9 episodes

In pursuit of better ways to live and die, we share ideas for the next generation of eldercare, senior housing, estate planning, and deathcare leaders.

Redesigning the End HeatSpring

    • Education
    • 5.0 • 15 Ratings

In pursuit of better ways to live and die, we share ideas for the next generation of eldercare, senior housing, estate planning, and deathcare leaders.

    9: Let’s Keep Doing Virtual Funerals

    9: Let’s Keep Doing Virtual Funerals

    Some of the most heartbreaking stories in 2020 were about families that couldn’t gather together to grieve the death of a loved one. Virtual funerals became a thing for the first time. I wanted to do this episode because I was hearing stories about virtual funerals that were surprisingly awesome.

    • 11 min
    8: How Artificial Intelligence Fills the Primary Care Gap

    8: How Artificial Intelligence Fills the Primary Care Gap

    "Sometimes in our healthcare experiences we just feel like numbers in an office, you know, running through, not getting enough time to say what we wanted to say or get our questions answered. And that's a symptom of healthcare not being human."

    Lane Therrell FNP-BC, MSN, RN, HTCP

    Clinical Education Director, mynurse.ai

    Do you have a primary care doctor that you love? If you do, I’m jealous.

    Sometimes I daydream about finding a great primary care doctor. He takes my insurance. It’s easy and casual to have an appointment so I go in for little stuff. Over the years he really gets to know me and after every visit I walk out feeling really dialed in on my health. He makes sure I’m getting all the tests I need and generally nudges me toward a healthier lifestyle.

    In reality, I don’t even really know who my primary care doctor is. They keep leaving the health system, so I basically have the equivalent of a court-appointed public defender that I’ve been assigned and that’s the name that I put on forms. There’s no real relationship there.

    My situation is pretty common.

    The Association of American Medical Colleges put out a report in 2020 that says we’ll have a shortfall of 55,000 primare care doctors in the U.S. by 2033.

    This episode is about a company that is trying to close the shortfall of primary care doctors with software. And I think what their approach makes a lot of sense.

    About the Company: mynurse.ai

    As Clinical Team Lead at Salusive Health, a telehealth startup, Lane Therrell combines her education and experience as a nurse practitioner with her skills as an educator and coach, to manage a team of wellness coaches who support the chronic care needs of Medicare patients between office visits.

    mynurse.ai is digital health program helping seniors with chronic conditions live their best lives.

    Episode Credits

    Pat Cupples provided original music for this episode. Additional music is from the band Hotels & Highways.

    Photo credit: mynurse.ai blog

    Join us to learn more: "Medicare 2021: What Changed?"

    • 12 min
    7: Senior Housing Has a People Problem

    7: Senior Housing Has a People Problem

    "The average time to hire any sort of frontline healthcare worker - nationally - is 49 days. And that's by far the largest time to hire in any sort of macro industry in the United States."

    Charles Turner

    CEO, Kare (App)

    Today we’re going to talk about Senior Housing - where do we live when we can’t really live by ourselves any more?

    It’s a really big market: Americans spend about $688 billion on senior housing services. But for a lot of people this is a scary thing to navigate. It’s like the lint trap of the aging process - all the stuff you don’t want to talk or think about collect in this one knotted up ball of yarn.

    In this episode I want to introduce you to a giant problem and one possible solution.

    Let’s start with the problem:

    US Nursing Home workers turned over at mean rate of 128% in 2017 and 2018. For context - restaurant workers turn over at 17% per year.

    Can you even imagine trying to run a business when 128% of your workforce turns over every year? I can’t.

    So what’s going on here?

    Well there’s obvious stuff:

    It’s a hard job.

    You get paid hourly and schedules change week-to-week

    You don’t get paid a lot - Caregivers in senior care facilities make $37,540. 

    If you start researching the senior housing labor statistics it gets depressing fast. I don’t recommend doing this alone.

    To help us understand what’s really going on and think about some positive solutions I want you to meet Charles Turner the founder and CEO of KARE.

    About Charles Turner and Kare

    An innovator in the senior housing space, Charles is currently the CEO of Kare, which is creating solutions to solve the labor shortage in senior care. Charles is also CEO of Invidia for Seniors, a multi platform company focused on improving the senior housing and care industry. Prior to Invidia, Charles was the President of Lifewell Senior Living and PinPoint Senior Living where he led development and operating initiatives for the companies. Invidia invests time, money and resources in technologies and programs that provide improve care and evidence based outcomes for its residents.

    Charles holds a B.A. in History and Politics from Wake Forest University and an M.B.A. in Finance from The University of Texas in Austin.

    Kare is a platform that empowers post acute caregivers to earn extra income and manage their own flexible schedules, while senior care communities decrease their operating costs by reducing high overtime wages and eliminating costly staffing agencies.

    Episode Credits

    Pat Cupples and Moby provided original music for this episode. 

    Photo credit: StackSource

    Join us to learn more: "Medicare 2021: What Changed?"

    • 9 min
    6: Advance Care Planning Systems – The Miracle Hiding in Plain Sight

    6: Advance Care Planning Systems – The Miracle Hiding in Plain Sight

    "Advance care planning is not enough. It's critically important that we develop highly reliable systems."

    Dr. Stephanie Anderson

    Respecting Choices®

    Advance care planning - clarifying your wishes in advance about the kind of care you want to receive - improves outcomes for patients, families and healthcare providers. The data is so conclusive that legislation was passed in the 1990's to increase the number of Americans having an advance directive. The legislation failed, but it's a great start. In this conversation with Emily Lauri and Dr. Stephaie Anderson, we explore the problem and possible solutions.

    Meet Dr. Stephanie Anderson

    Dr. Stephanie Anderson is the executive director of Respecting Choices, a division of C-TAC Innovations. She is responsible for designing and leading strategy and operations including the delivery of this internationally recognized program. She has over 25 years of experience in palliative care, hospice, home care, case management, and emergency medicine. Dr. Anderson earned her doctor of nursing practice degree from the University of Iowa specializing in health systems administration.

    Dr. Anderson has served in a variety of leadership roles. In these roles, her palliative care program was awarded Joint Commission Certification and the system received the Circle of Life award from the American Hospital Association. She co-chaired the Iowa Physician Orders for Scope of Treatment (IPOST) movement, resulting in new legislation and statewide implementation. Dr. Anderson joined Respecting Choices in 2013 as a senior faculty consultant and evolved into the director of consultation and education services prior to her current role. Dr. Anderson currently chairs the National POLST central region leaders group, co-chairs the POLST program assistance committee and a member of the program standards committee. She is vice president of Advance Care Planning - international. Dr. Anderson believes person-centered decision making based on an individual’s goals and values truly transforms care and should be the top priority to delivering exceptional whole-person healthcare.

    Person-Centered Decision Making

    Respecting Choices’ goal is to design a system of person-centered care that is guided by the best scientific evidence and is aligned with an individual’s goals and values.

    This system requires a shared decision-making process that involves respectful interaction among providers, individuals, and families, and keeps the focus of planning on what matters most to each and every person for any healthcare decision.

    Episode Credits

    Pat Cupples provided original music for this episode. Additional music is from the band Hotels & Highways.

    Photo credit: Gundersen Health System

    Join us to learn more: "Medicare 2021: What Changed?"

    • 13 min
    5: Walt Patrick’s Intro to Green Burial

    5: Walt Patrick’s Intro to Green Burial

    " People are looking hungrily for anything that can give them a sense of efficacy in a world that doesn't seem to care what they think."

    Walt Patrick

    Herland Forest Natural Burial Cemetery

    Green Burial basically means no embalming, no concrete vault, no coffin. It's how people did things for millennia, but today it represents just a tiny fraction of the overall market. Why?

    Meet Walt Patrick

    Walt is one of the founders of Herland Natural Burial Cemetery in Wahkaicus, WA. He's also the first licensed natural organic reduction operator in the country.

    He's going to introduce you to green burial and make the case for why he's dedicated much of his life to making it available and affordable to anybody who likes it.

    Green Burial

    Green burial is less expensive and better for the environment than embalming or cremation. And it kind of flips the relationship you have with the body on it’s head.

    This episode is not meant as a critique of funeral directors or decisions made by grieving family members or make anyone feel like they’ve done anything wrong. I don’t have an axe to grind, nobody is sponsoring the show - there’s no hidden agenda here.

    Maybe it’s for you and maybe it’s not - but you should definitely spend a few minutes leaning what it it is.

    Pat Cupples provided original music for this episode. Additional music is from the band Hotels & Highways.

    Free Webinar: "Opportunities in Green Burial"

    • 14 min
    4: Talk to Your Kids About Death – Jeanne Proust

    4: Talk to Your Kids About Death – Jeanne Proust

    "The fact that our time on this earth is limited is actually the ultimate incentive to act."

    Jeanne Proust

    Meet Jeanne Proust. She's a philosopher and educator - in this thirteen minute piece she explains what philosophy says about death. These timeless ideas help us make sense of life, but don't address the powerful emotions of grief and loss. This episode offers a more precise language for talking about death in future episodes.

    About Jeanne Proust

    After studying in Bordeaux, Berlin, and Paris, Jeanne has been teaching Philosophy, Art History and French Literature for the last ten years in the US. During her PhD (Paris 1 Panthéon-Sorbonne), her research has focused on the pathologies of the willpower, both in philosophical and psychological perspectives, but her interests are wide: among many fields, she does research in Ethics, Philosophy of Technologies and Aesthetics.

    While teaching in New York, Jeanne advocates for a widening of philosophical education beyond the Academia frontiers by participating in different events open to the general public; she taught philosophy at Rikers Island as a volunteer and at the NYPL night of Philosophy. Jeanne also holds a degree in Visual Arts; she collaborates with artists on her photography, drawing and painting works.

    Jeanne is going to lay out the philosophical underpinnings of death. You're going to learn things every human should know. But then she’s going to share her human side, and talk about they way her training kinda failed her during a personal tragedy.  

    Recalibrating the Timeline and Tone of Life's Biggest Conversations

    Getting the tone right in a conversation about death can be really tricky. If you don’t acknowledge the grief and fear of others then you're viewed as cold. But if you are too tentative the conversation is boring and inauthentic. You don't get anywhere.

    This show is going to work or not work based on the tone of the conversation. So this is the episode where we start to lay out precise language and mental models for better conversations. Thinking about how we might talk to children about death turns out to be a pretty useful approach.

    So - I hope you can sit back and enjoy this Cliff Notes version of the philosophy of life and death.

    This episode was produced by Pat Cupples. Not only did he do the reporting and editing, he also provided original music. Additional music is from the band Hotels & Highways.

    Pictured: Roman marble bust of Epicurus

    Join us on January 28th: "How to Host a Virtual Funeral" (Free on Zoom)

    • 13 min

Customer Reviews

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15 Ratings

15 Ratings

Apps and naps ,

Normalizing death dialogue

Not everyone should lead a podcast surrounding death, but Brian is a perfect fit for this nuanced topic. I’ve listened to his past work in depth and can’t wait to hear this next chapter of his storytelling journey.

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