Journals and Professional Associations Podcasts

Health Systems and Life Sciences organizations continue to be exposed to ransomware attacks during the global pandemic with increased impact to patient care and exposure to large global integrated health delivery systems. Patients have recognized significant patient care impacts such as rescheduled surgeries, increased patient wait times, delayed COVID-19 test results, and challenges filling prescription medications.  This presentation will provide healthcare executives a guide to understanding how their organization is positioned to protect against emerging ransomware threats.

The connection between EHRs and physician satisfaction – and, by extension, clinician burnout – is one that has been well-explored over the past few years. And the COVID-19 pandemic has only made those issues more relevant. Dr. Richard Baron, president and CEO of the American Board of Internal Medicine and the ABIM foundation, joined Healthcare IT News Senior Editor Kat Jercich to discuss his recent JAMA Network Open commentary about why some physicians may be happier with their EHRs than others – and what organizations might do about it.Talking points:-People in physician-owned practices report higher EHR satisfaction-Clinicians feeling technology is done to them, not for them-The clinical purpose of an EHR gets lost-How owning a practice makes a difference-The burnout from "inbox overload"-Using EHRs to answer broader population health questions-Connecting technology to physician success-The effect of COVID-19 on burnout-What organizations can doMore about this episode:EHRs are still a mess for physicians, but change is comingPatient messages via Epic increased during COVID-19, raising burnout concernsFemale physicians spent 33 more minutes per day in EHRsEHR satisfaction: A better way is possibleMayo Clinic study links EHR usability with clinician burnoutKLAS: Clinician burnout is a worldwide problem

We discuss the latest in medical research and ideas.

Editor's Summary by Kristin Walter, MD, Senior Editor of JAMA, the Journal of the American Medical Association, for the May 10, 2022 issue.

Sponsored: Dan Dennis, Hyland Software’s senior vice president and chief information security officer, outlines how organizations can navigate the ever-changing cyber threat landscape and keep staff engaged through talent retention and training.

The COVID-19 pandemic has had spillover effects on screening and preventive care. But even before the novel coronavirus, adequate screening for disease, especially among vulnerable people, was still a public health concern.A recent study from the Regenstrief Institute and Indiana University found that even though screening rates have improved, about one in five women still do not receive a test for syphilis during pregnancy –- which is recommended by the CDC given the serious threat syphilis can pose to the health of the fetus. Brian Dixon, study senior author and director of public health informatics at the Regenstrief Institute, joined Healthcare IT News to speak about the research and the role IT can play in informatics.Talking points:-Rates of congenital syphilis have been rising-Previous studies have largely only used claims data-The benefits of syphilis screening during pregnancy-Disparities in syphilis screening rates, and what might be behind them-The potential effects of COVID-19 on screening rates-How public health leaders could use information like this-More ways health IT can be used to support public health objectives-The next projects on deck at RegenstriefMore about this episode:Regenstrief, IU launch public and population health programRegenstrief launches initiative to disseminate SDOH dataHow HIEs can enable public health reporting when EHRs fall shortHospitals facing big hurdles to public health data reportingCIOs plan big investments in EHR optimization and pop health IT

Death by suicide is now twice the national average (physicians and nurses) prior to the COVID-19 pandemic. The Dr. Lorna Breen Heroes’ Foundation’s mission is to increase awareness, advance solutions, and promote advocacy at the Federal, state, and local levels. In this episode, Mike Sacopulos interviews J. Corey Feist, JD, MBA, the Co-Founder of the Dr. Lorna Breen Heroes’ Foundation. They discuss the mission of the Foundation, Dr. Lorna Breen’s tragic story, and review sources available at https://drlornabreen.org/ Corey recently served as the Chief Executive Officer of the University of Virginia Physicians Group, the medical group practice of UVA Health comprised of 1200+ physicians and advanced practice providers. The Foundation has been doing good work, as evidenced by the recent passage of The Dr. Lorna Breen Health Care Provider Protection Act.  Dr. Lorna Breen Heroes’ Foundation https://drlornabreen.org/ https://npsaday.org/ Learn more about the American Association for Physician Leadership at www.physicianleaders.org

Featuring articles on baricitinib for alopecia areata, convalescent plasma for early SARS-CoV-2 infection, efficacy of a fourth mRNA vaccine dose in Israel, ivermectin for early Covid-19, a new image for cell sorting, and metric myopia; a review article on nonspecific low back pain; a Clinical Problem-Solving on looking back; and Perspective articles on designing Cures 2.0, on real-world evidence, and on addressing misinformation on social media. Supplement to the New England Journal of Medicine, Vol. 386, No. 18.

Editor's Summary by Anne Cappola, MD, Associate Editor of JAMA, the Journal of the American Medical Association, for the May 3, 2022 issue.

An athlete who became an orthopaedic surgeon, Keith Feder, MD, FAAOS, recognized during his residency the gap in orthopaedic care for high school student athletes in underserved communities. Practicing in California, he offered free sports medicine care to student athletes at inner city schools before he founded the West Coast Sports Medicine Foundation in 1994. Dr. Feder, as the 2022 AAOS Humanitarian Award winner, shares the programs and philosophy his foundation follows to help more than 13,000 student athletes each year.  Guest: Keith S. Feder, MD, FAAOS, 2022 AAOS Humanitarian Award winner Host: Liana J. Tedesco, MD, Chair, AAOS Resident Assembly 

Patients in rural parts of the United States often face specific and numerous barriers to care, including financial hurdles, logistical concerns and trust in the healthcare system.As the Executive Director of the National Rural Accountable Care Consortium and the founder and executive chair of Caravan Health, Lynn Barr is deeply involved in rural health policy. She joins Healthcare IT News Senior Editor Kat Jercich to discuss her journey of working with health systems, the role population health programs and value-based payment can play in inequities and what policy changes are necessary for independent providers.Talking points:-60 million people live in rural America-What data measurement can reveal about quality -The divide in life expectancy between rural and urban Americans-Population health programs and value-based payment addressing inequities-The HITECH Act's effect on independent physicians-Small numbers don't work for judging cost-Leading indicators of success for population health-Why regional benchmarks may not be useful for safety-net providersMore about this episode:Rural hospitals face growing sustainability threats on multiple fronts, AHA saysRural hospitals need more than telehealth to survive the pandemicCMS announces a new value-based payment model for rural healthcare providersHHS puts $48M toward rural public health IT, workforce expansion

Featuring articles on CT or coronary angiography in stable chest pain, protection against omicron by a fourth vaccine dose, a vaccine for RSV in pregnancy, nasal high-flow therapy during neonatal intubation, and reassessing quality assessment; a review article on understanding vaccine safety; a case report of a man with myalgias, fever, and bradycardia; and Perspective articles on the e-cigarette flavor debate and on breaking down the residency match rate. Supplement to the New England Journal of Medicine, Vol. 386, No. 17.

Editor's Summary by Anne Cappola, MD, Associate Editor of JAMA, the Journal of the American Medical Association, for the April 26, 2022 issue.

The fee-for-service model of healthcare has been reexamined over the past few years, with alternative models increasingly gaining traction. Zak Holdsworth, CEO and co-founder of Hint Health, tells Healthcare Finance News Executive Editor Susan Morse he believes the status quo payment models are on their way out – and the question isn't "if," but "when."Talking points:-How Hint Health got started-How the direct primary care model works-The benefit for health systems-What about specialty care?-Employers are starting to explore new options -Should insurers be scared?-The difference between this model and the ACO REACH model-The future for Hint HealthMore about this episode:Employees want direct primary care from their employer plansFlat-fee primary care model helping fill a niche in Texas, but it isn't insuranceFueled by health law, 'Concierge Medicine' reaches new marketsHint Health rolls out value-based primary care direct contracting networkHow a direct primary care model provider benefits from an easy-to-use EHR

Physician Partners of America has agreed to pay $24.5 million for allegedly billing for unnecessary services, while the American Hospital Association says CMS’ proposed rule doesn’t increase payments enough.

Featuring articles on restricted calories and eating times in weight loss, asthma therapy in Black and Latinx adults, ivosidenib in IDH1-mutated acute myeloid leukemia, vaccine boost effects on protection against omicron, and fighting cardiac fibrosis with CAR T cells; a review article on early-onset colorectal cancer; a case report of a woman with transient ischemic attack and mitral valve masses; and Perspective articles on a change in the leading cause of death among U.S. children, on strengthening the Medicaid Reentry Act, and on Covid-19’s devastating effect on tuberculosis care. Supplement to the New England Journal of Medicine, Vol. 386, No. 16.

Although great strides have been made in diagnosing and treating breast cancer, 40,000 Americans die of the disease each year.  Today on SoundPractice, host Mike Sacopulos discusses The Wisdom Study with Laura J. Esserman, MD, MBA.  Dr. Esserman the Director of the UCSF Carol Franc Buck Breast Care Center at UC San Francisco, a professor of Surgery & Radiology at UCSF, and a practicing surgeon and breast cancer oncology specialist. The WISDOM Study – Women Informed to Screen Depending On Measures of risk, seeks to bring together 100,000 diverse woman from across the United States to find the safest and most effective way to detect breach cancer for every woman. This study compares two approved screening approaches: annual mammograms for all women starting at age 40 or a personalized approach based on a woman’s individual risk factors for breast cancer, like her breast density, genes, and family health. Learn how your patients can participate in the Wisdom Study. This is large scale, important research you and your patients need to know about. For physician leaders to enroll patients in the WISDOM study, https://www.athena-wisdom.org/portal/WsdWelcome?_ga=2.267084870.994787971.1650304392-1177234189.1650304392 If you’d like to be an ambassador for the study, or to learn more, [email protected] Learn more about the American Association for Physician Leadership at www.physicianleaders.org  

Editor's Summary by Linda Brubaker, MD, Associate Editor of JAMA, the Journal of the American Medical Association, for the April 19, 2022 issue.  

(Sponsored) Building an agile, resilient and scalable infrastructure  

This week: The end of the public health emergency is nearing; Federal agencies hit with EHR outage. Plus: Akili's video game-like intervention improved users' cognitive functioning.Links to the stories:HHS is giving clear signals of wind down of public health emergencyEHR outage takes down federal Cerner systemsAkili Interactive's DTx improves cognitive function in adults with MDD

Artificial intelligence tools in healthcare, as with any other software, are not immune to bias – especially if they have been trained on data sets that do not accurately reflect the global population.Last year, VisualDx, which provides diagnostic support software, launched Project IMPACT, a global effort to reduce disparities in medicine and highlight ways to bridge gaps of knowledge and improve healthcare outcomes for patients of color.VisualDx Director of Clinical Impact Dr. Nada Elbuluk joined Healthcare IT News Senior Editor Kat Jercich to discuss the project and the roles individuals and clinicians can play in working toward health equity. Talking points:Why it's so important to have a broad range of images across different skin typesAchieving health equity is a complicated problemHow individuals can contribute to reducing health inequityThe effect of providers' knowledge gaps on patient careHow technology can address some of those gapsThe role AI and ML tools can play in reducing bias – or worsening itWhat's missing from the wider conversation about health outcomesReal action is needed to promote health equityMore about this episode:VisualDx to unveil vastly expanded clinical decision support system at HIMSS16Even innocuous-seeming data can reproduce bias in AIFDA highlights the need to address bias in AIHow an AI-powered tool could help diagnose skin cancer in veteransHow augmented intelligence can promote health equity

Featuring articles on nirmatrelvir plus ritonavir for Covid-19, the treatment of acute Achilles’ tendon rupture, rilzabrutinib in immune thrombocytopenia, mitapivat for pyruvate kinase deficiency, and global health and the moral clarity of Paul Farmer; a review article on cancer-associated hypercalcemia; a case report of a woman with pancytopenia; and Perspective articles on fully realizing SNAP’s health benefits, on the 2022 Child Nutrition Reauthorization, and reflections on caring for the unvaccinated. Supplement to the New England Journal of Medicine, Vol. 386, No. 15.

Editor's Summary by Gregory Curfman, MD, Deputy Editor of JAMA, the Journal of the American Medical Association, for the April 12, 2022, issue.

(Sponsored) Jennifer Jones, CNIO at Integris Health, explains how standardizing and optimizing their care communications technology may help lead to better and safer workflows for their caregivers and ultimately stronger outcomes for patients.