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Modern Practice PodcastModern Practice PodcastDeveloping learning areas to improve and sustain performance, Part 3On this final episode of a three-part series, Tomas finishes his discussion with two experts on high-reliability organizations who examine the crucial role of learning areas in the success of top performers. High-performing organizations take care of not only their patients but their staff and indeed enable staff to be at their best.   Host: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Performance Improvement Consulting Vizient   Guests: Suzanne Miller, MSN, RN Senior Consulting Director, Reliability and Management Systems Vizient   Katerie Chapman, MHA...2024-12-1909 minModern Practice PodcastModern Practice PodcastDeveloping learning areas to improve and sustain performance, Part 2On this episode, Tomas continues his discussion with two expert guests about learning areas and how they are proving effective and essential in developing high-reliability organizations.   Host: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Performance Improvement Consulting Vizient   Guests: Suzanne Miller, MSN, RN Senior Consulting Director, Reliability and Management Systems Vizient   Katerie Chapman, MHA Senior Principal, Safe and Reliable Healthcare Vizient   Show Notes: [00:41] Who engages in learning areas? [03:17] A flood of k...2024-12-1211 minModern Practice PodcastModern Practice PodcastDeveloping learning areas to improve and sustain performance, Part 1Learning areas have become an effective aspect of high-reliability organizations in healthcare. Employing floor or departmental huddles as the focal point for these learning areas, the experience of the huddles has been augmented and reinforced by bulletin boards and whiteboards. Even more effective is the newest wrinkle in the experience – LENS (Learning & Engagement System) boards, which are dynamic, digitally-based visual boards that can transmit messaging on a 24/7 basis in a designated learning area. On the next three episodes, Tomas discusses learning areas with two expert guests, who will share the rationale behind them and how to make them work fo...2024-12-0511 minModern Practice PodcastModern Practice PodcastThe air you breathe: Eliminating surgical smoke in the OR, Part 1The daily smoke produced in an operating room is the equivalent of 27-30 cigarettes, and the OR staff breathes this in five days a week. When tools in the OR cut and cauterize human tissue, they generate a plume of smoke containing toxic chemicals, carcinogens, malignant cells and viruses. Surgical smoke can cause a host of conditions, anything from headaches and sore throat to lung disease and lung cancer. On this episode, a Vizient expert discusses the ramifications of surgical smoke and how to begin preventing it.   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM2024-08-1509 minModern Practice PodcastModern Practice PodcastImproving care with single-use ureteroscopes, Part 2On 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, SFHM Senior Principal, Performance Improvement Consulting Vizient   Guest: Andrew Bruenderman, MHA Category Manager Surgical Services Vizient   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 Mode...2024-04-1808 minModern Practice PodcastModern Practice PodcastImproving care with single-use ureteroscopes, Part 1The 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, SFHM Senior Principal, Performance Improvement Consulting Vizient   Guest: Andrew Bruenderman, MHA Category Manager Surgical Services Vizient   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...2024-04-1109 minModern Practice PodcastModern Practice PodcastDeveloping learning areas to improve and sustain performance, Part 3On this final episode of a three-part series, Tomas finishes his discussion with two experts on high-reliability organizations who examine the crucial role of learning areas in the success of top performers. High-performing organizations take care of not only their patients but their staff and indeed enable staff to be at their best.   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Performance Improvement Consulting Vizient   Guests: Suzanne Miller, MSN, RN Senior Consulting Director, Reliability and Management Systems Vizient   Katerie Chapman, MHA...2024-02-1509 minModern Practice PodcastModern Practice PodcastDeveloping learning areas to improve and sustain performance, Part 2On this episode, Tomas continues his discussion with two expert guests about learning areas and how they are proving effective and essential in developing high-reliability organizations.   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Performance Improvement Consulting Vizient   Guests: Suzanne Miller, MSN, RN Senior Consulting Director, Reliability and Management Systems Vizient   Katerie Chapman, MHA Senior Principal, Safe and Reliable Healthcare Vizient   Show Notes: [00:41] Who engages in learning areas? [03:17] A flood of k...2024-02-0811 minModern Practice PodcastModern Practice PodcastDeveloping learning areas to improve and sustain performance, Part 1Learning areas have become an effective aspect of high-reliability organizations in healthcare. Employing floor or departmental huddles as the focal point for these learning areas, the experience of the huddles has been augmented and reinforced by bulletin boards and whiteboards. Even more effective is the newest wrinkle in the experience – LENS (Learning & Engagement System) boards, which are dynamic, digitally-based visual boards that can transmit messaging on a 24/7 basis in a designated learning area. On the next three episodes, Tomas discusses learning areas with two expert guests, who will share the rationale behind them and how to make them work fo...2024-02-0111 minModern Practice PodcastModern Practice PodcastThe journey to high reliability, Part 3This 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, SFHM Senior Principal, Clinical Operations and Quality Vizient   Guests: Allan Frankel, MD Executive Principal, Safe and Reliable Healthcare Vizient   Katerie Chapman, MHA Senior Principal, Safe and Reliable Healthcare Viz...2024-01-2510 minModern Practice PodcastModern Practice PodcastThe journey to high reliability, Part 2On 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, SFHM Senior Principal, Clinical Operations and Quality Vizient   Guests: Allan Frankel, MD Executive Principal, Safe and Reliable Healthcare Vizient   Katerie Chapman, MHA Senior Principal, Safe and Reliable Hea...2024-01-1814 minModern Practice PodcastModern Practice PodcastThe journey to high reliability, Part 1Reducing 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, SFHM Senior Principal, Clinical Operations and Quality Vizient   Guests: Allan Frankel, MD Executive Principal, Safe and Reliable Healthcare Vizient   Kat...2024-01-1110 minModern Practice PodcastModern Practice PodcastDocumenting chronic fatigue and debilities, Part 2On 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, SFHM Senior Principal Clinical Operations and Quality Vizient Guests: Rachel Mack, MSN, RN, CCDS, CDIP, CCS, CRC Consulting Director Clinical Documentation Improvement Vizient   Show Notes: ...2023-11-3012 minModern Practice PodcastModern Practice PodcastDocumenting chronic fatigue and debilities, Part 1An 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, SFHM Senior Principal Clinical Operations and Quality Vizient Guests: Rachel Mack, MSN, RN, CCDS, CDIP,  CCS, CRC Consulting Director Clinical Documentation Improvement Vizient   Show Notes: [01:07] Defining chronic fatigue and debilities [02:27] G, R and Z co...2023-11-2212 minModern Practice PodcastModern Practice PodcastAnnual coding update, Part 2This episode of our award-winning podcast continues an examination of the recent updates to the coding guidelines released by the Centers for Medicare and Medicaid Services (CMS). Knowing these guidelines is crucial to practices and healthcare organizations for accurate reporting and reimbursement. Two leading clinical documentation experts join Tomas in this critical discussion.   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient Guests: Sheila Bowlds, MBA Associate Principal Clinical Documentation Improvement Vizient Jim Tamburini, BS, RHIT, CCS, CCS-P, C...2023-11-1610 minModern Practice PodcastModern Practice PodcastAnnual coding update, Part 1Every year, the Centers for Medicare and Medicaid Services (CMS) makes revisions, additions and deletions to the coding guidelines that healthcare organizations and practices use for reporting, billing and reimbursement. The guidelines for 2024 include a number of new guidelines dealing with social determinants of health (SDOH) issues. It is crucial for practices to fully understand all the guideline updates for accurate reporting and maximized reimbursement. In the next two episodes, Tomas discusses the latest coding guidelines with two leading clinical documentation experts. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and...2023-11-0915 minModern Practice PodcastModern Practice PodcastWhy Risk Adjustment Is So ImportantThis episode of the award-winning podcast examines the importance of risk adjustment. Dr. Tomas Villanueva leads the discussion on the impact of this crucial aspect of documentation that can affect hospital outcomes.   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient   Guest: Erica Braun, MS, RN, CCDS Senior Consulting Director Clinical Documentation Improvement Vizient   Show Notes: [01:29] Defining risk adjustment – maintaining an apples to apples comparison [02:41] Capturing comorbid conditions to the highe...2023-09-0711 minModern Practice PodcastModern Practice PodcastChallenges in Documenting Spinal Surgery, Part 3On this episode, Dr. Tomas Villanueva and a leading clinical documentation expert finish their discussion on the need to correctly document everything involving spial surgery. Spinal surgery represents a complex challenge for documentation specialists and clinicians alike, and this episode will clear up what is needed to be successful in coding and documenting these procedures.   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient Guest: Rachel Mack, MSN, RN, CCDS, CDIP, CCS, CRC Consulting Director Clinical Documentation Improvement Vizient 2023-08-3115 minModern Practice PodcastModern Practice PodcastChallenges in Documenting Spinal Surgery, Part2On this episode, Dr. Tomas Villanueva continues his discussion with a leading clinical documentation expert on the need to correctly document everything involving spinal surgery. Spinal surgery represents a complex challenge for documentation specialists and clinicians alike.   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient Guest: Rachel Mack, MSN, RN, CCDS, CDIP, CCS, CRC Consulting Director Clinical Documentation Improvement Vizient   Show Notes: [00:41] Rise in spinal surgeries [01:23] Coding challenges and parameters ...2023-08-2411 minModern Practice PodcastModern Practice PodcastChallenges in Documenting Spinal Surgery, Part 1Spinal surgery represents a complex challenge for clinical documentation. Difficult to code and representing query situations that can be demanding, this is the area of focus for this episode of Modern Practice. Joining Dr. Tomas Villanueva is a leading expert returning to the podcast to talk about the challenges of spinal surgery documentation.   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient   Guest: Rachel Mack, MSN, RN, CCDS, CDIP, CCS, CRC Consulting Director Clinical Documentation Improvement Vizient ...2023-08-1709 minModern Practice PodcastModern Practice PodcastCapturing Mental Health Diagnoses in CDI, Part 2In this episode, we continue our discussion about the value of diagnosing mental health and why it's important to make that diagnosis. Dr. Tomas Villanueva Welcomes back a leading expert who is well-versed in the documentation of mental health.   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Clinical Operations and Quality Vizient   Guest: Connie Ryan, MBA, RN, CDIP Consulting Director, Clinical Documentation Integrity Vizient   Show Notes: [01:14] Overcoming reluctance to diagnose mental health ...2023-08-1009 minModern Practice PodcastModern Practice PodcastEmerging Treatments for Atrial Fibrillation, Part 3In this episode, we finish our three-part series updating therapeutic approaches in the field of electrophysiology. Joining us again is a leader in the field, who explains ablation therapies for atrial fibrillation, including the latest therapy to emerge: pulsed field ablation. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient Guest: Thomas Munger, MD Chair, Heart Rhythm Division Associate Professor of Medicine Mayo Clinic Show Notes: [00:47] Recap of AF ablation [02:08] Electroporation [04:47] Research and specifications...2023-07-2710 minModern Practice PodcastModern Practice PodcastEmerging Treatments for Atrial Fibrillation, Part 2On 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, SFHM Senior Principal Clinical Operations and Quality Vizient Guest: Thomas Munger, MD Chair, Heart Rhythm Division Associate Professor of Medicine Mayo Clinic Show Notes: [00:50] Atrial fibrillation: pathophysiology and risk factors [03:20] Treating rhythm and treating rate [02:44] Electrophysiology and...2023-07-2010 minModern Practice PodcastModern Practice PodcastEmerging Treatments for Atrial Fibrillation, Part 1Atrial 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, SFHM Senior Principal, Clinical Operations and Quality Vizient Guest: Thomas Munger, MD Chair, Heart Rhythm Division Associate Professor of Medicine Mayo Clinic Show Notes: [01:06] History of electrophysiology [01:55] Training to become an electrophysiologist [02:44] Electrophysiology...2023-07-1309 minModern Practice PodcastModern Practice PodcastMental fitness for physicians, Part 2This episode of our award-winning podcast continues the discussion on why mental fitness is so crucial for physicians and other clinicians today and yet is a concept that physicians still tend to avoid or downplay. Physician training and medical school have not helped. Join us for this gritty discussion. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient Guest: Cecilia Cruz, MD, MPH, CPCC, ACC Founder and Chief Executive Officer Marpe, LLC Board-certified emergency medicine physician Former co-chair of Quality Division...2023-06-2910 minModern Practice PodcastModern Practice PodcastEnhancing CDI interrelationships: the importance of a de-siloed approach, Part 3This edition of our award-winning podcast finishes the discussion on how improving relationships with hospital staff, particularly clinical staff, can bring improvement in documentation. This can then improve patient care and reimbursement.   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient   Guest: Amber Sterling, RN, BSN, CCDS Senior Consultant Clinical Documentation Improvement Vizient   Show Notes: [00:53] Copying and pasting – the need for editing [03:40] Meaningful data as an effective motivator – measuring success ...2023-05-0411 minModern Practice PodcastModern Practice PodcastEnhancing CDI interrelationships: the importance of a de-siloed approach, Part 2On this episode, we continue examining how improving relationships with hospital staff, particularly clinical staff, can bring improvement in documentation, which can then improve patient care and reimbursement.   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Clinical Operations and Quality Vizient   Guest: Amber Sterling, RN, BSN, CCDS Senior Consultant, Clinical Documentation Improvement Vizient   Show Notes: [00:42] Imprecise documentation and the need for partnership [02:04] Communication about accurate DRG documentation [02:36] Managing the...2023-04-2708 minModern Practice PodcastModern Practice PodcastEnhancing CDI interrelationships: the importance of a de-siloed approach, Part 1Counteracting errors in clinical documentation can improve care for the patient and reimbursement for the health care organization by giving a true picture of the care offered. On this episode, we discuss how improving relationships with hospital staff, particularly clinical staff, can bring improvement in documentation.   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Clinical Operations and Quality Vizient   Guest: Amber Sterling, RN, BSN, CCDS Senior Consultant, Clinical Documentation Improvement Vizient   Show Notes: ...2023-04-2008 minModern Practice PodcastModern Practice PodcastRisk model changes and CDI, Part 2This episode of our award-winning podcast continues examining the impact of risk adjustment models and methodologies. Knowing the models and their updates is crucial to full reimbursement for the patient’s care.   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Clinical Operations and Quality Vizient   Guest: Jim Tamburini, BS, RHIT, CCS, CCS-P, CDIP Senior Consulting Director, Clinical Documentation Improvement and Coding Vizient   Show Notes: [00:47] Variables and POA [03:03] Heart failure [04:00] Changes in the COVID model and p...2023-04-1308 minModern Practice PodcastModern Practice PodcastRisk model changes and CDI, Part 1This episode of our award-winning podcast examines the impact of risk adjustment models and methodologies. Knowing the models and their updates is crucial to full reimbursement for the patient’s care.   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Clinical Operations and Quality Vizient   Guest: Jim Tamburini, BS, RHIT, CCS, CCS-P, CDIP Senior Consulting Director, Clinical Documentation Improvement and Coding Vizient   Show Notes: [00:58] The importance of risk models [01:35] Reflecting how sick your patients are [01:54] Varia...2023-04-0609 minModern Practice PodcastModern Practice PodcastThe CMS Star mortality rating, Part 2This episode of our award-winning podcast continues an examination of the CMS Star mortality rating, its significance and what clinical practices and organizations can do to improve their mortality scores.   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Clinical Operations and Quality Vizient   Guests: Linda Wiseman, BSN, RN, CCDS Senior Consulting Director, Clinical Documentation Improvement Vizient   Rachel Mack, MSN, RN, CCDS, CDIP, CCS, CRC Consulting Director, Clinical Documentation Improvement Vizient   Show Notes: [00:37] How...2023-03-3008 minModern Practice PodcastModern Practice PodcastThe CMS Star mortality rating, Part 1This episode of our award-winning podcast begins a two-part series on the CMS Star Rating. The Centers for Medicare and Medicaid Services (CMS) provide the star rating system to evaluate health and drug services for the benefit of patients, enabling them to make informed care decisions. The next two episodes will examine the star mortality rating specifically, its significance and what clinical practices and organizations can do to improve their mortality ratings.   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Clinical Operations and Quality Vizient   Guests: Li...2023-03-2309 minModern Practice PodcastModern Practice PodcastThe promise and limitations of expedited approval, Part 2On this episode of our award-winning podcast, Tom continues his discussion with two leading pharmacy experts on what medications and classes of medications are in expedited approval and what this means for patients in overall efficacy and safety, the benefits and the drawbacks.   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Clinical Operations and Quality Vizient   Guests: Jeni Hayes, PharmD, MSPharm, BCPS Senior Clinical Manager, Pharmacy Outcomes Center for Pharmacy Practice Excellence Vizient   Steven Lucio, PharmD, BCPS Senior Pri...2023-03-1612 minModern Practice PodcastModern Practice PodcastThe promise and limitations of expedited approval, Part 1During the COVID pandemic, the vaccine approval process went from eight years to a few months. In addition, the FDA has used several expedited approval pathways, starting in the 1990s with HIV treatments and continuing today. On the next two episodes, Tom talks with two leading experts on these various approval pathways, what medications are on the approval fast track, and other considerations regarding expedited approval today.   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Clinical Operations and Quality Vizient   Guests: Jeni Hayes, PharmD, MSPharm, BCPS2023-03-0911 minModern Practice PodcastModern Practice PodcastSocial determinants of health, Part 2On this episode of our award-winning podcast, we continue to examine the importance of social determinants of health (SDOH), the conditions in which patients are born and live. This discussion will provide ways organizations and practices can address SDOH and improve crucial patient outcomes. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Clinical Operations and Quality Vizient   Guest: Rachel Mack, MSN, RN, CCDS, CDIP, CCS, CRC Consulting Director, Clinical Documentation Improvement Vizient   Connie Ryan, MBA, RN, CDIP Consulting Director, Clinical Do...2023-03-0217 minModern Practice PodcastModern Practice PodcastSocial determinants of health, Part 1“In the long run, housing may be more important to health than hospitals.” This surprising quote points out the fact that only 20 percent of the nation’s health is the result of clinical care. Social determinants of health (SDOH), the conditions in which individuals are born and live, drive over 50 percent of a patient’s health. SDOH include circumstances such as socioeconomic status and physical environment. Addressing these factors improves crucial patient outcomes, and on this episode, we’ll discuss how documenting and reporting SDOH can help a clinical practice or organization address these factors.   Moderator:2023-02-2311 minModern Practice PodcastModern Practice PodcastPharmacy Benefit Managers, Part 1As patients take on more of their medication costs through higher deductibles and coinsurance, Pharmacy Benefit Managers (PBMs) are becoming more and more crucial to the process. PBMs are key to determining the medications available to patients and what patients have to pay for them. Yet, there can be an alternative to PBMs, and on this episode, we explore how health care organizations can find alternative solutions for skyrocketing drug costs, solutions that are at the level of the individual patient and the provider and not at the macro level taken by PBMs.   Moderator: T...2023-01-2615 minModern Practice PodcastModern Practice PodcastClinical quality: the elusive panacea, Part 3This final episode of a three-part series on clinical quality focuses on documentation and the impact correct documentation can make on improving care. Also featured is a discussion on what needs to happen in the future to improve quality.   Guest speakers: Angela Hunt, RN, MBA, CCDS Principal, Clinical Documentation Vizient   Rick May, MD Senior Principal, Clinical Quality Improvement Vizient   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Clinical Operations and Quality Vizient   Show Notes: 2023-01-0508 minModern Practice PodcastModern Practice PodcastClinical quality: the elusive panacea, Part 2This episode continues a three-part series on clinical quality: why it is still elusive and what practices and organizations can do to overcome the massive challenges around quality improvement. This program focuses on those challenges but also the benefits in the drive toward quality in health care.   Guest speakers: Angela Hunt, RN, MBA, CCDS Principal, Clinical Documentation Vizient   Rick May, MD Senior Principal, Clinical Quality Improvement Vizient   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM ...2022-12-2911 minModern Practice PodcastModern Practice PodcastClinical quality: the elusive panacea, Part 1Since the publication of “To Err Is Human” over 20 years ago, focus on healthcare quality has intensified. Yet, progress has been halting at best, with hospital-acquired conditions, medication errors, and many other issues still prevalent. This episode begins a three-part series on clinical quality: why it is still elusive and what are recommended actions that clinical practices and organizations can take to attain quality improvement.   Guest speakers: Angela Hunt, RN, MBA, CCDS Principal, Clinical Documentation Vizient   Rick May, MD Senior Principal, Clinical Quality Improvement Vizient  2022-12-2210 minModern Practice PodcastModern Practice PodcastThe impact of drug shortages, Part 3This episode of our award-winning podcast finishes the three-part series on the various drug shortages occurring today and what organizations and practices can do about them.   Guest speaker: Mittal Sutaria, PharmD Senior Vice President Contract and Program Services, Pharmacy Vizient   Steven Lucio, PharmD, BCPS Senior Principal, Pharmacy Solutions Vizient   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Clinical Operations and Quality Vizient   Show Notes: [00:40] Challenges of dealing with China and the impa...2022-12-1511 minModern Practice PodcastModern Practice PodcastThe impact of drug shortages, Part 2On this episode of our award-winning podcast, we continue our series on the various drug shortages occurring today and what organizations and practices can do about them.   Guest speaker: Mittal Sutaria, PharmD Senior Vice President Contract and Program Services, Pharmacy Vizient   Steven Lucio, PharmD, BCPS Senior Principal, Pharmacy Solutions Vizient   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Clinical Operations and Quality Vizient   Show Notes: [00:33] Challenges dealing with shortages [01:58] Usin...2022-12-0811 minModern Practice PodcastModern Practice PodcastThe impact of drug shortages, Part 1For a long time, drug shortages have made a tremendous impact on clinical practice, but now, because of the pandemic and its aftermath, those shortages are acute. This new series will cover the various shortages that are occurring today and what we can do about them.   Guest speaker: Mittal Sutaria, PharmD Senior Vice President Contract and Program Services, Pharmacy Vizient   Steven Lucio, PharmD, BCPS Senior Principal, Pharmacy Solutions Vizient   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Clinical Ope...2022-12-0209 minModern Practice PodcastModern Practice PodcastMind the gap! Medication safety in 2022 – Part 2This episode of our award-winning podcast continues an examination of medication safety and how health care organizations can maintain it during this time of shortages, both in supplies and workforce. Two leading pharmacy experts join Tom to explore strategies organizations can use to keep medication safety in the forefront of their care.   Guest speakers: Gretchen Brummel, PharmD, BCPS Consulting Solutions Director Pharmacy Vizient   Carina Dolan, PharmD, MS, BCOP Senior Director Pharmacy Services Vizient   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFH...2022-10-2711 minModern Practice PodcastModern Practice PodcastThe polio outbreak – Part 2On this episode of our award-winning podcast, we conclude our examination of the recent outbreak of polio in New York and its ramifications for the healthcare system. Dr. Martin Lucenti joins Dr. Tom Villanueva for this comprehensive discussion.   Guest speaker: Martin Lucenti, MD, PhD Chief Medical Officer and Senior Vice President Product Strategy and Innovation Vizient   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient   Show Notes: [00:28] Polio carriers [01:07] Asymptomatic car...2022-10-1310 minModern Practice PodcastModern Practice PodcastThe polio outbreak – Part 1On this episode of our award-winning podcast, we discuss the recent outbreak of polio in New York and its ramifications for the healthcare system. On this two-part series, Dr. Martin Lucenti joins Dr. Tom Villanueva in a comprehensive discussion of polio, covering its origins, pathophysiology and the preventative measures available for it, including an overview of vaccines.   Guest speaker: Martin Lucenti, MD, PhD Chief Medical Officer and Senior Vice President Product Strategy and Innovation Vizient   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Clinical Op...2022-10-0609 minModern Practice PodcastModern Practice PodcastThe monkeypox epidemic – Part 2This episode continues the discussion of the monkeypox outbreak, highlighting symptoms, preventive measures, and treatment approaches.   Guest speaker: Martin Lucenti, MD, PhD Chief Medical Officer and Senior Vice President Product Strategy and Innovation Vizient   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Principal, Clinical Operations and Quality Vizient   Show Notes: [00:22] Symptoms [00:44] When someone is contagious [03:22] The monkeypox vaccine   Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Dr...2022-09-0107 minModern Practice PodcastModern Practice PodcastThe monkeypox epidemic – Part 1Cases of the monkeypox virus continue to rise in the United States, creating concerns and even fears, much of those concerns due to lack of information or misinformation. On this two-episode series, Dr. Martin Lucenti joins Dr. Tom Villanueva in a comprehensive discussion of monkeypox, covering its origins and pathophysiology and the preventative measures and therapies available to combat it.   Guest speaker: Martin Lucenti, MD, PhD Chief Medical Officer and Senior Vice President Product Strategy and Innovation Vizient   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Se...2022-08-2509 minModern Practice PodcastModern Practice PodcastThe impact of conservative coding – Part 2Getting to the clinical truth is the real purpose of coding, according to our two experts on this episode of our award-winning podcast. We’ll continue our discussion on avoiding defensive coding practices and improving clinical data and reimbursement.   Guest speakers: Jim Tamburini, BS, RHIT, CCS, CCS-P, CDIP Senior Consulting Director Vizient   Sheila Bowlds, MBA Senior Consulting Director Vizient   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Principal Clinical Operations and Quality Vizient   Show Notes: ...2022-07-2813 minModern Practice PodcastModern Practice PodcastThe impact of conservative coding – Part 1“If that physician documentation isn't there to support how sick that patient really is, number one, the hospital's reimbursement will suffer. But number two, the physician will appear that they're treating healthier patients than they actually are.” This quote from our guest on today’s Modern Practice highlights the fact that conservative coding or defensive coding can be costly. On this episode of our award-winning podcast, we’ll discuss how to code correctly to provide a true picture of patient severity, leading to better data and reimbursement.   Guest speaker: Jim Tamburini, BS, RHIT, CCS, CCS-P, CD...2022-07-2115 minModern Practice PodcastModern Practice PodcastComprehensive quality transformation – Part 3On this episode of our award-winning podcast, we conclude a three-part series on how to focus on areas that will bring comprehensive quality transformation to your practice. Developing a culture that embraces  this focus is a key to sustaining your efforts.   Guest speakers: Rick May, MD Senior Principal, Clinical Quality Improvement Vizient Orthopedic Surgeon   Tod Baker, BS Principal, Clinical Quality Improvement Vizient   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Principal, Clinical Operations and Quality Vizient   Sho...2022-07-1411 minModern Practice PodcastModern Practice PodcastComprehensive quality transformation – Part 2Dr. Rick May, one of the guests on today’s episode, has this to say about a good many quality improvement initiatives, “What we see, which is unfortunately, all too common these days, hospitals just flail. They do one thing, they try another, nothing sustains. At the end of the day, they look back after a year or two of work and they just haven't gained any ground at all.” Today, on Modern Practice, we discuss a more focused and lasting approach to improvement initiatives that will bring comprehensive quality transformation to your practice.   Guest speaker...2022-07-0711 minModern Practice PodcastModern Practice PodcastComprehensive quality transformation – Part 1Today, it’s not enough to just pick a few quality initiatives to work on each year and hope for the best. Complex systems like hospitals need a comprehensive approach: an interlinked series of people, programs, and analytics to consistently improve and sustain quality. This episode of Modern Practice covers comprehensive and sustained quality transformation.   Guest speakers: Rick May, MD Senior Principal, Clinical Quality Improvement Vizient Orthopedic Surgeon   Tod Baker, BS Principal, Clinical Quality Improvement Vizient   Moderator: Tomas Villanueva, DO, MBA...2022-06-3010 minModern Practice PodcastModern Practice PodcastCMS 2023 billing guidelines and split/shared visits – Part 2Practices have just to the end of the year to prepare for and adjust to the new CMS billing guidelines that include rules around split/shared visits between physicians and advanced practice providers (APPs). On this episode of Modern Practice, we’ll continue our discussion about these 2023 guidelines and examine tactics you can use to improve your performance under them.   Guest speakers: Christen Hunt, DNP, NP-C, CPNP-AC Senior Director Clinical Team Insights Vizient   Jennifer Sarno, MSN, ACNP-BC, CPHQ Programmatic Advisor Director Clinical Team Insights Vizi...2022-06-2310 minModern Practice PodcastModern Practice PodcastCMS 2023 billing guidelines and split/shared visits – Part 1Six months left. That’s how long practices have to adjust to the new CMS billing guidelines that include rules around split/shared visits between physicians and advanced practice providers (APPs). Once it happens, it will be a huge disruption to how split/shared patient care is delivered and reported. On this episode of Modern Practice, we discuss the impact of these new guidelines and how practices can get prepared and respond effectively.   Guest speakers: Christen Hunt, DNP, NP-C, CPNP-AC Senior Director Clinical Team Insights Vizient   Jennifer Sarn...2022-06-1611 minModern Practice PodcastModern Practice PodcastOptimizing your national scorecard performanceThere are dozens of national scorecards and hundreds of metrics to track the performance of health care organizations. Yet, it is a challenge to use these metrics to improve care. From deciding on which scorecard to use to figuring out how to best employ scorecard metrics, the choices can be bewildering. On this episode, we’ll discuss how you can address these issues and optimize your organization’s national scorecard performance.   Guest speaker: Rick May, MD Senior Principal Clinical Quality Improvement Vizient Orthopedic Surgeon Moderator: Tomas Villanueva, DO, M...2022-06-0210 minModern Practice PodcastModern Practice PodcastDeveloping a business intelligence organization – Part 2“Bad data leads to $3.1 trillion in lost revenue opportunity,” says Tod Baker, quoting from a recent IBM study. Yet, good data empowers organizations, providing strategic direction and market advantage. On this episode, we continue our discussion on the imperatives for health care organizations to improve their business intelligence capabilities and the use of good data.   Guest speaker: Tod Baker, BS Principal, Clinical Quality Improvement Vizient   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Principal, Clinical Operations and Quality Vizient   Show Notes: [00:2...2022-05-2009 minModern Practice PodcastModern Practice PodcastDeveloping a business intelligence organization – Part 1Business intelligence empowers organizations, providing strategic direction and market advantage. Yet, health care is lagging behind other industries in analytics capabilities, and on this episode of Modern Practice, we take a look at the challenges and opportunities health care organizations face to evolve in this area.   Guest speaker: Tod Baker, BS Principal, Clinical Quality Improvement Vizient   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Principal, Clinical Operations and Quality Vizient   Show Notes: [00:44] Defining business intelligence [01:08] Common functions ...2022-05-1208 minModern Practice PodcastModern Practice PodcastDrive powerful surgical quality improvement – Part 2The mid-2000s saw a strong move toward quality in surgical procedures, with the emergence of the Surgical Care Improvement Project (SCIP), various initiatives to reduce surgical site infections (SSIs) and the National Surgical Quality Improvement Program (NSQIP) developed by the American College of Surgeons (ACS). Yet, the passing years have revealed the need to get actionable data around surgery care and outcomes for improvement efforts to succeed. Actionable data is critical to drive optimal quality and financial performance. Also needed is to provide surgeons with a system in place that fosters improvement. In this episode, we continue our...2022-05-0511 minModern Practice PodcastModern Practice PodcastDrive powerful surgical quality improvement – Part 1“Surgeons don’t actually care that much about mortality.” So says orthopedic surgeon Dr. Rick May, a Senior Principal at Vizient. This may seem surprising, but in this episode, Dr. May goes on to explain how other metrics around surgery are much more important and valuable. In this interview, you’ll hear his explanation  and learn a lot more about the current move toward quality in surgical procedures.   Guest speaker: Rick May, MD Senior Principal Clinical Quality Improvement Vizient Orthopedic Surgeon   Moderator: Tomas Villanueva, DO, MBA, FACPE...2022-04-2810 minModern Practice PodcastModern Practice PodcastInsights through the Vizient—Phrase Health partnership – Part 3This episode concludes a three-part series with the co-founders of Phrase Health. Their discussion continues on the insights Phrase Health’s technology provides Vizient members. Reducing variation in clinical practice is a key issue covered in this discussion, as well as reducing unnecessary alerts in the electronic health record (EHR).   Guest speaker: Marc Tobias, MD Chief Executive Officer and Co-founder Phrase Health   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Principal, Clinical Operations and Quality Vizient   Show Notes: [00:22] The EHR: a win...2022-04-2113 minModern Practice PodcastModern Practice PodcastInsights through the Vizient—Phrase Health partnership – Part 2This episode is part two of a three-part series with the co-founders of Phrase Health. It will continue their discussion on the insights Phrase Health’s technology provides Vizient members. Reducing variation in clinical practice is the key function.   Guest speaker: Mike Zeidlhack, MBA Chief Operating Officer and Co-founder Phrase Health   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Principal Clinical Operations and Quality Vizient   Show Notes: [00:34] Reducing clinical variation [01:43] Helping all health systems [02:50] “We practic...2022-04-1409 minModern Practice PodcastModern Practice PodcastInsights through the Vizient—Phrase Health partnership – Part 1Reducing variation in clinical practice is ongoing in health care, and Vizient members have used the Clinical Data Base (CDB) to focus on areas for improvement by identifying variation across the care continuum. However, the CDB does not provide detail on the source of variation. It does not provide attribution. The new partnership with Phrase Health will empower members to find that information. This episode begins a three-part series with the co-founders of Phrase Health, and they will go into detail on insights Phrase Health’s technology provides Vizient members.   Guest speakers: Marc Tobias, MD2022-04-0710 minModern Practice PodcastModern Practice PodcastMoving from pandemic to endemic – Part 2On this episode, two leading experts join Tom to discuss reaching an endemic state with COVID-19. Points of consideration are the role of vaccines, which one expert describes as “the cornerstone for reaching an endemic state,” dealing with variants, vaccinating children, the challenge of asymptomatic COVID and other issues.   Guest speakers: Madeleine McDowell, MD Senior Principal Intelligence Vizient   Martin Lucenti, MD, PhD Senior Vice President and Chief Medical Officer Solution Architecture Vizient   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Pri...2022-03-0314 minModern Practice PodcastModern Practice PodcastThe partnership between clinical documentation specialists and codersA robust and effective clinical documentation program needs a strong partnership between clinical documentation specialists and coders. Yet, rifts can occur between those two groups, and this episode examines how those differences happen, why it is important to cultivate and encourage this vital partnership.   Guest speaker: Rachel Mack, MSN, CCDS, CDIP, CCS, CRC Consulting Director, Clinical Documentation Vizient   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Principal, Clinical Operations and Quality Vizient   Show Notes: [00:39] Story of a rift between clinical doc...2022-02-0210 minModern Practice PodcastModern Practice PodcastCDI technology – Part 2This episode continues an examination of CDI software, considering how best to use the technology and take into account the need for critical thinking beyond it. Cutting-edge automation does not replace the skills of CDI specialists and coders.   Guest speaker: Rachel Mack, MSN, CCDS, CDIP, CCS, CRC Consulting Director, Clinical Documentation Vizient   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Principal, Clinical Operations and Quality Vizient   Show Notes: [00:49] Essentials to keep in mind when using CDI software technology during concurrent rev...2022-01-2011 minModern Practice PodcastModern Practice PodcastCDI technology – Part 1Clinical documentation improvement (CDI) is crucial for full and accurate reimbursement and reduced compliance risks. Many software programs provide automation to assist coding and prioritization. However, clinical documentation specialists (CDSs) and coding professionals need to use these enhanced software tools along with critical thinking skills to take advantage of query opportunities. On this episode, we’ll discuss how to effectively use CDI technology.   Guest speaker: Rachel Mack, MSN, CCDS, CDIP, CCS, CRC Consulting Director, Clinical Documentation Vizient   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM...2022-01-1311 minModern Practice PodcastModern Practice PodcastUpdate on MACRA Rule 2022 – Part 3This episode is the final in the series on the final MACRA Rule for 2022. An excerpt from the recent Medical Leadership Series webcast, the discussion on this episode focuses on MIPS Accountable Care Organizations (ACOs), Business Associate Agreements (BAAs) , new performance category percentages, the Outpatient Prospective Payment System (OPPS) and other issues.   Guest speakers: Valinda Rutledge, MBA, MSN Senior Advisor, Sg2 Vizient   Madeleine McDowell, MD Principal and Medical Director, Sg2 Vizient   Moderator: Tomas Villanueva, DO, MBA...2022-01-0614 minModern Practice PodcastModern Practice PodcastUpdate on MACRA Rule 2022 – Part 2This episode, an excerpt from the recent Medical Leadership Series webcast, continues the discussion of the final MACRA Rule for 2022, focusing on challenges providers now face as MACRA progresses into next year and the serious consideration providers should give to joining an Alternative Payment Model (APM). Also part of the discussion are MIPS Value Pathways (MVPs) and Advanced Alternative Payment Models (aAPMs).   Guest speakers: Valinda Rutledge, MBA, MSN Senior Advisor, Sg2 Vizient   Madeleine McDowell, MD Principal and Medical Director, Sg2 Vizient...2021-12-3010 minModern Practice PodcastModern Practice PodcastUpdate on MACRA Rule 2022 – Part 1For physician and clinician leaders, this episode provides the latest information on the final MACRA Rule for 2022, including regulatory activities impacting reimbursement. We will discuss the Merit-based Incentive Payment System (MIPS), Alternative Payment Models (APMs), telehealth reimbursement, split visit payment rules and other information crucial to physicians and clinicians.   Guest speakers: Valinda Rutledge, MBA, MSN Senior Advisor, Sg2 Vizient   Madeleine McDowell, MD Principal and Medical Director, Sg2 Vizient   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM ...2021-12-2311 minModern Practice PodcastModern Practice PodcastAccreditation services – Part 2A strategy to achieve regulatory and accreditation compliance is important more than ever, especially in the wake of COVID-19 when regulatory agencies ramp up their efforts again. On this episode, we’ll discuss how health care organizations can face the challenges they face in achieving compliance.   Guest speaker: Diana Scott, MHA, RN, CPHQ Associate Vice President Accreditation and Regulatory Services Vizient   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Principal Clinical Operations and Quality Vizient  2021-12-0311 minModern Practice PodcastModern Practice PodcastHierarchical Condition Categories – Part 2This episode continues the discussion on Hierarchical Condition Categories, or HCCs, examining the impact of HCCs on reimbursement, approaches to risk-adjustment and changes in payment policies.   Guest speaker: Angela Hunt, RN, MBA, CCDS Principal Operations and Quality Vizient   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Principal Clinical Operations and Quality Vizient   Show Notes: [00:43] RAF scores defined [01:22] Importance of RAF scores for reimbursement [03:40] Importance of understanding HCC...2021-10-1410 minModern Practice PodcastModern Practice PodcastHospital mortality reduction – Part 3On this episode, we conclude our series on mortality by examining palliative care, home care and hospice care. These are underused yet better and more beneficial for end-of-life situations than traditional inpatient approaches.   Guest speaker: Steve Meurer, PhD, MBA, MHS Executive Principal Data Science and Member Insights Vizient   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Principal Clinical Operations and Quality Vizient   Show Notes: [00:28] Risk adjusted mortality: examining the most rel...2021-09-3011 minModern Practice PodcastModern Practice PodcastHospital mortality reduction – Part 2Reducing hospital mortality is crucial to improve care and meet stringent reporting and reimbursement requirements. Improvements involve a complex effort involving multiple areas in the organization. On this episode, we continue our series on mortality by focusing on transfer centers and admissions as factors in reducing mortality.   Guest speaker: Steve Meurer, PhD, MBA, MHS Executive Principal Data Science and Member Insights Vizient   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Principal Clinical Operations and Quality Vizient...2021-09-2308 minModern Practice PodcastModern Practice PodcastHospital mortality reduction – Part 1“The longer you stay in the hospital, the higher chance that you have of dying in that hospital.” So says our guest in this crucial series on reducing hospital mortality. Mortality, always a leading quality indicator, is under increasing public scrutiny, with mounting pressure on health care organizations to reduce it. In this three-part series, we will discuss the multiple factors that affect hospital mortality and come into play when trying to lower mortality rates.   Guest speaker: Steve Meurer, PhD, MBA, MHS Executive Principal Data Science and Member Insights 2021-09-1610 minModern Practice PodcastModern Practice PodcastAddressing Hospital-Acquired Conditions (HACs) after COVID-19 – Part 1Even before the pandemic, health care organizations struggled with Hospital-Acquired Conditions (HACs), and the outbreak of COVID-19 only worsened infection rates. In this five-part series, we will examine four leading HACs to discuss why their rates went up and proven approaches hospital staff can use to reduce them.   Guest speaker: Richard Beaver, B.S. Chem, MBB, CPHQ Senior Consulting Director Vizient   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Principal Clinical Operations and Quality Vizient   S...2021-07-2215 minModern Practice PodcastModern Practice PodcastVaccine hesitancy among health care workers – Part 1For a variety of reasons, from concerns about side effects to lack of trust of societal institutions, many health care workers are hesitant about taking COVID vaccinations. In this episode, Tom discusses this hesitancy with two leading experts in the health care field to examine why this response is occurring and what organizations can do to encourage staff members to have the vaccines.   Guest speakers: Michele Andrasik, PhD, EdM, MS, MA Senior Staff Scientist Fred Hutchinson Cancer Research Center Clinical Assistant Professor Department of Global H...2021-06-0212 minModern Practice PodcastModern Practice PodcastConnecting with patients and families during COVID-19 – Part 3On 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 Pro...2021-04-0110 minModern Practice PodcastModern Practice PodcastConnecting with patients and families during COVID-19 – Part 2In 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 V...2021-03-2509 minModern Practice PodcastModern Practice PodcastConnecting with patients and families during COVID-19 – Part 1Two 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 I...2021-03-1810 minModern Practice PodcastModern Practice PodcastMonoclonal antibody therapy for COVID-19 – Part 3In Part 3 of this series on monoclonal antibody therapies for COVID-19, our expert panel continues their discussion on concerns about the efficacy and distribution of these treatment options. They respond to the FDA’s recent Emergency Use Authorization (EUA) for monoclonal antibodies.   Guest speakers: Azra Behlim, PharmD, MBA Senior Director Pharmacy Sourcing and Program Services  Vizient Stacy Lauderdale, PharmD Senior Director Drug Information Vizient Steve Rudner, PharmD, MS Director Pharmacy Network Contracting Vizient   Moderator: Tomas Villanueva, DO, M...2021-02-2507 minModern Practice PodcastModern Practice PodcastAdvancing team culture: workforce effectiveness during COVID-19 and beyond – Part 3In this third and final episode of our series on building a team culture, we examine the role of scope of practice, training and fostering a psychologically safe environment to improve and sustain workforce capability.   Guest speakers: Robert Dean, DO, MBA Senior Vice President Performance Management Vizient   Katie Davis, RN, MS-HSM Clinical Workforce Solutions Intelligence Director Vizient   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Associate Vice President Clinical Resources ...2021-02-0413 minModern Practice PodcastModern Practice PodcastAdvancing team culture: workforce effectiveness during COVID-19 and beyond – Part 2Despite the challenges COVID-19 has posed to health care teams, these teams have proved resilient and innovative during the crisis. However, sustaining and building on the improvements these teams have made means creating a lasting culture of teamwork. In part two of this three-part series, we consider the role of communication and conflict management in establishing this culture.   Guest speakers: Robert Dean, DO, MBA Senior Vice President Performance Management Vizient   Katie Davis, RN, MS-HSM Clinical Workforce Solutions Intelligence Director Vi...2021-01-2811 minModern Practice PodcastModern Practice PodcastAdvancing team culture: workforce effectiveness during COVID-19 and beyond – Part 1During the COVID-19 pandemic, the health care workforce has shown resiliency and agility in the face of unprecedented challenges. Yet, sustaining and improving on the advances made in the past year means building a culture of teamwork. In part one of our three-part series on workforce effectiveness, we examine what has hindered effective teamwork in the past, the challenges posed by COVID and how teams can sustain the efforts they have made and improve on those efforts in the future.   Guest speakers: Robert Dean, DO, MBA Senior Vice President P...2021-01-2113 minModern Practice PodcastModern Practice PodcastUpdate on COVID-19 vaccines – Part 2On this episode, experts from Vizient’s COVID-19 Vaccine Task Force continue their discussion on the latest details about vaccine distribution, storage, dosing and availability.   Guest speakers: Azra Behlim, PharmD, MBA Senior Director Pharmacy Sourcing and Program Services Vizient   Stacy Lauderdale, PharmD Senior Director Drug Information Vizient   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Associate Vice President Clinical Resources Vizient   Show Notes2020-12-0710 minModern Practice PodcastModern Practice PodcastUpdate on COVID-19 vaccines – Part 1News about the emerging COVID-19 vaccines has electrified the world and fueled intense speculation. Finding the truth amid all the press releases and reports is challenging. Yet, clinicians, health care organizations and patients need to distinguish fact from fiction. On this episode, experts from Vizient’s COVID-19 Task Force will give you just that, providing the latest details and developments crucial to your decision-making.   Guest speakers: Azra Behlim, PharmD, MBA Senior Director Pharmacy Sourcing and Program Services Vizient   Stacy Lauderdale, PharmD Seni...2020-12-0716 minModern Practice PodcastModern Practice PodcastConnecting with patients and families during COVID-19 – Part 2Patients and families are an untapped resource. As organizations make plans to ramp up elective surgeries and other clinical procedures, and as physicians and clinicians prepare to return to business as usual, they often fail to ask patients how they feel about it. In this episode, we examine the opinions of patients and families, captured in a recent Vizient study, on their preferences around accessing health care during COVID-19.   Guest speakers: Kellie Goodson, MS, CPXP Director, Programs Vizient   Mark Larson, MBA Principal ...2020-12-0713 minModern Practice PodcastModern Practice PodcastAchieving a highly reliable organization — Part 2On this episode, we continue our discussion on high reliability and how it can transform the system failings that cause clinical errors. Two leading experts examine health care organizations that have used the principles of high reliability to reduce dangerous errors such as pressure ulcers and drastically improve their care over a number of clinical indicators.   Guest speakers: David Munch, MD Senior Principal Vizient   Bradley Schultz, MBA Principal Vizient   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFH...2020-11-2610 minModern Practice PodcastModern Practice PodcastAchieving a highly reliable organization — Part 1Over twenty years ago, the landmark report To Err is Human shook all of health care with its focus on medical errors causing patient deaths. It cast a light on the systems that failed to ensure high-quality, safe clinical care. Yet, today, errors continue, and on this episode of Modern Practice, two leading experts discuss the principles of high reliability that address system failures and the errors they cause.   Guest speakers: David Munch, MD Senior Principal Vizient   Bradley Schultz, MBA Principal Vi...2020-11-1915 minModern Practice PodcastModern Practice PodcastThe weekend effect in hospitals: Causes and cures – Part 2This 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, CPHM Senior Principal, Advisory Solutions Vizient Eric Burch, RN, MBA Associate Principal, Advisory Soluti...2020-06-2515 minModern Practice PodcastModern Practice PodcastThe weekend effect in hospitals: Causes and cures – Part 1Patients 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   M...2020-06-1813 minModern Practice PodcastModern Practice PodcastGuidance for resumption and management of electively scheduled surgery and procedures (ESS) in the COVID-19 eraDuring 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, SFHM2020-05-1421 minModern Practice PodcastModern Practice PodcastElectively scheduled surgeries and procedures (ESS) in the COVID-19 era: patient engagement neededAs 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 Vi...2020-05-1419 minModern Practice PodcastModern Practice PodcastClinical workforce wellbeing: leading through COVID-19 and beyondReturning 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:2020-05-0421 minModern Practice PodcastModern Practice PodcastExpanded waivers and their impact on increasing scope of practiceCOVID-19 has shattered restrictions on Advanced Practice Providers (APPs), resulting in expanded scope of practice in states across the country. On this episode, two leading experts return with an update on the sweeping changes occurring in just the last couple of weeks, including expanded waivers and increasing scope of practice.   Guest speakers: Christen Hunt, DNP, NP-C, CPNP-AC Director, Nursing Programs/CAP2™ Vizient Susan Cymbor, MD Physician Accreditation Advisor Vizient   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Associate Vice President Clinical Resources ...2020-04-2514 minModern Practice PodcastModern Practice PodcastForecasting the operational and financial impacts of COVID-19The COVID-19 crisis has disrupted the financial and operational aspects of care delivery. Looking ahead, health care organizations will face even more changes. Join Dr. Tom Villanueva as he leads a discussion with two leading experts on strategies to prepare for the next stages of the crisis and even for the aftermath. They will look at maximizing capacity, the impact of payer mix operationally, patient issues and restarting the business side of care.   Guest speakers: Brian Esser, MBA Associate Principal Intelligence Vizient   ...2020-04-2117 minModern Practice PodcastModern Practice PodcastAccessing federal funds through the CARES ActTo support providers during the COVID-19 crisis, Congress has passed the Coronavirus Aid, Relief and Economic Security (CARES) Act, a $2 trillion stimulus package designed to provide funds for health care organizations across the country. Join Dr. Tom Villanueva as he discusses this law with a colleague from Sg2, who will describe how organizations can access the funds provided through the CARES Act.   Guest speaker: James Reilly Senior Principal Sg2  Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Associate Vice President Cl...2020-04-2116 minModern Practice PodcastModern Practice PodcastEnhancing appropriate hospital flow during a crisis: TelemedicineTelemedicine, or virtual health, has been an underused approach to patient care, despite a clearly stated patient preference for it. The reasons for this have been numerous and varied, but in this time of crisis, telemedicine is emerging as a way to fulfill the current need for social distancing while providing appropriate, continued care. Join Dr. Tom Villanueva as he discusses telemedicine with a leading expert in the field of virtual health. They’ll cover how the COVID-19 crisis has prompted greater efforts in this field to provide the care patients need.   Guest spe...2020-04-1416 minModern Practice PodcastModern Practice PodcastEnhancing appropriate hospital flow during a crisis: ED surge plansDuring the COVID-19 crisis, emergency departments are having to grapple with disruptions in patient flow and with shortages and other challenges that are only expected to increase as coronavirus cases surge. On this episode of Modern Practice, a leading expert in emergency department throughput discusses with Dr. Tom Villanueva how health care organizations can address the new demands they face in this crisis.   Guest speaker: Martin Lucenti, MD, PhD Senior Vice President and Chief Medical Officer Solution Architecture Vizient Moderator: Tomas V...2020-04-1421 minModern Practice PodcastModern Practice PodcastExpanding scope of practice for the COVID-19 surgeCOVID-19 cases have exploded, disrupting hospital staffing plans and stretching resources well beyond even emergency levels. With cases only expected to surge further, health care organizations need to find innovative ways to increase their staffing levels to meet the care needs of this crisis. On this episode of Modern Practice, two leading experts in this field discuss with Dr. Tom Villanueva how expanding scope of practice for Advanced Practice Providers is proving to be an answer to staffing challenges.   Guest speakers: Christen Hunt, DNP, NP-C, CPNP-AC Director, Nursing Programs/C...2020-04-0712 min