Modern Practice Podcast

Surviving cardiac arrest

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.
Host:
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:
[00:34] Simon’s background
[01:08] An avid runner
[01:32] The call
[03:06] Every minute a cardiac arrest goes untreated drops survival rate by 10%
[04:06] No previous symptoms
[05:40] Rehabilitation
[06:38] Dealing with emotions and with recurring cardiac events
[10:02] Changed perspective
[10:55] 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
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Benefits of improved clinical communication: a success story, Part 3

On this episode, Tom completes his discussion with a physician leader whose team has developed a tool for an oncology floor that has improved communication among clinicians. Based on the SBAR approach (Situation – Background – Assessment – Recommendation), the tool has seen phenomenal results.
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior PrincipalClinical Operations and QualityVizient
Guest:Devendranath (Dev) Mannuru, MD, CHCOMInternal Medicine HospitalistCDI and Quality Physician AdvisorSanford Hospital – Fargo
Show Notes:[00:40] Challenges[01:48] A clarification that improved participation[02:18] Metrics of success[04:25] Improving care means supporting the care delivery system rather than outcomes[05:08] Expanding the model to the whole hospital[06:00] With focus on quality, everything else falls into place
Links | Resources:To contact Modern Practice: modernpracticepodcast@vizientinc.comDev’s email: mannuru.devendranath@sanfordhealth.orgOncology Nursing SBAR – Final Copy (Sanford Hospital): Click hereNursing SBAR for Med-Surg Units – Final Copy (Sanford Hospital): Click hereInteract and impact framework (Vizient presentation): Click here
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Benefits of improved clinical communication: a success story, Part 2

For the first time on this award-winning podcast, a faithful listener is sitting in the guest seat as he shares an exciting tool his team has developed to improve communication on an oncology floor. Join Tom as he continues his discussion with Dr. Dev Mannuru on this SBAR-based tool (Situation – Background – Assessment – Recommendation) that has produced phenomenal results.
 
Moderator:
Tomas Villanueva, DO, MBA, FACPE, SFHM
Senior Principal
Clinical Operations and Quality
Vizient
 
Guest:
Devendranath (Dev) Mannuru, MD, CHCOM
Internal Medicine Hospitalist
CDI and Quality Physician Advisor
Sanford Hospital – Fargo
 
Show Notes:
[00:55] Outcomes from the project – several metrics showing progress and success
[02:56] Effect on nursing turnover and morale
[04:10] Benefits of geographical/team rounding and use of tool
[04:51] Better questions asked during rounding – clarity for physicians and clinicians
[06:00] Whole team engaged
[07:28] Focus: length of stay vs team clarity
[08:58] Improved team approach to patient care
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Dev’s email: mannuru.devendranath@sanfordhealth.org
Oncology Nursing SBAR – Final Copy (Sanford Hospital): Click here
Nursing SBAR for Med-Surg Units – Final Copy (Sanford Hospital): Click here
Interact and impact framework (Vizient presentation): Click here
 
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Benefits of improved clinical communication: a success story, Part 1

This episode features a physician who is a long-term listener to the podcast and developed an exciting process with his clinical colleagues. He joins the program to discuss the tool that has improved communication among staff and patients on the oncology floor.
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior PrincipalClinical Operations and QualityVizient
 
Guest:Devendranath (Dev) Mannuru, MD, CHCOMInternal Medicine HospitalistCDI and Quality Physician AdvisorSanford Hospital – Fargo
 
Show Notes:
[01:30] The Interact and Impact Project
[02:10] Rationale behind the initiative
[03:25] Gap analysis on the floor
[04:48] Assessment
[05:57] A unique tool
[06:44] Benefits of geographical rounding
[08:17] Engaging the team
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Dev’s email: mannuru.devendranath@sanfordhealth.org
Oncology Nursing SBAR – Final Copy (Sanford Hospital): Click here
Nursing SBAR for Med-Surg Units – Final Copy (Sanford Hospital): Click here
Interact and impact framework (Vizient presentation): Click here
 
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Enhancing CDI interrelationships: the importance of a de-siloed approach, Part 3

This edition of our award-winning podcast finishes the discussion on how improving relationships with hospital staff, particularly clinical staff, can bring improvement in documentation. This can then improve patient care and reimbursement.
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior PrincipalClinical Operations and QualityVizient
 
Guest:Amber Sterling, RN, BSN, CCDSSenior ConsultantClinical Documentation ImprovementVizient
 
Show Notes:
[00:53] Copying and pasting – the need for editing
[03:40] Meaningful data as an effective motivator – measuring success
[08:06] Developing a relationship virtually versus onsite communication
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Amber’s email: amber.sterling@vizientinc.com
Vizient clinical documentation improvement site: Click Here
 
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Enhancing CDI interrelationships: the importance of a de-siloed approach, Part 2

On this episode, we continue examining how improving relationships with hospital staff, particularly clinical staff, can bring improvement in documentation, which can then improve patient care and reimbursement.
 
Moderator:
Tomas Villanueva, DO, MBA, FACPE, SFHM
Senior Principal, Clinical Operations and Quality
Vizient
 
Guest:
Amber Sterling, RN, BSN, CCDS
Senior Consultant, Clinical Documentation Improvement
Vizient
 
Show Notes:
[00:42] Imprecise documentation and the need for partnership
[02:04] Communication about accurate DRG documentation
[02:36] Managing the utilization review process
[03:54] Outpatient documentation
[05:57] Breaking through silos with technology beyond in-boxes
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Amber’s email: amber.sterling@vizientinc.com
Vizient clinical documentation improvement site: Click here
 
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Enhancing CDI interrelationships: the importance of a de-siloed approach, Part 1

Counteracting errors in clinical documentation can improve care for the patient and reimbursement for the health care organization by giving a true picture of the care offered. On this episode, we discuss how improving relationships with hospital staff, particularly clinical staff, can bring improvement in documentation.
 
Moderator:
Tomas Villanueva, DO, MBA, FACPE, SFHM
Senior Principal, Clinical Operations and Quality
Vizient
 
Guest:
Amber Sterling, RN, BSN, CCDS
Senior Consultant, Clinical Documentation Improvement
Vizient
 
Show Notes:
[01:31] Importance of working with other departments – silos have increased
[03:08] Working with the quality department
[04:23] Working with clinical teams
[05:53] Effect on revenue cycle
[06:48] Inadequate reimbursement and denial trends
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Amber’s email: amber.sterling@vizientinc.com
Vizient clinical documentation improvement site: Click here
 
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Risk model changes and CDI, Part 2

This episode of our award-winning podcast continues examining the impact of risk adjustment models and methodologies. Knowing the models and their updates is crucial to full reimbursement for the patient’s care.
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior Principal, Clinical Operations and QualityVizient
 
Guest:Jim Tamburini, BS, RHIT, CCS, CCS-P, CDIPSenior Consulting Director, Clinical Documentation Improvement and CodingVizient
 
Show Notes:
[00:47] Variables and POA
[03:03] Heart failure
[04:00] Changes in the COVID model and pediatric COVID model
[04:57] Document completely; MEAT (monitor, evaluate, assess, and treat)
[06:28] Clearly delineate POA conditions from conditions acquired after admission
[07:01] The Problem List
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Jim’s email: james.tamburini@vizientinc.com
Vizient clinical documentation improvement site: Click here
 
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Risk model changes and CDI, Part 1

This episode of our award-winning podcast examines the impact of risk adjustment models and methodologies. Knowing the models and their updates is crucial to full reimbursement for the patient’s care.
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior Principal, Clinical Operations and QualityVizient
 
Guest:Jim Tamburini, BS, RHIT, CCS, CCS-P, CDIPSenior Consulting Director, Clinical Documentation Improvement and CodingVizient
 
Show Notes:
[00:58] The importance of risk models
[01:35] Reflecting how sick your patients are
[01:54] Variables and need for correct documentation
[02:43] Vizient methodology to help documentation
[03:19] Palliative care codes
[03:57] Present on Admission (POA)
[04:19] Obesity
[04:50] Malnutrition: average hospital patient only eats 1200 calories/day
[06:32] Cardiac device variables
[07:57] Oncology models
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Jim’s email: james.tamburini@vizientinc.com
Vizient clinical documentation improvement site: Click here
 
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The CMS Star mortality rating, Part 2

This episode of our award-winning podcast continues an examination of the CMS Star mortality rating, its significance and what clinical practices and organizations can do to improve their mortality scores.
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior Principal, Clinical Operations and QualityVizient
 
Guests:Linda Wiseman, BSN, RN, CCDSSenior Consulting Director, Clinical Documentation ImprovementVizient
 
Rachel Mack, MSN, RN, CCDS, CDIP, CCS, CRCConsulting Director, Clinical Documentation ImprovementVizient
 
Show Notes:
[00:37] How to improve on mortality scores
[02:07] Risk adjusting and variable condition categories
[04:18] NIHSS scores (stroke)
[06:13] “Sludge” and the need to copy, paste and edit
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Linda’s email: linda.wiseman@vizientinc.com
Rachel’s email: rachel.mack@vizientinc.com
Fact sheet on CMS Stars Ratings: 10.6.22 FACT SHEET - 2023 Medicare Star Ratings.pdf
 
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