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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
A local patient recently tested positive for Hepatitis C and during the Public Health Department's investigation , they determined that the physician's office did not use universal precautions during injections. The physician's identity has now been released and the big... Continue reading
Posted Apr 14, 2015 at Christina's Considerations
For the last couple of years, my disaster planning efforts have been focused on business continuity recovery planning. This is a resource all hospital risk managers, CFOs and disaster planners should have in their files. Thank you, Yale New Haven... Continue reading
Posted Mar 31, 2015 at Christina's Considerations
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Strategies for healthcare providers... where should we be headed... beyond the Baby Boomers? Yes, meeting the needs of the next generation - Millennials: 60% support the use of telehealth options 71% would like their doctor to use a mobile app... Continue reading
Posted Mar 9, 2015 at Christina's Considerations
My latest read One Doctor: Close Calls, Cold Cases, and the Mysteries of Medicine was written by an internist turned hospitalist, Dr. Brendan Reilly. He explores the reality and challenges of being a physician, caring for patients and the healthcare... Continue reading
Posted Feb 22, 2015 at Christina's Considerations
Both hops and marijuana are part of the cannabis family, and while it doesn't exactly fit into a " bartender's garden" the high in CBD/low THC varieties - well suited for medical needs - are of interest to the Thistle Springs Ranch growers. If successful, this bill would create a... Continue reading
Posted Feb 18, 2015 at Thistle Springs Ranch
Every year on this day, I think of my family and friends in my hometown of New Orleans. It is Mardi Gras Day - a fun time with family and friends and to share the culture with the young and... Continue reading
Posted Feb 17, 2015 at Christina's Considerations
Earlier this week, I met a couple of people from the National Association of County and City Health Officials and came across some of their infographics. I thought I'd share one here to promote the volunteer clinicians who make up... Continue reading
Posted Feb 14, 2015 at Christina's Considerations
This week I came home to New Orleans and attended the International Disaster Conference. One of the vendors I found is focused on something that should be a concern for every community - knowing where to find your at-risk populations... Continue reading
Posted Feb 11, 2015 at Christina's Considerations
Just before the holidays I read a short article about how Medicaid rate increases for primary-care services were not extended. This means the already low reimbursement rates will be lower this year -- 42.8% on average, but at least 50%... Continue reading
Posted Feb 3, 2015 at Christina's Considerations
As someone who has been around public health issues for many years, I'm pretty passionate about the importance of immunizations. Unfortunately, there is a subset of reactionary moms out there that are making ill-informed decisions to not immunize their children.... Continue reading
Posted Jan 28, 2015 at Christina's Considerations
Not long ago I came across a wonderful quote by Albert Camus from his book The Plague. I realized I had not yet read this classic, so I used the quote in a recent article, Clean Hands Saves Lives, and... Continue reading
Posted Jan 26, 2015 at Christina's Considerations
One of my Multibrief articles made the list of ATA Telemedicine News Brief's list of most accessed content articles. It was written in August 2014, so we can all expect that additional states now have Text 911. Since it was... Continue reading
Posted Jan 16, 2015 at Christina's Considerations
For the Record invited to share my thoughts on what lay ahead in 2015 for health IT and focused on consumer engagement tools given my activites and interests over the last few years... as a healthcare professional, patient and family... Continue reading
Posted Jan 12, 2015 at Christina's Considerations
For the health of our communities and our selves, lets all make a resolution to properly dispose of old electronics and to get up and move around to manage our waistline! Continue reading
Posted Jan 7, 2015 at Christina's Considerations
An Alliance for Connected Care study, released in December,estimates that virtual visits could save an average of $126 per visit. Researchers found on average, telehealth visits cost between $40 and $50; compared to an average estimated cost of $136 to... Continue reading
Posted Dec 29, 2014 at Christina's Considerations
Over the years I've supported young healthcare professionals with my ideas about the best jobs in healthcare. These usually arose as a result of the difficulty I found in finding qualified candidates for openings in my healthcare organizations. I'm always... Continue reading
Posted Dec 17, 2014 at Christina's Considerations
Growing up in New Orleans, I often drove past Hotel Dieu and thought it was a funny name for a hospital. I never really knew much about their patient population... until I read the book God's Hotel by Dr. Victoria... Continue reading
Posted Dec 11, 2014 at Christina's Considerations
A few years ago, I worked on a HIMSS team to develop a guide for evaluating HIE projects. Now AHRQ has released their Guide to Evaluating HIE Projects to help users assess the impact on health care. Evaluating where you... Continue reading
Posted Nov 30, 2014 at Christina's Considerations
Now there is a 2nd and 3rd video and claims that no one seems to know he was involved. Sad all over again!
It shouldn't be a secret that I'm not a fan of Obamacare. I've spent 35ish years working in and around healthcare delivery systems and I support leaders who work together to find common ground and shared interests. I expect my... Continue reading
Posted Nov 11, 2014 at Christina's Considerations
My latest article for Multibriefs addresses the risk of being unprepared for events like the current evolving situation with Ebola. Healthcare providers have a responsibility to be prepared and the government has a responsibility for supporting the planning process, including... Continue reading
Posted Nov 3, 2014 at Christina's Considerations
I haven't posted an infographic in a while and I like this one because it combines two of my favorite interest areas ... health IT and preparing for disasters (or in this case avoiding one). Continue reading
Posted Oct 27, 2014 at Christina's Considerations
Reviewing the works of medical authors has been an enjoyable change of pace for me. While it did take me while to finish this latest book, it wasn’t for a lack of interest. Instead, it was needing to fit reading... Continue reading
Posted Oct 21, 2014 at Christina's Considerations
The holidays will soon be here and there may be the need for a little something for a family member, hostess or perhaps a gift for your boss or co-workers. Finding just the right thing can be challenging. However, if... Continue reading
Posted Oct 15, 2014 at Christina's Considerations
I recently set up a patient and family advisory council to address safety and quality concerns from the patient/family perspective. Creating an organizational structure that would fit within the culture of the organization has certainly been the easy part. We... Continue reading
Posted Oct 13, 2014 at Christina's Considerations