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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
Improving the health of any population requires management, policy and technology systems and processes. These can be complex and dynamic. Earlier this year, I read Population Health: Management, Policy & Technology and was drawn to the chapter of HIE governance.... Continue reading
Posted Jul 17, 2017 at Christina's Considerations
My blog has taken a new shift to focus in on the patient experience from the patient's perspective. Since I wrote an article on this for health professionals a couple of years ago, I thought this would be a great... Continue reading
Posted Jul 13, 2017 at Christina's Considerations
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Being outdoors has always been my primary form of stress relief and exercise. Focusing your attention on the needs of a plant, listening to a bird sing or watching a deer and fawn graze are excellent ways to take your... Continue reading
Posted Jul 2, 2017 at Christina's Considerations
A couple of years ago I was working on community-wide disaster preparedness and wrote an article after reading about the impact of a fire on the elderly and disabled. Little did I know I would experience my own functional limitations,... Continue reading
Posted Jun 21, 2017 at Christina's Considerations
As a young hospital administrator I attempted to be empathetic and compassionate when I was speaking with patients. But, I didn't always know how I was perceived. Then I came across the book, What Can I Say? - a guide... Continue reading
Posted Jun 17, 2017 at Christina's Considerations
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Individuals with grip weakness can have difficulty opening doors; and their caregivers can experience disruption and frustration when frequently asked for assistance. In addition, not being able to open door could be a safety issue when the individual is alone.... Continue reading
Posted Jun 12, 2017 at Christina's Considerations
Here is a little musical hospital humor; pre-ZdoggMD. Yes, it can be hard to wake up when the anesthesiologist is nearby. But, it is pretty easy when you are just trying to get some rest in your room! Continue reading
Posted Jun 11, 2017 at Christina's Considerations
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The reality is every gardener is aging. The large bubble of the Baby Boomer generation, who pride themselves on remaining active is no exception. Struck with the same conditions and diseases of those who have gone before, some find themselves unable or simply tired of gardening in the ground. Others... Continue reading
Posted Jun 10, 2017 at Thistle Springs Ranch
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Gardening has always been a peaceful and welcome diversion for me. It is also an important part of my personal exercise and activity plan. So, when one finds that gardening on the ground is no longer a realistic option due... Continue reading
Posted Jun 9, 2017 at Christina's Considerations
Eggserciser® is an ergonomically-shaped product that fits the contours of the hand and relies on resistance to improve strength, dexterity, mobility, motor skills, and circulation. It's designed to provide effective resistive therapy in a wide variety of exercises for the... Continue reading
Posted Jun 2, 2017 at Christina's Considerations
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Golden Barrel Cacti - A slow growing cylindrical cactus requiring little water or maintenance. Can grow almost three feet wide and four feet tall. Width Across Top: 10 inch = $40 12 inch = $50 16 inch = $75 Dracena Draco - An attractive succulent tree that is an excellent... Continue reading
Posted Jun 1, 2017 at Thistle Springs Ranch
Since 2005 I've been blogging here, on Christina's Considerations and more recently on Twitter @cthielst. I've purposefully kept it professional, only sharing a few personal stories for the purpose of improvement. I will continue to do so, but will get... Continue reading
Posted May 27, 2017 at Christina's Considerations
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