Modern Practice Podcast

Drive powerful surgical quality improvement – Part 2

The mid-2000s saw a strong move toward quality in surgical procedures, with the emergence of the Surgical Care Improvement Project (SCIP), various initiatives to reduce surgical site infections (SSIs) and the National Surgical Quality Improvement Program (NSQIP) developed by the American College of Surgeons (ACS). Yet, the passing years have revealed the need to get actionable data around surgery care and outcomes for improvement efforts to succeed. Actionable data is critical to drive optimal quality and financial performance. Also needed is to provide surgeons with a system in place that fosters improvement. In this episode, we continue our discussion on these and other ways to improve surgical quality.
 
Guest speaker:Rick May, MDSenior PrincipalClinical Quality ImprovementVizientOrthopedic Surgeon
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMPrincipalClinical Operations and QualityVizient
 
Show Notes:
[00:28] Surgery and the hospital’s financial success
[01:14] Payers and surgical costs
[02:07] Surgical quality and national scorecards
[02:45] Surgery impacts many metrics
[03:23] Surgeon compensation for quality
[04:20] Need to have system in place that fosters surgical quality
[04:56] The rise of ambulatory surgery and the effect on quality
[06:33] The ROI for improving surgical care
[08:00] The future of surgical improvement
[09:05] Start now. Don’t wait.
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Dr. May’s contact email: rick.may@vizientinc.com
ACS National Surgical Quality Improvement Program (NSQIP)Click Here
Developing a Surgical Quality Improvement Program for Resource-Limited Settings (JAMA Surgery) Click Here
Vizient Operations and QualityClick Here
 
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Drive powerful surgical quality improvement – Part 1

“Surgeons don’t actually care that much about mortality.” So says orthopedic surgeon Dr. Rick May, a Senior Principal at Vizient. This may seem surprising, but in this episode, Dr. May goes on to explain how other metrics around surgery are much more important and valuable. In this interview, you’ll hear his explanation  and learn a lot more about the current move toward quality in surgical procedures.
 
Guest speaker:Rick May, MDSenior PrincipalClinical Quality ImprovementVizientOrthopedic Surgeon
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMPrincipalClinical Operations and QualityVizient
 
Show Notes:
[01:03] NSQIP: value and drawbacks
[01:56] Biggest challenges to surgical quality
[02:35] “The surgeons actually don’t care that much about mortality”
[03:12] Documentation need
[04:16] What surgeons need to see: a focus on complications
[05:42] The captain of the ship
[06:20] Role of medical complications
[06:48] Perioperative focus is essential
[07:50] Variance of focus among surgeons and where they need to focus
[09:03] Anecdotally, 60% to 70% of opportunities for quality improvement happen before the OR
 
Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Dr. May’s contact email: rick.may@vizientinc.com
ACS National Surgical Quality Improvement Program (NSQIP)Click Here
Developing a Surgical Quality Improvement Program for Resource-Limited Settings (JAMA Surgery) Click Here
Vizient Operations and QualityClick Here
 
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Insights through the Vizient—Phrase Health partnership – Part 3

This episode concludes a three-part series with the co-founders of Phrase Health. Their discussion continues on the insights Phrase Health’s technology provides Vizient members. Reducing variation in clinical practice is a key issue covered in this discussion, as well as reducing unnecessary alerts in the electronic health record (EHR).
 
Guest speaker:Marc Tobias, MDChief Executive Officer and Co-founderPhrase Health
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMPrincipal, Clinical Operations and QualityVizient
 
Show Notes:
[00:22] The EHR: a window into clinical workflows and variation
[01:34] Alerts: seeing their usefulness and addressing their drawbacks
[02:55] Benefit to clinicians
[07:52] Metrics needed from order sets
[10:02] Reducing the burden of unnecessary alerts and clicks
[10:50] Case study – Virtua Health System
[11:33] Clinical informatics
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Contact email for Dr. Tobias: marc@phrasehealth.com
Contact email for Mike Zeidlhack: mike.zeidlhack@phrasehealth.com
 
Reducing Clinical Variation to Drive Success in Value-Based Care (HFMA):Click Here
Phrase Health website:Click Here
Vizient announces strategic partnership with Phrase Health:Click Here
 
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Insights through the Vizient—Phrase Health partnership – Part 2

This episode is part two of a three-part series with the co-founders of Phrase Health. It will continue their discussion on the insights Phrase Health’s technology provides Vizient members. Reducing variation in clinical practice is the key function.
 
Guest speaker:Mike Zeidlhack, MBAChief Operating Officer and Co-founderPhrase Health
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMPrincipalClinical Operations and QualityVizient
 
Show Notes:
[00:34] Reducing clinical variation
[01:43] Helping all health systems
[02:50] “We practice what we preach”
[04:06] CDB and Phrase Health technology are complementary
[04:49] The technology at work: case studies
[08:08] Value to Vizient members
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Contact email for Dr. Tobias: marc@phrasehealth.com
Contact email for Mike Zeidlhack: mike.zeidlhack@phrasehealth.com
 
Reducing Clinical Variation to Drive Success in Value-Based Care (HFMA):Click Here
Phrase Health website:Click Here
Vizient announces strategic partnership with Phrase Health:Click Here
 
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Insights through the Vizient—Phrase Health partnership – Part 1

Reducing variation in clinical practice is ongoing in health care, and Vizient members have used the Clinical Data Base (CDB) to focus on areas for improvement by identifying variation across the care continuum. However, the CDB does not provide detail on the source of variation. It does not provide attribution. The new partnership with Phrase Health will empower members to find that information. This episode begins a three-part series with the co-founders of Phrase Health, and they will go into detail on insights Phrase Health’s technology provides Vizient members.
 
Guest speakers:Marc Tobias, MDChief Executive Officer and Co-founderPhrase Health
 
Mike Zeidlhack, MBAChief Operating Officer and Co-founderPhrase Health
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMPrincipalClinical Operations and QualityVizient
 
Show Notes:
[01:43] Effects of clinical variation across the care spectrum
[02:39] Finding the ordering patterns driving variation
[03:18] Pinpointing provider behavior: no longer seeing outcomes without explanation
[04:28] Capabilities of other programs and tools to produce the same granularity
[07:32] Attribution for physicians in training and for APPs
[08:21] There aren’t “a lot of ways to skin a cat” – outcomes and decreasing variation
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Contact email for Dr. Tobias: marc@phrasehealth.com
Contact email for Mike Zeidlhack: mike.zeidlhack@phrasehealth.com
 
Reducing Clinical Variation to Drive Success in Value-Based Care (HFMA):Click Here
Phrase Health website:Click Here
Vizient announces strategic partnership with Phrase Health:Click Here
 
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Making your hospital a destination choice for surgeons

“Splitters” are a challenge for hospital surgery departments, as more and more options outside the hospital facility are available to surgeons. Often, these options, such as ambulatory surgery centers, are more attractive with faster OR turnover times and fewer requirements on surgeons in preoperative and postoperative care. Losing these cases is a blow to hospital operations and finance. This episode provides several approaches that can encourage these surgeons to make your hospital a destination of choice.
 
Guest speaker:Rick May, MDSenior PrincipalClinical Quality ImprovementVizientOrthopedic Surgeon
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMPrincipalClinical Operations and QualityVizient
 
Show Notes:
[00:55] “Splitters”
[01:41] Factors behind the trend—the core issues
[02:38] Working with ambulatory surgical centers (ASCs)
[03:12] Time and money are the same
[03:32] What surgeons are looking for
[04:38] How hospitals can compete; what hospitals can do
[06:49] The special sauce: quality
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Dr. May’s contact email: rick.may@vizientinc.com
Ambulatory Surgery Centers Versus Hospital-based Outpatient Departments: What’s the Difference? (AAOS)Click here
Can your hospital survive the growing dominance of ASCs? (Thomas A. Blasco, MD, MS) Click here
 
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How to build a great preoperative clinic

Not too long ago, hospitals got paid much more for bad outcomes than good, but those days are long gone. Just surgical complications alone can add $25,000 on average to a hospital’s direct costs. Of those complications, only 10 percent are procedure-related (technical) and 90 percent are due to medical conditions. This is just one reason for health care organizations to have a robust preoperative program. On this episode, you’ll hear about all the benefits of developing a great preoperative clinic.
 
Guest speaker:Rick May, MDSenior Principal, Clinical Quality ImprovementVizientOrthopedic Surgeon
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMPrincipal, Clinical Operations and QualityVizient
 
Show Notes:
[00:49] The drive to surgical quality and rise of perioperative medicine
[01:11] Defining perioperative medicine
[01:55] What drives better surgical outcomes
[02:24] Technical and medical complications – the need for pre-operative evaluation
[04:39] The pre-operative clinic process
[05:50] The need for perioperative training
[06:17] Turf wars
[07:04] Staffing
[08:11] Three characteristics of a great pre-operative clinic
[09:11] Benefits of creating a pre-operative program
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Dr. May’s contact email: rick.may@vizientinc.com
Preoperative evaluation clinics proving their worth (Becker’s) Click here
Preoperative Evaluation Before Noncardiac Surgery (Mayo) Click here
 
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Moving from pandemic to endemic – Part 4

On this episode, Dr. Madeleine McDowell returns for a look back at lessons learned from the COVID pandemic, insights we can apply in the future. The discussion ranges from the viability of lockdowns, countries that were the best prepared, the role of new treatments, the need for mental health approaches and how the pandemic has affected clinical training.
 
Guest speakers:Madeleine McDowell, MDSenior PrincipalIntelligenceVizient
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMPrincipalClinical Operations and QualityVizient
 
Show Notes:
[00:23] Do lockdowns work?
[03:11] Huge cost in mental health
[07:04] Improvements in testing, treatment and vaccines
[07:26] Economic hardship
[09:00] Changes in mental health care
[10:14] Changes in medical and clinical training
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Dr. McDowell’s contact email: madeleine.mcdowell@vizientinc.com
“What will it be like when COVID-19 becomes endemic?” (Interview with Yonatan Grad for Chan School of Public Health at Harvard) Click here
 
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Moving from pandemic to endemic – Part 3

On this episode, two leading experts continue their discussion of whether or not we are approaching a COVID endemic and lessons learned from the pandemic. The value of mass closures, restrictions, masking and the emergence of valid testing are some of the crucial issues considered in this compelling podcast.
 
Guest speakers:Madeleine McDowell, MDSenior PrincipalIntelligenceVizient
 
Martin Lucenti, MD, PhDSenior Vice President and Chief Medical OfficerSolution ArchitectureVizient
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMPrincipalClinical Operations and QualityVizient
 
Show Notes:
[00:31] Mass closures: do they work?
[03:54] The factor of acute care capacity
[07:03] The chance of a more lethal variant in the future
[08:22] Factors for reaching the endemic state
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Dr. McDowell’s contact email: madeleine.mcdowell@vizientinc.com
Dr. Lucenti’s contact email: martin.lucenti@vizientinc.com
“What will it be like when COVID-19 becomes endemic?” (Interview with Yonatan Grad for Chan School of Public Health at Harvard) Click here
 
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Moving from pandemic to endemic – Part 2

On this episode, two leading experts join Tom to discuss reaching an endemic state with COVID-19. Points of consideration are the role of vaccines, which one expert describes as “the cornerstone for reaching an endemic state,” dealing with variants, vaccinating children, the challenge of asymptomatic COVID and other issues.
 
Guest speakers:Madeleine McDowell, MDSenior PrincipalIntelligenceVizient
 
Martin Lucenti, MD, PhDSenior Vice President and Chief Medical OfficerSolution ArchitectureVizient
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMPrincipalClinical Operations and QualityVizient
 
Show Notes:
[00:36] Vaccines and the endemic state
[01:38] Controlling variants through vaccinations
[03:54] Vaccinating children
[07:49] Herd immunity, asymptomatic COVID and the effect of variants
[10:16] Therapeutics
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Dr. McDowell’s contact email: madeleine.mcdowell@vizientinc.com
Dr. Lucenti’s contact email: martin.lucenti@vizientinc.com
“What will it be like when COVID-19 becomes endemic?” (Interview with Yonatan Grad for Chan School of Public Health at Harvard) Click here
 
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