Modern Practice Podcast

Modern Practice is your curbside consult with top clinicians from around the country. This exciting podcast series features medical experts sharing their ideas and approaches for the latest strategic trends and clinical challenges. Brought to you by the Vizient Medical Leadership team.

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Episodes

Stress First Aid – Part 1

Thursday Jun 17, 2021

Thursday Jun 17, 2021

Already in a high-stress occupation, health care workers have been severely tested by the ongoing COVID-19 pandemic. While others have stayed at home, health care workers have been unable to practice isolation but have had to go into a workplace where they confront the sickest in the population, where staffing has often been inadequate and e. Burn-out is rife and finding a way to deal with stress a priority. Stress First Aid is a program developed to allow health care workers to use their peer-to-peer relationships to increase resilience and improve their well-being.
 
Guest speaker:
Courtney Gidengil, MD, MPH
Senior Physician Policy Researcher
Director, Boston Office
The Rand Corporation
Associate Physician in Pediatrics
Boston Children’s Hospital
 
Moderator:
Tomas Villanueva, DO, MBA, FACPE, SFHM
Associate Vice President
Clinical Resources
Vizient
 
Show Notes:
[01:05] Defining “Stress First Aid”
[02:24] Impact of COVID
[03:30] Clinical decisions and stress
[04:40] Using peer-to-peer connections
[06:30] The Stress First Aid program
 
Links | Resources:
Vizient’s SFA Overview for Health Care Professionals Click here
Workplace Stress Impacts Health Care Workers (U of Michigan) Click here
 
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Thursday Jun 10, 2021

On this episode, we continue our discussion on the reasons and remedies for COVID-19 vaccine hesitancy among the health care staff.
 
Guest speakers:
Michele Andrasik, PhD, EdM, MS, MA
Senior Staff Scientist
Fred Hutchinson Cancer Research Center
Clinical Assistant Professor
Department of Global Health
University of Washington
 
Tony Reed, MD, PhD, MBA
Executive Vice President and Chief Medical Officer
Temple University Health System
 
Moderator:
Tomas Villanueva, DO, MBA, FACPE, SFHM
Associate Vice President
Clinical Resources
Vizient
 
Show Notes:
[00:39] Issues around incentives
[02:30] Vaccine choice
[04:33] Issues around mandates
 
Links | Resources:
COVID-19 Vaccine Hesitancy: 12 Things You Need to Know (Johns Hopkins) Click here
How to Talk to Someone About Vaccine Hesitancy (Cleveland Clinic) Click here
Vizient webinar on addressing vaccine hesitancy among health care workers Click here
 
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Thursday Jun 03, 2021

Health care workers can be hesitant to take the COVID vaccines for a number of reasons. To address this challenge, organizations can take a number of approaches, from vaccine mandates to incentive payments, yet these tactics may not really address the strong, even deep-seated, concerns staff members may have about vaccination. On this episode, we continue our discussion about addressing vaccine hesitancy.
 
Guest speakers:
Michele Andrasik, PhD, EdM, MS, MA
Senior Staff Scientist
Fred Hutchinson Cancer Research Center
Clinical Assistant Professor
Department of Global Health
University of Washington
 
Tony Reed, MD, PhD, MBA
Executive Vice President and Chief Medical Officer
Temple University Health System
 
Moderator:
Tomas Villanueva, DO, MBA, FACPE, SFHM
Associate Vice President
Clinical Resources
Vizient
 
Show Notes:
[01:30] Temple University Hospital: vaccines not mandatory, all groups consulted
[06:00] Getting out the news and the staff voice
[09:28] Easy access: walk-in clinic
[11:06] Strategies for listening to those who are vaccine hesitant; vaccine “equity”
 
Links | Resources:
COVID-19 Vaccine Hesitancy: 12 Things You Need to Know (Johns Hopkins) Click here
How to Talk to Someone About Vaccine Hesitancy (Cleveland Clinic) Click here
Vizient webinar on addressing vaccine hesitancy among health care workers (Drs. Villanueva, Andrasik, Reed) Click here 
 
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Wednesday Jun 02, 2021

For a variety of reasons, from concerns about side effects to lack of trust of societal institutions, many health care workers are hesitant about taking COVID vaccinations. In this episode, Tom discusses this hesitancy with two leading experts in the health care field to examine why this response is occurring and what organizations can do to encourage staff members to have the vaccines.
 
Guest speakers:
Michele Andrasik, PhD, EdM, MS, MA
Senior Staff Scientist
Fred Hutchinson Cancer Research Center
Clinical Assistant Professor
Department of Global Health
University of Washington
 
Tony Reed, MD, PhD, MBA
Executive Vice President and Chief Medical Officer
Temple University Health System
 
Moderator:
Tomas Villanueva, DO, MBA, FACPE, SFHM
Associate Vice President
Clinical Resources
Vizient
 
Show Notes:
[00:50] Vizient survey results on vaccine hesitancy at member organizations
[03:09] A lack of trust in institutions and systems
[06:30] A different way of looking at side effects
[07:06] COVID and social determinants of health
[08:24] Health care staff who are often the most hesitant
 
Links | Resources:
COVID-19 Vaccine Hesitancy: 12 Things You Need to Know (Johns Hopkins) Click here
How to Talk to Someone About Vaccine Hesitancy (Cleveland Clinic) Click here
Vizient webinar on addressing vaccine hesitancy among health care workers (Drs. Villanueva, Andrasik, Reed) Click here
 
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Turning the Corner – Part 2

Thursday May 20, 2021

Thursday May 20, 2021

On this episode, we continue our discussion about turning the corner on the COVID pandemic, examining the latest treatments and other developments and what they mean for the future.
 
Guest speaker:
Jayanta (Jay) Bhattacharya, MD, PhD
Professor of Medicine
Stanford University
Director
Stanford Center on the Demography of Health and Aging
 
Moderator:
Tomas Villanueva, DO, MBA, FACPE, SFHM
Associate Vice President
Clinical Resources
Vizient
 
Show Notes:
[00:40] Looking at COVID treatments: positive and negative
[01:22] Disappointing effort in research community regarding therapies
[02:25] Issues around access to treatments
[02:58] Mask-wearing and the fear and politics of COVID
[05:17] Masks and regular flu
[06:51] Wake-up call for health care
[08:25] Need for value-based services; paying for the outcomes
 
Links | Resources:
The CDC updated masking guidelines for fully vaccinated Americans – here’s what you need to know (USA Today—April 28, 2021) Click here
The Great Barrington Declaration Click here
How and when will this pandemic end? (World Economic Forum) Click here
“Implementing Optimal Team-Based Care to Reduce Clinician Burnout” (National Academy of Medicine discussion paper – September 17, 2018) Click here
 
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Turning the Corner – Part 1

Thursday May 13, 2021

Thursday May 13, 2021

Living with a pandemic for over a year has strained resources in health care and the country as a whole. For months, the use of masks seemed the only mode of prevention, but with attendant limitations and even controversy. Now, the emergence of vaccines and new treatments has brought some hope. In this episode, we discuss whether or not we have turned a corner on COVID-19, and we examine the changes and issues the crisis has brought about in health care.
 
Guest speaker:
Jayanta (Jay) Bhattacharya, MD, PhD
Professor of Medicine
Stanford University
Director
Stanford Center on the Demography of Health and Aging
 
Moderator:
Tomas Villanueva, DO, MBA, FACPE, SFHM
Associate Vice President
Clinical Resources
Vizient
 
Show Notes:
[01:52] Impact of vaccines on turning the corner
[03:13] Finding the super-infectors
[05:04] Addressing vaccine hesitancy and herd immunity
[07:06] COVID and social determinants of health
[08:19] Addressing the COVID long-haulers
[09:51] Masking
[13:12] Innovations during COVID
[14:51] Needing health care professionals to work at the top of their licenses
 
Links | Resources:
The CDC updated masking guidelines for fully vaccinated Americans – here’s what you need to know (USA Today—April 28, 2021) Click here
The Great Barrington Declaration Click here
How and when will this pandemic end? (World Economic Forum) Click here
“Implementing Optimal Team-Based Care to Reduce Clinician Burnout” (National Academy of Medicine discussion paper – September 17, 2018) Click here
 
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Thursday May 06, 2021

Part three of this series concludes the discussion of exploring the need for health care organizations to excel in digital health. In this episode our guests discuss how to transition to digital health and how to help organizations with limited resources and expertise start the transition to providing digital health solutions.
 
Guest speakers:
Kenneth Holmen, MD
President and CEO
CentraCare Health
 
Crystal Mullis, RN, MBA, MHA
Vice President and General Manager
Digital, Virtual and Ventures
Vizient
 
Moderator:
Tomas Villanueva, DO, MBA, FACPE, SFHM
Associate Vice President
Clinical Resources
Vizient
 
Show Notes:
[00:29] Making the necessary transition to digital health
[04:38] Ideas to help organizations with limited resources or expertise
 
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Thursday Apr 29, 2021

Part two of this series continues the exploration of the need for health care organizations to excel in digital health. In this episode our team addresses how health care fares as an industry in the digital ecosystem. They also discuss how to overcome barriers to providing digital health solutions, addressing provider push back, identify key stakeholders in an organization needed for the digital transition, and give some examples of companies that are already operating in the digital ecosystem.
 
Guest speakers:
Kenneth Holmen, MD
President and CEO
CentraCare Health
 
Crystal Mullis, RN, MBA, MHA
Vice President and General Manager
Digital, Virtual and Ventures
Vizient
 
Moderator:
Tomas Villanueva, DO, MBA, FACPE, SFHM
Associate Vice President
Clinical Resources
Vizient
 
Show Notes:
[00:24] How health care fares as an industry in digital health
[02:39] Overcoming the disadvantages to providing digital health solutions
[05:51] Addressing provider push back
[10:20] Key stakeholders that need to be involved in the transition
[12:47] Companies already in the digital ecosystem
 
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Thursday Apr 22, 2021

In this episode, we explore the need for health care organizations to excel in the digital health space. Consumers are demanding that health care provide similar digital experiences as huge organizations such as Amazon and Walmart. Hospitals and clinical practices excel in delivering care by nature but are challenged to keep pace with digital solutions to their patients.
 
Guest speakers:
Kenneth Holmen, MD
President and CEO
CentraCare Health
 
Crystal Mullis, RN, MBA, MHA
Vice President and General Manager
Digital, Virtual and Ventures
Vizient
 
Moderator:
Tomas Villanueva, DO, MBA, FACPE, SFHM
Associate Vice President
Clinical Resources
Vizient
 
Show Notes:
[00:38] Guest Introductions, Background on CentraCare
[02:30] Why digital transformation is crucial in today’s health care environment
[05:30] How consumerism is accelerating digital transformation in health care
[08:45] Overcoming generational barriers with digital technology
[11:04] COVID Pandemic as digital technology accelerator
 
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Thursday Apr 15, 2021

In this episode, we continue exploring the toll of the administrative burden on clinicians and on the care they deliver. As an answer, practices and organizations are finding well-being to be the leading quality indicator that drives outcomes. How practices have transitioned during COVID has only underscored that fact.
 
Guest speaker:
Nigel Girgrah, MD, PhD
Chief Wellness Officer
Ochsner Health System
Medical Director, Liver Transplantation
Ochsner Medical Center
 
Moderator:
Tomas Villanueva, DO, MBA, FACPE, SFHM
Associate Vice President
Clinical Resources
Vizient
 
Show Notes:
[00:30] Government intervention
[01:54] Success of recent efforts
[02:24] Actions following 2003 SARS outbreak in Toronto
[03:22] Agility of organizations during COVID
[04:14] How organizations can reduce burden on clinicians
[06:21] Work on well-being at Ochsner: four strategic pillars, efforts during COVID
[09:16] Need to destigmatize mental health issues
 
Links | Resources:
“Death by 1,000 Cuts” (Medscape) Click here
Craig McKinley article Click here
Reducing Administrative Waste in the US Health Care System (JAMA) Click here
Senator Cassidy and Dr. Lorna Breen Health Care Provider Protection Act Click here
 
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