Modern Practice Podcast

Turning the Corner – Part 2

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

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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Anticipating digital transformation, Part 3

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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Anticipating digital transformation, Part 2

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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Anticipating digital transformation, Part 1

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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The administrative burden – Part 2

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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The administrative burden – Part 1

For every hour a physician or clinician spends with a patient, they will spend at least another half hour or more on documentation or other administrative work. More than that, around 25 percent of the dollars spent in health care are on wasteful administrative tasks. Such a burden leads to long hours and takes the clinician away from patient interaction and care, continuing education, clinical decision-making and personal and family time. It can lead to burnout and worse. On this episode, a leading expert discusses the challenge of administrative burden and what practices and organizations can do to remedy it.
 
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:
[01:20] The administrative burden
[02:11] EHRs, burnout and “pajama time”
[03:51] Toll on female clinicians
[04:26] Where clinician burnout can lead
[05:19] Craig’s story and the high risk of physician burnout
[07:14] A systems approach to well-being
[09:14] Drivers of professional fulfillment
[09:34] The Fourth Aim: caring for the caregivers
 
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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Connecting with patients and families during COVID-19 – Part 3

On this episode, we conclude our three-part series detailing patient and family concerns as the pandemic heads into its second year. Based on Vizient’s extensive and ongoing assessments, we have learned how patients and families feel about COVID testing and vaccines, from where they prefer receiving their tests to whether or not they plan to take a vaccine at all. This information will be valuable for bringing patient and family desires into your care planning and care approaches in the near future.
 
Guest speaker:
Kellie Goodson, MS, CPXB
Performance Improvement Program Director
Vizient
 
Moderator:
Tomas Villanueva, DO, MBA, FACPE, SFHM
Associate Vice President
Clinical Resources
Vizient
 
Show Notes:
[00:20] Patient and family attitudes toward testing
[01:26] Attitudes toward testing locations
[02:15] COVID Vaccines
[03:56] Vaccine locations
[05:58] Trust in providers
[08:42] Value in listening to patients and families
 
Links | Resources:
Summary Report – Connecting with Patients During COVID-19: Perspectives on Safety Click here
AAMC-Vizient White Paper on patient-centered care Click here
Patient and Family-Centered Care: A Systematic Approach (AMA Journal of Ethics) Click here
 
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Connecting with patients and families during COVID-19 – Part 2

In this episode, we continue our discussion on patient and family engagement (PFE) and concerns as the pandemic continues. We will focus on accessing care, on the care settings patients and families prefer—whether virtual visits, urgent care, the ER or the caregiver’s office—and on their attitudes toward going in for preventative screenings, such as colonoscopies or mammograms. The extensive and ongoing assessment of patients and families by Vizient and Sg2 will yield valuable information for your clinical practice.
 
Guest speaker:
Kellie Goodson, MS, CPXB
Performance Improvement Program Director
Vizient
 
Moderator:
Tomas Villanueva, DO, MBA, FACPE, SFHM
Associate Vice President
Clinical Resources
Vizient
 
Show Notes:
[00:33] Preferences as to care settings
[02:20] Concerns for the next six months
[03:27] Preferences as to care after the pandemic
[05:17] Categories of patient and family respondents
[05:38] An opportunity for providers
[06:09] Preferences as to preventative screenings
[07:09] A personal example
 
Links | Resources:
Summary Report – Connecting with Patients During COVID-19: Perspectives on Safety Click here
AAMC-Vizient White Paper on patient-centered care Click here
Patient and Family-Centered Care: A Systematic Approach (AMA Journal of Ethics) Click here
 
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Connecting with patients and families during COVID-19 – Part 1

Two of the most significant challenges facing clinical practices today, to increase patient satisfaction and to meet patient demands, involve connecting with patients and families. Recognizing patient and family engagement (PFE) as a critical aspect of care, especially as COVID-19 has overhauled and overwhelmed care delivery models, Vizient and Sg2 have conducted ongoing assessments of patients and families to learn their attitudes during this crisis. In this episode, part one of a three-part series, we will discuss those patient-family assessments and what they reveal.
 
Guest speaker:
Kellie Goodson, MS, CPXB
Performance Improvement Program Director
Vizient
 
Moderator:
Tomas Villanueva, DO, MBA, FACPE, SFHM
Associate Vice President
Clinical Resources
Vizient
 
Show Notes:
[01:02] Rationale for PFE
[02:34] New assessment approach for PFE through 2020-2021
[03:57] The main patient and family concern
[05:25] Attitudes toward elective procedures: a change for the worse
[09:21] Need for provider engagement
 
Links | Resources:
Summary Report – Connecting with Patients During COVID-19: Perspectives on Safety Click here
AAMC-Vizient White Paper on patient-centered care Click here
Patient and Family-Centered Care: A Systematic Approach (AMA Journal of Ethics) Click here
 
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