Modern Practice Podcast

The impact of drug shortages, Part 1

For a long time, drug shortages have made a tremendous impact on clinical practice, but now, because of the pandemic and its aftermath, those shortages are acute. This new series will cover the various shortages that are occurring today and what we can do about them.
 
Guest speaker:Mittal Sutaria, PharmDSenior Vice PresidentContract and Program Services, PharmacyVizient
 
Steven Lucio, PharmD, BCPSSenior Principal, Pharmacy SolutionsVizient
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior Principal, Clinical Operations and QualityVizient
 
Show Notes:
[01:20] Shortages have expanded beyond drugs
[02:20] Shortages occurring today
[03:40] The “Swiss Cheese” approach to addressing shortages
[06:00] COVID
[07:02] Why recovery from shortages takes time
[07:56] Causes of shortages
 
Links | Resources:
“The one thing you need to know about drug shortage stewardship” (Vizient, Oct 25, 2022): Click here
To contact Modern Practice: modernpracticepodcast@vizientinc.com
To contact Dr. Sutaria: mittal.sutaria@vizientinc.com
To contact Dr. Lucio: steven.lucio@vizientinc.com
 
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Preparing for flu season: vaccines and Tamiflu

After a short hiatus, by and large, during the COVID outbreak, influenza is returning, with severe outbreaks in South America and other areas. This episode updates this situation and examines the preventions and treatments best for combating the flu.
 
Guest speaker:Stacy Lauderdale, PharmD, BCPSSenior Director, Drug InformationVizient
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior Principal, Clinical Operations and QualityVizient
 
Show Notes:
[00:53] The return of the flu
[01:44] Children and the immunity debt
[02:04] Flu vaccine choices
[04:50] Tamiflu and other flu treatments: indications, dosages, comparisons
[07:35] Tamiflu side effects
[08:05] When to use Tamiflu – treatment and prophylaxis
[09:40] Tamiflu, vaccines and pregnancy
[10:25] Contraindications
[11:33] Final thoughts: getting ready for flu season
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
To contact Dr. Lauderdale: stacy.lauderdale@vizientinc.com
 
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AI and identifying the risk of cardiac arrest – Part 3

This episode concludes an examination of a new platform using artificial intelligence to identify patients at risk for a cardiac event. Two physician leaders discuss how this approach can support and revolutionize physician practice.
 
Guest speakers:Sanjaya Gupta, MD, MBACardiologist, ElectrophysiologistSt. Luke’s Mid-America Heart Institute
 
Alan Cheng, MD, MBAChief Medical Officer, Cardiac Rhythm ManagementMedtronic
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior Principal, Clinical Operations and QualityVizient
 
Show Notes:
[00:35] Reaching the most vulnerable at-risk patients
[02:10] Using AI for heart failure patients and to keep track of medications
[03:06] Accessible data
[03:32] AI and triaging patients
[05:28] Return on investment
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
To contact Dr. Gupta: sgupta@saint-lukes.org.
To contact Dr. Cheng: alan.cheng@medtronic.com
Sudden cardiac arrest avoidance through collaboration and AI (aptitude release)
A case study: MDT SFH Mpirik Case Study
 
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AI and identifying the risk of cardiac arrest – Part 2

On this episode of our award-winning podcast, two physician experts continue examining how artificial intelligence can identify patients at risk for a cardiac event.
 
Guest speakers:Sanjaya Gupta, MD, MBACardiologist, ElectrophysiologistSt. Luke’s Mid-America Heart Institute
 
Alan Cheng, MD, MBAChief Medical Officer, Cardiac Rhythm ManagementMedtronic
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior PrincipalClinical Operations and QualityVizient
 
Show Notes:
[01:04] Rationale for the Mpirik artificial intelligence platform in clinical decision-making
[02:19] Eliminating disruptive alerts
[02:58] Six months of data
[04:22] The need for the new technology
[05:10] Predictive analytics in decision support
[06:03] Not a fad
[07:25] Mimicking physician decision-making
[08:19] The clinical team members
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
To contact Dr. Gupta: sgupta@saint-lukes.org
To contact Dr. Cheng: alan.cheng@medtronic.com
Sudden cardiac arrest avoidance through collaboration and AI (aptitude release)
A case study: MDT_SFH_Mpirik Case Study.pdf
 
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AI and identifying the risk of cardiac arrest – Part 1

Cardiac arrest has a fatality rate approaching 100%, and this episode of our award-winning podcast will examine ways artificial intelligence can identify at-risk patients before an event happens.
 
Guest speakers:Doug Beinborn, MAAssociate PrincipalVizient
 
Logan Brigman, BSChief Executive OfficerMpirik
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior Principal, Clinical Operations and QualityVizient
 
Show Notes:
[01:17] Sudden cardiac arrest and its impact
[01:43] The role of AI in assisting the identification of cardiac arrest
[02:58] Meeting the criteria and key phrases in the patient notes
[04:12] Ejection fraction as an indicator
[05:05] Screening and physician discussion need formalizing
[06:50] Process in using the screening tool
[08:35] Who and what needs to be in place for the process to work
[10:31] Sites involved in the protocol
[11:18] Other applications in the future
[12:14] AI used to meet the challenges in healthcare today
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
To contact Doug Beinborn: douglas.beinborn@vizientinc.com
Mpirik website: www.mpirik.com
A case study: MDT_SFH_Mpirik Case Study.pdf
 
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Mind the gap! Medication safety in 2022 – Part 2

This episode of our award-winning podcast continues an examination of medication safety and how health care organizations can maintain it during this time of shortages, both in supplies and workforce. Two leading pharmacy experts join Tom to explore strategies organizations can use to keep medication safety in the forefront of their care.
 
Guest speakers:Gretchen Brummel, PharmD, BCPSConsulting Solutions DirectorPharmacyVizient
 
Carina Dolan, PharmD, MS, BCOPSenior DirectorPharmacy ServicesVizient
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior Principal, Clinical Operations and QualityVizient
 
Show Notes:
[01:14] Factors contributing to medication errors
[02:09] Management strategies to prevent medication errors
[05:25] Populations at risk
[06:02] Oncology patients
[06:34] Looking to the future
[08:33] Pharmacists in ambulatory centers
[09:32] Medication reconciliation
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Gretchen Brummel’s email: gretchen.brummel@vizientinc.com
Carina Dolan’s email: carina.dolan@vizientinc.com
Swiss Cheese Model of Patient Safety (IHI): IHI- Swiss Cheese Model.pdf
 
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Mind the gap! Medication safety in 2022 – Part 1

On this two-part series of our award-winning podcast, we discuss medication safety and how the COVID-19 pandemic has impacted it. Because of the pandemic, health care has experienced shortages of medications and challenges in the workforce. Yet, the rigors and framework of maintaining patient safety are just as crucial now as ever before. Leading pharmacy experts join Tom in this series to examine how health care organizations can manage scarce resources and keep medication safety in the forefront of their care.
 
Guest speaker:Gretchen Brummel, PharmD, BCPSConsulting Solutions DirectorPharmacyVizient
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior Principal, Clinical Operations and QualityVizient
 
Show Notes:
[01:23] Impact of medication errors
[02:21] Major causes of medication errors
[02:48] The Swiss Cheese Model
[03:20] Status of medication safety today
[04:25] Shift away from a punitive culture
[05:54] Standardization
[06:19] Dosage errors and involving pharmacists
[07:13] Contribution of staff shortages and stress factors
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Gretchen Brummel’s email: gretchen.brummel@vizientinc.com
Swiss Cheese Model of Patient Safety (IHI): IHI- Swiss Cheese Model.pdf
 
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The polio outbreak – Part 2

On this episode of our award-winning podcast, we conclude our examination of the recent outbreak of polio in New York and its ramifications for the healthcare system. Dr. Martin Lucenti joins Dr. Tom Villanueva for this comprehensive discussion.
 
Guest speaker:Martin Lucenti, MD, PhDChief Medical Officer and Senior Vice PresidentProduct Strategy and InnovationVizient
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior PrincipalClinical Operations and QualityVizient
 
Show Notes:
[00:28] Polio carriers
[01:07] Asymptomatic carriers and herd immunity
[02:29] Diagnosing
[03:13] Treatment options
[04:35] Importance of hand hygiene
[05:16] Check with pediatrician
[06:15] Vaccination rates declined during COVID pandemic
[07:08] Background for New York outbreak
[09:08] The world is small
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Dr. Lucenti’s email: martin.lucenti@vizientinc.com
Why New York’s polio outbreak has put global experts on high alert (The Telegraph): Click Here
 
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The polio outbreak – Part 1

On this episode of our award-winning podcast, we discuss the recent outbreak of polio in New York and its ramifications for the healthcare system. On this two-part series, Dr. Martin Lucenti joins Dr. Tom Villanueva in a comprehensive discussion of polio, covering its origins, pathophysiology and the preventative measures available for it, including an overview of vaccines.
 
Guest speaker:Martin Lucenti, MD, PhDChief Medical Officer and Senior Vice PresidentProduct Strategy and InnovationVizient
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior Principal, Clinical Operations and QualityVizient
 
Show Notes:
[01:14] Polio before the 1960s – a devastating disease
[01:45] The eradication of polio
[02:05] Resurgence, transmission and symptoms
[02:56] Risk factors
[03:29] Vaccines: oral vs. injectable
[07:26] Outbreak in New York
 
Links | Resources:
 
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Dr. Lucenti’s email: martin.lucenti@vizientinc.com
Why New York’s polio outbreak has put global experts on high alert (The Telegraph): Click Here
 
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Issues around Paxlovid – Part 2

This episode continues our discussion on the important new COVID treatment Paxlovid. Covered in this program are issues such as resistance, drug-to-drug interactions, the recommended course of treatment and impact on patient care.
 
Guest speaker:Stacy Lauderdale, PharmD, BCPSSenior Director, Drug InformationVizient
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMPrincipal, Clinical Operations and QualityVizient
 
Show Notes:
[00:49] Resistance to Paxlovid
[01:38] Patient candidates for Paxlovid
[03:09] Contraindications and drug interactions
[02:47] Whether or not to get flu vaccines
[06:00] Latest studies/trials
[07:04] Prescribing issues
[08:43] “Paxlovid Mouth”
[09:10] Stop dispensing Paxlovid like Pez
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Stacy’s email address: stacy.lauderdale@vizientinc.com
13 Things to Know about Paxlovid, the Latest COVID-19 Pill (Yale Medicine) Click here
 
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