. [11:05] Prisma has intentionally been moving more care from the tertiary and quaternary hospital to the community hospital, with the goal to keep care close to an individual's home and make care more affordable. [12:40] In the community hospital setting, Prisma is working on ambulatory care. [12:54] “Center of excellence” doesn't have to be at a physical location. It's a commitment to certain cost, quality, patient engagement and outcomes, not a location. [18:20] Prisma is not owned by a university, but they have a lot of very productive university partnerships to improve community health. [19:05] 8,000 students filter through Prisma every year, supporting workforce development activities in medical, nursing, pharmacy, social work and technical education. [21:14] Prisma Health receives 200 – 300 requests a day for mental health services. [25:13] Examples of non-traditional partnerships.   Links | Resources: Malcolm Isley's biographical information   Subscribe Today! Apple Podcasts Amazon Podcasts Google Podcasts Android Spotify Stitcher RSS Feed

Tom Robertson, Executive Director of the Vizient Research Institute is joined by Dr. Eric Dickson, Chief Executive Officer of UMass Memorial Health in Worcester, Massachusetts. An Emergency Medicine specialist, Eric provides a unique perspective on the impacts of both the pandemic and the labor shortage on front line clinicians. The conversation turns to overcoming organizational inertia before Eric and Tom share thoughts around the value of mergers and acquisitions.   Guest speaker: Eric W. Dickson, MD, MHCM, FACEP President & CEO UMass Memorial Health  Moderator: Tom Robertson Executive Director Vizient Research Institute   Show Notes: [00:53] Labor shortage:  U.S. health care has lost 15% of its workforce since the pandemic   [03:05] Health disparities and unequal accessibility [04:48] Care at home [05:56] Integrated payment system [06:55] UMass' Hospital-at-home program may close after COVID waivers end due to current payment system [08:04] When health care systems are big enough [10:34] Regional systems of care [14:52] How to overcome organizational inertia [17:27] Realigning the staff with the mission to put the patient's interest first will help the workforce overcome burnout and be more engaged   Links | Resources: Eric W. Dickson's biographical information   Subscribe Today! Apple Podcasts Amazon Podcasts Google Podcasts Android Spotify Stitcher RSS Feed

This episode features a conversation about the mechanics of writing well. Tom Robertson is a scholar at Kathmandu University in Nepal. Trained in history, Tom's academic research focuses on international development, with a special emphasis on the environment. Our conversation on The Channel, however, focuses on a different dimension of Tom's work. During Covid-19, Tom launched two initiatives aimed at teaching practical writing techniques, particularly in nonfiction genres. The first of these initiatives is a free series of YouTube videos called Mitho Lekhai. Each video in the series presents tips for clear and effective writing. The second initiative is called Writing Journeys, a series of essays by prominent Nepali journalists and authors about the craft of writing. Tom's mission to teach writing emerged in the particular context of Nepal, and he delivers his YouTube series is primarily in the Nepali language. Nevertheless, as he makes clear in our conversation, the tips and strategies he describes are useful for students, academics, and professionals working in any language. In this episode, we talk about these initiatives as an entry point into a discussion of the art of nonfiction more broadly. Hosted on Acast. See acast.com/privacy for more information.

Tom Robertson, Executive Director of the Vizient Research Institute is joined by Dr. Russell Howerton, a surgeon and long-time Chief Medical Officer at Wake Forest North Carolina Baptist, now Atrium Wake Forest Baptist Health. Russ and Tom discuss everything from shared experiences with bygone general practitioner physicians to the effects of modern era mergers and acquisitions. Along the way, they tackle issues ranging from the balance between autonomy and systematic reliability to the economics that influence the delivery of care.   Guest speaker: Russell M. Howerton, MD, FACS Senior Physician Executive  Atrium Wake Forest Baptist Health   Moderator: Tom Robertson Executive Director Vizient Research Institute   Show Notes: [00:50] Advice to give a young Russ Howerton [01:40] Father exemplified individual accountability, autonomy model of medicine [02:25] Trained under Lucian Leape, author of “To Err is Human” [06:27] There's variation of service with any sized system, and scaling it up with a merger won't change that [11:15] There's some debate that a highly skilled, low-volume surgeon will be better than a low-skilled, high-volume surgeon, but probably little debate that an institution has systems and processes in place better when doing high volume.    [12:30] The financing and provisions of the infrastructure to deliver health care is complex – it's like a Jenga puzzle to manage it [15:00] Society doesn't want to see market failure in health care where people can't get service when they need it at a micro level [22:00] Thoughts on price parity for patients [22:50] Price parity would free us from “segregating" patients by their payer status [23:54] Payer parity is different than global budgeting. It puts pressure on the current pricing model and wouldn't survive indefinitely in society because many valued services would be hard to support. [26:50] Atrium Wake Forest Baptist wants to be a regional leader in converting to a value-based care model, but still can't keep the lights on without focus on the volume-based model.   Links | Resources: Dr. Russell Howerton's biographical information   Subscribe Today! Apple Podcasts Amazon Podcasts Google Podcasts Android Spotify Stitcher RSS Feed

Tom Robertson, Executive Director of the Vizient Research Institute is joined by Mark Laret, retired CEO of UCSF Health in San Francisco. Prior to his distinguished tenure at UCSF, Mark was CEO of UC Irvine Medical Center. He began his career at his alma mater, UCLA. Mark reflects on his career, which began in the early days of managed care. He describes the emotions involved in retiring, and the two long-time friends share their thoughts on what the future might hold.   Guest speaker: Mark Laret Retired President and CEO UCSF Health   Moderator: Tom Robertson Executive Director Vizient Research Institute   Show Notes: [01:11] Rationale for consolidation in health care [2:27] Merging health organizations may have very different cultures and it will take effort to align those differences [5:55] A lot of decisions are made to back programs that support patient care, but it's a struggle [7:10] Biggest surprise is that health care is not fully capitated [10:40] Proudest moments   [15:13] Site of service differential payments makes no sense to anyone outside of health care, but it was a mechanism for solving a problem that hospitals had serving the underserved, and not being reimbursed for them [17:32] Need to maintain the best parts of the market-based system, but reprioritize access and eliminate health disparities [18:28] Decisions not proud of almost always come back to whether or not we did enough to service patients [10:19] Our goals need to be how to improve the health of the communities that we serve, and how we make payroll and cover the cost of new drugs and supplies   Links | Resources: Mark Laret's biographical information   Subscribe Today! Apple Podcasts Amazon Podcasts Google Podcasts Android Spotify Stitcher RSS Feed

Tom Robertson, Executive Director of the Vizient Research Institute is joined by an old friend, Mike Dandorph, President and CEO of Tufts Medicine in Boston. Before assuming his current role, Mike was President, Rush University System for Health and Rush University Medical Center in Chicago, and prior to that he was the long-time chief strategist for the University of Pennsylvania Health System in Philadelphia. Mike shares his thoughts on leadership, comparing experiences in different models of AMCs. The conversation then turns to macroeconomic challenges facing the American health care system and Mike's views relative to potential systemic changes.   Guest speaker: Michael J. Dandorph, MHA President and CEO Tufts Medicine Moderator: Tom Robertson Executive Director Vizient Research Institute   Show Notes: [00:50] Organizational structure is less important than staff alignment for a health system's success [3:47] Tufts Medicine aims to treat their patients as consumers and organizes for accountability, quality outcomes and invests with patient priorities [4:10] Other key components are: physician alignment, incentives rewarding the right behavior and putting the right people in the right positions    [5:40] Culture plays a role in keeping the patient the center of attention as opposed to research   [07:34] Mergers and acquisitions: integration is really hard because it requires a lot of change, and humans don't like to change [8:56] In mergers, clinical teams need to come together to address programmatic integration, performance improvement, service rationalization and that takes trust. Leaders can help by creating an environment with honest conversations. [11:10] U.S. health system higher costs aren't translating into better access or better quality of care. It's not just a provider issue, but a societal issue. Resources need to be deployed in a way that has a higher impact than it has now.  [14:08] Rate regulation won't change the social determinant issues, but if health care organizations don't control costs, the government may intervene   [17:44] Supply-induced demand is not the health's industries big problem, it's very sick people. Instead, where we take care of patients need to be considered to cut costs   [19:56] During the pandemic health care organizations came together in a broader ecosystem to provide the best care [23:21] The current health system is so complex that it will have to be partially dismantled to be more rational.  The insurers have gotten in the middle and that creates a huge administrative expense.  20% of costs is attributed to billing preapprovals and authorizations.   Links | Resources: Michael J. Dandorph's biographical information   Subscribe Today! Apple Podcasts Amazon Podcasts Google Podcasts Android Spotify Stitcher RSS Feed

Tom Robertson, Executive Director of the Vizient Research Institute rejoins Johnese Spisso, President of UCLA Health to discuss the economic shortcomings of managed care, and in particular the decades-long emphasis on reducing utilization. With over 25 years of experience in two west coast markets characterized by the long-standing influences of health maintenance organizations, Johnese brings an informed perspective when considering Tom's proposition that the market's failure suggests the need for another source of rational health care pricing. The conversation then shifts to the country's need for more comprehensive mental health services and UCLA's efforts in that area.   Guest speaker: Johnese Spisso, RN, MPA President, UCLA Health CEO, UCLA Hospital System    Moderator: Tom Robertson Executive Director Vizient Research Institute   Show Notes: [01:10] Why HMOs and primary care capitation concepts failed to cut health care spending [5:56] Health care prices should have rational limits with rate structures that allow for capital investment and sustainability. [10:39] Disparities of care would improve if we had a payment system that was payer agnostic [11:00] UCLA Health is expanding its inpatient mental health with a $400 million investment to create a behavioral and mental health center of excellence. The new center will add 125 inpatient psychiatric beds. [14:05] A rising number of America's youth needs mental and behavioral health care [15:14] UCLA has a “Depression Grand Challenge” app that monitors initial symptoms of depression and offers calming meditations resources [16:45] Investing in research and innovation [18:00] 14 cancer drugs were discovered at UCLA health over the past decade [18:55]  Need for developing better tools and technology to distribute resources efficiently   Links | Resources: Johnese Spisso biographical information   Subscribe Today! Apple Podcasts Amazon Podcasts Google Podcasts Android Spotify Stitcher RSS Feed

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

In a slight departure from the usual format, Tom Robertson, Executive Director of the Vizient Research Institute sits down with Tim Babineau, MD, President and CEO of Lifespan, Rhode Island's largest health system, to discuss a single issue facing every medical provider in the country. Tom and Tim reflect on some of the contributing factors behind the national health care labor shortage, the implications for service and eventually patient safety, and the heart-wrenching toll on the current workforce. Dr. Babineau examines the situation with an extraordinary blend of compassion and concern. You'll find the conversation riveting.    Guest speaker: Timothy J. Babineau, MD, MBA, FACS President and CEO Lifespan   Moderator: Tom Robertson Executive Director Vizient Research Institute   Show Notes: [01:27] Health care staffing shortage at a “crisis” level [2:07] Health care professionals frustrated because they cannot meet the patient demand [5:51] Staff vacancies at Lifespan have tripled within the last 12 months [7:30] Work environment has become incredibly stressful, and burnout rate has “gone through the roof.” Dedicated health care professionals with decades of experience are quitting. [9:30] Society monetarily undervalues health care workers [10:50] 21 months of constant stress is a huge mental health burden on health care workers and their families [12:21] Tim's advice: take care of yourself and stay healthy so you don't need to go to the hospital. If you do go to the hospital, please be kind to the caregivers there. [13:36] It's going to take a national conversation to find a solution, market specific strategies are not working [14:53] Need to make the health care profession more attractive with innovative models of care where people can work at the top of their license [15:52] Need to rethink health care as a common good [19:48] Pandemic has exposed inadequacies and vulnerabilities in a market-based approach in health care [22:13] Disparities of care   Links | Resources: Timothy J. Babineau biographical information   Subscribe Today! Apple Podcasts Amazon Podcasts Google Podcasts Android Spotify Stitcher RSS Feed

Tom Robertson, Executive Director of the Vizient Research Institute and Mark Wietecha, CEO of the Children's Hospital Association, return to consider macroeconomic topics centered around the concept of health care in a “culture of capitalism” as Mark describes it. The discussion considers opportunities to change the financing model to enable providers to take a more holistic approach to treating children within the context of their family situations. Mark describes the longitudinal health care impacts of adverse childhood experiences, and the importance of early intervention to mitigate their effects.   Guest speaker: Mark Wietecha, MS, MBA CEO Children's Hospital Association   Moderator: Tom Robertson Executive Director Vizient Research Institute   Show Notes: [01:40] Health care affordability is impacted by the costs associated with investments in technological advancements that were made over the last 50 years. [04:41] Healthcare costs can't be carried at the social level which causes non-affordability at the individual level. [07:15] The same exact medical service, when provided by several different sources, will yield an extremely wide variation of cost to the patient. Markets create health disparities. [10:01] A core challenge of health care is that it was created in a culture of capitalism, which creates a competitive system. [13:26] Under a rate-regulated model, the mindset of the provider community could shift to worrying about total cost of care. [14:21] Large children's hospitals in downtown areas tend to receive kids who can't get care anywhere else [16:04] Models need to take into account social and relational acuity, which may be far more important for children, and some adults, than medical acuity. [17:01] In a rate-regulated world, providers will naturally go where cost is lowest in their portfolio. [30:16] One thing we could learn from pediatric medicine is that intervention and early investment are part of a road map to thriving in life. [35:52] In order to get closer to an accessible and affordable system, we must look at the whole person and whole community.   Links | Resources: Mark Wietecha biographical information   Subscribe Today! Apple Podcasts Google Podcasts Android Spotify Stitcher RSS Feed

Tom Robertson, Executive Director of the Vizient Research Institute sits down with Mark Wietecha, CEO of the Children's Hospital Association to discuss the similarities and differences between adult medicine and pediatrics, with particular attention to settings involving tertiary care, research and education. Mark describes epidemiological differences between adult and pediatric populations and discusses the implications for health system design. The session closes with a conversation around social determinants of health and the poignant topic of end-of-life care.   Guest speaker: Mark Wietecha, MS, MBA CEO Children's Hospital Association   Moderator: Tom Robertson Executive Director Vizient Research Institute   Show Notes: [01:40] Health care affordability is impacted by the costs associated with investments in technological advancements that were made over the last 50 years. [04:41] Healthcare costs can't be carried at the social level which causes non-affordability at the individual level. [07:15] The same exact medical service, when provided by several different sources, will yield an extremely wide variation of cost to the patient. Markets create health disparities. [10:01] A core challenge of health care is that it was created in a culture of capitalism, which creates a competitive system. [13:26] Under a rate-regulated model, the mindset of the provider community could shift to worrying about total cost of care. [14:21] Large children's hospitals in downtown areas tend to receive kids who can't get care anywhere else [16:04] Models need to take into account social and relational acuity, which may be far more important for children, and some adults, than medical acuity. [17:01] In a rate-regulated world, providers will naturally go where cost is lowest in their portfolio. [30:16] One thing we could learn from pediatric medicine is that intervention and early investment are part of a road map to thriving in life. [35:52] In order to get closer to an accessible and affordable system, we must look at the whole person and whole community.   Links | Resources: Mark Wietecha biographical information   Subscribe Today! Apple Podcasts Google Podcasts Android Spotify Stitcher RSS Feed

Tom Robertson, Executive Director of the Vizient Research Institute and Dr. Marc Boom, President and CEO of Houston Methodist, return to compare the U.S. health care system to other countries, contemplate challenges rooted in the fragmented financing system, and discuss the importance of addressing health disparities and traditionally under-funded areas such as mental health.   Guest speaker: Marc L. Boom, MD, MBA, FACP, FACHE President and CEO Houston Methodist   Moderator: Tom Robertson Executive Director Vizient Research Institute   Show Notes: [04:14] Health care is closer to being a right versus a privilege. [5:10] We have a health care structure where health care in the United States fills in an inadequate social safety net but isn't designed for that, so we pay for it from a societal standpoint. [05:23] When we look at health care from a societal standpoint, we don't have the results other countries have, but  Dr. Boom firmly believes that if you are really sick, there's nowhere better to be than the United States.   [05:50] The U.S. should pilot health care rate regulation to see what works. [09:40] No one would design the payment system we have in the U.S. today. It's grossly inefficient, unfair and it drives decision-making to situations that doesn't make sense. [10:13] Need to address access issues and coverage. Data shows with Obamacare more people are covered, but not in every state because societally or politically we cannot answer how to get there. That's fundamentally what we must do as a society so changes can be made. [11:47] Need to think about our communities as a population, and not make decisions based on where people are with insurance. [14:15] Need to redesign how we think about health care societally and hold accountability for broad-based health of a population. [14:45] Need to address the fundamental underpinning issues of poverty and how it affects access to health care. [15:43] Care needs to be a multidisciplinary team with social workers, case managers, mental health workers especially around complex care. [16:14] Cost of pharmaceuticals and devices impacts the cost of care. [16:24] Example: TAVR is a minimally invasive way to replace an aortic valve. The cost for the hospital system plummeted when it was introduced. People should be saving tons of money because there's less time in the hospital, but instead the manufacturers priced the devices to fill in the entire price gap. [17:03] Example: Hepatitis C therapy [21:16] We're in the business to deliver  unparalleled safety, quality, service and innovation.   Links | Resources: Marc L. Boom biographical information Click here    Subscribe Today! Apple Podcasts Google Podcasts Android Spotify Stitcher RSS Feed

Tom Robertson, Executive Director of the Vizient Research Institute sits down with Marc Boom, MD, President and CEO of Houston Methodist, to discuss Dr. Boom's unique perspectives developed through his experiences managing the health care needs of a major population center during devastating hurricanes. Dr. Boom compares the stresses posed by natural disasters to the duress encountered during the COVID pandemic and focuses on the importance of communication, culture, and trust to support staff resiliency.   Guest speaker: Marc L. Boom, MD, MBA, FACP, FACHE President and CEO Houston Methodist   Moderator: Tom Robertson Executive Director Vizient Research Institute   Show Notes: [01:28] Houston Methodist has experienced many natural disasters: Tropical storm Allison flooded the main hospital and it took years to recover, fallout from Katrina by caring for evacuees, Hurricane Rita where evacuating the city was worse than the actual event and Hurricane Harvey dumped 51 inches on the city.  [03:04] For the health system, the biggest vulnerability in a disaster is the people and staffing.  Then it is supply chain which was obvious in the COVID pandemic. There's planning for this, but when the infrastructure of power or water goes down that causes problems. [04:36] The less sophisticated, less disaster hardened facilities such as dialysis centers in the city won't be able to function without power and water and will shut down in disasters. Houston Methodist then goes into triage mode to handle their dialysis patients. [05:30] Texas legislature recently made sure the dialysis centers got on the power grid, so hopefully in the future they will be able to handle their own patients during disasters. [07:29] Competition is healthy, but it needs to be thoughtful.  We can't create a pricing structure that disadvantages the institutions that are the safety nets that keeps things going when disasters strike. But you can't price out of existence the smaller entities. [10:24] Staff resiliency is important, and you must give them a chance to recover [11:52] COVID is a totally different type of disaster because of its longevity. [11:52] When you have the right culture in place, the right things happen. When you have the baseline culture, people will step up when the going gets tough. [12:45] Communication is key because that comes with trust which is earned by leadership, the institution and the culture over many years. If you don't have the culture and trust to begin with, you'll have trouble during the tough times. [15:03] At the beginning of COVID, Houston Methodist had a strong balance sheet, so they committed to no layoffs, pay cuts or furloughs. [15:27] Throughout the pandemic, they implemented a lot of soft practices: spiritual care, bonuses, a day off for all employees, Astros tickets, etc.  Every single week there was something fun. Those things matter, and it helped recharge the staff.    Links | Resources: Marc L. Boom biographical information Click here    Subscribe Today! Apple Podcasts Google Podcasts Android Spotify Stitcher RSS Feed

Tom Robertson, Executive Director of the Vizient Research Institute and Mark Keroack, MD, CEO of Baystate Health, pick up on a theme introduced in episode one and consider the frequency with which traditional financing is misaligned with the best interests of the patient. They then discuss the interpersonal dynamics involved in leading a complex health care organization. Mark describes the importance of respect, particularly when viewpoints differ. The session closes with an inspiring bit of history that you won't want to miss.   Guest speaker: Mark A. Keroack, MD, MPH President and CEO Baystate Health   Moderator: Tom Robertson Executive Director Vizient Research Institute   Show Notes: [02:24] Guaranteeing some kind of basic set of health care delivery, I think, would have a lot of promise. [04:37] Baystate Health is the tertiary care provider for a million people.   [06:53] We ran the S-curve analysis at Baystate in the third month I was here, and people's jaws dropped [07:22] If 90% of your margin comes from 15% of your patients, you want to accept transfers of referral-based surgeries and very sick people in ICUs. [08:15] For the Medicaid patients, you want to take risks on them to keep them out of the hospital because you're going to lose money on every case. They need to be healthy and at home. [11:00] Health care is an irrational system where your instincts about doing the best for patients will often cause you to lose money, and your instincts of containing care in order to make a margin, may actually cause you to do things that might not be in the best interests of the patients. [11:30] Baystate Health has a physician leadership academy to teach physician leaders the business of health care: budgets, working in teams, strategy and how to do a business plan. They are really committed leaders who care about the institution. [12:32] To work in a large, complex academic medical center, you need to be willing to try to understand where other people are coming from and put yourselves in their shoes. [12:32] Book recommendation: “Heroic Leadership” by Chris Lowney. It is a history of the Jesuit order and a biography of St. Ignatius of Loyola. [13:40] St. Ignatius of Loyola had four key cornerstones to his culture: 1. A sense of self-awareness; 2. He highly prized ingenious, ingenuity and creativity; 3. Heroic ambitions and 4. “You need to see “God's love in every living thing” [14:45] When someone is diametrically opposed to your point of view, rather than write them off as clueless, try to understand why this smart person might think differently. Even if you end up disagreeing with them, they will end up feeling respected.   Links | Resources: Mark A. Keroack biographical information Click here   Subscribe Today! Apple Podcasts Google Podcasts Android Spotify Stitcher RSS Feed

Tom Robertson won the M40 category at Ironman UK this year, and finished 21st overall. We thought it would be a great opportunity to get to talk to a high performing racer, to hear the story of racing at the very pointy end of the race. We hear about his training, his planning for race day, and his mental mind set to staying relaxed, calm and enjoying the experience.Sponsorshttps://www.precisionhydration.com/ - Multi-strength electrolytes that match how you sweat, and Precision Fuel 30 Gel and Drink mix to ensure enough carbohydrate to perform at your best. Get 15% off your first order With the code OXYGENADDICT15· Take the Quick Carb Calculator· Take the Free online Sweat Test· Book a free 20-minute hydration and fueling strategy video consultationhttp://www.athleticgreens.com/oxygenaddict/ - Athletic Greens Ultimate Daily is an all-in-one daily supplement with 75 vitamins, minerals, antioxidants and digestive enzymes - all whole food-sourced ingredients. Listeners get a FREE years supply of Liquid Vitamin D + 5 FREE Travel Packs when they subscribe! http://team.oxygenaddict.com - The most comprehensive triathlon coaching program for busy age groupers. To find out more, You can book a skype call with Rob or the Team hereListeners of the show can get a free 30 day trial of the Yoga15 program here:https://yoga15.com/oxygenaddictYou can read more about Tom Crossland and his 3000km 90 day run around the UK - RunToRefuge - at RunToRefuge.comJoin the Oxygenaddict Triathlon Community page on facebook here: https://www.facebook.com/groups/666558563716897/Listen on Spotify: http://bit.ly/OATriPodSpotifyListen on iTunes: http://bit.ly/OATriPodiTunesSome links are affiliate links, which mean that we may get paid commission if you make a purchase via the link, or using the code, at no extra cost to you.

Tom Robertson, Executive Director of the Vizient Research Institute sits down with Mark Keroack, MD, CEO of Baystate Health in Springfield, Massachusetts to discuss a number of possible long-term changes arising from the COVID pandemic including workforce issues and patient preferences for virtual care. Mark offers his perspectives on the impact that health care spending has on the rest of the economy and shares a hope that the pandemic may leave in its wake a greater spirit of togetherness in the industry.   Guest speaker: Mark A. Keroack, MD, MPH President and CEO Baystate Health   Moderator: Tom Robertson Executive Director Vizient Research Institute   Show Notes: [01:24] Big changes happen in pandemics [02:22] All of a sudden, workplace safety, workplace wellness, diversity and inclusion have become a top priority for the CEO. Health care will be demographically challenged in the next generation of workers. So they are focusing on the team so the team can focus on the patient. [03:26] Virtual visits are here to stay. It will be interesting to see how it is integrated and how it extends the work. Managers are determining who will work remotely full time. [04:18] Payers and the government will look to health care to recoup some of the savings from remote working because of the amount of spend in the country. There may be an incremental increase in the level of government involvement in health care. [04:45] We may come out of the pandemic with a greater sense of community and a greater sense of social connectedness.   [06:50] You can get work done as a team on a Zoom call. I think that the use of face-to-face meeting time will have to be different if we ask people to take the trouble to commute in. [10:32] In America, the states are running a lot of health care policy. Different states try different things, and we can learn from each other and will copy what works for other states. [11:19] Things that work in health care are quality improvement and patient safety.   [12:02] It's easy to make money doing the “wrong thing” and hard to make money doing the “right thing.”   [12:16] What health care gets wrong: Other countries run on a fee-for-service backbone, but they don't have that variability by diagnosis or the variability by payer class that we do in America, and it causes us to over-invest in some kinds of care and under-invest in others. [13:40] High quality can coexist with moderate prices. [16:28] I'm proud of Baystate's strategy for population health.   Links | Resources: Mark A. Keroack biographical information Click here   Subscribe Today! Apple Podcasts Google Podcasts Android Spotify Stitcher RSS Feed

Tom Robertson, Executive Director of the Vizient Research Institute and Cathy Jacobson, President and CEO of Froedtert Health in Milwaukee return to discuss macroeconomic challenges facing the U.S. health care system rooted in its Byzantine financing system involving counter-productive cross-subsidies between payers and a historic imbalance in payments across clinical services. They consider the merits of systemic changes reducing payment rate disparities, and the potential advantages of a future in which providers were payer agnostic and more empowered to invest in traditionally under-funded areas such as mental health and primary care. Cathy shares Froedtert's initiatives to identify adverse social determinants of health early and a community-wide partnership that uses a single tool to curate social services resources for medical providers.   Guest speaker: Catherine A. Jacobson, FHFMA, CPA President and CEO Froedtert Health   Moderator: Tom Robertson Executive Director Vizient Research Institute   Show Notes: [1:00] Health care finance is like a Jenga Game – the reimbursement system is Byzantine and doesn't make sense  [2:20] Health systems make their entire margins on very few things- they lose money on other things that they must do but are paid for by the former.  [4:13] Health care needs to move away from the current reimbursement system  [9:17] It would be far better if pricing was the same for all payers, government and private, and we competed on access, service and quality rather than price  [12:15] We get what we pay for – if we don't pay for it, we don't have it. (Example: behavioral health, family medicine)  [14:42] Price leveling would better enable providers to address social determinants of health  [16:52] Froedtert approach to mitigating social determinants of health: 1. Identify affected patients much earlier and more consistently  than we did before, 2. Created a community-wide partnership to curate all available social services resources in the market by using one common software tool [19:09] Health care organizations are economic anchors in the community  [20:00] Froedtert creating educational grants targeted at effective high schools and especially vulnerable populations  [21:40] If revenue was more fungible, would invest heavily in behavioral health   Links | Resources: Cathy Jacobson's Biographical Summary Click here   Subscribe Today! Apple Podcasts Google Podcasts Android Spotify Stitcher RSS Feed  

"American medicine is facing an identity crisis. The COVID-19 pandemic brought renewed attention to socioeconomic health disparities and turned up the heat on the question of whether health care is a right or a privilege. The financial strain on hospitals resulting from the temporary postponement of scheduled surgeries exposed a vulnerability caused by an inherently flawed payment system. The answer to the right versus privilege question has much more significant implications than the resolution of a philosophical debate. It determines which economic model — that of a public good, a private good, or a common good — makes the most sense for the delivery of medical services. For health care to be what we want it to be, broadly accessible, with no socioeconomic disparities, and long-term affordability, it must eventually be recognized as a common good, with all of the economic implications that come with such a recognition." Tom Robertson is a health care economist. He shares his story and discusses his KevinMD article, "Health care as an uncommon good." (https://www.kevinmd.com/blog/2021/04/health-care-as-an-uncommon-good.html)

Tom Robertson, Executive Director of the Vizient Research Institute sits down with Cathy Jacobson, President and CEO of Froedtert Health In Milwaukee, Wisconsin to discuss everything from agile decision-making during the COVID pandemic to deliberate system rationalization of clinical resources, including program consolidation and efficient utilization of both tertiary and lower acuity facilities. As a long-time chief financial officer, Cathy shares insights around economic incentives and the importance of avoiding inadvertent structural impediments to doing the right things.   Guest speaker: Catherine A. Jacobson, FHFMA, CPA President and CEO Froedtert Health   Moderator: Tom Robertson Executive Director Vizient Research Institute   Show Notes: [1:13] America has the best health care in the world, but not the best health care system. (Cost, quality, and access for all citizens of the United States)   [1:13] We do best in science, innovation, treatment and education [04:08] Hospital systems must have local scale to accomplish rationalization of services; provider consolidation across distant markets does not serve that purpose [10:05] The pandemic led to command centers that made decision-making more agile; Froedtert will keep the “recovery command” infrastructure in place moving forward because decisions are “deliberate but at speed” [12:43] Unexpected consequence of the pandemic: Froedtert advanced the pace of their long-term cost reduction goals by one year  [14:16] During the pandemic shutdown, Froedtert management intentionally thought about what new structures to keep after the pandemic (i.e. organizational change and enhanced communication)  [17:05] Video visits are down from mid-pandemic peaks; Froedtert targeting areas to re-establish more virtual [18:24] When patients are seen in video visits, not as many lab tests and x-rays are done  [19:21] When volume comes back, it's going to come back sicker and worse – we're going to see double-up rebound on Medicare payer mix.   [23:05] For systems to work, it's essential not to inadvertently create financial incentives that impede good people doing the right things; at Froedtert, individual hospitals are not evaluated on their own performance, everyone rides on the system's bottom line.   Links | Resources: Cathy Jacobson's Biographical Summary Click here   Subscribe Today! Apple Podcasts Google Podcasts Android Spotify Stitcher RSS Feed  

July 9: Capitol breacher Tom Robertson detained for gun(s), ex-cop; #RKelly trial blackout EDNY, UN censors under @AntonioGuterres

Who is Tom Robertson? (3:00) 1099 contractors vs W2. (18:00) Common employment predicaments. (29:00) Exempt vs non-exempt individuals. (34:00) Furlough vs reduction in force. (42:00) FIghting an unemployment case – y or n. (47:00) How to implement these changes. (52:00) Quotable Moments “1099 is miscellaneous non-wage income. A W2 is someone performing work for us and that is an employee.” – Tom “When you get into things with the US department of labor – you don't have to settle with them, but if you don't, you run the possibility of litigation.” – Tom “If you don't know something, go find someone that can help you like an attorney, like Tom Robertson.” – Khalil “For a salary non-exempt, you'll still pay overtime. With the salary exempt, we pay them a fixed amount every week.” – Tom “An administrative person is an office or non-manual person who does the general business of the employer, or even the employers. They have discretion and independent judgment in what they do.” – Tom “You can't just say “I'm going to pay you a salary.” There are some tests that are met with a dangerous third-party labor commission that can come in and determine who should have been paid overtime.” – Martin “Oklahoma is an at-will state. You can fire for any reason or no reason at all, as long as it's not illegal/discriminatory.” – Tom “This is a process. Employment law is complex and has a lot of details. There are a lot of things that you cover, but the complexity doesn't mean you don't address it, but you can do it one at a time.” – Tom Resources Contact Tom Robertson Check us out on Youtube Follow us on social media: LinkedIn, Facebook, Instagram Subscribe to our newsletter, The Countdown Have questions? Email us! More from Martin theprofitproblem.com annealbc.com    martin@anealbc.com  LinkedIn Facebook Instagram More from Khalil benali.com  khalil@benali.com LinkedIn Facebook Instagram More from The Cashflow Contractor Ask Us A Question Sign Up For A Free Consultation thecashflowcontractor.com  info@thecashflowcontractor.com LinkedIn Facebook Instagram

Tom Robertson, Executive Director of the Vizient Research Institute and Will Ferniany, CEO of the UAB Health System return to discuss a possible role for genomics in reducing health inequities, the shortage of mental health resources, Will's thoughts on national investments in public health and education, and their shared view that macroeconomic systemic change is unavoidable in the long term.   Guest speaker: Will Ferniany, PhD CEO University of Alabama at Birmingham Health System   Moderator: Tom Robertson Executive Director Vizient Research Institute   Show Notes: [0:34] Global budgeting  [03:15] Health inequities   [04:25] Healthy Alabama 2030    [5:11] Alabama Genomics Initiative to improve treatment of minority populations in the state [05:46] Mental health   [07:28] America health care is in the sickness industry, not in the health industry. Resources come when organizations care for the sick. [8:00] Suggestions: 1. Invest in public health and education; 2. Pay hospitals based on total cost to get the patient at highest level of life function [10:00] Defining health care as a public good [10:54] Leaders of health care organizations has to be willing to disrupt the industry before health care reaches its breaking point   Links | Resources: Dr. Will Ferniany's bio Click here UAB Medicine: About UAB Click here   Subscribe Today! Apple Podcasts Google Podcasts Android Spotify Stitcher RSS Feed  

Tom Robertson, Executive Director of the Vizient Research Institute sits down with Will Ferniany, CEO of the UAB Health System to discuss virtual patient encounters (before and after COVID) and their impact on ambulatory facility capacity, Will's thoughts on the unique challenges facing rural health care providers, and the concept of global spending budgets as an alternative to traditional funding.   Guest speaker: Will Ferniany, PhD CEO University of Alabama at Birmingham Health System   Moderator: Tom Robertson Executive Director Vizient Research Institute   Show Notes: [01:13] Virtual options: eUAB and telemedicine  [03:57] UAB's Health Loop uses apps [07:50] Need to figure out what to do with excess ancillary clinical facilities and office space [10:45] UAB's payment model has faculty complete agnostic to the payer class of the patient [12:35] Rural hospitals in Alabama are financially stronger than they ere before the pandemic [12:50] Systemic changes needed for rural care [13:56] Rural hospitals should not be paid on a fee-for-service basis like the big urban hospitals [14:20] Global budgeting [15:05] Manpower shortages in rural hospitals due to restricted J-1 visas   Links | Resources: Dr. Will Ferniany's bio Click here UAB Medicine: About UAB Click here   Subscribe Today! Apple Podcasts Google Podcasts Android Spotify Stitcher RSS Feed  

Tom Robertson, Executive Director of the Vizient Research Institute sits down with Marna Borgstrom, CEO of Yale New Haven Health, to discuss everything from a purposeful restart following the COVID-19 crisis to creative approaches to dealing with the manifestations of social determinants of health...in the meantime offering insights into what American medicine does particularly well and where we could do better.   Guest speaker: Marna Borgstrom, MPH CEO Yale New Haven Health System   Moderator: Tom Robertson Executive Director Vizient Research Institute   Show Notes: [01:00] What health care gets right: It's a great “sick care system” [01:48] Where we fall short: We are not a health care system, we're a sick care system [02:15] Marna likes the book The Paradox of America's Health Care by Betsy Bradley and Lauren Taylor. Marna says it says if you combine social infrastructure spending and health care spending per capita the United States doesn't  spend more than other developed countries.   [3:00] The authors say since many illnesses are a function of socioeconomic issues; countries that invest in social infrastructure treat fewer catastrophic health care events. [4:44] Health care organizations have a unique role to be both investor and conveners of other businesses and government. [5:22] In Connecticut there are no safety city/county hospitals to act as safety net hospitals, so Yale New Haven Health academic medical centers must support Bridgeport and New Haven communities – two of the 50 poorest  midsize cities in the United States. [6:18] Yale New Haven has a joint venture with federally qualified community health centers to create integrated, primary ambulatory care and access to specialty care for medically indigent patients. [6:38] Yale New Haven has a “Promise” program which guarantees a 4-year college experience for high school students who have a B average, low absenteeism, and family support. Over the past 10-years, that program has dramatically increased the graduation rate. It not only educates but gives students skills.  [7:40] They also cooperate with Habitat for Humanity and other corporate community partners to improve social infrastructure. [8:55] Beyond financial investments, Yale New Haven brings organizational skills and people who can drive the community's socioeconomic initiatives [11:11] Have about 40 rapid-cycle performance improvement initiatives going [12:37] Electronic Health Record prompts pathways to diagnostics for diagnosis [13:26] Signature care when anyone you care about can come into the health system, and you don't feel compelled to make a call for a work-around to give them good care. Instead, the system works well for each patient. Making progress to achieve that.    [16:50] Volume-based procedures are driven by local physician requests  and local competition [18:00] “Academically-based health system” where you can make your physicians part of an integrated network that moves around the physicians to different health system facilities a few days a week to provide specialty care.  In aggregate you're getting more volume, expertise delivered to local markets without having it all come from those markets.   Links | Resources: Marna Borgstrom's biographical information Click here   Subscribe Today! Apple Podcasts Google Podcasts Android Spotify Stitcher RSS Feed  

Tom Robertson, Executive Director of the Vizient Research Institute, sits down with Yale New Haven Health's CEO, Marna Borgstrom, for a second time. Tom and Marna shift gears to discuss macroeconomic issues affecting the affordability of health care for middle class households.    Guest speaker: Marna Borgstrom, MPH CEO Yale New Haven Health System   Moderator: Tom Robertson Executive Director Vizient Research Institute   Show Notes: [00:56] Marna has been in academic health care for 42 years, loves it and believes in it for all it does in health care delivery, however she believes health care providers have gotten very insular in the way they look at and provide care. [01:50] Historically, there's been an attitude that if health care built systems that suit them, including how they bring people in, that the people or patients would be grateful that the providers are making time to see them. [3:00]  Health care organizations exist for one reason, our patients – whether it's in education, whether it's in research or whether it's in the delivery of care, we exist to provide better health care and a better health care experience to our patients [5:36] It's concerning how health care has a negative financial impact people's lives – some to the point of bankruptcy. [6:27] The majority of patients care what health care costs. We're pricing ourselves out of the market because patients don't know how to assess the value of care.    [7:18] To the average person, value is what you pay because they aren't able to discern the right diagnosis. It's a challenge for health care to get the value equation right, because the only thing people can really evaluate is their experience and how we made them feel.   [7:50] Health care may be heading for an all-payer rate-regulated public utility model where providers compete on service rather than on price.  [9:17] At YNHH 65% of patient care is paid by the state or federal government; on Medicare, which is the largest piece, they lose 11 cents per dollar of cost – not price, but cost.  [9:50] With Medicaid, YNHH loses 53 cents on the dollar of cost and not covering their variable costs in most cases. [13:30] Physicians largely practice in a payer-agnostic way. [16:06] YNHH spends a lot of time and investment developing talent across the health system. [16:30] People are rewarded for what they do. We promote people for their potential, and potential is not based on what you've done in the past, it's a cumulative on how you've developed and how you do what you do.   [17:00] Important for leadership: 1. lead with humility (no one leads by themselves); 2. be self-aware – you have to be courageous, take thoughtful risks and learn from your mistakes; 3. drive alignment and collaboration with diversity, equity and inclusion; and 4. strive for improvements and innovation.   Links | Resources: Marna Borgstrom's biographical information Click here   Subscribe Today! Apple Podcasts Google Podcasts Android Spotify Stitcher RSS Feed  

Tom Robertson, Executive Director of the Vizient Research Institute, sits down with Johns Hopkins' president, Kevin Sowers, for a second time. Tom and Kevin talk about the redesign of primary care, telemedicine and mental health reimbursement.   Guest speaker: Kevin Sowers, MSN, RN, FAAN Executive Vice President, Johns Hopkins Medicine President Johns Hopkins Health System   Moderator: Tom Robertson Executive Director Vizient Research Institute   Show Notes: [00:28] Recap of global budgeted revenue (GBR) [01:35] Global budgeted revenue allows each hospital to decide how they will spend their money to care for people, while achieving expected quality and satisfaction metrics [02:26] Shift in care to begin building primary care practices that are chronic illness focused; can make huge impacts on utilization patterns [04:58] Redesigning your primary care practice to effectively team manage for high-risk patients to avoid hospitalization [06:29] Redesigning primary care: Create contact moments through telemedicine and technology to deliver better care for the chronically ill [07:35] Be flexible in seeing chronically ill patients when they need to be seen [08:31] Partner with primary care practices to design new models to innovate and transform the way we see very complex patients and to drive utilization [09:49] The GBR allows better incentives to take lower acuity services and put them into a lower cost setting [10:30] Acting as an integrated delivery system, under GBR, moving services to outpatient setting allowed hospitals to keep 50% of total cost for that population and allows you to do the right thing [11:04] How the GBR payment system in Maryland addresses mental health better than with other payment models [12:19] Reimbursement of mental health care costs in all-payer model plus transformational grant from HSCRC to begin addressing the gaps in behavioral health system [13:18] Expanding behavioral health crisis services to include care traffic control system--a high tech, crisis hotline and referral system to allow patients with same day access [14:07] Single managed service organization to oversee the work of getting patients into the care models they need, in the communities in which they live but not requiring them to visit the hospital [15:01] Virtual care benefits from pandemic, highlights the advantages of a rate-regulated financing system despite revenue loss on cancelled surgeries and procedures [16:29] Protection mechanism to keep Maryland hospitals viable during unprecedented times when the rest of country did not have a revenue stream that continually supports them [17:15] Challenges with Academic Medical Centers and how they fit into this all-payer model, as well as how you pay for innovation. All-payer still has more positives. There will always be mechanical issues of policy. [19:03] Kevin's most admirable characteristic of his management style is compassion. Brought nursing experience into the executive suite that has translated into inspirational behavior modeling [19:48] Two lessons learned [21:20] Rise above the moment of chaos, listen to the people who are feeling the emotions, but respond to the moment with facts.   Links | Resources: Kevin Sowers' biographical information Click here   Subscribe Today! Apple Podcasts Google Podcasts Android Spotify Stitcher RSS Feed  

Tom Robertson, Executive Director of the Vizient Research Institute sits down with John Hopkins' president, Kevin Sowers to discuss possible future directions for health care finance. They consider the unintended consequences of payment rate disparity between public and private insurance and how Maryland's unique all-payer rate-setting model empowers providers to make investments in patient well-being that would be more difficult under the traditional payment system. Kevin shares his insights on programmatic investment to deal with the manifestations of social determinants of health and partnering with others to create healthier communities.   Guest speaker: Kevin Sowers, MSN, RN, FAAN Executive Vice President, Johns Hopkins Medicine President Johns Hopkins Health System   Moderator: Tom Robertson Executive Director Vizient Research Institute   Show Notes: [01:01] Payment rate disparity between public and private insurance [01:48] Maryland model payer system vs. other systems [02:55] Advantages of Maryland model: Helps decrease ED utilization and hospital days [04:15] Model forces you to consider community strategies to better manage high utilizers – Example of dental care patients [05:24] Global Budget Revenue (GBR) total cost of care advantage – allows you to think how to integrate into the community to focus on the10% of patients who drive up 90% of your costs [07:00] With GBR hospital gets paid the same amount whether it has 10 patients or 1,000 patients. [07:52] GBR only for hospitals; unregulated and professional fees need to still be negotiated [08:30] Example: Utilization patterns of the ED and hospital care to the homeless. Partnering with others to fund housing services for the homeless resulting in decreases in ED utilization and overall health care costs [11:00] Use of grants to invest in social determinants of health, resulting in decreased health care utilization [11:43] Developing systems of care with others in community to assist with socioeconomic factors and social determinants [12:30] Example: Jobs program created to recruit, train and hire individuals previously excluded from workforce were hired to be community health workers [13:00] Transforming lives to make a difference – “Living with options” [13:56] Total cost of care model (GBR) enables you to do the right thing, and that's rewarding [14:47] Hospital at Home program to create healthier communities [16:42] Background on Kevin and how he became a nurse   Links | Resources: Kevin Sowers' biographical information Click here   Subscribe Today! Apple Podcasts Google Podcasts Android Spotify Stitcher RSS Feed  

Tom Robertson, Executive Director of the Vizient Research Institute sits down with Stanford's president and CEO, David Entwistle for a second time. Tom and David shift from operations to health care finance and contemplate how things may change in the future.   Guest speaker: David Entwistle President and CEO Stanford Health Care   Moderator: Tom Robertson Executive Director Vizient Research Institute   Show Notes: [01:16] Group practices with a collection of specialists that provide a one stop shop that considers the whole patient [02:09] Group specialty practices help you to remain competitive, manage care and costs [03:44] One of the biggest cost drivers is the variation of care   [04:24] The ability to reduce the avoidable variation will help reduce costs [04:37] Creating transparency of the variation data is monumental. Show physicians how they treated the same patient with the same diagnosis [05:15] Have to look at large data sets to show a true variation difference that's controllable to create a better-quality experience and lower costs [05:32] To make movement in variation, you can't just go after the costs. You have to show it's a better outcome and start with quality or it won't be successful. [06:47] To make the change, you have to ask how do you create the best outcome? Once you apply the data to the outcome, then the costs come down. [07:24] Scenario: if all-payers pay the same. How would you think differently – operationally and strategically? [08:42] All patients are treated equally. It wouldn't change anything operationally. [09:30] Strategically: Think how much we spend to be attractive to commercial insurance companies that are funding the private to public payer subsidy, there are nuances that collectively make a difference. [10:00] Margins produced in academics are different because they are funding research and teaching. [11:46] Examples of how career paths are evolving today   Links | Resources: David Entwistle's biographical description  (Click Here)   Subscribe Today! Apple Podcasts Google Podcasts Android Spotify Stitcher RSS Feed  

Tom Robertson, Executive Director of the Vizient Research Institute sits down with David Entwistle, President and CEO of Stanford Health, to discuss lessons learned during the global pandemic. David describes Stanford's new inpatient facility, with a particular emphasis on the use of emerging technology to improve the patient's experience while realizing economic efficiencies.   Guest speaker: David Entwistle President and CEO Stanford Health Care   Moderator: Tom Robertson Executive Director Vizient Research Institute   Show Notes: [02:29] Stanford Health Care recipient of 2020 Gartner Eye on Innovation Award for technological advances [03:15] The most technologically sophisticated hospital in the world [03:50] Hospital has flexibility to change with technological advances [04:17] Possible to have 10,000 devices stream with 4K video [04:45] EMR can facilitate a real time e-consult with the patient in the hospital bed [05:17] Robots to pick, fill and verify pharmaceutical doses [06:00] It's the people who built the inspirational, flexible facility [06:43] 5,000 locator beacons will use EMR information and will text patient while they're in the building about their appointments, location and check in [08:00] Texting platform for nurses and doctors to communicate [10:40] Virtual technology [11:19] During height of the pandemic, 70% were virtual visits.  96% providers provided virtual visits. [11:45] 90% of all pathology is being done digitally [12:10] Using virtual visits for reconnaissance [16:00] What would David Entwistle want to change in health care overall?  [17:06] Technology example: using wearable algorithms to track and monitor patients to determine likelihood they would contract COVID disease [17:35] Predicted 4 days earlier that an individual would likely contract COVID [18:10] Why not use the technology to enable the care platform for individual providers? [19:13] Hope to create a consumer-oriented experience [23:15] Possibilities of using technology to track patient's real time health [25:00] Using medical database to evaluate treatment probabilities for individual patient [28:50] Using technology of recognition of facial patterns and eye movement to predict patient's pain level in ICU   Links | Resources: Gartner Press Release: Winners of the 2020 Gartner Healthcare and Life Sciences Eye on Innovation Award Click here David Entwistle's biographical description Click here   Subscribe Today! Apple Podcasts Google Podcasts Android Spotify Stitcher RSS Feed  

Part One: How has COVID-19 impacted real estate both around the country and here in Memphis? We also delve into the potential impact of COVID-19 on the historically high rent prices, and we ask if COVID-19 is the cause for low levels real estate inventory currently available in the marketplace.   Chat Neighborhood: “News of the strange but true.” We bring you funny stories of a man who has flown an American flag for the last 2 years from the balcony of his condo, but the condo association has now asked him to take it down. In another story we will tell you about a person who quit their job and their final paycheck was paid as a wheelbarrow full of pennies, and finally a the antics of a man that was arrested three times in one day.   Part Two: In this interview we talk to Tom Robertson, of Hometown Capital Group here in Memphis, TN, about the financing options he currently has available for investment property purchase. He talks about the current products he has and how he is able to work with investors to provide the financing that they need. Tom can be contacted at 901-552-5530 or online at 901mortgage.com.

Smart Cities, Smart Buildings and now Smart vehicles. In this episode, Laurie talks with Tom Robertson from Spireon about what our future in driving holds.

Thomas Dolby is a very interesting and surprisingly humble renaissance man and polymath. He has always combined a fascination with the future as a kind of geeky avatar, with a playful and highly commercial musical approach. Perhaps best known for blinding us with science, Thomas Dolby has always blurred the lines between composition and invention. As a London teenager, Tom Robertson was fascinated with the convergence of music and technology. His experiments with an assortment of keyboards, synthesizers and cassette players led his friends to dub him “Dolby.” That same fascination later drove him to become an electronic musician and multimedia artist whose groundbreaking work fused music with computer technology and video. Two decades, several film scores, five Grammy nominations and countless live-layered sound loops later, it's clear Dolby's innovations have changed the sound of popular music. That's Thomas – smart cookie…

Paps and Goss hear from Scorchers Coach Adam Voges, Western Force player Tom Robertson and more!

The boys hear from Western Force player Tom Robertson and have a Wednesday Whine!

On this episode with Tom Robertson we pick apart each others bold statements and unpopular opinions which I found extremely fun. We made sure to add some much needed context around those bold statements that are so often said off the cuff without enough explanation---Here's a sneak peak at what we talked about:----Are BCAAs useless?-Is bringing your protein shake to the gym actually UNDERRATED?-Our thoughts on cardio for fat loss-Things you thought were high in protein but actually aren't-Foam rolling for recovery-Our biggest offenders of science Hint: (one of them rhymes with Billion Cycles)---I appreciate you taking your time out to listen to the podcast. I know you’re gonna love this one.---Where to find Tom:Instagram: @tjmrobertson---Where to find me:Instagram: @JordanLipsfitnessYoutube: Jordan Lips FitnessEmail: JordanLips@Jordanlipsfitness.comPodcast: Where Optimal Meets Practical---Helping you find the balance between OPTIMAL and PRACTICAL---Love You-JL

Shoppers are losing patience with retailers during the pandemic according to a new study that finds significant dissatisfaction with both in-store and online purchases. Wharton's Tom Robertson explains how retailers can win them back. See acast.com/privacy for privacy and opt-out information.

Shoppers are losing patience with retailers during the pandemic, according to a new study that finds significant dissatisfaction with both in-store and online purchases. Wharton’s Tom Robertson explains how retailers can win them back.

Shoppers are losing patience with retailers during the pandemic, according to a new study that finds significant dissatisfaction with both in-store and online purchases. Wharton’s Tom Robertson explains how retailers can win them back.

Ann chats with Tom Robertson and Gaynor Thorley about Tai Chi in the Manawatu.

Jack was married to Belinda and together these two lived life to the fullest. Laughing, loving on family and friends with each step in life. Jack was also known as Santa Jack. He was a helper for Santa Clause and all his work. He was a wood carver and loved making animal figurines and canes. He served in the United States Navy and he loved making canes for Veterans. There is no known number to calculate how many he has made but it was hundreds upon hundreds. He never met a stranger and he enjoyed serving others. From his church to 4-H to his civic work in his community in Anniston, Alabama. Listening to this service you will hear Tom Robertson a friend of over 20 years and LaFain Freeman (Santa LaFain) share about his work with Santa Jack in the Alabama Cotton State Santa Club. Tim sings Sweet Beulah Land and The Anchor holds during this service along with sharing personal comments and his friendship with Jack & Belinda.

Jack was married to Belinda and together these two lived life to the fullest. Laughing, loving on family and friends with each step in life. Jack was also known as Santa Jack. He was a helper for Santa Clause and all his work. He was a wood carver and loved making animal figurines and canes. He served in the United States Navy and he loved making canes for Veterans. There is no known number to calculate how many he has made but it was hundreds upon hundreds. He never met a stranger and he enjoyed serving others. From his church to 4-H to his civic work in his community in Anniston, Alabama. Listening to this service you will hear Tom Robertson a friend of over 20 years and LaFain Freeman (Santa LaFain) share about his work with Santa Jack in the Alabama Cotton State Santa Club. Tim sings Sweet Beulah Land and The Anchor holds during this service along with sharing personal comments and his friendship with Jack & Belinda.

Tom Robertson trains for the joy of training. He is no longer an athlete, no longer training for competition. He simply loves training – he’s motivated by his own improvement and he strives everyday to redefine his limits. He’s a Gym Addict. Since 2013 Tom has assisted TFW in creating & launching 6 Online Courses. Outside of his work with TFW, Tom took a keen personal interest in Nutritional Science, self educating and sharing everything he learns through his IG page in the form of "Educational Memes", while currently studying the MNU Certification with the goal to become an evidence based practitioner of nutrition coaching.What we talked about:How Tom got started in the industry, and connected with Martin Rooney, eventually running TFW's marketing operationsToms thought process on creating content - why he wants it to be polarizing and engagingWhy you should speak in your own voiceBuilding an email list and utilizing email marketing - it's an absolute necessityRepurposing content - from emails, to posts, to podcasts and moreTypes of themes for personal content and how to repurpose captionsCreating a culture of raving fans that will sell products FOR you.Get In Touch With Tom:Follow Tom on Instagram

There are so many active threads, subthreads, and sub-sub-threads of conversation in the medical community surrounding the COVID-19 pandemic. In this Hippo Education Short, Tom Robertson, MD and Steve Biederman, MD of Primary Care RAP’s Paper Chase take 4 hot topics in COVID-19 and examine the literature behind them. They look into the epidemiology of the outbreak in the U.S. and lessons learned, the sensitivity and specificity of SARS-CoV-2 testing, the rates of co-infection with other respiratory viruses, and convalescent plasma as a potential therapy. To view the references and show notes from this podcast Click Here

There are so many active threads, subthreads, and sub-sub-threads of conversation in the medical community surrounding the COVID-19 pandemic. In this Hippo Education Short, Tom Robertson, MD and Steve Biederman, MD of Primary Care RAP’s Paper Chase take 4 hot topics in COVID-19 and examine the literature behind them. They look into the epidemiology of the outbreak in the U.S. and lessons learned, the sensitivity and specificity of SARS-CoV-2 testing, the rates of co-infection with other respiratory viruses, and convalescent plasma as a potential therapy. To view the references and show notes from this podcast Click Here

There are so many active threads, subthreads, and sub-sub-threads of conversation in the medical community surrounding the COVID-19 pandemic. In this Hippo Education Short, Tom Robertson, MD and Steve Biederman, MD of Primary Care RAP’s Paper Chase take 4 hot topics in COVID-19 and examine the literature behind them. They look into the epidemiology of the outbreak in the U.S. and lessons learned, the sensitivity and specificity of SARS-CoV-2 testing, the rates of co-infection with other respiratory viruses, and convalescent plasma as a potential therapy. To view the references and show notes from this podcast Click Here

When we treat patients, whether in the hospital or outpatient setting, involving their family members can lead to improved outcomes. Tom Robertson, MD, and Mizuho Morrison, DO discuss the engagement of family members with Giora Netzer, MD, MSCE who literally wrote the book on family centered care.    For more incredible segments like this, subscribe to PC:RAP today. You'll never miss a moment of the program and earn 42 hours of CME per year. 

Co-hosts Matt Weyrich and Blake Pace are joined by friend of the show and former Ohio resident Tom Robertson to discuss the Bengals' dilemma with Joe Burrow and the No. 1 pick before discussing just how bleak the Cleveland Cavaliers' future is.

On today's Defence Deconstructed Podcast, we discuss cybersecurity trends in the private sector and within government with Tom Robertson and Simon Van Hoeve. Defence Deconstructed is part of the CGAI Podcast Network and today's episode is brought to you by the Canadian Association of Defence and Security Industries (CADSI). Subscribe to the CGAI Podcast Network on iTunes, SoundCloud, or wherever else you can find Podcasts! Bios: Dave Perry (host) - Senior Analyst and Vice President with the Canadian Global Affairs Institute. Tom Robertson – the managing partner of 3i Partners, a Toronto-based risk consultancy firm. He also holds ownership interests in several technology companies, including Xpresschek Inc., and Identity First Corp. Simon Van Hoeve - an analyst at 3i Partners. Related Links: - "Offensive Shifts, Offensive Policies: Cybersecurity Trends in the Government-Private Sector Relationship" by Tom Robertson and Simon Van Hoeve [CGAI Policy Perspective] (https://www.cgai.ca/offensive_shifts_offensive_policies_cybersecurity_trends_in_the_government_private_sector_relationship) Recommended books: Tom Robertson – “Sapiens: A Brief History of Humankind” by Yuval Noah Harari (https://www.amazon.ca/Sapiens-Humankind-Yuval-Noah-Harari/dp/0771038518/ref=sr_1_1?keywords=Sapiens&qid=1572638748&sr=8-1) Simon Van Hoeve – “Homage to Catalonia” by George Orwell (https://www.amazon.ca/Homage-Catalonia-Modern-Classics-George/dp/0141183055/ref=sr_1_1?keywords=homage+to+catalonia&qid=1572638779&sr=8-1) Recording Date: 4 October 2019. Follow the Canadian Global Affairs Institute on Facebook, Twitter (@CAGlobalAffairs), or on Linkedin. Head over to our website at www.cgai.ca for more commentary. Produced by Jay Rankin. Music credits to Drew Phillips.

In this episode, we talk to Tom Robertson, Executive Director at USEF -Fulbright Nepal. He shares the key ways to prepare better for your undergraduate and graduate studies in the USA. If you love this podcast, you can support us with a small, monthly donation. Your contribution will help us to make more episodes. Link to support us: anchor.fm/anuzdipika For more information about this couple, go through this link. https://bit.ly/1NorGdB #USEFNepal #StudyInUSA #AtTheEndofTheDay #podcast --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app Support this podcast: https://anchor.fm/anuzdipika/support

A man poisons his wife’s medicine and established his alibi by being on the other side of town. Original Air Date: August 18, 1948 Support the show monthly at patreon.greatdetectives.net Support the show on a one-time basis at http://support.greatdetectives.net. Mail a donation to: Adam Graham, PO Box 15913, Boise, Idaho 83715 Read more ...

In this segment, Dr. Sandra Quezada teaches Tom Robertson, MD, and Neda Frayha, MD about the importance of specific health maintenance components in the care of patients with inflammatory bowel disease. We primary care providers can feel empowered to take great care of these patients without sending them back to their gastroenterologists for true primary care needs. For more incredible education like this, subscribe to PC:RAP today.You'll never miss a moment of the program and earn 42 hours of CME per year. 

April 19 — Hosts Kevin Haswell and Matt Weyrich start off the show taking a look across the NBA playoffs, including the Greg Popovich-less San Antonio Spurs, Joel Embiid's absence for the Philadelphia 76ers and the surprise performance from the New Orleans Pelicans in the series against the Portland Trailblazers. They then shift gears to the MLB, giving their takes on the Cinicinnati Reds' firing of Bryan Price, Jose Bautista's minor-league deal with the Atlanta Braves and the depth of the Los Angeles Dodgers' rotation. Finally, Pure Sports NHL editor Tom Robertson joins the show to discuss several big series across the league.

#001 - Manchester United Paul Pogba Transfer Investigation Saga by Tom Robertson

Introduction to The Tom Robertson Podcast.

This week we welcome Tom Robertson who directs the North America operations of The International Emergency Management Society (TIEMS), where he founded the TIEMS USA local chapter. He is Technical Manager for TIEMS in the European Union ASSET Program, which is developing improved, participatory approaches to pandemic response. He is also leading the TIEMS initiative, Disaster Resilience Establishment in Vulnerable Societies (DREVS). Tom is Founder and Principal at Thinking Teams, an international consultancy to leaders and organizations seeking high performance teams dealing with complexity, uncertainty, and risk. His clients include BAE Systems, The European Commission Directorate-General for Research and Innovation, and The Oregon Built Environment and Sustainable Technologies. He is active in the Oregon Organizational Development Network's Community Consulting Program, which specializes in making not-for-profit organizations more effective. Tom earned a Ph.D. in Electrical Engineering from Purdue University, where he did research in bioengineering, communications, and artificial intelligence. At Bell Laboratories he developed new techniques for monitoring and trouble-shooting system failures. He performed and led advanced research and development in simulation, image processing, advanced computing, artificial intelligence, and systems engineering in roles including Associate Technical Group Director, BAE Systems; Director, Advanced Information Sciences Division at The Analytic Sciences Corporation; Director of Engineering and Chief Scientist at Lockheed Martin Advanced Simulation Centre; and Vice President/General Manager at Atlantic Aerospace. The Z-Man and I met Tom at the TIEMS Conference held at Purdue last year. We were impressed with the speaker lineup and the collaboration with the disaster restoration and demolition industries at what has primarily been an academic conference. LEARN MORE about TIEMS and large scale emergency response this week on IAQ Radio!

This week we welcome Tom Robertson who directs the North America operations of The International Emergency Management Society (TIEMS), where he founded the TIEMS USA local chapter. He is Technical Manager for TIEMS in the European Union ASSET Program, which is developing improved, participatory approaches to pandemic response. He is also leading the TIEMS initiative, Disaster Resilience Establishment in Vulnerable Societies (DREVS). Tom is Founder and Principal at Thinking Teams, an international consultancy to leaders and organizations seeking high performance teams dealing with complexity, uncertainty, and risk. His clients include BAE Systems, The European Commission Directorate-General for Research and Innovation, and The Oregon Built Environment and Sustainable Technologies. He is active in the Oregon Organizational Development Network's Community Consulting Program, which specializes in making not-for-profit organizations more effective. Tom earned a Ph.D. in Electrical Engineering from Purdue University, where he did research in bioengineering, communications, and artificial intelligence. At Bell Laboratories he developed new techniques for monitoring and trouble-shooting system failures. He performed and led advanced research and development in simulation, image processing, advanced computing, artificial intelligence, and systems engineering in roles including Associate Technical Group Director, BAE Systems; Director, Advanced Information Sciences Division at The Analytic Sciences Corporation; Director of Engineering and Chief Scientist at Lockheed Martin Advanced Simulation Centre; and Vice President/General Manager at Atlantic Aerospace. The Z-Man and I met Tom at the TIEMS Conference held at Purdue last year. We were impressed with the speaker lineup and the collaboration with the disaster restoration and demolition industries at what has primarily been an academic conference. LEARN MORE about TIEMS and large scale emergency response this week on IAQ Radio!

SIIA Education presents Innovation Award winning company COGENT EDUCATION : Teaching Real World Science  Congrats to Tom Robertson, Cogent CEO and Founder on a winning product. I'll sum it up with a quote from a student off their web site " This is the first time I actually feel like you are teaching me something I need to know." Tom brings with him special guest, Holly Amerman, Rome HS (GA) Science Teacher www.cogenteducation.com  @cogented  www.siia.net/education Presented by AGILE EDUCATION MARKETING www.agileeducation.com @agileed

050914 Robertson

Tom Robertson is an English singer who is signed to and managed by Andante Records. He has a new album coming out Jan 1, 2014 called “What You've Become,” which features Sami Yusuf. He joins us this episode to not only talk about his music, but where he finds his inspiration and gives us an... The post EP 34 – Tom Robertson of Andante Records appeared first on Greed for Ilm.