Inside Angle

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Lessons from organized crime for improving health care Jun 20, 2019

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When 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 position the patient as the most important part of care delivery?

Social determinants of health: The whole person model of care Jun 06, 2019

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What 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 Mar 26, 2019

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Imagine 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 Mar 05, 2019

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In 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 Feb 19, 2019

Show notes

Dr. 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 the CMIO.

Analyzing human language for social good Jan 29, 2019

Show notes

Can 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 work he and other researchers are doing to research human language connections by building a secure cloud enclave of language data where scientists are granted access, allowing them to collaborate and work at a scale that, until now, has been unimaginable.

Physician payment and performance measurement: Is it fair? Jan 17, 2019

Show notes

How 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 Urban Institute, about how to reform our current inefficient healthcare delivery system.

Finding a common language: Documentation and quality improvement Nov 27, 2018

Show notes

Atrium 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? Oct 29, 2018

Show notes

Imagine 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 when health plans collaborate with providers to offer consumers more transparency about healthcare quality and pricing.

Analyzing unstructured data to unmask cognitive impairment Oct 16, 2018

Show notes

What 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.

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