Strategic Landscapes: An Outcomes-Based Approach to Health through the Outdoors

Very good post on an under-utilized resource!

Mia Scharphie

I’ve been thinking a lot about the (underutilized) potential of the outdoors as a strategic tool for community health.

There’s been a lot of interest in the potential of landscape for community health on the scale of urban planning, but I am particularly interested in what can be done on the scale of a site: a park or plaza.

What if we thought about each outdoor space as an asset in a portfolio we could leverage to produce better health outcomes? What if every designer, when presented with a plot of land, designed to produce those outcomes? This doesn’t just mean didactic approaches that hit people over the head with how they should live their lives differently, or ‘branded’ health spaces, this means setting goals for our designs based on greater health on the individual, community and ecosystem levels.

Below are some of the ways I’ve organized outcomes as opportunities designers could try…

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Interoperabilty – It’s Healthcare’s time.

More evidence for the growing issue at hand…Certainly does create an interesting environment for the entrepreneurs, innovators, and startups wanting to take on this challenge…Count me in!

If interoperability wasn’t one of the biggest healthcare IT buzz words in 2014, it certainly will be in 2015. As growing numbers of hospitals and providers have begun using EMRs, the necessity to share data between systems has become paramount. Interoperability is a meaningful use requirement, but it hasn’t been the driver that we’d hoped it would be. With many calling for a change or outright cancellation of MU, interoperability must remain at the forefront of the discussion in health IT. Without true semantic interoperability, achieving the Triple Aims becomes increasingly difficult. Data in a silo (single EMR) is worth a lot less than data shared across systems.

The industry and government are responding, but are there too many initiatives and directions to achieving interoperability? Here is a short list of things to keep track of over the next year:

  • ONC (HHS’ Office of the National Coordinator for Health Information Technology) has proposed…

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Data Analytics Revolution is the Future of Healthcare

Couldn’t have said it better myself!

Conscientia Corporation

The U.S. healthcare industry has reached the $3 trillion mark, driving the great Healthcare Reform debate as the annual healthcare spending rises to worrying figures of $9000 per capita. Can data analytics help?

Big data analytics is already boosting retail revenues and improving law enforcement, but the healthcare industry is yet to embrace the revolutionary technology trend along the same lines despite experiencing the promising rewards.

Analysts at the McKinsey Global Institute believe the future of data analytics in healthcare is more than healthy. A recent McKinsey research study finds predictive analytics could account for up to 17 percent, or around $450 billion in the nation’s reduced healthcare spending. Healthcare analytics essentially enables faster identification of high-risk patients, more effective interventions and reduced patient readmission rates. And although concerns surrounding patient confidentiality and privacy have stifles healthcare data analytics adoption, digitization of patient records and application of big…

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Patient Continuity of Care – Integrating Patient Information Across Healthcare Services Delivery Facilities

Fascinating study of this very pervasive issue…Something close to my own heart!

KWKeirstead's Blog

The healthcare industry has a poor track record of facilitating the integration of Patient Information.

Patients have EMRs, typically one at each healthcare services delivery organization where healthcare_posthey receive services.

A patient can be receiving services from a General Practitioner, a Specialist, and one or more hospitals.

Rule #1 within any single healthcare services delivery entity is a record of each patient encounter/ service performed needs to go into the patient EMR.

The reason is simple – in the absence of being able to reach anyone who knows the Patient History, a provider has to rely on what is in the EMR for decision-making relating to the Patient.

Clearly, when a Patient is receiving services from more than one healthcare facility, there is a need to consolidate encounter information to avoid duplication of services and reduce medical errors.

How to Route encounter information to patient EMRs

Most healthcare organizations have…

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What’s Your Bookshelf Strategy?

I personally like to showcase all of my books (mostly because I will take them out and read passages, chapters, and even cover to cover on occasion). I also make sure I am fully stocked with audiobooks (for commuting), e-books and other materials when travelling. Great source of inspiration!

101 Books

Do you have a bookshelf strategy?

Like, what goes in your bookcase? And do you organize it any certain way?

Do you opt for the showcase books? Maybe hard covers you’ve never read.

Does your bookcase only represent books you’ve read?

Is it hardcover only, or is it filled with a mix of hardcover and paperback?

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The Jobs Only You Can Do

At this point, you have left the…not enough to go around mentality, and entered into the…we can all eat like kings mentality!

Decision-Making, Analytics & Intelligence > Philippines

Sharing this awesome blog post…. “One of the milestones every entrepreneur passes is when she stops thinking of people she hires as expensive (“I could do that job for free”) and starts thinking of them as cheap (“This frees me up to do something more profitable.”)

When you get rid of every job you do that could be done by someone else, something needs to fill your time. And what you discover is that you’re imagining growth, building partnerships, rethinking the enterprise (working on your business instead of in it, as the emyth guys would say). Right now, you don’t even see those jobs, because you’re busy doing things that feel efficient instead.”

This concept really resonates with me as DMAI passes the milestone of one full year working on the account. One of my goals early on with this client was to find people to train and…

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The Concierge Option: As hospitals gobble up primary care practices, NPs may consider the concierge model.

This is a model I professionally advise my clients to explore. It can provide the patient with a much needed alternative to the production line mentality that drives most offices these days (due to regulations, etc…)

Concierge Medicine Today

By Michelle Crumbley, MSN, FNP

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An Introduction…

For the first post to my blog, I thought it would be a good idea to introduce myself, give a little background, and let folks know what they can expect to see in future posts.


I am a husband to the most beautiful, understanding, and supportive person I know. I am the proud father, teacher, and student of 3 (step-father of 1). I am a lifelong learner, connoisseur of knowledge, tester of fate, hopeful skeptic, lover of cats and dogs, and loyal friend. Professionally I am a clinical business and systems analyst, aspiring entrepreneur, student of business development, social media junkie, new blogger, and passionate consultant to independent medical practices.

My outlook on life is mostly optimistic, and I choose to study and learn from all religions, instead of pronouncing any one or condemning others. I meditate regularly, and I find great pleasure in resolving issues and conflict in business, as well as in life. I am imperfect and flawed. I am extremely creative (at least IMHO), and I prefer to work as a member of a high performing team versus as a solopreneur as I value the exponential power. But I haven’t always held this outlook on life, in fact I spent a good part of my life feeling like there was something missing…like there was some kind of elusive mystery, as if I knew I was meant to do something exciting and fulfillment, but I couldn’t put my finger on it. As you’ll soon see, I had plenty of opportunities to be consumed by inadequacies, failure, and loss. This is my story…

I was born in Holyoke Massachusetts to a single mother. I was the oldest of two children. My brother and I had different fathers, but we never met either of them. I had a step father that was my “dad”, he was very strict and never missed an opportunity to lay down the law. He had some health issues and some minor deformities on his hands. But boy oh boy, could he swing a leather belt. He passed away at the age of 40, when I was 12. We never had much, and I remember one Christmas where my parents got gifts for my brother and each other and somehow “forgot” about me. Of course, at the time, I thought I was bad because they were from Santa…although I learned a lot from my parents, I struggled with feelings of inadequacy. We always lived in large apartment “projects”, we often got evicted for not paying rent, had electricity shut off, and my parents were willing participants of the welfare and food stamp programs. I went to school with the latest fashions from the local Kmart, and only got new clothes due to school clothes allowances from welfare. We moved a lot, and I never had many friends because I was an obvious target. My punishments were usually severe and extreme.

I was born with a ball and joint deformity in both hips called leg-calve perthese disease. It went un-diagnosed for my first 5 years which made it more difficult to treat. I spent the rest of my adolescence in and out of surgery (14 to be exact), wheelchairs, spika casts, crutches, and at one point I even had a hospital bed in the living room of our apartment. This has a lot to do with my passion for healthcare. If it wasn’t for the phenomenal doctors, surgeons, physical therapists, nurses, and administrators at Shriners Hospital providing my care completely free of charge, I never would have received the level of care I needed. At the age of 26 I had a hip replacement on the left side at New England Orthopedic Surgeons, and it has been 10 years with no complications (thank you Dr. Lehman)!


Now please understand this isn’t meant to be a pitty party by any means, on the contrary, I learned to be humble, to appreciate what I have, to be sincere, an extremely hard worker, compassionate, and I chose to take my parents’ example and use it as a compass. I learned what not to do, how not to raise my own children, and how important a stable caring environment is to my children’s development. I learned how important healthcare providers are. Probably the most important thing I learned is my work ethic, and that no matter how bad life may seem, it’s nothing compared to what I have already endured. Finally, I’ve learned that I’ll never be done learning, that nothing is perfect, that if my experiences, both good and bad, can make a difference in one life or one business they were all worth it and my story is only one of billions…the power of that last thought is tremendous.

I have had the pleasure of working in the medical systems (EMR/EHR/PM) field for the last 8 years. I have provided guidance to staff members trying to make sense of all the technology, resolved issues that were costing the practice tens of thousands of dollars a year, and helped doctors to work smarter instead of harder. I have done this with no compensation, and it was my pleasure! It has been a very fulfilling journey so far, and at this point I have chosen to expand on my expertise. Although I continue to work full-time for a non-profit community health center, I have also founded The Private Practice Consultant. This is a consulting company designed to meet the needs of the independent medical practice by fusing patient-centered care, systems integration, interoperability, process efficiency, continuity-of-care, and innovative business models. My chief aim is to assist these practices in such a way that they are able to gain and maintain a competitive advantage in their markets, and focus on providing the best care possible. Its a tall order, but I’m fully equipped to fulfill it.

As I move forward in my journey I will be posting about entrepreneurship, starting a business, marketing, and social media engagement. I will also be doing audio and video interviews with innovative entrepreneurs in the medical practice space, reviews of EMR/EHR and Practice Management Systems, I will be writing about actual practices I’ve been able to help, and publishing news and insights about innovations in this area. I will be writing about what patients want and how practices can meet these needs. Finally I may post about life in general, or raising children, or even how to maintain a good work-life balance. The most important part of this blog, and my business, is you…it is you, dear reader, that I would love the opportunity to connect with. I would like the opportunity to transcend the sometimes impersonal nature of technology. It is my hope to bring a very human element to my blog, but to do that I need your comments, and your engagement here and on your social networks. I’m always available for any reader who wants to reach out and have a conversation about a topic I’ve written about, or for the Practice Manager who has a question, or the business owner that needs a helping hand. I’m here for you! Please let me know your thoughts in the comments section and tell me whether I did well, or terrible on this post, and please subscribe so we can get to know each other better!