Modern Practice Podcast

Mental fitness for physicians, Part 1

Though physicians spend years in medical school, residency and fellowships to learn how to care for patients, they spend little time learning how to care for themselves. Physician burnout, leading to physician turnover, is skyrocketing. On this episode, a physician who is a  leading expert on physician stress, having gone through that stress herself, discusses how to improve mental fitness in those who’ve given their lives to the care of others.
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior Principal, Clinical Operations and QualityVizient
 
Guest:Cecilia Cruz, MD, MPH, CPCC, ACCFounder and Chief Executive OfficerMarpe, LLCBoard-certified emergency medicine physicianFormer co-chair of QualityDivision of Emergency MedicineNorthShore University HealthSystem
 
Show Notes:
[01:10] Physician heal thyself? Not happening!
[02:35] Weakness means not being the best
[03:31] An ingrained culture of perfectionism
[04:20] The burnout crisis
[06:40] Physician types affected the most
[07:30] Bigger burden on specialists
[09:13] Overcoming – awareness is only 20% of progress
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Dr. Cruz’s email: ceciliacruz@marpejourney.com
Dr Cruz’s Linkedin page: Cecilia Cruz - Founder and CEO - MARPE, LLC | LinkedIn
MARPE, LLC website: https://www.marpejourney.com/
 
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The difficulty of quality metrics, Pt 3

On this episode of our award-winning podcast, Dr. Tomas Villanueva concludes his discussion on how organizations can approach quality metrics today – what metrics to choose and how to apply them.
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior Principal, Performance Improvement ConsultingVizient
 
Guest:Rick May, MDSenior Principal, Consulting SolutionsVizient
 
Show Notes:
[00:38] The burden of reporting
[02:09] Surgical quality and outcomes – technical vs. medical
[03:41] A focus on the systems
[05:00] Systems changes and results
[05:42] Engaging the physicians
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Dr. May’s email: rick.may@vizientinc.com
 
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The difficulty of quality metrics, Pt 2

On this episode of our award-winning podcast, Dr. Tomas Villanueva continues his discussion on how organizations can approach quality metrics today – what metrics to choose and how to apply them.
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior Principal, Performance Improvement ConsultingVizient
 
Guest:Rick May, MDSenior Principal, Consulting SolutionsVizient
 
Show Notes:
[00:54] Importance clinical documentation
[02:40] Is it possible to eliminate all CLABSIs (or other infections)?
[04:40] Length of stay as quality metric
[05:10] Surgical complications and length of stay
[05:55] Length of stay and complication rates
[06:40] The most heavily weighted metric
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Dr. May’s email: rick.may@vizientinc.com
 
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The difficulty of quality metrics, Pt 1

Concerning quality measures in healthcare organizations, a common complaint is, “I've got so many people looking over my shoulder, pulling our data in, ranking me, rating me, everything else, and there is no way I can keep track of literally the hundreds of metrics for which we’re accountable.”
 
On this episode of our award-winning podcast, Dr. Tomas Villanueva welcomes back a leading quality expert to discuss how organizations can approach quality metrics today – what metrics to choose and how to apply them.
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior Principal, Performance Improvement ConsultingVizient
 
Guest:Rick May, MDSenior Principal, Consulting SolutionsVizient
 
Show Notes:
[01:49] Why measuring quality is crucial
[02:17] If you do quality well, financial success follows
[02:57] Quality attracts staff
[03:46] Has quality improved overall in healthcare?
[04:42] Choosing the right metrics – 500 metrics exist overall
[05:58] Mishmash in timing of measures – complex and “all over the map”
[08:03] Realistic rate of improvement (hint: it’s not 10%!)
[08:53] Impact of under-capturing documentation
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Dr. May’s email: rick.may@vizientinc.com
 
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Why Risk Adjustment Is So Important

This episode of the award-winning podcast examines the importance of risk adjustment. Dr. Tomas Villanueva leads the discussion on the impact of this crucial aspect of documentation that can affect hospital outcomes.
 
Moderator:
Tomas Villanueva, DO, MBA, FACPE, SFHM
Senior Principal, Clinical Operations and Quality
Vizient
 
Guest:
Erica Braun, MS, RN, CCDS
Senior Consulting Director, Clinical Documentation Improvement
Vizient
 
Show Notes:
[01:29] Defining risk adjustment – maintaining an apples to apples comparison
[02:41] Capturing comorbid conditions to the highest level of specificity
[04:08] Capturing the low-hanging fruit
[05:47] Case mix index issues
[07:44] Severity of illness and risk of mortality
[08:52] Addressing query fatigue
 
Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Erica Braun’s email: erica.braun@vizientinc.com
 
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Advances in colorectal cancer screening, Pt 2

Screening for colorectal cancer (CRC) has seen a lot of innovations, but there is still the conventional gold standard. On this episode of our award-winning podcast, Dr. Tomas Villanueva welcomes Dr. Aziz Aadam to discuss the need for early colorectal cancer (CRC) detection, and the options available to patients.
 
Moderator:
Tomas Villanueva, DO, MBA, FACPE, SFHM
Senior Principal, Clinical Operations and Quality
Vizient
 
Guest:
Abdul Aziz Aadam, MD
Interventional Gastroenterologist
Director, Interventional Endoscopy
Medical Director, International Patient Services
Northwestern Medicine
 
Show Notes:
[01:05] CRC screening options
[02:40] Colonoscopy advantages and disadvantages
[03:35] Virtual colonoscopies
[04:14] Artificial intelligence enhancement
[04:54] Improvements in the future
[07:10] No tests are foolproof
[07:50] Need to improve access
 
Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Dr. Aadam’s email: abdul.aadam@northwestern.edu
 
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Advances in colorectal cancer screening, Pt 1

In this episode of the award-winning podcast Dr. Tomas Villanueva welcomes Dr. Aziz Aadam to discuss the need for early colorectal cancer (CRC) detection, which drastically increases the rate of survival, and how improvements in CRC screening are giving patients better options.
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior Principal, Clinical Operations and QualityVizient
 
Guest:Abdul Aziz Aadam, MDInterventional GastroenterologistDirector, Interventional EndoscopyMedical Director, International Patient ServicesNorthwestern Medicine
 
Show Notes:
[01:11] Endoscopic submucosal dissection
[02:10] Prevalence of colorectal cancer
[02:38] Risk factors
[05:10] Reason for the need of early detection
[06:35] Challenges for screening
[07:56] Rise in younger patients
[09:11] Screening of the elderly
[09:54] Increasing screening rates
[11:09] Additional screening options
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Dr. Aadam’s email: abdul.aadam@northwestern.edu
 
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The air you breathe: Eliminating surgical smoke in the OR, Part 2

On this episode, we continue our discussion on preventing surgical smoke in the OR.
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior Principal, Performance Improvement ConsultingVizient
 
Guest:Rachel Medina, BSBASenior Category Manager, Surgical ServicesVizient
 
Show Notes:
[00:29] Regulation and legislation around surgical smoke
[03:04] Best practices
[04:09] Sustaining efforts on smoke prevention
[05:01] Technological advances in prevention
[06:15] Financial costs and learning curve – outweighed by benefits
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Rachel Medina’s email: rachel.medina@vizientinc.com
“As important as the air you breathe” (Vizient Tech Watch, p 38): Tech Watch Medical Device - Volume 2, 2022
 
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The air you breathe: Eliminating surgical smoke in the OR, Part 1

The daily smoke produced in an operating room is the equivalent of 27-30 cigarettes, and the OR staff breathes this in five days a week. When tools in the OR cut and cauterize human tissue, they generate a plume of smoke containing toxic chemicals, carcinogens, malignant cells and viruses. Surgical smoke can cause a host of conditions, anything from headaches and sore throat to lung disease and lung cancer. On this episode, a Vizient expert discusses the ramifications of surgical smoke and how to begin preventing it.
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior Principal, Performance Improvement ConsultingVizient
 
Guest:Rachel Medina, BSBASenior Category Manager, Surgical ServicesVizient
 
Show Notes:
[01:27] Surgical smoke: a byproduct of surgical procedures
[01:51] Health issues from surgical smoke
[02:15] Not considered seriously over the decades
[02:47] Lung disease in physicians and OR staff
[03:34] Financial implications
[04:47] Growing awareness and the role of AORN
[06:33] Toxic materials and the effects of smoke plumes in the OR
[08:30] Vizient platform developing on surgical smoke
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Rachel Medina’s email: rachel.medina@vizientinc.com
“As important as the air you breathe” (Vizient Tech Watch, p 38): Tech Watch Medical Device - Volume 2, 2022
 
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A comprehensive approach to reducing PSIs, Part 4

On this episode of our award-winning podcast, we finish our feature on an organization that has made huge strides in reducing Patient Safety Indicators (PSIs) throughout health system. We will discuss the phenomenal results of the initiative so far and what is planned for the near future at Sanford Health.
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior PrincipalClinical Operations and QualityVizient
 
Guests:Rachel Leyk, RN, CMSRN, CPHQImprovement AdvisorQuality and Safety – FargoSanford Health
 
Devendranath (Dev) Mannuru, MD, CHCOMInternal Medicine HospitalistCDI and Quality Physician AdvisorSanford Hospital – Fargo
 
Khaled Zreik, MDDirector, Critical CareAcute Care SurgeonSanford Health
 
Show Notes:
[00:39] Use of data in managing PSI reduction
[03:14] Results of a successful program
[04:05] Lessons learned
[08:15] Expanding and standardizing throughout the enterprise
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Rachel Leyk’s email: rachel.leyk@sanfordhealth.org
Dr. Mannuru’s email: devendranath.mannuru@sanfordhealth.org
Dr. Zreik’s email: khaled.zreik@sanfordhealth.org
PSI ACS Poster: PSI ACS Poster
2023 Quality and Safety Conference presentation: 2023 QSC presentation
 
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