Archive for November 2020

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

 

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Spotify

Android

Google Podcasts

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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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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

 

Read Full Post »