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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
The managed MediCal plan for my county and the one to the north is accused of something that might see like a bit of double taxation. If Blue Shield is correct, CenCal was being paid with taxpayer money to provide... 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
Vigyanix has released their list of top 10 healthcare influencers on Twitter and I'm really flattered to be included this year along with some great company --- @ShahidNShah @kevinmd @EricTopol @Ahier and others. Last year I made their list of... Continue reading
Posted Jun 1, 2016 at Christina's Considerations
My latest opportunity to read a book written by a physician takes me into an area of medical practice that I'm exploring and looking to find the truth. I've never been one to blindly follow; instead I prefer to question... Continue reading
Posted May 30, 2016 at Christina's Considerations
John Stossel was recently treated for cancer and he had a couple of observations about health IT and men needing to listen to their leading lady when they say "it is time to see a doctor." Last year I thought... Continue reading
Posted May 18, 2016 at Christina's Considerations
Before I share a story, I have to state, for conflict of interest reasons, that I've never smoked/inhaled anything. But, if I had chronic pain, I believe I would want to try cannabinoids before opiates or some of the other... Continue reading
Posted May 16, 2016 at Christina's Considerations
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.
Update: June 30, 2016 An article in the May/June issue of Patient Safety and Quality Health Magazine provides an example of the risks related to traditional sharps containers. Drug Diversion: Partially Filled Vials and Syringes in Sharps Containers Are Key... 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