4×4 Health Podcast
4×4 Health Sage Advice: Roots, Mentors & Being Kind

4×4 Health Sage Advice: Roots, Mentors & Being Kind

August 13, 2019

On this episode of 4x4 Health we have a special edition mashup of some of the best sage advice we’ve received on the show. We’ve put together a compilation from Maulin Shah, M.D., David Butler, M.D., and Justin Adams.

Maulin Shah, M.D. is Chief Informatics Engineer for Providence St. Joseph Health. On his episode of 4x4 Health we discussed his journey from implementor of electronic health records (EHRs) to Health IT innovator. Given his depth of experience and his innate passion, his advice to “remember your roots” is sage indeed.

David Butler, M.D. is the Founder and Principal of Calyx Consulting. David has a long track record of success when it comes to leading top health care organizations through the process of selecting and deploying health IT applications. Given his experience and humor he also offers an entertaining and worthy pet-peeve and some very sage advice.

Justin Adams is the co-founder and CEP of Digitize.AI. As a relative newcomer to healthcare Justin offers some fresh and astute observations about the current economic and operational state and opportunities to “stop putting band aids on problems and completely rethink them.” He gives some sage and moving advice about the benefits of being kind in our personal, public, and business relationships.

Making Health IT Safe and Effective

Making Health IT Safe and Effective

July 30, 2019

In this episode of 4x4 Health we dive into building safer and more reliable health information systems with guest, Ben Cooperman. Mr. Cooperman is a Senior Associate in Healthcare Performance Improvement and has extensive experience working in healthcare technology and safety. He shares why safety first is a winning strategy as well as high reliability in the health IT industry and making technology work for us to transform how healthcare is delivered.

Patient Safety: Lessons from a Decade of Improvement Efforts

Patient Safety: Lessons from a Decade of Improvement Efforts

July 23, 2019
In this episode of 4x4 Health, we explore the history and progress of the patient safety movement with Craig Clapper, a founding partner at Healthcare Performance Improvement (HPI). Mr. Clapper’s 25 years of experience in improving reliability in nuclear power, transportation, manufacturing and healthcare gives him a unique perspective on developing a culture of safety and demonstrating measurable progress.
 
We also look at how of the general principles of safety and reliability can be applied to health information technology.
America’s Opioid Crisis – Clinical Innovations and Controversies with Dr. Stephanie Peglow

America’s Opioid Crisis – Clinical Innovations and Controversies with Dr. Stephanie Peglow

July 16, 2019

In this final episode of our series on opioid abuse in America we talk with Stephanie Peglow, DO, MPH, about innovative clinical approaches, harm reduction and public health controversies such as the pros and cons of needle-exchange programs and widespread distribution of reversing agents like Naloxone. Dr. Peglow fills an impressive variety of roles including Assistant Professor, Department of Psychiatry at Eastern Virginia Medical School; Sentara Healthcare System Director for Addictions Treatment; and as a Substance Use Disorder Policy Advisor for Virginia Department of Behavioral Health and Disability Services. This combination of experiences gives her unique insight into the latest thinking on new approaches and will be of interest to patients, clinicians, and public policy experts.

About the Series

America is in the midst of an Opioid abuse crisis. In 2017, more than 28,000 Deaths were attributed to overdosing on synthetic opioids. The steady rise in the number of people misusing opioids and the migration of some patients to street drugs like heroin and fentanyl  when they can no longer get legitimate prescriptions has resulted in a genuine public health crisis and an “all-hands on deck” moment for healthcare. In this special series of 4x4 Health our guests share their views on this crisis as we look at the current state of diagnosis and treatment as well as the role technology can play in enabling better care.

America’s Opioid Crisis: Collaborative and Cutting-edge Tech with Rob Valuck, PhD, CEO of OpiSafe

America’s Opioid Crisis: Collaborative and Cutting-edge Tech with Rob Valuck, PhD, CEO of OpiSafe

July 9, 2019

In this episode of our series on opioid abuse in America we talk with Rob Valuck, PhD, co-founder and CEO of OpiSafe and Director of the Colorado Consortium for Prescription Drug Abuse Prevention. Rob is a leading proponent of collaborative approaches to addressing the crisis and provides insights into the successes and challenges of this approach based on his experience in Colorado. We also discuss how OpiSafe is using innovative, cutting-edge information technology deliver ever more effective and efficient interventions.

About the Series

America is in the midst of an Opioid abuse crisis. In 2017, more than 28,000 Deaths were attributed to overdosing on synthetic opioids. The steady rise in the number of people misusing opioids and the migration of some patients to street drugs like heroin and fentanyl  when they can no longer get legitimate prescriptions has resulted in a genuine public health crisis and an “all-hands on deck” moment for healthcare.

Healthcare in the Cloud

Healthcare in the Cloud

July 2, 2019

Healthcare is moving to the cloud and in this episode of 4x4 Health we talk with Travis Good, MD, Chief Technology Officer of Datica; following their recent merger with Sansoro Health. Travis and the Datica team have deep expertise and experience in helping healthcare organizations deploy in cloud environments, integrate securely with EHRs, achieve HIPAA compliance, and pass HITRUST CSF assessments. Previous 4x4 Health guests have noted how important the cloud is becoming for data-driven healthcare and Dr. Good takes us through the compelling reasons for this shift as well as the associated integration and compliance challenges.  You won’t want to miss this discussion about how cloud-based health IT is enabling the next wave of innovative technology to improve outcomes for patients, providers, and payers.

CMS & ONC Propose Big Changes for Payers

CMS & ONC Propose Big Changes for Payers

June 13, 2019
While much has been made about how the proposed rules on information blocking and interoperability from ONC and CMS will impact providers, patients and health IT companies, there has been surprisingly little discussion of the new requirements for health insurance companies. But make no mistake: these rules have major implications for participating insurance providers and they are scheduled to take effect beginning in January 2020.
 

In this special edition of 4x4 Health, we turn the spotlight on this important issue with Nikki Kent, Senior Vice President of Operations at Sansoro Health.  Nikki has decades of experience working with both payer and provider organizations, including 15 years at Optum and UnitedHealthcare where she served at VPs of Client Services and Compensation.   Nikki’s experience with organizations on all sides of the health IT, make her the perfect person to provide an overview of the challenging technical, business, and compliance requirements that payers are set to face in the very near future. 

 
To learn more about the proposed rules and ongoing API revolution in healthcare, be sure to check out the rest of our series on ONC and CMS as well as our API 101 episodes.
A Conversation with the Father of FHIR

A Conversation with the Father of FHIR

June 11, 2019
In this episode of 4x4 Health, we talk to Grahame Grieve, the architect-developer of HL7s Fast Healthcare Interoperability Resources (FHIR) and principle at Health Intersections of Melbourne, Australia.  Grahame is one of the world’s foremost experts on healthcare interoperability, a strong leader of the Health IT community, and is sometimes referred to as the ‘Father of FHIR.’ “[Interoperability] is not a technology problem . . . It’s an information and people problem”, Grahame observes before describing how FHIR was able to break through this 'people problem' by using a collaborative and community driven approach. Grahame's passion for improving healthcare outcomes with technologies like FHIR shines throughout the episode. We think you will leave this episode inspired and optimistic about an interoperable future for healthcare.
America’s Opioid Crisis: How IT Enables Better Care with Debra Bauman, CIO, Hazelden Betty Ford Foundation

America’s Opioid Crisis: How IT Enables Better Care with Debra Bauman, CIO, Hazelden Betty Ford Foundation

June 4, 2019

In this episode of our series on opioid abuse in America we talk with Debra Bauman, VP of Technology Services and Chief Information Officer at the Hazelden Betty Ford Foundation about how her organization is harnessing information technology to enable better, more efficient patient care. With over 30 years of experience in Technology Services in a variety of industries, Deb is a seasoned, accomplished leader and trusted advisor. Her insights about how to get the most out of IT will benefit anyone engaged in leveraging technology to combat the opioid abuse and can be generalized to a wide range of clinical and operational IT opportunities.

About the Series

America is in the midst of an Opioid abuse crisis. In 2017, more than 28,000 Deaths were attributed to overdosing on synthetic opioids. The steady rise in the number of people misusing opioids and the migration of some patients to street drugs like heroin and fentanyl when they can no longer get legitimate prescriptions has resulted in a genuine public health crisis and an “all-hands on deck” moment for healthcare. In this special series of 4x4 Health

America’s Opioid Crisis: Origins, Diagnosis and Treatment with Dr. Marvin Seppala

America’s Opioid Crisis: Origins, Diagnosis and Treatment with Dr. Marvin Seppala

May 28, 2019

We begin our series on opioid abuse in America with an overview of the origins of the crisis and current approaches to diagnosis and treatment with Dr. Marvin Seppala. Dr. Seppala is Chief Medical Officer at the world-renowned Hazelden Betty Ford Foundation and has over 30 years of experience developing programs and treating addiction. This is a do-not-miss episode for patients, clinicians, policy makers and anyone else touched by this crisis.

About the Series:

America is in the midst of an Opioid abuse crisis. In 2017, more than 28,000 Deaths were attributed to overdosing on synthetic opioids. The steady rise in the number of people misusing opioids and the migration of some patients to street drugs like heroin and fentanyl when they can no longer get legitimate prescriptions has resulted in a genuine public health crisis and an “all-hands on deck” moment for healthcare.

 

In this special series of 4x4 Health our guests share their views on this crisis as we look at the current state of diagnosis and treatment as well as the role technology can play in enabling better care.