Angela DeRosa, DO, MBA, CPE

Proud of the excellent work by our Satyan Lakshminrusimha for his incisive look at funds flow from a chair’s perspective. His findings have helped to inform our own administration and others around the nation about what works and what doesn’t. Some context (and more details below in the journal article): UC Davis Health implemented an aligned funds flow model in July 2021 to create a mission-aligned model in which all departments had financial margins to optimize recruitment, retention, research, and teaching. Results: Total collections for departments increased by 4% in the first year, 0.2% in the second year, and 11.3% in the third year of funds flow. Total productivity increased by 4.9% during the first year, 3.6% during the second year, and 8.4% during the third year. 

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TIDBIT TUESDAY! Types of Medical Research By Shelene Giles, CEO FIG Education Evidence-Based Medicine • Clinical & scientific evidence • Clinical experience & expertise • Patient’s values, needs & choices Evidence-based medicine is the practice that relies on scientific evidence for guidance and decision making in the medical community. An evidence-based practice relies on the partnership of hard scientific evidence, clinical expertise, and the individual patients’ needs and choices. This results in the best patient outcomes. Evidence-based medicine integrates clinical experience and patient values with the best available research information. It is a movement that aims to increase the use of high-quality clinical research in clinical decision making. Evidence-based medicine requires new skills of the clinician, including efficient literature searching, and the application of formal rules of evidence in evaluating the clinical literature. The practice of evidence-based medicine is a process of lifelong, self-directed, problem-based learning in which caring for one’s own patients creates the need for clinically relevant information about the diagnosis, prognosis, therapy, and other clinical and health care issues. #nurse #ot #pt #Legalnurseconsultant #Casemanagement

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What is medical gaslighting? Join us on this session "Feeling Ignored by your Doctor?" by Dr. Marjorie Jenkins, MD MEdHP FACP to learn how to identify medical gaslighting as a woman and gain practical strategies to combat it. Empower your organization with the expertise of OM Health professionals. Visit omhealthhub.com today! #OMHealthHub #MedicalGaslighting #WomenEmpowerment #HealthcareAdvocacy #PatientAdvocacy #TakeChargeOfYourHealth

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I had the chance to speak with Joshua Parry, MD, MS, of DENVER HEALTH MEDICAL CENTER, about results presented at the Orthopaedic Trauma Association Annual Meeting that showed patients with stress-positive lateral compression type 1 pelvic ring injuries who had #fixation were more likely to ambulate without assists at last follow-up and have a lower mortality rate vs. those who did not have surgery. “Right now, the standard of care for these injuries is nonoperative treatment, but I do think some patients, similar to hip #fractures, warrant early fixation and mobilization and that may prevent mortality,” Parry said. Read the full article on Healio 👇

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Building strong physician referrals isn't just about waiting for patients to come to you—it's about actively increasing your visibility and effectively communicating with your peers. Try these steps and see how they help you get more referrals! More of this in my newsletter: https://pxl.to/AD/arbfg5e #drarianademers #Orthobiologics #Physicians

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A recent study highlights significant discrepancies between current nephrology practices and what is recommended, especially in kidney replacement therapy (KRT) education. Here are the key findings: - Awareness Level: 92.2% of patients with advanced CKD are aware of their kidney disease, but only 38.5% understand the severity. - Educational Gaps: Less than half (46.8%) received KRT-directed education, with only 21.1% attending comprehensive pre-kidney failure patient education (CoPE). - Nephrology Care Impact: Patients with nephrology care have significantly higher awareness and education rates. - Decision Making: Despite care, 73.8% of patients could not confidently choose a KRT modality; only 13% felt confident in selecting home KRT options. - Research Focus: Conducted within a regional Veteran Healthcare System, highlighting the need for broader educational strategies. - Call for Change: The study supports urgent provider and policy-level changes to ensure all patients with advanced CKD receive necessary education for informed decision-making. Read the article here: https://lnkd.in/gSv77X_K #CKDAwareness #Nephrology #KidneyHealth #PatientEducation #HealthcareGap #VeteranHealth #KRT #ChronicKidneyDisease #HealthcareReform #MedicalEducation Let’s bridge the gap in nephrology care and ensure all patients are fully informed and prepared for their treatment options! 💪🏽🧠

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I had the pleasure of joining Dian Griesel, Ph.D. on her incredible #podcast, and the episode is LIVE! I shared some of my story, insights, and wisdom that I hope you'll find inspiring and actionable. Tap the link below to listen in - and don't forget to share your thoughts! https://buff.ly/3MT8hUt

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Studies on GLP-1 medications like Ozempic and Wegovy continue to yield promising results beyond just weight loss and diabetes management. An article from the American Heart Association highlights new research findings presented at their 2024 Scientific Sessions showing that GLP-1 receptor agonists and SGLT2 inhibitors may lower the risk of heart attack, repeat strokes, and death in stroke survivors. More research is needed to fully understand the potential benefits of preventing further cardiovascular events, but this preliminary analysis of over 7,000 stroke survivors is a promising step forward in post-stroke care. Read more about this study here: https://lnkd.in/esNFv_ih #Health #Research #TherapeuticWellness

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We are finally getting some answers ladies!!!!! We now know insulin resistance develops due to decreased levels of estrogen in peri/postmenopausal women! Insulin resistance makes it harder to use sugars/ carbs as immediate energy and stores more as fat! For so many years women have been told to accept it, eat less, workout more, try this try that blah blah blah, or to just accept it. But we know central obesity leads to metabolic syndrome, cardiac and lipid disorders so how can we keep telling women to accept it! Well research is here and we do have medications to treat it of course lifestyle and diet changes help, but if you want a medication to kickstart your weight loss there are options! Metformins been around for years well tolerated, affordable, well studied, and now is being studied even further for not only its effects in menopausal weight loss but also longevity medicine. Metformin seems to have antinflammatory effects that are cardiovascularly beneficial! https://lnkd.in/gH5q7W_y

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Dr. Jeff Patton, MD and Dr. Debra Patt, MD PhD MBA recently sat down with OncLive to discuss some of the lesser known elements of the Inflation Reduction Act's second cycle of Medicare Drug Pricing Negotiations. The Community Oncology Alliance has recently raised these issues to Centers for Medicare & Medicaid Services' draft guidance. Dr. Patton: “Like most government programs, it’s complicated, way too complicated. Anything that’s complicated creates a burden on clinics to implement, so there’s going to be an execution burden on practices." "Implementing the policy and tracking whether the community clinic has received the MFP-based reimbursement now will be necessary with the prospective model," Dr. Patton noted. “The IRA implementation policies are complicated, burdensome, and financially unattractive for community practices." Click below to read the entire story. https://lnkd.in/eBddAF7a

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TOMORROW June 18th at 4:30pm, register to watch this FREE talk with Arizona Oncology's Dr. Rachel Swart and several other doctors discussing their own journeys with #BreastCancer on BreastCancer.org. They'll share insights and tips, how to prepare for and get the most out of every appointment, how to navigate getting a #SecondOpinion, and how you can feel more confident in shared decision-making with your doctor. #DoctorTalks #Oncology #HealthcareTalks #PatientEducation 📺https://lnkd.in/epJB6Bdd

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Uhhhh, if we simply used advanced primary care (DPC, On-site/near-site clinic, VPC) we would not need as many (PE backed) hospitalists staffing the Emergency Rooms. This should not be a difficult issue to resolve. #highperformance #healthcare https://lnkd.in/gkYkPQt8

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DIET FOR HYPERTENSION PATIENT The DASH (Dietary Approaches to Stop Hypertension) diet is an eating plan specifically designed to help prevent or reduce high blood pressure. It's also recognized for its overall health benefits, such as supporting heart health, managing weight, and reducing risks of other chronic diseases. Here are the key components of the DASH diet: 1. Focus on Nutrient-Rich Foods Fruits and Vegetables: 4-5 servings each per day. They provide fiber, potassium, magnesium, and antioxidants. Whole Grains: 6-8 servings per day. Includes options like whole-wheat bread, oats, brown rice, and quinoa. Lean Proteins: Includes poultry, fish, and plant-based proteins like beans, nuts, and seeds. Low-Fat Dairy: 2-3 servings per day to support calcium intake, which is beneficial for blood pressure. 2. Limit Unhealthy Fats and Cholesterol Choose healthy fats, such as those from olive oil, avocados, and nuts, in moderation. Avoid or limit saturated fats (found in fatty meats, full-fat dairy) and trans fats (found in processed and fried foods). 3. Reduce Sodium Intake The DASH diet encourages keeping sodium intake to less than 2,300 mg per day (about 1 teaspoon of salt) and ideally aiming for 1,500 mg per day if possible. Reduce processed foods and avoid adding extra salt to meals. 4. Limit Sugars and Red Meat Minimize added sugars and sugary beverages. Opt for fruits to satisfy sweet cravings. Limit red meat to once or twice a week, as it can be higher in saturated fats and cholesterol. 5. Control Portion Sizes The DASH diet emphasizes balanced portion sizes to help with calorie control, as managing weight can positively impact blood pressure. Benefits of the DASH Diet Blood Pressure Control: The diet’s emphasis on nutrient-dense foods and low sodium supports heart health and can reduce blood pressure. Weight Management: It’s balanced in nutrients and helps avoid empty calories, promoting a healthy weight. Reduced Risk of Chronic Diseases: The DASH diet supports a healthy heart and can help lower the risk of type 2 diabetes, heart disease, and certain cancers. Sample Meal Plan Breakfast: Oatmeal topped with berries and nuts, with a side of low-fat yogurt. Lunch: Salad with leafy greens, grilled chicken, various veggies, and a light olive oil dressing. Dinner: Grilled salmon with a side of quinoa and steamed broccoli. Snacks: Fresh fruit, raw veggies, or a handful of nuts. The DASH diet is flexible and adaptable, making it easier for many people to follow as a long-term healthy eating plan. #health #food #diet #cardio #mbbs #nursing #healthy #life #nutrition #balance diet #nutitionist

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PBMT stands for "Photobiomodulation Therapy," a non-invasive treatment that uses red or invisible near-infrared light energy to stimulate healing, reduce inflammation, and alleviate pain. It's a fascinating field that combines science and technology to improve overall well-being. 💡🔴 #PBMT #healthtech #innovation

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Not only are midwives being challenged by health care systems to practice to the full scope of their education and licensure, but even growing a workforce of midwives is now significantly diminished by UCSF School of Nursing mandate to move the historic masters graduate midwifery program to a DNP. Why? This article hit the San Francisco Chronicle today! I hope the readership and citizens of CA can understand significant barriers exist to not only practice midwifery, but now to become a midwife, particularly those from underrepresented groups. Once again we see the ramification of profit over purpose. There are NO published studies that demonstrate value for cost as an entry degree to practice in midwifery, or any other advanced practice provider role. I urge heightened pressure for this decision to be reversed and reinstate a historic and predominantly BIPOC faculty remain as educators. The dismantling of the midwfiery program is beyond reason and provides suspect to many inherent struggles within the SON. #Enough #GrowMidwives

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Satyan Lakshminrusimha-- thanks for the post and work you are doing in this area. Can all missions of an academic medical center align? ....In this era of diminishing cash flows as costs increase and traditional revenue streams decrease? Can clinical care, education, research, and healthcare administration/operations truly align for common missions and funds flow sustainability? You even highlight that this model may not be sustainable at UC Davis; "the implementation of funds flow had a negative fiscal effect on the academic medical center." Thoughts? #UsingWhatWeHaveBetter

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Adolescent diabetes care: the power of GLP-1 medications What I envision is for physicians to embrace a comprehensive approach to metabolic health, especially when treating adolescents. It is crucial to be open to all available treatments and to initiate conversations about GLP-1 receptor agonists. By doing so, we can begin to address insulin resistance and type 2 diabetes more effectively in this young population. Physicians need to expand their knowledge about these medications and consider their potential benefits. For instance, the TODAY2 study provides valuable insights into type 2 diabetes in adolescents and highlights the efficacy of these treatments. It’s important for us as medical professionals to stay informed and proactive, given that our training may not have covered these newer developments extensively. Furthermore, assessing your patients thoroughly is essential. Obtain their lab results and avoid assumptions that they will simply outgrow their conditions. Don't shy away from discussions about potential treatments out of fear of causing harm. Many teens are struggling significantly with metabolic health issues, and their parents often feel lost in how to support them. As physicians, we must take the lead in ordering labs, discussing insulin resistance, exploring medication options, and considering prescriptions when appropriate. Karla Lester, M.D., FAAP is a pediatrician, certified life and weight coach, and diplomate, American Board of Obesity Medicine. Link in bio or visit https://lnkd.in/eEgKJj_6 #TeenHealth #MetabolicHealth #GLP1Medications #InsulinResistance #AdolescentDiabetes #DiabetesCare #TODAY2Study #PhysicianTips #TeenDiabetes #HolisticHealth

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Kasey Wilson, MSW from Community Catalyst explains the perspective of Americans on access to oral healthcare. Stay tuned for more snippets from the AZOHC's "Building Bridges to Oral Health Equity" conference!

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Enjoyed joining Adam Conover on the Factually! podcast to discuss the health, economic, and cultural effects of the new GLP-1 drugs. Tune in below if interested!

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