Archive for the 'DefaultTag' Category

Traditionally, supply chain professionals drove purchases, but the emergence of service lines brought clinician participation and, eventually, the concept of clinical-supply integration (CSI). Despite paying lip service to the concept, organizations have not always committed to it. On this episode, we’ll discuss the current state of CSI and what needs to be done across health care to bring it about.

 

Guest speaker:

Blane Schilling, MD

Senior Principal

Advisory Solutions

Vizient

 

Moderator:

Tomas Villanueva, DO, MBA, FACPE, SFHM

Associate Vice President

Clinical Resources

Vizient

 

Show Notes:

[01:12] The true state of clinical-supply integration

[02:29] The case for cost and quality of care

[03:08] Cleveland Clinic example

[04:00] Kind of data involved for better outcomes

[07:11] Engaging physicians first

[10:25] Peer-to-peer physician interaction

[11:02] Dealing with vendors

[12:09] A systemic and sustainable approach

 

Links | Resources:

CSI as an evolution of CQVA (Vizient slide deck) Click here

Clinical-Supply Integration: What Does It Mean Post-COVID? Click here

Clinical-supply integration: accelerating performance improvement Click here

Clinical-Supply Integration Click here

 

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On this episode, we consider lessons learned from the impact COVID-19 has made on the already huge disparities in care that racial and ethnic minorities experience. Our discussion establishes how health care organizations, many of whom are struggling financially, can focus their resources on alleviating those care disparities without bearing a heavy burden in the process.

Guest speaker:
Kellie Goodson, MS, CPXP
Director, Programs
Vizient

Moderator:
Tomas Villanueva, DO, MBA, FACPE, SFHM
Associate Vice President
Clinical Resources
Vizient

 

Show Notes:

[00:25] Social determinants of health (SDoH) and future pandemics

[01:33] Rural communities

[02:33] Unaddressed social determinants

[03:06] Six questions to ask

[03:55] Responsibility not on physicians alone

[05:18] SDoH as an etiological factor

[06:08] Novant Health example

[07:34] Effective use of resources to alleviate SDoH

[08:53] Rush University Health Equity Report

[09:45] Effectively collecting race, ethnicity and language data: training

[11:07] Lessons from Tuskegee Experiments

 

Links | Resources

Health care disparities in the age of coronavirus (The Harvard Gazette) Click here

Rush Health Equity Report Click here

Novant Health Spotlight Click here

Steps for resolving health disparities in hospital readmissions (Vizient) Click here

Healthy People website section on social determinants of health Click here

CDC link Click here

 

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Social determinants of health (SDoH) are those factors in a person’s life—socioeconomic, educational, cultural, environmental—that create disparities in how that person accesses health care. On this episode, we examine how the COVID-19 outbreak has affected social determinants of health and impacted racial and ethnic minorities that already carry a disproportionate burden of morbidity and mortality.

Guest speaker:
Kellie Goodson, MS, CPXP
Director, Programs
Vizient

 Moderator:
Tomas Villanueva, DO, MBA, FACPE, SFHM
Associate Vice President, Clinical Resources
Vizient

Show Notes:
[02:04] Social determinants of health (SDoH) defined
[03:01] SDoH and health care
[04:59] VCU study on neighborhood and life expectancy
[06:25] COVID-19 and SDoH
[08:04] Historical context—“The Forgotten Aim”

Links | Resources:

Health care disparities in the age of coronavirus (The Harvard Gazette)
Click here

Rush Health Equity Report
Click here

Novant Health Spotlight
Click here

Steps for resolving health disparities in hospital readmissions (Vizient)
Click here

Healthy People website section on social determinants of health: Click here

CDC link: Click here

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This episode continues our discussion on the “weekend effect,” the phenomenon where the comprehensiveness and quality of hospital care drops off on weekends. Having established in Part 1 how this situation occurs, we devote this session to strategies that help you avoid it, including staffing accommodations and leadership focus. In addition to improving patient care and outcomes, health care organizations will find they will gain a significant competitive advantage in addressing this issue.

Guest speakers:
Aman Sabharwal, MD, MHA, CPHM
Senior Principal, Advisory Solutions
Vizient

Eric Burch, RN, MBA
Associate Principal, Advisory Solutions
Vizient

Moderator:
Tomas Villanueva, DO, MBA, FACPE, SFHM
Associate Vice President, Clinical Resources
Vizient

Show Notes:
[00:25] The impact of “weekend effect” on quality of care
[01:35] Impact on medical and surgical cases
[02:12] Impact on community hospitals vs. academic medical centers
[05:20] Procedures affected
[07:05] Avoiding the weekend effect
[08:09] Competitive advantage in addressing weekend effect
[09:28] Example of health care organization that successfully dealt with the weekend effect

Links | Resources:

The Weekend Effect in Hospitals: Causes (Vizient Brief) Click here

The Weekend Effect in Hospitalized Patients: A Meta-Analysis (Journal of Hospital Medicine, Sept. 2017) Click here

“Who elects the weekend?” Click here

Sg2 Perspectives: A new podcast connecting you to Sg2 thought leadership … anytime, anywhere Click here

 

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Patients have good reason to fear staying at the hospital over the weekend. Studies have consistently demonstrated the weekend effect, where weekend admissions or stays cause increases in complications and higher mortality rates. This two-part series of Modern Practice examines the reasons behind the weekend effect and strategies for preventing it.

 

Guest speakers:

Aman Sabharwal, MD, MHA, CPHM

Senior Principal, Operational Effectiveness

Advisory Solutions

Vizient

 

Eric Burch, RN, MBA

Associate Principal

Advisory Solutions

Vizient

 

Moderator:

Tomas Villanueva, DO, MBA, FACPE, SFHM

Associate Vice President

Clinical Resources

Vizient

 

Show Notes:

[01:25] The “weekend effect” explained

[01:57] Multiple causes

[02:17] Data supporting the weekend effect

[07:29] Case management and care transitions

[08:40] Impact of COVID Pandemic

[09:22] Assessing the weekend effect

 

Links | Resources:

The Weekend Effect in Hospitals: Causes (Vizient Brief) Click here

The Weekend Effect in Hospitalized Patients: A Meta-Analysis (Journal of Hospital Medicine, Sept. 2017) Click here

“Who elects the weekend?” Click here

Sg2 Perspectives: A new podcast connecting you to Sg2 thought leadership … anytime, anywhere Click here

 

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This episode continues the series on valuable insights gained in the handling of the COVID-19 crisis. We will discuss skills clinical leaders and staff have developed to cope with new risks and responsibilities. Also, we will examine a renewed focus nationwide on patient and family engagement, how to remain competitive when having to shut down operations and how to plan for patient cohorting in the future.

Guest speaker:
David DiLoreto, MD, MBA
Consulting Principal
Sg2

Moderator:
Tomas Villanueva, DO, MBA, FACPE, SFHM
Associate Vice President, Clinical Resources
Vizient

Show Notes:
[00:28] Staff and leadership resilience
[02:06] Listening to the consumer voice
[04:16] Importance of patient families
[05:40] Financial impact on health care sector and fee-for-service
[09:00] Changes in the competitive landscape
[09:39] On remaining competitive
[12:18] Impact of patients dying alone
[13:28] Cohorting patients: the new norm? 

Resources:
Vizient COVID-19 webinar page, including May 27 webinar “Roundtable discussion: moving forward through lessons learned during COVID-19”: click here
Vizient’s disaster-preparedness site: click here
Sg2 Perspectives: A new podcast connecting you to Sg2 thought leadership … anytime, anywhere: click here
“The Mental Health Consequences of COVID-19 and Physical Distancing: The Need for Prevention and Early Intervention” (JAMA Internal Medicine): click here
“After COVID-19—Thinking Differently About Running the Health Care System” (JAMA Network—JAMA Health Forum): click here
“Life after COVID-19: What Will Change?” (The Medical Futurist): click here

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COVID-19 has wrecked havoc on health care at all levels, from the bedside to the supply room. It has adversely affected patients and clinicians alike and stretched resources to the breaking point. Yet, lessons from the pandemic are emerging, and this two-part series examines in-depth what clinicians and health care organizations can take away from this crisis.

 

Guest speaker:
David DiLoreto, MD, MBA
Consulting Principal
Sg2

Moderator:
Tomas Villanueva, DO, MBA, FACPE, SFHM
Associate Vice President, Clinical Resources
Vizient

 

Show Notes:
[01:15] Main lessons learned
[03:06] Clinical-supply chain integration
[04:55] Working at top of license
[06:14] Changing roles
[08:23] Explosion of virtual care

 

Resources:
Vizient COVID-19 webinar page, including May 27 webinar “Roundtable discussion: moving forward through lessons learned during COVID-19”: click here
Vizient’s disaster-preparedness site: click here
Sg2 Perspectives: A new podcast connecting you to Sg2 thought leadership … anytime, anywhere: click here
“The Mental Health Consequences of COVID-19 and Physical Distancing: The Need for Prevention and Early Intervention” (JAMA Internal Medicine): click here
“After COVID-19—Thinking Differently About Running the Health Care System” (JAMA Network—JAMA Health Forum): click here
“Life after COVID-19: What Will Change?” (The Medical Futurist): click here

 

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Welcome to Modern Practice. This episode will focus on the effect of the COVID-19 crisis on pharmacy practice, which has magnified challenges already existing and caused new ones. We’ll look at lessons learned and consider strategies for the future.

 

Guest speaker:

Steven Lucio, PharmD
Vice President
Pharmacy Solutions
Vizient

Moderator:

Tomas Villanueva, DO, MBA, FACPE, SFHM
Associate Vice President
Clinical Resources
Vizient

 

Show Notes:

[01:08] Main pharmacy areas of focus

[02:43] Working together

[03:08] Repurposing legacy drugs

[04:44] Continuing to deal with drug shortages

[07:01] Changed FDA regulations

[08:54] Virtual care

[09:55] The new norm

[11:10] Dealing with a secondary surge

[12:56] What to do right now

 

Links | Resources:

Essential medications and managing drug shortages: Click here

Vizient’s disaster-preparedness site: Click here

Pharmacy Readiness for COVID-19: Click here

6 federal pharmacy policy changes in response to the COVID-19 pandemic: Click here

Pharmacy Technicians Rise to Meet Patient Needs During Coronavirus Pandemic: Click here

 

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This episode features the voices of patients and family members who share their feelings about safely resuming elective procedures. We’ll examine the role those attitudes play in the strategy of health care organizations to ramp up surgeries in the COVID-19 era.

 

Guest speakers:

Kellie Goodson, MS, CPXP

Director, Programs

Vizient

 

Mark Larson, MBA

Vice President

Sg2

 

Moderator:

Tomas Villanueva, DO, MBA, FACPE, SFHM

Associate Vice President

Clinical Resources

Vizient

 

Special thanks to these patient and family participants (and their organizations):

  • Katherine Nyholm – Beth Israel Deaconess
  • Ronnie Freeman – INTEGRIS
  • Paula Boffa-Taylor – Temple Health
  • Marcia Johnson – INTEGRIS
  • Sue Drontle – CentraCare
  • Diane Whitman – Emory Healthcare
  • Anissa Chadick – INTEGRIS
  • Helen Miyasaki – UF Health
  • Katie Alyea – Reid Health
  • Rachel Weissburg – Sutter Health
  • Frank Chatmon – INTEGRIS
  • Kelly Loyd – The Medical University of South Carolina

 

Show Notes:

[00:00] Patients voice their concerns

[02:40] PFAC definition and role

[04:50] Care strategies with patients in mind

[07:12] Survey: what patients are saying about elective surgeries

[08:08] More patient comments

[12:20] Four waves

[14:50] Personas

[17:40] Importance of engaging patient and family advisors when reopening services

[21:42] More patient comments

[24:01] Physician communication with patients

 

Links | Resources:

Connecting with patients during COVID-19: Click here

Key talking points from patient and family advisor webinar (May 1, 2020): Click here

Restarting elective surgery in the COVID-19 era (Dr. Joe Geskey, Medical Economics): Click here

Vizient’s Guidance for Resumption and Management of Electively Scheduled Surgery and Procedures in the COVID-19 Era (White Paper): Click here

Patient and family engagement at UCLA (PowerPoint): Click here

Vanderbilt Patient and Family Involvement: Click here

 

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During this pandemic, we’ve have had to suspend almost all elective procedures. This has negatively impacted patients needing or desiring those procedures, organizations depending on those procedures for revenue and clinical staff who have suffered pay cuts due to fewer work hours available.

On this episode, we’ll discuss steps and considerations organizations should make to resume elective procedures effectively and safely.

 

Guest speaker:

Jay B. Prystowsky, MD, MHPE, MBA

Principal, Solution Architecture

Vizient

 

Moderator:

Tomas Villanueva, DO, MBA, FACPE, SFHM

Associate Vice President

Clinical Resources

Vizient

 

Show Notes:

[01:53] Vizient/Sg2 approach to resuming elective procedures

[03:50] Strong and expanded governance

[09:21] Testing, surveillance and screening

[14:55] Clinical prioritization

[17:36] The perioperative process

 

Links | Resources:

Vizient/Sg2 Guidance for Resumption and Management of Electively Scheduled Surgery and Procedures in the COVID-19 Era (White Paper): Click here

Restarting elective surgery in the COVID-19 era (Dr. Joe Geskey, Medical Economics): Click here

Ten Considerations for Resuming Elective Surgery: Click here

State Guidance on Elective Surgeries: Click here

Vizient’s clinical workforce well-being playbook: Click here

 

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