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The #HCBiz Show!

The #HCBiz Show!

The podcast dedicated to unraveling the business of healthcare.

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Tying SDOH Factors to Clinical Outcomes with Erin Benson

We’ve been talking about Social Determinants of Health for a couple of years now and I think we all got the basic concept: For the best health outcomes, we need to combine healthcare with social care.

”A doctor might prescribe to you the best care in the world, but if you can’t afford it or you can’t get to it because you don’t have a car, you might just not be able to follow those recommendations.”

Today we can happily say there are solutions that implement best practices for addressing SDOH in the doctor's office. The main questions now are how does it work and how does it integrate into my workflow? That’s exactly where we start today. LexisNexis Risk Solutions has built out an impressive suite of solutions to integrate SDOH best practices into your organization and here to tell Shahid and I about it is their Director of Market Planning, Erin Benson. In this episode, we go deep into a case study on medication adherence and have some needed conversations around data ethics. Enjoy!

  • Catch up with Shahid on the HLTH Conference.
  • How does a data collection company view SDOH?
  • How do you use SDOH to get better health outcomes and predict cost of care?
  • Is your credit score the same data as your SDOH?
  • Case study – Predicting and improving medication adherence from SDOH.
  • When to use doctors vs. social workers vs. CBO to talk to patients about addressing SDOH?
  • The power of having n data-driven healthcare organization.
  • The ethical use of SDOH.
  • The pathway from raw data to insights to health alerts.

“If you’re seeing that patient come in for the first time, we can give you a predictive score about how likely they are to adhere to their medications, even if we don’t have any clinical data.”

“We’ll tell them there’s a transportation issue and what that should do is trigger for the health care provider or pharmacist to have a conversation with the individual and say, “Are you going to be able to pick up this medication or would it be easier for you if we had it delivered to you?””

 

Erin Benson, Director of Market Planning

Erin Benson is the director of market planning for LexisNexis Risk Solutions Health Care. Ms. Benson focuses on the development and execution of strategic planning for identity management and social determinants of health solutions. She came to LexisNexis from Deloitte Consulting. Ms. Benson earned both a Bachelor’s and Master’s degree in Human and Organizational Development from Vanderbilt University, and she holds an MBA in Strategy and Management from Duke University.

LexisNexis Risk Solutions is a leader in providing essential information that helps customers across all industries and government assess, predict and manage risk. Combining cutting-edge technology, unique data and advanced analytics, LexisNexis Risk Solutions provides products and services that address evolving client needs in the risk sector while upholding the highest standards of security and privacy. LexisNexis Risk Solutions is part of RELX Group plc, a world-leading provider of information solutions for professional customers across industries.

Our health care solutions combine proprietary analytics, science and technology with the industry’s leading sources of provider, member, claims and public records information to improve cost savings, health outcomes, data quality, compliance and exposure to fraud, waste and abuse.

 

For full show notes and links: http://thehcbiz.com/117-erin-benson-lexisnexis-risk-solutions-sdoh/

 

November 13, 2019

Enhancing Diagnostic Accuracy with Art Papier of VisualDx

It’s said that 10-20% of all medical diagnoses are wrong. That’s a bit scary, but it’s not surprising. Medical diagnostics is inherently complex, the medical literature is always expanding, and doctors, like all humans, grapple with availability bias – they diagnose diseases they know instead of diseases they don’t. Diagnostic accuracy is clearly a problem.

Today’s guest is Art Papier, MD. Art is the co-founder and CEO of VisualDx. According to Art, there are common diseases and rare diseases, and there are common presentations and rare presentations. The bulk of diagnostic errors are made on common diseases with rare presentations. The goal of VisualDx, a clinical decision support system, is to “augment the brain” of physicians and help them make better diagnoses at the point of care.

On this episode, you’ll learn:

  • The importance of being crystal clear on why you exist as a company. What problem are you trying to solve?
  • Why and how most diagnosis errors occur with common diseases.
  • Why physicians need a guidance system (and why that’s not Google).
  • Why diagnosis is NOT “big data”.
  • What’s the ETTO principle – Efficiency Thoroughness Trade-Off and how clinical decision support systems can help.
  • Why it’s so critical for startups and entrepreneurs to have doctors on their team.
  • Why Art favors pull technologies over push technologies when serving doctors. And the problems you have to overcome as a result of using them.
  • Why machine learning (ML) is a great way to augment the brain, but will likely never be the full solution.
  • How machine learning can be effectively applied to very good data (i.e. 20 years worth).
  • Why labeling and terminology are so critical to any successful machine learning application.
  • Why general artificial intelligence is a fool’s game and how to stand out with niche and nuance.
  • How VisualDx is sharing it’s 20 years of imaging with consumers and combining it with machine learning to help them better understand common skin conditions with Aysa.
  • How Apple CoreML allows Aysa to apply machine learning algorithms to consumer images without ever moving the picture off of the consumer’s device.

 

For full show notes and links: https://thehcbiz.com/116-art-papier-visualdx-diagnostic-accuracy/

November 6, 2019

Environmental Services Optimization Playbook (ESOP) at HITS 2019

If we’ve established anything on The #HCBiz Show, we’ve established that healthcare is complex. And with a million priorities, each with its own complexity, it can be difficult to know if you’re doing any of it right. So, we do the best that we can with the knowledge, resources, and tools at our disposal, and put out the fires when they occur.

This, of course, can be very problematic when the work is more complex than it seems. And that is certainly the case when it comes to Environmental Services (EVS). We outlined the complexity of the issue at HITS 2018 with 

The Environmental Services Optimization Playbook (ESOP) is a multi-disciplinary, cross-industry initiative to support reliable design (standardization of evidence-based practices) for environmental cleaning and disinfection in health care facilities in alignment with AHE Standards, to reduce the risk of HAI (healthcare-associated infection). As project lead Aaron Jett puts it, “it’s like bringing Coke and Pepsi together to talk about the best ways to make soda”.

On this episode, we get acquainted with the ESOP initiative and talk about how it will standardize around the 4 Ps: Patient, Product, Process, and Processing. And, in what might be our favorite part at the #HCBiz Show, the playbook will even provide guidance for explaining all of this to the various stakeholders within the health system. That’s huge!

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Environmental Services Optimization Playbook (ESOP)

Primary Purpose: To support reliable design (standardization of evidence-based practices) for environmental cleaning and disinfection in health care facilities in alignment with AHE Standards, to reduce the risk of HAI (healthcare-associated infection).

For more information: >https://www.zeroinfections.org/cintas-evs-optimization-playbook.html

...

This episode is sponsored by the Healthcare Infection Transmission System (HITS) Consortium. For the second year in a row, The #HCBiz Show had the honor and privilege of being a media partner for the annual HITS Conference. Last year we were in Nashville – check out the episodes we recorded there. This year, we attended HITS 2019 in Buffalo, NY.

Check out all our shows from HITS 2019.

Thank you to Christine Greene, Kelly Reynolds, Savanah Hatt, John LaRochelle, and Michael Diamond, along with the entire HITS Consortium for the work you’re doing to protect our families and our communities. The battle against healthcare-associated infections can only be won through collaboration, and from what I’ve seen in working with you all for the past few years, HITS is bringing the best ideas and brightest minds together to do just that.

...

For full show notes and links: https://thehcbiz.com/esop-hits-2019/ 

October 14, 2019

Who’s Got the Patient’s Back? with Patient Advocate Grace Cordovano

The healthcare system is not designed to serve patients. It may have started out that way, but it’s best we confront or current reality.

That’s not to say that the people working inside of this industry are bad. Not at all. Some of the best, most generous, and caring people I’ve ever met work in healthcare. Unfortunately, they, like the patients they serve, are merely inputs to a complex national healthcare system that’s evolved to serve itself and its ever-growing appetite for trillions of American dollars.

I don’t blame anyone for this. If you look at the history of how the system evolved, it makes a ton of sense that we’ve ended up here. And I’m encouraged by some of the emerging trends in the industry to pay for value, coordinate care and address the social determinants of health (SDOH). We'll get better, but it’ll take time.

In the meantime, what will I do if I or one of my loved ones gets sick? Like really, chronically sick where we need tight coordination across teams of caregivers from many organizations right now?

The fact that ONC and CMS are driving patient access to data someday won’t help me secure a second opinion today. The important, but glacially slow move to value-based payment won’t ensure my doctors collaborate over the next month. And the various star-ratings systems won’t help me pick the right doctor right now. No one will come to our rescue. We’ll need to figure it out on our own.

That’s where today’s guest comes in. Grace Cordovano is a board-certified patient advocate. Grace, and the growing army of patient advocates like her, are available to help you navigate the healthcare system “in a manner that’s conscious of your health literacy and culture”. Grace specializes in Oncology and her clients are newly diagnosed cancer patients. She becomes their care partner and works with them from the “point of diagnosis through survivorship or end-of-life care planning”. She takes the time to understand their challenges and goals and connects them to the “information and the tools that they need to make educated empowered decisions about treatment and their healthcare trajectory”.

That includes acquiring medical records, assessing which physicians may be best for second opinions, identifying which facilities host clinical trials, and much more. None of these are easy tasks, and to be successful, you’ll need a lot of time and expertise. Two things the average patient lacks.

Patient advocates are directly hired and paid for by patients. And while no one needs additional healthcare expenditures, this puts the patient advocate completely in the patient’s corner. They’re likely to become your most trusted ally along your care journey.

In this interview, Grace helps us to understand why patient advocates are needed, how they add value, and how much work and expertise is really necessary to do this job effectively. Topics include:

  1. What is a board-certified patient advocate?
  2. What made you decide to become a patient advocate?
  3. Where can I find a patient advocate?
  4. Which patients are most likely to benefit from this service?
  5. Why aren’t health insurers and providers doing this already?
  6. What exactly does a patient advocate do?
  7. How do patient advocates interact with providers and insurers? And how are they received?
  8. Do patient advocates ever experience resistance from the healthcare system?
  9. Why is it so hard to acquire medical records? Do we really have a data blocking problem in healthcare?
  10. Do we need a wall of shame for healthcare organizations who refuse to share data or those who make it difficult or slow?
  11. What tools are absent from the market today that could help?
  12. What is Unblock Health and what will you be discussing at the Connected Healthcare Conference on October 18th?

Full show notes and links: https://thehcbiz.com/patient-advocate-grace-cordovano/

October 8, 2019

Ultraviolet Disinfection for High-Touch Hospital Surfaces with Proximity at HITS 2019


“Don’t find customers for your products, find products for your customers.”

Seth Godin

That’s one of my favorite quotes and it’s exactly what Proximity did when they looked across the 1,500 healthcare facilities they were already serving with wall-mounted workstations and medication storage carts. They saw a ton of high-touch surfaces that were not being cleaned regularly and that were likely contributing to the spread of healthcare-associated infections (HAI). This observation led them to launch their UV-CLEAN line of products that automate the sterilization of high-touch surfaces like keyboards in the hospital. It’s an automated disinfection device that uses UV-C energy to inactivate microorganisms at the genetic level by scrambling their cellular DNA (link below if you want to see what that looks like under a microscope).

On this episode, we talk with Steve Reinecke and Jeremy Goza of Proximity. They explain the risks these high-touch surfaces pose to hospital staff and patients and explain the mechanics behind that risk. It’s an interesting approach that stands to raise the baseline for disinfection, and reduce the spread of HAIs. All while nobody’s looking.

...

For full show notes and links (and to see a single-cell paramecium explode under UV-C light!): https://thehcbiz.com/proximity-hits-2019/

September 24, 2019

Environmental Infection Control with Sodexo at HITS 2019

The costs and human impact of healthcare-associated infections (HAI) are well known and have been well documented on this show. And as we’ve seen there are industry best practices and proven science to help us prevent and control HAIs. Yet, running an Environmental Services (EVS) unit at a hospital is no easy task. How do you pick the right people, and train and retain them? What products should you use? How should you use them? How will you stay on top of the constantly changing regulatory landscape? And how will you keep up with the evolving science, technology, and best practices to ensure you’re doing all you can to protect your patients?

On this episode, we talk with Brooke Hossfeld, Infection Prevention Specialist and Jeff Bennett, Director of Marketing about Sodexo Healthcare’s infection control protocol, Protecta. With Protecta, Sodexo Healthcare aims to address infection control at acute-care hospitals with a full-service model that covers staffing, training, product, procedure and best practice research, and outcomes measurement. Brooke and Jeff explain why this type of service is needed, tell us about the results so far, and share their insights on where the industry is headed next.

...

This episode is sponsored by the Healthcare Infection Transmission System (HITS) Consortium. For the second year in a row, The #HCBiz Show had the honor and privilege of being a media partner for the annual HITS Conference. Last year we were in Nashville – check out the episodes we recorded there. This year, we attended HITS 2019 in Buffalo, NY.

Check out all our shows from HITS 2019.

Thank you to Christine Greene, Kelly Reynolds, Savanah Hatt, John LaRochelle, and Michael Diamond, along with the entire HITS Consortium for the work you’re doing to protect our families and our communities. The battle against healthcare-associated infections can only be won through collaboration, and from what I’ve seen in working with you all for the past few years, HITS is bringing the best ideas and brightest minds together to do just that.

...

For full show notes and links: https://thehcbiz.com/sodexo-hits-2019/

September 18, 2019

The #HCBiz Show!

The #HCBiz Show! is the podcast dedicated to unraveling the business of healthcare. We help innovators understand the endless list of conflicting priorities and incentives competing for their customer’s attention. Whether you’re launching a product, improving a workflow, or promoting a best practice, we’ll help you align your value proposition and message with the things healthcare leaders need right now.
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Team

Don Lee

Don Lee

Don helps organizations launch new Health IT products and services. He’s a product and business development consultant and accomplished Health IT expert with a 20-year track record of driving value with technology.

Don began his career as a custom software developer and eventually built and led a team of more than 30 engineers. Later, he was the subject matter expert, product manager and head of sales and marketing for a digital health startup that launched a SaaS-platform focused on administrative simplification in healthcare.

Today, Don is President of Glide Health IT, LLC, a consulting firm that helps forward-looking organizations align their Health IT and business strategies. The firm specializes in business and product development with a focus on data aggregation, interop, analytics, and quality measurement.

Don is a co-founder and partner at VBP Forward, an organization that’s building a bridge between community-based organizations and the healthcare system through educational content, workshops and conferences.
Shahid Shah

Shahid Shah

Shahid N. Shah is an internationally recognized and influential healthcare IT thought leader who is known as “The Healthcare IT Guy” across the Internet. He is a technology strategy consultant to many federal agencies and winner of Federal Computer Week’s coveted “Fed 100″ award given to IT experts that have made a big impact in the government. Shahid has architected and built multiple clinical solutions over his almost 24 year career.

He helped design and deploy the American Red Cross’s electronic health record solution across thousands of sites; he’s built several web-based EMRs now in use by hundreds of physicians; he’s designed large groupware and collaboration sites in use by thousands; and, as an ex-CTO for a billion dollar division of CardinalHealth he helped design advanced clinical interfaces for medical devices and hospitals. Shahid also serves as a senior technology strategy advisor to NIH’s and TATRC’s SBIR/STTR program helping small businesses commercialize their healthcare applications.

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