Modern Practice is your curbside consult with top clinicians from around the country. This exciting podcast series features medical experts sharing their ideas and approaches for the latest strategic trends and clinical challenges. Hosted by Dr. Tom Villanueva and brought to you by the Vizient Medical Leadership team.
Dr. Tom Villanueva and Vizient Medical Leadership Team
This episode of our award-winning podcast concludes our discussion on a new approach for medical groups in this time of drastic change. Only those models undergoing change will succeed. Host: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Performance Improvement Consulting Vizient Guest: Michael Strilesky Senior Principal, Care Delivery Transformation Strategy Consulting Vizient Show Notes: [01:11] Academic medical centers and the need for innovation [02:46] Meeting the physician shortage challenge [04:51] Resistance to a new care model [06:23] Reimbursement, technology and consumer desires will drive the new model [07:06] The physician compensation factor in the new model Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Michael Strilesky's email: michael.strilesky@vizientinc.com “Grow hospital market share by integrating ambulatory care across acute service lines” (Vizient publication): Click here Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed
All the drastic changes occurring in healthcare, particularly in the way it is delivered, necessitate corresponding changes in how we structure medical groups. This episode of our award-winning podcast continues the discussion on the need for a new strategy for medical groups, and an expert returns to consider what that strategy might be. Host: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Performance Improvement Consulting Vizient Guest: Michael Strilesky Senior Principal, Care Delivery Transformation Strategy Consulting Vizient Show Notes: [01:11] Academic medical centers and the need for innovation [02:46] Meeting the physician shortage challenge [04:51] Resistance to a new care model [06:23] Reimbursement, technology and consumer desires will drive the new model [07:06] The physician compensation factor in the new model Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Michael Strilesky's email: michael.strilesky@vizientinc.com “Grow hospital market share by integrating ambulatory care across acute service lines” (Vizient publication): Click here Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed
The huge flurry of changes in how we deliver healthcare have brought into question the viability of the conventional medical group model, whether it's sustainable and gives us a competitive advantage or whether we need to invest in something else. On the next three episodes of this award-winning podcast, an expert joins Tomas to consider the future of medical group practices. Host: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Performance Improvement Consulting Vizient Guest: Michael Strilesky Senior Principal, Care Delivery Transformation Strategy Consulting Vizient Show Notes: [01:46] Current medical group model [02:58] Impact and role of medical groups [04:12] Drawbacks and limitations of current model [06:13] Different care and practice models emerging [07:49] The disruptors have been fantastic [09:47] Different approach for medical groups affiliated with academic medical centers Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Michael Strilesky's email: michael.strilesky@vizientinc.com “Grow hospital market share by integrating ambulatory care across acute service lines” (Vizient publication): Click here Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed
On this final episode of a three-part series, Tomas finishes his discussion with two experts on high-reliability organizations who examine the crucial role of learning areas in the success of top performers. High-performing organizations take care of not only their patients but their staff and indeed enable staff to be at their best. Host: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Performance Improvement Consulting Vizient Guests: Suzanne Miller, MSN, RN Senior Consulting Director, Reliability and Management Systems Vizient Katerie Chapman, MHA Senior Principal, Safe and Reliable Healthcare Vizient Show Notes: [00:54] Need for change-ready units in the organization [01:32] Overcome the perception “this is one more thing” [03:17] Example: skeptical ICU nurse – “This is going to fail” [04:56] Taking a phased approach [05:37] Measuring success of learning areas: the benchmarks to use 06:22] Excited staff members Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Vizient Safe and Reliable Healthcare site: Click here Suzanne's email: suzanne.miller@vizientinc.com Katerie's email: katerie.chapman@vizientinc.com Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed
On this episode, Tomas continues his discussion with two expert guests about learning areas and how they are proving effective and essential in developing high-reliability organizations. Host: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Performance Improvement Consulting Vizient Guests: Suzanne Miller, MSN, RN Senior Consulting Director, Reliability and Management Systems Vizient Katerie Chapman, MHA Senior Principal, Safe and Reliable Healthcare Vizient Show Notes: [00:41] Who engages in learning areas? [03:17] A flood of kudos in the ED – an example of lifting morale [05:10] Team participation in barcode scanning – an example of improving compliance [07:02] A resource for senior leaders [07:55] A safety concern that, once identified, was quickly corrected [08:44] Real-time nature of rounding and issue resolution Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Vizient Safe and Reliable Healthcare site: Click here Suzanne's email: suzanne.miller@vizientinc.com Katerie's email: katerie.chapman@vizientinc.com Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed
Learning areas have become an effective aspect of high-reliability organizations in healthcare. Employing floor or departmental huddles as the focal point for these learning areas, the experience of the huddles has been augmented and reinforced by bulletin boards and whiteboards. Even more effective is the newest wrinkle in the experience – LENS (Learning & Engagement System) boards, which are dynamic, digitally-based visual boards that can transmit messaging on a 24/7 basis in a designated learning area. On the next three episodes, Tomas discusses learning areas with two expert guests, who will share the rationale behind them and how to make them work for you. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Performance Improvement Consulting Vizient Guests: Suzanne Miller, MSN, RN Senior Consulting Director Reliability and Management Systems Vizient Katerie Chapman, MHA Senior Principal, Safe and Reliable Healthcare Vizient Show Notes: [01:58] Developing and sustaining learning areas [03:02] Elements employed in a learning area [05:00] The cornerstone of high reliability [06:07] The visual management role [07:37] Advantages of the LENS board [09:07] Selecting a unit to be a learning area Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Vizient Safe and Reliable Healthcare site: https://www.vizientinc.com/our-solutions/care-delivery-excellence/reliable-care-delivery Suzanne's email: suzanne.miller@vizientinc.com Katerie's email: katerie.chapman@vizientinc.com Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed
The healthcare workforce is in a state of crisis: shortages of healthcare workers, rampant burnout, schedules in flux and outbreaks of violence in the workplace. On this episode, Tomas continues his discussion with a leading expert on the healthcare workforce on steps organizations can take to alleviate this crisis. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient Guests: Eric Burch, MBA, RN, FACHE Executive Principal Operations and Workforce Services Vizient Show Notes: [00:32] Need for collecting and leveraging data [02:12] Reflecting the community in recruiting and retention [03:28] Addressing regulatory issues [06:10] Unions [07:06] Taking the pulse [07:35] Expanding the pipeline [09:23] Fostering wellness and resilience [10:52] Short- and long-term strategies Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Eric's email: eric.burch@vizientinc.com Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed
Before the Covid outbreak, the healthcare workforce was already in a state of crisis. Covid made it much worse. On this new series of our award-winning podcast, we examine the varied causes behind workforce challenges and shortages of nurses, physicians and other related disciplines. We'll also explore steps we can take to alleviate this crisis. Joining is us a leading workforce expert to provide an overview. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient Guests: Eric Burch, MBA, RN, FACHE Executive Principal Operations and Workforce Services Vizient Show Notes: [01:21] The workforce issue and the pandemic [02:04] Drivers of the crisis [04:19] Changing the traditional model [05:48] Potential technology role in alleviating the crisis [08:47] Recruitment and retention approaches [11:22] Leadership and retention Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Eric's email: eric.burch@vizientinc.com Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed
On this episode, Dr. Tomas Villanueva and a leading clinical documentation expert finish their discussion on the need to correctly document everything involving spial surgery. Spinal surgery represents a complex challenge for documentation specialists and clinicians alike, and this episode will clear up what is needed to be successful in coding and documenting these procedures. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Clinical Operations and Quality Vizient Guest: Rachel Mack, MSN, RN, CCDS, CDIP, CCS, CRC Consulting Director, Clinical Documentation Improvement Vizient Show Notes: [00:31] Query opportunities and low-hanging fruit [01:53] Blood loss and the whole clinical picture in querying [02:50] Using that “magic word” can make a difference – coding to an MCC [03:43] Other query opportunities [10:36] When the documentation is wrong [12:44] Reconciliation and feedback needed Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Rachel Mack's email: rachel.mack@vizientinc.com Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed
On this episode, Dr. Tomas Villanueva continues his discussion with a leading clinical documentation expert on the need to correctly document everything involving spial surgery. Spinal surgery represents a complex challenge for documentation specialists and clinicians alike. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Clinical Operations and Quality Vizient Guest: Rachel Mack, MSN, RN, CCDS, CDIP, CCS, CRC Consulting Director, Clinical Documentation Improvement Vizient Show Notes: [00:41] Rise in spinal surgeries [01:23] Coding challenges and parameters [01:53] Predicaments for coding and CDI specialists [07:22] Common DRGs for spinal surgeries – the need to use the “magic words” Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Rachel Mack's email: rachel.mack@vizientinc.com Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed
Spinal surgery represents a complex challenge for clinical documentation. Difficult to code and representing query situations that can be demanding, this is the area of focus for this episode of Modern Practice. Joining Dr. Tomas Villanueva is a leading expert returning to the podcast to talk about the challenges of spinal surgery documentation. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient Guest: Rachel Mack, MSN, RN, CCDS, CDIP, CCS, CRC Consulting Director Clinical Documentation Improvement Vizient Show Notes: [01:26] Around 1.62 million procedures per year [02:22] Procedures on the increase (2.4 times the level of 15 years ago) [03:54] The most common spinal diagnoses [05:15] Often not caught by primary care [06:20 Less common reasons for spinal surgery [07:09] Reasons for planned surgeries—often a last resort [08:45] Risks for avoiding surgery Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Rachel Mack's email: rachel.mack@vizientinc.com Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed
Years of medical school, residency and fellowships have proven to do little in teaching physicians how to care for themselves. Physician burnout is at an all-time high. On this episode, a physician who is a leading expert on physician stress discusses how to improve mental fitness in those who've given their lives to the care of others. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient Guest: Cecilia Cruz, MD, MPH, CPCC, ACC Founder and Chief Executive Officer Marpe, LLC Board-certified emergency medicine physician Former co-chair of Quality Division of Emergency Medicine NorthShore University HealthSystem Show Notes: [00:34] Physician suicide [02:44] Need connection [04:03] What organizations need to do [06:20] A learned skill and resource [06:37] Mental fitness [08:20] The Marpe approach Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Dr. Cruz's email: ceciliacruz@marpejourney.com Dr Cruz's Linkedin page: Cecilia Cruz - Founder and CEO - MARPE, LLC | LinkedIn MARPE, LLC website: https://www.marpejourney.com/ Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed
This episode of our award-winning podcast continues the discussion on why mental fitness is so crucial for physicians and other clinicians today and yet is a concept that physicians still tend to avoid or downplay. Physician training and medical school have not helped. Join us for this gritty discussion. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient Guest: Cecilia Cruz, MD, MPH, CPCC, ACC Founder and Chief Executive Officer Marpe, LLC Board-certified emergency medicine physician Former co-chair of Quality Division of Emergency Medicine NorthShore University HealthSystem Show Notes: [01:00] The in-box, EMR documentation and authorizations have only gotten worse [01:40] If we don't change, it's all going to fall apart [03:23] Examples from medical school and training—a lack of respect [06:45] The EMR and the need for a 27-hour day [08:05] Deficit of 40,000 primary care physicians by 2030 (AAMC) [08:30] Emerging mental health issues and workplace violence Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Dr. Cruz's email: ceciliacruz@marpejourney.com Dr Cruz's Linkedin page: Cecilia Cruz - Founder and CEO - MARPE, LLC | LinkedIn MARPE, LLC website: https://www.marpejourney.com/ Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed
Though physicians spend years in medical school, residency and fellowships to learn how to care for patients, they spend little time learning how to care for themselves. Physician burnout, leading to physician turnover, is skyrocketing. On this episode, a physician who is a leading expert on physician stress, having gone through that stress herself, discusses how to improve mental fitness in those who've given their lives to the care of others. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Clinical Operations and Quality Vizient Guest: Cecilia Cruz, MD, MPH, CPCC, ACC Founder and Chief Executive Officer Marpe, LLC Board-certified emergency medicine physician Former co-chair of Quality Division of Emergency Medicine NorthShore University HealthSystem Show Notes: [01:10] Physician heal thyself? Not happening! [02:35] Weakness means not being the best [03:31] An ingrained culture of perfectionism [04:20] The burnout crisis [06:40] Physician types affected the most [07:30] Bigger burden on specialists [09:13] Overcoming – awareness is only 20% of progress Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Dr. Cruz's email: ceciliacruz@marpejourney.com Dr Cruz's Linkedin page: Cecilia Cruz - Founder and CEO - MARPE, LLC | LinkedIn MARPE, LLC website: https://www.marpejourney.com/ Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed
On this episode of our award-winning podcast, Dr. Tomas Villanueva concludes his discussion on how organizations can approach quality metrics today – what metrics to choose and how to apply them. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Performance Improvement Consulting Vizient Guest: Rick May, MD Senior Principal Consulting Solutions Vizient Show Notes: [00:38] The burden of reporting [02:09] Surgical quality and outcomes – technical vs. medical [03:41] A focus on the systems [05:00] Systems changes and results [05:42] Engaging the physicians Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Dr. May's email: rick.may@vizientinc.com Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed
On this episode of our award-winning podcast, Dr. Tomas Villanueva continues his discussion on how organizations can approach quality metrics today – what metrics to choose and how to apply them. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Performance Improvement Consulting Vizient Guest: Rick May, MD Senior Principal Consulting Solutions Vizient Show Notes: [00:54] Importance clinical documentation [02:40] Is it possible to eliminate all CLABSIs (or other infections)? [04:40] Length of stay as quality metric [05:10] Surgical complications and length of stay [05:55] Length of stay and complication rates [06:40] The most heavily weighted metric Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Dr. May's email: rick.may@vizientinc.com Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed
Concerning quality measures in healthcare organizations, a common complaint is, “I've got so many people looking over my shoulder, pulling our data in, ranking me, rating me, everything else, and there is no way I can keep track of literally the hundreds of metrics for which we're accountable.” On this episode of our award-winning podcast, Dr. Tomas Villanueva welcomes back a leading quality expert to discuss how organizations can approach quality metrics today – what metrics to choose and how to apply them. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Performance Improvement Consulting Vizient Guest: Rick May, MD Senior Principal, Consulting Solutions Vizient Show Notes: [01:49] Why measuring quality is crucial [02:17] If you do quality well, financial success follows [02:57] Quality attracts staff [03:46] Has quality improved overall in healthcare? [04:42] Choosing the right metrics – 500 metrics exist overall [05:58] Mishmash in timing of measures – complex and “all over the map” [08:03] Realistic rate of improvement (hint: it's not 10%!) [08:53] Impact of under-capturing documentation Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Dr. May's email: rick.may@vizientinc.com Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed
This episode of the award-winning podcast examines the importance of risk adjustment. Dr. Tomas Villanueva leads the discussion on the impact of this crucial aspect of documentation that can affect hospital outcomes. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Clinical Operations and Quality Vizient Guest: Erica Braun, MS, RN, CCDS Senior Consulting Director, Clinical Documentation Improvement Vizient Show Notes: [01:29] Defining risk adjustment – maintaining an apples to apples comparison [02:41] Capturing comorbid conditions to the highest level of specificity [04:08] Capturing the low-hanging fruit [05:47] Case mix index issues [07:44] Severity of illness and risk of mortality [08:52] Addressing query fatigue Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Erica Braun's email: erica.braun@vizientinc.com Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed
Screening for colorectal cancer (CRC) has seen a lot of innovations, but there is still the conventional gold standard. On this episode of our award-winning podcast, Dr. Tomas Villanueva welcomes Dr. Aziz Aadam to discuss the need for early colorectal cancer (CRC) detection, and the options available to patients. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Clinical Operations and Quality Vizient Guest: Abdul Aziz Aadam, MD Interventional Gastroenterologist Director, Interventional Endoscopy Medical Director, International Patient Services Northwestern Medicine Show Notes: [01:05] CRC screening options [02:40] Colonoscopy advantages and disadvantages [03:35] Virtual colonoscopies [04:14] Artificial intelligence enhancement [04:54] Improvements in the future [07:10] No tests are foolproof [07:50] Need to improve access Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Dr. Aadam's email: abdul.aadam@northwestern.edu Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed
In this episode of the award-winning podcast Dr. Tomas Villanueva welcomes Dr. Aziz Aadam to discuss the need for early colorectal cancer (CRC) detection, which drastically increases the rate of survival, and how improvements in CRC screening are giving patients better options. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient Guest: Abdul Aziz Aadam, MD Interventional Gastroenterologist Director, Interventional Endoscopy Medical Director, International Patient Services Northwestern Medicine Show Notes: [01:11] Endoscopic submucosal dissection [02:10] Prevalence of colorectal cancer [02:38] Risk factors [05:10] Reason for the need of early detection [06:35] Challenges for screening [07:56] Rise in younger patients [09:11] Screening of the elderly [09:54] Increasing screening rates [11:09] Additional screening options Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Dr. Aadam's email: abdul.aadam@northwestern.edu Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed
On this episode, we continue our discussion on preventing surgical smoke in the OR. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Performance Improvement Consulting Vizient Guest: Rachel Medina, BSBA Senior Category Manager Surgical Services Vizient Show Notes: [00:29] Regulation and legislation around surgical smoke [03:04] Best practices [04:09] Sustaining efforts on smoke prevention [05:01] Technological advances in prevention [06:15] Financial costs and learning curve – outweighed by benefits Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Rachel Medina's email: rachel.medina@vizientinc.com “As important as the air you breathe” (Vizient Tech Watch, p 38): Tech Watch Medical Device - Volume 2, 2022.pdf Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed
The daily smoke produced in an operating room is the equivalent of 27-30 cigarettes, and the OR staff breathes this in five days a week. When tools in the OR cut and cauterize human tissue, they generate a plume of smoke containing toxic chemicals, carcinogens, malignant cells and viruses. Surgical smoke can cause a host of conditions, anything from headaches and sore throat to lung disease and lung cancer. On this episode, a Vizient expert discusses the ramifications of surgical smoke and how to begin preventing it. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Performance Improvement Consulting Vizient Guest: Rachel Medina, BSBA Senior Category Manager Surgical Services Vizient Show Notes: [01:27] Surgical smoke: a byproduct of surgical procedures [01:51] Health issues from surgical smoke [02:15] Not considered seriously over the decades [02:47] Lung disease in physicians and OR staff [03:34] Financial implications [04:47] Growing awareness and the role of AORN [06:33] Toxic materials and the effects of smoke plumes in the OR [08:30] Vizient platform developing on surgical smoke Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Rachel Medina's email: rachel.medina@vizientinc.com “As important as the air you breathe” (Vizient Tech Watch, p 38): Tech Watch Medical Device - Volume 2, 2022.pdf Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed
On this episode of our award-winning podcast, we finish our feature on an organization that has made huge strides in reducing Patient Safety Indicators (PSIs) throughout health system. We will discuss the phenomenal results of the initiative so far and what is planned for the near future at Sanford Health. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient Guests: Rachel Leyk, RN, CMSRN, CPHQ Improvement Advisor Quality and Safety – Fargo Sanford Health Devendranath (Dev) Mannuru, MD, CHCOM Internal Medicine Hospitalist CDI and Quality Physician Advisor Sanford Hospital – Fargo Khaled Zreik, MD Director, Critical Care Acute Care Surgeon Sanford Health Show Notes: [00:39] Use of data in managing PSI reduction [03:14] Results of a successful program [04:05] Lessons learned [08:15] Expanding and standardizing throughout the enterprise Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Rachel Leyk's email: rachel.leyk@sanfordhealth.org Dr. Mannuru's email: devendranath.mannuru@sanfordhealth.org Dr. Zreik's email: khaled.zreik@sanfordhealth.org PSI ACS Poster: PSI ACS Poster 2023 Quality and Safety Conference presentation: 2023 QSC presentation Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed
On this episode of Modern Practice, we continue highlighting an organization that has made huge strides in reducing Patient Safety Indicators (PSIs) throughout health system. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient Guests: Rachel Leyk, RN, CMSRN, CPHQ Improvement Advisor Quality and Safety – Fargo Sanford Health Devendranath (Dev) Mannuru, MD, CHCOM Internal Medicine Hospitalist CDI and Quality Physician Advisor Sanford Hospital – Fargo Khaled Zreik, MD Director, Critical Care Acute Care Surgeon Sanford Health Show Notes: [01:06] Managing PSI notifications to staff – keeping it non-punitive [03:46 Escalation process versus peer review – addressing practice variation [05:12] Keys to achieving collaboration Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Rachel Leyk's email: rachel.leyk@sanfordhealth.org Dr. Mannuru's email: devendranath.mannuru@sanfordhealth.org Dr. Zreik's email: khaled.zreik@sanfordhealth.org PSI ACS Poster: PSI ACS Poster Final.pdf 2023 Quality and Safety Conference presentation: 2023-qsc-ppt-final presentation.pptx Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed
This episode of our award-winning podcast continues the success story of how Sanford Health has reduced PSIs through a concerted, multifaceted effort throughout the organization. Tomas interviews members of the clinical team that guided the way. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient Guests: Rachel Leyk, RN, CMSRN, CPHQ Improvement Advisor Quality and Safety – Fargo Sanford Health Devendranath (Dev) Mannuru, MD, CHCOM Internal Medicine Hospitalist CDI and Quality Physician Advisor Sanford Hospital – Fargo Khaled Zreik, MD Director, Critical Care Acute Care Surgeon Sanford Health Show Notes: [00:34] Surgeon's perspective [02:04 Role of nurse reviewer [03:18] Necessities for success [04:05] Importance of executive leadership; need to be non-punitive (the “gold nugget”) [06:37] Reliable software and establishing the stop bill process [08:15] Involving HIM, coding and the CDI team [10:36] Engaging the clinical staff Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Rachel Leyk's email: rachel.leyk@sanfordhealth.org Dr. Mannuru's email: devendranath.mannuru@sanfordhealth.org Dr. Zreik's email: khaled.zreik@sanfordhealth.org PSI ACS Poster: PSI ACS Poster Final.pdf 2023 Quality and Safety Conference presentation: 2023-qsc-ppt-final presentation.pptx Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed
Developed by the Agency for Healthcare Research and Quality (AHRQ), Patient Safety Indicators, or PSIs, represent measurements of adverse events that enable healthcare organizations to gauge how they compare to others regarding patient safety. In addition, CMS looks at PSIs in scoring and penalizing organizations. In this series, Tomas talks with members of a clinical team that has seen great results in reducing PSIs throughout the organization. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient Guests: Rachel Leyk, RN, CMSRN, CPHQ Improvement Advisor Quality and Safety – Fargo Sanford Health Devendranath (Dev) Mannuru, MD, CHCOM Internal Medicine Hospitalist CDI and Quality Physician Advisor Sanford Hospital – Fargo Khaled Zreik, MD Director, Critical Care Acute Care Surgeon Sanford Health Show Notes: [02:00] Patient Safety Indicators (PSIs) defined [02:46] PSI-90 and individual PSIs [03:43] Hospital Acquired Conditions Reduction Program (HACRP) [05:06] Documentation and the “dotted line” to quality [05:44] Benchmarking with the Vizient Clinical Data Base [06:23] Focused objectives for the PSI reduction program [07:34] Steps in building the program structure [09:35] Addressing gaps in education – once clinicians know what to do, they don't fail Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Rachel Leyk's email: rachel.leyk@sanfordhealth.org Dr. Mannuru's email: devendranath.mannuru@sanfordhealth.org Dr. Zreik's email: khaled.zreik@sanfordhealth.org PSI ACS Poster: PSI ACS Poster Final.pdf 2023 Quality and Safety Conference presentation: 2023-qsc-ppt-final presentation.pptx Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed
On this episode of our award-winning podcast, a leading expert in electrophysiology concludes our discussion on pulsed field ablation as the newest approach to treating atrial fibrillation. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient Guest: Thomas Munger, MD Chair, Heart Rhythm Division Associate Professor of Medicine Mayo Clinic Show Notes: [00:48] New energy source [01:40] Current electroporation is more controlled [06:30] Anticoagulation and pulse field ablation [08:42] Be sure to work with colleagues when wanted to adopt PF ablation [09:05] Exciting development in electrophysiology Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Dr. Munger's email: munger.thomas@mayo.edu More information (Vizient): Additional pulsed field ablation resources Information on improving an electrophysiology program (Vizient): Optimizing your EP program Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed
On this episode of our award-winning podcast, a leading expert in electrophysiology explains the pathophysiology of atrial fibrillation and how therapies for it have evolved over the years, with pulsed field ablation emerging as the newest approach. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient Guest: Thomas Munger, MD Chair, Heart Rhythm Division Associate Professor of Medicine Mayo Clinic Show Notes: [00:50] Atrial fibrillation: pathophysiology and risk factors [03:20] Treating rhythm and treating rate [07:01] Efficacy of ablation and other treatments [09:40] Pulse field ablation Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Dr. Munger's email: munger.thomas@mayo.edu More information (Vizient): Additional pulsed field ablation resources Information on improving an electrophysiology program (Vizient): Optimizing your EP program Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed
Atrial fibrillation ablation therapies have progressed from rather primitive approaches to improved treatments that have emerged in recent years. In this series of our award-winning podcast, we discuss the history of the practice of electrophysiology and improvements that field has experienced. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient Guest: Thomas Munger, MD Chair, Heart Rhythm Division Associate Professor of Medicine Mayo Clinic Show Notes: [01:06] History of electrophysiology [01:55] Training to become an electrophysiologist [02:44] Electrophysiology and the only organ that moves constantly [04:22] Seizure of the heart [05:22] The discipline of electrophysiology and evolving practice of ablation [07:47) The types of ablation Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Dr. Munger's email: munger.thomas@mayo.edu More information (Vizient): Additional pulsed field ablation resources Information on improving an electrophysiology program (Vizient): Optimizing your EP program Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed
Simon Henley was on a video call with his manager when he suddenly disappeared from the screen. He had fallen to the floor with a cardiac arrest. Not to be confused with an acute myocardial infarction, cardiac arrest is usually fatal, requiring a defibrillator and immediate CPR to revive the patient. On this episode, Simon tells his harrowing story, one with a touch of the miraculous, in how he survived those crucial first minutes and embarked on the road to recovery. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient Guest: Simon Henley, MBA, CMBB Director, Global Market Growth Defibrillator Solutions Medtronic Show Notes: [00:51] Simon's background [01:25] An avid runner [01:49] The call [03:23] Every minute a cardiac arrest goes untreated drops survival rate by 10% [04:23] No previous symptoms [05:57] Rehabilitation [06:55] Dealing with emotions and with recurring cardiac events [10:19] Changed perspective [11:12] No guarantees Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Simon's email: simon.henley@medtronic.com Sudden cardiac arrest: symptoms and causes (Mayo Clinic): Click Here Heart attack and cardiac arrest (American Heart Association): Click Here Cardiac care management (Medtronic): Click Here Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed
This episode of our award-winning podcast concludes our discussion on a new approach for medical groups in this time of drastic change. Only those models undergoing change will succeed. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Performance Improvement Consulting Vizient Guest: Michael Strilesky Senior Principal Care Delivery Transformation Strategy Consulting Vizient Show Notes: [01:09] Current state of medical groups [03:12] Issues around the surgical practice model [05:01] Sustainability of the group practice model [06:35] Finding a medical group strategy Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Michael Strilesky's email: michael.strilesky@vizientinc.com “Grow hospital market share by integrating ambulatory care across acute service lines” (Vizient publication): Click Here Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed
All the drastic changes occurring in healthcare, particularly in the way it is delivered, necessitate corresponding changes in how we structure medical groups. This episode of our award-winning podcast continues the discussion on the need for a new strategy for medical groups, and an expert returns to consider what that strategy might be. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Performance Improvement Consulting Vizient Guest: Michael Strilesky Senior Principal Care Delivery Transformation Strategy Consulting Vizient Show Notes: [01:11] Academic medical centers and the need for innovation [02:46] Meeting the physician shortage challenge [04:51] Resistance to a new care model [06:23] Reimbursement, technology and consumer desires will drive the new model [07:06] The physician compensation factor in the new model Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Michael Strilesky's email: michael.strilesky@vizientinc.com “Grow hospital market share by integrating ambulatory care across acute service lines” (Vizient publication): Click Here Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed
The huge flurry of changes in how we deliver healthcare have brought into question the viability of the conventional medical group model, whether it's sustainable and gives us a competitive advantage or whether we need to invest in something else. On the next three episodes of this award-winning podcast, an expert joins Tomas to consider the future of medical group practices. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Performance Improvement Consulting Vizient Guest: Michael Strilesky Senior Principal Care Delivery Transformation Strategy Consulting Vizient Show Notes: [01:46] Current medical group model [02:58] Impact and role of medical groups [04:12] Drawbacks and limitations of current model [06:13] Different care and practice models emerging [07:49] The disruptors have been fantastic [09:47] Different approach for medical groups affiliated with academic medical centers Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Michael Strilesky's email: michael.strilesky@vizientinc.com “Grow hospital market share by integrating ambulatory care across acute service lines” (Vizient publication): Click Here Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed
In this re-air of our two-part, award-winning podcast series, we discuss how physical violence in the healthcare workplace is on the rise. Healthcare workers are more in danger of violence than are police officers or prison guards. Looking at the labor force in general, healthcare workers have five times the likelihood of facing violence than workers across all other industries. And that doesn't include the verbal abuse. Clinicians need skills to defuse conflict and hopefully settle down hostilities before they get out of hand. On this episode, Tomas and Cecilia finish their discussion with some helpful tips. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient Guest: Cecilia Cruz, MD, MPH, CPCC, ACC Founder and Chief Executive Officer Marpe, LLC Board-certified emergency medicine physician Former co-chair of Quality Division of Emergency Medicine NorthShore University HealthSystem Show Notes: [01:10] Influences and attitudes from culture/media [02:45] The pandemic factor; example from CoxHealth [04:45] Prevalence of incivility [06:23] Paying attention to the signs; observation skills to use; actions to take [09:30] Give the situation the same importance that patients and families give it [10:16] Tools clinicians can use – Marpe's role in alleviating violence [12:05] A symptom of the healthcare crisis Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Dr. Cruz's email: ceciliacruz@marpejourney.com Dr Cruz's Linkedin page: Cecilia Cruz - Founder and CEO - MARPE, LLC | LinkedIn MARPE, LLC website: https://www.marpejourney.com/ Subscribe Today! Apple Podcasts Amazon Podcasts Android Google Podcasts Spotify RSS Feed
Hermes award-winner! In a special re-air of this award-winning episode, we discuss how the hospital is increasingly becoming a hostile environment, with clinicians facing verbal abuse and physical violence from patients and their families. Clinicians need skills to defuse conflict and hopefully settle down hostilities before they get out of hand. If calming hostilities is not possible, they need to know what to do in the face of violent confrontation. Tomas discusses patient hostility with a leading expert on the topic. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient Guest: Cecilia Cruz, MD, MPH, CPCC, ACC Founder and Chief Executive Officer Marpe, LLC Board-certified emergency medicine physician Former co-chair of Quality Division of Emergency Medicine NorthShore University HealthSystem Show Notes: [02:15] Patient hostility on the rise [03:16] Verbal violence is most prevalent, and the most unreported [04:05] Cleveland Clinic: violence four times more prevalent in health care [04:40] Health care workers more exposed than prison guards and police officers [05:12] Higher risk of assaults for nurses [05:59] Biggest risk in high-acuity settings – ambulances, EDs, ICUs, psych units [06:44] Reasons/origins [09:25] Patient families as source of conflict Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Dr. Cruz's email: ceciliacruz@marpejourney.com Dr Cruz's Linkedin page: Cecilia Cruz - Founder and CEO - MARPE, LLC | LinkedIn MARPE, LLC website: https://www.marpejourney.com/ Subscribe Today! Apple Podcasts Amazon Podcasts Android Google Podcasts Spotify RSS Feed
This episode of our award-winning podcast finishes our discussion on the state of research today. Despite proven benefits, enrollment in clinical trials is sparse across the country, but participation can positively impact patients and organizations alike. Two experts in research lay out all the facts. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Performance Improvement Consulting Vizient Guests: Dylan Steen, MD, MS Chief Executive Officer and Co-founder High Enroll Cardiologist, UC Health Adjunct Associate Professor, UC College of Medicine Daniel Flora, MD, PharmD Medical Director, Oncology Research Hematologist/Oncologist St. Elizabeth Healthcare Show Notes: [01:32] Market research at St. Elizabeth Healthcare [02:58] Benefits and advantages of clinical research to practices and organizations [04:50] Background for High Enroll and the program's value: opportunities offered [06:20] Getting High Enroll started [08:39] Vision for research at St. Elizabeth Healthcare – approaching a cure Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Dr. Steen's email: steendy@gmail.com Dr. Flora's email: daniel.flora@stelizabeth.com High Enroll website: https://www.highenroll.org (513) 993-0330 Subscribe Today! Apple Podcasts Amazon Podcasts Android Google Podcasts Spotify RSS Feed
Despite proven benefits, enrollment in clinical trials is sparse across the country. This episode of our award-winning podcast continues our discussion on the state of research today and how participation can positively impact patients and organizations alike. Two experts in research lay out all the facts. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Performance Improvement Consulting Vizient Guests: Dylan Steen, MD, MS Chief Executive Officer and Co-founder High Enroll Cardiologist, UC Health Adjunct Associate Professor, UC College of Medicine Daniel Flora, MD, PharmD Medical Director, Oncology Research Hematologist/Oncologist St. Elizabeth Healthcare Show Notes: [01:31] Lack of inclusivity in trials – need for “real-world” participants [04:05] Research organizations give standard of care that is lacking elsewhere [04:50] Background for High Enroll and the program's value: opportunities offered [07:40] Latest generation of technology and information availability [08:20] Improvement over other research sites (such as clinicaltrials.gov) Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Dr. Steen's email: steendy@gmail.com Dr. Flora's email: daniel.flora@stelizabeth.com High Enroll website: https://www.highenroll.org (513) 993-0330 Subscribe Today! Apple Podcasts Amazon Podcasts Android Google Podcasts Spotify RSS Feed
The truth is: patients enrolled in clinical trials fare better than patients who are not. Participating in research can be a boon to a practice or organization and its patients. Yet, enrollment in clinical trials is still sparse across the country and part of the reason is organizations don't realize the value research can bring. On the next three episodes of this award-winning podcast, two experts in research lay out the benefits in participating in clinical trials. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Performance Improvement Consulting Vizient Guests: Dylan Steen, MD, MS Chief Executive Officer and Co-founder High Enroll Cardiologist, UC Health Adjunct Associate Professor, UC College of Medicine Daniel Flora, MD, PharmD Medical Director, Oncology Research Hematologist/Oncologist St. Elizabeth Healthcare Show Notes: [02:16] Research marketing [03:20] Background: how High Enroll got started [04:05] Number one problem in research [05:20] Problem is still unsolved [07:07] Need for cancer research at community level [08:18] Look at research as a valuable product for the organization/practice [09:03] Moving medicine forward: the value of clinical trials to the patient [09:52] How to boost research participants for an organization Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Dr. Steen's email: steendy@gmail.com Dr. Flora's email: daniel.flora@stelizabeth.com High Enroll website: https://www.highenroll.org (513) 993-0330 Subscribe Today! Apple Podcasts Amazon Podcasts Android Google Podcasts Spotify RSS Feed
On this episode of our award-winning podcast, we continue discussing the impact and benefits of the latest generation of single-use endoscopes, which promise a revolutionary role in surgery. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Performance Improvement Consulting Vizient Guest: Andrew Bruenderman, MHA Category Manager Surgical Services Vizient Show Notes: [00:44] Circumstances calling for single-use scopes [03:19] Financial considerations [04:37] ROI possibilities [06:05] Environmental impact [07:17] Final thoughts to consider Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Andrew's email: andrew.bruenderman@vizientinc.com Vizient TechWatch article on single-use ureteroscopes: Vizient TechWatch Medical Device Vol. 3 (Single-Use Ureteroscopes).pdf Subscribe Today! Apple Podcasts Amazon Podcasts Android Google Podcasts Spotify RSS Feed
The latest generation of single-use endoscopes promises a revolutionary role in surgery. On this episode of our award-winning podcast, we discuss the impact and benefits of single-use ureteroscopes. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Performance Improvement Consulting Vizient Guest: Andrew Bruenderman, MHA Category Manager Surgical Services Vizient Show Notes: [01:48] Early models were lacking; new models are advanced and improved [02:49] Cross-contamination and adverse events from multiuse scopes [04:15] Safety approaches with single-use scopes [05:21] Wave of the future? [06:20] Shelf life of single-use ureteroscopes and associated efficiencies [07:37] Problems with early models may cause reluctance to use later models Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Andrew's email: andrew.bruenderman@vizientinc.com Vizient TechWatch article on single-use ureteroscopes: Vizient TechWatch Medical Device Vol. 3 (Single-Use Ureteroscopes).pdf Subscribe Today! Apple Podcasts Amazon Podcasts Android Google Podcasts Spotify RSS Feed Subscribe Today! Apple Podcasts Spotify Google Podcasts Android
On this episode, we finish the discussion about the challenges and issues involving documenting elective surgeries in order to improve care and maximize reimbursement. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Performance Improvement Consulting Vizient Guests: Rachel Mack, MSN, RN, CCDS, CDIP, CCS, CRC Consulting Director, Clinical Documentation Improvement Vizient Show Notes: [00:37] Anticoagulation – often overlooked in documentation [01:30] PSI 9 [02:20] Thrombocytopenia [03:57] Antiplatelets and elective surgeries [05:56] Every PSI reported means money lost to the practice Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Rachel Mack's email: rachel.mack@vizientinc.com “Costs of Postoperative Sepsis: The Business Case for Quality Improvement to Reduce Postoperative Sepsis in Veterans Affairs Hospitals” (JAMA): Click Here Subscribe Today! Apple Podcasts Amazon Podcasts Android Google Podcasts Spotify RSS Feed
This episode continues the series on challenges and issues involving correctly documenting elective surgeries. A leading expert provides practical guidance and considerations that enable you to be correct in documenting these patients in order to improve care and maximize reimbursement. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Performance Improvement Consulting Vizient Guests: Rachel Mack, MSN, RN, CCDS, CDIP, CCS, CRC Consulting Director Clinical Documentation Improvement Vizient Show Notes: [00:34] Dealing with preoperative infections [01:56] Percentage of elective surgery patients who develop sepsis—with 25% mortality [03:45] Accurately coding to avoid a PSI 13 being charged to your practice/organization [05:34] Do not miss a Present on Admission case [07:30] Need for CDI specialists to collaborate with quality (the “dotted line”) [08:50] Issues around PSI 7 Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Rachel Mack's email: rachel.mack@vizientinc.com “Costs of Postoperative Sepsis: The Business Case for Quality Improvement to Reduce Postoperative Sepsis in Veterans Affairs Hospitals” (JAMA) Click Here. Subscribe Today! Apple Podcasts Amazon Podcasts Android Google Podcasts Spotify RSS Feed
Elective surgeries are on the rise again following a downswing during the COVID era. Yet, with this rise in these procedures, there are challenges and issues involving correctly documenting elective surgeries that practices and organizations need to consider and address. On this episode, a leading expert on clinical documentation covers this difficult area. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Performance Improvement Consulting Vizient Guests: Rachel Mack, MSN, RN, CCDS, CDIP, CCS, CRC Consulting Director, Clinical Documentation Improvement Vizient Show Notes: [01:21] Planned surgeries [02:26] Five most common elective surgeries and who has them [04:15] Why elective surgeries are unique [05:44] What you need to document – examples [09:13] Obesity and documentation—capturing a CC Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Rachel Mack's email: rachel.mack@vizientinc.com Subscribe Today! Apple Podcasts Amazon Podcasts Android Google Podcasts Spotify RSS Feed
A safe culture is a key factor in developing a highly reliable organization, or HRO, and ensuring a healthy workplace. It means fostering psychological safety in that culture. On this episode, we continue our discussion on psychological safety and a healthy workplace. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Performance Improvement Consulting Vizient Guests: Kristina Kelada, PHR, CHRE, CHRS Associate Principal, Reliability and Management Systems Vizient Elizabeth Mack, MD, MS Principal, Reliability and Management Systems Vizient Show Notes: [00:47] Psych safety and fostering recruitment and retention [03:33] What to do to develop safety in the workplace [04:35] Culture of safety and return on investment: what the data shows [06:17] Bad culture: a “thief in the night” [09:09] Design systems that make sense for patients and families Links | Resources: How to interpret and use your SCORE survey results (Safe and Reliable Healthcare): SCORE Interpreting and Using Results To contact Modern Practice: modernpracticepodcast@vizientinc.com Dr. Mack's email: elizabeth.mack@vizientinc.com Kristina Kelada's email: kristina.kelada@vizientinc.com Subscribe Today! Apple Podcasts Amazon Podcasts Android Google Podcasts Spotify RSS Feed
A healthy culture is a key factor in developing a highly reliable organization, or HRO. For a culture to be healthy depends on the existence of psychological safety in that culture. In this new series of our award-winning podcast, we discuss how to develop a healthy workplace as we continue our examination of HROs and the practices that lead to them. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Performance Improvement Consulting Vizient Guests: Kristina Kelada, PHR, CHRE, CHRS Associate Principal, Reliability and Management Systems Vizient Elizabeth Mack, MD, MS Principal, Reliability and Management Systems Vizient Show Notes: [02:28] Importance of building a culture on trust and respect [03:38] Psych safety defined [05:30] It is dangerous when employees are quiet [07:18] How to know you have psych safety in your practice [09:19] What leaders can do [10:14] We're in healthcare, for goodness sakes! Links | Resources: How to interpret and use your SCORE survey results (Safe and Reliable Healthcare): SCORE Interpreting and Using Results To contact Modern Practice: modernpracticepodcast@vizientinc.com Dr. Mack's email: elizabeth.mack@vizientinc.com Kristina Kelada's email: kristina.kelada@vizientinc.com Subscribe Today! Apple Podcasts Amazon Podcasts Android Google Podcasts Spotify RSS Feed
On this episode, we continue our discussion about the need to provide a transition for advanced practice providers (APPs – nurse practitioners, physician assistants) from the academic setting to clinical practice, similar to the residencies and fellowships provided to physicians. You'll learn how this transition can be a huge benefit to your practice or organization. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Performance Improvement Consulting Vizient Guest: Christen Hunt, DNP, FNP-C, CPNP-AC Associate Vice President Workforce Consulting Vizient Show Notes: [00:41] Fitting organizational needs – no cookie-cutter [02:25] Provide a safe space; provide what the organization needs [03:37] Not a burden but an opportunity [04:42] Bringing APPs fully into the organization for greater productivity [05:51] Example: ROI and a cost avoidance of over $2 million [06:52] More ROI examples Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Christen Hunt's email: christen.hunt@vizientinc.com Subscribe Today! Apple Podcasts Amazon Podcasts Android Google Podcasts Spotify RSS Feed
Advanced Practice Providers, or APPs, have taken on an increasingly important role in patient care over the years. Comprised of nurse practitioners and physician assistants, APPs receive advanced education and clinical training for performing a wide range of care services, many of which were traditionally carried out by physicians. Yet, there are no residencies or fellowships to transition APPs from the academic to the clinical realm. On the next two episodes, this award-winning podcast examines how organizations and practices can address this gap. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Performance Improvement Consulting Vizient Guest: Christen Hunt, DNP, FNP-C, CPNP-AC Associate Vice President Workforce Consulting Vizient Show Notes: [02:02] Residencies and fellowships and what they mean for APPs [04:41] APPs and orientation – need for a deeper dive [05:13] Growth of APP positions and necessity for new care models [06:44] Fostering the business side of healthcare [07:14] Integrating APPs into the team [08:13] Bringing APPs into the culture Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Christen Hunt's email: christen.hunt@vizientinc.com Subscribe Today! Apple Podcasts Amazon Podcasts Android Google Podcasts Spotify RSS Feed
On this final episode of a three-part series, Tomas finishes his discussion with two experts on high-reliability organizations who examine the crucial role of learning areas in the success of top performers. High-performing organizations take care of not only their patients but their staff and indeed enable staff to be at their best. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Performance Improvement Consulting Vizient Guests: Suzanne Miller, MSN, RN Senior Consulting Director, Reliability and Management Systems Vizient Katerie Chapman, MHA Senior Principal, Safe and Reliable Healthcare Vizient Show Notes: [00:54] Need for change-ready units in the organization [01:32] Overcome the perception “this is one more thing” [03:17] Example: skeptical ICU nurse – “This is going to fail” [04:56] Taking a phased approach [05:37] Measuring success of learning areas: the benchmarks to use 06:22] Excited staff members Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Vizient Safe and Reliable Healthcare site Click here Suzanne's email: suzanne.miller@vizientinc.com Katerie's email: katerie.chapman@vizientinc.com Subscribe Today! Apple Podcasts Amazon Podcasts Android Google Podcasts Spotify RSS Feed
On this episode, Tomas continues his discussion with two expert guests about learning areas and how they are proving effective and essential in developing high-reliability organizations. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Performance Improvement Consulting Vizient Guests: Suzanne Miller, MSN, RN Senior Consulting Director Reliability and Management Systems Vizient Katerie Chapman, MHA Senior Principal, Safe and Reliable Healthcare Vizient Show Notes: [00:41] Who engages in learning areas? [03:17] A flood of kudos in the ED – an example of lifting morale [05:10] Team participation in barcode scanning – an example of improving compliance [07:02] A resource for senior leaders [07:55] A safety concern that, once identified, was quickly corrected [08:44] Real-time nature of rounding and issue resolution Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Vizient Safe and Reliable Healthcare site: https://www.vizientinc.com/our-solutions/care-delivery-excellence/reliable-care-delivery Suzanne's email: suzanne.miller@vizientinc.com Katerie's email: katerie.chapman@vizientinc.com Subscribe Today! Apple Podcasts Amazon Podcasts Android Google Podcasts Spotify RSS Feed
Learning areas have become an effective aspect of high-reliability organizations in healthcare. Employing floor or departmental huddles as the focal point for these learning areas, the experience of the huddles has been augmented and reinforced by bulletin boards and whiteboards. Even more effective is the newest wrinkle in the experience – LENS (Learning & Engagement System) boards, which are dynamic, digitally-based visual boards that can transmit messaging on a 24/7 basis in a designated learning area. On the next three episodes, Tomas discusses learning areas with two expert guests, who will share the rationale behind them and how to make them work for you. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Performance Improvement Consulting Vizient Guests: Suzanne Miller, MSN, RN Senior Consulting Director Reliability and Management Systems Vizient Katerie Chapman, MHA Senior Principal, Safe and Reliable Healthcare Vizient Show Notes: [01:58] Developing and sustaining learning areas [03:02] Elements employed in a learning area [05:00] The cornerstone of high reliability [06:07] The visual management role [07:37] Advantages of the LENS board [09:07] Selecting a unit to be a learning area Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Vizient Safe and Reliable Healthcare site: https://www.vizientinc.com/our-solutions/care-delivery-excellence/reliable-care-delivery Suzanne's email: suzanne.miller@vizientinc.com Katerie's email: katerie.chapman@vizientinc.com Subscribe Today! Apple Podcasts Amazon Podcasts Android Google Podcasts Spotify RSS Feed
This episode finishes our discussion on how organizations can tackle persistent quality, safety and workplace challenges on the way to becoming high reliability organizations (HROs). Tomas engages with two expert guests on what constitutes an HRO and how to make that journey to better performance. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient Guests: Allan Frankel, MD Executive Principal, Safe and Reliable Healthcare Vizient Katerie Chapman, MHA Senior Principal, Safe and Reliable Healthcare Vizient Show Notes: [00:42] Dealing with burnout [02:51] Culture and high reliability [05:06] Assessing organizations [08:25] Just Culture Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Vizient Safe and Reliable Healthcare site: https://www.vizientinc.com/our-solutions/care-delivery-excellence/reliable-care-delivery Allan's email: allan.frankel@vizientinc.com Katerie's email: katerie.chapman@vizientinc.com Subscribe Today! Apple Podcasts Amazon Podcasts Android Google Podcasts Spotify RSS Feed
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