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. Tomas Villanueva and brought to you by the Vizient Medical Leadership team.

Listen on:

  • Podbean App
  • Amazon Music

Episodes

Thursday Jun 13, 2024

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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Thursday Jun 06, 2024

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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Thursday May 30, 2024

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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Facing hostile patients, Part 2

Thursday May 23, 2024

Thursday May 23, 2024

In this re-air of our two-part, award-winning podcast series, we discuss how physical violence in the healthcare workplace is on the rise. Healthcare workers are more in danger of violence than are police officers or prison guards. Looking at the labor force in general, healthcare workers have five times the likelihood of facing violence than workers across all other industries. And that doesn’t include the verbal abuse. Clinicians need skills to defuse conflict and hopefully settle down hostilities before they get out of hand. On this episode, Tomas and Cecilia finish their discussion with some helpful tips.
 
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] Influences and attitudes from culture/media
[02:45] The pandemic factor; example from CoxHealth
[04:45] Prevalence of incivility
[06:23] Paying attention to the signs; observation skills to use; actions to take
[09:30] Give the situation the same importance that patients and families give it
[10:16] Tools clinicians can use – Marpe’s role in alleviating violence
[12:05] A symptom of the healthcare crisis
 
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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Facing hostile patients, Part 1

Thursday May 16, 2024

Thursday May 16, 2024

Hermes award-winner!
In a special re-air of this award-winning episode, we discuss how the hospital is increasingly becoming a hostile environment, with clinicians facing verbal abuse and physical violence from patients and their families. Clinicians need skills to defuse conflict and hopefully settle down hostilities before they get out of hand. If calming hostilities is not possible, they need to know what to do in the face of violent confrontation. Tomas discusses patient hostility with a leading expert on the topic.
 
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:
[02:15] Patient hostility on the rise
[03:16] Verbal violence is most prevalent, and the most unreported
[04:05] Cleveland Clinic: violence four times more prevalent in health care
[04:40] Health care workers more exposed than prison guards and police officers
[05:12] Higher risk of assaults for nurses
[05:59] Biggest risk in high-acuity settings – ambulances, EDs, ICUs, psych units
[06:44] Reasons/origins
[09:25] Patient families as source of conflict
 
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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Thursday May 09, 2024

This episode of our award-winning podcast finishes our discussion on the state of research today. Despite proven benefits, enrollment in clinical trials is sparse across the country, but participation can positively impact patients and organizations alike. Two experts in research lay out all the facts.
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior Principal, Performance Improvement ConsultingVizient
 
Guests:
Dylan Steen, MD, MSChief Executive Officer and Co-founderHigh EnrollCardiologist, UC HealthAdjunct Associate Professor, UC College of Medicine
 
Daniel Flora, MD, PharmDMedical Director, Oncology ResearchHematologist/OncologistSt. Elizabeth Healthcare
 
Show Notes:[01:32] Market research at St. Elizabeth Healthcare
[02:58] Benefits and advantages of clinical research to practices and organizations
[04:50] Background for High Enroll and the program’s value: opportunities offered
[06:20] Getting High Enroll started
[08:39] Vision for research at St. Elizabeth Healthcare – approaching a cure
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Dr. Steen’s email: steendy@gmail.com
Dr. Flora’s email: daniel.flora@stelizabeth.com
High Enroll website: https://www.highenroll.org
(513) 993-0330
 
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Thursday May 02, 2024

Despite proven benefits, enrollment in clinical trials is sparse across the country. This episode of our award-winning podcast continues our discussion on the state of research today and how participation can positively impact patients and organizations alike. Two experts in research lay out all the facts.
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior Principal, Performance Improvement ConsultingVizient
 
Guests:Dylan Steen, MD, MSChief Executive Officer and Co-founderHigh EnrollCardiologist, UC HealthAdjunct Associate Professor, UC College of Medicine
 
Daniel Flora, MD, PharmDMedical Director, Oncology ResearchHematologist/OncologistSt. Elizabeth Healthcare
 
Show Notes:[01:31] Lack of inclusivity in trials – need for “real-world” participants
[04:05] Research organizations give standard of care that is lacking elsewhere
[04:50] Background for High Enroll and the program’s value: opportunities offered
[07:40] Latest generation of technology and information availability
[08:20] Improvement over other research sites (such as clinicaltrials.gov)
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Dr. Steen’s email: steendy@gmail.com
Dr. Flora’s email: daniel.flora@stelizabeth.com
High Enroll website: https://www.highenroll.org
(513) 993-0330
 
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Thursday Apr 25, 2024

The truth is: patients enrolled in clinical trials fare better than patients who are not. Participating in research can be a boon to a practice or organization and its patients. Yet, enrollment in clinical trials is still sparse across the country and part of the reason is organizations don’t realize the value research can bring. On the next three episodes of this award-winning podcast, two experts in research lay out the benefits in participating in clinical trials.
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior Principal, Performance Improvement ConsultingVizient
 
Guests:Dylan Steen, MD, MSChief Executive Officer and Co-founder                         High EnrollCardiologist, UC HealthAdjunct Associate Professor, UC College of Medicine
 
Daniel Flora, MD, PharmDMedical Director, Oncology ResearchHematologist/OncologistSt. Elizabeth Healthcare
 
Show Notes:
[02:16] Research marketing
[03:20] Background: how High Enroll got started
[04:05] Number one problem in research
[05:20] Problem is still unsolved
[07:07] Need for cancer research at community level
[08:18] Look at research as a valuable product for the organization/practice
[09:03] Moving medicine forward: the value of clinical trials to the patient
[09:52] How to boost research participants for an organization
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Dr. Steen’s email: steendy@gmail.com
Dr. Flora’s email: daniel.flora@stelizabeth.com
High Enroll website: https://www.highenroll.org
(513) 993-0330
 
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Thursday Apr 18, 2024

On this episode of our award-winning podcast, we continue discussing the impact and benefits of the latest generation of single-use endoscopes, which promise a revolutionary role in surgery.
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior Principal, Performance Improvement ConsultingVizient
 
Guest:Andrew Bruenderman, MHACategory ManagerSurgical ServicesVizient
 
Show Notes:[00:44] Circumstances calling for single-use scopes[03:19] Financial considerations[04:37] ROI possibilities[06:05] Environmental impact[07:17] Final thoughts to consider
 
Resources:To contact Modern Practice: modernpracticepodcast@vizientinc.com
Andrew’s email: andrew.bruenderman@vizientinc.com
Vizient TechWatch article on single-use ureteroscopes:Vizient TechWatch Medical Device Vol. 3 (Single-Use Ureteroscopes).pdf
 
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Thursday Apr 11, 2024

The latest generation of single-use endoscopes promises a revolutionary role in surgery. On this episode of our award-winning podcast, we discuss the impact and benefits of single-use ureteroscopes.
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior Principal, Performance Improvement ConsultingVizient
 
Guest:Andrew Bruenderman, MHACategory ManagerSurgical ServicesVizient
 
Show Notes:[01:48] Early models were lacking; new models are advanced and improved[02:49] Cross-contamination and adverse events from multiuse scopes[04:15] Safety approaches with single-use scopes[05:21] Wave of the future?[06:20] Shelf life of single-use ureteroscopes and associated efficiencies[07:37] Problems with early models may cause reluctance to use later models
 
Resources:To contact Modern Practice: modernpracticepodcast@vizientinc.com
Andrew’s email: andrew.bruenderman@vizientinc.com
Vizient TechWatch article on single-use ureteroscopes:Vizient TechWatch Medical Device Vol. 3 (Single-Use Ureteroscopes).pdf
 
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