Achieving a highly reliable organization — Part 2

On this episode, we continue our discussion on high reliability and how it can transform the system failings that cause clinical errors. Two leading experts examine health care organizations that have used the principles of high reliability to reduce dangerous errors such as pressure ulcers and drastically improve their care over a number of clinical indicators.
 
Guest speakers:
David Munch, MD
Senior Principal
Vizient
 
Bradley Schultz, MBA
Principal
Vizient
 
Moderator:
Tomas Villanueva, DO, MBA, FACPE, SFHM
Associate Vice President
Clinical Resources
Vizient
 
Show Notes
[00:17] Principles of high reliability
[05:10] Importance of having a team at work
[05:35] Reliability in the front lines
[07:17] Example of Northwestern Memorial Hospital
[08:11] Example of Nebraska Medicine
[08:49] Example of New Hanover Regional Medical Center
 
Links | Resources:
Evidence Brief: Implementation of High Reliability Organization Principles (NIH) Click here
HRO Development Services – Achieving a high reliability organization (Munch) Click here
The Future of Health Care (Vizient page) Click here
High Reliability (AHRQ) Click here
 
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Achieving a highly reliable organization — Part 1

Over twenty years ago, the landmark report To Err is Human shook all of health care with its focus on medical errors causing patient deaths. It cast a light on the systems that failed to ensure high-quality, safe clinical care. Yet, today, errors continue, and on this episode of Modern Practice, two leading experts discuss the principles of high reliability that address system failures and the errors they cause.
 
Guest speakers:
David Munch, MD
Senior Principal
Vizient
 
Bradley Schultz, MBA
Principal
Vizient
 
Moderator:
Tomas Villanueva, DO, MBA, FACPE, SFHM
Associate Vice President
Clinical Resources
Vizient
 
Show Notes
[01:26] Costs of medical errors – to hospitals, patients and caregivers
[02:47] Overall costs to the health system
[03:52] Need to sustain efforts
[05:10] Applying high reliability to health care
[08:15] Need for standard work
[09:58] Staff roles in the high reliability organization
[13:04] The problem is not with the front-line staff
 
Links | Resources:
Evidence Brief: Implementation of High Reliability Organization Principles (NIH) Click here
HRO Development Services – Achieving a high reliability organization (Munch) Click here
The Future of Health Care (Vizient page) Click here
High Reliability (AHRQ) Click here
 
Subscribe Today!
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Spotify
Android
Google Podcasts
Stitcher
RSS Feed
 

Fit for the future: challenges facing health care systems in a pandemic era and how to solve them — Part 2

On this episode, we continue our discussion on declining operating margins in health care and what we need to do in addressing the challenge through a phased strategic approach to improve margin optimization.
 
Guest speaker:
Celina Burns
Principal
Financial Performance Solutions
Vizient
 
Moderator:
Tomas Villanueva, DO, MBA, FACPE, SFHM
Associate Vice President
Clinical Resources
Vizient
 
Show Notes
[00:29] Operating margins
[01:37] Improving operating margins
[02:51] Stabilizing and preparation phase of growth strategy
[03:20] Managing your “portfolio”: having the right service-line mix
[03:49] Acquisition: not a strategy but a strategy enabler
[05:00] Focus on scaling
[07:06] Importance of analytics
[07:42] What should operations look like?
[09:13] Examples of organizations successfully optimizing margins
[10:34] Resist the urge to go back to “normal”
 
Links | Resources:
Creating a sustainable business model in an emerging value-based care market Click here
Hospital operating margins decline in 2019 (HFMA) Click here
Hospital margins fell 174% in April Click here
 
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Fit for the future: challenges facing health care systems in a pandemic era and how to solve them — Part 1

Before the COVID outbreak, decreasing margins and other challenges were bringing health care to a tipping point, and after the pandemic, health care passed that tipping point. Hospitals and hospital systems were experiencing a fundamental shift in their business models. On this episode, we discuss how health care organizations can address the financial headwinds they face in this new era.
 
Guest speaker:
Celina Burns
Principal
Financial Performance Solutions
Vizient
 
Moderator:
Tomas Villanueva, DO, MBA, FACPE, SFHM
Associate Vice President
Clinical Resources
Vizient
 
Show Notes
[01:33] Landscape of health care today
[02:58] Passing the tipping point
[04:19] Five critical areas of opportunity
[05:42] Hospital-physician partnership
[06:26] Need for urgency
[06:55] A different business model
[07:54] Depletion of Medicare funds driving innovation
[08:53] What the recovery period looks like
[10:31] Radical transformation
[11:22] A necessary change in attitude
 
Links | Resources:
Creating a sustainable business model in an emerging value-based care market Click here
Hospital operating margins decline in 2019 (HFMA) Click here
Hospital margins fell 174% in April Click here
 
Subscribe Today!
Apple Podcasts
Spotify
Android
Google Podcasts
Stitcher
RSS Feed