Inside Angle
86 episodes - English - Latest episode: 4 months ago - ★★★★★ - 18 ratingsConversations at the heart of moving health care forward, from 3M Health Information Systems.
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Episodes
Health care pricing: Why it's time to consider big changes
July 28, 2020 18:08 - 33 minutes - 28.4 MBIn his New York Times best-selling book "The Price We Pay," Dr. Marty Makary discusses the worsening crisis of high health care costs and the impact on quality of care. Is price transparency the answer? Listen to the latest podcast episode for Dr. Makary's perspective and hear about his work as a Johns Hopkins surgeon and professor of public health, where he is researching ways to bridge the divide between cost and quality.
Making things simple in user experience isn't always simple
July 10, 2020 14:15 - 26 minutes - 25.7 MBElectronic health records give providers an enormous amount of information, but finding relevant patient information can be like finding a needle in a haystack. The result: cognitive overload for providers, leading to wasted time and physician burnout. In this episode, 3M User Experience (UX) Design Team Lead Anna Abovyan explores ways to reduce the cognitive load on physicians by designing technology that is intuitive, easy to use, and helps, not hinders patient care.
Bringing successful whole person care to high needs/high cost patients
June 23, 2020 19:06 - 23 minutes - 22.4 MBThe COVID-19 pandemic has put extraordinary stress on state Medicaid budgets. Enrollment is increasing, along with direct and indirect costs, at a time of declining state revenues. What can be done to mitigate these issues? CareMore Health, an integrated health plan and care delivery system for Medicare and Medicaid patients, is moving away from fee-for-service incentives to provide comprehensive care to its high needs/high cost patients. In this episode, Dr. Theresa Brown and Dr. Vibin Roy ...
Telemedicine: Improving outcomes in the time of COVID-19
May 28, 2020 16:00 - 25 minutes - 28.6 MBDuring this time of COVID-19, we've seen a striking increase in the use of telemedicine services. The Inside Angle podcast revisits an episode featuring telemedicine pioneer Barb Johnston, co-founder and CEO of HealthLinkNow, a network of clinicians providing mental health services to patients online. With nearly two decades of experience in implementing telemedicine programs, including the creation of the California Telemedicine Network (CTN), she brings her veteran perspective to the table...
Patient care from home: Achieving optimal outcomes
May 14, 2020 14:18 - 23 minutes - 24.9 MBThere are thousands of wellness apps, devices, wearables and telehealth tools that can be used for chronic disease management and patient health monitoring at home. Although new technologies can lead to early identification of health concerns, they may also lead to unnecessary interventions that result in unintended complications and worse outcomes. In this episode, we reconnect with Juggy Jagannathan, PhD, AI evangelist for 3M, to consider which people are most likely to benefit from new ca...
Serving the safety net community
May 13, 2020 14:31 - 33 minutes - 28.8 MBImmigrant communities and underserved populations experience disparities in care due to high poverty, limited access, cultural or linguistic differences, and other concerns. In this episode, Dr. Gordon Moore talks with Iliana Gilman, the former chief executive officer of El Buen Samaritano, an organization serving the Latino immigrant community in Austin, Tex. With a team dedicated to breaking down barriers to care, El Buen Samaritano is improving outcomes by tackling social determinants of ...
Clinical documentation: Easing the burden on physicians
February 26, 2020 18:17 - 26 minutes - 36.7 MBAs a palliative care physician, Dr. Beth Wolf experienced the complexity of communication. As she helped patients and families navigate issues related to pain or end-of-life care, she saw that the way clinicians communicate with each other was rich with opportunity for misunderstanding. So, how do we help physicians accurately document a patient’s true burden of illness without disrupting the delivery of efficient and compassionate care? Now, as a documentation champion at Roper St. Francis ...
Prevention vs. treatment: Investing in the health of communities
February 10, 2020 14:50 - 26 minutes - 36.3 MBWhen public health initiatives account for 90 percent of improvements in population health, what is the role of the care delivery system in addressing non-medical or social factors that drive outcomes? For Nico Pronk, PhD, President of the HealthPartners Institute and Chief Science Officer at HealthPartners, it means finding the right balance between caring for the urgent needs of a community and enhancing the vital conditions of a community, such as affordable housing, healthy food accessib...
Medicaid: The backbone of U.S. health care
January 09, 2020 18:05 - 28 minutes - 38.7 MBAs the largest health insurance program in the country, providing the majority of mental health care and long-term services and support, Medicaid is an indispensable component of the U.S. healthcare system. Matt Salo, Executive Director of the National Association of Medicaid Directors, works with state Medicaid agencies around the nation to improve quality, cost and the experience of care for patient populations that are most vulnerable. Our host, Dr. Gordon Moore sat down with Matt Salo to...
Can AI help solve the challenge of physician burnout?
November 07, 2019 16:48 - 23 minutes - 32.4 MBHow can artificial intelligence help physicians who are overloaded with quality measures and administrative tasks that pull them away from patient care? Can AI help address the alarming increase in exhaustion and depression among clinicians? In his second Inside Angle podcast episode, Juggy Jagannthan, Ph.D., research director and AI evangelist at 3M MModal, explains how AI can ease the administrative burden by capturing the clinician/patient interaction in real time.
Searching for better outcomes and lower costs: The challenges facing state Medicaid directors
October 29, 2019 14:26 - 26 minutes - 36 MBState Medicaid agencies are under enormous pressure to reduce costs while maintaining quality of care for Medicaid beneficiaries. In this podcast episode, Dr. Gordon Moore talks with Billy Millwee, former Texas Medicaid director and now consultant to Medicaid programs across the U.S. Mr. Millwee discusses his work to help state agencies understand value-based payment, pursue waivers, and address social determinants of health. Each state brings different ideas to the table. Which approach work...
Biking 3,255 miles to talk health care
October 14, 2019 13:54 - 30 minutes - 42.2 MBWhat is your opinion of U.S. health care? That's the question Dr. Paul Gordon asked of average Americans he met while biking coast to coast on a three-month sabbatical from his family medicine practice. His goal? Amplify the voices of those in rural areas and small towns to help clinicians be better practitioners---and listeners---when it comes to their patients.
Lowering readmission rates by breaking down silos
August 27, 2019 15:48 - 27 minutes - 37.5 MBIn 2016, BayCare Health System took on its high readmission rates by launching seven different programs to lower readmissions. The problem? The programs were in silos, so overall results didn't meet objectives. In this episode, Teri Sholder, BayCare Health Senior Vice President and Chief Quality Officer, describes how the BayCare team used data analytics to break down silos and consolidate initiatives into "power combos" that help BayCare Health better achieve its goal of reducing readmissions.
Measuring what matters in health care
August 15, 2019 14:58 - 33 minutes - 38.7 MBIn part one of his podcast episode, Dr. John Wasson, Professor Emeritus at Dartmouth Medical School, suggests U.S. health care could learn a few lessons on quality improvement from the world of organized crime. This time around, Dr. Wasson dives into the issue of clinician burnout caused by "quantophrenia"---a condition he describes as measurement for its own sake without real benefit to patients or providers. The solution to quantophrenia? Just seven simple measures.
Sorting through a sea of data: AI in health care
July 25, 2019 14:30 - 28 minutes - 33 MBProviders are increasingly overwhelmed by administrative work that takes them away from patient care. How can clinicians leverage AI solutions to optimize and modernize care without adding to already taxing levels of burnout? AI Evangelist V. Juggy Jagannathan, PhD, shares his expertise on artificial intelligence, deep learning and more in this episode.
Confronting the opioid crisis
July 16, 2019 13:23 - 25 minutes - 29.5 MBIn this episode, Dr. Eugene Christian of Bon Secours Mercy Health System describes a new approach to solving the opioid addiction crisis. By reforming opioid prescription practices, creating new, non-narcotic regimens that tackle pain, and tracking metrics across its health system, Bon Secours is guiding physicians through a workflow that promotes patient safety.
Lessons from organized crime for improving health care
June 20, 2019 16:31 - 29 minutes - 34 MBWhen Dr. John Wasson was in medical school, he worked at an east coast resort that hosted well-known members of organized crime families. Reflecting back on this experience after a full career as a primary care physician and geriatrician, and as a member of the faculty at Dartmouth Medical School, Dr. Wasson sees lessons from organized crime that can be applied to a disorganized U.S. healthcare system: Don't damage the host, protect the brand and adapt aggressively. How can these lessons posi...
Social determinants of health: The whole person model of care
June 06, 2019 19:34 - 32 minutes - 37.1 MBWhat challenges do high-needs patients face when seeking care? This was the question Dr. Melissa Clarke encountered as she and her colleagues worked towards a "whole person" model of care at a Washington DC addiction clinic. Working to achieve health equity, the clinic introduced new and innovative programs that helped transform not only the patient, but also the caregiving process.
Searching for the holy grail of mental health care
March 26, 2019 15:19 - 32 minutes - 37.1 MBImagine going to your primary care clinic and along with a blood test, they also took a "sample" of your language. The brain is too complicated for typical lab tests, but in the future a test like this may help diagnose mental health disorders more accurately. In this episode, Dr. Rebecca Resnik discusses how we can break down silos across areas of specialization and use technology to foster collaboration between mental health professionals and primary care physicians.
Good intentions and unintended consequences: A look at healthcare policy
March 05, 2019 15:35 - 32 minutes - 37 MBIn attempting to improve healthcare delivery, policy makers have tried a top-down approach to effect change. In this episode, Harold D. Miller, President and CEO of the Center for Healthcare Quality and Payment Reform advocates for a bottom-up style of reform, focusing on reinvigorating primary care and fostering healthcare transformation at the local level.
In search of innovation: The role of the CMIO
February 19, 2019 18:26 - 22 minutes - 25.4 MBDr. John "Rick" LeMoine's job is unique among chief medical information officers (CMIOs). He has no direct reports at CMIO for Sharp HealthCare, the largest healthcare provider in San Diego County. Instead, he is tasked with seeking out new ideas and breakthrough improvements that may fit into the complex environment in which he works. In this episode, Dr. LeMoine discusses what it takes to spark innovation within healthcare organizations and how a sense of curiosity can enhance the role of t...
Analyzing human language for social good
January 29, 2019 18:14 - 25 minutes - 29 MBCan the use of language on social media reveal information about a patient's mental health? Can human language, with all its ambiguities and complexities, be analyzed to identify behavioral issues? And what’s the boundary, ethically, of tapping into language sources? In this episode, Dr. Gordon Moore speaks with Philip Resnik, Professor of Linguistics at the University of Maryland, about the intersection of machine learning, natural language processing and mental health. Resnik details the wo...
Physician payment and performance measurement: Is it fair?
January 17, 2019 16:32 - 30 minutes - 35.3 MBHow much time does it actually take for primary care physicians and specialists to deliver care, and should time be considered when determining payment? When it comes to physician performance, are we measuring what’s truly important or just analyzing quality data that’s readily available? Will new CMS rules governing E/M coding help or hinder the practice of medicine? In this episode, Dr. Gordon Moore talks with self-proclaimed healthcare contrarian Dr. Robert Berenson, a Fellow with the Urba...
Finding a common language: Documentation and quality improvement
November 27, 2018 17:22 - 25 minutes - 29 MBAtrium Health’s Dr. Geoffrey Rose and Heather Joyner describe their work with clinicians to find a common language for documentation in the medical record. The result? Better quality scores and fewer denials.
Payer-provider collaboration: What's in it for consumers?
October 29, 2018 15:15 - 27 minutes - 31.9 MBImagine having to pay for a car piece by piece, shopping for a steering wheel, brake system and transmission all as separate purchases. Not a great idea, right? Now imagine shopping for health care that way, down to every doctor visit, lab test or procedure. Yet, that describes the many confusing and complex choices facing U.S. consumers as they try to manage their health care. In this episode, Mike Fay, Vice President for Health Networks and Innovation at Wellmark, describes what happens whe...
Analyzing unstructured data to unmask cognitive impairment
October 16, 2018 19:37 - 23 minutes - 26.4 MBWhat if clinicians could use technology to find indicators of cognitive impairment hidden in the medical record? Dr. Andrea Gilmore-Bykovskyi of UW-Madison explains how EMR free text can be used to identify patients with early signs of dementia.
Social determinants: Changing our view of the patient
September 14, 2018 17:25 - 22 minutes - 25.5 MBIn the mid-1980s, Dr. David Buck developed clinics for the indigent population of Houston, Texas where he learned first-hand that his patients needed social and behavioral supports outside of the traditional medical domain. His work led him to join forces with data scientist Kallol Mahata and together they founded Houston’s Patient Care Intervention Center (PCIC) to improve care for the city’s vulnerable populations. Buck and Mahata developed a technology platform that integrates social data ...
Getting credit for great work: Helping physicians improve documentation
August 15, 2018 15:31 - 21 minutes - 25 MBIf quality outcomes for length of stay, readmissions and other measures are higher than industry norms, is it a question of poor clinical care? When Dr. Gene Christian, CMO for St. Mary’s Hospital, Bon Secours discovered that physicians weren’t documenting completely and accurately in the medical record, he became a disciple of clinical documentation improvement.
Why patient engagement matters
July 31, 2018 19:07 - 27 minutes - 32 MBAt age 31, when Dr. Alan Glaseroff learned he had Type 1 diabetes, he began collaborating with his diabetes patients on new ways of self-managing the condition. His pioneering work in patient engagement led him to Stanford University, where today he helps individuals with multiple chronic conditions believe it’s not where you start, but where you end up that matters.
Making the move from volume to value
July 02, 2018 11:53 - 31 minutes - 36.4 MBAre we at a tipping point in making the move from volume to value? Does your organization have the right mindset to be successful? Mark Sonneborn of the Minnesota Hospital Association discusses new data initiatives that help providers better understand risk and reduce avoidable care.
Data analytics: Extracting the signal from the noise
May 21, 2018 15:09 - 25 minutes - 29.6 MBBy 2020, medical knowledge will double every 73 days. Can machine learning and natural language processing (NLP) help clinicians drowning in information? Dr. John Cromwell of the University of Iowa discusses his efforts to bring these technologies to the frontlines of medicine.
Physician Burnout: How Can We Improve the Work of Care?
April 18, 2018 14:27 - 25 minutes - 29.6 MBWhen a physician’s work day includes two hours of EHR and desk work for every one hour of direct face time with patients, the work of care can seem insurmountable. Dr. Christine Sinsky of the AMA describes new ways to help clinicians find joy and meaning in work.
Caring for the Caregivers
March 30, 2018 15:24 - 29 minutes - 33.5 MBWhen it comes to the health of the healthcare workforce, how can we help caregivers care for themselves? Population health leaders with the SEIU 775 Benefits Group describe efforts to improve the health of homecare workers in Washington State and what they learned gets between people and better health outcomes.
On the Frontlines of Collaborative Care
February 08, 2018 14:59 - 25 minutes - 28.6 MBWhen a patient’s chronic conditions are compounded by depression, it’s a recipe for adverse outcomes and high healthcare costs. Dr. Paul Ciechanowski, a national leader in developing evidence-based models of collaborative care describes a new way forward.
Telemedicine: Enhancing Access to Improve Outcomes
February 06, 2018 16:03 - 26 minutes - 29.7 MBWhat happens when you need health care, but the services just aren’t available in your hometown? Telemedicine pioneer Barb Johnston explains how quality suffers when people don’t have easy access to caregivers—and how telemedicine is changing lives.
So Many Measures
February 02, 2018 21:11 - 30 minutes - 34.8 MBHow do we develop quality measures that help improve care outcomes without creating more work for physicians? Dr. Michael Barr of the National Committee for Quality Assurance (NCQA) discusses the drive to create measures that are timely and relevant.