Modern Practice Podcast

The journey to high reliability, Part 3

This episode finishes our discussion on how organizations can tackle persistent quality, safety and workplace challenges on the way to becoming high reliability organizations (HROs). Tomas engages with two expert guests on what constitutes an HRO and how to make that journey to better performance.
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior Principal, Clinical Operations and QualityVizient
 
Guests:Allan Frankel, MDExecutive Principal, Safe and Reliable HealthcareVizient
 
Katerie Chapman, MHASenior Principal, Safe and Reliable HealthcareVizient
 
Show Notes:
[00:42] Dealing with burnout
[02:51] Culture and high reliability
[05:06] Assessing organizations
[08:25] Just Culture
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Vizient Safe and Reliable Healthcare site Click here
Allan’s email: allan.frankel@vizientinc.com
Katerie’s email: katerie.chapman@vizientinc.com
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The journey to high reliability, Part 2

On this episode, we continue our discussion on how organizations can tackle persistent quality, safety and workplace challenges on the way to becoming high reliability organizations (HROs). Tomas discusses with two expert guests on what constitutes an HRO and how to make that journey to better performance.
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior Principal, Clinical Operations and QualityVizient
 
Guests:Allan Frankel, MDExecutive Principal, Safe and Reliable HealthcareVizient
 
Katerie Chapman, MHASenior Principal, Safe and Reliable HealthcareVizient
 
Show Notes:[00:46] Areas to address and challenges to meet[01:52] Examples of challenges to high reliability[03:47] Complex processes that can undermine reliability[05:20] Sustaining improvement[07:49] Vizient’s Safe and Reliable Healthcare: a force multiplier[11:41] Burnout
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Vizient Safe and Reliable Healthcare site Click here
Allan’s email: allan.frankel@vizientinc.com
Katerie’s email: katerie.chapman@vizientinc.com
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The journey to high reliability, Part 1

Reducing patient harm, team burnout and waste in healthcare requires organizations to tackle persistent quality, safety and workplace challenges. This work is what leads to becoming a high reliability organization (HRO). On the next three episodes, Tomas discusses with two expert guests on what constitutes an HRO and how to make that journey to better performance.
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior Principal, Clinical Operations and QualityVizient
 
Guests:Allan Frankel, MDExecutive Principal, Safe and Reliable HealthcareVizient
 
Katerie Chapman, MHASenior Principal, Safe and Reliable HealthcareVizient
 
Show Notes:
[02:37] High reliability defined five key practices
[06:22] Origins of high reliability
[07:49] Combining complexity and human cognition
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Vizient Safe and Reliable Healthcare site Click here
Allan’s email: allan.frankel@vizientinc.com
Katerie’s email: katerie.chapman@vizientinc.com
 
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Accuracy in cardiac surgery documentation, Part 3

This episode of our award-winning podcast continues our examination of the complexities of cardiac surgery patients and the challenges in understanding them and in assessing and documenting  their status.
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior PrincipalClinical Operations and QualityVizient
Guest:Rachel Mack, MSN, RN, CCDS, CDIP, CCS, CRCConsulting DirectorClinical Documentation ImprovementVizient
 
Show Notes:
[00:38] Cardiac complications post-op
[04:04] Renal issues
[06:11] Respiratory issues
[08:03] Transcatheter aortic valve replacement (TAVR) and heart failure
[11:15] Issues involving major comorbid conditions (MCCs)
[12:35] The biggest take-away
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Rachel’s email: rachel.mack@vizientinc.com
 
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Accuracy in cardiac surgery documentation, Part 2

On this episode, we continue our examination of cardiac surgery with its unique challenges and risks for patients, with a  focus on accurate and thorough documentation of these procedures.
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior PrincipalClinical Operations and QualityVizient
Guest:Rachel Mack, MSN, RN, CCDS, CDIP,  CCS, CRCConsulting DirectorClinical Documentation ImprovementVizient
 
Show Notes:[00:31] Cardiac surgery patients: post-op and readmissions[01:24] “Volume overload,” i.e., heart failure[01:47] Five-day readmission stays![03:34] Story – cardiac patient on the move[04:49] Common cardiac surgeries[08:22] Vasopressors do not always indicate shock[09:24] Encephalopathy and dementia
 
Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Rachel’s email: rachel.mack@vizientinc.com
 
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Accuracy in cardiac surgery documentation, Part 1

Cardiac surgery poses unique challenges with its risks for patients, its potential complications and the difficulty in capturing the details in thorough documentation. On this episode, we discuss those challenges and how to approach them effectively.
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior PrincipalClinical Operations and QualityVizient
Guest:Rachel Mack, MSN, RN, CCDS, CDIP,  CCS, CRCConsulting DirectorClinical Documentation ImprovementVizient
 
Show Notes:[01:04] Uniqueness of cardiac surgery[01:30] Cardiopulmonary bypass and extracorporeal circulation[02:27] Postoperative issues[05:08] Cardiac surgeons and documentation[06:13] Intra-aortic balloon pumps and cardiogenic shock[07:50] Cardiogenic acute renal failure[08:31] Arrythmias and pacing[09:10] The end of the road in intervention[11:08] Document the reason for a patient’s deterioration
Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Rachel’s email: rachel.mack@vizientinc.com
 
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The workforce challenge, Part 2

The healthcare workforce is in a state of crisis: shortages of healthcare workers, rampant burnout, schedules in flux and outbreaks of violence in the workplace. On this episode, Tomas continues his discussion with a leading expert on the healthcare workforce on steps organizations can take to alleviate this crisis.
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior PrincipalClinical Operations and QualityVizient
Guests:Eric Burch, MBA, RN, FACHEExecutive PrincipalOperations and Workforce ServicesVizient
 
Show Notes:[00:32] Need for collecting and leveraging data[02:12] Reflecting the community in recruiting and retention[03:28] Addressing regulatory issues[06:10] Unions[07:06] Taking the pulse[07:35] Expanding the pipeline[09:23] Fostering wellness and resilience[10:52] Short- and long-term strategies
 
Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com 
Eric’s email: eric.burch@vizientinc.com
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The workforce challenge, Part 1

Before the Covid outbreak, the healthcare workforce was already in a state of crisis. Covid made it much worse. On this new series of our award-winning podcast, we examine the varied causes behind workforce challenges and shortages of nurses, physicians and other related disciplines. We’ll also explore steps we can take to alleviate this crisis. Joining is us a leading workforce expert to provide an overview.
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior PrincipalClinical Operations and QualityVizient
 
Guests:Eric Burch, MBA, RN, FACHEExecutive PrincipalOperations and Workforce ServicesVizient
 
Show Notes:[01:21] The workforce issue and the pandemic[02:04] Drivers of the crisis[04:19] Changing the traditional model[05:48] Potential technology role in alleviating the crisis08:[08:47] Recruitment and retention approaches[11:22] Leadership and retention
 
Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com  
Eric’s email: eric.burch@vizientinc.com 
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Documenting chronic fatigue and debilities, Part 2

On this episode, Tomas continues examining an area often overlooked in documentation – chronic fatigue and debilities. Joining him is a leading expert on clinical documentation improvement. She will demonstrate how crucial this area is to reimbursement and patient care, affecting as it does mortality, length of stay and other indicators.
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior PrincipalClinical Operations and QualityVizient
Guests:Rachel Mack, MSN, RN, CCDS, CDIP, CCS, CRCConsulting DirectorClinical Documentation ImprovementVizient
 
Show Notes:[00:37] Additional conditions in the Vizient variable[04:57] Impact on direct costs[05:46] SDOH Coding guidelines and subsequent reluctance to document[04:50] Under-documented medical conditions and their ramifications[09:08] Barriers to capturing this Vizient variable and use of queries[11:10] How correct documentation can benefit patient care down the line
 
Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com 
Rachel’s email: rachel.mack@vizientinc.com  
 
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Documenting chronic fatigue and debilities, Part 1

An area often overlooked in documentation can be crucial to reimbursement and efficacious care, and that is the realm of chronic fatigue and debilities. Joining Tomas is a leading expert that will explain the importance of accurate coding for these patients..
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior PrincipalClinical Operations and QualityVizient
Guests:Rachel Mack, MSN, RN, CCDS, CDIP,  CCS, CRCConsulting DirectorClinical Documentation ImprovementVizient
 
Show Notes:[01:07] Defining chronic fatigue and debilities[02:27] G, R and Z codes[03:19] Codes that capture Vizient variable for chronic fatigue and debilities[04:50] Under-documented medical conditions and their ramifications
 
Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Rachel’s email: rachel.mack@vizientinc.com
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