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Information overload and physician burnout: a KevinMD panel discussion
Welcome to a special episode of The Podcast by KevinMD. In this 60-minute episode, I partner with DrFirst, a pioneer in health IT for over 20 years. We bring together physicians with different backgrounds to explore information overload and physician burnout. Dr. Sameer Badlani is chief digital officer, M. Health Fairview, a major health system in Minnesota. He is also adjunct faculty at Carnegie Mellon University. Dr. Colin Banas is chief medical officer, DrFirst. He was an internal medicine hospitalist and served as the chief medical information officer for VCU Health System in Richmond, VA. They share their stories and discuss the following questions: Based on your roles as physicians and as leaders in health IT, what are your insights into what is contributing to clinician burnout? How did you look at it differently when you became a tech leader? Did your perspectives change? Does tech sometimes contribute to burnout? How can tech best help burnout? What advice do you have for docs? For other IT leaders? Reflect and earn 1.0 AMA PRA Category 1 CME for this episode.
January 22, 2022
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Top Stories for 1/21
This week: U.S. on high alert as Russian cyber actors target healthcare; MA emergency orders meant to ease staffing strains. Plus: Thread purchases inVibe for an undisclosed sum.Links to the stories:Feds sound alert on Russian cyber threats amid potential Ukraine escalationMassachusetts governor releases emergency orders to ease strain on the healthcare systemDecentralized clinical trial platform Thread scoops up voice tech inVibe
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HIMSSCast
January 21, 2022
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Taking telehealth beyond the video chat – with Dr. Maulik Majmudar
The COVID-19 pandemic hit the gas pedal on the use of virtual care, particularly synchronous video chats. But virtual care's potential extends beyond one-on-one conversations – it can also leverage remote patient monitoring technology to take services out of the brick-and-mortar facility.Joining Healthcare IT News Senior Editor Kat Jercich to talk about telehealth's capabilities now and in the future is Dr. Maulik Majmudar, chief medical officer at Biofourmis.Talking points:The transition of care to "virtual-first"The evolution of the definition of telemedicineThe use cases of telehealth beyond synchronous video callsUsing acute-level hospital services as inspirationLooking at different disease processesCan technology drive equity?Algorithms assisting clinicians in making decisionsEvidence for telehealth's longevityEnsuring that patients are receiving appropriate careHow virtual care can be a tool rather than a hurdle for cliniciansConsolidation and integration will drive adoptionMore about this episode:Telehealth's post-COVID challenge: Integrating in-person careHow health systems should be preparing now for the future of hospital at homeHospital at home: How healthcare orgs can set programs up for successNurse unions slam Kaiser's advanced care at home strategyMayo Clinic, Kaiser put $100M toward hospital-at-home care
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HIMSSCast
January 21, 2022
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Inspiring One Million Frontline Heroes | The Nurse Keith Show, EPS 354
On episode 354 of The Nurse Keith Show nursing and healthcare career podcast, Keith interviews David Leath — a detective, coach, speaker, author, and podcaster — about his work to inspire one million frontline heroes in starting their own online businesses and thriving in their lives and careers. Nurse Keith is a holistic career coach for nurses, professional podcaster, published author, award-winning blogger, inspiring keynote speaker, and successful nurse entrepreneur. The Nurse Keith Show is a proud member of The Health Podcast Network, one of the largest and fastest-growing collections of authoritative, high-quality podcasts taking on the tough topics in health and care with empathy, expertise, and a commitment to excellence. Show notes NurseKeith.com Facebook.com/NurseKeithCoaching Twitter.com/nursekeith Instagram LinkedIn
January 21, 2022
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17: Meet the Host: Rich Roth, SVP and Chief Strategic Innovation Officer, CommonSpirit Health
In this episode, we get to know Day Zero Advisory Council Member Rich Roth. Rich serves as SVP and Chief Strategic Innovation Officer, CommonSpirit Health. Rich is interviewed by Gary Bisbee, Ph.D., Founder, Chairman, and CEO, Think Medium. Gary and Rich discuss the role of the Chief Strategic Innovation Officer, CommonSpirit’s priorities, and Rich’s role on the advisory council.
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Day Zero
January 21, 2022
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Coal mining culture and the opioid crisis
"For me, my own personal stories of opioid patients come to mind, including one who keyed my car when I stopped prescribing his opioid after an acute injury. I think of some local opioid overdose deaths in my community. I would love to hear what other doctors and clinicians have to say about these issues, like the 'not responsible' verdict and the Sackler family running away liability-free and still worth billions of dollars. Does anybody feel like the opioid companies were pushy in the ‘90s and 2000s? Were they in the right? Is the California ruling in line with the common good? Are our prescribing practices under scrutiny? What runs through our heads right now, doctors? I would love to know." Rebecca Thaxton is a family physician. She shares her story and discusses her KevinMD article, "The people vs. opioid pharma: Pharma wins again." Reflect and earn 1.0 AMA PRA Category 1 CME for this episode.
January 21, 2022
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Focusing On Mental Health In COVID-19 Pandemic Year Three
DICLAIMER: This episode contains mentions of suicide, which some listeners may find harmful or disturbing. The COVID-19 pandemic has shined a light on the importance addressing mental health and behavioral health concerns.As we enter the third year of the COVID-19 pandemic - which may or may not become endemic - many Americans, including health care providers, are rethinking their relationship to their mental health.Listen to Health Affairs' Ellen Bayer and Kathleen Haddad talk about mental health challenges during the COVID-19 pandemic, physician burnout, clinician burnout, and more.Related Links:
Coping With Trauma, Celebrating Life: Reinventing Patient And Staff Support During The COVID-19 Pandemic (Health Affairs)
The Kids Are Not All Right: The Urgent Need To Expand Effective Behavioral Health Services For Children And Youth (Health Affairs Forefront)
Transforming Mental Health And Addiction Services (Health Affairs)
Protecting Mental Health (Project Hope)
Subscribe: RSS | Apple Podcasts | Spotify | Castro | Stitcher | Deezer | Overcast
January 21, 2022
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The Financial Outlook of Healthcare in 2022 with Rob DeMichiei
January 21, 2022: https://www.linkedin.com/in/rob-demichiei/ (Rob DeMichiei), Board Director, Strategic Advisor and Former CFO is back with Bill to break down J.P. Morgan 2022. Healthcare is becoming as much about the for-profits, the IPO's and the private equity investors as it is the non-profits. These worlds are really converging. Providers are realizing that they can't survive just being a fee for service, acute care hub. They need to expand their offerings and acquire assets for the whole continuum of care. Baby boomers are aging which means 10,000 new consumers of Medicare every day. Labor inflation is going to be around for a while. Bon Secours Mercy talked about diversifying. Ascension has 55 different EMRs running in 140 different hospitals. Advent spent $750 million on their Epic install. And the critical battlefield of the future? Owning and unifying your digital front door.
Key Points:
00:00:00 - Intro
00:12:50 - How are you changing your care delivery to deal with the nursing shortage?
00:16:40 - Being heavy in labor assets and infrastructure is a really bad formula for the traditional healthcare provider
00:25:00 - The stimulus dollars would have been better used on the struggling health systems because they're still struggling
January 21, 2022
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EiT Health Germany Series 1/12: Changing The Paradigm in the Fight Against Antimicrobial Resistance (Alexander Belcredi)
Antimicrobial resistance is a global problem related to the overuse of antibiotics and the lack of development of new ones. Many solutions are entering the market to address the issue: software solutions to identify, track and predict antibiotic-resistant infections and help prescribers with more accurate prescribing of antibiotics.
Antibiotics are not appealing to the pharmaceutical industry from a business perspective. The reason is that new antibiotics are intended for a fraction of all patients. So if you develop a drug that’s meant to be used as the last resort for clinicians after they've tried all other options, clinicians would more often than not try to avoid using these new antibiotics if not absolutely necessary.
Among the problems with antibiotics is the fact that many are very broad-spectrum, used to kill several different bacteria. So in this episode, we’re going to change the paradigm of antimicrobial treatments: what if you could target harmful bacteria more precisely? You’ll hear from Alexander Belcredi, co-founder and Co-CEO of the biotech startup PhagoMed, which was acquired by BioNTech and renamed BioNTech R&D Austria in October 2021. Phagomed has been researching the field of antimicrobials and also developed an innovative treatment for bacterial vaginosis. In today’s discussion, you’ll hear about the challenges with the development of antimicrobial therapies, and also learn more about Phagomed’s journey before the acquisition.
This episode is supported by EiT Health Germany, which is one of eight Knowledge and Innovation Communities (KICs) currently funded by the European Institute of Innovation and Technology (EIT). EiT Health Germany connects 150 renowned partners from industry, research and education from Germany, Austria and Switzerland. The unique network helps initiate outstanding innovations in the health sector. If you're a startup working in the field of digital health or biotech and don't know EiT Health Germany yet, I would encourage you to visit eit-health.de, where you will find more about innovation, acceleration, and education programs.
Learn more:
EiT Catapult Program: https://eit-health.de/en/eit-health-catapult-2021/
EiT Health Germany: https://eit-health.de/en/
More about antimicrobial resistance:
How Can We Optimize the Use of Antibiotics? (Oliver Schacht, OpGen): https://www.facesofdigitalhealth.com/blog/f130-how-can-we-optimize-the-use-of-antibiotics-oliver-schacht-opgen?rq=antibiotic
US Clinicians: Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs here: https://earnc.me/UpR9lQ
January 20, 2022
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Mayo Clinic Q&A: Why getting infected with COVID-19 is still a bad idea
This episode is shared from Mayo Clinic Q&A and was recorded in January 2022
Guest: Gregory A. Poland, M.D. (@drgregpoland)
Host: Halena M. Gazelka, M.D. (@hmgazelkamd)
With the highly transmissible omicron variant spread across the U.S., it may seem inevitable that most people will get infected with COVID-19. But Mayo Clinic experts explain why it is important to continue to be vigilant and take measures to avoid COVID-19 infection.
"One of the many negatives about saying, 'Well, I'll just go ahead and get infected and get it over with' is you can spread the virus to highly vulnerable people," says Dr. Gregory Poland, head of Mayo Clinic's Vaccine Research Group. "Parents, grandparents, people too young to be immunized, and people whose immune systems might not be working well are all at risk of more severe disease. While your case may be mild, theirs may not."
Dr. Poland cautions that the sheer number of infections is stressing the health care system, and treatments for omicron are more limited than they were for the delta variant.
"The role of testing and of getting boosted is critical to our response to this, and remember, even though you might have mild disease, every time this virus infects somebody, it is the opportunity for further mutation." says Dr. Poland.
Vaccination, boosting and masking are all necessary to prevent the spread of omicron.
"Your best chance of protecting yourself is to be fully vaccinated, wear a proper mask properly when in public, and to avoid crowded indoor settings," says Dr. Poland.
On the Mayo Clinic Q&A podcast, Dr. Poland discusses the omicron surge and answers listener questions.
AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19
Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
January 20, 2022
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Ambiguous Medical Plans – How to Figure Out a System Even When it Seems Impossible with Parvathy Raman Krishnan
ONCE UPON A GENE - EPISODE 118
Ambiguous Medical Plans - How to Figure Out a System Even When it Seems Impossible with Parvathy Raman Krishnan
Parvathy Krishnan joins me to discuss being an administrator for your kids and the uncertainty that stems from not having a care plan in place, like when you have an ultra-rare disease kid like she does. She has endured more than most on her rare parenting journey, yet she perseveres every day with courage to advocate and make a difference. To know her is to love her.
EPISODE HIGHLIGHTS
Tell me about your rare disease parenting journey.
About 8 years ago, my son began experiencing bloody stool and he had his first colonoscopy at 6 years old. He had polyps in his colon, so he continued having colonoscopies to see if he improved. Genetic testing didn't reveal any answers. At 8 years old, he had his first major surgery, a proctocolectomy to remove his large intestine and rectum and he got an ostomy bag. Through additional genetic testing, it was revealed that he had a rare condition called Constitutional Mismatch Repair Deficiency (CMMRD). Because it's such a rare disease, there's no treatment or standard of care. My daughter was born around the time my son was having his first colonoscopy done. When she was 6 months old, we were told she had a genetic condition called Bardet-Biedl syndrome (BBS). Through her lifetime, she was identified to have three additional rare diseases and passed away at 4 years old.
What does it feel like when a doctor says they don't have an answer or don't know what to do?
It feels honest. When they did genetic testing, we were told our son was the only patient with CMMRD in North Carolina. Then we went to Boston where we were told he was the only patient in the country. We went to Toronto where they run the largest research study on the condition and were told he was the only patient in the world. We realized it would be really difficult to put the puzzle pieces together with no other patients to fill the gaps. The condition is ultra rare and it's been difficult.
Is there hope in not knowing?
For us, knowledge is power. We didn't know the affected genes were in our family, but because of our children, five adults in our family now know they're carriers of the defective gene. It's powerful for them to have the information when planning for a family in the future. There’s hope in knowing because we can be proactive in our son’s treatment and screening.
What resources have you discovered to be helpful to care of your family?
It's okay to say no when you need to and ask questions before you say yes. My biggest support has been social media and connecting with other advocates that give me hope. We're all rare, but we're not that different. Our struggles and wins remain the same and in the end, we're all connected as patients or parents. Following others, despite their diagnosis or journey, helps me to keep things in perspective. Global Genes and Courageous Parents Network are both great resources and provide comfort as we move through grief.
LINKS & RESOURCES MENTIONED
Rare and Relatable on Discord
https://discord.com/invite/7UFUPAFs8K
The Disorder Channel
https://www.thedisordercollection.com/
Global Genes
https://globalgenes.org/
Courageous Parents Network
https://courageousparentsnetwork.org/
CPN Family Podcast Series
https://courageousparentsnetwork.org/podcasts
EveryLife Foundation
https://everylifefoundation.org/
CONNECT WITH EFFIE PARKS
Website
https://effieparks.com/
Twitter
https://twitter.com/OnceUponAGene
Instagram
https://www.instagram.com/onceuponagene.podcast/?hl=en
Built Ford Tough Facebook Group
https://www.facebook.com/groups/1877643259173346/
January 20, 2022
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Simplifying the No Surprise Billing Act
Hello and happy 2022!
The Medical Management Podcast is truly happy to be back with much more information to help you level up your practice. In this two-part special we feature our friend Scott Tucker. In this first episode, we tackle a controversial topic: the No Surprises Billing Act of 2022. Even though this act applies in its majority to hospital settings, there is a part that applies for outpatient medical clinics and practices. Good faith estimates and disclaimers must be shown to patients. Hospitals and practices are not involved when a patient disputes a bill, that must be done directly with the government.
Scott breaks down the No Surprises Billing Act step by step for you to understand and know how to go forward from now on.
January 20, 2022
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Vax On: COVID vs. The Animal Kingdom
Find out why you shouldn't kiss your chinchillas.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
January 20, 2022
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45: Partnership for Transformation with Elizabeth Fowler, Ph.D., J.D., Deputy Administrator and Director of the CMS Innovation Center
Meet Elizabeth Fowler:Elizabeth Fowler, J.D., Ph.D. is the Deputy Administrator and Director of the Center for Medicare and Medicaid Innovation (CMS Innovation Center). Previously, she was Executive Vice President for Programs at the Commonwealth Fund and served as Vice President for Global Health Policy at Johnson & Johnson. She received a Ph.D. in Health Policy from the Johns Hopkins Bloomberg School of Public Health, and a law degree from the University of Minnesota.Key Insights:The Innovation Center generates and tests new approaches for payment and delivery. It works to move the health system away from fee-for-service and towards a system that rewards better outcomes for patients.The Innovation Center’s Priorities. The top 5 priorities of the Innovation Center are driving accountable care, advancing health equity, supporting care innovation, improving access by addressing affordability, and creating partnerships with public and private entities to achieve transformation. (9:27)The Speed of Innovation. Healthcare transformation is a marathon, not a sprint. It takes around 18 months to two years to conceptualize and implement an innovation model, and three to five years to collect meaningful results. (12:36)Patient at the Center. Dr. Fowler emphasizes that innovation should result in better outcomes for the patient. The Innovation Center conducted focus groups to determine the metrics most important to patients, and to better communicate innovation in relatable terms. (23:57) Relevant Links: Learn more about the Innovation CenterRead Dr. Fowler’s articles from The Commonwealth FundFollow the Innovation Center on Twitter
January 20, 2022
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How advanced analytics can help social determinants of health
"Advanced analytics can provide the insights needed to understand social determinants and help develop interventions that assist patients in overcoming some of the challenges and adverse environmental and social factors that are barriers to healthier behavior. Moreover, analytics are needed to support the team-based approach to care delivery. With advanced analytics bringing together data on clinical and social needs, as well as health behaviors, providers and payors can enable effective care coordination and successfully implement value-based care models." Mike Dulin is a family physician and health care executive. He shares his story and discusses his KevinMD article, "How advanced analytics can help social determinants of health." Reflect and earn 1.0 AMA PRA Category 1 CME for this episode.
January 20, 2022
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Lauren Trenkle is the mastermind behind Covid testing operations in Los Angeles and beyond
In this episode, we chat with Lauren Trenkle, Cofounder and CEO of a medical diagnostic testing service called Total Testing Solutions which helps individuals, businesses and families, test for COVID-19. Their HIPAA-compliant tool provides a way to enable health and safety requirements for travel and meetings
January 20, 2022
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Episode #123 – Is It Getting Worse to Be a Nurse?
John and David tackle the shortage, while exploring the implications it can have for our healthcare system as a whole.