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October 17
2024 Coping With The I/DD Funding Transition
2023 The “Right” Merger Partner
2022 State Of Emergency
2021 Texas Rebids Medicaid Managed Care Program For Foster Care Youth
2020 Digital Transformation: Beyond Telehealth, Beyond The EHR
2019 The Changing Medicaid Pharmacy Carve-Out Landscape
2017 Planning For Long-Term Mission Sustainability
2016 The Future Of Care Coordination? It’s Elementary, Watson
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Replies to This Discussion
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Permalink Reply by Paul Terlemezian on
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2014 Is There Any Regulation Of Health Care Apps?
- "The FDA plans to regulate apps that are an extension of a medical device; transform a mobile platform into a regulated medical device; perform patient-specific analysis, providing diagnosis/treatment recommendations.
- General reference and education apps, as well as apps for administrative functions (such a billing), are not medical devices.
- Apps that may be medical devices but are deemed “low risk” (such as apps that regulate chronic diseases through behavioral interventions and wellness promotion) won’t be regulated.
- Apps that automate functions and can be “safely used by a patient without oversight…[and] is not intended to replace or discourage seeking treatment.” such as provide general knowledge or provide EHR access, will also not be regulated.
- Apps that use peripheral sensors (e.g., analyze a test strip) or connect to and manage regulated devices will be deemed both a medical device, and pose a high enough risk to warrant regulation."
What types of regulation do we have on the services we deliver now?
What are the implications of regulation?
Would you want "performance assurance" apps to be regulated?
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2015 The Leader Needed For Turbulent Times
- "Being a visionary
- The ability to inspire employees
- Stellar negotiation skills
- Knowledge of new marketing techniques
- Ability to delegate
- Ability to be self-critical"
How are these exhibited? How has this changed over your career?
How would you like to see it change over the rest of your career?
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2016 The Future Of Care Coordination? It’s Elementary, Watson
"If cognitive computing is the third wave in technology, what might the next wave be?"
How are we likely to view technology in the future? We have viewed it as a tool for development and delivery - primarily? Do you agree? Will we ever use technology to assure performance other than redelivering content?
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2017 Planning For Long-Term Mission Sustainability
"In some ways, for-profit organizations have it easier. “Profits” are expected, and they go to shareholders that invested capital in creating the organization."
"The issue of profitability, sustainability, and the use of “excess margin” (aka profits) is not quite so clear in non-profit organizations. Theoretically, those profits are used to reinvest in the organization and to fund services for community members who are unserved by current sources of public and private funding. But the issues and practices are far from clear."
What would the internal training function do differently if it operated as a profit center?
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"...how....is evaluating the success in the use of technology by its customers. Their measurement model looks at five domains—
- decision support,
- care delivery,
- integration and coordination,
- financial management, and
- consumer engagement.
It was interesting to see that their clients are doing best in leveraging technology for integration/coordination and financial management—and have the most work to do in consumer engagement."
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2019 The Changing Medicaid Pharmacy Carve-Out Landscape
What percent of our work is cross-functional?
What percent of our work involves direct interaction with people outside of our company?
What percent of our training is done in a cross-functional manner?
What percent of our training includes direct interaction with people outside of our company?
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2020 Digital Transformation: Beyond Telehealth, Beyond The EHR
Are we willing to accept that "e-learning" or social-learning or micro-learning or AI is not the next new big thing? If not - why not? If so - what is the next new big thing?
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2021 Texas Rebids Medicaid Managed Care Program For Foster Care Youth
How might we change the bidding process to assure performance outcomes? What would make it worth the effort to overcome the challenges?
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2022 State Of Emergency
How often can we request emergency response to our needs? How often are we asked to respond to the emergency needs of others?
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2023 The “Right” Merger Partner
What do your clients need to do - so that they will be successful with what you offer them - every time?
Are they prepared to do these things - every time?
Are you prepared to do these things for them - every time?
Who might be able to help? Why might you or your client not want the help?
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2024 Coping With The I/DD Funding Transition
What is more important - access to funding or the objectivity of the access?
Why does it matter?
Who determines if it matters?
Does the objectivity of the determination matter?
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