Each episode, I interview innovators in the healthcare industry to extract the strategies, tactics, tools, and/or routines they utilize to generate extraordinary, positive outcomes. We highlight and breakdown these bright spots so you can apply them at your organization. "See a bright spot .... and clone it!"
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Doctors and other health care professionals are too often socialized and pressured to become “efficient task completers” rather than healers, which leads to unengaged and unimaginative medical practice, burnout, and diminished quality of care. It doesn’t have to be that way. With a range of thoughtful guests, co-hosts Saul Weiner MD and Stefan Kertesz MD MS, interrogate the culture and context in which clinicians are trained and practice for their implications for patient care and clinician ...
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Advancing racial equity takes courage, patience, and an uncompromising spirit. This is a reality and burden minoritized communities face daily and have worked hard to bridge through advocacy, protest, education, and their own agency. Join Dr. Sylvia (published author and neuroscientist) on her show The more We know community show, conversations cultivating change, as she interviews change makers who are leveling the playing field for all minorities by breaking barriers in their careers, comm ...
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On Season 4, leaders from around the VUMC enterprise explore issues facing businesses across industries, and how the enterprise is experimenting with and designing solutions for problems – old and new – by supporting smart people with visionary ideas. You’ll track how a few ideas fused and matured over decades into the engine of a global collaboration, and why progress requires bold confidence in people, taking calculated risks, and transformative optimism about what could be next. Structure ...
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Unlocking Success Through Specialty Value Based Models
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Value-based care leaders from Kaiser Permanente, Premera, UnitedHealthcare and TailorCare discuss the evolving landscape of specialty value-based care. They explain how their plans drive success with innovative approaches designed to optimize care and improve outcomes—even with their most complex, high-cost members. Our expert panelists share pract…
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Do the doctors who sold Matthew Perry ketamine indicate something rotten in mainstream medicine?
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The two doctors charged for their roles in the events leading up to actor Matthew Perry’s death were both involved in a “side hustle”: selling ketamine at a big mark-up to make extra money, above what they earned through legitimate practice. One was an internist-pediatrician and the other an emergency medicine physician. Their cynicism was starkly …
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Some Pitfalls of Narrative Medicine and How to Avoid Them
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The term “Narrative Medicine” (NM) refers to a range of activities, including close reading and reflective writing about literature, designed to improve the clinician-patient relationship. What could go wrong? Our returning guest, English professor Laura Greene, lays out the case for narrative medicine, while co-host Saul Weiner highlights his conc…
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Innovations in Medicare Advantage and Beyond: How Devoted Health is Transforming Care
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Alec Peterson, MD, Chief Medical Officer of Acute and Specialty Care at Devoted Health, joins Eric to explore the innovative care delivery model that sets Devoted Health apart from other Medicare Advantage plans. Devoted Health uniquely integrates healthcare coverage with its in-house, virtual, and in-home care provider, Devoted Medical, in partner…
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The Blueprint for Speciality Value-Based Care
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Rachel Winokur, CEO, TailorCare and Alex Bateman, CEO, United Musculoskeletal Partners (UMP) join Eric to discuss the evolution and adoption of specialty value-based care, highlighting the significant improvements in patient care, customer satisfaction scores, cost reduction and value creation. Hear how their two organizations partner with a commer…
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Episode fifty-one: New Horizons - Harris's Historic Nomination
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In this episode of "The More We Know Community Show: Conversations Cultivating Change," we delve into the historic nomination of Kamala Harris for President following President Biden's decision to step down. We discuss the potential impact and significance of Harris's candidacy, especially from the perspective of civil rights leader Alberder Gilles…
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Revolutionizing Health Plans: The Connected Member Experience
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BlueCross BlueShield of Tennessee, Cambia Health Solutions, Health Plan of San Joaquin/Mountain Valley Health Plan and Pager Health discuss how technology and innovation transform the member experience, improving clinical outcomes and consumer engagement. Segments: Strategy & Culture Data & Decision-Making Personalization Right Care, Right Time Pan…
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The chasm between how doctors are taught to communicate and what they actually sound like
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There is an idealized version of physician-patient communication that is taught in medical schools, reinforced with acronyms like PEARLS, SPIKES, and LEARN, but what resemblance does it bear to how doctors actually sound in the exam room? Co-host Saul Weiner leads a research team that has audio recorded and analyzed thousands of medical encounters.…
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From the Sidelines to the Boardroom: Leadership lessons with Michael Lombardi
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Former NFL general manager and three-time Super Bowl winner Mike Lombardi joins Eric to share what he learned working with coaching legends Bill Walsh of the 49ers, Al Davis of the Raiders, and Bill Belichick of the Patriots, among others, during his three decades in football and how those core leadership lessons directly translate to managing heal…
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Convergence of Pharmacy & the Health Equity Index in 2024 and Beyond
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CareSource, Independent Health, and AdhereHealth outline strategies for the upcoming Medicare Advantage Star Rating changes, focusing on medication adherence and the Health Equity Index (HEI) starting in measurement years 2024-2025 for the 2027 Medicare Advantage Star Rating Period. Under HEI, plans must identify disparities in populations with soc…
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What do we lose and what do we gain by calling addiction a disease?
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The National Institute on Drug Abuse defines addiction as a “chronic disease” occurring in the brain – Many believe this definition can help to reduce stigma. But, is it helpful in the care of individual patients? In this episode we discuss what we gain and what we lose when we speak of people with addiction as having “diseased brains.” The view of…
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Everything You Thought about Value-Based Care Is Wrong: A Plan CEO Tells You Why
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Fred Turner, co-founder and chief executive officer of Curative, joins Eric to discuss how Curative is reinventing health insurance by adopting a more preventative approach to drive better results and lead to a more affordable delivery of plans. Fred shares Curative’s journey from a pandemic testing company to a health insurance provider with a fir…
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Investor Insights: Strategies to Drive Transformative Growth in Healthcare
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Leading healthcare investors and strategists discuss how to rethink capital in healthcare and share unique ways to grow and scale companies to improve health outcomes, cost savings, and operational efficiencies. Topics include: Components investors look for in 2024 Healthcare sectors with the highest growth projections Human capital strategies Grow…
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Storytelling to Build Medical Trust: How Boston Medical Center is Crushing Outcomes via Empathy and Trust
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Katherine Gergen Barnett, MD, Vice Chair of Primary Care Innovation and Transformation in the Department of Family Medicine at Boston Medical Center (BMC) and Cheryl Harding, patient and community advocate, join Eric to share how Boston Medical Center is utilizing storytelling to build trust and connection between the hospital and its community par…
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Innovative Strategies for Health Plans to Mitigate Social Risk
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Elevance Health, Blue Cross Blue Shield of South Carolina, and the Business Group on Health and Socially Determined discuss how plans can provide a more holistic and effective healthcare journey for members by gaining insight into all barriers to caring for your members, including social risks such as food insecurities, housing instabilities, finan…
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Can we learn and practice medicine well in a system that is so ill?
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In his book, The Present Illness, American Health Care and Its Afflictions, physician and historian Martin Shapiro, MD, PhD, MPH presents a scathing critique of a profession suffused with status, money, and power. At the same time, he also describes many deeply caring and rewarding patient care experiences, his own and those of colleagues. But thes…
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How Mass General Brigham is Innovating around Equitable Access
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Allison Bryant, MD, MPH, Associate Chief Health Equity Officer, Mass General Brigham (MGB), joins Eric to discuss how the health system ensures its innovations are accessible to everyone, particularly those from marginalized communities. Allison elaborates on MGB's unique approach, viewing its mission as providing healthcare and as a catalyst for i…
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Navigating the Intersection of Health Equity and Chronic Care
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Esteemed leaders from CVS Health, Florida Blue, Highmark, and Vori Health delved into the impact of health equity on chronic care. They not only shared strategies and solutions to enhance healthcare accessibility but also shed light on specific programs they have successfully implemented to bridge the health equity gap in chronic disease prevention…
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How Sun Life is Rethinking Mental Health
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Dan Fishbein, President of Sun Life U.S., joins Eric to discuss Sun Life’s commitment to supporting holistic care for mental health and how it leverages digital technology to enhance the overall delivery of mental health and caregiver support to all clients. The conversation also touches on how Sun Life is helping patients navigate a challenging he…
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How Top Hospital Systems are Capturing New Patients
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Leaders from Ballad Health, Baystate Health, Stony Brook Medicine and Purple Lab share how health systems can take a more sophisticated and consumer-focused approach to attracting new patients. Our expert panel leads a thought-provoking discussion on the importance of seeing patients as healthcare consumers and understanding how they make decisions…
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Differentiating Your Product and Benefit Design to Drive Enrollment
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Leaders from Independence Blue Cross, Oscar Health and TytoCare explore how health plans can leverage various solutions effectively to optimize pricing structures; exploring technology adoption, cost-effectiveness, and market competitiveness. Our panel of industry experts will share successful strategies and real-world examples you can implement in…
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“Tough Love” is Not the Answer: A critique of NEJM reporting on student/trainee grievances and educator discontent
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A recent NEJM article and accompanying podcast episode (“Tough Love”) authored and hosted by the Journal’s national correspondent sound the alarm that a culture of grievance among medical students and trainees about the discomforts of medical training is threatening to undermine both their medical education and patient care. She also describes wide…
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Innovations in Mental Health: A Conversation with Kody Kinsley, North Carolina’s Secretary of Health & Human Services
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Kody Kinsley, Secretary of North Carolina’s Department of Health and Human Services, joins Eric to discuss how his state is improving the lives of families and children by expanding Medicaid and improving the mental health system. Secretary Kinsley shares strategies for improving behavioral healthcare access and benefit design for North Carolina’s …
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What a James Baldwin story can teach doctors and patients about care amidst suffering
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“Sonny’s Blues” is a 1956 story by the author, James Baldwin, about a “sensible” and pragmatic algebra teacher and his younger musically gifted younger brother (“Sonny”), who struggles with heroin addiction. Both of them, raised in Harlem, are deeply affected by anti-Black racism. Although the older brother, who narrates the story, feels responsibl…
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The Evolution of Specialty Value Based Care
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Leaders from Humana, Blue Cross, and Blue Shield of Rhode Island delve into the dynamic landscape of specialty value-based care, sharing valuable insights and actionable strategies for navigating its complexities. Show Guests: Alexander Ding, MD, MS, MBA, Associate Vice President for Physician Strategy and Medical Affairs, Humana Nick Lefeber, Seni…
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Important and Innovative Approaches to Leveraging the Health Equity Index
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Melissa Newton Smith, Founder of Newton Smith, and Keslie Crichton, Chief Sales Officer of BeneLynk, join Eric to discuss the introduction of the CMS Health Equity Index, which will replace the reward factor within the Medicare Advantage Star Rating program measurement. The Health Equity Index will be a seismic change for Medicare Advantage plans a…
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How confronting racist ideas I didn’t realize I had is shaping me as a physician and a person
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In a 2021 episode that we reran last month, “About me being racist: a conversation that follows an apology,” Saul talked with a former Black colleague after apologizing to her for something racist he had done twenty years earlier that hurt her for a long time. Since then, Saul has been thinking about how he got exposed to racist ideas and notions o…
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Meeting Goals for Chronic Condition Management With Fewer Resources
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Leaders from Independence Blue Cross, Banner| Aetna, and Scene Health share exclusive insights on successfully accomplishing chronic condition management success with fewer resources. Our expert panel explores patient-centered and technology-enabled approaches that elevate chronic care management efficiency and effectiveness. Don't miss the opportu…
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How Innovators Are Addressing GLP-1s, Obesity and MSK
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Leaders from Blue Cross and Blue Shield of Illinois, Independent Health, Evry Health and Vori Health discuss GP-1s and their role in addressing the global challenge of obesity. The panel shares innovative, multidisciplinary strategies you can implement to complement lifestyle interventions and other therapeutic approaches in your organization. * Im…
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Supporting Innovation and AI in Healthcare
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Seema Kumar, CEO of Cure, an innovation campus in New York City, joins Eric to discuss how artificial intelligence can positively impact healthcare and lead to more innovation. She shares how AI has been used in healthcare and the promise it holds for the future. The conversation also highlights the Cure Xchange Challenge: Health AI For Good, an in…
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About me being racist: A conversation that follows an apology
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We are re-running this episode from 2021 because we’re releasing a sequel next month in which Saul reflects on his journey confronting racist ideas he’d absorbed and that became impossible to ignore after he’d acknowledged his role in the incident described here. We are also re-running the episode because it exemplifies our commitment to facing thi…
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Lifestyle Modification Strategies to Support Those Living with Obesity and Diabetes
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Blue Shield of California, Highmark, Intellihealth and NourishedRX discuss how they are mitigating the high costs of GLP-1s with lifestyle interventions such as behavior change, physical exercise, nutritional counseling and coaching to optimize outcomes for members living with obesity and diabetes. Hear real-life examples and best practices to equi…
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How effects of racism were mistaken for “race” in clinical algorithms: What clinicians should know
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For years, when physicians order tests to assess lung function, or blood work to determine kidney function, or look up guidelines for managing high blood pressure the results have been adjusted for race. This practice has been based on studies that seemed to indicate that the same result means different things if the patient is Black vs white. So, …
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Differentiating Your Health Plan: Reimagining Your Provider Network Strategy
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Leaders from Blue Cross and Blue Shield of Michigan, Highmark and Quest Analytics discuss how health plans are examining and reimagining their provider strategies to stay competitive and meet their members' evolving needs. By focusing on areas such as compliance, network adequacy, data integrity, and performance metrics, plans are redefining their …
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A Conversation with Blue Cross and Blue Shield of North Carolina’s Chief Strategy Officer
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Sonny Goyal, Senior Vice President of Diversified Business Group and Chief Strategy Officer of Blue Cross Blue Shield of North Carolina (Blue Cross NC), joins Eric to share some of Blue Cross NC’s successful initiatives to help members live their best lives. Sonny discussed Blue Cross NC’s approach to mitigating social determinants of health, expla…
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Drug testing at time of birth: How physicians are co-opted into harming families while thinking they are doing the right thing
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The practice of urine drug testing during pregnancy and then often reporting positive results to Child Protective Services triggers a cascade that can result in separation of mother and newborn, with devastating consequence for both. These practices are more common when patients come from marginalized communities even when baseline substance use ra…
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Talking Bright Spots with Former Congressman Robert Andrews
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Former New Jersey Congressman and Health Transformation Alliance (HTA) CEO, Robert Andrews, joins Eric to discuss how HTA – a cooperative of more than 60 of America’s leading employers –and its members employers are fixing our broken healthcare system by sharing data, challenging the status quo and implementing innovative solutions. Robert shares m…
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Safe Babies Safe Moms: Rethinking Equitable Access and Maternity Care
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Angela D. Thomas, DrPH, MPH, MBA, Vice President, Healthcare Delivery Research, MedStar Health Research Institute, joins Eric to discuss D.C. Safe Babies Safe Moms, a community-driven collaborative launched in 2020 to improve the health and well-being of mothers and infants in Washington, D.C., and reduce racial disparities in maternal and infant h…
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Beyond Medication Adherence: Unleashing the Power of Member Engagement to Elevate Outcomes
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Leaders from CareFirst, CareSource, UPMC Health Plan and Scene Health explore how proper medication adherence ensures a higher quality of life, improves health outcomes and reduces healthcare costs. Many health plans saw their overall Medicare Star Ratings drop this year due to one particular area – medication adherence. Our expert panel from top-r…
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Why the ACA Consumer Experience Sucks and How Select Health Fixed It
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Kim Barrus, MSN, RN, PMP, Director, Clinical Outcomes Management of SelectHealth, joins Eric to discuss how her plan reinvented the consumer experience for ACA Marketplace health plans. With almost half of ACA Marketplace customers complaining about making appointments with providers and other process challenges, SelectHealth committed to reversing…
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Equity Blooms Through Hard Work: Shifting Systems Toward Inclusion
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Muscles that don’t get used, lose strength. Building a culture of belonging to foster inventive forward-looking research and robust retention requires the consistency and tenacity of a training program. Meet a nurse educator, a geriatrician, and a neurologist who are putting in the hours.
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Medicare Advantage and the Next Generation in Home Health Strategies
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Leaders from Humana, Healthfirst, Health Leads and Vesta Healthcare join Eric to discuss the future of home healthcare for Medicare Advantage plans. As care delivery strategies evolve, the home is critical in achieving clinical and customer satisfaction ratings that drive business success. Home health is also vital to providing equitable care to al…
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Directly and Covertly Observing Care: How it Can Transform Medical Education and Improve Clinical Practice
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Direct, covert observation of health care is a novel and underutilized tool to assess health care trainees and clinicians. In this episode we talk with experts about two such approaches: the unannounced standardized patient and patient-collected audio. In the former, actors are sent incognito into practice settings, and in the latter real patients …
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Blazing a New Pathway: A Bold Blueprint to Foster Upskilling, Reskilling and Future Colleagues
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Companies around the U.S. and world are navigating a re-think about work and learning as shifting expectations and technological leaps upend the status quo. In this episode, discover how trailblazing initiatives at one of Tennessee’s largest employers are reshaping the healthcare landscape while addressing societal and economic pressures.…
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Unveiling the Future: Tech, Trust, and Healthcare Transformation in Nashville
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Explore the dynamic intersection of consumer expectations, employer cost challenges, and scalability in healthcare. Discover how the future of healthcare could shape your world. Join us on a journey of transformative possibilities in this episode.
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From an inkling to Iceland: The inventive path toward a genetic ‘Rosetta Stone’
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Transformative change takes intergenerational vision, discipline and commitment. Vanderbilt University Medical Center’s CEO and leaders in genetic research explain how ideas stemming from the 1990s sparked a new global alliance that will help write the future of medicine.
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Vanderbilt Health DNA: Discoveries in Action Season 4
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Flashes of ideas can turn into guiding lights. Visionaries and trailblazers shape innovations of the future through passion projects. Season 4 explores how yesterday’s passion projects are changing the world for us today–and spotlights the people and ideas poised to make seismic shifts in the future.…
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Episode fifty: Entrepreneurship Unveiled: The Leonard Wright Story
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In this episode of 'The More We Know Community Show: Conversations Cultivating Change,' we embark on an extraordinary life journey characterized by resilience and entrepreneurial spirit. Our guest, Leonard Wright, Owner & CEO of INPAX Shipping Solutions Inc., guides us through the compelling chapters of his life – from enduring unimaginable poverty…
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Can Your Social Care Strategy Drive You to Five Stars?
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Leaders from Network Health, UPMC Health Plan, Healthmine and Benelynk explore how Medicare Advantage plans can attain 5-Stars and share bright spots on improving outcomes for members with social risk factors. Learn how closing gaps in care and reducing health disparities can help your plan reach 5 Stars! Topics include: CMS Health Equity Index Pro…
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"Dire Consequences": When students do not receive appropriate accommodations on the USMLE examinations
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In the prior episode we learned that there is no evidence that time-limited testing improves test validity and that, in fact, there is ample research showing that it makes tests less valid and less equitable. In this episode we discuss how, despite the data, the NBME denies accommodations on the USMLE exams to over half of medical students who have…
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