Health & Veritas Yale School of Management

Howie and Harlan are joined by Lee Schwamm, associate dean for digital strategy and transformation for Yale School of Medicine and chief digital health officer for Yale New Haven Health System, to discuss how AI and other digital tools can be part of fixing a broken healthcare system. Harlan reports on lightly regulated compounding pharmacies producing anti-obesity drugs; Howie gives an update on efforts by the FDA and CDC to fight bird flu.
Links:
"2023 Paul Dudley White Award: Dr. Lee Schwamm"
Yale School of Medicine | Lisa Leffert, MD
Health & Veritas | Dr. Lisa Leffert: Leading in Anesthesiology
Testimony Prepared by Dr. Lee Schwamm Submitted to the House Committee on Energy and Commerce Subcommittee on Heath
"Ambient AI Is Here, And We Are Blissfully Unaware Of It"
"Yale New Haven Health to provide AI-driven clinical documentation"
"Abridge, Mayo Clinic, And Epic Collaborate To Develop An Integrated Artificial Intelligence Documentation Solution For Nurses"
"Are You Sure Your Ozempic Is Real? Fakes Are on the Rise."
"Bill on Drug Compounding Clears Congress a Year After a Meningitis Outbreak"
CDC | H5 Bird Flu: Current Situation
"Is Bird Flu Spreading Widely to Farm Workers? A Small Study Offers Some Reassurance"
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Howie and Harlan are joined by Joshua Sharfstein, a longtime public health official in federal, state, and local government, to discuss the state of the opioid epidemic, lessons from the COVID-19 vaccine rollout, and our readiness for a bird flu outbreak. Harlan reports on the summer surge in COVID-19; Howie remembers his mentor Gail Wilensky, a health economist who directed Medicaid and Medicare programs and led many other organizations over a 50-year career. 
Links:
COVID-19 Update
CDC: COVID Data Tracker
CDC: COVID-19 Current Wastewater Viral Activity Levels Map
“What to Know About COVID FLiRT Variants”
Joshua Sharfstein
Joshua Sharfstein: The Public Health Crisis Survival Guide: Leadership and Management in Trying Times
Joshua Sharfstein: The Opioid Epidemic: What everyone needs to know”
“How Can Over-the-Counter Naloxone Prevent Opioid Overdose Deaths?”

CDC: H5 Bird Flu: Current Situation
“Millions of US Children Experience Range of Long COVID Effects”
Joshua Sharfstein: “The Role for Policy in AI-Assisted Medical Diagnosis”
“External Validation of a Widely Implemented Proprietary Sepsis Prediction Model in Hospitalized Patients”
“Epic’s overhaul of a flawed algorithm shows why AI oversight is a life-or-death issue”
Podcast: “Baltimore cut infant mortality and helped moms thrive, too”
Remembering Gail Wilensky
“In Remembrance Of Gail Wilensky”
“Gail Wilensky, Former CMS Administrator, Dies at 81”
“In Memoriam: Gail Wilensky, Renowned Health Economist & NORC Trustee”
Gail Wilensky: “The Health Care Quality Improvement Initiative”

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Howie and Harlan are joined by Kate Goodrich, chief medical officer for Humana and a former Medicare staffer, to discuss the improvements in care and outcomes that result when providers are paid for each patient, not each service. Harlan looks at the challenge of payment for AI-based diagnostic tools; Howie asks if free tuition at Johns Hopkins medical school will address the real problems in medical education. 
Links:
AI Diagnostic Tools
“Tempus Receives U.S. FDA 510(k) Clearance for Tempus ECG-AF, an AI-based Algorithm that Identifies Patients at Increased Risk of AFib”
“Ensight-Ai Awarded Fda's Breakthrough Device Designation For Their Ecgvision-Ttr© Technology For Early Detection Of Attr-Cardiomyopathy Image”
The Cardiovascular Workforce Crisis: Navigating the Present, Planning for the Future
“American Medical Association Grants PLA Code to Tempus Algorithmic Test, PurISTSM”
Kate Goodrich
Humana: Value Based Care Report
Centers for Medicare & Medicaid Services: Value Based Care
“Medicare Spending on Ozempic and Other GLP-1s Is Skyrocketing”
Free Tuition at Johns Hopkins
“Bloomberg gives $1 billion to Hopkins to make tuition free for most medical students”
Johns Hopkins School Of Medicine: Tuition And Financial Aid
“Free med school tuition won’t solve the shortage of primary care physicians”

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Howie and Harlan are joined by Timothy Westmoreland to discuss his long career in health policy and law, and the far-reaching consequences of the Supreme Court decision overturning Chevron deference. Harlan looks at President Joe Biden's debate struggles; Howie reports on the many healthcare-related Supreme Court decisions. 
Links:
The Presidential Debate
Harlan Krumholz: “Did Cold Medications Affect Biden's Debate Performance?”
CNN Presidential Debate: President Joe Biden and former President Donald Trump
Press Briefing by Press Secretary Karine Jean-Pierre, July 2, 2024
“Biden's Evolving Reasons for His Bad Debate: A Cold, Too Much Prep, Not Feeling Great and Jet Lag”
Timothy Westmoreland
Timothy Westmoreland: “Henry Waxman, the Unsung Hero in the Fight Against AIDS”
“LGBTQ History Month: The early days of America's AIDS crisis”
Cornell Law School Legal Information Institute: Chevron deference
Ballotpedia: Skidmore deference
“How the Chevron case has roiled U.S. healthcare agencies” 
SCOTUSblog: Corner Post, Inc. v. Board of Governors of the Federal Reserve System
“Supreme Court appears likely to allow abortion drug to remain available”
The Supreme Court
“Implications for Public Health Regulation if Chevron Deference Is Overturned”
Supreme Court opinion: Murthy, Surgeon General, et al. v. Missouri et al
SCOTUSblog: Food and Drug Administration v. Alliance for Hippocratic Medicine
Cornell Law School Legal Information Institute: Moyle v. United States
Supreme Court of the United States
Health & Veritas Ep. 77: Megan Ranney: What’s Next for Public Health?

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Howie and Harlan catch up on healthcare headlines, including the politics of treating gun violence as a public health crisis, the growing evidence for the dangers of artificial sweeteners, and the latest on the bird flu outbreak.
Links:
Aspen Ideas: Health 2024
Harlan Krumholz: “The Next Era of JACC”
"First Issue of JACC Debuts Under Harlan M. Krumholz"
"U.S. clinical trials begin for twice-yearly HIV prevention injection"
UNAIDS: 2023 Fact Sheet
Rush University System: Dr. Omar B. Lateef
"Rush Signs on as First Partner for Local Laundry Service"
“Health Equity as a System Strategy: The Rush University Medical Center Framework”
"Surgeon General Declares Gun Violence a Public Health Crisis"
Surgeon General’s Advisory on Firearm Violence
"Surgeon General: Why I’m Calling for a Warning Label on Social Media Platforms"
“Patient Navigation for Lung Cancer Screening at a Health Care for the Homeless Program A Randomized Clinical Trial”
Vinay Prasad: “CT screening for lung cancer for homeless people: the new JAMA IM paper”
Supreme Court: Murthy v. Missouri Opinion
"US supreme court allows government to request removal of misinformation on social media"
Harlan Krumholz: “Why One Cardiologist Has Drunk His Last Diet Soda"
“Xylitol is prothrombotic and associated with cardiovascular risk”
"Is Xylitol Dangerous?"
CDC: A(H5N1) Bird Flu Response Update June 21, 2024
"Michigan stands out for its aggressive bird flu response. Will other states follow its lead?"
"Finland to offer bird flu vaccinations to at-risk residents in a world first"

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Howie and Harlan are joined by Lisa Suter, a rheumatologist and the senior director of the Quality Measurement Program at Yale’s Center for Outcomes Research & Evaluation. Harlan reflects on the meaning of Juneteenth and reports on a Yale-led report card on health equity; Howie comments on Surgeon General Vivek Murthy’s call for warning labels on social media. 
Links:
Juneteenth
National Museum of African American History & Culture: Juneteenth
Harlan Krumholz: “Excess Cardiovascular Mortality Among Black Americans 2000-2022: A JACC Report Card”
“JACC Report Card Highlights Inequities in CV Care, Death Rates”
Harlan Krumholz: “Excess Mortality and Years of Potential Life Lost Among the Black Population in the US, 1999-2020”
Lisa Suter
Center for Outcomes Research and Evaluation
National Institute of Arthritis and Musculoskeletal and Skin Disease: Arthritis
Lisa Suter: “Medical Decision Making in Patients With Knee Pain, Meniscal Tear, and Osteoarthritis”
Lisa Suter: “Projecting Lifetime Risk of Symptomatic Knee Osteoarthritis and Total Knee Replacement in Individuals Sustaining a Complete Anterior Cruciate Ligament Tear in Early Adulthood”
“Voices of DEI: Lisa Suter, MD”
Harlan Krumholz: “Association of door-to-balloon time and mortality in patients admitted to hospital with ST elevation myocardial infarction: national cohort study”
Harlan Krumholz: “Association of Racial and Socioeconomic Disparities With Outcomes Among Patients Hospitalized With Acute Myocardial Infarction, Heart Failure, and Pneumonia
An Analysis of Within- and Between-Hospital Variation”
The Surgeon General on Social Media 
“Surgeon General: Why I’m Calling for a Warning Label on Social Media Platforms”
“Social Media and Youth Mental Health: The U.S Surgeon General’s Advisory”
Kids Online Safety Act: Senator Richard Blumenthal

Learn more about the MBA for Executives program at Yale SOM.
Email Howie and Harlan comments or questions.