Journals and Professional Associations Podcasts

HHS data reported that breaches of healthcare facilities rose 55% in 2020, with nearly 1 million patients affected monthly.

Healthcare IT organizations have weathered numerous storms over the past two years—and the lessons these teams learned while on the forefront of the pandemic are shaping their approaches looking ahead. Automation initiatives and the resulting workforce transformation are delivering real-world operational efficiencies while improving the patient experience. Hear Dr. Yan Chow, Global Healthcare Leader at Automation Anywhere and Marcus Johnson, Managing Director of Delivery at Lumevity, Highmark Health’s transformation specialist, discuss how automation has and is improving key aspects of the business.

Dr. David Klonoff and Dr. David Kerr are authors of a recent study that introduces a new practical metric, the glycemic risk index. They join the Huddle to talk about the practicalities of this emerging metric and share how it can be used by clinicians to quickly assess a person’s glycemic risk. It’s a fascinating conversation that will leave you with a tool to easier leverage CGM-generated data and produce improved health outcomes for your patients. ResourcesKlonoff, David C., et al. “A Glycemia Risk Index (GRI) of Hypoglycemia and Hyperglycemia for Continuous Glucose Monitoring Validated by Clinician Ratings.” Journal of Diabetes Science and Technology, Mar. 2022, doi:10.1177/19322968221085273GRI web-based calculator: https://www.diabetestechnology.org/gri/GRI Excel File to calculate multiple tracings: https://www.diabetestechnology.org/gri/gri-calculator.xlsx?ver=2Diabetes Digital Health book:  https://www.elsevier.com/books/diabetes-digital-health/klonoff/978-0-12-817485-2Diabetes Digital Health and Telehealth book: https://www.elsevier.com/books/diabetes-digital-health-and-telehealth/klonoff/978-0-323-90557-2

Featuring articles on a bionic pancreas in type 1 diabetes, bronchodilators in symptomatic tobacco-exposed persons, acetazolamide in acute decompensated heart failure, and a new target for CAR T cells in myeloma; a review article on gastroesophageal reflux disease; a case report of a newborn girl with hypoglycemia; and Perspective articles on the war-zone mentality, on intradermal vaccination for monkeypox, on product hopping in the drug industry, and on a hidden crisis. Supplement to the New England Journal of Medicine, Vol. 387, No. 13.

Editor's Summary by Kirsten Bibbins-Domingo, PhD, MD, MAS, Editor in Chief of JAMA, the Journal of the American Medical Association, for the September 27, 2022 issue.

The merger will combine the owner of the nation’s largest health insurer and one of the nation's largest electronic data interchange clearinghouses.

Michael A. Stoto, PhD, professor emeritus in the Department of Health Management and Policy at the School of Health at Georgetown University, discusses what every health IT leader needs to know about these Affordable Care Act mandates.

Featuring articles on glycemic outcomes of glycemia reduction, microvascular outcomes of glycemia reduction, dapagliflozin in heart failure with preserved ejection fraction, and an antisense oligonucleotide for SOD1 ALS; a review article on Burkitt’s lymphoma; a case report of a man with chronic diarrhea and autoimmune enteropathy; and Perspective articles on the law of licensure and quality regulation, on pushing back with pills, and on the seeds of ignorance. Supplement to the New England Journal of Medicine, Vol. 387, No. 12.

Mike Sacopulos interviews Gary Josephson, MD, CPE, MBA, chief medical officer at Nemours Children’s Health, in Jacksonville, Florida, about his new book, Ordinary to Extraordinary: Seven Principles for Life Success.  This book is a useful tool to improve one’s life. Dr. Josephson provides wise counsel on the “7” principles that guide his life, and suggestions for all individuals on how to view life from ordinary to extraordinary. Dr. Josephson describes adversity, his physician leadership journey, and his work as a Certified Physician Executive (CPE). https://www.o2e4life.com/ Learn more about the American Association for Physician Leadership at www.physicianleaders.org  

Editor’s Summary by Kirsten Bibbins-Domingo, PhD, MD, MAS, Editor in Chief of JAMA, the Journal of the American Medical Association, for the September 20, 2022, issue.

We caught Jane K. Dickinson PhD, RN, CDCES at ADCES22 in Baltimore, MD after she finished hosting a panel discussion. The panel showcased Julie K. Heverly at the DiaTribe Foundation, Mary Jane Roche from the College Diabetes Network, and T’ara Smith from Beyond Type 1. All three are individuals live with diabetes and took the stage to share their perspectives and experiences with DCESs. Jane joins us today to share the highlights of that discussion, along with some insights into how the DCES and other healthcare professionals can further support the needs of their patients.ResourcesADCES22 On-Demand Session available until October 24, 2022 at ADCES22.org. 

The DHS final rule applies to non-citizens requesting admission to the U.S. or applying for a green card from within the country.

With a new mandate looming, Timi Leslie of Connecting for Better Health explains how Golden State stakeholders are working on the huge project of building an info exchange infrastructure for providers, payers and public health agencies.

Featuring articles on a polypill for secondary cardiovascular prevention, anticoagulation in atrial fibrillation with rheumatic heart disease, aggressive or moderate hydration in acute pancreatitis, and enteral glutamine for burn injuries; a review article on Covid-19 vaccines; a case report of a man with headache and progressive neurologic dysfunction; and Perspective articles on protecting pregnant people from climate change, on professional civil disobedience, on closing the public health ethics gap, and on finding a new mantra. Supplement to the New England Journal of Medicine, Vol. 387, No. 11.

Editor’s Summary by Kirsten Bibbins-Domingo, PhD, MD, MAS, Editor in Chief of JAMA, the Journal of the American Medical Association, for the September 13, 2022, issue.

Maria Bustamante and Megan Martinez are involved in the diabetes care and prevention programs at the National Center for Farmworker Health (NCFH) and join us today to share some of the work they’re doing to improve health outcomes for the vital workforce of agricultural workers. While the topic may sound niche at first, you are likely to recognize the challenges faced by agricultural workers in your own patent populations, especially if you are working within immigrant communities, in rural, agricultural settings, or with men with physically demanding jobs. You’ll hear how Megan and Maria’s teams developed resources to meet people with prediabetes or diabetes where they are—and we’ll tell you how you can access these tools for your own practice! ResourcesDiabetes & U.S. Agricultural Workers Data: http://www.ncfh.org/diabetes-fact-sheet.htmlAg worker access campaign: http://www.ncfh.org/ag-worker-access.htmlNCFH Diabetes Resource Hub: http://www.ncfh.org/diabetesresourcehub.htmlJeopardy game: http://www.ncfh.org/uploads/3/8/6/8/38685499/jeopardy_guide-final_eng.pdfNCFH Diabetes Webinar Archive: http://www.ncfh.org/archived-webinars.html#diabetes_webinarsNCFH Health Information and Referral Hotline: http://www.ncfh.org/callforhealth.htmlTelehealth readiness worksheet: http://www.ncfh.org/uploads/3/8/6/8/38685499/final_patient_telehealth_readiness_tool_.pdfResource for being active for men who are already physically active: https://www.diabeteseducator.org/docs/default-source/living-with-diabetes/tip-sheets/aade7/adces-men-health-being-active-v1.pdfResource for reducing risks: https://www.diabeteseducator.org/docs/default-source/living-with-diabetes/tip-sheets/aade7/adces-reducing-risk-english-final.pdf?sfvrsn=84c39758_2ADCES resources in Spanish: www.DiabetesEducator.org/Spanish

Patients need to see their hospitals as their full continuum of care providers, says Duane Fitch, healthcare partner for Plante Moran.

Featuring articles on an open-source automated insulin delivery system in type 1 diabetes, closed-loop therapy in type 1 diabetes, litifilimab for systemic lupus erythematosus, routine functional testing after PCI, metagenomic sequencing and infectious disease, and race correction and the x-ray machine; a review article on personality disorders; a case report of a man with confusion, headache, and fever; and Perspective articles on emergency department ethics in a post-Roe era, on EMTALA for pregnancy-related emergencies, and on science, competing values, and trade-offs. Supplement to the New England Journal of Medicine, Vol. 387, No. 10.

Dr. Rob Lamberts is an innovator in the world of DPC – Direct Primary Care. Opening his DPC practice in 2013, he continues to believe that the model of care he uses has the real potential to change healthcare. Direct Primary Care (where patients pay a flat fee for their care) combined with the smart use of technology empowers patients, creates the true “medical home,” and redefines the way doctors think about patient care.   In this conversation with host, Mike Sacopulos, Dr. Lambers describes the basics of the model: It is simple.  Patients pay the doctor for their care and the doctor does not have to code to submit to insurance companies. The doctor only has one person to please: the patient. It aligns motivations of both doctors and patients. In DPC, the physician is paid the same if the patients are healthy or sick. This means the physician and patient are aligned; they both want the patient to be healthy and avoid going to the doctor. The payment system is simple and the reliance on technology breaks down complex tasks to greatly reduce cost. Although this model has many features that stand in stark contrast to “business of usual” in healthcare, the model is not for every physician. Tune in for this engaging talk on the pros, the cons, and the pitfalls to avoid in a disruptive model in healthcare. https://doctorlamberts.org/ Learn more about the American Association for Physician Leadership at www.physicianleaders.org  

Editor's Summary by Gregory Curfman, MD, Deputy Editor of JAMA, the Journal of the American Medical Association, for the September 6, 2022 issue.

Impostor syndrome is a pervasive feeling of self-doubt, insecurity, or fraudulence, one that can stubbornly persist despite much evidence to the contrary. In this episode, Dr. Nancy Yen Shipley, who has written and spoken on the topic extensively including in her podcast titled “The 6%,” discusses how to identify imposter syndrome and ways to overcome and mitigate those feelings of self-doubt. Guest: Nancy Yen Shipley, MD, FAAOS Partner at Multnomah Orthopaedic Clinic Host: AAOS Resident Assembly Chair Liana Tedesco, MD

Praduman "PJ" Jain, CEO of Vibrent Health and a principal investigator of the NIH All of Us Research Program, talks about patient engagement and more.

Featuring articles on FFR versus intravascular ultrasonography to guide PCI, nirmatrelvir for Covid-19 during the omicron surge, antiretroviral HIV treatment in pregnancy, regimens for drug-resistant tuberculosis, and on building Black wealth; a review article on chronic urticaria; a Clinical Problem-Solving on telescoping the diagnostic process; and Perspective articles on what Dobbs means for patients with breast cancer, on the escalating cybersecurity threat to health care, on “fertility fraud” legislation, on updated health warnings for alcohol, and on losing contact. Supplement to the New England Journal of Medicine, Vol. 387, No. 9.

Dr Jane Jeffrie Seley, MPH, MSN, NP, RN, APRN, BC-ADM, CDCES, FADCES, brings us the top highlights from the technology seen at the ADCES22 conference in Baltimore this year. She’s talking about what’s new and what’s next in CGM, BGM, insulin delivery, connected devices, and more.  Jane references specific of devices and manufacturers here, but keep in mind that these references are for educational purposes and do not represent an endorsement from ADCES.Show NotesADCES22.orgDanatech.org