Rebecca Love RN, MSN, FIEL

#Nurses and #doctors are noticing firsthand that anemia is growing faster globally than we ever thought. They truly represent a new culture of first responders in this critical area of healthcare. We hope that medical colleges, #hospitals, and nursing associations will support awareness of the vital roles these healthcare professionals play in serving the public's needs. These healthcare providers, along with many companies, also represent the foundation of potential cures for anemia worldwide. Consider this: The smallest amount of air blown into a balloon will automatically increase its size and visibility. The relationship between healthcare providers and anemia needs to be seen on a much larger, broader scale—just like that balloon. This also enhances the dignity and respect they’ve always deserved. We can't afford to let this balloon deflate, as doing so would set us back significantly. Our work focuses on building bridges that bring healthcare providers closer to understanding the patient. We’ve created a meaningful insignia for doctors and nurses that fosters trust and understanding from the very first examination. This is a new concept for #anemia, and we anticipate new partnerships and ideas that will expedite awareness even further. Until then, we deeply appreciate all collective efforts—together, we will defeat public enemy number one: Anemia. UChicago Medicine Englewood Hospital Cleveland Clinic Mayo Clinic Geisinger Johns Hopkins Medicine Loma Linda University Health Hackensack Meridian Health Penn Medicine, University of Pennsylvania Health System Mount Sinai Health System NewYork-Presbyterian Hospital MedStar Washington Hospital Center American Society of Hematology American Nurses Association American Academy of Anesthesiologist Assistants UCLA Health Yale New Haven Health Jefferson Health NYC Health + Hospitals

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Does healthcare have an unintentional culture of silence? Consider 1:1 team member rounds. It’s a lovely idea. But I question whether it ever really worked for healthcare organizations. I have seen many 1:1’s rescheduled to the point where a person may only meet with their leader a few times in the course of a year. But in the leaders' mind, they are still on track. Quarterly meetings are deemed acceptable by these models if you have a lot of team members. If a manager or director has 50-100 direct reports, as is often the case in large service lines such as #EmergencyDepartments, #surgery and #perioperative, #sterileprocessing departments, #CriticalCare, and #MedSurg units, front-line team members may lose out. Staff “engagement” surveys, on the other hand, don’t seem to fill the gap of unintended silence brought on by failed attempts to meet. Team members generally perceive engagement surveys as “satisfaction” measurement tools. Yet, individuals who’ve only been with a department for less than 6 months, who are travelers, or who don’t trust taking the survey may never even get a chance to express what they need from their work environment. Monthly staff meetings faded out of importance during COVID when many healthcare organizations stopped holding them. They have since struggled to rekindle these meetings. But in all honesty, meeting once a month, is woefully insufficient for communicating work environment needs. Lastly, shared governance meetings may seem like a great concept to get input from #nurses. Even if they open these meetings to all #HealthcareHeroes, a lot of departments struggle with taking team members away from their patient care assignments to attend a meeting, even just once a month. What about daily or shift huddles? Some High Reliable Organization (HRO) models ask for these huddles to be 10 minutes or less, to only be used for sharing safety information. So again, it is hardly the time for team members to share all they need. Yell'o™ is a new way for front-line healthcare team members to anonymously submit workplace issues and suggest solutions using their mobile phone... right at the moment they observe them...not a month later at some scheduled meeting…that may or may not happen. If it improves the lives of those caring for your patients, it improves your patient care. Let your team members tell you what they need to love their jobs again! Think of Yell'o™ this way. We are not arming teams with “pitchforks and torches”. Front-line teams only want a trusted way…their phone, to give them back their voice. Imagine encouraging your team to use their phone! 😉 😁 Yell'o™ is on a mission to create healthier, safer, & happier workplaces for all healthcare team members 🤝🌎🫶 Interested in being a Yell’o™ early adopter? Make an introductory appointment to learn more: https://lnkd.in/eSQ_JYar #HealthcareInnovation #Hospitals #psychologicalsafety

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It's Friday! 😎 Before we close out this week, a note: it's National #Infertility Awareness Week. "National Infertility Awareness Week® (NIAW) is always the last full week of April and was founded by RESOLVE: The National Infertility Association. Millions of Americans regardless of race, religion, sexuality or economic status face barriers in starting a family. Anyone can be challenged to have a family." https://lnkd.in/g9gK3qJH We are fighting for our patients to get all the infertility drugs we can at Mark Cuban Cost Plus Drug Company, PBC, as we know that many plans do not even cover infertility medications. That means many patients have to pay cash, 100% out of pocket. One drug for infertility is Clomid (CLOMIPHENE). We have the brand in stock at www.costplusdrugs.com: https://lnkd.in/gFMbzppT. While it is not the only drug used in infertility - it's a start. 😎 #pharmacy #prescriptiondrugs #IVF #fertility

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Published today: Addressing Systemic Complications of Acute Stroke, an American Heart Association scientific statement. http://spr.ly/6048tx2Fs 📷 Suggested framework for diagnostic investigations and management of poststroke fever.

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Thoughts from the trenches: Ensuring a smooth transition for clinicians into your organization is not just important - it's crucial for delivering the best possible care to your patients and their families. Here's why getting onboarding, orientation, and preceptorship right the first time is a game-changer: 1️⃣ **Quality Care:** Proper onboarding sets the stage for success by equipping clinicians with the knowledge and skills they need to provide top-notch care from day one. A thorough orientation and preceptorship program ensure that clinicians understand the unique needs of their patients and feel confident in their roles. 2️⃣ **Patient Satisfaction:** When clinicians are well-prepared and supported, patients receive better care and experience improved outcomes. A strong onboarding process helps clinicians build trust with patients and families, leading to higher satisfaction levels and a more positive care experience overall. 3️⃣ **Retention and Engagement:** Investing in onboarding, orientation, and preceptorship shows clinicians that your organization values their growth and development. This leads to higher job satisfaction, increased retention rates, and a more engaged workforce dedicated to providing compassionate care. 4️⃣ **Compliance and Safety:** Comprehensive onboarding ensures that clinicians understand and adhere to all relevant regulations and best practices, promoting a culture of safety and compliance within your organization. This not only protects patients but also safeguards your organization against potential risks and liabilities. Prioritize the success of your clinicians and the well-being of your patients by making onboarding, orientation, and preceptorship a priority right from the start. Want to effectively create a culture of excellence and compassion in your organization, do it right the first time. 💙 #ClinicianOnboarding #preceptorship #PatientCenteredCare #QualityMatters Share if you agree! 🚀✨

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🌟 Upcoming Live Webinar: Enhancing Dialysis Facility Preparedness 🌟 🗓️ Date: June 25 ⏰ Time: 2 PM ET Join me, Kristi Wells, RN from Greenfield Health System, for an essential webinar explicitly designed for nurse leaders in the dialysis industry. Here's why you should attend: 🔍 Insightful Learnings: Gain firsthand insights into state surveyors' crucial findings and perspectives. Understand what they look for during evaluations and how this impacts facility operations. 📈 Improve Facility Readiness: Learn about the latest trends and focus areas identified by surveyors. This knowledge will help enhance your facility's preparedness and compliance, ensuring you meet and exceed regulatory standards. 💡 Actionable Strategies: I'll share key strategies and best practices to prepare your facility for upcoming surveys, helping you avoid common pitfalls and enhance patient care. 🎓 Earn CE Credits: Earn 1.00 Continuing Education credit by attending this webinar and completing the required post-test and evaluation. This webinar is not just a learning opportunity—it's a chance to improve your facility's operations and patient outcomes directly. Stay ahead of the curve by understanding the latest surveyor expectations and industry standards! Register Here: https://lnkd.in/eBpmNXbw ✨ Don't miss out on this chance to elevate your professional practice and facility standards! ✨ #DialysisCare #NurseLeaders #HealthcareWebinar #DialysisPreparedness #StateSurveyors #ContinuingEducation #NursingEducation #DialysisNursing #HealthSystem #PatientCareExcellence

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Many individuals experiencing DGBI find themselves ensnared in repetitive cycles. Two prevalent patterns merit discussion: 1️⃣ Cycle of Medical Evaluation: Patients consult healthcare providers, undergo various tests, and are informed that no underlying condition is identified—leading to a frustrating cycle of repeat visits. This occurs when patient and provider approach DGBI from a dualistic standard, i.e, either medical or psychiatric. We can break this cycle by understanding these disorders as relating to dysregulation of the brain-gut axis. A p[ositive diagnosis is made using the Rome criteria, not by repeated tests to exclude other disease. 2️⃣ Cycle of Chronic Pain and Mental Health: Individuals suffering from chronic pain may experience associated depression and anxiety. Patient and provider need to understand that chronic pain can produce emotional distress which in turn lowers pain thresholds. It is not "cause and effedt" but a dysregulated control symptom that repeates the cycle. The positive aspect is that there are effective strategies to extend and potentially break these cycles. By addressing the underlying factors and fostering a comprehensive approach to both physical and mental health, we can facilitate enduring relief and improve overall well-being. To learn more, check out our video below: https://lnkd.in/eqqt4aWF #DGBI #PatientCare #Healthcare #Gastroenterology #ChronicPain

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Urgent care/ERs have become substitutes for the doctor's office because of workforce shortages, maddening system inefficiencies ("sorry but you will need a referral from your PCP for that service") and long appointment wait times. What are patients in pain supposed to do? Take chicken soup and fan themselves with a hat? Private equity and corporatized medicine are taking advantage of the systemic siloed, sick care system of systems that we have created as part of the medical/digital health industrial complex. https://lnkd.in/giUG65tU

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Reminder—t-minus 12.5 months until the start of TEAM! ⏰ If you are a mandated particiapant, there is plenty to do to prepare to succeed in the model, such as: 📊 Data analysis and to identify tangible risks and opportunities, 🧑‍⚕️Identifying high value community providers like outpatient rehab (in clinic and in home), home health, skilled nursing, and more, 🚶Establishing a true hospital mobility program, 💪🏻 Developing and growing the teams that will make or break your success, like social work, case management, nursing, and rehab therapy providers, 🤝 Learning how to collaborate effectively with ACOs and primary care providers to meet program requirements and optimize your collaboration (facilitated by a new overlap policy rewarding both program types and participants for improved outcomes), And so much more! Check out the HCTTF’s overview resource on TEAM below 👇🏻 #TEAM #hospitalmobility #physicaltherapy #occupationaltherapy

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Why It’s Time to Redefine the Patient Bill of Rights for #Dialysis Care The Centers for Medicare & Medicaid Services Patient Bill of Rights, while foundational, no longer reflects the realities and evolving needs of today’s dialysis communities. Patients, care partners, and providers face challenges that go beyond what current #CMS standards address. It's time for an upgrade. Dialysis is not just a medical procedure—it’s a way of life for millions. From financial transparency to access to cutting-edge technology, patients deserve more than what the CMS framework offers. That's why I’ve developed a reimagined Dialysis Patients Bill of Rights, a forward-thinking framework tailored for the modern world. 🛠️ What’s Outdated About CMS’s Current Standards? The CMS framework prioritizes basic compliance, but it neglects: 🌐 Technological advancements like telemedicine 💼 Financial equity for underserved patients 💔 Mental health and emotional support ⚡ Emergency readiness for home patients 🤝 Inclusive roles for care partners These gaps leave patients and care teams vulnerable in areas that matter most. 🎯 Why My Proposed Version is the Future of Dialysis Care Let’s embrace a more patient-centered, inclusive, and innovative vision for dialysis care. Here’s how my proposed Bill of Rights surpasses CMS’s outdated approach: ✨ Core Innovations 📊 Financial clarity & equity 🚀 Advanced treatment access 📱 Seamless virtual consultations 🧘 Holistic Care 🫂 Mental health focus ❤️‍🔥 Support for care partners 🌍 Cultural & linguistic inclusion ⚖️ Patient Empowerment 📝 Timely transplant referrals 👩‍⚕️ Shared decision-making 🔑 Personalized care plans 🏠 Home Dialysis Revolution 📦 Timely supply deliveries 🛠️ 24/7 technical support 🌐 Emergency preparation resources 🛡️ Proactive Measures ⚡ Emergency planning 🏥 Palliative care options 📡 Community advocacy This is not just about improving healthcare delivery—it’s about empowering dialysis patients to live with dignity, equity, and hope. 🌟 💬 Now, It’s Your Turn What do you think? Is it time for CMS to modernize the Patient Bill of Rights for dialysis care? How would you improve patient experiences in today’s complex healthcare landscape? Let’s spark a conversation. Share your thoughts below or message me to collaborate on shaping a future where every dialysis patient thrives. 💭 My email to CMS is attached (do not steal) #DialysisCare #HealthcareInnovation #PatientRights #Advocacy Chiquita Brooks-LaSure Jean Moody-Williams Meena Seshamani, MD, PhD John McClellan, MD Cheri Rice

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Treating patients with #DGBIs can be complicated and let's be honest, frustrating. However, there are steps providers can take to simplify and streamline the diagnosis and treatment process. Check out the video below for a great conversation on what excellent DGBI care looks like. #GastroHealth #GIHealth #Healthcare

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🔩 Q: What is a Bolt on healthcare benefit? ✅ A: Great question! Self-funded ERISA-governed plans may add on OPTIONAL services to provide more options for members and potentially save more time and money for both plans and members. We call these "bolt-on benefits" in the industry. Here are some examples, and even focused examples on #prescriptiondrugs and #pharmacy: 💊 -On site or near site clinics - that can provide quick appointments for members to get in to the doc or provider when their primary care providers are not available. At these clinics, members can obtain many drugs at these on site or near site clinics at a discount or even free to get them started and up to 100% of the drugs could be charged back to the plan. 💊 -Canadian drug importation programs - patients are allowed legally to personally import drugs with several stipulations (not biologicals, not controlled substances). I will reserve my personal opinions on these Canadian programs for now, but just know that they can be another option for members. 💊 -Cash pay on prescriptions and applying the cost to deductibles and OOPs - especially for the 1/3 of plans that are High Deductible Health Plans (HDHPs) - your plan, if you have a savvy consultant or broker, can set up a program to allow those with HDHPs to apply their receipts to their deductibles and out of pocket accumulators at the beginning of the plan year when patients have to pay out of pocket. You MUST ask your broker, however, if they can set up this option for your plan with the medical carrier, and show a clear pathway at open enrollment for members on where they may turn in their receipts to apply to their deductibles. 💉 Example: 1/1/25 is right around the corner and 70% of plans' accumulators will reset. With the Team Cuban Card, for example, people may pay cash of $748+ cash price with Yusimry, an adalimumab biosimilar, (https://lnkd.in/g5gJz_Mf) or they can purchase a more expensive option on their drug formulary. Why not take advantage of better cash pricing and rewarding the member for finding it and applying it to the deductible? 🛑 Now that the breach of fiduciary lawsuits have arrived, considering bolt on benefits is/are another critical component for plans to explore. If you offer your members options, you're demonstrating that one way your plan is meeting their fiduciary obligations. Maybe all these won't work for your plan.....but you miss 100% of the shots you never take. #pharmacybenefits #pharmacy

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“𝐓𝐫𝐲𝐢𝐧𝐠 𝐭𝐨 𝐧𝐚𝐯𝐢𝐠𝐚𝐭𝐞 𝐭𝐡𝐞 𝐰𝐚𝐭𝐞𝐫𝐬 𝐨𝐟 𝐭𝐫𝐞𝐚𝐜𝐡𝐞𝐫𝐲 𝐭𝐡𝐫𝐨𝐮𝐠𝐡 𝐭𝐡𝐞 𝐀𝐦𝐞𝐫𝐢𝐜𝐚𝐧 𝐡𝐞𝐚𝐥𝐭𝐡𝐜𝐚𝐫𝐞 𝐬𝐲𝐬𝐭𝐞𝐦” can feel isolating. – Stephen Burrows With permission from Claudia Cometa, PharmD, I’m sharing a short clip from an episode of 𝐻𝑒𝑎𝑟𝑡𝑠𝑡𝑜𝑟𝑚𝑖𝑛𝑔 𝐻𝑒𝑎𝑙𝑡ℎ𝑐𝑎𝑟𝑒 podcast. In "A Filmmaker and His Mom - Walking the Healthcare System Home," Stephen Burrows shares his deeply personal story of advocating for his mother after a preventable medical tragedy—captured in the must-watch documentary 𝐵𝑙𝑒𝑒𝑑 𝑂𝑢𝑡. This episode illuminates how accountability and transparency can lead to change. Stephen’s experiences remind us why it’s so important for healthcare institutions to prioritize ethics and integrity: “𝐖𝐞 𝐧𝐞𝐞𝐝 𝐩𝐞𝐨𝐩𝐥𝐞 𝐭𝐨 𝐦𝐚𝐤𝐞 𝐭𝐡𝐞 𝐝𝐢𝐟𝐟𝐢𝐜𝐮𝐥𝐭 𝐝𝐞𝐜𝐢𝐬𝐢𝐨𝐧𝐬 𝐛𝐞𝐜𝐚𝐮𝐬𝐞 𝐢𝐭'𝐬 𝐫𝐢𝐠𝐡𝐭—𝐣𝐮𝐬𝐭 𝐛𝐞𝐜𝐚𝐮𝐬𝐞 𝐢𝐭’𝐬 𝐫𝐢𝐠𝐡𝐭.” I urge you to listen to this episode and watch 𝐵𝑙𝑒𝑒𝑑 𝑂𝑢𝑡. The lessons learned go far beyond one story—they affect us all. “𝐖𝐡𝐚𝐭 𝐢𝐟 𝐢𝐭 𝐰𝐚𝐬 𝐲𝐨𝐮𝐫 𝐦𝐨𝐭𝐡𝐞𝐫? 𝐖𝐡𝐚𝐭 𝐢𝐟 𝐢𝐭 𝐰𝐚𝐬 𝐲𝐨𝐮𝐫 𝐝𝐚𝐮𝐠𝐡𝐭𝐞𝐫 𝐨𝐫 𝐰𝐢𝐟𝐞? 𝐖𝐡𝐚𝐭 𝐢𝐟 𝐢𝐭 𝐰𝐚𝐬 𝐲𝐨𝐮?”     Watch this short segment of their conversation here. In the comments below, find the link to the full episode and the 𝐵𝑙𝑒𝑒𝑑 𝑂𝑢𝑡 movie.      You can find other video shorts on the Healthcare Reinvention Collaborative YouTube channel. We celebrate and share the contributions of healthcare change agents.   Join the discussion and the growing community gathering to reinvent healthcare. Healthcare Reinvention Collaborative

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📌 Strong cross-team collaboration with shared purpose inspires greater collective contribution. ❓ Have you ever been to a working meeting with a diverse group of teammates in the room where you felt effortless team connection and flow? That was the feeling at our American Medical Group Association (AMGA) Colorectal Cancer (CRC) Screening Best Practices Learning Collaborative this week in Indianapolis. We came #together with shared purpose in learning the best practices across 20 health systems nationally to improve our screening and prevention of colon and rectal cancer in our communities. 📌 We were there to help each other. 🔷 It was easy to listen to other teammates share their ideas, their lessons learned, their missteps and mistakes, their successes to bring back new approaches to help our patients, communities, and care teams at home. 🔷 It was easy to share our Intermountain Health team’s ideas, lessons learned, missteps and mistakes, and successes to help the other health system teams in the room, their patients and communities, and their care teams at home. It was easy to learn. It felt effortless. I think we need more of this in #healthcare. #CrossTeamCollaboration #TeamFlow #WePreventCRCTogether

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🏥 Extending Hospital at Home: A Bipartisan Initiative 🏥 Senators Tom Carper (D-Del.) and Tim Scott (R-S.C.) have introduced the Hospital Inpatient Services Modernization Act of 2024. This pivotal legislation aims to extend the CMS Acute Hospital Care at Home waiver program for five additional years. Here's what this means: - **Continued Success**: The program has shown to reduce healthcare costs, improve patient outcomes, and alleviate hospital burdens. - **National Reach**: Currently active in 37 states, including Delaware and South Carolina, with the program set to expire on December 31, 2024. - **Home Care Benefits**: Enables Medicare beneficiaries to receive hospital-level care in the comfort of their own homes. - **Bipartisan Support**: This extension builds on prior successes and bipartisan efforts to innovate healthcare delivery. - **Healthcare Evolution**: ChristianaCare has successfully admitted over 1,000 patients, showcasing the effectiveness and patient satisfaction with home-based care. 🗨️ "Our efforts aim to revolutionize healthcare by allowing vulnerable Americans to receive high-quality care at home, reducing traditional hospital risks," said Senator Scott. Take a look a the bill here: https://lnkd.in/ge4CMpx8 #HospitalAtHome #HealthcareInnovation #BipartisanHealthcare #Medicare #HomeCare #PatientCare #HealthPolicy #ModernMedicine #SeniorCare #CMS 👩‍⚕️🏡 Let's support the future of healthcare, where home is where the healing happens!

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Many talk to #nurses, but we aim to truly reach out to them. Everyone can agree that caring for #patients on a minute-by-minute basis is mentally, physically, and emotionally draining. These aspects of a nurse's well-being are irreplaceable. Therefore, maintaining a constant flow of energy through healthy blood is crucial. Why is #anemia not widely addressed in nursing? Let's bring greater awareness to one of the most common challenges facing women in general? Being a nurse does not exempt one from the risk of anemia. In fact, it may make them more susceptible. If there is a stigma attached that it symbolizes weakness, we know that is unreasonable because many nurses are working while anemic. If anyone understands the need for awareness and education in #healthcare, it's our nurses. We will soon be launching an app that educates nurses on a topic they are well familiar with but also directs them to medical centers that prioritize and welcome Patient Blood Management #pbm. Some nurses may see the hospitals they support on the list, while others may not. Regardless, nurses always know what to do regarding their own wellness. It's time to patient blood manage your anemia. Please join many others at #ipatientpbm while we cover this important area in healthcare that needs awareness.

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