Hospitals In Focus with Chip Kahn

Hospitals In Focus with Chip Kahn is a new podcast series from the Federation of American Hospitals. This podcast shines a light on everything hospitals; from the advancements in patient care to how a hospital benefits its community. FAH President and CEO, Chip Kahn explores with experts in the field topics like using big data to save lives and how hospitals prepare for disasters.

Follow Chip on Twitter at @ChipKahn.


COVID-19: A Year Later with Dr. Jonathan Perlin

It has been over a year since COVID-19 has disrupted life for Americans and everyone around the globe. We checked in with regular guest of the pod, Dr. Jonathan Perlin, to find out how HCA Healthcare has weathered the last year. The CMO and President of Clinical Services shared how HCA Healthcare is sharing the learnings from their millions of annual clinical interactions with others in a new consortium of private and public institutions to improve treatments, outcomes and patient care.

Check out Dr. Perlin’s previous appearances on Hospitals In Focus. Dr. Jon Perlin Discusses the Impact of Coronavirus on Hospitals and Dr. Jonathan Perlin Discusses How Patients Benefit from the Use of Big Data.

What the Nation Could Learn from ACA Health Coverage Expansion in California with Peter Lee

The ACA is starting a new era with President Biden at the helm of a new administration. We wanted to hear about what happens when a state not only fully embraces the ACA but keeps harmful regulations at bay that hurt marketplaces and patients. Chip is joined by the Executive Director of Covered California Peter Lee on the newest episode of Hospitals In Focus. The two discuss the basic tenets of the legislation, how and why California has been such a success at lowering its uninsured patient rate and what steps President Biden may take to encourage the hold out states to expand Medicaid.

Building Biden’s Health Agenda with Chris Jennings and Doug Badger

Two health policy experts joined Chip to discuss the new Biden administration’s approach to developing and implementing health policy. With COVID-19 raging across the country, Chris Jennings and Doug Badger touch on Biden’s first 100 days in office and how they expect Biden’s health teams to tackle the health and economic fallout from COVID in contrast to the Trump administration. Importantly, they touch on how the ACA can shore up health care coverage for uninsured Americans. Then they each provide an analysis on how the White House staff, regulatory agencies and Congress work together to achieve their goals. Chris provides the Democratic perspective while Doug responds with the Republican.

Chris Jennings has spent decades working in the White House, Congress and private sector. He spent time in both the Clinton and Obama White Houses as Senior Advisor to the President for Health Policy and helped pass, enact and implement the ACA, Children’s Health Insurance Program (CHIP) and numerous other health reforms. Most recently, President-elect Biden appointed Mr. Jennings to him on the Biden-Sanders Unity Task Force.

Doug Badger has been in public policy for many decades and has been a policy advisor to the White House, U.S. Senate, Department of HHS and the SSA. Doug worked in the Bush (43) administration and developed the administration’s proposal for adding prescription drug coverage to Medicare. Badger represented the White House in negotiations with Congress that resulted in the enactment of the Medicare Modernization Act. 

Interested in learning more about how health care coverage can affect a population’s access to care? Listen to Chip’s conversation Advancing Health Equity: Bridging Social Gaps in Health Care with Dr. Chidinma A. Ibe.

The ACA, Your Hospital, and the Supreme Court with Larry Levitt

The ACA is once again in front of the Supreme Court and a decision on its future will be likely handed down in June 2021. In the meantime, Larry Levitt joined Chip to discuss the ACA’s impact on hospitals and providers over the past decade. The EVP of Health Policy at the Kaiser Family Foundation shared his views on what we could expect from the Supreme Court and if the ACA is settled law once and for all.

Advancing Health Equity: Dispelling Health Care Myths with Dr. Thomas LaVeist

How are America’s health care providers building trust with Black patients after years of historic racism? With time, says Dr. Thomas LaVeist. The Dean of the Tulane School of Public Health and Tropical Medicine joined Chip to discuss dispelling health care myths around Covid-19, how we can ensure vaccines are fairly allocated, and what we can learn for the next health emergency. These things are all a part of Dr. LaVeist’s program The Skin You’re In. To learn more about The Skin You’re In, visit www.tsyi.org. Transcript. 

Advancing Health Equity: Bridging Social Gaps in Health Care with Dr. Chidinma A. Ibe

Community health workers play a vital role in helping end racial disparities in our health care system. They break down barriers by fostering better relationships between the community and their health care providers. Dr. Chidinma A. Ibe is the Assistant Professor of General Internal Medicine and Health, Behavior and Society at Johns Hopkins University School of Medicine. She joined Chip to discuss the growing importance of these workers and how we can better support them. Transcript.

Advancing Health Equity: Michael Crawford is Battling Chronic Disease with Data

In our online world having access to the internet is crucial for a healthy life. Michael Crawford is Howard University’s Associate Dean for Strategy, Outreach and Innovation and Founder of 1867 Health Innovations Project. He joined Chip to discuss how the Project is battling chronic diseases - like diabetes - with technology and data from sources such as remote monitoring. The two also examined how we can bridge the digital divide that keeps so many vulnerable populations from the care they need. Transcript.

Covering Health Care News in 2020 with Modern Healthcare Editor Aurora Aguilar

Reporters are more important than ever. The 24/7 news cycle around the Coronavirus pandemic, economic recession and racial inequality can be overwhelming for the public, but the same can be said for those covering the news. Editor of Modern Healthcare Aurora Aguilar joins Chip to discuss the challenges of reporting in the era of “fake news” and how journalism is changing to keep up with unprecedented times. Transcript.

Advancing Health Equity: Saving the Lives of Women and Mothers with Congresswoman Lauren Underwood

Women in the United States suffer the worst maternal mortality rates in the developed world. Congresswoman Lauren Underwood is trying to change that with her package of legislation appropriately titled the Momnibus. In this episode she discusses with Chip the social determinants of health that are leading to poor health outcomes for Black and minority mothers, how COVID-19 has advanced patient care approaches like telemedicine to benefit new mothers’ mental health, and how she collaborated with her colleagues across the aisle to find solutions. Transcript.

Advancing Health Equity: Understanding Social Determinants of Health with Dr. Georges Benjamin

America is reckoning with its public health on two fronts: COVID-19 and social determinants of health. Dr. Georges Benjamin is the Executive Director of the American Public Health Association and has spent his career working to achieve health equity for Americans. He joined Chip on our inaugural episode of our series Hospitals In Focus: Achieving Health Equity to discuss how COVID-19 has exposed and amplified issues in our health care system. Dr. Benjamin discusses the obstacles that many in communities of color and other vulnerable populations face when it comes to getting treatment - and what health care providers can do to mitigate some of their challenges. Transcript.

Past is Prologue - Author John M. Barry on How Crises of the Past Lead to Reform in the Future

The Great Influenza and Rising Tide author and historian John M. Barry knows a thing or two about disasters and society. The Tulane School of Public Health and Tropical Medicine professor joined Chip to discuss not just the ramifications of great crises on society and politics, but also how we get there. What are the policy decisions that make or in some cases break the public response? And what can we learn for future policy making by looking at decisions from the past? All is discussed on this episode of Hospitals In Focus. Transcript.

Lessons from Israel’s Reopening with Dr. Eyal Zimlichman

Initially, Israel had one of the lowest rates of COVID-19 infection in the world, but after the nation’s lockdown was lifted things changed drastically. Chip talks to Dr. Eyal Zimlichman of the Sheba Medical Center about how Israel contained the virus in the beginning and how it is coping with an increased outbreak now. From protecting the elderly to re-opening schools – Chip and Dr. Zimlichman talk about lessons learned and how they translate to the US. Transcript.

Public Health Expert Martin McKee Compares the Europe and US Response to COVID-19

Italy was the early epicenter of the COVID-19 pandemic, but the US is now facing the highest number of cases in the world. Professor Martin McKee of the London School of Hygiene and Tropical Medicine joined Chip to compare US and Europe’s response through the lens of a public health expert. They discussed the lessons to be learned from both responses, the potential vaccine light at the end of the tunnel and the implications of the US pulling out of the World Health Organization. Transcript.

Examining the Health Care Supply Chain with John Pritchard

The health care supply chain wraps around the entire world, so when the COVID-19 pandemic hit, people were worried. News articles about providing front line workers PPE and giving patients needed ventilators were everywhere. What did we learn from the initial onslaught? And how is the supply chain changing to meet the needs of the future? John Pritchard, President & CEO of Share Moving Media joined Chip to discuss all of this and more. Transcript.

New Reality: Keeping Hospitals in Communities after COVID-19 with Professor J.B. Silvers

Health finance expert J.B. Silvers joined Chip to discuss his recent nationally published op-ed in which he compared the situation hospitals and health systems are facing due to COVID-19 to that of banks during the 2008 financial crisis. JB, who is a professor of banking and finance at the Weatherhead School of Management at Case Western Reserve University, says the health care system may look much different after pandemic and he offers a look at what the new normal might be. Transcript.

The New Doctors Joining the Front Lines of COVID-19 with Dr. Alison Whelan

COVID-19 has changed graduate medical education, perhaps permanently. The option of early graduations at some medical schools has allowed new doctors to join in the fight to defeat COVID-19. Dr. Alison Whelan, the Chief Medical Education Officer at the Association of American Medical Colleges joins Chip to discuss how new and current residents are helping on the front lines, the changing training patterns of our country’s newest doctors and what it means to be starting your medical career during COVID-19. Transcript.

Restarting the Health Care System Amid COVID-19 with Dr. Frank Opelka

Right now the health care system is laser focused on defeating COVID-19 and as a result routine diagnostic and treatment patient care, sometimes referred to as elective, has been postponed. Postponing this care was the right choice at the beginning of the pandemic in order to ensure there was enough capacity in the system to care for COVID-19 patients. As the curve continues to flatten, we are slowly restarting the health care system and increasing capacity for patient care. Dr. Frank Opelka the Medical Director for the American College of Surgeons joins Chip to discuss exactly how we are doing it. Transcript.

Life on the Front Lines of COVID-19 with ER Dr. James Phillips

In this episode of Hospitals In Focus, we head to the front lines of COVID-19 fight with Dr. James Phillips. He is battling this pandemic daily in his roles as an emergency medicine physician at the George Washington University Hospital in Washington, D.C. and Assistant Professor of Emergency Medicine at the GW school of Medicine and Health Sciences. Chip talks with Dr. Phillips about how coronavirus is effecting the ER of a major city; how he, his colleagues, and the hospital are preparing for a surge of patients; plus - what you can do to stay healthy. Transcript.

Dr. Jon Perlin Discusses the Impact of Coronavirus on Hospitals

Returning guest Dr. Jon Perlin, CMO and President of Clinical Services at HCA Healthcare, joins Chip to discuss how the Coronavirus is impacting hospitals across the country. They take a deep dive into what makes the coronavirus different from previous epidemics, how hospitals are preparing for this unprecedented challenge and what Congress can do to support hospitals and protect patients. Transcript.

Getting back to Life: The Growing Demand for Post-Acute Care with Al Dobson

Thanks to advances in health care, people are living longer, healthier and happier lives than ever before. And that means patients are spending time recovering at post-acute care settings. In this episode, Chip speaks with Al Dobson, one of the foremost health economists and an expert in post-acute care. They took a deep dive into the different kinds of care settings including Inpatient Rehabilitation Facilities, Skilled Nursing Facilities, home health and long term acute care hospitals and what each of these mean for patients. Transcript.

Improving Care, Saving Lives with Artificial Intelligence with Dr. Jim Jirjis

How is AI being used in hospitals? Are robots doing surgery? Is my doctor still providing my care? Chip speaks with Dr. Jim Jirjis, Chief Health Information Officer at HCA Healthcare, to answers these questions and more! Hear Dr. Jirjis explain how the “nudge” provided by AI is helping providers save lives by making sure  patients are receiving the right care at the right time. Transcript.

Establishing a Culture of Quality Care with David Dill

Innovation in health care isn’t just high-tech, at LifePoint Health, it’s also “high-touch”. David Dill, President and CEO, spoke with Chip about how the company became a leader in high quality health care by establishing a culture of quality care in its hospitals. David discusses their new dyad leadership model which breaks down organization silos and enhances collaboration and coordination. Transcript.

Rescuing Rural Health Care with Alan Morgan 

People are drawn to rural America for different reasons. For some, it’s the slower pace of life, while others crave the sense of community; in some cases, people are drawn by the lower cost of living. But access to health care services for the 60 million who live in these areas is an ever-growing burden. Chip speaks with CEO of the National Rural Health Association Alan Morgan about how health care providers are doing more with less and what Congress can do to ensure rural Americans get access to the care they need. Transcript.

Improving the HCAHPS Survey and Demonstrating its Value with Bill McInturff

On this episode, Chip sits down with Bill McInturff to discuss the results of his demonstration he did with Micah Roberts that focused on recasting and improving the HCAHPS (the Hospital Consumer Assessment of Healthcare Providers and Systems) patient experience survey. The report, concluded that even though the HCAHPS is a well-designed, well-administered survey, it could be strengthened to add items important to patients. The demonstration also added an online delivery mode and found that it increases response rates. Transcript. 

Reexamining How We Measure Patient Experience

A patient’s health care experience at a hospital is considered one indicator of quality of care. Since 2008, those experiences have been captured and publicly reported at a national level via the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. However, it hasn’t been reviewed since its creation more than a decade ago. We were hearing anecdotally that response rates were falling and some of the questions weren’t as relevant as they used to be. So we joined with several other major hospital organizations to investigate. On the episode, Chip and Dr. Claudia Salzberg, FAH’s VP of Quality, discuss our just released study examining the HCAHPS survey from the perspective of Patient Experience Leaders. Transcript. 

Disrupting the Drug Market with Martin VanTrieste

Continued rising drug prices, as well as shortages for many critical medications, are impacting patient care and putting strains on hospital budgets and operations. That’s why hospitals and health systems have gathered to create Civica Rx, a not-for-profit generic drug company that is disrupting the pharmaceutical market. Chip spoke with Martin VanTrieste, Civica’s President & CEO about why and how the company was formed, the success it is enjoying so far, and if other drug companies will follow its lead. Transcript.

EPISODE UPDATE, Since our recording VIZIENT has announced it will collaborate with Civica to help reduce chronic drug shortages by providing insights into purchasing patterns and provider needs. Vizient will apply its expertise in analytics and data capabilities, helping Civica anticipate gaps in drug availability and affordability.

In response to Vizient’s commitment, Civica’s VanTrieste said, “The more people collaborating to solve the nation’s drug shortage problem the better…we applaud Vizient for prioritizing hospital patients by taking action to help them have timely access to the treatments they desperately need on a day-to-day basis.”

Shantanu Agrawal Discusses How the National Quality Forum Impacts Health Care

Shantanu Agrawal leads the National Quality Forum - one of the most important organizations that you’ve probably never heard of. NQF was originally created during the Clinton Administration as a tool to promote and ensure patient protections and health care quality through measurement and public reporting for Medicare. Today their work touches all patients using three tenets: improvement, accountability, and transparency. In this episode, Chip and Shantanu discuss why NQF was needed, the role it fills today, and how the organization is uniquely positioned to lead quality efforts for health care’s high-tech future. Transcript.

The Right Dose of Rehabilitation with Dr. Richard Senelick

You’ve been stabilized in the hospital after suffering a life altering medical condition, but now its time to start the path to getting back home – what’s next? When most people think of rehabilitation hospitals they probably imagine a place for a baseball player recovering from a sore elbow or a drug rehab center – somewhere they won’t ever have to go. But physical rehabilitation hospitals are a critical cog in the continuum of care as people recover from a major injury. In this episode, Dr. Richard Senelick of Encompass Health discusses what goes on at a rehabilitation hospital and why their motto is “help do rather than do for”. Transcript.

Celebrating Sister Carol Keehan – A Career in Health Care Based in Faith

For the past 14 years, Sister Carol Keehan has led one of the largest hospital groups in the nation – the Catholic Health Association (CHA). Sister Carol has met with the Pope and cut deals with the President of the United States. Her career spans more than 50 years - from working in a children’s hospital in Florida to CEO of the CHA. She has been a key leader in health care policy decisions. On the eve of her retirement, Chip and Sister Carol share stories about how the health care delivery system has changed over the years, the passage of the Affordable Care Act and the importance of universal coverage. Transcript.

The Importance of Health Care Interoperability with Ed Cantwell

While most other industries have made the transition from analog to digital, the US health care system has lagged behind. Ed Cantwell, the CEO of the Center for Medical Interoperability, talks to Chip about what his team is doing to drive plug-and-play interoperability among vital medical devices. Plus - they discuss the importance improving caregivers’ access to electronic health records, something that ultimately improves outcomes for patients and saves lives. Transcript.

Going Beyond the Four Hospital Walls – HCA Healthcare’s Sam Hazen Discusses Future of Patient Care

Patient care is changing. No longer do you need to be within the four walls of the hospital to receive high quality care from your doctor. From free standing emergency rooms to outpatient clinics - Your community hospital is bringing care to you. In this episode, Sam and Chip discuss how hospitals are extending their reach into neighborhoods and rapidly becoming much more dynamic places to receive care. It is all part of a growing effort to meet patient expectations of having the best care, close to home. Transcript.

Training a New Generation of America’s Doctors – How HCA Healthcare is Changing the Graduate Medical Education Landscape

HCA Healthcare is already the largest provider of graduate medical education in the country and it has plans to keep growing the program – doubling it in size in the next few years. Dr. Michael Cuffe, President of the Physician Services Group at HCA Healthcare, is in charge of training the next generation of doctors. Listen in as he and Chip talk about how they are preparing our physicians to treat patients with tomorrow’s medicine. Transcript.

David Vandewater Discusses How Partnerships are Improving Health Care for Americans

As the saying goes, there is strength in numbers. David Vandewater, President and CEO of Ardent Health Services explores how the company is forming partnerships with other hospitals and health systems to better serve patients. These partnerships are ensuring access to high quality health care for communities across the country. Listen in as he and Chip talk about how hospital partnerships are key to improving health care for patients and essential for bringing new doctors and jobs to communities. Transcript.

Ron Rittenmeyer Discusses How Hospitals are Changing the Continuum of Care

Right care, right time, right place – it’s something that Ron Rittenmeyer, Executive Chairman and CEO of Tenet Healthcare thinks about a lot. Hospitals are changing and patients have more options than ever on where they want to receive care. In this episode, Chip dives in with Ron on why Tenet Healthcare is focusing on the new ways they are able to deliver care to patients. Free standing emergency departments, outpatient departments, and urgent care centers are filling needs in communities coast to coast because like Ron says, not everything needs to be done at a hospital. Listen in to find out how hospitals are integrating these settings into the continuum of care for patients and raising the quality of care in the process. Transcript.

Bill Carpenter Discusses Advances, Challenges in Rural Health Care

While more than 90% of the United States is considered rural, only about 20% of our population calls it home. The people in rural America face unique challenges when accessing health care like extreme distances and, in certain areas, severe weather events. In this episode, LifePoint Health’s Chairman and CEO Bill Carpenter talks with Chip about the creative ways their hospitals are overcoming the obstacles. They discuss how LifePoint is achieving its core mission of keeping people healthy and providing high quality health care. Ultimately, as Bill says, all patients deserve the same level of care regardless of their zip code. Transcript.

This episode also coincides with the Federation of American Hospitals’ Rural Hospital Week. Please help us #StandUp4RuralHospitals and the people they serve by using our hashtag and sharing your story of care.

Mike Wargo Discusses How Hospitals are Preparing for Emergencies

From natural disasters to human tragedies, community hospitals have to be ready for anything and everything. Health care and hospitals especially have a role in every disaster that faces our country. In this episode, HCA Healthcare’s Mike Wargo, VP of Enterprise Preparedness and Emergency Operations sits with Chip in their brand new Emergency Operations Center in Nashville, TN.  They discuss how hospitals are preparing for everything from major weather events like Hurricane Michael to man-made disasters like electrical grid failures. After our original conversation with Mike in August, two major storms hit the US so we reached out to him again to talk about HCA Healthcare's response. Those stories of incredible cooperation are included in this episode. Transcript.

Take a look at HCA Healthcare’s Emergency Operations Center in action during Hurricane Florence: https://www.facebook.com/HCACare/videos/274748799807478/

For additional information on how HCA Healthcare responded to Hurricane Michael click here: https://hcatodayblog.com/2018/10/11/hurricane-michael-updates/

Dr. Jonathan Perlin Discusses How Patients Benefit from the Use of Big Data

Medicine, technology, and data science have merged in the 21st century. Using big data, hospitals and machines have come together to achieve better health outcomes for patients. In this episode, Chip talks with Dr. Jonathan Perlin, CMO and President of Clinical Services at HCA. They discuss how HCA’s size and scale is helping to collect, analyze and act on the wealth of information being collected in the hospital. Transcript.

Stuart Altman Discusses the Future of Hospitals

Rapidly changing technology and turbulent politics are having a big effect on the health care industry – especially hospitals. The type of care that patients receive and where it is administered is evolving. Health care financing and policies are also in constant flux. In part two of their discussion, Chip and Stuart Altman, a health care economist and professor at Brandeis University, look to the future of community hospitals. Transcript. 

Stuart Altman Discusses the Development of the Modern Hospital

Hospitals are centers of medical care, scientific discovery, education and employment in communities from coast to coast, but how did we get here. In this episode Chip will discuss the making of the modern hospital with health care economist and professor at Brandeis University Stuart Altman. They talk about everything from breakthroughs in care to major changes in health care financing and how each of these developments helped create the community hospital we know today. Transcript.