Meet John Adlesich and some of his public health thoughts about healthcare industry trends: Think outside your ZIP code. With the emergence of virtual services and virtual workforces, the talent pool is expanding and new entrants are emerging that can offer services at a lower cost and often at a higher quality than is possible for some organizations. One example is the collaboration between tele-ICU service providers and small, rural hospitals to improve their patients’ access to highly specialized critical care. Organizations also have increased flexibility to find personnel in clinical areas, such as subspecialty radiologists, and to cover nonclinical areas where it’s difficult to recruit talent, such as revenue cycle specialists, IT staff and customer service representatives.

John Adlesich on behavior therapy in 2021: PRT is derived from Applied Behavioral Analysis and uses many of the same principals. However, the therapy strategies are more child-directed than observation-directed. The treatment focuses on pivotal behaviors like communication, social skills, academic skills, and the self-monitoring of behaviors. AutismSpeaks.org indicates that PRT techniques are: Effective for eliminating or redirecting challenging behaviors and promoting socially significant behaviors Can be implemented by trained psychologists, speech therapists, special education teachers, and parents Certifiable through The Koegel Autism Center, although certification is not required Offered in both structured and unstructured formats in six short segments that target language, play, and skill acquisition Implemented for about 25 hours each week A lifestyle as much as a therapy and are designed to complement family routines.

John Adlesich on healthcare industry trends in 2021: The California versus Texas case came to the Supreme Court from a federal appeals court. If the Supreme Court affirms the appeals court ruling, the case will go back to the federal district court to decide on the issue of severability of the individual mandate from the rest of the ACA. At the November 2020 oral argument, it looked like the Supreme Court, including one or more of the new justices, was inclined to honor the doctrine of severability, making it less likely the ACA will face complete repeal. Additionally, the new slim Democratic majority in the Senate (thanks to the Georgia runoff) makes it likely that Congress would fix the constitutional problem by reinstating the mandate with a nominal penalty. John Adlesich currently works as administrator at Marquis Companies. His latest healthcare industry experience includes positions as executive director at Powerback Rehabilitation Lafayette (Genesis Healthcare) between Aug 2020 – Jan 2021, administrator at Mesa Vista of Boulder between Mar 2019 – Aug 2020, chief executive officer at Sedgwick County Memorial Hospital between Jul 2018 – Feb 2019, interim chief operating officer at Toiyabe Indian Health Project between Mar 2018 – Jun 2018.

John Adlesich believes that 2021 is an important year for the healthcare industry. History gives us many reasons to doubt predictions. In 1916, Charlie Chaplin famously called the motion pictures “a fad.” In 1932, Albert Einstein said that nuclear power was not possible. In 2008, Steve Ballmer predicted the iPhone would be a flop. As these cases show, smart people may see the facts, but not the environmental factors that can shift the entire landscape. This was particularly true in 2020, a year that redefined “normal” and altered our world in ways we are only beginning to understand. In this environment, the hard job of accurately predicting future trends became that much more difficult. When I look back at my own predictions last year, almost none of them played out as I thought due to the pandemic and the complete upending of the national health care agenda. But now 10 months in, the pandemic’s true impact is starting to be understood. For 2021, job number one for the nation will be moving ahead with the largest mass vaccination program in our history, as well as improving our rapid testing capabilities and therapeutic treatments for COVID-19, in order to build our herd immunity and allow us to safely reopen and repair our badly damaged economy. This backdrop will permeate all our decisions this year, and directional trends will largely be influenced by how quickly we make progress in these areas.