Archive for July 2021

Hospital-Acquired Conditions (HACs) have risen in frequency since the outbreak of COVID-19 after years when rates were falling. This series examines the reasons and steps we can take to reduce these infections. On this episode, we focus on central line-associated bloodstream infections, or CLABSIs.

 

Guest speaker:

Richard Beaver, B.S. Chem, MBB, CPHQ

Senior Consulting Director

Vizient

 

Moderator:

Tomas Villanueva, DO, MBA, FACPE, SFHM

Principal

Clinical Operations and Quality

Vizient

 

Show Notes:

[00:31] Effect of placement on line management

[04:12] Impact of shaving

[06:18] Actions for preventing CLABSIs

[08:23] Engaging physicians and nurses – not dictating to them

 

Links | Resources:

Rick Beaver’s contact email: richard.beaver@vizientinc.com

CMS Hospital-Acquired Condition (HAC) fact sheet Click here

CMS Hospital-Acquired Condition (HAC) reduction program Click here

Information on Vizient’s Clinical Data Base (CDB) Click here

AHRQ tools to reduce HACs Click here

 

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Even before the pandemic, health care organizations struggled with Hospital-Acquired Conditions (HACs), and the outbreak of COVID-19 only worsened infection rates. In this five-part series, we will examine four leading HACs to discuss why their rates went up and proven approaches hospital staff can use to reduce them.

 

Guest speaker:

Richard Beaver, B.S. Chem, MBB, CPHQ

Senior Consulting Director

Vizient

 

Moderator:

Tomas Villanueva, DO, MBA, FACPE, SFHM

Principal

Clinical Operations and Quality

Vizient

 

Show Notes:

[01:05] Situation today regarding HACs, as seen in the Vizient Clinical Data Base (CDB)

[01:45] Major HACs

[02:21] Effect of the pandemic

[03:17] Insights post-COVID

[07:15] Line placement: who owns the lines

[08:52] Impactful HACs

[10:06] Role of clinician resilience

[11:24] Financial implications/penalties

 

Links | Resources:

Rick Beaver’s contact email: richard.beaver@vizientinc.com

CMS Hospital-Acquired Condition (HAC) fact sheet Click here

CMS Hospital-Acquired Condition (HAC) reduction program Click here

Information on Vizient’s Clinical Data Base (CDB) Click here

AHRQ tools to reduce HACs Click here

 

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Care approaches for COVID-19 long-haulers – Part 3

“We are seeing increased demand, lots of questions out there from people who’ve had COVID, and questions that, quite honestly, primary care physicians aren’t comfortable being able to answer.” So says Dr. Maddie McDowell of Sg2 about care for COVID long-haulers. She continues, “This is a field that’s very new, it’s evolving weekly, and so being able to provide expertise in this specific area is really important for all communities.” In this episode, we finish our examination of the COVID clinic at the University of Texas Medical Branch that does provide that expertise.

 

Guest speakers:

Madeline McDowell, MD

Principal, Intelligence

Sg2

 

Rex McCallum, MD

Chief Physician Executive

UTMB Health

 

Justin Seashore, MD

Director, Post Recovery COVID-19 Recovery Clinic

UTMB Health

 

Moderator:

Tomas Villanueva, DO, MBA, FACPE, SFHM

Associate Vice President

Clinical Resources

Vizient

 

Show Notes:

[00:40] Continuing COVID long-hauler clinics

[02:56] Getting started

[04:54] Patients with hypertension and diabetes

[05:40] Significant improvement

[07:15] Support of leadership and staff

[07:41] Telemedicine

[09:09] Post-COVID symptoms

[10:14] Dealing with vaccine hesitancy

[10:56] The future of the clinic after COVID

 

Links | Resources:

UTMB Health: Post COVID Recovery Clinic Click here

COVID “Long Haulers”: Long-Term Effects of COVID-19 Click here

Vizient webcast: Care approaches for COVID-19 long-haulers Click here

 

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Care approaches for COVID-19 long-haulers – Part 2

In this episode, we continue our discussion on COVID long-haulers, those who contracted COVID-19 and cannot shake off the effects weeks or months later. We feature a clinic developed to care for long-haulers and examine treatment approaches.

 

Guest speakers:

Madeline McDowell, MD

Principal, Intelligence

Sg2

 

Rex McCallum, MD

Chief Physician Executive

UTMB Health

 

Justin Seashore, MD

Director, Post Recovery COVID-19 Recovery Clinic

UTMB Health

 

Moderator:

Tomas Villanueva, DO, MBA, FACPE, SFHM

Associate Vice President

Clinical Resources

Vizient

 

Show Notes:

[00:34] Developing the care plan

[01:35] Types of patients

[03:32] Defining post-COVID patients

[04:30] Leading symptoms

[06:53] Results of clinic care

[07:59] Getting paid

[10:07] Approach to imaging

[11:19] Significant improvement

[12:39] The fatigue component

 

Links | Resources:

UTMB Health: Post COVID Recovery Clinic Click here

COVID “Long Haulers”: Long-Term Effects of COVID-19 Click here

Vizient webcast: Care approaches for COVID-19 long-haulers Click here

 

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Care approaches for COVID-19 long-haulers – Part 1

“Long-haulers” are those who contracted COVID-19 and cannot shake off the effects weeks or months later. These patients can experience continual impaired lung function, mental incapacity, dizziness, tiredness and other maladies lingering on from the disease. This podcast features excerpts from a recent webcast that discussed one health care organization’s clinic outreach to COVID long-haulers as well as Sg2 research into the various conditions represented.

 

Guest speakers:

Madeline McDowell, MD

Principal, Intelligence

Sg2

 

Rex McCallum, MD

Chief Physician Executive

UTMB Health

 

Justin Seashore, MD

Director, Post Recovery COVID-19 Recovery Clinic

UTMB Health

 

Moderator:

Tomas Villanueva, DO, MBA, FACPE, SFHM

Associate Vice President

Clinical Resources

Vizient

 

Show Notes:

[02:05] Conditions caused by long-term COVID

[02:20] Treating with multiple specialists

[02:54] The time is now

[04:36] Becoming aware of other symptoms associated with COVID

[06:39] Defining the post-COVID patient

[08:10] Getting the word to the community

[09:41] Referrals

[10:03] Patient assessments

 

Links | Resources:

UTMB Health: Post COVID Recovery Clinic Click here

COVID “Long Haulers”: Long-Term Effects of COVID-19 Click here

Vizient webcast: Care approaches for COVID-19 long-haulers Click here

 

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