Modern Practice Podcast

Improving care with single-use ureteroscopes, Part 2

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, SFHMSenior PrincipalPerformance Improvement ConsultingVizient
Guest:Andrew Bruenderman, MHACategory ManagerSurgical ServicesVizient
 
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 PodcastsAmazon PodcastsAndroidGoogle PodcastsSpotifyRSS Feed

Improving care with single-use ureteroscopes, Part 1

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, SFHMSenior PrincipalPerformance Improvement ConsultingVizient
Guest:Andrew Bruenderman, MHACategory ManagerSurgical ServicesVizient
 
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 PodcastsAmazon PodcastsAndroidGoogle PodcastsSpotifyRSS Feed
 

Issues around elective surgery documentation, Part 3

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, SFHMSenior Principal, Performance Improvement ConsultingVizient
 
Guests:Rachel Mack, MSN, RN, CCDS, CDIP,  CCS, CRCConsulting Director, Clinical Documentation ImprovementVizient
 
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 PodcastsAmazon PodcastsAndroidGoogle PodcastsSpotifyRSS Feed

Issues around elective surgery documentation, Part 2

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, SFHMSenior Principal, Performance Improvement ConsultingVizient
 
Guests:Rachel Mack, MSN, RN, CCDS, CDIP,  CCS, CRCConsulting Director, Clinical Documentation ImprovementVizient
 
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 PodcastsAmazon PodcastsAndroidGoogle PodcastsSpotifyRSS Feed

Issues around elective surgery documentation, Part 1

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 PodcastsAmazon PodcastsAndroidGoogle PodcastsSpotifyRSS Feed

How to transform to a safety culture, Part 2

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, SFHMSenior Principal, Performance Improvement ConsultingVizient
 
Guests:Kristina Kelada, PHR, CHRE, CHRSAssociate Principal, Reliability and Management SystemsVizient
 
Elizabeth Mack, MD, MSPrincipal, Reliability and Management SystemsVizient
 
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 PodcastsAmazon PodcastsAndroidGoogle PodcastsSpotifyRSS Feed

How to transform to a safety culture, Part 1

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, SFHMSenior Principal, Performance Improvement ConsultingVizient
 
Guests:Kristina Kelada, PHR, CHRE, CHRSAssociate Principal, Reliability and Management SystemsVizient
 
Elizabeth Mack, MD, MSPrincipal, Reliability and Management SystemsVizient
 
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 PodcastsAmazon PodcastsAndroidGoogle PodcastsSpotifyRSS Feed

Investing in the transition of APPs to practice, Part 2

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, SFHMSenior Principal, Performance Improvement ConsultingVizient
 
Guest:Christen Hunt, DNP, FNP-C, CPNP-ACAssociate Vice President, Workforce ConsultingVizient
 
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 PodcastsAmazon PodcastsAndroidGoogle PodcastsSpotifyRSS Feed

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
 
Subscribe Today!Apple PodcastsAmazon PodcastsAndroidGoogle PodcastsSpotifyRSS Feed

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
 
Subscribe Today!Apple PodcastsAmazon PodcastsAndroidGoogle PodcastsSpotifyRSS Feed