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. Hosted by Dr. Tom Villanueva and brought to you by the Vizient Medical Leadership team.

Listen on:

  • Podbean App
  • Amazon Music

Episodes

Thursday Apr 04, 2024

On this episode, we finish the discussion about the challenges and issues involving documenting elective surgeries in order to improve care and maximize reimbursement.
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior Principal, Performance Improvement ConsultingVizient
 
Guests:Rachel Mack, MSN, RN, CCDS, CDIP,  CCS, CRCConsulting Director, Clinical Documentation ImprovementVizient
 
Show Notes:[00:37] Anticoagulation – often overlooked in documentation[01:30] PSI 9[02:20] Thrombocytopenia[03:57] Antiplatelets and elective surgeries [05:56] Every PSI reported means money lost to the practice
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Rachel Mack’s email: rachel.mack@vizientinc.com
“Costs of Postoperative Sepsis: The Business Case for Quality Improvement to Reduce Postoperative Sepsis in Veterans Affairs Hospitals” (JAMA): Click Here
 
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Thursday Mar 28, 2024

This episode continues the series on challenges and issues involving correctly documenting elective surgeries. A leading expert provides practical guidance and considerations that enable you to be correct in documenting these patients in order to improve care and maximize reimbursement.
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior Principal, Performance Improvement ConsultingVizient
 
Guests:Rachel Mack, MSN, RN, CCDS, CDIP,  CCS, CRCConsulting Director, Clinical Documentation ImprovementVizient
 
Show Notes:
[00:34] Dealing with preoperative infections
[01:56] Percentage of elective surgery patients who develop sepsis—with 25% mortality
[03:45] Accurately coding to avoid a PSI 13 being charged to your practice/organization
[05:34] Do not miss a Present on Admission case
[07:30] Need for CDI specialists to collaborate with quality (the “dotted line”)
[08:50] Issues around PSI 7
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Rachel Mack’s email: rachel.mack@vizientinc.com
“Costs of Postoperative Sepsis: The Business Case for Quality Improvement to Reduce Postoperative Sepsis in Veterans Affairs Hospitals” (JAMA): Click Here
 
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Thursday Mar 21, 2024

Elective surgeries are on the rise again following a downswing during the COVID era. Yet, with this rise in these procedures, there are challenges and issues involving correctly documenting elective surgeries that practices and organizations need to consider and address. On this episode, a leading expert on clinical documentation covers this difficult area.
 
Moderator:
Tomas Villanueva, DO, MBA, FACPE, SFHM
Senior Principal, Performance Improvement Consulting
Vizient
 
Guests:
Rachel Mack, MSN, RN, CCDS, CDIP,  CCS, CRC
Consulting Director, Clinical Documentation Improvement
Vizient
 
Show Notes:
[01:21] Planned surgeries
[02:26] Five most common elective surgeries and who has them
[04:15] Why elective surgeries are unique
[05:44] What you need to document – examples
[09:13] Obesity and documentation—capturing a CC
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Rachel Mack’s email: rachel.mack@vizientinc.com
 
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Thursday Mar 14, 2024

A safe culture is a key factor in developing a highly reliable organization, or HRO, and ensuring a healthy workplace. It means fostering psychological safety in that culture. On this episode, we continue our discussion on psychological safety and a healthy workplace.
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior Principal, Performance Improvement ConsultingVizient
 
Guests:Kristina Kelada, PHR, CHRE, CHRSAssociate Principal, Reliability and Management SystemsVizient
 
Elizabeth Mack, MD, MSPrincipal, Reliability and Management SystemsVizient
 
Show Notes:[00:47] Psych safety and fostering recruitment and retention[03:33] What to do to develop safety in the workplace[04:35] Culture of safety and return on investment: what the data shows[06:17] Bad culture: a “thief in the night”[09:09] Design systems that make sense for patients and families
 
Links | Resources:How to interpret and use your SCORE survey results (Safe and Reliable Healthcare): SCORE Interpreting and Using Results
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Dr. Mack’s email: elizabeth.mack@vizientinc.com
Kristina Kelada’s email: kristina.kelada@vizientinc.com
 
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Thursday Mar 07, 2024

A healthy culture is a key factor in developing a highly reliable organization, or HRO. For a culture to be healthy depends on the existence of psychological safety in that culture. In this new series of our award-winning podcast, we discuss how to develop a healthy workplace as we continue our examination of HROs and the practices that lead to them.
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior Principal, Performance Improvement ConsultingVizient
 
Guests:Kristina Kelada, PHR, CHRE, CHRSAssociate Principal, Reliability and Management SystemsVizient
 
Elizabeth Mack, MD, MSPrincipal, Reliability and Management SystemsVizient
 
Show Notes:[02:28] Importance of building a culture on trust and respect[03:38] Psych safety defined[05:30] It is dangerous when employees are quiet[07:18] How to know you have psych safety in your practice[09:19] What leaders can do[10:14] We’re in healthcare, for goodness sakes!
Links | Resources:How to interpret and use your SCORE survey results (Safe and Reliable Healthcare): SCORE Interpreting and Using Results
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Dr. Mack’s email: elizabeth.mack@vizientinc.com
Kristina Kelada’s email: kristina.kelada@vizientinc.com
 
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Thursday Feb 29, 2024

On this episode, we continue our discussion about the need to provide a transition for advanced practice providers (APPs – nurse practitioners, physician assistants) from the academic setting to clinical practice, similar to the residencies and fellowships provided to physicians. You’ll learn how this transition can be a huge benefit to your practice or organization.
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior Principal, Performance Improvement ConsultingVizient
 
Guest:Christen Hunt, DNP, FNP-C, CPNP-ACAssociate Vice President, Workforce ConsultingVizient
 
Show Notes:[00:41] Fitting organizational needs – no cookie-cutter[02:25] Provide a safe space; provide what the organization needs[03:37] Not a burden but an opportunity                                             [04:42] Bringing APPs fully into the organization for greater productivity[05:51] Example: ROI and a cost avoidance of over $2 million[06:52] More ROI examples
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Christen Hunt’s email: christen.hunt@vizientinc.com
 
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Thursday Feb 22, 2024

Advanced Practice Providers, or APPs, have taken on an increasingly important role in patient care over the years. Comprised of nurse practitioners and physician assistants, APPs receive advanced education and clinical training for performing a wide range of care services, many of which were traditionally carried out by physicians. Yet, there are no residencies or fellowships to transition APPs from the academic to the clinical realm. On the next two episodes, this award-winning podcast examines how organizations and practices can address this gap.
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior Principal, Performance Improvement ConsultingVizient
 
Guest:Christen Hunt, DNP, FNP-C, CPNP-ACAssociate Vice President, Workforce ConsultingVizient
 
Show Notes:
[02:02] Residencies and fellowships and what they mean for APPs
[04:41] APPs and orientation – need for a deeper dive
[05:13] Growth of APP positions and necessity for new care models
[06:44] Fostering the business side of healthcare
[07:14] Integrating APPs into the team
[08:13] Bringing APPs into the culture
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Christen Hunt’s email: christen.hunt@vizientinc.com
 
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Thursday Feb 15, 2024

On this final episode of a three-part series, Tomas finishes his discussion with two experts on high-reliability organizations who examine the crucial role of learning areas in the success of top performers. High-performing organizations take care of not only their patients but their staff and indeed enable staff to be at their best.
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior Principal, Performance Improvement ConsultingVizient
 
Guests:Suzanne Miller, MSN, RNSenior Consulting Director, Reliability and Management SystemsVizient
 
Katerie Chapman, MHASenior Principal, Safe and Reliable HealthcareVizient
 
Show Notes:
[00:54] Need for change-ready units in the organization
[01:32] Overcome the perception “this is one more thing”
[03:17] Example: skeptical ICU nurse – “This is going to fail”
[04:56] Taking a phased approach
[05:37] Measuring success of learning areas: the benchmarks to use
06:22] Excited staff members
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Vizient Safe and Reliable Healthcare site Click here
Suzanne’s email: suzanne.miller@vizientinc.com
Katerie’s email: katerie.chapman@vizientinc.com
 
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Thursday Feb 08, 2024

On this episode, Tomas continues his discussion with two expert guests about learning areas and how they are proving effective and essential in developing high-reliability organizations.
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior Principal, Performance Improvement ConsultingVizient
 
Guests:Suzanne Miller, MSN, RNSenior Consulting Director, Reliability and Management SystemsVizient
 
Katerie Chapman, MHASenior Principal, Safe and Reliable HealthcareVizient
 
Show Notes:
[00:41] Who engages in learning areas?
[03:17] A flood of kudos in the ED – an example of lifting morale
[05:10] Team participation in barcode scanning – an example of improving compliance
[07:02] A resource for senior leaders
[07:55] A safety concern that, once identified, was quickly corrected
[08:44] Real-time nature of rounding and issue resolution
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Vizient Safe and Reliable Healthcare site Click here
Suzanne’s email: suzanne.miller@vizientinc.com
Katerie’s email: katerie.chapman@vizientinc.com
 
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Thursday Feb 01, 2024

Learning areas have become an effective aspect of high-reliability organizations in healthcare. Employing floor or departmental huddles as the focal point for these learning areas, the experience of the huddles has been augmented and reinforced by bulletin boards and whiteboards. Even more effective is the newest wrinkle in the experience – LENS (Learning & Engagement System) boards, which are dynamic, digitally-based visual boards that can transmit messaging on a 24/7 basis in a designated learning area. On the next three episodes, Tomas discusses learning areas with two expert guests, who will share the rationale behind them and how to make them work for you.
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior Principal, Performance Improvement ConsultingVizient
 
Guests:Suzanne Miller, MSN, RNSenior Consulting Director, Reliability and Management SystemsVizient
 
Katerie Chapman, MHASenior Principal, Safe and Reliable HealthcareVizient
 
Show Notes:
[01:58] Developing and sustaining learning areas
[03:02] Elements employed in a learning area
[05:00] The cornerstone of high reliability
[06:07] The visual management role
[07:37] Advantages of the LENS board
[09:07] Selecting a unit to be a learning area
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Vizient Safe and Reliable Healthcare site Click here
Suzanne’s email: suzanne.miller@vizientinc.com
Katerie’s email: katerie.chapman@vizientinc.com
 
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