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thielst
Santa Barbara, CA
A hospital administrator, consultant and writer with a passion for improving healthcare!
Interests: the patient experience; health information, telehealth, social media, and mobile technologies; health information exchange; the business, environment and quailty of healthcare; workplace health and wellness; children and families; Louisiana and my family.
Recent Activity
I like learning from other industries and nature. Not long ago I wrote about what leaders can learn from splitting logs and today I'll share what venomous snakes can teach us about patient safety. I like that they are continually... Continue reading
Posted Apr 4, 2016 at Christina's Considerations
Back when I was working on my masters at a school of public health, I had to fight to be able to take my courses on a part time basis instead of full time like everyone else. Why? If I... Continue reading
Posted Mar 19, 2016 at Christina's Considerations
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Depression is prevalent among individuals with diabetes and other chronic diseases; especially if there is sub-optimal self-management. A recent study explored the feasibility and potential impact of tele-behavioral therapy contributing to improve depressive symptoms and self-management among diabetes patients. Findings... Continue reading
Posted Mar 14, 2016 at Christina's Considerations
Tomorrow evening 60 Minutes will air an exclusive interview with the physician, Dr. Eric Walsh, who wrote the aid-in-dying prescription for 29 year old terminal brain cancer patient Brittany Maynard after she moved from her home in Alamo, Calif., to... Continue reading
Posted Mar 12, 2016 at Christina's Considerations
I wanted to be a hospital administrator when I was 17 years old, and that logically meant getting a Masters in Health Administration. Luckily for me, Tulane University had such a program right there in my hometown. Fast forward to... Continue reading
Posted Mar 5, 2016 at Christina's Considerations
Scripps Mercy Physician Partners invited me to present a webinar program to their members back in October on using social media in the physician practice. It was a great event that even lead one of the physicians in the audience... Continue reading
Posted Feb 15, 2016 at Christina's Considerations
Bloggers have become part of the routine when it comes to distribution of press releases and other contacts by public relations staff. Over the years I've increasingly gotten information which, if relevant and of interest, makes it into my blog.... Continue reading
Posted Feb 7, 2016 at Christina's Considerations
Some great comments have been left on this post at Healthworks Collectives http://www.healthworkscollective.com/thielst/329098/health-literacy-power-infographics-patient-safety This is also a great example of how blogs can be syndicated by other sites to share your posts to a broader audience.
As a safety officer and risk manager I'm familiar with the risks of sharps in healthcare settings, especially needles which are widely used to draw blood/fluids or administer medications. Nurses who were stuck placing a syringe into a nearly full... Continue reading
Posted Feb 1, 2016 at Christina's Considerations
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In 2008 The HELP Project of Bellevue Hospital released results of research on medication administration by caregivers of young children. The found that graphics instead of text heavy narratives resulted in improved compliance with instructions. They found that 47.8% of... Continue reading
Posted Jan 24, 2016 at Christina's Considerations
A couple of years ago while planning for my last book, I learned about how the Arizona DHHS was leveraging social media as they prepared to implement recently passed legislation for use of medical marijuana in the state. Things like... Continue reading
Posted Jan 20, 2016 at Christina's Considerations
Recent changes to screening mammography guidelines have been controversial and confusing. Cedars-Sinai Medical Center attempts to shed some light on the matter for patients with a new YouTube video. Continue reading
Posted Jan 11, 2016 at Christina's Considerations
Liberty Calhoun Hospital, a critical access hospital, in Blountstown, Florida will have some regulatory and legal liability challenges over the next several months. They accused a patient of faking her illness. Perhaps she was a frequent flyer, because of a... Continue reading
Posted Jan 9, 2016 at Christina's Considerations
I like infographics for educating patients and their family caregivers and this one is a great example. Check out my pins to see some of my other favorites. Continue reading
Posted Jan 4, 2016 at Christina's Considerations
Risk managers know of the importance of respectful and effective communication and its direct impact upon whether a patient will be dissatisfied and possibly file a lawsuit. Continue reading
Posted Dec 22, 2015 at Christina's Considerations
I've been noticing a lot of ER Residency Programs with Twitter accounts and have been following them. I may now understand why there are so many ER residency program accounts when compared to other specialties. The Council of Residency Directors... Continue reading
Posted Dec 19, 2015 at Christina's Considerations
This week's Modern Healthcare describes some differences in planning for mass casualties between the US and France. But, it also reminds us of the importance of being prepared and that includes periodically reviewing plans. When I was in the hospital,... Continue reading
Posted Nov 25, 2015 at Christina's Considerations
Well, this one isn't full of humor as ZDoggMD promised on his site. But, there is a humor that goes along with the tragedy of what we sometimes see in the hospital when people are kept alive for all of... Continue reading
Posted Nov 25, 2015 at Christina's Considerations
WORD Zubin of ZDoggMD.com ! Your words help me work through my feelings on this tragedy! I look forward to your music and humor someday soon! ZDoggMD.com Continue reading
Posted Nov 22, 2015 at Christina's Considerations
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A hospital was recently found not liable for Facebook group posts placed by two employees about a patient's diagnosis. It comes down to an ex-boyfriend talking the two hospital employees into posting a screen shot of his ex-girlfriend's medical record;... Continue reading
Posted Nov 14, 2015 at Christina's Considerations
An interesting infographic! Consolidation, especially in small and rural communities, has been hurting patients. It sounds like things will get worse for all seniors. Am I missing something? Check out other American Hospital Association infographics or my collection on Pinterest Continue reading
Posted Nov 4, 2015 at Christina's Considerations
The alternative? A $750,000 HIPAA settlement emphasizes the importance of risk analysis and device and media control policies. Cancer Care Group, a radiation oncology private physician practice, was in widespread non-compliance with the HIPAA Security Rule. It had not conducted an enterprise-wide risk analysis and did not have a written policy specific to the removal of hardware and electronic media containing ePHI into and out of its facilities, even though this was common practice within the organization. Cancer Care will now adopt a robust corrective action plan to correct deficiencies in its HIPAA compliance program. http://www.hhs.gov/news/press/2015pres/09/20150902a.html
For the last two years I've been writing articles for Multibriefs and the healthcare associations that distribute their content. It is part of the reason my blog isn't getting the attention it has in past years, but having my thoughts... Continue reading
Posted Oct 5, 2015 at Christina's Considerations
Tomorrow is the first day of my 2015 Annual Online Seminar for ACHE and the topic we will explore is a Digital Revolution: How Health IT can Improve Access, Quality, Safety and Efficiency. I've enjoyed guiding the participants through the... Continue reading
Posted Sep 29, 2015 at Christina's Considerations