Summer 2023 | Volume 12 | Number 3 | |
The Rise of Virtual Physical Therapy (PT) Services
The Importance of a Multidisciplinary Approach to MSK Care
Beyond Sensors: The Power of Well-Rounded and Thoughful Care Delivery
The Interconnection of Behavioral Health and MSK Care
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Welcome to our new Board President, Katherine Clark, MD'15, WG’15, and to the newest WHCMAA Board Members – Vivien Ho, WG'21, Ron Kero, WG'86, Leticia Lazaridis Goldberg, WG'10, Hannah Plon, WG'22, Charlie Robinson, WG'15, and Kathryn Tong, WG'07. We all look forward to your sustaining the legacy of the Association, which has the largest paid membership of any club at the University.
Hope all are surviving the hottest month on record across the globe - floods, fires, smoke, earthquakes, volcanic eruptions, and typhoons! And now it seems COVID-19 is reminding us we need to remain vigilant, with COVID-related ER visits and hospitalizations on the rise again and long COVID impacting millions as a “mass disabling event.”
The aftermath means disruptions and suffering worldwide and may be in addition to other life challenges like the loss of a loved one, life-threatening health issues, an elderly parent with dementia, loss of a job, and adjusting to parenthood, retirement, or an empty nest. We are forced to think about the future in very personal ways that can be uncomfortable and also make facing our own mortality more difficult to ignore.
Many of us have yet to adequately prepare for the end of life or taken advantage of the positive impact spirituality can have on our general health and well-being.
But you can heed these wake-up calls with the help of the Wharton Healthcare Quarterly! Survey feedback has consistently told us over the years, readers particularly like the eclectic nature of the content of the publication. In addition to the business arena, you’ll find information about another type of ROI in this issue.
Health and healthcare are very unique experiences that impact every aspect of our lives at one point or another. Take a few minutes to learn a lot about some topics it’s common for us to keep putting off or not even think about in the first place.
Z. Colette Edwards, WG’84, MD’85
Managing Editor
Contact Colette at: colette@accessinsightmd.com
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Contributor: Katherine Clark, MD'15, WG’15
It is my honor to take the helm of this outstanding alumni association. In my first days on campus as a student, I heard a passing comment regarding the strength of relationships that often develop during the program, and although it may be cliché, it certainly held true for me. To this day, some of my dearest friends are those classmates I met through the Wharton HCM program. To that fact, I consider Heather Aspras, WG’08 a great mentor and friend. I’ve known her since my time as a student, and I feel lucky to follow in her footsteps on the WHCMAA board. Read more.
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This eclectic standing column features insightful musings, words of wisdom, life lessons, and stepping-stones to business success. This month's philosopher is Katherine Clark, MD’15, WG'15, Assistant Professor of Medicine, specializing in both Advanced Heart Failure and Transplant Cardiology and Advanced Echocardiography at the Yale School of Medicine and Yale New Haven Health System. Read more. | | | |
Affidavit: Healthcare and the Law - As Home- and Community-Based Care Expands, Agencies Focused on M&A and Staffing Challenges Also Face Heightened Labor & Employment Enforcement Environment |
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Contributors: Zev L. Grumet-Morris and Christopher D. Durham
As the U.S. population ages, the demand for home-based care continues to surge. At a macro level, this has resulted in significant merger and acquisition (M&A) activity, including insurance companies and pharmacies entering the home-based care space as well as continued deals, many involving private equity, among established players in home-based care (notwithstanding a recent slowdown from the red-hot M&A market during the COVID-19 pandemic). The growing importance of home-based care as a key component of the healthcare industry shows no signs of abating – and with it comes legal scrutiny. Read more.
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Downloading Success: The Development of the Chief AI Officer in Healthcare | |
Contributor: Zachary Durst
In the past five years or more, we have seen the rise of artificial intelligence and machine learning in healthcare. Currently, however, uses of AI and ML are decentralized and mostly ad hoc, with some projects overseen by the CIO and digital leaders, others by the chief data officer, and still others by research and biomedical informatics leaders. The key moving forward will be integration and strategic alignment of these disparate projects, which will require the creation of a dedicated executive position – the Chief AI Officer. Read more.
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CyberVitals: FDA Issues a Refuse to Accept for Cyber Devices | |
Contributor: Vidya Murthy, WEMBA’42
While recent technology advancements ranging from machine learning to ChatGPT show promise for revolutionizing clinical care delivery, they also enable attackers to rapidly develop new mechanisms for exploiting cybersecurity vulnerabilities. Starting October 1, 2023, the FDA will begin to reject submissions that don’t detail cyber-security measures. While cybersecurity guidance has existed since 2014, the Refuse to Accept (RTA) gives medical device manufacturers (MDMs) 6 months to prepare and implement security measures that will meet the FDA’s expectations. In particular, the guidance requires MDMs to submit a plan to monitor, identify, and address post-market cybersecurity risks, including vulnerability disclosure and related procedures. Read more.
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Mind the Gap: Putting Health Equity into Action | |
Contributor: Charlotte Owens, MD
Efforts to address societal issues are often initiated after major events, such as the emergence of the COVID-19 pandemic in 2020. Yet, after the inspirational moment begins to fade, so do plans for truly transformational change. More often than not, short-term programs don’t move the needle, highlighting the importance of creating long-term, sustainable solutions.
In January of 2023, the World Economic Forum (WEF) held its annual meeting in Davos, where it convened global leaders from various sectors to discuss the state of the world and priorities for the year ahead. The world’s first global, multi-sector health equity pledge also took place there. As a member of WEF’s Global Health Equity Network representing Takeda, I was proud that our company was among the first of 39 companies to sign the Zero Health Gaps Pledge. We agreed to ten key action commitments to embed health equity in our organization’s business strategy, operations, and investments. Read more.
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Escaping the Bad Hire – Why Assessment Tools Have Gone Mainstream | |
Contributor: Rich Shanfeld
To ensure the best possible fit for their team, healthcare organizations are increasingly turning to candidate assessment tools to assist and confirm their thinking around work style, cultural fit, and a variety of other factors. If you haven’t yet experienced this, either from the candidate seat or as a hiring manager, then it’s probably time to get educated about these new ways to evaluate potential candidates. Read more.
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The Dollars and Sense of Making Diet Quality a Vital Sign
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Contributors: Leanne Mauriello, PhD, Rachna Govani & David Katz, MD, MPH, FACPM, FACLM
The transition to value-based care requires tools and tactics to tackle disease prevention and health promotion efficiently in clinical encounters. But we have yet to implement a more upstream diagnostic that facilitates chronic disease prevention and mitigation as a standard of practice. To deliver on the promise of value-based care, it is imperative that we do so.
Objectively measured diet quality is the single leading predictor of chronic disease and premature death in much of the modern world. We all know that how we eat affects our health, but how can a clinician get a pulse-check in a standardized, low-friction way that generates a longitudinally tracked discrete variable like blood pressure or BMI? Read more.
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From Transaction to Transition: Part 2 - Strengthening Organizational Effectiveness and Readiness Through Leadership Transitions
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Contributors: Jennifer L. Tomasik, SM, FACHE and Chris Hugill, MBA
In the Spring edition of the Wharton Healthcare Quarterly, we introduced an approach to taking a strategic view of healthcare leadership transitions. In this next installment in the series, we will explore issues related to organizational effectiveness, and how healthcare entities can capitalize on leadership transitions to advance how work gets done effectively. Read more.
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Recovering and Thriving Post-Pandemic - Part 8: Dealing Successfully in Today's Evolving Payer Environment | |
Contributors: Wren Keber and Lisa Soroka
The payer landscape has become increasingly difficult to navigate, especially during a time when healthcare providers need to maximize revenue capture potential for financial stabilization post-COVID. This article offers our perspective on current landscape, along with tactics to help diffuse and manage tensions, navigate the maze of competing priorities/imperatives, and reach mutually agreeable outcomes supporting providers. Read more.
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Leveraging a Science and Evidence-Based Leadership Framework - Part 2 | Photo courtesy of Unsplash/Dulcey Lima | |
Contributor: Linda Roszak Burton, ACC, BBC, BS
In the April issue of the WHQ, we introduced our Foundations of Grateful Leadership framework - a strengths-based framework supported by research and evidence-based practices in gratitude, positive psychology, neuroscience, and positive organizational behavior (POB). In Part 2, we further examine POS (Positive Organizational Behaviors) and strategies that incorporate the previously discussed topics. Read more.
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Why Healthcare Providers Need to Take a Proactive Approach to End-of-Life Planning and How to Get Started | |
Contributor: Liz Eddy Scully
Most adults recognize the need for an end-of-life plan, but few have created one. In fact, 6 in 10 U.S. adults have no plans in place for their end-of-life. Further, research has shown planning improves quality of care, patient outcomes, and the bottom line for the healthcare system, yet most people aren’t asked to do them by their health-care providers until they’ve reached end-of-life, if at all.
Most healthcare providers want to support their patients in end-of-life planning and facing mortality. So, why is the topic of end-of-life so rarely discussed in the healthcare setting? And when it is discussed, why is it often in the last moments of life when it’s too late to make a legally sound plan? Read more.
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Taking a Personalized Approach to Spirituality in Healthcare | |
Contributor: Stephanie Ludwig, PhD, M Div
In 2022 a team of researchers conducted a systematic review of evidence concerning spirituality in serious illness. Their top three recommendations with implications for healthcare are: (1) provide patient-centered spiritual care for seriously ill patients, (2) educate interdisciplinary care teams of seriously ill patients on spiritual care, and (3) include specialized spiritual care practitioners in the care of seriously ill patients. Read more.
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Wharton Around the Globe: Wharton Global Health Volunteers (WGHV) Partners with Somo to Increase Community Investment in Food and Hygiene Production
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Contributor: Oscar Leandro, WG'23, G'23
Wharton Global Health Volunteers, a student-run club that provides pro bono consulting services for opportunity-rich health and healthcare organizations, partnered with Somo Africa as one of its projects in Fall 2022. The goal of the project was to develop a partnership model to help Somo scale its acceleration model for entrepreneurs in Kenya and Tanzania. Read more.
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Disclaimer: The opinions expressed within are those of the authors and editors of the articles and do not necessarily reflect the views, opinions, positions or strategies of the Wharton School and/or the University of Pennsylvania, and/or their respective organizations. Publication in this e-magazine should not be considered an endorsement. The Wharton Healthcare Quarterly and WHCMAA make no representations as to accuracy, completeness, currentness, suitability, or validity of any information in this e-magazine and will not be liable for any errors, omissions, or delays in this information or any losses, injuries, or damages arising from its display or use.
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