Modern Practice Podcast

Investing in the transition of APPs to practice, Part 1

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, SFHMSenior Principal, Performance Improvement ConsultingVizient
 
Guest:Christen Hunt, DNP, FNP-C, CPNP-ACAssociate Vice President, Workforce ConsultingVizient
 
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
 
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Developing learning areas to improve and sustain performance, Part 3

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, SFHMSenior Principal, Performance Improvement ConsultingVizient
 
Guests:Suzanne Miller, MSN, RNSenior Consulting Director, Reliability and Management SystemsVizient
 
Katerie Chapman, MHASenior Principal, Safe and Reliable HealthcareVizient
 
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
 
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Developing learning areas to improve and sustain performance, Part 2

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, SFHMSenior Principal, Performance Improvement ConsultingVizient
 
Guests:Suzanne Miller, MSN, RNSenior Consulting Director, Reliability and Management SystemsVizient
 
Katerie Chapman, MHASenior Principal, Safe and Reliable HealthcareVizient
 
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
 
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Developing learning areas to improve and sustain performance, Part 1

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, SFHMSenior Principal, Performance Improvement ConsultingVizient
 
Guests:Suzanne Miller, MSN, RNSenior Consulting Director, Reliability and Management SystemsVizient
 
Katerie Chapman, MHASenior Principal, Safe and Reliable HealthcareVizient
 
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 Click here
Suzanne’s email: suzanne.miller@vizientinc.com
Katerie’s email: katerie.chapman@vizientinc.com
 
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The journey to high reliability, Part 3

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, SFHMSenior Principal, Clinical Operations and QualityVizient
 
Guests:Allan Frankel, MDExecutive Principal, Safe and Reliable HealthcareVizient
 
Katerie Chapman, MHASenior Principal, Safe and Reliable HealthcareVizient
 
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 Click here
Allan’s email: allan.frankel@vizientinc.com
Katerie’s email: katerie.chapman@vizientinc.com
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The journey to high reliability, Part 2

On this episode, we continue our discussion on how organizations can tackle persistent quality, safety and workplace challenges on the way to becoming high reliability organizations (HROs). Tomas discusses with two expert guests on what constitutes an HRO and how to make that journey to better performance.
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior Principal, Clinical Operations and QualityVizient
 
Guests:Allan Frankel, MDExecutive Principal, Safe and Reliable HealthcareVizient
 
Katerie Chapman, MHASenior Principal, Safe and Reliable HealthcareVizient
 
Show Notes:[00:46] Areas to address and challenges to meet[01:52] Examples of challenges to high reliability[03:47] Complex processes that can undermine reliability[05:20] Sustaining improvement[07:49] Vizient’s Safe and Reliable Healthcare: a force multiplier[11:41] Burnout
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Vizient Safe and Reliable Healthcare site Click here
Allan’s email: allan.frankel@vizientinc.com
Katerie’s email: katerie.chapman@vizientinc.com
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The journey to high reliability, Part 1

Reducing patient harm, team burnout and waste in healthcare requires organizations to tackle persistent quality, safety and workplace challenges. This work is what leads to becoming a high reliability organization (HRO). On the next three episodes, Tomas discusses with two expert guests on what constitutes an HRO and how to make that journey to better performance.
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior Principal, Clinical Operations and QualityVizient
 
Guests:Allan Frankel, MDExecutive Principal, Safe and Reliable HealthcareVizient
 
Katerie Chapman, MHASenior Principal, Safe and Reliable HealthcareVizient
 
Show Notes:
[02:37] High reliability defined five key practices
[06:22] Origins of high reliability
[07:49] Combining complexity and human cognition
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Vizient Safe and Reliable Healthcare site Click here
Allan’s email: allan.frankel@vizientinc.com
Katerie’s email: katerie.chapman@vizientinc.com
 
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Accuracy in cardiac surgery documentation, Part 3

This episode of our award-winning podcast continues our examination of the complexities of cardiac surgery patients and the challenges in understanding them and in assessing and documenting  their status.
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior PrincipalClinical Operations and QualityVizient
Guest:Rachel Mack, MSN, RN, CCDS, CDIP, CCS, CRCConsulting DirectorClinical Documentation ImprovementVizient
 
Show Notes:
[00:38] Cardiac complications post-op
[04:04] Renal issues
[06:11] Respiratory issues
[08:03] Transcatheter aortic valve replacement (TAVR) and heart failure
[11:15] Issues involving major comorbid conditions (MCCs)
[12:35] The biggest take-away
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Rachel’s email: rachel.mack@vizientinc.com
 
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Accuracy in cardiac surgery documentation, Part 2

On this episode, we continue our examination of cardiac surgery with its unique challenges and risks for patients, with a  focus on accurate and thorough documentation of these procedures.
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior PrincipalClinical Operations and QualityVizient
Guest:Rachel Mack, MSN, RN, CCDS, CDIP,  CCS, CRCConsulting DirectorClinical Documentation ImprovementVizient
 
Show Notes:[00:31] Cardiac surgery patients: post-op and readmissions[01:24] “Volume overload,” i.e., heart failure[01:47] Five-day readmission stays![03:34] Story – cardiac patient on the move[04:49] Common cardiac surgeries[08:22] Vasopressors do not always indicate shock[09:24] Encephalopathy and dementia
 
Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Rachel’s email: rachel.mack@vizientinc.com
 
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Accuracy in cardiac surgery documentation, Part 1

Cardiac surgery poses unique challenges with its risks for patients, its potential complications and the difficulty in capturing the details in thorough documentation. On this episode, we discuss those challenges and how to approach them effectively.
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior PrincipalClinical Operations and QualityVizient
Guest:Rachel Mack, MSN, RN, CCDS, CDIP,  CCS, CRCConsulting DirectorClinical Documentation ImprovementVizient
 
Show Notes:[01:04] Uniqueness of cardiac surgery[01:30] Cardiopulmonary bypass and extracorporeal circulation[02:27] Postoperative issues[05:08] Cardiac surgeons and documentation[06:13] Intra-aortic balloon pumps and cardiogenic shock[07:50] Cardiogenic acute renal failure[08:31] Arrythmias and pacing[09:10] The end of the road in intervention[11:08] Document the reason for a patient’s deterioration
Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Rachel’s email: rachel.mack@vizientinc.com
 
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