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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
As a healthcare administrator, I manage risk. So, as I look at new "medications" using cannabinoids, I of course wonder about testing and how providers and patients will know the medication is safe. My latest guest post answers the question... Continue reading
Posted May 10, 2017 at Christina's Considerations
Imagine being released from the hospital with a confusing diagnosis, stacks of papers to read and more questions than answers about what to do next. The "REALM-TeenS" tool can quickly assess how well teens understand health information. That is the... Continue reading
Posted May 3, 2017 at Christina's Considerations
Guest Post from Dr. Karen Trollope-Kumar Sometimes my work as a family doctor the days don’t always go as expected. On a busy day, I feel like I’ll never catch up, and it’s frustrating that I can’t give adequate time... Continue reading
Posted Apr 24, 2017 at Christina's Considerations
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In 2016, I wrote two articles, for two different outlets, about research on the impact of state marijuana legislation on Medicare beneficiary prescription medication use. Of course I wondered what the results would be for the Medicaid beneficiary population and... Continue reading
Posted Apr 20, 2017 at Christina's Considerations
My Health Services Organization Course for Concordia University includes readings and an activity related to healthcare in other countries. I'm one of those people who doesn't always believe the grass is greener on the other side ... of the pond.... Continue reading
Posted Jan 9, 2017 at Christina's Considerations
I'm preparing for my next Health Informatics course and added a new video highlighting the use of sensors and wireless devices for both consumer and clinician users. I had not shared this on my blog previously, but it is worthy... Continue reading
Posted Jan 7, 2017 at Christina's Considerations
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Dr. Howard Adkins has written The Dash of Doctor Todd; a book that gives us a peek into the practice of medicine in pioneering environments of the Wild West. It makes one reflect on the struggles, austere environments and just... Continue reading
Posted Dec 29, 2016 at Christina's Considerations
A Health Affairs survey reveals how well eleven countries are meeting the needs of their population. Adult respondents from Australia, Canada, France, Grmany the Netherlands, New Zealand, Norway, Sweden, Switzerland, the United Kingdom and the United States participated; answering questions... Continue reading
Posted Nov 16, 2016 at Christina's Considerations
So, I just learned my daughter's trip to her dentist, for the last 15 years, will not be reimbursed and we will foot the entire $215 bill. I have my annual visit coming up and it seems I'll have to... Continue reading
Posted Oct 26, 2016 at Christina's Considerations
The Aw Phooey! episode of the Jetsons demonstrates how virtual visits or telehealth technologies might interfere with attempts to play hookie from school. Parents, on the other hand, would find value in not having to interrupt their day for a... Continue reading
Posted Oct 24, 2016 at Christina's Considerations
I've led both behavioral health and general hospitals and over the years have worked on issues involving both. We finally are seeing some movement with integration of behavioral health in medical services, especially among Patient Centered Medical Homes (PCMH). But,... Continue reading
Posted Oct 15, 2016 at Christina's Considerations
According to the Centers for Disease Control and Prevention (CDC), only 42 percent of US adults ages 18 and older received the flu vaccine in the 2015–16 flu season. This is just one example of US adults’ not receiving vaccinations... Continue reading
Posted Oct 12, 2016 at Christina's Considerations
Another great video on compassion and empathy in healthcare from Cleveland Clinic; with a bit of a surprise at the end. Continue reading
Posted Oct 11, 2016 at Christina's Considerations
WalletHub recently released some interesting data on uninsured rates. With the national uninsured rate at a record low of 8.6 percent and the topic of health-care reform likely to be argued in the upcoming presidential debates, the analysis of 2016's... Continue reading
Posted Oct 4, 2016 at Christina's Considerations
The Santa Barbara Chamber of Commerce is hosting a business expo today and they plan to shine a light on social media. I've been active on social sites since 2005 and sharing what I've learned with others in books, articles... Continue reading
Posted Sep 23, 2016 at Christina's Considerations
A new study by Psychtests.com comparing satisfied with dissatisfied employees reveals that the latter group is more likely to condone dishonest behavior at work. Some disgruntled employees will vent their frustrations by telling the social media world exactly how they... Continue reading
Posted Aug 30, 2016 at Christina's Considerations
Dr. Drew Pinsky and a few other doctors have voiced their concerns about what they see with their clinically trained eyes. They have asked questions and prompted reflection aimed at ensuring that the next President has been fully vetted. In... Continue reading
Posted Aug 26, 2016 at Christina's Considerations
I'm most familiar with clinical social workers, but there are so many more types of these roles supporting people who need some guidance. Hopefully, some readers will find value in this guest post. Sometimes it seems that social work is... Continue reading
Posted Aug 23, 2016 at Christina's Considerations
In medicine and healthcare, we administrators are concerned about the safety of our patients and employees. One of the areas that we monitor closely is the health and wellness of our clinical professionals - doctors, nurses, pharmacists, etc. When it... Continue reading
Posted Aug 19, 2016 at Christina's Considerations
Over the years I've posted on workplace effectiveness issues. The cloud and mobile devices are making it easy to stay connected. However, how does all of this digital access impact work and personal life? Some new research on workers is... Continue reading
Posted Jul 29, 2016 at Christina's Considerations
Update: The Independent ran the story and it includes a quote from the Bob Freeman who stated "...nothing in state law or health-care regulations barred CenCal from this practice." It makes me wonder... just because something isn't barred by law... Continue reading
Posted Jul 18, 2016 at Christina's Considerations
Note: I'm happy to have a guest blogger, Dr. Gianoli, who specializes in neuro-otology and skull base surgery and is also a professor at Tulane University School of Medicine. Please consider his perspective and leave a comment with your own.... Continue reading
Posted Jul 12, 2016 at Christina's Considerations
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I almost freaked out thinking I had lost a graphic that I use in my work with health informatics, as well as, performance and process improvement. Just to make sure I don't electronically mis-place it again, I'm adding it to... Continue reading
Posted Jun 20, 2016 at Christina's Considerations
According to the National Hospice and Palliative Care Organization, 15% of patients in Hospice are now between 35 and 64. Hospice care is not something people like to talk about, but also don’t want to have to deal with until... Continue reading
Posted Jun 11, 2016 at Christina's Considerations
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Health literacy is an issue for many Americans, in part because healthcare has its own language. Hospitals and Health Networks Magazine has a great graphic in their May issue based upon a survey of Texans. So I thought I'd jump... Continue reading
Posted Jun 8, 2016 at Christina's Considerations