3 x Founder. Specialise in solving wicked problems. Building solutions for families and kids with complex needs. #CP #IDD #Disability CEO @AndiamoHQ
London
Joined March 2011
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othermixed retweeted
my quick thoughts on the walmart primary care stuff
1) it's virtually impossible to make primary care economics work unless it's a loss-leader to other services or takes risk. Maybe one of the reasons CVS pushes forward while all the others push back is because of the attached payer (Aetna)
2) It's doubly hard when your company is evaluated by retail metrics instead of healthcare (e.g. sales per square foot)
3) honestly I think one of the only ways we're going to change rural healthcare is by totally expanding scope of practice for pharmacists/caregivers to do way more clinical things (maybe with AI-assisted tools) because part of what makes these models so untenable is staffing costs for clinicians (see @dp_oneill tweet xitter.cf/dp_oneill/status…)
4) I think it's easy to look at the telemedicine companies shutting down like Optum, Walmart but almost all of them have implemented some of the worst version of telemedicine - taking the same face-to-face modality and putting it online. I think maybe this is the end for urgent care telemedicine as a business, but I think a risk-based chronic care management (telemedicine + in-person) is still totally untapped
5) It's ...sad? I think of all companies Walmart had the best chance of delivering differentiated primary care in rural areas. I hope another company with a strong rural presence tries again
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othermixed retweeted
Does a national follow up program providing standardized treatments to children with cerebral palsy change outcomes?
Read out the Danish experience here -
pedneur.com/article/S0887-89…
- Better motor outcomes in children receiving standardized treatments
othermixed retweeted
We're looking for 6 state-schooled young people to lead educational research around a topic of their choice.
Funded and supported by our team and academics.
We are looking for young people passionate about exploring areas of interest or issues they feel need to change.
So excited to be sharing Rekindle Foundation’s first funded research opportunity, open to YP from state education aged 15-25.
Please re-tweet & share with brilliant young change makers you know!
#YouthEmpowerment
#YouthLed
#Research
#CriticalThinking
drive.google.com/file/d/1lyb…
othermixed retweeted
You may have seen a piece on BBC News yesterday which discussed transition to adult services for seriously ill children. It may have raised questions and emotions for your family. This resource aims to answer questions you may have about the process. togetherforshortlives.org.uk…
othermixed retweeted
@nycballet Access Workshop & Performance on 2/24
Join in a movement workshop & a matinee of 3 ballets: Opus 9/The Dreamer, Symphony in Three Movements & a new ballet by Alexei Ratmansky.
Wheelchair accessible and transferable seating available.
[email protected]
othermixed retweeted
I had a huge breakthrough experience on a @mymindbloom ketamine journey a while back. I wrote it up as a blog post and it’s vaguely surreal to see the company share the post.
Destigmatize getting the help you need.
At the age of 10, @Haje had a transformative moment: a single act altered the course of his life. He punched his teacher. Visit to bit.ly/3m3SAQk dive into his story.
Mindbloom became Haje's guide. He has been able to master self-control, embrace empathy, and prioritize compassion over anger in challenging moments throughout his life.
othermixed retweeted
Britain is in a vicious loop of: council budget cuts -> closure of public sports centres/pools/football -> more sedentary behaviour -> rise in chronic disease -> rise in healthcare costs -> council budget cuts -> repeat. A downwards spiral to poor health.
othermixed retweeted
Your adolescent patients are anxious about bracing. Their parents are anxious about surgery. Try and cater your education to them and don't be afraid to refer them to online resources--misinformation in these forums was not as rampant as I expected!
othermixed retweeted
remote patient monitoring has just made me kind of sad as a category
A tool that really could help patients in their care journey has instead been focused on increasing billables to practices with largely very little meaningful change to their care plans
othermixed retweeted
Mental health conditions are more common in people with #cerebralpalsy than the general population. Accessing mental health treatment allows people with CP to live their healthiest lives.
Check how our integrated mental health has impacted families this past year.
othermixed retweeted
The hardest businesses to make work in health care are oriented around long-term prevention. Not because the outcomes are poor or the evidence isn't there...
But because no one in the system is incentivized to care. Most insurers see their members churn out within 7 years.
othermixed retweeted
“Bacteria store 'memories' and pass them on for generations, study finds”
What was considered wild speculation and almost shouted down is now confirmed: bacteria store memories in a manner we overlooked and do not fully understand.
This is big.
Article:
phys.org/news/2023-11-bacter…
othermixed retweeted
allow me to indulge for a second about one beautiful word in the tv show The Bear: "heard"
"heard" is used by kitchen workers to improve coordination. it's like "message received". reduces miscommunication.
- "burger and fries for table 7"
- "heard!"
but in the show they exapt it, out of the kitchen and into their interpersonal relationships. I share something heavy and you say "heard"
"heard." period. no ritualised performance of empathic listening. no defensiveness. no advice. just a decisive "heard"
it's solid af
