Modern Practice Podcast

A comprehensive approach to reducing PSIs, Part 3

On this episode of Modern Practice, we continue highlighting an organization that has made huge strides in reducing Patient Safety Indicators (PSIs) throughout health system.
 
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:
[01:06] Managing PSI notifications to staff – keeping it non-punitive
[03:46 Escalation process versus peer review – addressing practice variation
[05:12] Keys to achieving collaboration
 
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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A comprehensive approach to reducing PSIs, Part 2

This episode of our award-winning podcast continues the success story of how Sanford Health has reduced PSIs through a concerted, multifaceted effort throughout the organization. Tomas interviews members of the clinical team that guided the way.
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior Principal, Clinical 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:
[00:34] Surgeon’s perspective
[02:04 Role of nurse reviewer
[03:18] Necessities for success
[04:05] Importance of executive leadership; need to be non-punitive (the “gold nugget”)
[06:37] Reliable software and establishing the stop bill process
[08:15] Involving HIM, coding and the CDI team
[10:36] Engaging the clinical staff
 
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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A comprehensive approach to reducing PSIs, Part 1

Developed by the Agency for Healthcare Research and Quality (AHRQ), Patient Safety Indicators, or PSIs, represent measurements of adverse events that enable healthcare organizations to gauge how they compare to others regarding patient safety. In addition, CMS looks at PSIs in scoring and penalizing organizations. In this series, Tomas talks with members of a clinical team that has seen great results in reducing PSIs throughout the organization.
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior Principal, Clinical 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:
[02:00] Patient Safety Indicators (PSIs) defined
[02:46] PSI-90 and individual PSIs
[03:43] Hospital Acquired Conditions Reduction Program (HACRP)
[05:06] Documentation and the “dotted line” to quality
[05:44] Benchmarking with the Vizient Clinical Data Base
[06:23] Focused objectives for the PSI reduction program
[07:34] Steps in building the program structure
[09:35] Addressing gaps in education – once clinicians know what to do, they don’t fail
 
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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Emerging Treatments for Atrial Fibrillation, Part 3

On this episode of our award-winning podcast, a leading expert in electrophysiology concludes our discussion on pulsed field ablation as the newest approach to treating atrial fibrillation.
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior PrincipalClinical Operations and QualityVizient
 
Guest:Thomas Munger, MDChair, Heart Rhythm DivisionAssociate Professor of MedicineMayo Clinic
 
Show Notes:
[00:48] New energy source
[01:40] Current electroporation is more controlled
[06:30] Anticoagulation and pulse field ablation
[08:42] Be sure to work with colleagues when wanted to adopt PF ablation
[09:05] Exciting development in electrophysiology
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Dr. Munger’s email: munger.thomas@mayo.edu
More information (Vizient): Additional pulsed field ablation resources
Information on improving an electrophysiology program (Vizient):
Optimizing your EP program  
 
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Emerging Treatments for Atrial Fibrillation, Part 2

On this episode of our award-winning podcast, a leading expert in electrophysiology explains the pathophysiology of atrial fibrillation and how therapies for it have evolved over the years, with pulsed field ablation emerging as the newest approach.
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior PrincipalClinical Operations and QualityVizient
 
Guest:Thomas Munger, MDChair, Heart Rhythm DivisionAssociate Professor of MedicineMayo Clinic
 
Show Notes:
[00:50] Atrial fibrillation: pathophysiology and risk factors
[03:20] Treating rhythm and treating rate
[07:01] Efficacy of ablation and other treatments
[09:40] Pulse field ablation
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Dr. Munger’s email: munger.thomas@mayo.edu
More information (Vizient): Additional pulsed field ablation resources
Information on improving an electrophysiology program (Vizient):
Optimizing your EP program  
 
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Emerging Treatments for Atrial Fibrillation, Part 1

Atrial fibrillation ablation therapies have progressed from rather primitive approaches to improved treatments that have emerged in recent years. In this series of our award-winning podcast, we discuss the history of the practice of electrophysiology and improvements that field has experienced.
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior PrincipalClinical Operations and QualityVizient
 
Guest:Thomas Munger, MDChair, Heart Rhythm DivisionAssociate Professor of MedicineMayo Clinic
 
Show Notes:
[01:06] History of electrophysiology
[01:55] Training to become an electrophysiologist
[02:44] Electrophysiology and the only organ that moves constantly
[04:22] Seizure of the heart
[05:22] The discipline of electrophysiology and evolving practice of ablation
[07:47) The types of ablation
 
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Dr. Munger’s email: munger.thomas@mayo.edu
More information (Vizient): Additional pulsed field ablation resources
Information on improving an electrophysiology program (Vizient):
Optimizing your EP program  
 
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Hermes Award-winner! Surviving cardiac arrest

Simon Henley was on a video call with his manager when he suddenly disappeared from the screen. He had fallen to the floor with a cardiac arrest. Not to be confused with an acute myocardial infarction, cardiac arrest is usually fatal, requiring a defibrillator and immediate CPR to revive the patient. On this episode, Simon tells his harrowing story, one with a touch of the miraculous, in how he survived those crucial first minutes and embarked on the road to recovery.
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior PrincipalClinical Operations and QualityVizient
 
Guest:Simon Henley, MBA, CMBBDirector, Global Market GrowthDefibrillator SolutionsMedtronic
 
Show Notes:
[00:51] Simon’s background
[01:25] An avid runner
[01:49] The call
[03:23] Every minute a cardiac arrest goes untreated drops survival rate by 10%
[04:23] No previous symptoms
[05:57] Rehabilitation
[06:55] Dealing with emotions and with recurring cardiac events
[10:19] Changed perspective
[11:12] No guarantees
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Simon’s email: simon.henley@medtronic.com
Sudden cardiac arrest: symptoms and causes (Mayo Clinic):
Click Here
Heart attack and cardiac arrest (American Heart Association):
Click Here
Cardiac care management (Medtronic):
Click Here
 
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Rethinking medical group strategy, Part 3

This episode of our award-winning podcast concludes our discussion on a new approach for medical groups in this time of drastic change. Only those models undergoing change will succeed.
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior PrincipalPerformance Improvement ConsultingVizient
 
Guest:Michael StrileskySenior PrincipalCare Delivery TransformationStrategy ConsultingVizient
 
Show Notes:
[01:09] Current state of medical groups
[03:12] Issues around the surgical practice model
[05:01] Sustainability of the group practice model
[06:35] Finding a medical group strategy
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Michael Strilesky’s email: michael.strilesky@vizientinc.com
“Grow hospital market share by integrating ambulatory care across acute service lines” (Vizient publication): Click Here
 
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Rethinking medical group strategy, Part 2

All the drastic changes occurring in healthcare, particularly in the way it is delivered, necessitate corresponding changes in how we structure medical groups. This episode of our award-winning podcast continues the discussion on the need for a new strategy for medical groups, and an expert returns to consider what that strategy might be.
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior Principal, Performance Improvement ConsultingVizient
 
Guest:Michael StrileskySenior PrincipalCare Delivery TransformationStrategy ConsultingVizient
 
Show Notes:
[01:11] Academic medical centers and the need for innovation
[02:46] Meeting the physician shortage challenge
[04:51] Resistance to a new care model
[06:23] Reimbursement, technology and consumer desires will drive the new model
[07:06] The physician compensation factor in the new model
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Michael Strilesky’s email: michael.strilesky@vizientinc.com
“Grow hospital market share by integrating ambulatory care across acute service lines” (Vizient publication): Click Here
 
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Rethinking medical group strategy, Part 1

The huge flurry of changes in how we deliver healthcare have brought into question the viability of the conventional medical group model, whether it’s sustainable and gives us a competitive advantage or whether we need to invest in something else. On the next three episodes of this award-winning podcast, an expert joins Tomas to consider the future of medical group practices.
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior Principal, Performance Improvement ConsultingVizient
 
Guest:Michael StrileskySenior PrincipalCare Delivery TransformationStrategy ConsultingVizient
 
Show Notes:
[01:46] Current medical group model
[02:58] Impact and role of medical groups
[04:12] Drawbacks and limitations of current model
[06:13] Different care and practice models emerging
[07:49] The disruptors have been fantastic
[09:47] Different approach for medical groups affiliated with academic medical centers
 
Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Michael Strilesky’s email: michael.strilesky@vizientinc.com
“Grow hospital market share by integrating ambulatory care across acute service lines” (Vizient publication): Click Here
 
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