Modern Practice Podcast

Rethinking medical group strategy, Part 3

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, SFHMSenior Principal, Performance Improvement ConsultingVizient
 
Guest:Michael StrileskySenior Principal, Care Delivery TransformationStrategy ConsultingVizient
 
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
 
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Rethinking medical group strategy, Part 2

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, SFHMSenior Principal, Performance Improvement ConsultingVizient
 
Guest:Michael StrileskySenior Principal, Care Delivery TransformationStrategy ConsultingVizient
 
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
 
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Rethinking medical group strategy, Part 1

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
 
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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.
 
Host: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.
 
Host: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.
 
Host: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 workforce challenge, Part 2

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.
Host:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior Principal, Clinical Operations and QualityVizient
 
Guests:Eric Burch, MBA, RN, FACHEExecutive Principal, Operations and Workforce ServicesVizient
 
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
 
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The workforce challenge, Part 1

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.
 
Host:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior Principal, Clinical Operations and QualityVizient
 
Guests:Eric Burch, MBA, RN, FACHEExecutive Principal, Operations and Workforce ServicesVizient
 
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
 
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Challenges in documenting spinal surgery, Part 3

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.
 
Host:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior Principal, Clinical Operations and QualityVizient
 
Guest:Rachel Mack, MSN, RN, CCDS, CDIP, CCS, CRCConsulting Director, Clinical Documentation ImprovementVizient
 
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
 
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Challenges in Documenting Spinal Surgery, Part 2

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.
 
Host:
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
 
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