POBScast https://anwaro.podbean.com New podcast weblog Mon, 14 May 2018 10:35:38 -0500 https://podbean.com/?v=5.5 en Copyright 2012 anwar osborne. All rights reserved. Health 1440 New podcast weblog Osborne, Anwar Osborne, Anwar No false https://pbcdn1.podbean.com/imglogo/image-logo/464923/POBScastLogo2.jpg POBScast https://anwaro.podbean.com 144 144 Here's How an Observation Unit Addresses the Opioid Epidemic Here's How an Observation Unit Addresses the Opioid Epidemic https://anwaro.podbean.com/e/heres-how-and-observation-unit-addresses-the-opioid-epidemic/ https://anwaro.podbean.com/e/heres-how-and-observation-unit-addresses-the-opioid-epidemic/#comments Mon, 14 May 2018 10:35:38 -0500 anwaro.podbean.com/heres-how-and-observation-unit-addresses-the-opioid-epidemic-24b00f90dd1700f333f1ee8f1a4eedd1 Hey guys!  It's been an minute and we're sorry about that, but we're back for a 5th season.  Dr. Wheatley and I are excited to bring a batch of new episodes starting with this one!  Dr. Emma Sizemore is a graduating resident and soon to be EM faculty at Emory.  She details the Medication Assisted Opiod Treatment pathway that we've been using in the observation unit at Grady.  

Read Learn more about this pathway at www.obsprotocols.org

Click on THIS LINK to read more about the COWS Dr. Wheatley mentions before the interview.  

]]> Hey guys!  It's been an minute and we're sorry about that, but we're back for a 5th season.  Dr. Wheatley and I are excited to bring a batch of new episodes starting with this one!  Dr. Emma Sizemore is a graduating resident and soon to be EM faculty at Emory.  She details the Medication Assisted Opiod Treatment pathway that we've been using in the observation unit at Grady.  

Read Learn more about this pathway at www.obsprotocols.org

Click on THIS LINK to read more about the COWS Dr. Wheatley mentions before the interview.  

]]> Osborne, Anwar false No 1490 14 full Self-administered medications, ACEP meeting, and psych obs! Self-administered medications, ACEP meeting, and psych obs! https://anwaro.podbean.com/e/self-administered-medications-acep-meeting-and-psych-obs/ https://anwaro.podbean.com/e/self-administered-medications-acep-meeting-and-psych-obs/#comments Fri, 17 Nov 2017 12:46:12 -0500 anwaro.podbean.com/self-administered-medications-acep-meeting-and-psych-obs-24b00f90dd1700f333f1ee8f1a4eedd1 Hey Pobscast crew, it's been a little longer than 1 month since our last show, but this one is packed with high yeild policy stuff. We do brief wrap up of the Obs conference in case you missed it.  We run over some things about psychiatric patients in observation status also.  We spend some quality time discussing the Society of Hospital Medicine's White Paper on obs.  In fact, the link is here.  Aslo we interview Dr. Bramante about what NY ACEP and further national ACEP is doing with the issue of self-administered medications (SAMs).  The resolution isn't public on the web yet, but when it is, we'll get it posted here.    

]]> Hey Pobscast crew, it's been a little longer than 1 month since our last show, but this one is packed with high yeild policy stuff. We do brief wrap up of the Obs conference in case you missed it.  We run over some things about psychiatric patients in observation status also.  We spend some quality time discussing the Society of Hospital Medicine's White Paper on obs.  In fact, the link is here.  Aslo we interview Dr. Bramante about what NY ACEP and further national ACEP is doing with the issue of self-administered medications (SAMs).  The resolution isn't public on the web yet, but when it is, we'll get it posted here.    

]]> Osborne, Anwar false No 1796 13 full VTE Pathway, Dialysis Fast Track and Dr. Simon Mahler is the Guest VTE Pathway, Dialysis Fast Track and Dr. Simon Mahler is the Guest https://anwaro.podbean.com/e/vte-pathway-dialysis-fast-track-and-dr-simon-mahler-is-the-guest/ https://anwaro.podbean.com/e/vte-pathway-dialysis-fast-track-and-dr-simon-mahler-is-the-guest/#comments Sun, 10 Sep 2017 11:48:52 -0500 anwaro.podbean.com/vte-pathway-dialysis-fast-track-and-dr-simon-mahler-is-the-guest-24b00f90dd1700f333f1ee8f1a4eedd1 Hi guys!  Probably, most exciting thing we have this month is the new theme music from DJ Serengeti Yeti.  But also, we go deep on the Grady venous thromboembolism pathway and update the information on the OPPS.  Plus! Dr. Mahler (from the HEART Pathway studies) tells us who HE thinks needs (and doesn't need) a stress test in the ED.

]]> Hi guys!  Probably, most exciting thing we have this month is the new theme music from DJ Serengeti Yeti.  But also, we go deep on the Grady venous thromboembolism pathway and update the information on the OPPS.  Plus! Dr. Mahler (from the HEART Pathway studies) tells us who HE thinks needs (and doesn't need) a stress test in the ED.

]]> Osborne, Anwar false No 1967 12 full BCRA, ACA, MACRA, MIPS, BCBS, and HEART - Policy Acronym Overload in Obs BCRA, ACA, MACRA, MIPS, BCBS, and HEART - Policy Acronym Overload in Obs https://anwaro.podbean.com/e/bcra-aca-macra-mips-bcbs-and-heart-policy-acronym-overload-in-obs/ https://anwaro.podbean.com/e/bcra-aca-macra-mips-bcbs-and-heart-policy-acronym-overload-in-obs/#comments Mon, 10 Jul 2017 08:12:20 -0500 http://anwaro.podbean.com/e/bcra-aca-macra-mips-bcbs-and-heart-policy-acronym-overload-in-obs/ This week, Dr. Wheatley and Dr. Osborne try to suss out how all of these acronyms relate to observaiton medicine.  Also, we have a new recurrent segment called 'WHO NEEDS A STRESS TEST.' So, who better to kick this off than the first author on the original HEART score paper.  Dr. Barbra Backus joins us from The Netherlands via Skype.  This is a can't-miss show! Feel free to email us questions or comments at pobservation@gmail.com.  

]]> This week, Dr. Wheatley and Dr. Osborne try to suss out how all of these acronyms relate to observaiton medicine.  Also, we have a new recurrent segment called 'WHO NEEDS A STRESS TEST.' So, who better to kick this off than the first author on the original HEART score paper.  Dr. Barbra Backus joins us from The Netherlands via Skype.  This is a can't-miss show! Feel free to email us questions or comments at pobservation@gmail.com.  

]]> Osborne, Anwar false No 3144 11 full How we got here with the 2 Midnight Rule How we got here with the 2 Midnight Rule https://anwaro.podbean.com/e/how-we-got-here-with-the-2-midnight-rule/ https://anwaro.podbean.com/e/how-we-got-here-with-the-2-midnight-rule/#comments Thu, 01 Jun 2017 16:59:04 -0500 http://anwaro.podbean.com/e/how-we-got-here-with-the-2-midnight-rule/ This is a new show format and we hope you love it.  In this episode we retrace some of the pivotal moments from the inception of the 2 Midnight rule. Dr. Wheatley and I consult experts throughout the field of obs and get their take on whether it helped or hindered their practices.  This week on the show we have Dr. Chris Baugh, Dr. Willie Smith, and Dr. Michael Ross joining us.  You won't hear a more comprehensive podcast on the policy and practice of the 2 midnight rule anywhere else.  

]]> This is a new show format and we hope you love it.  In this episode we retrace some of the pivotal moments from the inception of the 2 Midnight rule. Dr. Wheatley and I consult experts throughout the field of obs and get their take on whether it helped or hindered their practices.  This week on the show we have Dr. Chris Baugh, Dr. Willie Smith, and Dr. Michael Ross joining us.  You won't hear a more comprehensive podcast on the policy and practice of the 2 midnight rule anywhere else.  

]]> Osborne, Anwar false No 1949 Pobscast from SAEM with Dr. Chris Caspers Pobscast from SAEM with Dr. Chris Caspers https://anwaro.podbean.com/e/pobscast-from-saem-with-dr-chris-caspers/ https://anwaro.podbean.com/e/pobscast-from-saem-with-dr-chris-caspers/#comments Thu, 18 May 2017 10:50:25 -0500 http://anwaro.podbean.com/e/pobscast-from-saem-with-dr-chris-caspers/ We had a great time at SAEM this year and we recorded this episode just after the Obs Interest Group meeting.  What are the differntiators from the ACEP group?  What esle can we do with this forum?  We sat with Dr. Capsers who shared with us some of his thoughts about the group, action items, and even the newer OIG report from December. Enjoy!  Also, email us at pobservation@gmail.com or check us out on twitter @pobservation.

]]> We had a great time at SAEM this year and we recorded this episode just after the Obs Interest Group meeting.  What are the differntiators from the ACEP group?  What esle can we do with this forum?  We sat with Dr. Capsers who shared with us some of his thoughts about the group, action items, and even the newer OIG report from December. Enjoy!  Also, email us at pobservation@gmail.com or check us out on twitter @pobservation.

]]> Osborne, Anwar false No 1740 Observation Units with PA's and NP's Observation Units with PA's and NP's https://anwaro.podbean.com/e/observation-units-with-pas-and-nps/ https://anwaro.podbean.com/e/observation-units-with-pas-and-nps/#comments Fri, 12 May 2017 11:59:07 -0500 http://anwaro.podbean.com/e/observation-units-with-pas-and-nps/ Podcast friends! This week we have a special guest, Triffy Pacitti, who is the lead Advanced Practice Provider (APP) at Grady.  She tells Dr. Wheatley and I the real story of what managing APP's in observation units is all about.  She's got a ton of insight and experience.  If you're looking to start an observaiton unit that uses APP's, then this is a can't miss episode.  

]]> Podcast friends! This week we have a special guest, Triffy Pacitti, who is the lead Advanced Practice Provider (APP) at Grady.  She tells Dr. Wheatley and I the real story of what managing APP's in observation units is all about.  She's got a ton of insight and experience.  If you're looking to start an observaiton unit that uses APP's, then this is a can't miss episode.  

]]> Osborne, Anwar false No 1605 Heart Failure Risk in Obs and Physician Attitudes about Obs Heart Failure Risk in Obs and Physician Attitudes about Obs https://anwaro.podbean.com/e/heart-failure-risk-in-obs-and-physician-attitudes-about-obs/ https://anwaro.podbean.com/e/heart-failure-risk-in-obs-and-physician-attitudes-about-obs/#comments Thu, 20 Apr 2017 21:09:42 -0500 http://anwaro.podbean.com/e/heart-failure-risk-in-obs-and-physician-attitudes-about-obs/ Guys!  This week, Dr. Wheatley and I break down a couple of nuanced issues in obs.  We review an article about a newer risk score that may be translatable to your observation unit and then we take a deep dive into a recent publication about how physicians use obs in several hospitals.  PLUS, we take a look at the chatter from the ACEP Obs list serve and throw our two cents in.  All that...and we recorded a promo!...yeah...a promo.  Also, you can shoot us an email at pobservation@gmail.com.  

]]> Guys!  This week, Dr. Wheatley and I break down a couple of nuanced issues in obs.  We review an article about a newer risk score that may be translatable to your observation unit and then we take a deep dive into a recent publication about how physicians use obs in several hospitals.  PLUS, we take a look at the chatter from the ACEP Obs list serve and throw our two cents in.  All that...and we recorded a promo!...yeah...a promo.  Also, you can shoot us an email at pobservation@gmail.com.  

]]> Osborne, Anwar false No 2089 The Dr. Stephen Pitts Sit-Down The Dr. Stephen Pitts Sit-Down https://anwaro.podbean.com/e/the-dr-stephen-pitts-sit-down/ https://anwaro.podbean.com/e/the-dr-stephen-pitts-sit-down/#comments Wed, 22 Mar 2017 10:39:05 -0500 http://anwaro.podbean.com/e/the-dr-stephen-pitts-sit-down/ This week, Dr. Wheatley and I sit down with Dr. Stephen Pitts.  If you haven't read much of his health services research, then you are missing on some hard-hitting data about the role of the emergency department in national healthcare.  In addition to this special insight, Dr. Pitts was there at the beginning...of much of emergency medicine.  Hear how his first obs unit had a rough time and then get his take on where he thinks obs is going in the future.  There is real EM wisdom here to be attained!  Hope you enjoy!

]]> This week, Dr. Wheatley and I sit down with Dr. Stephen Pitts.  If you haven't read much of his health services research, then you are missing on some hard-hitting data about the role of the emergency department in national healthcare.  In addition to this special insight, Dr. Pitts was there at the beginning...of much of emergency medicine.  Hear how his first obs unit had a rough time and then get his take on where he thinks obs is going in the future.  There is real EM wisdom here to be attained!  Hope you enjoy!

]]> Osborne, Anwar false No 2046 Flu in Obs and MOON in Obs Flu in Obs and MOON in Obs https://anwaro.podbean.com/e/flu-in-obs-and-moon-in-obs/ https://anwaro.podbean.com/e/flu-in-obs-and-moon-in-obs/#comments Mon, 30 Jan 2017 11:15:43 -0500 http://anwaro.podbean.com/e/flu-in-obs-and-moon-in-obs/ Hi guys!

This month we're talking about influenza and the MOON.  Do you put influenza-like-illness patients in your obs unit?  We talk some about the issues surrounding this treatment pathway and share the nitty gritty details of how both of the hospitals Wheatley and Osborne are handling Medicare Outpatient Observation Notice Act implemenation.

The MOON slides from Mike Ross's update at ACEP 2106 are HERE

The CMS form examples are HERE

]]> Hi guys!

This month we're talking about influenza and the MOON.  Do you put influenza-like-illness patients in your obs unit?  We talk some about the issues surrounding this treatment pathway and share the nitty gritty details of how both of the hospitals Wheatley and Osborne are handling Medicare Outpatient Observation Notice Act implemenation.

The MOON slides from Mike Ross's update at ACEP 2106 are HERE

The CMS form examples are HERE

]]> Osborne, Anwar false No 1041 New Hot Articles in the World of Observation New Hot Articles in the World of Observation https://anwaro.podbean.com/e/new-hot-articles-in-the-world-of-observation/ https://anwaro.podbean.com/e/new-hot-articles-in-the-world-of-observation/#comments Fri, 04 Nov 2016 10:41:02 -0500 http://anwaro.podbean.com/e/new-hot-articles-in-the-world-of-observation/

Hey guys!

This podcast, Dr. Wheatley and Dr. Osborne discuss some of the newest literature as it pertains to obs. Instead of butchering these innocent people's names, we put the info here!

First we discussed this hot hot article from NEJM.

Prevalence of Pulmonary Embolism among Patients Hospitalized for Syncope.

N Engl J Med. 2016 Oct 20;375(16):1524-1531.

Prandoni P

Then we talked about this correlating study.

Short-term Prognosis and Current Management of Syncopal Patients at Intermediate Risk: Results from the IRiS (Intermediate-Risk Syncope) Study.

Acad Emerg Med. 2016 Aug;23(8):941-8. doi: 10.1111/acem.13013. Epub 2016 Aug 1.

Numeroso F

Then we talked about this interesting abstract. This is from the forum at ACEP and you can click the link to the PDF. It's abstract 76.

Effect of a Sickle Cell Vaso-occlusive Crisis Observation Unit Pathway on the Admission Rate for Frequent Emergency Department Users

Loeffler P, Sturgis L, Muelller T, Gibson R, Lyon M/Augusta University, Augusta, GA

Then we finished with AHRQ study. It's also free can be found here!

We hope you enjoy!

]]>

Hey guys!

This podcast, Dr. Wheatley and Dr. Osborne discuss some of the newest literature as it pertains to obs. Instead of butchering these innocent people's names, we put the info here!


First we discussed this hot hot article from NEJM.

Prevalence of Pulmonary Embolism among Patients Hospitalized for Syncope.

N Engl J Med. 2016 Oct 20;375(16):1524-1531.

Prandoni P


Then we talked about this correlating study.

Short-term Prognosis and Current Management of Syncopal Patients at Intermediate Risk: Results from the IRiS (Intermediate-Risk Syncope) Study.

Acad Emerg Med. 2016 Aug;23(8):941-8. doi: 10.1111/acem.13013. Epub 2016 Aug 1.

Numeroso F


Then we talked about this interesting abstract. This is from the forum at ACEP and you can click the link to the PDF. It's abstract 76.

Effect of a Sickle Cell Vaso-occlusive Crisis Observation Unit Pathway on the Admission Rate for Frequent Emergency Department Users

Loeffler P, Sturgis L, Muelller T, Gibson R, Lyon M/Augusta University, Augusta, GA


Then we finished with AHRQ study. It's also free can be found here!


We hope you enjoy!






]]> Osborne, Anwar false No 1800 ACEP 2016 Podcast ACEP 2016 Podcast https://anwaro.podbean.com/e/acep-2016-podcast/ https://anwaro.podbean.com/e/acep-2016-podcast/#comments Tue, 25 Oct 2016 20:55:38 -0500 http://anwaro.podbean.com/e/acep-2016-podcast/ Osborne, Anwar false No 1707 Sooo...this Observation APC for 2016 pays how much more??? Sooo...this Observation APC for 2016 pays how much more??? https://anwaro.podbean.com/e/sooothis-observation-apc-for-2016-pays-how-much-more/ https://anwaro.podbean.com/e/sooothis-observation-apc-for-2016-pays-how-much-more/#comments Wed, 02 Mar 2016 08:54:30 -0500 http://anwaro.podbean.com/e/sooothis-observation-apc-for-2016-pays-how-much-more/ This PDF covers how short stay inpatients will be reviewed.   ]]> This PDF covers how short stay inpatients will be reviewed.  
]]> Osborne, Anwar false No 1503 Biggest Issues in Our Obs Units Biggest Issues in Our Obs Units https://anwaro.podbean.com/e/biggest-issues-in-our-obs-units/ https://anwaro.podbean.com/e/biggest-issues-in-our-obs-units/#comments Thu, 04 Feb 2016 10:45:50 -0500 http://anwaro.podbean.com/e/biggest-issues-in-our-obs-units/ Osborne, Anwar false No 1940 Pobscast from Boston without Obnoxious Accents!! Pobscast from Boston without Obnoxious Accents!! https://anwaro.podbean.com/e/pobscast-from-boston-without-any-annoying-accents/ https://anwaro.podbean.com/e/pobscast-from-boston-without-any-annoying-accents/#comments Sat, 28 Nov 2015 17:27:36 -0500 http://anwaro.podbean.com/e/pobscast-from-boston-without-any-annoying-accents/ here!]]> here!]]> Osborne, Anwar false No 1218 Conference, Controversy, and Syncope Conference, Controversy, and Syncope https://anwaro.podbean.com/e/conference-controversy-and-syncope/ https://anwaro.podbean.com/e/conference-controversy-and-syncope/#comments Sun, 11 Oct 2015 09:00:36 -0500 http://anwaro.podbean.com/e/conference-controversy-and-syncope/ Osborne, Anwar false No 1184 Don't Call it a Comeback Pobscast Don't Call it a Comeback Pobscast https://anwaro.podbean.com/e/dont-call-it-a-comeback-pobscast/ https://anwaro.podbean.com/e/dont-call-it-a-comeback-pobscast/#comments Sat, 08 Nov 2014 17:16:07 -0500 http://anwaro.podbean.com/e/dont-call-it-a-comeback-pobscast/ Osborne, Anwar false No 2058 2 Midnight Rule at ACEP 2 Midnight Rule at ACEP https://anwaro.podbean.com/e/2-midnight-rule-at-acep/ https://anwaro.podbean.com/e/2-midnight-rule-at-acep/#comments Mon, 25 Nov 2013 10:52:53 -0500 http://anwaro.podbean.com/e/2-midnight-rule-at-acep/ Osborne, Anwar false No 1951 Heart Failure again and again! Heart Failure again and again! https://anwaro.podbean.com/e/heart-failure-again-and-again/ https://anwaro.podbean.com/e/heart-failure-again-and-again/#comments Sun, 13 Oct 2013 13:35:19 -0500 http://anwaro.podbean.com/e/heart-failure-again-and-again/ Osborne, Anwar false No 1107 Pobservation Medicine Conference Pobservation Medicine Conference https://anwaro.podbean.com/e/pobservation-medicine-conference/ https://anwaro.podbean.com/e/pobservation-medicine-conference/#comments Wed, 20 Mar 2013 20:28:51 -0500 http://anwaro.podbean.com/e/pobservation-medicine-conference/ Osborne, Anwar false No 902