Inside Angle

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Social determinants: Changing our view of the patient Sep 14, 2018

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In 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 – from jails, shelters, food banks and other community service organizations – with medical data to provide a holistic view of the patient. Always based on the patient's values and health goals, their work to integrate social and behavioral data with care coordination has resulted in a savings of over $5 million and a reduction in ER visits by 54 percent.

Getting credit for great work: Helping physicians improve documentation Aug 15, 2018

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If 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 Jul 31, 2018

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At 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 Jul 02, 2018

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Are 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

Show notes

By 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? Apr 18, 2018

Show notes

When 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 Mar 30, 2018

Show notes

When 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 Feb 08, 2018

Show notes

When 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.

So Many Measures Feb 02, 2018

Show notes

How 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.

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