Look for any podcast host, guest or anyone
Showing episodes and shows of

Modernpracticepodcast

Shows

Modern Practice Podcast
Modern Practice PodcastInvesting in the transition of APPs to practice, Part 2On this episode, we continue our discussion about the need to provide a transition for advanced practice providers (APPs – nurse practitioners, physician assistants) from the academic setting to clinical practice, similar to the residencies and fellowships provided to physicians. You’ll learn how this transition can be a huge benefit to your practice or organization.   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Performance Improvement Consulting Vizient   Guest: Christen Hunt, DNP, FNP-C, CPNP-AC Associate Vice President, Workforce Consulting Vizient   Show Notes:
2024-02-2909 minModern Practice Podcast
Modern Practice PodcastInvesting in the transition of APPs to practice, Part 1Advanced Practice Providers, or APPs, have taken on an increasingly important role in patient care over the years. Comprised of nurse practitioners and physician assistants, APPs receive advanced education and clinical training for performing a wide range of care services, many of which were traditionally carried out by physicians. Yet, there are no residencies or fellowships to transition APPs from the academic to the clinical realm. On the next two episodes, this award-winning podcast examines how organizations and practices can address this gap.   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Performance I...
2024-02-2210 minModern Practice Podcast
Modern 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 Podcast
Modern 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 Podcast
Modern 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 Podcast
Modern 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 Podcast
Modern 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 Podcast
Modern 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 Podcast
Modern Practice PodcastAccuracy in cardiac surgery documentation, Part 3This 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, 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: [00:38] Cardiac complications post-op [04:04] Renal issues [06:11] Respiratory issues [08:03] Transcatheter aortic valve replacement (TAVR) and hea...
2024-01-0414 minModern Practice Podcast
Modern Practice PodcastAccuracy in cardiac surgery documentation, Part 2On 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, 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: [00:31] 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...
2023-12-2811 minModern Practice Podcast
Modern Practice PodcastAccuracy in cardiac surgery documentation, Part 1Cardiac 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, 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: [01:04] Uniqueness of cardiac surgery [01:30] Cardiopulmonary bypass and extracorporeal circulation [02:27] Postoperative issues...
2023-12-2111 minModern Practice Podcast
Modern Practice PodcastThe workforce challenge, Part 2The 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, SFHM Senior Principal Clinical Operations and Quality Vizient Guests: Eric Burch, MBA, RN, FACHE Executive Principal Operations and Workforce Services Vizient   Show Notes: [00:32] Need for co...
2023-12-1414 minModern Practice Podcast
Modern Practice PodcastThe workforce challenge, Part 1Before 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, SFHM Senior Principal Clinical Operations and Quality Vizient   Guests: Eric Burch, MBA, RN, FACH...
2023-12-0713 minModern Practice Podcast
Modern 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 Podcast
Modern 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 Podcast
Modern 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 Podcast
Modern 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 Podcast
Modern Practice PodcastA comprehensive approach to reducing PSIs, Part 4On this episode of our award-winning podcast, we finish our feature on an organization that has made huge strides in reducing Patient Safety Indicators (PSIs) throughout health system. We will discuss the phenomenal results of the initiative so far and what is planned for the near future at Sanford Health.   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient Guests: Rachel Leyk, RN, CMSRN, CPHQ Improvement Advisor Quality and Safety – Fargo Sanford Health Devendranath (Dev) Mannuru, MD, CHCOM...
2023-11-0212 minModern Practice Podcast
Modern Practice PodcastA comprehensive approach to reducing PSIs, Part 3On this episode of Modern Practice, we continue highlighting an organization that has made huge strides in reducing Patient Safety Indicators (PSIs) throughout health system.   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient Guests: Rachel Leyk, RN, CMSRN, CPHQ Improvement Advisor Quality and Safety – Fargo Sanford Health Devendranath (Dev) Mannuru, MD, CHCOM Internal Medicine Hospitalist CDI and Quality Physician Advisor Sanford Hospital – Fargo Khaled Zreik, MD Director, Critical Care Acute Care...
2023-10-2609 minModern Practice Podcast
Modern Practice PodcastA comprehensive approach to reducing PSIs, Part 2This episode of our award-winning podcast continues the success story of how Sanford Health has reduced PSIs through a concerted, multifaceted effort throughout the organization. Tomas interviews members of the clinical team that guided the way.   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient Guests: Rachel Leyk, RN, CMSRN, CPHQ Improvement Advisor Quality and Safety – Fargo Sanford Health Devendranath (Dev) Mannuru, MD, CHCOM Internal Medicine Hospitalist CDI and Quality Physician Advisor Sanford Hospital – Fargo
2023-10-1915 minModern Practice Podcast
Modern Practice PodcastA comprehensive approach to reducing PSIs, Part 1Developed by the Agency for Healthcare Research and Quality (AHRQ), Patient Safety Indicators, or PSIs, represent measurements of adverse events that enable healthcare organizations to gauge how they compare to others regarding patient safety. In addition, CMS looks at PSIs in scoring and penalizing organizations. In this series, Tomas talks with members of a clinical team that has seen great results in reducing PSIs throughout the organization.   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient   Guests: ...
2023-10-1211 minModern Practice Podcast
Modern Practice PodcastFacing hostile patients, Part 2Physical 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, SFHM Sen...
2023-10-0513 minModern Practice Podcast
Modern Practice PodcastFacing hostile patients, Part 1The 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. On this episode, Tomas discusses patient hostility with a leading expert on the topic.   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Clinical Operations and Quality Vizient Guest: Cecilia Cruz, MD, M...
2023-09-2810 minModern Practice Podcast
Modern Practice PodcastAdvances in colorectal cancer screening, Pt 2Screening for colorectal cancer (CRC) has seen a lot of innovations, but there is still the conventional gold standard. On this episode of our award-winning podcast, Dr. Tomas Villanueva welcomes Dr. Aziz Aadam to discuss the need for early colorectal cancer (CRC) detection, and the options available to patients.   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient Guest: Abdul Aziz Aadam, MD Interventional Gastroenterologist Director, Interventional Endoscopy Medical Director, International Patient Services Northwestern Medicine   Sh...
2023-09-2109 minModern Practice Podcast
Modern Practice PodcastAdvances in colorectal cancer screening, Pt 1In this episode of the award-winning podcast Dr. Tomas Villanueva welcomes Dr. Aziz Aadam to discuss the need for early colorectal cancer (CRC) detection, which drastically increases the rate of survival, and how improvements in CRC screening are giving patients better options.   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient   Guest: Abdul Aziz Aadam, MD  Interventional Gastroenterologist Director, Interventional Endoscopy Medical Director, International Patient Services Northwestern Medicine Show Notes: [01:11] Endoscopic sub...
2023-09-1413 minModern Practice Podcast
Modern 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 Podcast
Modern 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 Podcast
Modern 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 Podcast
Modern 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 Podcast
Modern 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 Podcast
Modern Practice PodcastCapturing Mental Health Diagnoses in CDI, Part 1In this episode, we discuss a topic that clinicians would rather avoid at times, diagnosing mental health. It can take clinicians out of their comfort zone and has little financial incentive. However, it's important to make that diagnosis when needed, and this podcast will examine why.   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: ...
2023-08-0310 minModern Practice Podcast
Modern 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 Podcast
Modern 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 Podcast
Modern 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 Podcast
Modern Practice PodcastMental fitness for physicians, Part 3Years of medical school, residency and fellowships have proven to do little in teaching physicians how to care for themselves. Physician burnout is at an all-time high. On this episode, a physician who is a  leading expert on physician stress discusses how to improve mental fitness in those who’ve given their lives to the care of others. 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 eme...
2023-07-0610 minModern Practice Podcast
Modern 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 Podcast
Modern Practice PodcastMental fitness for physicians, Part 1Though physicians spend years in medical school, residency and fellowships to learn how to care for patients, they spend little time learning how to care for themselves. Physician burnout, leading to physician turnover, is skyrocketing. On this episode, a physician who is a  leading expert on physician stress, having gone through that stress herself, discusses how to improve mental fitness in those who’ve given their lives to the care of others. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient Guest: Cecilia Cruz, MD, MPH...
2023-06-2211 minModern Practice Podcast
Modern Practice PodcastThe impact of sepsis diagnosis and documentation, Part 2This episode continues examining effective coding and documentation for sepsis cases and the impact accurate coding practices can have on clinicians and hospital operations. Paying attention to those who have sepsis present on admission (POA) is crucial to the process. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient Guest: Linda Wiseman, BSN, RN, CCDS Senior Consulting Director Clinical Documentation Improvement Vizient Show Notes: [00:50] Sepsis is one of the highest-denied DRGs; what documentation needs to include [01:16...
2023-06-1511 minModern Practice Podcast
Modern Practice PodcastThe impact of sepsis diagnosis and documentation, Part 1For decades, clinicians have known that effective intervention in sepsis cases relies universally on early diagnosis. Yet, despite this fact, sepsis remains a tough challenge.  One in three patients dying in the hospital will have sepsis. Even more importantly for documentation, 87 percent of patients in the hospital with sepsis had it before admission. This episode examines ways to improve both diagnosis and documentation for sepsis patients in order to improve care and reduce the ill effects on clinicians and hospitals. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations a...
2023-06-0808 minModern Practice Podcast
Modern Practice PodcastSurviving cardiac arrestSimon Henley was on a video call with his manager when he suddenly disappeared from the screen. He had fallen to the floor with a cardiac arrest. Not to be confused with an acute myocardial infarction, cardiac arrest is usually fatal, requiring a defibrillator and immediate CPR to revive the patient. On this episode, Simon tells his harrowing story, one with a touch of the miraculous, in how he survived those crucial first minutes and embarked on the road to recovery. Host: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Clinical Operations and...
2023-06-0111 minModern Practice Podcast
Modern Practice PodcastBenefits of improved clinical communication: a success story, Part 3On this episode, Tom completes his discussion with a physician leader whose team has developed a tool for an oncology floor that has improved communication among clinicians. Based on the SBAR approach (Situation – Background – Assessment – Recommendation), the tool has seen phenomenal results. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient Guest: Devendranath (Dev) Mannuru, MD, CHCOM Internal Medicine Hospitalist CDI and Quality Physician Advisor Sanford Hospital – Fargo Show Notes: [00:40] Challenges [01:48] A clarification that improved participation [02:18] Metrics of succe...
2023-05-2507 minModern Practice Podcast
Modern Practice PodcastBenefits of improved clinical communication: a success story, Part 2For the first time on this award-winning podcast, a faithful listener is sitting in the guest seat as he shares an exciting tool his team has developed to improve communication on an oncology floor. Join Tom as he continues his discussion with Dr. Dev Mannuru on this SBAR-based tool (Situation – Background – Assessment – Recommendation) that has produced phenomenal results.   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient   Guest: Devendranath (Dev) Mannuru, MD, CHCOM Internal Medicine...
2023-05-1810 minModern Practice Podcast
Modern Practice PodcastBenefits of improved clinical communication: a success story, Part 1This episode features a physician who is a long-term listener to the podcast and developed an exciting process with his clinical colleagues. He joins the program to discuss the tool that has improved communication among staff and patients on the oncology floor.   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient   Guest: Devendranath (Dev) Mannuru, MD, CHCOM Internal Medicine Hospitalist CDI and Quality Physician Advisor Sanford Hospital – Fargo   Show Notes: [01:30] The Interact and I...
2023-05-1110 minModern Practice Podcast
Modern 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 Podcast
Modern 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 Podcast
Modern 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 Podcast
Modern 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 Podcast
Modern 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 Podcast
Modern 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 Podcast
Modern 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 Podcast
Modern 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 Podcast
Modern 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, BCPS
2023-03-0911 minModern Practice Podcast
Modern 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 Podcast
Modern 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 Podcast
Modern Practice Podcast2023 E/M code Update, Part 2This episode of the award-winning podcast continues examining major changes in E/M coding guidelines for this year. There are a number of key revisions and deletions that could impact your practice.   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Clinical Operations and Quality Vizient   Guest: Sheila Bowlds, MBA Senior Consulting Director, Clinical Documentation Improvement Vizient   Show Notes: [00:39] Emergency department E/M Codes [01:44] Effects of changes in emergency department E/M C...
2023-02-1606 minModern Practice Podcast
Modern Practice Podcast2023 E/M code Update, Part 1For around a quarter of a century, E/M coding guidelines had few revisions, but that has all changed in the last couple of years. This year, E/M codes have a number of key revisions, with 25 deleted codes and many code changes in five categories. On this episode, we review key E/M coding changes important to you and your practice.   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Clinical Operations and Quality Vizient   Guest: Sheila Bowlds, MBA Senior Co...
2023-02-0907 minModern Practice Podcast
Modern Practice PodcastPharmacy Benefit Managers, Part 2Pharmacy Benefit Managers (PBMs) have emerged as a powerful player in healthcare today, and their role has brought value but also controversy. They have  become a negative challenge for many provider practices Yet, there is a different approach that is more provider-friencly, and on this episode, we explore the approach of Alluma as an alternative to PBMs.   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Clinical Operations and Quality Vizient   Guest: Priyesh Patel, PharmD, MBA Vice President and General Manager, Alluma Vizient  
2023-02-0216 minModern Practice Podcast
Modern 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 Podcast
Modern Practice PodcastRecap of the year, Part 2The past couple of years revealed issues that had to be faced and glaring needs that hac to be addressed. On this episode, Tom continues his review of the issues and challenges of the past year and what we can do to improve on them.   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient   Show Notes: [00:23] Increase of addiction, suicides and accidental overdoses [01:34] Addiction treatment needed [02:30] Resilience revealed [03:22] Doing more with less and using be...
2023-01-1908 minModern Practice Podcast
Modern Practice PodcastRecap of the year, Part 1Nearly three years ago, COVID-19 struck and changed the healthcare landscape. It created issues but also pushed issues to the surface that needed to be addressed. On this episode, Tom recaps the issues and challenges of the past year and what we can do to face them and make improvements.   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Clinical Operations and Quality Vizient   Show Notes: [00:54] The use of masks [02:23] Vaccines [03:37] Booster fatigue is common [05:09] Be kind to yourself ...
2023-01-1310 minModern Practice Podcast
Modern 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 Podcast
Modern 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 Podcast
Modern 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 Podcast
Modern 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 Podcast
Modern 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 Podcast
Modern Practice PodcastPreparing for flu season: vaccines and TamifluAfter a short hiatus, by and large, during the COVID outbreak, influenza is returning, with severe outbreaks in South America and other areas. This episode updates this situation and examines the preventions and treatments best for combating the flu.   Guest speaker: Stacy Lauderdale, PharmD, BCPS Senior Director, Drug Information Vizient   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Clinical Operations and Quality Vizient   Show Notes: [00:53] The return of the flu [01:44] Children and the immunity debt ...
2022-11-2313 minModern Practice Podcast
Modern Practice PodcastAI and identifying the risk of cardiac arrest – Part 3This episode concludes an examination of a new platform using artificial intelligence to identify patients at risk for a cardiac event. Two physician leaders discuss how this approach can support and revolutionize physician practice.   Guest speakers: Sanjaya Gupta, MD, MBA Cardiologist, Electrophysiologist St. Luke’s Mid-America Heart Institute   Alan Cheng, MD, MBA Chief Medical Officer, Cardiac Rhythm Management Medtronic   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Clinical Operations and Quality Vizient   Show Notes: ...
2022-11-1709 minModern Practice Podcast
Modern Practice PodcastAI and identifying the risk of cardiac arrest – Part 2On this episode of our award-winning podcast, two physician experts continue examining how artificial intelligence can identify patients at risk for a cardiac event.   Guest speakers: Sanjaya Gupta, MD, MBA Cardiologist, Electrophysiologist St. Luke’s Mid-America Heart Institute   Alan Cheng, MD, MBA Chief Medical Officer, Cardiac Rhythm Management Medtronic   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient   Show Notes: [01:04] Rationale for the Mpirik artificial intelligence platform in cli...
2022-11-1009 minModern Practice Podcast
Modern Practice PodcastAI and identifying the risk of cardiac arrest – Part 1Cardiac arrest has a fatality rate approaching 100%, and this episode of our award-winning podcast will examine ways artificial intelligence can identify at-risk patients before an event happens.   Guest speakers: Doug Beinborn, MA Associate Principal Vizient   Logan Brigman, BS Chief Executive Officer Mpirik   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Clinical Operations and Quality Vizient   Show Notes: [01:17] Sudden cardiac arrest and its impact [01:43] The role of AI in assisting the iden...
2022-11-0315 minModern Practice Podcast
Modern 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 Podcast
Modern Practice PodcastMind the gap! Medication safety in 2022 – Part 1On this two-part series of our award-winning podcast, we discuss medication safety and how the COVID-19 pandemic has impacted it. Because of the pandemic, health care has experienced shortages of medications and challenges in the workforce. Yet, the rigors and framework of maintaining patient safety are just as crucial now as ever before. Leading pharmacy experts join Tom in this series to examine how health care organizations can manage scarce resources and keep medication safety in the forefront of their care.   Guest speaker: Gretchen Brummel, PharmD, BCPS Consulting Solutions Director Pharmacy V...
2022-10-2009 minModern Practice Podcast
Modern 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 Podcast
Modern 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 Podcast
Modern Practice PodcastIssues around Paxlovid – Part 2This episode continues our discussion on the important new COVID treatment Paxlovid. Covered in this program are issues such as resistance, drug-to-drug interactions, the recommended course of treatment and impact on patient care.   Guest speaker: Stacy Lauderdale, PharmD, BCPS Senior Director, Drug Information Vizient   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Principal, Clinical Operations and Quality Vizient   Show Notes: [00:49] Resistance to Paxlovid [01:38] Patient candidates for Paxlovid [03:09] Contraindications and drug interactions [02:47] Whether or not to...
2022-09-2910 minModern Practice Podcast
Modern Practice PodcastIssues around Paxlovid – Part 1Available through an FDA Emergency Use Authorization (EUA), Paxlovid could be a approach to more effective treatment of the COVID-19 virus. On this episode, we begin a two-part discussion about the evidence from clinical trials of Paxlovid.   Guest speaker: Stacy Lauderdale, PharmD, BCPS Senior Director, Drug Information Vizient   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Clinical Operations and Quality Vizient   Show Notes: [01:09] Defining Paxlovid [01:53] Paxlovid vs Tamiflu – comparison of effectiveness and impact [02:50] Two random...
2022-09-2210 minModern Practice Podcast
Modern Practice PodcastTo boost or not to boost – Part 2This episode continues our discussion on the new bivalent COVID boosters that target the original virus and also Omicron subvariants BA.4 and BA.5.   Guest speaker: Azra Behlim, PharmD, MBA Associate Vice President, Pharmacy Sourcing and Program Services Vizient   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Clinical Operations and Quality Vizient   Show Notes: [00:30] Is the booster safe? [00:48] Efficacy [01:32] How long to wait after previous vaccine [02:47] Whether or not to get flu vaccines ...
2022-09-1511 minModern Practice Podcast
Modern Practice PodcastTo boost or not to boost – Part 1Just this week, the CDC and FDA gave the green light to distribute updated bivalent COVID boosters that target the original virus and also Omicron subvariants BA.4 and BA.5. On this episode, we begin a two-part discussion over the science and rationale behind the new vaccines.   Guest speaker: Azra Behlim, PharmD, MBA Associate Vice President, Pharmacy Sourcing and Program Services Vizient Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Clinical Operations and Quality Vizient   Show Notes: [00:54] How the new va...
2022-09-0809 minModern Practice Podcast
Modern 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 Podcast
Modern 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 Podcast
Modern Practice PodcastWorkplace violence in health care – Part 3According to a recent report by Reuters, health care is one of the most dangerous fields of work, and the American Hospital Association backs this up by saying 75 percent of all episodes of workplace violence occur in health care organizations. On this episode, the discussion focuses on how to recognize and prevent these occurrences before they happen.   Guest speaker: Diana Scott, MHA, RN, CPHQ Principal, Regulatory/Accreditation Vizient   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Principal, Clinical Operations and Quality Vizient   Sho...
2022-08-1809 minModern Practice Podcast
Modern Practice PodcastWorkplace violence in health care – Part 2According to a recent report by Reuters, health care is one of the most dangerous fields of work, and the American Hospital Association backs this up by saying 75 percent of all episodes of workplace violence occur in health care organizations. On this episode, the discussion focuses on how to recognize and prevent these occurrences before they happen.   Guest speaker: Diana Scott, MHA, RN, CPHQ Principal Regulatory/Accreditation Vizient   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Principal Clinical Operations and Quality Vizient   ...
2022-08-1112 minModern Practice Podcast
Modern Practice PodcastWorkplace violence in health care – Part 1In the emergency room, the spouse of a drug-seeker verbally threatens the physician who refuses to provide opioids. A nurse endures a physical assault and wants to leave the field. These true instances of workplace violence are all-too-common in health care, and today’s episode focuses on why violence is happening and the toll it takes on health care workers.   Guest speaker: Diana Scott, MHA, RN, CPHQ Principal, Regulatory/Accreditation Vizient   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Principal, Clinical Operations and Quality Vizient  
2022-08-0409 minModern Practice Podcast
Modern 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 Podcast
Modern 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 Podcast
Modern 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 Podcast
Modern 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 Podcast
Modern 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 Podcast
Modern 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 Podcast
Modern 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 Podcast
Modern Practice PodcastNational scorecards: making the metrics countIn the previous episode we covered how to optimize your national scorecard performance. On this episode we examine the data points that drive national scorecard performance. Ratings organizations track thousands of metrics on each hospital, attempt to run these through analytic programs and then spit out grades. It is a confusing jumble, and in this discussion, we share how to focus on the metrics that matter.   Guest speaker: Rick May, MD Senior Principal Clinical Quality Improvement Vizient Orthopedic Surgeon Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM P...
2022-06-0911 minModern Practice Podcast
Modern 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 Podcast
Modern Practice PodcastThe use of international DRGsAs health care organizations expand into international markets, reimbursement for clinical services offered involves the use of international Diagnosis Related Groups (DRGs). How these differ from Medicare Severity Diagnosis Related Groups (MS-DRGs) and what they include is the topic of this episode of Modern Practice.   Guest speaker: Linda Wiseman, RN Senior Consulting Director Vizient   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Principal Clinical Operations and Quality Vizient   Show Notes: [00:53] Various DRG systems and their uses [01:46] Government ove...
2022-05-2609 minModern Practice Podcast
Modern 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 Podcast
Modern 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 Podcast
Modern 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 Podcast
Modern 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 Podcast
Modern 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 Podcast
Modern 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 Podcast
Modern 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, MD
2022-04-0710 minModern Practice Podcast
Modern Practice PodcastMaking your hospital a destination choice for surgeons“Splitters” are a challenge for hospital surgery departments, as more and more options outside the hospital facility are available to surgeons. Often, these options, such as ambulatory surgery centers, are more attractive with faster OR turnover times and fewer requirements on surgeons in preoperative and postoperative care. Losing these cases is a blow to hospital operations and finance. This episode provides several approaches that can encourage these surgeons to make your hospital a destination of choice.   Guest speaker: Rick May, MD Senior Principal Clinical Quality Improvement Vizient Orthopedic Surgeon  
2022-03-3108 min