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2024 FDA Approves New Schizophrenia Drug, Cobenfy, Developed By Karuna T...
2023 An article was not received on October 6, 2023
2021 Diabetes Management – Whole Person Mandate & New Opportunity
2020 Making High-Performing Culture Happen
2019 Wyoming Medicaid Issues RFP For Children’s Services Managed Care
2018 The Digital Decision Crossroads
2017 Population Health Demands Managing By Exception – With Data
2016 Behavioral Health Spending Reached $231.6 Billion In 2015. What Doe...
2015 Culture Trumps Strategy Every Time – Unless You Change The Incentives
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Permalink Reply by Paul Terlemezian on
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2014 Your Future Emergency Department
"Over a decade ago....the prognostications of a health care futurist... – “one day, hospitals will be an emergency room, a surgical suite, and a giant computer.” At the time, it seemed possible but not likely. But, what a difference ten years have made. What’s happening?.... specialty ERs, the rise of urgent care centers (UCCs), and some very interesting experimentation with freestanding ERs for rural health care."
"The first are more common in mental health than in any other discipline, and include psychiatric emergency departments and freestanding crisis stabilization units (CSU)."
How would you define "emergency learning?" How do we deliver such learning? Is there such a concept as the ULC (urgent learning center?) Is this the role of you-tube? https://www.news24.com/World/News/woman-dies-attempting-home-birth-...
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2015 Culture Trumps Strategy Every Time – Unless You Change The Incentives
“'When herding cats, move their food.' – Paul Grundy, M.D., M.P.H., FACOEM, FACPM, Global Director of Healthcare Transformation, IBM, & President, Patient-Centered Primary Care Collaborative"
"....To make these changes sustainable, we need a new way of thinking about the entire health care system – and the culture and incentives that drive the health care choices of both consumers and provider organizations. It’s really 'back to basics' – thinking about what drives human behavior and aligning our system with those motivations."
What are your back to basics thinking about the entire learning system?
- Informal
- Pre-k
- K-12
- Higher Ed
- Workplace
- Military/police
- Personal
What changes do you think have occurred in each of these areas? What changes would you like to see in each of these over the next 5 to 10 years?
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2016 Behavioral Health Spending Reached $231.6 Billion In 2015. What Doe...
"The numbers themselves are not meaningful, but there are some interesting implications within them. For organizations that provide (or manage) mental health and addiction treatment services, there are important strategic questions:
- Is growth in behavioral health spending exceeding total health spending growth?
- Is behavioral health spending increasing or decreasing as a percentage of total health spending?
- How has parity affected spending during this time period? Will parity cause spending to increase?"
What correlations exist between investments in learning and business outcomes?
How many accounting periods do we need to determine if there is a correlation?
How do we account for turnover? Is it possible to measure the lifelong investment in the person and their overall performance? What if the incubation period for a type of learning were 5 years? How would this impact investment?
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2017 Population Health Demands Managing By Exception – With Data
"Too often, I hear from my fellow clinicians that information actually increases their workload and takes away from the time they have to spend with the consumer. The goal is let technology “read” the information and provide that clinical professional with a list of prompts and action items that makes that time together more useful. For that to happen, we have to create algorithms for health that can be applied over the massive amounts of data that we have, so as to turn it into actionable information. In short, focusing too much on the technology, and not enough on what to do with the information is not going to move ones organization further down the road."
- "Inbound data gathering
- Data housing and management
- Data processing and analytics
- Communication
- Care management system and user-friendly decision-support"
How are we doing? What else would you like to see us do?
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2018 The Digital Decision Crossroads
"New developments over the past couple months are pushing executives in health and human services toward what I would call a digital decision crossroad.
- First, the health and human service financing landscape continues to change, making tech-enabled treatment more feasible.
- Second, there are more tech-enabled treatment options moving from the science to market.
- And, third and most important, there are some “leading edge” health and human service organizations launching new services (or re-engineered traditional services) that take these new digital treatment developments to scale. The last brings new competition—in consumer experience, in outcomes, and in cost—to the market."
Where could new competition arise for our industry? How would you compete (or do you currently compete) with learning available from Google, Facebook or Amazon? Who else might compete with us - when we least expect it?
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2019 Wyoming Medicaid Issues RFP For Children’s Services Managed Care
When does onboarding of a new employee begin...and end? Why does it end? Who is accountable for the success of the onboarding effort? How are it's various aspects integrated?
Is it important enough to be something for which we assure success? How would we do so?
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2020 Making High-Performing Culture Happen
What brings out the best in you?
What sustains the best in you?
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2021 Diabetes Management – Whole Person Mandate & New Opportunity
Are some people "born" to struggle with workplace performance and have some others "learned" to perform poorly? Does it make a difference in how we help overcome the struggle? Are we able to determine the difference?
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If leadership value is perceived to be more valued during a crisis - how do we avoid creating a crisis to sustain our leadership value - or to shift the value from the current leaders? Isn't it always "5:00" somewhere?
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2024 FDA Approves New Schizophrenia Drug, Cobenfy, Developed By Karuna T...
What determines whether something is legal or not?
What determines whether something is ethical or not?
Is there a difference?
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