Modern Practice Podcast

Issues around Paxlovid – Part 1

Available through an FDA Emergency Use Authorization (EUA), Paxlovid could be a approach to more effective treatment of the COVID-19 virus. On this episode, we begin a two-part discussion about the evidence from clinical trials of Paxlovid.
 
Guest speaker:Stacy Lauderdale, PharmD, BCPSSenior Director, Drug InformationVizient
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior Principal, Clinical Operations and QualityVizient
 
Show Notes:
[01:09] Defining Paxlovid
[01:53] Paxlovid vs Tamiflu – comparison of effectiveness and impact
[02:50] Two randomized control trials
[04:42] Effectiveness with Omicron variant
[07:19] Age as a risk factor
[08:23] The issue of rebound
 
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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To boost or not to boost – Part 2

This episode continues our discussion on the new bivalent COVID boosters that target the original virus and also Omicron subvariants BA.4 and BA.5.
 
Guest speaker:Azra Behlim, PharmD, MBAAssociate Vice President, Pharmacy Sourcing and Program ServicesVizient
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior Principal, Clinical Operations and QualityVizient
 
Show Notes:
[00:30] Is the booster safe?
[00:48] Efficacy
[01:32] How long to wait after previous vaccine
[02:47] Whether or not to get flu vaccines
[05:58] Feasibility of using the booster as an initial vaccine in a series
[07:52] Novavax
[09:05] Nasal vaccines and mucosal immunity
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
FDA announcement on new vaccine boosters (8-31-22): Click here
 
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To boost or not to boost – Part 1

Just this week, the CDC and FDA gave the green light to distribute updated bivalent COVID boosters that target the original virus and also Omicron subvariants BA.4 and BA.5. On this episode, we begin a two-part discussion over the science and rationale behind the new vaccines.
 
Guest speaker:Azra Behlim, PharmD, MBAAssociate Vice President, Pharmacy Sourcing and Program ServicesVizient
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior Principal, Clinical Operations and QualityVizient
 
Show Notes:
[00:54] How the new vaccine type is different
[01:45] Shorter vaccine approval and turnaround
[02:45] COVID virus mutations and immunity
[04:50] Rationale for alternating vaccines
[05:53] Upcoming human studies
[07:47] Vaccine eligibility
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
FDA announcement on new vaccine boosters (8-31-22): Click here
 
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The monkeypox epidemic – Part 2

This episode continues the discussion of the monkeypox outbreak, highlighting symptoms, preventive measures, and treatment approaches.
 
Guest speaker:Martin Lucenti, MD, PhDChief Medical Officer and Senior Vice PresidentProduct Strategy and InnovationVizient
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMPrincipal, Clinical Operations and QualityVizient
 
Show Notes:
[00:22] Symptoms
[00:44] When someone is contagious
[03:22] The monkeypox vaccine
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Dr. Lucenti’s email: martin.lucenti@vizientinc.com
Vizient clinical resource guide on monkeypox: ccsr_monkeypox.pdf
 
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The monkeypox epidemic – Part 1

Cases of the monkeypox virus continue to rise in the United States, creating concerns and even fears, much of those concerns due to lack of information or misinformation. On this two-episode series, Dr. Martin Lucenti joins Dr. Tom Villanueva in a comprehensive discussion of monkeypox, covering its origins and pathophysiology and the preventative measures and therapies available to combat it.
 
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:
[01:11] Origins – a virus more related to smallpox than COVID-19
[01:59] Smallpox vaccination
[02:55] Number of cases
[03:26] Strains of monkeypox and the current strain
[03:56] Symptoms
[06:43] Mechanisms of spread
[08:19] Preventative hygiene practices
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Dr. Lucenti’s email: martin.lucenti@vizientinc.com
Vizient clinical resource guide on monkeypox: ccsr_monkeypox.pdf
 
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Workplace violence in health care – Part 3

According to a recent report by Reuters, health care is one of the most dangerous fields of work, and the American Hospital Association backs this up by saying 75 percent of all episodes of workplace violence occur in health care organizations. On this episode, the discussion focuses on how to recognize and prevent these occurrences before they happen.
 
Guest speaker:Diana Scott, MHA, RN, CPHQPrincipal, Regulatory/AccreditationVizient
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMPrincipal, Clinical Operations and QualityVizient
 
Show Notes:
[00:38] Pending legislation on workplace violence
[04:03] Where organizations can start to curb workplace violence
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Diana Scott’s email: diana.scott@vizientinc.com
Fact sheet: Health Care Workplace Violence and Intimidation (AHA) Click Here
Navigating the hazard of rising violence in health care facilities (Reuters) Click Here
 
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Workplace violence in health care – Part 2

According to a recent report by Reuters, health care is one of the most dangerous fields of work, and the American Hospital Association backs this up by saying 75 percent of all episodes of workplace violence occur in health care organizations. On this episode, the discussion focuses on how to recognize and prevent these occurrences before they happen.
 
Guest speaker:Diana Scott, MHA, RN, CPHQPrincipalRegulatory/AccreditationVizient
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMPrincipalClinical Operations and QualityVizient
 
Show Notes:
[01:00] Physician and emotional impact
[01:58] Ripple effect, low morale and financial toll
[03:33] Where violence can occur
[05:40] Behavioral health and the value of connection
[06:42] Red flags to watch for
[08:05] Actions to mitigate violence
[10:29] Policies to address violence
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Diana Scott’s email: diana.scott@vizientinc.com
Fact sheet: Health Care Workplace Violence and Intimidation (AHA) Click Here
Navigating the hazard of rising violence in health care facilities (Reuters) Click Here
 
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Workplace violence in health care – Part 1

In the emergency room, the spouse of a drug-seeker verbally threatens the physician who refuses to provide opioids. A nurse endures a physical assault and wants to leave the field. These true instances of workplace violence are all-too-common in health care, and today’s episode focuses on why violence is happening and the toll it takes on health care workers.
 
Guest speaker:Diana Scott, MHA, RN, CPHQPrincipal, Regulatory/AccreditationVizient
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMPrincipal, Clinical Operations and QualityVizient
 
Show Notes:
[01:01] Defining workplace violence
[02:18] Four categories of violence
[03:25] Seriousness of the problem – deaths from violence in health care
[04:25] Universal experience among health care workers
[05:43] A lack of reporting
[06:57] Building awareness
[07:50] Portrayal in entertainment
[08:42] Consequences
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Diana Scott’s email: diana.scott@vizientinc.com
Fact sheet: Health Care Workplace Violence and Intimidation (AHA) Click Here
Navigating the hazard of rising violence in health care facilities (Reuters) Click Here
 
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The impact of conservative coding – Part 2

Getting to the clinical truth is the real purpose of coding, according to our two experts on this episode of our award-winning podcast. We’ll continue our discussion on avoiding defensive coding practices and improving clinical data and reimbursement.
 
Guest speakers:Jim Tamburini, BS, RHIT, CCS, CCS-P, CDIPSenior Consulting DirectorVizient
 
Sheila Bowlds, MBASenior Consulting DirectorVizient
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMPrincipalClinical Operations and QualityVizient
 
Show Notes:
[01:15] Fear of denials: the basis of conservative coding practices
[01:55] Proactive coding
[02:32] Getting to the true clinical story
[04:11] Physician involvement in getting to the truth
[06:22] Dealing with patient safety indicators (PSIs) and hospital-acquired conditions (HACs)
[08:47] Vizient’s support
[10:38] Clinical language vs. coding language
[12:08] Issues around copying and pasting
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Jim Tamburini’s emaill: james.tamburini@vizientinc.com
Sheila Bowlds’ email: sheila.bowlds@vizientinc.com
Are you prepared to defend your coding? (AAFP) Click Here
 
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The impact of conservative coding – Part 1

“If that physician documentation isn't there to support how sick that patient really is, number one, the hospital's reimbursement will suffer. But number two, the physician will appear that they're treating healthier patients than they actually are.” This quote from our guest on today’s Modern Practice highlights the fact that conservative coding or defensive coding can be costly. On this episode of our award-winning podcast, we’ll discuss how to code correctly to provide a true picture of patient severity, leading to better data and reimbursement.
 
Guest speaker:Jim Tamburini, BS, RHIT, CCS, CCS-P, CDIPSenior Consulting DirectorVizient
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMPrincipalClinical Operations and QualityVizient
 
Show Notes:
[01:13] Importance of physician documentation
[02:00] Coded data needed to show severity of patient condition
[03:00] Role of coding professional
[04:27] Communicating in the medical record decides perception and reimbursement
[07:37] Denials fuel defensive coding
[08:29] Impact of conservative coding
[09:57] Correcting a coding entry
[12:30] Vizient’s robust education and mentoring program for coding
[14:04] Where to start changing defensive coding practices
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Jim Tamburini’s emaill: james.tamburini@vizientinc.com
Are you prepared to defend your coding? (AAFP) Click Here
 
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