IPAC-04 Shining a Light on C. diff - Christian John Lillis
Release Date: 04/26/2017
ChatGPT: Where (and Where Not) to Apply it in Healthcare
The #HCBiz Show!
On this episode, we talk with Matt Hollingsworth, CEO of , about ChatGPT. If you've been reading the headlines, and maybe even experimenting with Chat GPT yourself, but don't quite grasp what's going on, then this episode is for you. Mat gives a not-too-technical, high-level explanation of what's going on under the hood so that you have proper context for the discussion. Then, Matt outlines the potential benefits, and potential harms, of applying ChatGPT in healthcare. Finally, Matt shares his experience launching Carta Healthcare, including how he convinced VCs that software plus...
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Medicaid Transformation: Past, Present, and Future with Alan Weil of Health Affairs
The #HCBiz Show!
Medicaid Transformation. 1115 waivers. Delivery System Reform Incentive Payment (DSRIP) programs. Expansion. Contraction. We’ve been at this for a long time. Why isn’t Medicaid transformed already? Well… it turns out that this is really difficult work. First off, there are complex political and ideological issues. Even if we all agree that we want the best healthcare for every American – a conceptually easy outcome to rally behind – we don’t all agree on what that looks like, how to get there, or how to pay for it. Second, it takes a long time for policy levers to play out in the...
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Should Patients Be Charged for Messages to their Doctors?
The #HCBiz Show!
Cleveland Clinic recently announced that they would begin . This flies in the face of everything the industry is talking about when it comes to patient engagement and value-based care. At the same time, it is quite unreasonable to think that a doctor should be available for questions at any time, for free. How can we protect the clinicians' time AND provide the patients with the care and attention they need? And why are we moving away from value-based care? Craig Joseph, MD, Chief Medical Officer of Nordic Consulting Partners, and Matt Lambert, MD, Chief Medical Officer for Curation...
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Take it All With a Grain of Salt
The #HCBiz Show!
Don and Shahid discuss NCQA's Health Innovation Summit (November 2022) and FHIR Dev Days (June 2022). They explore these events as examples of how to interpret what you hear at conferences, in industry media, and even on podcasts like this. The discussion covers a lot of ground including: What is NCQA? What is HEDIS? What does it mean to move from Electronic Clinical Quality measures (ECQM) to Digital Quality Measures (DQM)? Can FHIR really do all that!? Specified, but not implemented (this is important) Why is it hard to innovate and sell innovations in the quality measure space? How...
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The State of Blockchain and Web3 in Healthcare with Ray Dogum
The #HCBiz Show!
On this episode, we talk with Ray Dogum, MS, MBA about the state of blockchain and web3 technology in healthcare. Ray is the producer and host of the where he discusses blockchain developments in healthcare with industry experts. There was quite a hype cycle around blockchain in healthcare that has died, but there is still real development being done and plenty of opportunity to create value in the future. We’ll break down the pockets of success that are happening today and talk about where things could be headed in the future. For complete show notes and links visit:
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Can I Buy You Lunch (and tell you about my product)?
The #HCBiz Show!
Some people tell doctors that anything more than a cup of coffee is a conflict of interest. What about executives? Is it ok to take them out to lunch? What about a trip to the Super Bowl? Is there a line? Where is it? On this episode, Don and Shahid discuss a recent LinkedIn discussion where a healthcare executive called shenanigans on himself and his colleagues for accepting gifts. The gift is a symptom... not the underlying issue. Tune in to find out what the issue is and how to fix it. Plus, learn why Don hates RFPs and how we can do those better too.
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The Business Case for Being Patient-First with Brian Sanderson
The #HCBiz Show!
There's no business case for doing the right thing in healthcare. Fortunately, being patient-first is the right thing to do and can be good for business too. Today we talk with , national healthcare management leader at and author of the new book, The Patient-First Revolution. In it, Brian provides a blueprint for hospitals to skyrocket net revenue by boosting patient experience (#HCBiz listeners can grab a free copy of the book ). Brian explains it's important to think about more than short-term financials. Yes... you need to operate efficiently and run a sound business… those are...
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Building an Innovation Lifecycle Ontology
The #HCBiz Show!
It's easy to experiment with new tech and produce products that look and sound innovative. It's much harder to tie your innovation efforts to strategic objectives with measurable outcomes and then scale the solution across your organization. The former leads to "death by pilot". The latter makes a difference in people's lives. We need a more disciplined approach to innovation if we want to make a difference. In this episode (Ep. 201) we introduce the concept of the Healthcare Delivery Organization Innovation Lifecycle Ontology or HDO-ILO. That's a fancy way of saying that we are attempting to...
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Episode 200!!! What's Next for the show?
The #HCBiz Show!
On this episode, Don Lee and Shahid Shah celebrate 200 episodes of The #HCBiz Show! We discuss what we've done over the past 6 years and tell you where we're headed next. In a nutshell, we're going to work to codify what we've learned about innovation in healthcare over the past 200 episodes and in our decades of deploying digital health solutions. We're steering the effort, but we need your help. There will be plenty of ways to get involved. Thanks for learning with us over the past 200 episodes. Here's to 200 more! Oh... and we're on YouTube now too if you prefer the visuals: ...
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Putting Ambient Intelligence into the Clinical Workflow at Scale with Peter Durlach
The #HCBiz Show!
There’s no shortage of development when it comes to AI and ML in healthcare. The technology is already powerful and continues to advance. The challenge, as always, is getting things into the clinical workflow. And doing so at scale. Nuance has a plan to help innovators and health delivery organizations find alignment and get the right tools integrated into the clinical workflow quickly. Nuance started with ambient intelligence in the sensory realm. In computing, refers to electronic environments that are sensitive and responsive to the presence of people. Today, Nuance’s Dragon...
info_outlineClostridium difficile (klos-TRID-e-um dif-uh-SEEL), often called C. difficile or C. diff impacts 453,000 people every year. And with 29,000 associated deaths, it takes more lives than AIDS and drunk-driving combined. Yet, most people have never even heard of it. That's a big problem because you can't protect yourself from a threat when you don't even know it exists.
The impact on the business of healthcare is significant too. A study published in the American Journal of Infection Control found that C. diff-associated diarrhea (CDAD) increases hospital costs by 40% per case (an average of $7,285 ) and puts those infected at high risk for longer hospital stays and readmissions. Some even believe those numbers are likely underestimated.
C. diff presents us with an interesting problem at the cross-section of Infection Prevention and Control (IPAC). It's an environmental bacterium that's found pretty much everywhere and is difficult to kill, but it's usually held in check by the good bacteria in our bodies. The problem usually occurs when a patient is in a weakened state from some other healthcare intervention. That may be an antibiotic treatment for another healthcare-associated infection or chemotherapy, etc. With our bodies in a weakened state and our good bacteria depleted by antibiotics, we become susceptible to C. diff. So, it's important that we execute on all the other IPAC practices like proper hand hygiene and surface cleaning in the hospital so that, as our guest puts it, we can disrupt the chain of events that allow to C. diff to proliferate.
Episode 005 (part 4 of our IPAC series):
On this episode, we're joined by the co-founder and Executive Director of the Peggy Lillis Foundation (PLF), Christian John Lillis. Like so many people who've dedicated their lives to driving change in the healthcare industry, Christian has a very powerful "why". He lost his mother to a clostridium difficile (C. diff) infection in April 2010. After struggling with the fact that he lost his mother to a disease he never heard of, and later finding out that it impacts so many people, Christian, along with his brother Liam, founded PLF and are building a nationwide C. diff awareness movement by educating the public, empowering advocates and shaping policy.
Christian gives us a deep and personal take on his family's experience with C. Diff and the work that the Peggy Lillis Foundation is doing to help. We discuss:
- What is clostridium difficile (C. diff)?
- Is C. diff a Healthcare-Associated Infection (HAI) or something else?
- How important are hand hygiene and environmental cleaning in preventing the spread of C. diff?
- Why haven't more people heard of C. diff?
- Why is it so hard to measure the true impact of C. diff on our health system? How do we fix that?
- Why do only some states require reporting on outbreaks? How does that affect the business of healthcare? How does it affect the patients?
- What is the Prevention and Public Health Fund? Why is it under fire and what is the impact to the CDC, states and beyond?
- What is the financial impact of C. diff?
Christian's story is powerful and it's full of wisdom that can help patients, families, and providers. In our quest to unravel the business of healthcare, it's important to understand the people we serve and how our work impacts their lives. This is a crash course and I hope it touches you as it did me. Enjoy.
~Don Lee
About Christian John Lillis
Christian John Lillis is executive director of The Peggy Lillis Foundation (PLF), which he co-founded with his brother, Liam, following the death of their mother from a clostridium difficile (C. diff) infection in April 2010. PLF is building a nationwide C. diff awareness movement by educating the public, empowering advocates and shaping policy.
He was previously managing director of prospect strategy & research at Teach For America. With more than 15 years’ experience as a frontline fundraiser and behind-the-scenes strategist for healthcare, LGBT rights, and education organizations, he led prospect identification and research programs that increased resource development both nationally and regionally.
Prior to joining Teach For American in November 2009, Christian served in a variety of roles for a diverse group of nonprofits, including as Director of Development for In The Life Media, Director of Major Gifts for the National LGBTQ Task Force, and Associate Director of Development Research for NYU Langone Medical Center. Throughout his career, Christian has been a frequent speaker at conferences including the Mid-Atlantic Researchers Conference and Creating Change: The National Conference on LGBT Equality. He was also a contributor to Prospect Research: A Primer for Growing Nonprofits by Cecilia Hogan.
Christian is an adviser to the Patient Voice Institute and Gulf Coast C. diff Collaborative, as well as a member of Consumers Union Safe Patient Project and Chicago Area Patient-Centered Outcomes Research Network.
He is a former member of the board of directors of the Center for Lesbian and Gay Studies at the City University of New York and the Association of Professional Researchers for Advancement (APRA) of Greater New York.
Christian began his fundraising career at Lambda Legal Defense & Education Fund.
He holds a B.A. in Political Theory from Brooklyn College, where he served as a term as President of the Lesbian, Gay, Bisexual and Transgender Alliance and won The Donald G. Whiteside Poetry Award his senior year.
Christian is a native of Brooklyn, New York. He currently lives in Park Slope with his husband, Chris Young, and their rescued “beagle baby”, April. His hobbies include Tae Kwon Do (he is a black belt), Zumba, reading comic books and JD Robb’s “In Death” series, and poetry writing.
About the Peggy Lillis Foundation
Mission: The Peggy Lillis Foundation is building a nationwide clostridium difficile awareness movement by educating the public, empowering advocates, and shaping policy.
Vision: We envision a world where C. diff is rare, treatable and survivable.
2017 C. diff Summit & National Strategy Meeting
Facebook: https://www.facebook.com/PeggyFoundation/
Twitter: @PeggyFund
Mentioned on the show:
The Uncounted: The deadly epidemic America is ignoring. A Reuters report.
Catastrophic Care: Why Everything We Think We Know about Health Care Is Wrong
About the Infection Prevention and Control Series
This episode is part of The #HCBiz Show’s Infection Prevention and Control (IPAC) series. We’d like to thank our partners InfectionControl.tips and the Center of Excellence for Infection Prevention and Control (COE IPAC) for their support and guidance with the series.
About InfectionControl.tips
InfectionControl.tips is a Pan-Access journal that extends globally and touches locally. www.IC.tips is: Free to Publish. Free to Access and provides Accessible Scientific Services.
About Center of Excellence for Infection Prevention and Control (COE IPAC)
Center of Excellence for Infection Prevention and Control (COE IPAC) is a collaborative effort to accelerate and support new solutions that hold the promise of significantly advancing infection prevention and control. On a quarterly basis, the Center of Excellence will evaluate at least 3 international innovations – giving them access to independent testing, publication as well as a US commercialization site.
The #HCBiz Show! is produced by Glide Health IT, LLC in partnership with Netspective Media.
Soundtrack credit: Acid Lounge by FoolBoyMedia