Modern Practice Podcast

The effect of COVID-19 on social determinants of health – Part 1

Social determinants of health (SDoH) are those factors in a person’s life—socioeconomic, educational, cultural, environmental—that create disparities in how that person accesses health care. On this episode, we examine how the COVID-19 outbreak has affected social determinants of health and impacted racial and ethnic minorities that already carry a disproportionate burden of morbidity and mortality.
Guest speaker:Kellie Goodson, MS, CPXPDirector, ProgramsVizient
 Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMAssociate Vice President, Clinical ResourcesVizient
Show Notes:[02:04] Social determinants of health (SDoH) defined[03:01] SDoH and health care[04:59] VCU study on neighborhood and life expectancy[06:25] COVID-19 and SDoH[08:04] Historical context—“The Forgotten Aim”
Links | Resources:
Health care disparities in the age of coronavirus (The Harvard Gazette)Click here
Rush Health Equity ReportClick here
Novant Health SpotlightClick here
Steps for resolving health disparities in hospital readmissions (Vizient)Click here
Healthy People website section on social determinants of health: Click here
CDC link: Click here
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The weekend effect in hospitals: Causes and cures – Part 2

This episode continues our discussion on the “weekend effect,” the phenomenon where the comprehensiveness and quality of hospital care drops off on weekends. Having established in Part 1 how this situation occurs, we devote this session to strategies that help you avoid it, including staffing accommodations and leadership focus. In addition to improving patient care and outcomes, health care organizations will find they will gain a significant competitive advantage in addressing this issue.
Guest speakers:Aman Sabharwal, MD, MHA, CPHMSenior Principal, Advisory SolutionsVizient
Eric Burch, RN, MBAAssociate Principal, Advisory SolutionsVizient
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMAssociate Vice President, Clinical ResourcesVizient
Show Notes:[00:25] The impact of “weekend effect” on quality of care[01:35] Impact on medical and surgical cases[02:12] Impact on community hospitals vs. academic medical centers[05:20] Procedures affected[07:05] Avoiding the weekend effect[08:09] Competitive advantage in addressing weekend effect[09:28] Example of health care organization that successfully dealt with the weekend effect
Links | Resources:
The Weekend Effect in Hospitals: Causes (Vizient Brief) Click here
The Weekend Effect in Hospitalized Patients: A Meta-Analysis (Journal of Hospital Medicine, Sept. 2017) Click here
“Who elects the weekend?” Click here
Sg2 Perspectives: A new podcast connecting you to Sg2 thought leadership … anytime, anywhere Click here
 
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The weekend effect in hospitals: Causes and cures – Part 1

Patients have good reason to fear staying at the hospital over the weekend. Studies have consistently demonstrated the weekend effect, where weekend admissions or stays cause increases in complications and higher mortality rates. This two-part series of Modern Practice examines the reasons behind the weekend effect and strategies for preventing it.
 
Guest speakers:
Aman Sabharwal, MD, MHA, CPHM
Senior Principal, Operational Effectiveness
Advisory Solutions
Vizient
 
Eric Burch, RN, MBA
Associate Principal
Advisory Solutions
Vizient
 
Moderator:
Tomas Villanueva, DO, MBA, FACPE, SFHM
Associate Vice President
Clinical Resources
Vizient
 
Show Notes:
[01:25] The “weekend effect” explained
[01:57] Multiple causes
[02:17] Data supporting the weekend effect
[07:29] Case management and care transitions
[08:40] Impact of COVID Pandemic
[09:22] Assessing the weekend effect
 
Links | Resources:
The Weekend Effect in Hospitals: Causes (Vizient Brief) Click here
The Weekend Effect in Hospitalized Patients: A Meta-Analysis (Journal of Hospital Medicine, Sept. 2017) Click here
“Who elects the weekend?” Click here
Sg2 Perspectives: A new podcast connecting you to Sg2 thought leadership … anytime, anywhere Click here
 
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The impact of COVID-19 on health care: Lessons learned—Part 2

This episode continues the series on valuable insights gained in the handling of the COVID-19 crisis. We will discuss skills clinical leaders and staff have developed to cope with new risks and responsibilities. Also, we will examine a renewed focus nationwide on patient and family engagement, how to remain competitive when having to shut down operations and how to plan for patient cohorting in the future.
Guest speaker:David DiLoreto, MD, MBA Consulting Principal Sg2
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMAssociate Vice President, Clinical ResourcesVizient
Show Notes:[00:28] Staff and leadership resilience[02:06] Listening to the consumer voice[04:16] Importance of patient families[05:40] Financial impact on health care sector and fee-for-service[09:00] Changes in the competitive landscape[09:39] On remaining competitive[12:18] Impact of patients dying alone[13:28] Cohorting patients: the new norm? 
Resources:Vizient COVID-19 webinar page, including May 27 webinar “Roundtable discussion: moving forward through lessons learned during COVID-19”: click hereVizient’s disaster-preparedness site: click hereSg2 Perspectives: A new podcast connecting you to Sg2 thought leadership … anytime, anywhere: click here“The Mental Health Consequences of COVID-19 and Physical Distancing: The Need for Prevention and Early Intervention” (JAMA Internal Medicine): click here“After COVID-19—Thinking Differently About Running the Health Care System” (JAMA Network—JAMA Health Forum): click here“Life after COVID-19: What Will Change?” (The Medical Futurist): click here
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The impact of COVID-19 on health care: Lessons learned—Part 1

COVID-19 has wrecked havoc on health care at all levels, from the bedside to the supply room. It has adversely affected patients and clinicians alike and stretched resources to the breaking point. Yet, lessons from the pandemic are emerging, and this two-part series examines in-depth what clinicians and health care organizations can take away from this crisis.
 
Guest speaker:David DiLoreto, MD, MBAConsulting PrincipalSg2
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMAssociate Vice President, Clinical ResourcesVizient
 
Show Notes:[01:15] Main lessons learned[03:06] Clinical-supply chain integration[04:55] Working at top of license[06:14] Changing roles[08:23] Explosion of virtual care
 
Resources:Vizient COVID-19 webinar page, including May 27 webinar “Roundtable discussion: moving forward through lessons learned during COVID-19”: click hereVizient’s disaster-preparedness site: click hereSg2 Perspectives: A new podcast connecting you to Sg2 thought leadership … anytime, anywhere: click here“The Mental Health Consequences of COVID-19 and Physical Distancing: The Need for Prevention and Early Intervention” (JAMA Internal Medicine): click here“After COVID-19—Thinking Differently About Running the Health Care System” (JAMA Network—JAMA Health Forum): click here“Life after COVID-19: What Will Change?” (The Medical Futurist): click here
 
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Lessons learned in pharmacology

Welcome to Modern Practice. This episode will focus on the effect of the COVID-19 crisis on pharmacy practice, which has magnified challenges already existing and caused new ones. We’ll look at lessons learned and consider strategies for the future.
 
Guest speaker:
Steven Lucio, PharmDVice PresidentPharmacy Solutions Vizient
Moderator:
Tomas Villanueva, DO, MBA, FACPE, SFHMAssociate Vice PresidentClinical ResourcesVizient
 
Show Notes:
[01:08] Main pharmacy areas of focus
[02:43] Working together
[03:08] Repurposing legacy drugs
[04:44] Continuing to deal with drug shortages
[07:01] Changed FDA regulations
[08:54] Virtual care
[09:55] The new norm
[11:10] Dealing with a secondary surge
[12:56] What to do right now
 
Links | Resources:
Essential medications and managing drug shortages: Click here
Vizient’s disaster-preparedness site: Click here
Pharmacy Readiness for COVID-19: Click here
6 federal pharmacy policy changes in response to the COVID-19 pandemic: Click here
Pharmacy Technicians Rise to Meet Patient Needs During Coronavirus Pandemic: Click here
 
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The role of Patient and Family Councils (PFACs) in resuming elective procedures

This episode features the voices of patients and family members who share their feelings about safely resuming elective procedures. We’ll examine the role those attitudes play in the strategy of health care organizations to ramp up surgeries in the COVID-19 era.
 
Guest speakers:
Kellie Goodson, MS, CPXP
Director, Programs
Vizient
 
Mark Larson, MBA
Vice President
Sg2
 
Moderator:
Tomas Villanueva, DO, MBA, FACPE, SFHM
Associate Vice President
Clinical Resources
Vizient
 
Special thanks to these patient and family participants (and their organizations):
Katherine Nyholm – Beth Israel Deaconess
Ronnie Freeman – INTEGRIS
Paula Boffa-Taylor – Temple Health
Marcia Johnson – INTEGRIS
Sue Drontle – CentraCare
Diane Whitman – Emory Healthcare
Anissa Chadick – INTEGRIS
Helen Miyasaki – UF Health
Katie Alyea – Reid Health
Rachel Weissburg – Sutter Health
Frank Chatmon – INTEGRIS
Kelly Loyd – The Medical University of South Carolina
 
Show Notes:
[00:00] Patients voice their concerns
[02:40] PFAC definition and role
[04:50] Care strategies with patients in mind
[07:12] Survey: what patients are saying about elective surgeries
[08:08] More patient comments
[12:20] Four waves
[14:50] Personas
[17:40] Importance of engaging patient and family advisors when reopening services
[21:42] More patient comments
[24:01] Physician communication with patients
 
Links | Resources:
Connecting with patients during COVID-19: Click here
Key talking points from patient and family advisor webinar (May 1, 2020): Click here
Restarting elective surgery in the COVID-19 era (Dr. Joe Geskey, Medical Economics): Click here
Vizient’s Guidance for Resumption and Management of Electively Scheduled Surgery and Procedures in the COVID-19 Era (White Paper): Click here
Patient and family engagement at UCLA (PowerPoint): Click here
Vanderbilt Patient and Family Involvement: Click here
 
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Guidance for resumption and management of electively scheduled surgery and procedures (ESS) in the COVID-19 era

During this pandemic, we’ve have had to suspend almost all elective procedures. This has negatively impacted patients needing or desiring those procedures, organizations depending on those procedures for revenue and clinical staff who have suffered pay cuts due to fewer work hours available.
On this episode, we’ll discuss steps and considerations organizations should make to resume elective procedures effectively and safely.
 
Guest speaker:
Jay B. Prystowsky, MD, MHPE, MBA
Principal, Solution Architecture
Vizient
 
Moderator:
Tomas Villanueva, DO, MBA, FACPE, SFHM
Associate Vice President
Clinical Resources
Vizient
 
Show Notes:
[01:53] Vizient/Sg2 approach to resuming elective procedures
[03:50] Strong and expanded governance
[09:21] Testing, surveillance and screening
[14:55] Clinical prioritization
[17:36] The perioperative process
 
Links | Resources:
Vizient/Sg2 Guidance for Resumption and Management of Electively Scheduled Surgery and Procedures in the COVID-19 Era (White Paper): Click here
Restarting elective surgery in the COVID-19 era (Dr. Joe Geskey, Medical Economics): Click here
Ten Considerations for Resuming Elective Surgery: Click here
State Guidance on Elective Surgeries: Click here
Vizient’s clinical workforce well-being playbook: Click here
 
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Electively scheduled surgeries and procedures (ESS) in the COVID-19 era: patient engagement needed

As health care organizations adjust to the vagaries of the COVID-19 pandemic, and the new normal it represents, they are beginning to consider resuming elective surgeries. Winning back patient confidence is a key to this process. This episode focuses on engaging patients when resuming electively scheduled surgeries and procedures.
 
Guest speaker:
Joseph Geskey, DO, MBA, MS-PopH
Principal
Data Science and Member Insights
Vizient
 
Moderator:
Tomas Villanueva, DO, MBA, FACPE, SFHM
Associate Vice President
Clinical Resources
Vizient
 
Show Notes:
[01:03] Looking at resuming elective procedures
[02:28] Importance of gaining or re-gaining patient trust
[03:43] Resuming elective procedures effectively and safely
[06:22] Communicating the limitations of testing and surveillance
[09:47] Techniques for effective communication with patients
[11:25] Shared decision-making (SDM)
[09:42] Factors to consider when communicating with patients and families
[17:32] Patient and Family Advisory Councils (PFACs)
 
Links | Resources:
Vizient’s Guidance for Resumption and Management of Electively Scheduled Surgery and Procedures in the COVID-19 Era (White Paper): Click here
Restarting elective surgery in the COVID-19 era (Dr. Joe Geskey, Medical Economics): Click here
Ten Considerations for Resuming Elective Surgery: Click here
State Guidance on Elective Surgeries: Click here
Vizient’s clinical workforce well-being playbook: Click here
 
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Clinical workforce wellbeing: leading through COVID-19 and beyond

Returning to normal in the era of COVID-19 may not be possible. Instead, we are likely heading toward a new normal, the disease having taken a huge toll on our lives and forcing a changed approach to health care. For caregivers, the toll has been devastating. Some clinicians have faced an overwhelming surge of coronavirus patients while others a dropping census and corresponding drop of hours and pay. Reports of caregiver PTSD are on the rise, and this episode will cover ways health care leaders can support their caregivers in this challenging time.
 
Guest speaker:Robert Dean, DO, MBASenior Vice PresidentPerformance Management Vizient
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMAssociate Vice PresidentClinical ResourcesVizient
 
Show Notes:
[02:00] Impact of COVID-19 on clinician workforce
[03:37] How leadership matters
[05:15] Four keys to establish a favorable environment
[07:30] Effects of quality of leadership
[08:48] Vizient’s clinical workforce wellbeing playbook
[10:53] What clinical staff members need most right now
[12:27] “Compassionate leadership”
[16:33] Investing in the engagement, resilience and retention of clinicians
 
Links | Resources:
Caring for our caregivers during COVID-19: Click here
Outbreaks can be stressful: Click here
Vizient’s clinical workforce well-being playbook: Click here
Addressing staff resilience and PTSD during COVID-19 (PowerPoint—including presentation from Steve Swenson of Mayo Clinic): Click here
Vizient’s disaster preparedness page: Click here
 
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