Modern Practice Podcast

Comprehensive quality transformation – Part 3

On this episode of our award-winning podcast, we conclude a three-part series on how to focus on areas that will bring comprehensive quality transformation to your practice. Developing a culture that embraces  this focus is a key to sustaining your efforts.
 
Guest speakers:Rick May, MDSenior Principal, Clinical Quality ImprovementVizientOrthopedic Surgeon
 
Tod Baker, BSPrincipal, Clinical Quality ImprovementVizient
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMPrincipal, Clinical Operations and QualityVizient
 
Show Notes:
[00:35] Streamline what your organization measures
[01:02] Too much data
[01:50] Talk with the folks on the front line
[02:18] What good data should include – success with one indicator
[04:15] Just start and make it simple
[04:43] Transforming culture – one unit or department as a starting point
[06:44] The perfect approach – from a surgeon’s standpoint
[08:26] The perfect approach – from an analyst’s standpoint
[09:27] The future
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Dr. May’s contact email: rick.may@vizientinc.com
Tod Baker’s contact email: tod.baker@vizientinc.com
 
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Comprehensive quality transformation – Part 2

Dr. Rick May, one of the guests on today’s episode, has this to say about a good many quality improvement initiatives, “What we see, which is unfortunately, all too common these days, hospitals just flail. They do one thing, they try another, nothing sustains. At the end of the day, they look back after a year or two of work and they just haven't gained any ground at all.” Today, on Modern Practice, we discuss a more focused and lasting approach to improvement initiatives that will bring comprehensive quality transformation to your practice.
 
Guest speakers:Rick May, MDSenior Principal, Clinical Quality ImprovementVizientOrthopedic Surgeon
 
Tod Baker, BSPrincipal, Clinical Quality ImprovementVizient
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMPrincipal, Clinical Operations and QualityVizient
 
Show Notes:
[00:32] Elements for a robust quality program
[02:09] When analytics are not aligned across the organization
[03:00] Need to set priorities – an example
[04:54] Physician involvement
[05:15] Measuring a leading indicator and a lagging indicator – an example
[07:02] Goal-setting: focus on a short list and make sure everyone is looking at it
[09:07] Engaging patients and families
[10:02] The data needs
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Dr. May’s contact email: rick.may@vizientinc.com
Tod Baker’s contact email: tod.baker@vizientinc.com
 
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Comprehensive quality transformation – Part 1

Today, it’s not enough to just pick a few quality initiatives to work on each year and hope for the best. Complex systems like hospitals need a comprehensive approach: an interlinked series of people, programs, and analytics to consistently improve and sustain quality. This episode of Modern Practice covers comprehensive and sustained quality transformation.
 
Guest speakers:Rick May, MDSenior Principal, Clinical Quality ImprovementVizientOrthopedic Surgeon
 
Tod Baker, BSPrincipal, Clinical Quality ImprovementVizient
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMPrincipal, Clinical Operations and QualityVizient
 
Show Notes:
[01:30] Comprehensive clinical quality transformation program
[03:03] When initiatives run out of steam
[04:25] Quality is the great impactor, the holy grail, the fixer and differentiator
[05:44] Readmissions in a new light
[07:00] Why there is no sustainability
[08:36] Mistaken emphasis on lagging instead of leading metrics
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Dr. May’s contact email: rick.may@vizientinc.com
Tod Baker’s contact email: tod.baker@vizientinc.com
 
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CMS 2023 billing guidelines and split/shared visits – Part 2

Practices have just to the end of the year to prepare for and adjust to the new CMS billing guidelines that include rules around split/shared visits between physicians and advanced practice providers (APPs). On this episode of Modern Practice, we’ll continue our discussion about these 2023 guidelines and examine tactics you can use to improve your performance under them.
 
Guest speakers:Christen Hunt, DNP, NP-C, CPNP-ACSenior DirectorClinical Team InsightsVizient
 
Jennifer Sarno, MSN, ACNP-BC, CPHQProgrammatic Advisor DirectorClinical Team InsightsVizient
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMPrincipalClinical Operations and QualityVizient
 
Show Notes:
[00:45] A laundry list for getting prepared
[02:43] Need for awareness among providers
[03:10] Need for organizational assessment
[03:46] Areas covered by the new ruling
[04:27] No blueprint
[05:43] An opportunity for efficiency
[07:04] Importance of documentation
[08:09] Modifier required
[08:40] Challenging the status quo
[09:00] Vizient’s role to help organization’s prepare
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Christen Hunt’s contact email: christen.hunt@vizientinc.com
Jennifer Sarno’s contact email: jennifer.sarno@vizientinc.com
Calendar Year (CY) 2022 Medicare Physician Fee Schedule Final Rule (CMS) – includes information on 2023 split/shared visits Click Here
 
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CMS 2023 billing guidelines and split/shared visits – Part 1

Six months left. That’s how long practices have to adjust to the new CMS billing guidelines that include rules around split/shared visits between physicians and advanced practice providers (APPs). Once it happens, it will be a huge disruption to how split/shared patient care is delivered and reported. On this episode of Modern Practice, we discuss the impact of these new guidelines and how practices can get prepared and respond effectively.
 
Guest speakers:Christen Hunt, DNP, NP-C, CPNP-ACSenior DirectorClinical Team InsightsVizient
 
Jennifer Sarno, MSN, ACNP-BC, CPHQProgrammatic Advisor DirectorClinical Team InsightsVizient
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMPrincipalClinical Operations and QualityVizient
 
Show Notes:
[01:29] New rule
[02:53] A huge disruptor for team-based practice
[04:16] The rationale behind the new guidelines
[05:00] Impact of the new guidelines
[06:36] Forcing the evolution to true reporting and metrics
[07:25] Tracking time
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Christen Hunt’s contact email: christen.hunt@vizientinc.com
Jennifer Sarno’s contact email: jennifer.sarno@vizientinc.com
Calendar Year (CY) 2022 Medicare Physician Fee Schedule Final Rule (CMS) – includes information on 2023 split/shared visits Click Here
 
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National scorecards: making the metrics count

In the previous episode we covered how to optimize your national scorecard performance. On this episode we examine the data points that drive national scorecard performance. Ratings organizations track thousands of metrics on each hospital, attempt to run these through analytic programs and then spit out grades. It is a confusing jumble, and in this discussion, we share how to focus on the metrics that matter.
 
Guest speaker:Rick May, MDSenior PrincipalClinical Quality ImprovementVizientOrthopedic Surgeon
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMPrincipalClinical Operations and QualityVizient
 
Show Notes:
[00:40] Making sense of the metrics
[02:42] Limitations to the data
[03:53] More than just “end-of-the-trail” metrics
[06:39] Trend toward quality and how to achieve ROI
[08:20] Re-examining your approach to quality
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Dr. May’s contact email: rick.may@vizientinc.com
 
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Optimizing your national scorecard performance

There are dozens of national scorecards and hundreds of metrics to track the performance of health care organizations. Yet, it is a challenge to use these metrics to improve care. From deciding on which scorecard to use to figuring out how to best employ scorecard metrics, the choices can be bewildering. On this episode, we’ll discuss how you can address these issues and optimize your organization’s national scorecard performance.
 
Guest speaker:Rick May, MDSenior PrincipalClinical Quality ImprovementVizientOrthopedic Surgeon
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMPrincipalClinical Operations and QualityVizient
 
Show Notes:
[01:54] Evolution of national scorecards
[02:54] The move away from paying for bad outcomes
[03:40] Recognizing the value of scorecards
[04:43] Reliability of the scoring systems
[05:57] Who looks at scorecards, and how scorecards affect their choices
[07:25] Drawbacks and limitations
[08:24] The Vizient approach
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Dr. May’s contact email: rick.may@vizientinc.com
 
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The use of international DRGs

As health care organizations expand into international markets, reimbursement for clinical services offered involves the use of international Diagnosis Related Groups (DRGs). How these differ from Medicare Severity Diagnosis Related Groups (MS-DRGs) and what they include is the topic of this episode of Modern Practice.
 
Guest speaker:Linda Wiseman, RNSenior Consulting DirectorVizient
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMPrincipalClinical Operations and QualityVizient
 
Show Notes:
[00:53] Various DRG systems and their uses
[01:46] Government oversight in other countries, including IR-DRGs
[03:32] Diagnostic categories by country
[04:48] Focus on three main areas
[06:26] ICD-11 issues
[08:26] Need to understand procedural coding when working overseas
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Linda Wiseman’s contact email: linda.wiseman@vizientinc.com
 
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Developing a business intelligence organization – Part 2

“Bad data leads to $3.1 trillion in lost revenue opportunity,” says Tod Baker, quoting from a recent IBM study. Yet, good data empowers organizations, providing strategic direction and market advantage. On this episode, we continue our discussion on the imperatives for health care organizations to improve their business intelligence capabilities and the use of good data.
 
Guest speaker:Tod Baker, BSPrincipal, Clinical Quality ImprovementVizient
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMPrincipal, Clinical Operations and QualityVizient
 
Show Notes:
[00:24] Empowering the success of an organization
[00:41] Bad data leads to $3.1T in lost revenue opportunities
[00:52] Three stages in evolution of analytics
[02:51] The need for focus and leadership
[03:28] How to prepare for the conversation with the CFO
[04:56] Characteristics of successful organizations
[05:49] Steps to success
[07:00] Getting started
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Tod Baker’s contact email: tod.baker@vizientinc.com
Business intelligence in healthcare (Villanova)Click Here
Vizient’s Clinical Data Base (CDB) platformClick Here
 
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Developing a business intelligence organization – Part 1

Business intelligence empowers organizations, providing strategic direction and market advantage. Yet, health care is lagging behind other industries in analytics capabilities, and on this episode of Modern Practice, we take a look at the challenges and opportunities health care organizations face to evolve in this area.
 
Guest speaker:Tod Baker, BSPrincipal, Clinical Quality ImprovementVizient
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMPrincipal, Clinical Operations and QualityVizient
 
Show Notes:
[00:44] Defining business intelligence
[01:08] Common functions
[01:40] Data is the DNA
[02:07] Health care needs to evolve
[02:30] The Amazon experience
[03:50] 95% of hospitals are behind
[05:37] Staffing opportunities
[06:33] Challenges
[07:52] Decreasing variation
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Tod Baker’s contact email: tod.baker@vizientinc.com
Business intelligence in healthcare (Villanova)Click Here
Vizient’s Clinical Data Base (CDB) platformClick Here
 
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