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The #HCBiz Show!

The #HCBiz Show!

The podcast dedicated to unraveling the business of healthcare.

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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.

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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.

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

September 18, 2019

The Behavioral Side of Infection Prevention with Sanjay Saint at HITS 2019

Usually, we know what we need to do. But doing it is hard and we struggle. This is true for individuals. It’s true for organizations. And it’s true in healthcare, especially when it comes to behavioral side of infection prevention.

Sanjay Saint, MD, MPH addressed these issues in the opening keynote for the HITS 2019 conference in Buffalo, NY. We caught up with him at the event to discuss:

 

  • What can we learn from the experiences of Ignaz Semmelweis?
  • How to address the adaptive/behavioral component of infection prevention
  • Addressing the culture and sub-culture so that we do the right thing every single time
  • The power of being present with your patients and how to use rituals to get you there
  • Understanding the significance of your interactions with the patient
  • Creating a culture of excellence that polices itself.

 

Sanjay Saint, MD, MPH, is the Chief of Medicine at the VA Ann Arbor Healthcare System and the George Dock Professor of Internal Medicine at the University of Michigan.

There’s a lot of wisdom in this short interview. Enjoy!

...

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.

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/sanjay-saint-hits-2019/

September 16, 2019

Pay for Success in Social Innovation w/ Ruth Ann Norton

 The evidence is clear. Addressing the social determinants of health can dramatically improve health outcomes and reduce spending in healthcare, social services, education, criminal justice, and more. The problem is that not all interventions can be isolated and measured, and the value is not always realized by the entity that pays the bill. This creates a tremendous amount of friction that prevents us from moving forward on initiatives that we all agree should happen. That’s where Pay for Success comes in:

 

Pay for Success (PFS) financing models are cross-sector partnerships in which funders pay upfront for a social service and then a government, healthcare, or other back-end payer repays the investment if, and only if, predetermined outcomes are met.

 

On this episode, we talk with Ruth Ann Norton, President & CEO of the Green & Healthy Homes Initiative (GHHI), about how they’re using Pay For Success to enable social innovation across the country. We discuss:

 

  • GHHI’s history and mission to break the link between unhealthy housing and unhealthy families
  • How to gather evidence that social interventions work
  • How to quantify that value in terms of outcomes and cashable savings
  • How to communicate that value to stakeholders
  • How to document and acknowledge that the one who pays for the intervention is not always the direct beneficiary of the improved outcomes or savings.
  • Why we need to avoid “penalizing innovation” through unintended consequences of our funding mechanisms
  • How Pay for Success (PFS) funding models work
  • How Pay for Success (PFS) funding differs from pay for performance

 

This is an important topic and conversation for anyone trying to drive meaningful change through social innovation. Give it a listen and let us know what you think on Twitter by tagging >@The_HCBiz.

For full show notes and links: https://thehcbiz.com/pay-for-success-in-social-innovation-ruth-ann-norton/

September 12, 2019

Driving Down Pharmacy Spending w/ David Henka

Pharmacy Benefits Managers, better known as PBMs, are your classic middle-men. First, they buy medications from pharma manufacturers. Then they bundle those medications into formularies and sell that service to employers, plan sponsors and health plans. The problem is, there’s no transparency into how much PBMs pay for the drugs, and there’s a complex rebate system layered on top of that. With dug costs on the rise, it’s no wonder that many characterize PBMs as the bad guy, nor that the feds are taking aim at their business model.

Today’s guest tells us not to count on regulation to fix this. First of all, the pharmaceutical industry has strong ties to Washington and a very powerful lobby. That’s going to hold up any proposed regulation. Secondly, the regulations fail to address the underlying issues driving pharma costs today. But there is something we can do right now. David Henka, President and CEO at ActiveRADAR, tells us how they’re using reference pricing and therapeutic equivalents to enable a new interaction with the PBMs formulary. And he claims it can drive immediate and ongoing savings of more than 20 percent for employers, health plans and other plan sponsors.

David gives us a foundational overview of the issues at hand and offers up several suggestions for how we might move forward. Topics include:

  1. What is a PBM?
  2. Why were PBMs created in the first place?
  3. Are PBMs the bad guy or a necessary component in the system?
  4. What are PBM rebates and why do we keep hearing about them from the feds?
  5. What is the fundamental issue with U.S. pharmaceutical pricing?
  6. Is the U.S. really funding pharma R&D for the entire world?
  7. What is reference pricing and how can it drive down pharma spending?
  8. What are therapeutic equivalents? How do they differ from generics?
  9. How has the market received the idea of reference pricing and therapeutic equivalents?

I’ve been meaning to cover pharma on the show for some time. This was a much needed first dive in, and Davide Henka delivered the goods to get us started.

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For full show notes and links: https://thehcbiz.com/driving-down-pharma-spending-w-david-henka/

August 29, 2019

The Medicaid Transformation Project with David Smith – Part 2

Missed part 1? Check it out here: The Medicaid Transformation Project with David Smith - Part 1.

 

The Medicaid Transformation Project (MTP) is a national effort to transform healthcare and address related social needs for the most vulnerable. Throughout this two-year mission, health systems will implement innovative solutions that address challenges like behavioral health and substance use disorder. MTP aims to create long-term systemic impact over the next 10 years with the goal of improving the health of 75 million Americans.

On this episode, we talk with David Smith, who is the Project Executive for the Medicaid Transformation Project. David tells us how Avia, in partnership with healthcare leaders and Andy Slavitt, is on a mission to change the health and care of the Medicaid population by leveraging digital solutions and innovative care models to more effectively and efficiently meet its needs.

The Medicaid Transformation Project with David Smith – Part 1 discussed the theory and approach to MTP. On this episode, we get practical and talk about what the MTP is doing in the market place, including:

  • Changing the role and the relationship that the ED has with the community.
  • How do you ensure that innovative models can be implemented in a sustainable way?
  • What are the 3 Horizons of healthcare innovation?
  • What’s been accomplished in MTP Phase 1?
  • What’s happening so far in MTP Phase 2 and why are you focused on Behavioral Health?
  • Why addressing Behavioral Health issues is so challenging.
  • How can health systems get involved?
  • How can startups/innovators/vendors find out what you’re looking for and submit their solutions for consideration?

 

For full show notes and links: https://thehcbiz.com/the-medicaid-transformation-project-with-david-smith---part-2/

August 15, 2019

The Medicaid Transformation Project with David Smith – Part 1

The Medicaid Transformation Project (MTP) is a national effort to transform healthcare and address related social needs for the most vulnerable. Throughout this two-year mission, health systems will implement innovative solutions that address challenges like behavioral health and substance use disorder. MTP aims to create long-term systemic impact over the next 10 years with the goal of improving the health of 75 million Americans.

On this episode, we talk with David Smith, who is the Project Executive for the Medicaid Transformation Project. David tells us how Avia, in partnership with healthcare leaders and Andy Slavitt, is on a mission to change the health and care of the Medicaid population by leveraging digital solutions and innovative care models to more effectively and efficiently meet its needs.

There’s a lot to get into here, including:

  • Who is Avia and why are they a good candidate to tackle this problem?
  • How did Andy Slavitt get involved?
  • Why does Medicaid need to be transformed in the first place?
  • Why do we need another Medicaid transformation effort on top of the DSRIP and other 1115 Medicaid Waivers in place across the country?
  • How do you balance incrementalism with big structural and systemic changes to drive innovation today?
  • What problems are you focusing on and how did you select them?
  • What is MTP’s framework for sourcing and evaluating innovations?
  • Is MTP focused more on clinical outcomes or business outcomes?
  • How will you prove you’ve been successful?

We cover all that and more, and that’s just part 1! Check out this amazing conversation with an inspiring healthcare leader and then come back for part 2 next week!

For full show notes and links: https://thehcbiz.com/medicaid-transformation-project-part-1/

August 9, 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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