Dr. Joan Teno Exposes the Hidden Problems with Hospice Ratings and Quality Scores

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Send us Fan Mail [https://www.buzzsprout.com/2307178/fan_mail/new] Are hospice quality ratings really measuring what matters most? In this powerful episode of TCNtalks / Anatomy of Leadership, Chris Comeaux and Cordt Kassner sit down with nationally recognized hospice researcher Dr. Joan Teno to uncover the hidden problems behind hospice ratings, quality scores, and public reporting systems. Drawing on more than 30 years of experience shaping hospice and palliative care policy, Dr. Teno explains why many publicly reported quality measures may fail to capture the true experiences of patients and families. She discusses the challenges of transparency, the unintended consequences of current reporting systems, concerns about fraud and oversight, and how artificial intelligence could help transform the future of hospice quality measurement. Whether you’re a healthcare executive, hospice leader, clinician, policymaker, or nonprofit professional, this conversation offers valuable insights into the complex realities behind quality scores and what must change to better serve patients and families at the end of life. In this episode, you’ll learn: ✔ Why hospice ratings may not tell the full story ✔ The biggest blind spots in today’s quality measurement systems ✔ How some providers avoid meaningful public reporting ✔ The role of AI and data analytics in improving oversight ✔ What meaningful transparency should look like for consumers Chapters: 0:00 Leadership Sets The Tone 0:22. Monthly Hospice News And Framework 3:38. Why Oversight Beats Payment Redesign 8:28. Transparency Limits And Small Hospice Loopholes 13:10. Blind Spots In Quality Reporting 18:56 Using AI To Pick A Hospice 23:45. Moratorium And Rebuilding Trust 27:30 Clinicians Needed To Catch What Models Miss 29:18 Part Two Teaser Guest: Dr. Joan Teno Adjunct Professor, Brown School of Public Health | Hospice & Palliative Care Researcher | 2023 AAHPM Lifetime Achievement Award Recipient Host: Chris Comeaux, President / CEO of TELEIOS and author of The Anatomy of Leadership C0-Host: Cordt Kassner, 👉 Subscribe for more conversations on leadership, healthcare innovation, hospice care, and mission-driven organizations. The Anatomy of Leadership podcast explores the art and science of leadership through candid, insightful conversations with thought leaders, innovators, and change-makers from a variety of industries. Hosted by Chris Comeaux, each episode dives into the mindsets, habits, and strategies that empower leaders to thrive in complex, fast-changing environments. With topics ranging from organizational culture and emotional intelligence to navigating disruption and inspiring teams, the show blends real-world stories with practical takeaways. The goal is simple yet ambitious: to equip leaders at every level with the tools, perspectives, and inspiration they need to lead with vision, empathy, and impact. https://www.teleioscn.org/anatomy-of-leadership

Part Two | What’s Broken in American Healthcare—and How to Fix It with Dr. Don Berwick

Send us Fan Mail [https://www.buzzsprout.com/2307178/fan_mail/new] Why does the United States spend more on healthcare than any other nation—yet often achieve worse outcomes? In Part Two of this thought-provoking conversation, Dr. Don Berwick—former Administrator of the Centers for Medicare & Medicaid Services (CMS), internationally recognized healthcare quality expert, and founder of the Institute for Healthcare Improvement (IHI)—joins Chris Comeaux to explore the systemic challenges facing American healthcare and the leadership required to create meaningful reform. From the evolution of Medicare Advantage to the financial incentives shaping healthcare delivery, Dr. Berwick explains why administrative complexity, payment models, and profit-driven incentives continue to drive costs higher while often failing to improve patient outcomes. Together, they examine the future of healthcare policy, value-based care, healthcare leadership, healthcare reform, Medicare, health insurance, and the role employers may play in demanding a more sustainable healthcare system. The conversation also turns to one of healthcare’s greatest success stories—hospice and palliative care. Dr. Berwick argues that compassionate, person-centered care isn’t simply a better way to care for people nearing the end of life; it provides a blueprint for improving healthcare across every stage of life. The episode concludes with an inspiring challenge to healthcare leaders: speak up for what is right, lead with courage, and never lose sight of healthcare’s true mission—to heal, serve, and care for people. Whether you’re a healthcare executive, hospice leader, physician, nonprofit executive, health system administrator, board member, or business leader, this conversation offers strategic insights into the future of healthcare—and practical leadership lessons that extend far beyond medicine. ⸻ Episode Highlights ✔ Why Medicare Advantage has drifted from its original mission ✔ The hidden cost of healthcare bureaucracy and administrative waste ✔ The $80 billion debate surrounding Medicare Advantage payments ✔ Why employer-sponsored healthcare may be approaching a breaking point ✔ Lessons the U.S. can learn from healthcare systems around the world ✔ Why hospice and palliative care represent a model for all of healthcare ✔ The moral responsibility of healthcare leaders to speak with courage ⸻ If you enjoyed this conversation, please Like, Subscribe, and Share this episode with your leadership team, colleagues, board members, and friends. Every conversation helps us build stronger leaders and healthier organizations. 🔔 Subscribe for weekly conversations on leadership, hospice, palliative care, healthcare innovation, nonprofit strategy, and the future of healthcare. Guest: Dr. Don Berwick, Former Administrator of CMS Host: Chris Comeaux, President / CEO of Teleios, author of The Anatomy of Leadership The Anatomy of Leadership podcast explores the art and science of leadership through candid, insightful conversations with thought leaders, innovators, and change-makers from a variety of industries. Hosted by Chris Comeaux, each episode dives into the mindsets, habits, and strategies that empower leaders to thrive in complex, fast-changing environments. With topics ranging from organizational culture and emotional intelligence to navigating disruption and inspiring teams, the show blends real-world stories with practical takeaways. The goal is simple yet ambitious: to equip leaders at every level with the tools, perspectives, and inspiration they need to lead with vision, empathy, and impact. https://www.teleioscn.org/anatomy-of-leadership

10. juli 202629 min

Dr. Joan Teno Exposes the Hidden Problems with Hospice Ratings and Quality Scores | Part One

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