UpMed: The Journal of Healthcare's Race To The Bottom

By: Dr. Erica Urquhart
  • Summary

  • Dr. Erica Urquhart, our host, is an orthopedic surgeon with over 20 years of practice. Join Dr. Erica as she gives our listeners a behind the scenes look at the healthcare industry, from both the medical and financial perspectives. She and her guests will provide a unique lens on the problems and solutions required for better healthcare in the United States.
    Straight Up Media LLC 2024
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Episodes
  • CHAPTER 8: Ethos. Pathos. Logos
    Dec 29 2024

    In the final episode of Season 2 of UpMed: The Journal of Healthcare’s Race To The Bottom, Dr. Erica Rowe Urquhart discusses the complex landscape of the current healthcare system. She likens the healthcare crisis to a David and Goliath situation, emphasizing the need for proactive solutions and policy reforms to tackle detrimental practices. The episode explores the ‘ethos', ‘pathos’, and 'logos’ of our current healthcare system, highlighting the diverse stakeholders including large, medium, and small healthcare systems and providers. Dr. Urquhart dives into the financial dynamics involving insurance companies, stressing the significance of understanding insurance benefits and advocating for legislative changes. This episode concludes with a call to action for listeners to become informed and engaged in seeking improvements in healthcare. Season 3 promises to explore solutions to these pressing issues.

    EPISODE HIGHLIGHTS:

    00:00 Welcome to UpMed Season Finale

    00:36 The State of Healthcare Today

    01:41 David and Goliath: A Healthcare Analogy

    04:13 Understanding Healthcare Stakeholders

    05:54 The Financial Dynamics of Healthcare

    07:41 Patient Care and Insurance Challenges

    09:25 The Legal Landscape of Healthcare

    12:58 Call to Action and Season 3 Preview

    Website: https://www.upmed.us/

    YouTube: https://www.youtube.com/@theupwardly

    Linkedin: https://www.linkedin.com/in/erica-roweurquhart/

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    16 mins
  • CHAPTER 7: The Burdens of Prior Authorization in Healthcare
    Dec 23 2024

    In this episode of UpMed: The Journal of Healthcare’s Race To The Bottom, Dr. Erica Rowe Urquhart shares an insightful anecdote regarding the implications and inefficiencies of prior authorization in healthcare. Dr. Urquhart narrates the case of a patient with a knee injury, whose surgery was compromised and modified due to insurance authorization issues. She explores the broader impact of prior authorization on patient care, supported by research articles, one authored by Dr's. Eugene and Shushan Yang, highlighting the administrative burdens and adverse outcomes. The episode critiques the motivations behind utilization management, calling for urgent reform to prioritize patient well-being over cost-cutting measures. Dr. Urquhart concludes with a poignant story about the detrimental effects of delayed authorization on a young patient requiring urgent surgery.

    EPISODE HIGHLIGHTS:

    00:00 Welcome to UpMed

    00:26 A Troubling Case of ACL Tear

    04:37 The Prior Authorization Dilemma

    05:14 The Burden of Prior Authorization

    07:53 Impact on Patient Care

    13:46 Legislative Efforts and Reforms

    17:44 A Heartbreaking Story of Delay

    21:18 Conclusion and Final Thoughts

    Website: https://www.upmed.us/

    YouTube: https://www.youtube.com/@theupwardly

    Linkedin: https://www.linkedin.com/in/erica-roweurquhart/

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    24 mins
  • Chapter 6: Exploring Burnout and Healthcare Education: An Interview with Dr. Courtney Reinisch
    Dec 16 2024

    In this episode of UpMed: The Journal of Healthcare’s Race To The Bottom, hosted by Dr. Erika Rowe Urquhart, the discussion centers around the critical issue of burnout in nursing and the healthcare industry, a topic that has gained prominence especially during the COVID-19 pandemic. Dr. Erika welcomes Dr. Courtney Reinisch, a professor at Montclair State University and a part-time employee in public health, who shares her extensive background in nursing and her experiences during the pandemic. They delve into the challenges of nurse burnout, the impact of COVID-19 on healthcare education and practice, and the evolving role of technology in nursing. Dr. Reinisch also emphasizes the importance of teamwork and interprofessional education. The conversation highlights the gaps in the current healthcare system and the need for a cultural shift to better support healthcare providers. Dr. Erika and Dr. Reinisch also discuss the significance of effective asset management and the constant evolution of healthcare practices.

    EPISODE HIGHLIGHTS:

    00:00 Introduction to Burnout in Nursing

    00:38 Welcome to UpMed

    01:10 Introducing Dr. Courtney Reinisch

    01:38 Dr. Reinisch’s Background and Career

    04:51 Impact of COVID on Nursing

    11:24 Technological Challenges in Nursing Education

    23:22 Stress and Burnout in Healthcare

    33:46 The Importance of Teamwork in Healthcare

    Website: https://www.upmed.us/

    YouTube: https://www.youtube.com/@theupwardly

    Linkedin: https://www.linkedin.com/in/erica-roweurquhart/

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    38 mins

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