Podcasts about modern practice

This week on A Little Bit Culty, we're getting a little mystical—with our eyes wide open. Historian and occult scholar Mitch Horowitz joins us to explore the space where spirituality meets personal growth, and how easily it can slip into culty territory. His latest book, Practical Magick: Ancient Tradition and Modern Practice, helps make sense of mystical ideas while encouraging intentional belief. We dig into the red flags to watch for on the seeker's path, from peer pressure and time abuse to isolation and guru worship. We also talk about money, emotion, and how performance culture can sneak into spiritual spaces. Mitch makes the case for private exploration, critical thinking, and walking away when something doesn't feel right. Whether you're deep into the woo or just woo-adjacent, this one's packed with insight on how to stay curious without giving your power away. For more of Mitch and his work, visit his website or follow him on Instagram @mitchhorowitz23  Also… let it be known that: The views and opinions expressed on A Little Bit Culty do not necessarily reflect the official policy or position of the podcast. Any content provided by our guests, bloggers, sponsors or authors are of their opinion and are not intended to malign any religion, group, club, organization, business individual, anyone or anything. Nobody's mad at you, just don't be a culty fuckwad. **PRE-ORDER Sarah and Nippy's newest book here Check out our lovely sponsors Join ‘A Little Bit Culty' on Patreon Get poppin' fresh ALBC Swag Support the pod and smash this link Cult awareness and recovery resources Watch Sarah's TEDTalk CREDITS:  Executive Producers: Sarah Edmondson & Anthony Ames Production Partner: Amphibian.Media Co-Creator: Jess Tardy Writer: Kristen Reiter Associate producers: Amanda Zaremba and Matt Stroud of Amphibian.Media   Audio production: Red Caiman Studios Theme Song: “Cultivated” by Jon Bryant co-written with Nygel Asselin  

We are joined by Mitch Horowitz to discuss themes around UFOs, Magick, and his newest book - Practical Magick: Ancient Tradition and Modern Practice. Mitch threads a microcosmic tapestry weaving together UFOs, ESP, Extra-Physical Realities, and Retrocausality - What in the old days may have been considered Magick but is now the cutting-edge of science and the nature of reality. Mitch's Links - Practical Magick: Ancient Tradition and Modern Practice - https://a.co/d/dROUHDtWebsite: https://www.mitchhorowitz.com/Extraordinary Evidence: ESP Is Real Podcast Series - https://www.mitchhorowitz.com/extraordinaryevidence Gurdjieff Lecture by Mitch Horowitz: https://youtu.be/z_hC2j8dNzA?si=bCRbI4IFl3z6nOhpX(Twitter): https://x.com/MitchHorowitz?t=dkyrWfI4ezLuF9Q5TEA6QA&s=09Instagram: https://www.instagram.com/mitchhorowitz23?igsh=cDhjZzF4ajZxdWk4Engaging The Phenomenon Links - Clip from interview w/ Marc Gagnon on CAMP Gagnon - https://youtu.be/w0lUTSF8pfw?si=pZ6lNFYfY0PwOZqx Full CAMP Gagnon Interview w/ ETP: https://youtu.be/PZ6Nxtt4b0k?si=xP0GhQ03QxGfLx8t Matthew Cox True Crime Interviews ETP: https://youtu.be/0lODUE4Zmhs?si=qTqQ9jFQz17CmRrFFollow us on Twitter: https://twitter.com/EngagingThe?t=iEVw2QagEoCgZey4H_zT9Q&s=09Engaging The Phenomenon Podcast: https://anchor.fm/engagingthephenomenonSupport us on Patreon: https://www.patreon.com/Engagingthephenomenon Support us w/ Paypal: https://paypal.me/engagingthephenomeno?country.x=US&locale.x=en_USRead Our Articles on Medium: https://medium.com/@EngagingThePhenomenonGreatly appreciate all the support!! Another way to support the channel is to share the work on social media networks! Thanks for joining us! Support The Podcast: https://anchor.fm/engagingthephenomenon/supportEngaging The Phenomenon LinkTree(https://linktr.ee/EngagingThePhenomenon)We've created a Twitter account for our initiative! Follow us here to stay tuned! Inquire Anomalous YouTube: https://youtube.com/@inquireanomalousFollow Here: https://twitter.com/InquireAnomalus?t=PWi80yvgFpRVdflA_S242g&s=09..................

Send us a textRianna Banana is a seasoned practitioner and trainer in the realms of Thai massage, yoga, and holistic retreats. With a foundational background in hotel management, Rianna transitioned her career towards yoga and bodywork, obtaining her yoga teacher certification in Rishikesh in 2019. She has further specialized in Thai massage, having studied at ITM in Chiang Mai where she completed advanced courses and teacher training. Currently, she operates out of a retreat center in Portugal, where she leads yoga classes, offers Thai massage sessions, and co-hosts holistic retreats throughout the year.Visit Rianna here: https://www.riannabanana.com/Key Takeaways:Rianna's exploration of Thai massage began with an impactful first experience in Bangkok, which led her to study extensively at the ITM school in Chiang Mai.She emphasizes the importance of consistency and simplicity in massage, shared with love, as witnessed during her studies at ITM.Rianna's weaves perspectives on vinyasa flow, meditation, and the mental health benefits of integrating yoga retreats into your journey of self-care and self-love.Thanks for listening to this episode. Check out:

Mitch Horowitz is one of today's most literate voices of occultism, mysticism, and the unexplained. He has bylines in The New York Times, The Washington Post, Politico, Time, and The Wall Street Journal, and appearances in Sundance-premiering movies, popular TV docuseries, and award-winning documentaries, as well as on CBS Sunday Morning, Dateline NBC, NPR's All Things Considered, and other major media. Mitch also worked for many years in publishing, including as a vice president at Penguin Random House where he was editor-in-chief of Tarcher/Penguin, an imprint dedicated to metaphysics.He now hosts the Discovery/HBO Max TV series, Alien Encounters: Fact or Fiction, and he appears regularly on seasons one and two of History's The UnBelievable with Dan Ackroyd and in numerous docuseries including MGM+'s BEYOND: UFOs and the Unknown. He is also the host of the podcast series Extraordinary Evidence: ESP Is Real out from SpectreVision. Mitch also hosted, cowrote, and produced a feature documentary about the occult classic The Kybalion directed by Emmy-nominee Ronni Thomas and shot on location in Egypt.Mitch is a former writer-in-residence at the New York Public Library and the PEN Award-winning and wildly prolific author of many books including Occult America, One Simple Idea, The Miracle Club, Modern Occultism, and his newest offering, Practical Magick: Ancient Tradition and Modern Practice which is out on March 25th and available for preorder now.On this episode, Mitch discusses his dual roles as an occult historian and practitioner, why self-expression and true desire are the keys to effective spellcasting, and how his belief in “anarchic magick” has led him to a happier and more fulfilling life.Pam also talks about the magic of wishes, and answers a listener question about staying protected as a public witch.Check out the video of this episode over on YouTube (and please like and subscribe to the channel while you're at it!)Donate to Pam's fundraiser for The ACLU hereGet 20% off DeleteMe here (not an official sponsor, just a personal recommendation from Pam. Disclosure: Pam does get a small referral fee for each registration.) Our sponsors for this episode are The Witch Summit, Ritual + Shelter, Mithras Candle, BetterHelp, Black Phoenix Alchemy Lab, and The Alchemist and the Academic podcastWe also have print-on-demand merch like Witch Wave shirts, sweatshirts, totes, stickers, and mugs available now here, and all sorts of other bewitching goodies available in the Witch Wave shop.And if you want more Witch Wave, please consider supporting us on Patreon to get access to detailed show notes, bonus Witch Wave Plus episodes, Pam's monthly online rituals, and more! That's patreon.com/witchwave

This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME information, and to apply for credit, please visit us at PeerView.com/KRC865. CME credit will be available until February 26, 2026.Modern Practice Principles in Lung Cancer—First Find the Targets, Then Treat With Precision: A Concise Guide for Biomarker Testing and EGFR-Targeted Therapy in NSCLC In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant from Janssen Biotech, Inc., administered by Janssen Scientific Affairs, LLC. Both are Johnson & Johnson companies.Disclosure information is available at the beginning of the video presentation.

This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME information, and to apply for credit, please visit us at PeerView.com/KRC865. CME credit will be available until February 26, 2026.Modern Practice Principles in Lung Cancer—First Find the Targets, Then Treat With Precision: A Concise Guide for Biomarker Testing and EGFR-Targeted Therapy in NSCLC In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant from Janssen Biotech, Inc., administered by Janssen Scientific Affairs, LLC. Both are Johnson & Johnson companies.Disclosure information is available at the beginning of the video presentation.

This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME information, and to apply for credit, please visit us at PeerView.com/KRC865. CME credit will be available until February 26, 2026.Modern Practice Principles in Lung Cancer—First Find the Targets, Then Treat With Precision: A Concise Guide for Biomarker Testing and EGFR-Targeted Therapy in NSCLC In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant from Janssen Biotech, Inc., administered by Janssen Scientific Affairs, LLC. Both are Johnson & Johnson companies.Disclosure information is available at the beginning of the video presentation.

This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME information, and to apply for credit, please visit us at PeerView.com/KRC865. CME credit will be available until February 26, 2026.Modern Practice Principles in Lung Cancer—First Find the Targets, Then Treat With Precision: A Concise Guide for Biomarker Testing and EGFR-Targeted Therapy in NSCLC In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant from Janssen Biotech, Inc., administered by Janssen Scientific Affairs, LLC. Both are Johnson & Johnson companies.Disclosure information is available at the beginning of the video presentation.

This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME information, and to apply for credit, please visit us at PeerView.com/KRC865. CME credit will be available until February 26, 2026.Modern Practice Principles in Lung Cancer—First Find the Targets, Then Treat With Precision: A Concise Guide for Biomarker Testing and EGFR-Targeted Therapy in NSCLC In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant from Janssen Biotech, Inc., administered by Janssen Scientific Affairs, LLC. Both are Johnson & Johnson companies.Disclosure information is available at the beginning of the video presentation.

This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME information, and to apply for credit, please visit us at PeerView.com/KRC865. CME credit will be available until February 26, 2026.Modern Practice Principles in Lung Cancer—First Find the Targets, Then Treat With Precision: A Concise Guide for Biomarker Testing and EGFR-Targeted Therapy in NSCLC In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant from Janssen Biotech, Inc., administered by Janssen Scientific Affairs, LLC. Both are Johnson & Johnson companies.Disclosure information is available at the beginning of the video presentation.

Send us a textDentists give everything to their profession—but what happens when they give nothing to themselves?On this episode of Dental Bytes, I sit down with Dr. Kyle Stanley to dive deep into the reality of burnout, mental health struggles, and the importance of setting boundaries in dentistry. With years of experience in clinical practice, AI innovation, and dental education, Dr. Stanley shares his insights on how dentists can protect their mental well-being while still thriving in their careers.

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 Yoga Therapy Hour, host Amy Wheeler welcomes Bob Cirino, the Founder of Apple Tree and a dedicated practitioner and teacher at the Yoga Studies Institute. Bob shares his journey into yoga and meditation, emphasizing how ancient spiritual texts guide his work. As an exceptional communicator, Bob simplifies complex concepts, making them accessible and relatable.Bob delves into his transformation from a skeptic to a devoted yogi, exploring how yoga evolved from just a physical practice into a comprehensive lifestyle. He explains the profound connection between the mind, body, and subtle energies, drawing from his studies in Tibetan Yoga and the Pancha Kośa system. Bob also discusses the significance of the prāṇa, or subtle energy, as a bridge between the mental and physical realms, and how this understanding can lead to greater compassion and ethical living.The conversation also touches on modern neuroscience, the role of the vagus nerve, and how practices like Ujjayi breathing can shift the nervous system from fight-or-flight to rest-and-digest, promoting mental and physical well-being. Bob introduces the concept of "Navanga" or the "9th limb" of yoga, which he describes as compassionate wisdom—a crucial aspect that underlies all other yoga practices.Bob challenges the notion of privilege in yoga, asserting that practices like Ujjayi breathing can level the playing field, making yoga accessible to everyone, regardless of their circumstances. He also addresses the debate around enlightenment and ethics, providing insights into how an ethical life naturally emerges from dedicated yoga practice.Listeners are invited to explore these teachings further through Bob's work at the Yoga Studies Institute (www.YogaStudiesInstitute.org) and his platform, Spiritual Warrior (www.spiritualwarrior.life), where he helps individuals master their purpose and live fearlessly.Key Takeaways:The transition from physical yoga practice to a holistic lifestyle.The significance of connecting mind, body, and breath in yoga.How ancient spiritual texts inform modern yoga practices.The role of Ujjayi breathing in influencing the nervous system.The concept of "Navanga" and its importance in yoga practice.The intersection of privilege, accessibility, and ethics in yoga.Insights into the relationship between enlightenment and ethical living.Resources:Yoga Studies InstituteSpiritual WarriorInstagram: @bob.serinoJoin us for this enlightening conversation and explore how the ancient wisdom of yoga can be applied to modern life, fostering compassion, self-awareness, and a deeper understanding of the self.Additional Resources with Amy Wheeler:University of Minnesota Therapeutic Yoga SeriesPolyvagal Institute Mighty App7-Week Course on Yoga, Yoga Therapy & Polyvagal TheoryOptimal State Mobile AppOptimal State and Yoga Therapy Hour Patreon·       Monday Night Yoga Therapy Clinic on www.TheOpimtalState.com·       Join us for our Monday night Yoga Therapy Clinics, specially designed to address specific health and wellness topics. The sessions are held every Monday from 4:00-5:15 PM PST and are led by Amy Wheeler, a seasoned expert in yoga therapy. This clinic provides a supportive environment where participants can explore therapeutic yoga techniques to aid in addiction recovery and overall well-being.·       For those seeking professional development, there is an option to stay longer after class and earn Continuing Education (CE) credits. This extended session offers in-depth training and valuable insights into integrating yoga therapy with addiction treatment.

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