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Magazine Healthcare’s Greatest Generation

Fall 2023

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THE GREATEST GENERATION LIVES ON TODAY IN HEALTHCARE Streets lay deserted, businesses and schools shuttered, and social gatherings, weddings, and holiday festivities postponed indefinitely. A pervasive fear seized our nation, and the COVID-19 pandemic permeated the very atmosphere we breathed. Loved ones were dying daily, and as hard as we tried, we couldn’t look away from the news. This elusive adversary left us as a nation grasping for solutions, and healthcare found itself pushed to the precipice once again. History, however, taught us that as a people we have the capability of greatness. During World War II, our troops were engaged in a battle against a known enemy. In contrast, the COVID-19 pandemic introduced an invisible adversary that healthcare workers couldn't see but tirelessly struggled to combat. As Franklin D. Roosevelt ardently stated, “Let the strong help the weak to survive.” They displayed staunch dedication, never wavering in their commitment. These healthcare heroes made significant sacrifices to ensure the nation's care and protection from this unseen threat. World War II witnessed the magnitude of a global conflict previously unprecedented, while the COVID-19 pandemic also unfolded its assault on a global scale with extensive ramifications, including loss of life and societal upheaval. The term "the Greatest Generation" coined by Tom Brokaw is commonly used to refer to those individuals who grew up during the Great Depression and went on to serve in World War II. They are celebrated for their resilience, sacrifices, and commitment to a greater cause. While drawing direct comparisons between generations can be complex, there are some striking parallels between the values and qualities exhibited by the Greatest Generation and the modern pandemic healthcare professional. The indomitable spirit of the Greatest Generation and the unwavering dedication of healthcare workers during the pandemic can only be described by Winston Churchill's poignant words: "I have nothing to offer but blood, toil, tears, and sweat." The Greatest Generation heeded the call to serve their nation in a time of worldwide turmoil, while healthcare workers bravely answered the call to provide care during a devastating healthcare crisis. They bravely jeopardized not just their own well-being but also the well-being of their loved ones to care for the sick and preserve lives.

During the first year of the pandemic alone, 1,140 nurses died. More nurses than any other segment of healthcare workers that died during the COVID-19 pandemic. The mask-etched bruised faces of embattled nurses still haunt us today. While the nature of their service is different, both groups played a crucial role in defending and preserving fundamental freedoms. The Greatest Generation defended freedoms during a time of war, while healthcare workers defended the right to life and health by combating the spread of a deadly virus. As an unknown nurse in Columbus OH distressingly expressed, “We here, at the hospital, are no longer the frontlines. We’re the last line of defense.” Winston Churchill proclaimed, “If you’re going through hell keep going.” Both groups did just that and displayed resilience and tenacity in the face of adversity. Through it all and even today nurses, physicians and other clinicians continue to join the greatest generation of healthcare professionals. As of January 1, 2023, the World Health Organization reports over 1 million individuals had succumbed to COVID-19 in the United States. The highest death rates were amongst our most vulnerable those aged ≥85 years. Tragically, those members of the original Greatest Generation, adding a poignant layer of irony to an already heart-wrenching reality. While the challenges faced by the Greatest Generation and modern post-pandemic healthcare professionals are distinct, both groups share core values such as dedication to service, adaptability, resilience, sacrifice, commitment to community, and a strong work ethic. These qualities underscore the enduring spirit of individuals who rise to the occasion in times of crisis, demonstrating that the legacy of the Greatest Generation lives on in the modern healthcare professionals who continue to make a difference in the world. PX Space and MDM Healthcare are honored to lift up the inspiring voices of our dedicated health professionals!

Linda Robinson

EMPOWERING BREAST CANCER AWARENESS October is Breast Cancer Awareness Month, a time when we come together to raise awareness about a disease that affects millions of lives. In the United States, there are over 3.8 million breast cancer survivors, but the harsh reality is that one in eight women will be diagnosed with breast cancer in their lifetime. To shed light on this critical issue, we had the privilege of sitting down with two inspiring individuals who are making a difference in the fight against breast cancer: Dr. Alexa Elder, a specialist in breast surgical oncology, and Cathy "Chick" Halloran, a breast cancer survivor turned activist. Navigating Breast Cancer Diagnosis and Treatment Dr. Alexa Elder, a distinguished member of the Society of Surgical Oncology and the

"They are great patients, very motivated to take on this challenge.” -Dr. Alexa Elder, Surgical Oncologist

American Society of Breast Surgeons, practices at the Lieselotte Tansey Breast Center at Ochsner in New Orleans, LA. She shared her insights into the challenges and triumphs faced by breast cancer patients. According to statistics published by the National Breast Cancer Foundation, "On average, every 2 minutes a woman is diagnosed with breast cancer in the United States." Sadly, this year alone, approximately 43,550 women will lose their lives to this disease in the U.S. Dr. Elder emphasized the resilience of breast cancer patients, stating, "A lot of breast cancer patients are healthy women, and this is probably the worst thing that has ever happened to them in their lives.

They are great patients, very motivated to take on this challenge, and it is a rewarding field to be in because the patients are so great." Early Detection: Key to Success Early detection is crucial for improving breast cancer outcomes. Dr. Elder provided valuable guidance on what to look for when it comes to detection. She stressed that many patients have no symptoms, and their breast cancers are discovered through routine screening mammograms.

Primary care doctors often use risk assessment calculators to determine the appropriate screening plan. For patients with a greater than 20% lifetime risk of breast cancer, early screenings may be recommended, and insurance companies often cover these additional screenings. Genetic testing is also becoming more accessible and affordable, further aiding in early detection. Empowering Patients: What to Ask Your Doctor Dr. Elder underscored the importance of understanding individual tumor characteristics and their impact on treatment outcomes. She encouraged patients not to overly fixate on the stage of their cancer, as breast cancer patients generally have high survival rates across most stages. Personalized treatment plans are key to success.

Holistic Care and Education: A Comprehensive Approach Dr. Elder advocates for a comprehensive Dr. Alexa Elder approach to patient care, supported by Surgical Oncologist patient experience solutions like Journey PX. These solutions provide patients with a However, some patients may experience more holistic approach to healing during symptoms such as a palpable mass, their hospital stay. Tools like Journey PX's changes in breast thickness, or alterations "My Stay" offer calming videos for in skin texture. Pain is relatively rare as a relaxation and meditation, along with a vast symptom. library of patient education materials. Dr. Elder highlighted how these resources Dr. Elder recommended adhering to empower patients to become informed national guidelines, which encourage about their condition and proactive about women to start regular mammograms at the their care. Many breast cancer patients age of 40. She noted that some younger seek holistic approaches to complement patients with specific risk factors may medical treatments, making these require screening mammograms or MRIs. resources invaluable. .

“You need a breast cancer survivor on staff there to help these patients and I'm your chick.”- Cathy “Chick” Halloran, Breast Cancer Survivor Cathy “Chick” Halloran Breast Cancer Survivor

Journey PX solutions, including "My Day Today" and "Connect," provide real-time health information, emotional support, and improved communication among care teams, resulting in a better overall patient experience.

Inspiring Stories: Cathy "Chick" Halloran In our quest to spotlight inspiring stories, we had the honor of speaking with Cathy "Chick" Halloran. A breast cancer survivor, Cathy made a promise to God during her battle with the disease. She vowed that if her health were restored, she would give back to other patients facing the same diagnosis. After successfully overcoming breast cancer, Cathy fulfilled her promise by founding the non-profit organization, Chicks & Chucks Inc., in July 2021.

This organization provides vital resources and services to breast cancer patients with limited financial means. Halloran described how beating breast cancer inspired her to do more to make a positive impact.

“I marched up to Joe Gross’s office, he was the CEO at the time, I had no appointment I just went right in there and I said, Mr. Gross. I'm Kathy Halloran, people call me Chick, I raised a lot of money for that new cancer center going in, and I'm telling you what, buddy, I need to be here. You need a breast cancer survivor on staff there to help these patients and I'm your chick,” she explained.

Cathy “Chick” Halloran Breast Cancer Survivor Supporting the Cause: Ways to Contribute There are several ways to support Chicks & Chucks Inc., which uses donations to purchase resource books, bras, prosthetics, and wigs for breast cancer patients. You can contribute directly on their website or choose Chicks & Chucks as your charity of choice on Amazon Smile if you have an Amazon account.

The Journey PX team is proud to support patients and their journeys. Every patient has a powerful story, and some stories, like Cathy's, inspire and impact entire communities.

Every patient has a powerful story, and some stories, like Cathy's, inspire and impact entire communities. Listen to Their Stories: PX Space Podcast To delve deeper into breast cancer awareness and the latest technologies combating the disease, tune in to our PX Space podcast interviews with Dr. Alexa Elder and Cathy Halloran. You can also find additional information on Breast Cancer Awareness Month and support the cause on the Susan G. Komen website.

Listen to the full interviews on the PX Space podcast, available on Apple Podcasts, Spotify, and Amazon Music.

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REVOLUTIONIZING OCULAR HEALTH David Miller on Groundbreaking Care Eyesight and Aging According to Dr. Miller, the realm of retinal surgery and diseases has increasingly shifted its focus toward macular degeneration over the past few decades. This heightened emphasis is largely tied to the aging demographic. The formal term for this condition is age-related macular degeneration (AMD), which has a genetic component prevalent in specific families and is notably linked to the aging process. This requires two key factors to align: a familial history of the condition, or the inheritance of specific genes from both parents, coupled with living long enough to encounter the ailment.

MDM Healthcare VP of Clinical Excellence Linda Robinson, MSN, RN, CPXP recently sat down with David G. Miller, MD, President and Medical Director of Cleveland Eye and Laser Surgery Center, to discuss ocular health, chronic eye diseases, and groundbreaking care to slow the progression of vision loss, prevent blindness, and even restore sight. The Centers for Disease Control and Prevention (CDC) reports that approximately six million Americans have vision loss and one million have blindness.

Diabetic Retinopathy One of the health conditions observed in November is Diabetic Eye Disease Awareness Month. In the United States, 37.3 million people have diabetes, and it is also increasing at an alarming rate 1-in-10 people have diabetes. Miller states that “diabetic retinopathy is the No. 1 cause of vision loss among the working age population. “It’s very important to manage your diabetes every day, and to get annual eye exams,” Dr. Miller said “This is crucial because if it is detected there are treatments that can slow it down or even reverse it.”

Meet Resee Miller

Prevention Dr. Miller recommends maintaining good health to prevent macular degeneration. Research indicates that people who exercise regularly, uphold healthy blood pressure levels, refrain from smoking, and maintain a nutritious diet with ample dark green vegetables exhibit a reduced risk of age-related macular degeneration. Certain vitamins also appear to offer protective effects, and there's a potential role for them in prevention. Dr. Miller also recommends monitoring your vision regularly starting in your 40s.

“A simple test you can do is once a week when you're reading the Sunday paper, you close the left eye and you read the headlines and do the same thing with both eyes. And if something is wrong, or those eyes can't read, go see someone.” Looking to the Future Recently, Dr. Miller was invited to join Akron Children's Hospital Medical Center in Ohio as a retinal surgeon in their pediatric ophthalmology department. His interest was piqued by the “groundbreaking genetic treatments for children born blind.” These treatments involve injecting a virus under the retina to alter DNA, leading to

restored vision. This type of genetic treatment is already approved, and there is more new technology on the horizon. This technology is also being adapted for adults, offering a long-term cure with a single injection. “It's a very exciting time in medicine,” Dr. Miller said. “Genetic alteration genetics supplementation is going to be really quite remarkable over the next couple of decades in terms of both pharmacotherapy and correcting genetic defects for people.”

To delve deeper into the topic, tune in to our PX Space podcast interview with Dr. Miller by clicking the icon.

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VETERANS DAY SPOTLIGHT: HONORING A HERO

"They are great patients, very motivated to take on this challenge.” -Dr. Alexa Elder, surgical oncologist

Colonel Creighton B. Wright, M.D. In commemoration of Veterans Day on November 11th, we explore the extraordinary journey of Creighton B. Wright, MD, a distinguished veteran and renowned cardiac and thoracic surgeon. In a recent conversation with Linda Robinson, MDM Healthcare Vice President of Clinical Excellence, Dr. Wright shared his insights on heart health and a call to serve as a medical professional. A Military Journey of Dedication Dr. Wright's military service began during the Vietnam Conflict as a member of the Department of Surgery and Vascular Surgery at the Walter Reed Army Medical Center. His commitment continued as he commanded the 73rd Combat Support Hospital and the 256th General Hospital in the US Army Reserve. During the Gulf War, he served as the Chief of Professional

Services for the 803rd Medical Group at King Khalid Military City, S. A. His bravery and commitment earned him the Bronze Star, Kuwait and Saudi Liberation Medals. Honors and Awards Dr. Wright's exceptional contributions to military and civilian healthcare have been widely recognized. The American Heart Association honored him with accolades like the Kaplan Visionary Physician Award, the Award of Excellence, and the Distinguished Achievement Award. He was also presented with the inaugural Creighton B. Wright Leadership Impact Award at the Greater Cincinnati Heart Ball on Feb 3rd of this year, highlighting his extraordinary dedication to heart health.

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Decoding the Heart's Complexity Dr. Wright explained the intricate workings of the heart using a simple metaphor—a house, describing the heart's structure, electrical systems, and plumbing. Advances in heart treatment, inspired by NASA innovations, have improved care for civilians and military personnel alike. Prevention and Education Dr. Wright's commitment extends beyond the operating room. He emphasized the importance of lifestyle factors such as obesity, exercise, stress, and smoking in heart disease prevention. Genetics also play a crucial role in heart health. Patients can combat heart disease and improve heart health through a healthy diet, regular exercise, and giving up unhealthy behaviors. Fostering a Legacy of Service Reflecting on his illustrious military career, Dr. Wright encouraged aspiring medical students to consider the unique and rewarding path of military service. He highlighted the

advantages, including scholarships, awaiting those who embark on this noble journey. He passionately emphasized the call for patriots to serve our nation as medical professionals. Beyond his military career, Dr. Wright serves as a Professor of Health Science and the Medical Director of the Physician Assistant Program at Mount St. Joseph University. His unwavering commitment to our country and heart health serves as a shining example for future generations of medical professionals, inspiring them to consider the path of military service as a profound way to make a lasting impact on the lives of those who have sacrificed so much.

Click the icon to hear the full interview with Dr. Wright.

HOW THE WAY WE WORK REVOLUTIONIZES NURSING

Reimagining care with Ramona Cheek In a recent podcast episode of PX Space, Linda Robinson, MSN, CPXP, RN, Vice President of Clinical Excellence, MDM Healthcare, sat down with Ramona Cheek, MSN, CPHQ, the VP of Nursing Transformation and Innovation at Bon Secours Mercy Health, to discuss her research initiative. This initiative, titled The Way We Work, seeks to reimagine the care process, ensuring enhanced experiences for patients, healthcare professionals, and all individuals engaged with hospitals. Through optimized technology and better communication, Cheek seeks to offer nurses more satisfaction in their careers.

The Four Pillars of The Way We Work Revolutionary Care Delivery Models

“We must scrutinize diverse care delivery models and roles, asking ourselves which models will guide us into the future”

Support for New Nurses and Addressing Turnover

“We are witnessing an influx of young professionals in the field. We must ascertain how to furnish support to these newcomers.”

Streamlined Workflows and Communication

“This process will facilitate an environment of energy and synergy, allowing us to perform at the pinnacle of our training and education.”

Well-being of Nurses and Flexible Schedules

“Our well-being holds significance, and achieving work-life integration is crucial. Our work environment must cater to these aspects.”

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“We know that in order for us to do things more efficiently and effectively, we are going to have to employ technology, we know that human resources are at a premium, and we are competing for that ever-shrinking pool of the best and the brightest for human resources. So, technology is going to have to be an enabler that really goes across our other pillars.”- Ramona Cheek, MSN, CPHQ Fitting the Needs of Nurses Cheek ponders, “Can a virtual nurse serve as an expert resource for new nurses in need of support?” This question reflects the innovative approach of utilizing virtual nursing to address the challenges posed by physical limitations. Journey PX: A Nurse‘s Helper Cheek elucidates, “Interoperability and stack ability are pivotal. Devices need to multitask, replacing individual devices addressing specific needs.” Journey PX solutions operate through the patient’s inroom TV.

These solutions prepare patients for discharge by ensuring they remain informed about their daily care plans, receive tailored education, and streamline communication among patients, families, and care teams. Click below to learn more about Journey PX. Learn More

To hear Cheek explain her initiative in-depth, tune in to the full PX Space podcast interview, listed on major podcast platforms, or by clicking the icon below.

UNLOCKING THE SECRETS TO LONGEVITY AND WELLNESS Insights From Mohsin Jaffer, M.D. A recent report from The Washington Post has unveiled a significant demographic shift taking place in the United States. As of February 2023, more than one in six Americans have crossed the threshold of 65 years or older. This demographic transformation mirrors the continuous aging of our population, and its consequences are both far-reaching and profound. According to a report published by the U.S. Department of Health and Human Services (HHS), 2020 Census data revealed a striking statistic emerging: approximately 17% of the U.S. population, or more than one in six individuals, were already in the 65 and older category in 2020, the highest rate in over a century. The HHS report also sheds light on the present state of our aging population but also contains data that projects a substantial surge in the number of seniors in the years to come.

By the year 2040, it is anticipated that the population of residents aged 65 and older will reach a staggering 80.8 million, more than double the count recorded in 2000. Furthermore, the report foresees a similar doubling of even more senior citizens, with the population of those aged 85 and older expected to grow from 6.7 million in 2020 to 14.4 million by 2040. Remarkably, in 2020, there were nearly 105,000 residents who had achieved the remarkable milestone of 100 years and older. With our nation's population continuing to age, there is a growing demand for caregiving and support services. This demographic shift presents a unique and pressing opportunity for those committed to the field of caregiving, whose life's work plays an essential role in providing crucial care and assistance to our aging citizens.

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Dr. Mohsin Jaffer, a highly respected family physician with a specialization in geriatric care, takes a prominent role in tackling these challenges. As the President and CEO of Senior Medical Associates, a key player in senior healthcare in Florida, Dr. Jaffer has recently offered his profound insights on lifelong wellness and the aging process in an interview with our VP of Clinical Excellence, Linda Robinson, MSN, RN, CPXP, on our podcast, PX Space. With nearly three decades of experience in geriatric care in South Florida, Dr. Jaffer generously imparts profound insights into achieving optimal health and longevity, radiating vitality and vigor. "We're all aging, and the process of aging is inevitable and relentless. But we can slow it down, and we can age gracefully." Dr. Jaffer firmly believes that patients have a choice in how they live out their twilight years. "And as long as you've got life, we don't know how long, but we have the potential of 120 years, you want to be living that life with vim, vigor, and vitality.

To hear more from Dr. Jaffer including his insights for Alzheimer's disease patients and their caregivers, listen to the full episode of PX Space by clicking the icon to the right.

This has been my mantra to all our patients: you are the boss of your destiny. We, as physicians, are your helpers, your guides, but you are the boss, you are like the captain of a ship, and you need a navigator." Dr. Jaffer emphasizes the critical importance of making seniors more mobile, self-sufficient, and socially engaged, highlighting the devastating impact of loneliness on their health and on the overall health of Americans. "The greatest tragedy in our country today is loneliness, across the spectrum, from young to the old,” he said. “It's loneliness." He points out that social media and technology have been detrimental to the human-to-human connection. "We don't meet each other enough. We don't talk to each other enough. Even the average American married couple spends only 5 minutes a day together in meaningful conversation, and what a tragedy." Dr. Jaffer's mission is clear: to empower every person, regardless of age, to live and age better. He is a strong proponent of mind over matter and has outlined his famous "Pearls of Longevity with Good Health and Happiness.”

DR. JAFFER’S 10 PEARLS OF WISDOM 1. Find Joy in Laughter: "A hearty laugh can make you feel better, and it's an essential part of well-being." 2. Maintain Positivity and Purpose: "Having a sense of purpose and a zest for life is key to staying young and embracing all the beauty life offers, especially as we age." 3. Cherish Time with Loved Ones: Surrounding yourself with friends and family reminds you that social connections hold value at any age. 4. Embrace Stress Reduction and Meditation Techniques: Incorporate relaxation techniques and effective stress management through relaxation exercises, mindfulness meditation, yoga, and tai chi for overall health. 5. Manage Your Weight: Maintaining a healthy weight through a balanced diet and regular physical activity is essential for reducing the risk of chronic diseases and promoting overall well-being. 6. Prioritize Daily Exercise: "Consider a daily two-mile walk or equivalent exercise to care for your heart health, blood pressure, and diabetes. Exercise contributes to these vital aspects of well-being." 7. Follow a Nutrient-Rich Diet: "The Mediterranean diet is known to protect against Alzheimer’s, while the Western diet, rich in red meat and processed, sugary, and fatty foods, increases the risk. Opt for fruits, vegetables, whole grains, fish, nuts, and olive oil." 8. Avoid Smoking and Limit Stimulants and Alcohol: "Lifestyle choices significantly impact healthy aging. Be mindful of alcohol and medications that may harm the brain. Additionally, safeguarding the brain from exposure to toxins is important for overall cognitive health. Consult your doctor to ensure your medications support your brain health." 9. Cultivate Faith, Spirituality, and Gratitude: Nurturing your sense of faith, spirituality, and gratitude can provide emotional and psychological support, helping you find meaning and fulfillment in life. 10. Prioritize a Good Night's Sleep Adequate and high-quality sleep is crucial for brain health. Make sleep a priority to ensure your body and mind are well-rested and ready to face each day.

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ERADICATING INCIVILITY IN NURSING THROUGH LEADERSHIP Insights from Connie Montalbo

Montalbo is a distinguished Nurse Executive with decades of experience. With an impressive career spanning Montalbo describes incivility multiple healthcare settings, she is a as a toxic workplace behavior dynamic leader and change agent that ranges from eye-rolling to dedicated to fostering a more physical abuse, often respectful and collaborative culture stemming from impatience in within the nursing profession. She is stressful situations. also an Incivility Expert and founded "End Incivility Today" in February 2019, a platform where she applies her expertise to address the pervasive issue of incivility in nursing. Her mission is to coach leaders in putting an end to passive leadership and disruptive behavior, emphasizing that doing so will not only improve the workplace culture but also positively impact quality of care, staff engagement, and financial outcomes.

In a recent article published by the National Institute of Health (NIH), it was revealed that the incidence of incivility directed at nurses had exceeded 46%, with one-third of nurses reporting exposure to physical violence. Despite nursing consistently ranking as the most trusted profession, the issue of incivility remains a persistent challenge. Nursing leaders are taking proactive measures to address workplace incivility, and in a recent discussion, Linda Robinson, VP of Clinical Excellence at MDM Healthcare, spoke with nurse executive and incivility expert Connie Montalbo, DNP, MBA, RN, NEA-BC.

Prior to her entrepreneurial endeavor, Connie served as the Chief Nursing Officer and Vice President of Clinical Operations at B.E. Smith, overseeing various clinical areas for over five years. Her career also includes significant roles as a Nurse Executive at a variety of hospitals. Her extensive experience in diverse healthcare settings, coupled with her dedication to ending incivility, makes her a valuable asset to the nursing profession.

including toxic workplace behavior that ranges from eye-rolling to physical abuse, often stemming from impatience in stressful situations. Incivility disrupts communication, a critical element in the healthcare profession. She explained that the consequences of incivility could be devastating. "There's research out there that documented the impact, which could amount to patient harm and even documented patient death from uncivil behavior. There was high nurse turnover, PTSD, civil litigation for an organization for allowing it to go on. There were also financial costs and emotional costs."

Montalbo illustrated the intricate nature of incivility within the nursing profession, emphasizing that nurses grapple with a myriad of stressors, including the demands of patient care. Furthermore, the workforce shortages resulting from the challenges posed by the COVID-19 pandemic have only served to exacerbate this already complex issue. "I think there are just so many pieces to it. People come into the nursing profession from all walks of life; they bring their own personal stress into the workplace, then they face so much stress in the workplace. In addition to that, they have patients to take care of, the patients' families, the physicians, the leaders, their coworkers; there is just so much going on a nurse's plate all day every day that it is almost like a breeding ground for stress," she said. Montalbo further explained that incivility comes in many forms,

Montalbo stated that the challenge in dealing with the root causes of incivility lay in finding healthy ways of coping with the everyday stresses nurses faced. "The challenge for us in leadership is how do we create the environment and set the expectations that will cope in a more healthy way that's respectful and that doesn't impede on the coworkers," she said. Montalbo named stress, poor colleague communication, and passive management as the root causes of this issue. She emphasized the need to address this stress and the challenges the healthcare industry. Robinson and Montalbo discussed an alarming cycle where management tends to avoid assigning tasks to toxic nurses, which places an excessive burden on more professional nurses, leading to burnout and impatience. This cycle could even be perpetuated by other colleagues and contributed to the stress faced by nurses. Another issue highlighted was the phenomenon of nursing's habit of discouraging new graduates with a toxic work environment, referred to as "eating their own young" in nursing culture. Montalbo emphasized the need to support those who were uncomfortable with confrontation.

In her doctoral project, Montalbo worked on improving nursing employees' communication by requiring disputes to be confronted within the employees' comfort zone. She asserted that leaders must set healthy precedents for coping with Meet Resee Miller stress and enforce those expectations.

Journey PX, MDM Healthcare’s patient education and engagement solution, empowers medical teams to streamline clinical workflows by automating and simplifying the patient education process, offering video connections in patient rooms, and handling non-clinical tasks. This ensures that patients receive the necessary information while freeing up valuable time for hospital nurses and healthcare team members.

Montalbo recommended that leaders avoid using phrases like "that's just how she is" or "but he's a really good nurse," which she believed perpetuated incivility. She stressed the need to hold individuals accountable for their behavior, not just implementing new policies.

Enhancing the work environment for nurses can have a significant impact, particularly by enabling them to optimize their time effectively. Fortunately, healthcare organizations today can harness the potential of technology like Journey PX to support overburdened medical professionals.

Leaders have the power to combat the issue of overloading "nice" nurses by ending passive behavior. Often, toxic employees feel out of control and need mentorship to change their behavior positively. In the pursuit of creating a safer and more nurturing hospital environment, Robinson suggested harnessing technology as a valuable tool. For Robinson, the key was leveraging technology as a resource to optimize nurses' time, streamline clinical workflows, and maintain a personal touch in patient care. MDM Healthcare is committed to supporting nurses and healthcare teams during these challenging times by providing innovative technology solutions.

The insights offered by Montalbo underscore the multifaceted issue of workplace incivility in nursing and highlight the importance of leadership, technology, and collective efforts in creating a safer, more supportive healthcare environment. Additionally, she emphasizes the significance of addressing nurses' well-being, offering mentorship, and readily available resources to combat nursing burnout and enhance the patient care experience.

For a comprehensive exploration of this topic, click the icon to listen to the complete PX Space podcast interview.

RELIEVING BACK PAIN THROUGH PHYSICAL THERAPY Andrea Brogden & Amy Godfrey

Linda Robinson, MSN, RN, CPXP, Vice President of Clinical Excellence at MDM Healthcare , recently hosted the dynamic physical therapy duo, Andrea Brogden, PT, DPT, and Amy Godfrey, PTA, on our podcast, PX Space. Brogden and Godfrey, members of the dedicated team based at CORA Physical Therapy in Ponte Vedra Beach, Florida, collaborate to address their patients' physical limitations and concerns.

"We assess factors such as range of motion, muscle strength, and overall mobility, all aligned with achieving those set objectives," -Andrea Brogden, DPT Brogden underscores the significance of understanding each patient's unique goals during the initial diagnosis. October marks National Physical Therapy Month, a dedicated time to recognize the pivotal role of physical therapy in patient care. With their expertise in strength training, core exercises, and a range of therapeutic techniques, physical therapists play a vital role in healing the body and enhancing well-being. They empower patients with invaluable tools to consider in their treatment journey, fostering holistic and effective approaches to recovery and preventive health. This month serves as a reminder of the profound impact physical therapy has on the lives of countless individuals seeking to improve their quality of life.

"These goals can be as straightforward as the ability to comfortably roll out of bed, rise from a chair, or even run a marathon.” She utilizes these goals as a guiding beacon, fostering a realistic perspective. “We’re not aiming for a marathon next week; but let’s consider it six months down the road,” she said. The team employs various metrics, including pain levels and incremental

Click the icon to listen to the complete PX Space podcast interview.

weekly objectives, alongside regular reassessments to monitor the patients’ advancements during their treatment. "We assess factors such as range of motion, muscle strength, and overall mobility, all aligned with achieving those set objectives," Brogden noted. One of the topics discussed was treating back pain, which, according to Brogden and Godfrey, is one of the primary concerns shared by those seeking treatment at their clinic. “It is a very prevalent and common complaint reported by at least 65 million Americans. In fact, about 23% of the world's population suffers from back pain. Back pain can stem from something super mild to incredibly significant, and it can be very traumatic in our lives,” said Brogden. As the evaluating therapist, Brogden's role is to determine the cause of pain. From there, she creates a treatment plan that Godfrey executes. “We like to align the body first because when a patient is not in alignment, that can cause shooting pain into the lower or upper extremities.

Dr. Alexa Elder surgical oncologist

After we get everything aligned, we work on strengthening the core, starting with gentle exercises before progressing,” said Godfrey. Godfrey discussed how she builds on the progress patients make with each session. As the treatment progresses, patients are gradually challenged to try some Pilatesinspired moves to build core strength. Both Brogden and Godfrey agree that patients need to feel involved and in control of their treatment. “I feel like that brings a lot of comfort to a patient, knowing where they are in the process and how we’re going to heal it,” said Brogden. New tools have recently emerged to help patients in the office. Godfrey is trained in both Augmented Soft Tissue Manipulation (ASTYM) and Graston. These techniques find restrictions in soft tissue and can regenerate them at an accelerated rate. While stimulation was a popular technique in the past, Brogden noted that the team uses a range of techniques in their treatment plan, including dry needling.

Dry needling is a technique similar to acupuncture, where small needles are inserted into muscle “trigger points” to relieve pain and irritation. Brogden has recently been certified in dry needling. Brogden and Godfrey also emphasize patient education, recognizing the importance of keeping clients well-informed about their progress. Brogden stressed the importance of teaching patients exercises that can be completed in their own homes. This is made easier with an online platform that includes videos on how to exercise correctly and information on the therapy’s benefits. This is an invaluable tool for patients because good form and proper body mechanics are some of the biggest defenses against back pain. Brogden urged back pain sufferers to consider that daily movements can cause worsening damage if patients are not careful. According to Godfrey, education is a key part of their patients’ success. "We educate you from day one on proper body mechanics and proper form, then send you home with a home exercise program," she said. Utilizing technology, patients have the capability to access their treatment plans from the comfort of their own homes, empowering them to take charge of their own recovery. Journey PX: Streamlining Recovery According to Godfrey, technology allows for a personalized approach to patient education. MDM Healthcare's cloud-based patient engagement platform, Journey PX, streamlines communication between patients and clinicians. Products like Journey PX's My Stay offer a helping hand to patients, empowering them with vital health education.

The team at CORA Physical Therapy, Ponte Elder Vedra Beach Dr. Alexa

surgical oncologist With a large library of educational videos, patients are just a tap away from the answers. For more information about how Journey PX can help elevate your patient experience, schedule a free demo with us today.

Physical therapy plays a vital role in both healing and educating patients, serving as an integral component of a holistic approach to healthcare. By focusing on the body's natural ability to recover and adapt, physical therapists help patients regain mobility, reduce pain, and enhance overall well-being. Through personalized treatment plans, patients are not only guided through exercises and techniques to address specific conditions or injuries but are also empowered with knowledge about their own bodies. This education empowers individuals to take an active role in their healing process, fostering longterm health and preventive measures. In this way, physical therapy addresses not only the immediate physical concerns but also promotes a comprehensive understanding of one's health, ensuring a more holistic and sustainable approach to care. Utilizing technology, patients have the capability to access their treatment plans from the comfort of their own homes, empowering them to take charge of their own recovery.

TAPPING INTO THE SCIENCE OF KINDNESS IN HEALTHCARE Insights from Dr. David Fryburg

“Our mission is to promote kindness, connection, and joy for people on a population scale, particularly in high-stress settings like healthcare, and we do it through media which works really well and really fast,” -Dr. David Fryburg

Dr. David Fryburg is driven by a profound mission to champion kindness, viewing it as a force more potent than any pharmaceutical drug he has encountered in his extensive years in the healthcare industry. In a recent podcast episode of PX Space, host Linda Robinson, MSN, RN CPXP, engaged in an enlightening conversation with Dr. Fryburg, who serves as the co-founder of Envision Kindness. This nonprofit organization is devoted to harnessing the influential power of kindness through the art of photography and storytelling. With a wealth of experience as a physician and scientist, Dr. Fryburg's journey has been shaped by his tenure as a faculty member at the esteemed University of Virginia Medical School

and his work in the biomedical industry with reputable organizations like Pfizer and the Foundation for the National Institutes of Health. Leading teams of scientists in groundbreaking studies on new medicines and improved diagnostic methods, Dr. Fryburg's invaluable contributions to the medical field have earned him numerous grants and awards. Envision Kindness was born out of Dr. Fryburg's firm belief in the need to shift focus toward the positive aspects of life. Recognizing the unique ability of positive pictures and stories to inspire, connect, and heal, the organization strives to bring these uplifting moments directly to people's lives. Through their endeavors, they aim to create a world where kindness takes center stage, cultivating an environment of empathy, compassion, and joy. “Our mission is to promote kindness, connection, and joy for people on a

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population scale, particularly in highstress settings like healthcare, and we do it through media which works really well and really fast,” he said. Dr. Fryburg explained his mindset when he decided to start Envision Kindness. “As an endocrinologist, while leading these teams of scientists, I found myself getting saddened, stressed, and anxious in proportion to how much news I was consuming. Research showed that consuming news this way can quickly make people feel sad and stressed, affecting their own lives. So, that made me think that’s really not fair… people deserve a higher quality of life,” he said. To generate their healing images, Envision Kindness took a creative approach.“We had to build our content from scratch. The way we ended up building it was through creating an international kindness photography contest. ”We’ve done four iterations of it, and we are actually about to launch the fifth.

We get over 2,000 submissions from around the world each year,” he said. Envision’s 2022 Our World is Kind contest received over 2,500 wonderful and inspiring images of kindness, compassion, joy, and love “Our kindness images have a main theme, which is the positive interaction between living beings. People are uplifted and inspired by these images, and that improves mood through media,” he said. Dr. Fryburg further explained some of the science behind kindness. “Since I’m a scientist, I decided to do more than produce the images; I also studied their impact. We were very fortunate to have a team of psychologists help conduct our first study using still images of kindness.

“In that study, what blew everyone away was that kindness images had twice the effect of pretty images, such as nature images, on people’s mood when it came to producing feelings of gratitude, sympathy, compassion, and love,” -Dr. David Fryburg

Envision Kindness stands as a compelling example of the media's potential to enhance the healthcare experience.

organizations can now transform the hospital environment with digital display technology, providing patients, families, and care teams a modern and immersive experience.

Pioneering a cutting-edge, cloudbased patient experience platform, Journey PX is dedicated to elevating human experiences in healthcare through innovative technology solutions. Journey PX patient engagement solutions span the continuum of care, delivering scalable and cost-effective technology solutions that are adaptable to facilities of all sizes, streamlining care team operations.

In a world where headlines often highlight the darker aspects of humanity, it becomes easy to overlook the profound impact that kindness and compassion can have on individuals and communities. Nevertheless, amidst the chaos, organizations like Envision Kindness strive to remind us of the beauty of human connection and the transformative power of acts of goodwill. This blog article delves into the heartwarming mission of Envision Kindness, exploring their vision, initiatives, and the positive influence they are making on a global scale

With a firm commitment to humanizing care, Journey PX, like Envision Kindness, understands that media can be leveraged artfully within hospitals. Our digital signage solution, Navigate, offers versatile applications, including alleviating patient stress. Embracing the latest technological advancements, healthcare

For a comprehensive exploration of this topic, listen to the complete PX Space podcast interview below.

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REVOLUTIONIZING HEALTHCARE INFRASTRUCTURE Private LTE and Innovative Technology Solutions As hospitals look to the future, they are increasingly inclined toward digitizing their infrastructure. Hospital executives recognize the profound influence that technology wields in today’s postpandemic landscape. They understand that the contemporary healthcare system leans heavily on an optimized network solution to sustain the extensive array of connected digital health technologies integral to modern hospitals. In this era, healthcare heavily relies on internet-connected devices and software, and a private LTE network emerges as a pivotal element in bolstering these intricate digital ecosystems. Private LTE presents a cost-efficient alternative for relieving devices from healthcare organizations’ Wi-Fi networks. According to a recent article in Health Tech magazine, healthcare organizations could potentially reduce wireless connectivity costs by 30 to 40 percent by transitioning devices from Wi-Fi to private LTE

networks.This technology offers numerous advantages to organizations seeking enhanced network management solutions. LTE networks empower healthcare organizations to provide superior signal quality while requiring fewer access points. In addition, this network solution supports HIPAA compliance, ensuring the security of patient information. Another advantageous feature of private LTE networks is their capacity to prioritize traffic. Hospitals are rapidly embracing technology, exemplified by the emergence of smart hospitals which are hospitals that leverage cutting-edge technologies, spanning from registration to imaging, encompassing AI, IoT, 5G networks, and other innovations, across the entire spectrum of edge-to-cloud infrastructure. This integration enhances connectivity and ensures the secure exchange of data, ultimately leading to enhanced patient experiences, optimized workflow processes, and cost reduction.

As a leading technology provider in the healthcare industry, MDM Healthcare offers healthcare organizations a comprehensive range of technology solutions to modernize their facilities. In addition to our LTE network solution, we provide a diverse array of technology products, including LG surgical and diagnostic medical monitors, both smart and non-smart healthcare grade TVs , and digital signage solutions.

Dr. Alexa Elder surgical oncologist

technology solutions designed to enhance the patient experience, bridge communication gaps, and facilitate healthcare team interoperability.

Digital signage offers endless possibilities for hospitals looking to modernize, from digital kiosks for patient check-ins and wayfinding to real-time updates on entry and hallway signage to communicate vital real-time information communication, and digital displays are an essential part of the makeup of the modern hospital. They are also beneficial for advertising, donor recognition, and digital art. Signage can also boost cafeteria revenue by displaying food menus and more. The potential for innovation extends into patient rooms as well. As the leading provider of healthcare technology, MDM Healthcare offers cutting-edge solutions. Our innovative cloud-based patient engagement platform, Journey PX, equips hospital patients and care teams with a range of in-room

We also offer state-of-the-art digital whiteboards. The Journey PX My Day, Today digital whiteboard streamlines communication between care teams and patients by ensuring that essential patient care information is always visible, eliminating the need for manual updates during shift changes. Our Journey PX Connect platform facilitates video calling for patients and families, providing a secure connection for virtual visits and rounding by providers, nurses, clinicians, and authorized staff, all through the patient’s in-room TV. Partnering with MDM Healthcare guarantees a one-stop shop that delivers all the products and services you need at competitive prices, backed by unparalleled customer service. Reach out to one of our healthcare technology experts today for a comprehensive consultation about your needs and to discover how our Private LTE Network Solution can transform your healthcare facility.

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NAVIGATING THE PATH OF CANCER CARE Dr. Abdul Rahman Jazieh Dr. Abdul Rahman Jazieh, a renowned oncologist, is deeply committed to enhancing the health and well-being of cancer patients. In his capacity as a senior oncology consultant, Director of Innovation and Research, and Director of International Programs at Cincinnati Cancer Advisors, he leads with a strong focus on evidence-based oncology. Notably, he has served as the editor-in-chief of the Global Journal on Quality and Safety in Health Care, held a prominent position in the American Society of Clinical Oncology, and established the Association of VA Hematology Oncology. Dr. Jazieh's extensive work, which includes over 150 publications, has earned him recognition and the Unsung Hero Award from Cancer Family Care. His global perspective and dedication continuously enhance Cincinnati Cancer Advisors' oncology care. “During my time in medical school, I became acutely aware of the limited treatment options available to cancer patients and the scarcity of individuals interested in oncology,”

"They are great patients, very motivated to take on this challenge.” -Dr. Alexa Elder, Dr. Jazieh said “There was a pressing need for surgical oncologist

both healthcare providers and significant advancements in this field. I firmly believed that I could make a meaningful contribution to oncology by offering much-needed care to those in greatest need, all while contributing to the progression of oncology science through research opportunities." Highlighting the unique nature of the cancer care journey, Dr. Jazieh observed that, unlike most health conditions, cancer patients are often labeled by their diagnosis in discussions. "When it comes to cancer, it's a distinct scenario. People frequently refer to someone as 'the one with cancer,' vividly illustrating the profound social and psychological impact on both the patient and their broader social circle,” he said. “In contrast, for other chronic or life-threatening diseases, we typically don't define someone solely by their condition. For instance, if a person has diabetes, you might initially think of them as 'the one with diabetes,'

but it doesn't dominate your perception of them. However, with cancer, the label of 'cancer patient' tends to stick like an indelible mark. This applies not only to the immediate family but also to friends, coworkers, and anyone acquainted with the patient."

“”Cancer is not a death sentence, and I want to be abundantly clear about that. In fact, cancer offers a better chance of cure than any other chronic disease. Remarkably, approximately 60% of cancer patients Dr. Alexa Elder achieve total cure.” surgical oncologist

Furthermore, he emphasized the importance of creating a plan for cancer patients. "When you look around, you'll find that Dr. Jazieh stressed several key considerations there are more than perhaps 20 to 40 million people who have successfully for cancer patients and their families when battled cancer and are still with us,” he facing a diagnosis. said. “A significant number of cancer "Cancer is not a death sentence, and I want to survivors exist. However, when a family receives the cancer diagnosis or when a be abundantly clear about that,” he said. “In fact, cancer offers a better chance of cure than patient themselves gets that news, the most crucial step is to pause, take a any other chronic disease. Remarkably, approximately 60% of cancer patients achieve deep breath, and avoid making assumptions. Instead, ask, 'How can we total cure, and in some instances, the rate of approach this?' In the next few moments, cured cancer patients reaches an astounding we will discuss how families can 99% or 100%. I want to assure you that what navigate this journey with the disease I'm discussing is not mere science fiction or because the most effective advocates wishful thinking; there is solid evidence for the patient are the patient, their supporting it." caregiver, and the family. By equipping He also acknowledged that lingering negative them with knowledge about what to stereotypes continue to influence perceptions inquire, what to pursue, and what to anticipate, we can hope for a positive about cancer diagnoses. outcome." "Unfortunately, myths and misconceptions from the past still cast shadows,” Dr. Jazieh said. “We encounter individuals who undergo suffering and treatment without achieving a cure, and those negative experiences leave a more profound emotional impact than positive outcomes."

Dr. Jazieh authored an article titled "The Principles of Oncology Care−Back to Basics," which emphasized five crucial questions considered indispensable. He urged oncologists to consistently address these queries for each patient:

Dr. Alexa Elder surgical oncologist

1. Is the diagnosis confirmed?

Ensuring the confirmation of a cancer diagnosis stands as the very foundation of any effective treatment plan. Dr. Jazieh underscores the necessity of rigorous diagnostic accuracy. A misdiagnosis or a hasty assumption could lead to inappropriate treatments and unnecessary emotional distress for the patient. Oncologists are tasked with verifying the presence of cancer through precise and thorough examinations, including biopsies, imaging studies, and other diagnostic tests. Only once the diagnosis is firmly established can healthcare providers embark on a well-informed journey to address the condition and provide the most suitable care. 2. What is the type of cancer, and what is the stage of the disease?

Understanding the specific type of cancer and its stage is paramount in tailoring a patient's treatment strategy. Dr. Jazieh emphasizes that not all cancers are the same; they vary significantly in their behavior, growth rates, and responsiveness to different therapies. Knowing the type of cancer allows medical professionals to select the most appropriate and targeted treatments,

such as chemotherapy, immunotherapy, or surgery. Additionally, determining the stage of the disease, whether it's localized, regional, or metastatic, provides critical insight into how advanced the cancer is and guides decisions regarding the extent of medical interventions. By precisely characterizing the disease, oncologists can offer patients the best chance for successful treatment outcomes and improved quality of life.

"When you look around, you'll find that there are more than perhaps 20 to 40 million people who have successfully battled cancer and are still with us,” he said. “A significant number of cancer survivors exist. However, when a family receives the cancer diagnosis or when a patient themselves gets that news, the most crucial step is to pause, take a deep breath, and avoid making assumptions.”

“”Cancer is not a death sentence, and I want to be abundantly clear about that. In fact, cancer offers a better chance of cure than any other chronic disease. Remarkably, approximately 60% of cancer patients achieve total cure.”Elder Dr. Alexa surgical oncologist

3. Is the patient curable?

Dr. Jazieh highlighted that this question should take precedence over simply seeking the best treatment. By focusing on the potential for a cure, medical teams can explore all available options, including surgery for stage four cases

They also underscored the role of the patient in providing valuable feedback and encouraged patients to participate in research, particularly clinical trials, which can offer innovative solutions and ultimately become the standard of care.

4. If the disease isn't curable, what is the best approach to support the patient?

Here, considerations encompass the patient's overall health, wishes, and available treatments, both cancer-directed and supportive therapies. 5. Is the patient a candidate for clinical trials?

Dr. Jazieh stressed the importance of not viewing clinical trials negatively, as they offer hope for patients, especially those with incurable diseases. He encouraged patients to seriously consider participating in trials, as they often lead to breakthroughs in treatment. Dr. Jazieh emphasized the significance of continuously questioning the diagnosis, stage, and treatment options, as diagnostic errors can occur.

For more insights from Dr. Jazieh on this topic, listen to the complete PX Space podcast interview below.

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SPREADING LAUGHTER AND GRATITUDE with Nurse Humorist Terry Foster The leaves have fallen, and the crisp autumn air signals the arrival of a season filled with giving and gratitude. Thanksgiving is just around the corner, a time when we gather with our loved ones to express gratitude. It's more than just a feast of turkey and football; it's a time to appreciate those who make a significant difference in our lives. MDM Healthcare wants to take this opportunity to say thank you, especially to the unsung heroes who work tirelessly and selflessly - the healthcare workers. Healthcare workers, often working long shifts, weekends, and even holidays away from their own families, dedicate themselves to caring for all of us in our times of need. Their unwavering commitment and sacrifices don't go unnoticed, and we want to express our heartfelt gratitude to them. Their dedication to providing care and support in the

"They are great patients, very motivated to take on this challenge.” -Dr. Alexa Elder, surgical oncologist

most challenging situations is truly commendable. However, we also understand that not everyone can be with their loved ones during the holidays. Some may find themselves in the hospital or have a family member admitted, which can be a tough situation. As loved ones, our hope is to bring the holiday spirit to their bedside, either in person or virtually. If possible, we encourage you to have them join your dinner table through virtual means. By doing so, we can lift their spirits and make them feel included in the holiday celebrations, even if it's from a distance. One way to spread happiness and create a festive atmosphere is through humor. Laughter is a powerful tool to brighten someone's day, especially for those who are working tirelessly during the holiday season. That's why we're excited to spotlight our podcast episode

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featuring Terry Foster, RN, MSN, a renowned nurse humorist. Terry is not your average nurse; he's also a talented comedian. He's appeared on shows like TLC's "Untold Stories of the ER" and "Sex Sent Me to the ER" and has performed at prestigious venues like Caesars Palace in Las Vegas and Atlantic City's Trump Tower. Foster's remarkable career doesn't stop at comedy; he's a dedicated Critical-Care Clinical Nurse Specialist at St. Elizabeth Healthcare and has authored numerous professional publications. He's also an active community volunteer, supporting causes like soup kitchens, breast cancer support groups, and more. But Foster's contributions extend beyond the medical field. He is an active community volunteer, supporting local initiatives such as soup kitchens, his church, the Cincinnati Arts Association, the "Chicks & Chucks" Breast Cancer Support group, and overseeing the operation of the Peggy Foster Memorial Fund.

You can learn more about Foster and even catch clips of his television performances on his website, highlighting his incredible journey from the ER to the comedy stage. So, as the holiday season approaches, we invite you to join us in expressing gratitude and spreading holiday cheer. Let's appreciate the healthcare heroes who work diligently, and don't forget to tune in to our Thanksgiving podcast for a dose of laughter and healthcare humor with Foster. From all of us at MDM Healthcare, we wish you a wonderful and heartwarming holiday season, filled with laughter, gratitude, and moments to cherish. And remember, if you ever want to reach out, we're just an email away. Happy holidays!

Click the icon to hear our full interview with Terry Foster, featured as a nurse on The Learning Channels (TLC’S) Untold Stories of the ER and Sex Sent Me to the ER. He has also performed comedy in several large venues including Cesar’s Palace in Las Vegas and Atlantic City’s Trump Tower.

STRATEGIES TO EXPAND PHARMACY’S ROLE IN PATIENT EXPERIENCE with Angela Brunemann, PharmD Pharmacies have faced several challenges recently due to a variety of factors, including heightened competition, evolving consumer behavior, staffing challenges, and retail-related issues. According to a recent Washington Post article, saw national pharmacy chains, including Rite Aid, Walgreens, and CVS, on a path to close numerous stores. These closures are primarily driven by economic considerations, changes in the retail landscape, and shifting consumer preferences. The article reports that concerns arise among public health experts regarding the emergence of "pharmacy deserts" as a result of these closures. Pharmacy deserts refer to areas lacking accessible pharmacies, disproportionately affecting communities in need and exacerbating health disparities. The potential impact of these closures remains a significant concern for public health experts. Many experts are now touting technologyenabled pharmacies.Incorporating technology into the pharmacy setting can empower pharmacists and technicians to provide better care to patients, enhancing job satisfaction and patient health outcomes.

Recently Angela Brunemann, PharmD, Director of Business Development for a prominent pharmacy care services company, discussed the role of technology in the patient experience on our podcast PX Space. In the interview, Brunemann noted the challenges brought on by the COVID-19 pandemic. “During the pandemic, many pharmacies faced closures or reduced hours, limiting their ability to reach patients. As a result, patients encountered difficulties accessing their necessary medications. The reduced availability of pharmacy services has created a pressing need to ensure ongoing accessibility to our patients. The question at hand is how we can harness technology to address this issue? Telepharmacy offers promising opportunities to broaden our reach and ensure patients have continued access to their essential medications," she said. Brunemann emphasizes the importance of accessibility and education in patient care, particularly in hospital settings, where telepharmacy can help bridge gaps in access.

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Patients face additional barriers to accessing medications as up to 45% of Americans do not fill prescriptions because of cost. This is also costly for hospitals as medication non-adherence annually leads to $100-$300B in excess morbidity and mortality. Not filling a medication prescription is considered primary non-adherence.

Brunemann noted that in the new healthcare landscape, care providers can now leverage telehealth and telepharmacy to bridge the gaps in communication and reach patients who may not have had access through traditional means. This necessitates a fresh approach to patient outreach, emphasizing the importance of education and fostering in-depth conversations to address patient inquiries on their own terms.

Linda Robinson, MSN, RN, CPXP, Vice President of Clinical Excellence at MDM Healthcare, highlighted the multifaceted reasons behind patients' medication non-adherence.

She also noted that telehealth allows patients to choose the most suitable time and part of the day for educational interactions, promising not only a more significant impact but also improved overall outcomes.

“It could be a lack of medication understanding, insufficient funds, poor communication, limited health literacy, and even something as simple as an inability to get to the pharmacy.”

Brunemann emphasized the significance of providing patients with this level of access and information within a hospital setting. "Patients should have the opportunity to connect with their pharmacy team, and technology unquestionably plays a crucial role in all of this,” Because of these facts hospital she said. “It's becoming increasingly important to discharge is a particularly crucial time to ensure that we have the necessary resources get medication and education to available for our patients. It's worth noting that patients. This is an opportunity to supply when considering an ambulatory setting, the focus the patient with their needed should be on accommodating the patient's prescriptions and have a pharmacist schedule, not ours. In contrast, in acute care, counsel them on the purpose and side we've often centered on the hospital's schedule effects. It is also a time for the patient to because the patient is present throughout the day. ask questions or voice concerns However, it's essential to prioritize patient regarding lifestyle changes due to engagement and attentiveness, as these factors medication. are paramount."

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Brunemann also highlighted the importance of touchpoints for patients when she develops a plan of care. “Thinking about the patient experience as a whole, it encompasses every touchpoint we have with the patient. And a lot of people call those moments of truth because it's those touch points from the very beginning, that kind of set the stage for the patient, and then start to ask the question, okay, now how does pharmacy have an impact in that, because that's where we find new opportunities to impact patient experience,” she said. Brunemann stressed the importance of developing programs centered around patients’ needs and using technology developed around that information. She also stressed that the design of patient engagement technology is important. “We want technology to acclimate to the patient's environment. So it isn't generic, and it feels like it was almost like a concierge. This is your personal pharmacy technician,” she said. She also emphasized timing, personalization, and relevancy as key aspects of effective patient engagement technology.

Meds to Beds with Journey PX Journey PX has the ability to create a medsto-beds program that is customized to the unique needs of hospitals. Journey PX can integrate with the EMR and engage the patient at the bedside via prompts, medication education, and pharmacy information to drive medication health literacy.

There are several features that would frame the program: Auto assignment of medication education upon medication order, Meds to Beds participation prompt, notification via text, email, or EMR to the pharmacy that the patient would like to participate in the meds to beds program, pharmacy medication counseling visit in person or virtual via video Connect. Filling patient prescriptions in-house also keeps revenue in-house that would otherwise go elsewhere. Upon admission when the patient TV is turned on a prompt will appear asking the patient if they would like their medication prescriptions filled prior to discharge. Choices of “yes” or “no, thank you” are offered. If the patient chooses yes a thank you response appears and notifies the patient of the program process.

Most often a pharmacy representative will be in to speak with them. Some hospitals personalize these messages with staff photos and a time frame to expect a visit. If the patient chooses a no response they receive a message thanking them and letting them know that if they change their mind to let their nurse know and the pharmacy can be notified or they can find the meds to beds program under the patient services tab on the Journey PX My Stay home screen and opt in to participate there at any time during their stay. Once the prompt is received by the pharmacy a time would be scheduled to review the patient's discharge medications either in person or virtually. This scheduled time could appear on the patient’s My Day Today board (digital whiteboard). If virtual the patient could be alerted 15 minutes prior with a prompt via their TV to let them know they have a virtual visit scheduled and to be ready to take the call. Upon discharge, the medications are delivered to the patient’s room. Throughout the patient's stay as medications are ordered by their physician in the EMR Journey PX can auto-assign corresponding medication education content to be sent to the patients in room MY Stay and My Day Today solutions on their TV.

A red badge alert will be displayed in the My Education section alerting the patient that they have the education to view. In addition, when the medication is ordered the patient will also receive prompts to engage and encourage them to watch the education with the choices of “now” or” remind me later”. If they choose to remind me later the prompt will reappear again at predetermined intervals until the education is completed. The completion and understanding response can then be documented back into the EMR.

As the pharmacy industry faces challenges, opportunities lie with a focus on technology-enabled solutions and the importance of accessible and patient-centric care. Click the icon to hear the full interview with Brunemann.