This episode continues the series on challenges and issues involving correctly documenting elective surgeries. A leading expert provides practical guidance and considerations that enable you to be correct in documenting these patients in order to improve care and maximize reimbursement.   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Performance Improvement Consulting Vizient Guests: Rachel Mack, MSN, RN, CCDS, CDIP,  CCS, CRC Consulting Director Clinical Documentation Improvement Vizient   Show Notes: [00:34] Dealing with preoperative infections [01:56] Percentage of elective surgery patients who develop sepsis—with 25% mortality [03:45] Accurately coding to avoid a PSI 13 being charged to your practice/organization [05:34] Do not miss a Present on Admission case [07:30] Need for CDI specialists to collaborate with quality (the “dotted line”) [08:50] Issues around PSI 7   Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Rachel Mack’s email: rachel.mack@vizientinc.com “Costs of Postoperative Sepsis: The Business Case for Quality Improvement to Reduce Postoperative Sepsis in Veterans Affairs Hospitals” (JAMA) Click Here https://jamanetwork.com/journals/jamasurgery/fullarticle/1107762#:~:text=Estimates%20of%20the%20cost%20of,country%2C%20and%20year%20of%20study.   Subscribe Today! Apple Podcasts https://podcasts.apple.com/us/podcast/modern-practice-podcast/id1504139663 Amazon Podcasts https://music.amazon.com/podcasts/681aea88-1816-4e2b-9513-76a24ebbe6a3 Android http://subscribeonandroid.com/modernpracticepodcast.podbean.com/feed.xml Google Podcasts https://podcasts.google.com/feed/aHR0cHM6Ly9tb2Rlcm5wcmFjdGljZXBvZGNhc3QucG9kYmVhbi5jb20vZmVlZC54bWw= Spotify https://open.spotify.com/show/329eE8otKXHFIHo5YRbueb?si=X7y4fe1uS7CgzsUyKrOFqw RSS Feed https://modernpracticepodcast.podbean.com/feed.xml    

11m

Mar 28

Elective surgeries are on the rise again following a downswing during the COVID era. Yet, with this rise in these procedures, there are challenges and issues involving correctly documenting elective surgeries that practices and organizations need to consider and address. On this episode, a leading expert on clinical documentation covers this difficult area.   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Performance Improvement Consulting Vizient   Guests: Rachel Mack, MSN, RN, CCDS, CDIP,  CCS, CRC Consulting Director, Clinical Documentation Improvement Vizient   Show Notes: [01:21] Planned surgeries [02:26] Five most common elective surgeries and who has them [04:15] Why elective surgeries are unique [05:44] What you need to document – examples [09:13] Obesity and documentation—capturing a CC   Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Rachel Mack’s email: rachel.mack@vizientinc.com   Subscribe Today! Apple Podcasts https://podcasts.apple.com/us/podcast/modern-practice-podcast/id1504139663 Amazon Podcasts https://music.amazon.com/podcasts/681aea88-1816-4e2b-9513-76a24ebbe6a3 Android http://subscribeonandroid.com/modernpracticepodcast.podbean.com/feed.xml Google Podcasts https://podcasts.google.com/feed/aHR0cHM6Ly9tb2Rlcm5wcmFjdGljZXBvZGNhc3QucG9kYmVhbi5jb20vZmVlZC54bWw= Spotify https://open.spotify.com/show/329eE8otKXHFIHo5YRbueb?si=X7y4fe1uS7CgzsUyKrOFqw RSS Feed https://modernpracticepodcast.podbean.com/feed.xml

11m

Mar 21

A safe culture is a key factor in developing a highly reliable organization, or HRO, and ensuring a healthy workplace. It means fostering psychological safety in that culture. On this episode, we continue our discussion on psychological safety and a healthy workplace.   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Performance Improvement Consulting Vizient Guests: Kristina Kelada, PHR, CHRE, CHRS Associate Principal Reliability and Management Systems Vizient Elizabeth Mack, MD, MS Principal Reliability and Management Systems Vizient   Show Notes: [00:47] Psych safety and fostering recruitment and retention [03:33] What to do to develop safety in the workplace [04:35] Culture of safety and return on investment: what the data shows [06:17] Bad culture: a “thief in the night” [09:09] Design systems that make sense for patients and families   Links | Resources: How to interpret and use your SCORE survey results (Safe and Reliable Healthcare): SCORE Interpreting and Using Results https://vizientinc-my.sharepoint.com/:b:/p/corey_doss/EXHAMd2YzchLhZBeSmDmAe0Bu6M2ynSRL4FBaYmMJAfU7Q?e=XCLH2p To contact Modern Practice: modernpracticepodcast@vizientinc.com Dr. Mack’s email: elizabeth.mack@vizientinc.com Kristina Kelada’s email: kristina.kelada@vizientinc.com   Subscribe Today! Apple Podcasts https://podcasts.apple.com/us/podcast/modern-practice-podcast/id1504139663 Amazon Podcasts https://music.amazon.com/podcasts/681aea88-1816-4e2b-9513-76a24ebbe6a3 Android http://subscribeonandroid.com/modernpracticepodcast.podbean.com/feed.xml Google Podcasts https://podcasts.google.com/feed/aHR0cHM6Ly9tb2Rlcm5wcmFjdGljZXBvZGNhc3QucG9kYmVhbi5jb20vZmVlZC54bWw= Spotify https://open.spotify.com/show/329eE8otKXHFIHo5YRbueb?si=X7y4fe1uS7CgzsUyKrOFqw RSS Feed https://modernpracticepodcast.podbean.com/feed.xml

10m

Mar 14

A healthy culture is a key factor in developing a highly reliable organization, or HRO. For a culture to be healthy depends on the existence of psychological safety in that culture. In this new series of our award-winning podcast, we discuss how to develop a healthy workplace as we continue our examination of HROs and the practices that lead to them.   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Performance Improvement Consulting Vizient   Guests: Kristina Kelada, PHR, CHRE, CHRS Associate Principal, Reliability and Management Systems Vizient   Elizabeth Mack, MD, MS Principal, Reliability and Management Systems Vizient   Show Notes: [02:28] Importance of building a culture on trust and respect [03:38] Psych safety defined [05:30] It is dangerous when employees are quiet [07:18] How to know you have psych safety in your practice [09:19] What leaders can do [10:14] We’re in healthcare, for goodness sakes! Links | Resources: How to interpret and use your SCORE survey results (Safe and Reliable Healthcare): SCORE Interpreting and Using Results https://vizientinc-my.sharepoint.com/:b:/p/corey_doss/EXHAMd2YzchLhZBeSmDmAe0Bu6M2ynSRL4FBaYmMJAfU7Q?e=XCLH2p To contact Modern Practice: modernpracticepodcast@vizientinc.com Dr. Mack’s email: elizabeth.mack@vizientinc.com Kristina Kelada’s email: kristina.kelada@vizientinc.com   Subscribe Today! Apple Podcasts https://podcasts.apple.com/us/podcast/modern-practice-podcast/id1504139663 Amazon Podcasts https://music.amazon.com/podcasts/681aea88-1816-4e2b-9513-76a24ebbe6a3 Android http://subscribeonandroid.com/modernpracticepodcast.podbean.com/feed.xml Google Podcasts https://podcasts.google.com/feed/aHR0cHM6Ly9tb2Rlcm5wcmFjdGljZXBvZGNhc3QucG9kYmVhbi5jb20vZmVlZC54bWw= Spotify https://open.spotify.com/show/329eE8otKXHFIHo5YRbueb?si=X7y4fe1uS7CgzsUyKrOFqw RSS Feed https://modernpracticepodcast.podbean.com/feed.xml

12m

Mar 07

On 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: [00:41] Fitting organizational needs – no cookie-cutter [02:25] Provide a safe space; provide what the organization needs [03:37] Not a burden but an opportunity                                              [04:42] Bringing APPs fully into the organization for greater productivity [05:51] Example: ROI and a cost avoidance of over $2 million [06:52] More ROI examples   Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Christen Hunt’s email: christen.hunt@vizientinc.com   Subscribe Today! Apple Podcasts https://podcasts.apple.com/us/podcast/modern-practice-podcast/id1504139663 Amazon Podcasts https://music.amazon.com/podcasts/681aea88-1816-4e2b-9513-76a24ebbe6a3 Android http://subscribeonandroid.com/modernpracticepodcast.podbean.com/feed.xml Google Podcasts https://podcasts.google.com/feed/aHR0cHM6Ly9tb2Rlcm5wcmFjdGljZXBvZGNhc3QucG9kYmVhbi5jb20vZmVlZC54bWw= Spotify https://open.spotify.com/show/329eE8otKXHFIHo5YRbueb?si=X7y4fe1uS7CgzsUyKrOFqw RSS Feed https://modernpracticepodcast.podbean.com/feed.xml

9m

Feb 29

Advanced 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 Improvement Consulting Vizient Guest: Christen Hunt, DNP, FNP-C, CPNP-AC Associate Vice President Workforce Consulting Vizient   Show Notes: [02:02] Residencies and fellowships and what they mean for APPs [04:41] APPs and orientation – need for a deeper dive [05:13] Growth of APP positions and necessity for new care models [06:44] Fostering the business side of healthcare [07:14] Integrating APPs into the team [08:13] Bringing APPs into the culture   Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Christen Hunt’s email: christen.hunt@vizientinc.com   Subscribe Today! Apple Podcasts https://podcasts.apple.com/us/podcast/modern-practice-podcast/id1504139663 Amazon Podcasts https://music.amazon.com/podcasts/681aea88-1816-4e2b-9513-76a24ebbe6a3 Android http://subscribeonandroid.com/modernpracticepodcast.podbean.com/feed.xml Google Podcasts https://podcasts.google.com/feed/aHR0cHM6Ly9tb2Rlcm5wcmFjdGljZXBvZGNhc3QucG9kYmVhbi5jb20vZmVlZC54bWw= Spotify https://open.spotify.com/show/329eE8otKXHFIHo5YRbueb?si=X7y4fe1uS7CgzsUyKrOFqw RSS Feed https://modernpracticepodcast.podbean.com/feed.xml    

10m

Feb 22

On 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 Senior Principal, Safe and Reliable Healthcare Vizient   Show Notes: [00:54] Need for change-ready units in the organization [01:32] Overcome the perception “this is one more thing” [03:17] Example: skeptical ICU nurse – “This is going to fail” [04:56] Taking a phased approach [05:37] Measuring success of learning areas: the benchmarks to use 06:22] Excited staff members   Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Vizient Safe and Reliable Healthcare site: https://www.vizientinc.com/our-solutions/care-delivery-excellence/reliable-care-delivery Suzanne’s email: suzanne.miller@vizientinc.com Katerie’s email: katerie.chapman@vizientinc.com   Subscribe Today! Apple Podcasts https://podcasts.apple.com/us/podcast/modern-practice-podcast/id1504139663 Amazon Podcasts https://music.amazon.com/podcasts/681aea88-1816-4e2b-9513-76a24ebbe6a3 Android http://subscribeonandroid.com/modernpracticepodcast.podbean.com/feed.xml Google Podcasts https://podcasts.google.com/feed/aHR0cHM6Ly9tb2Rlcm5wcmFjdGljZXBvZGNhc3QucG9kYmVhbi5jb20vZmVlZC54bWw= Spotify https://open.spotify.com/show/329eE8otKXHFIHo5YRbueb?si=X7y4fe1uS7CgzsUyKrOFqw RSS Feed https://modernpracticepodcast.podbean.com/feed.xml    

9m

Feb 15

On 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 kudos in the ED – an example of lifting morale [05:10] Team participation in barcode scanning – an example of improving compliance [07:02] A resource for senior leaders [07:55] A safety concern that, once identified, was quickly corrected [08:44] Real-time nature of rounding and issue resolution   Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Vizient Safe and Reliable Healthcare site: https://www.vizientinc.com/our-solutions/care-delivery-excellence/reliable-care-delivery Suzanne’s email: suzanne.miller@vizientinc.com Katerie’s email: katerie.chapman@vizientinc.com   Subscribe Today! Apple Podcasts https://podcasts.apple.com/us/podcast/modern-practice-podcast/id1504139663 Amazon Podcasts https://music.amazon.com/podcasts/681aea88-1816-4e2b-9513-76a24ebbe6a3 Android http://subscribeonandroid.com/modernpracticepodcast.podbean.com/feed.xml Google Podcasts https://podcasts.google.com/feed/aHR0cHM6Ly9tb2Rlcm5wcmFjdGljZXBvZGNhc3QucG9kYmVhbi5jb20vZmVlZC54bWw= Spotify https://open.spotify.com/show/329eE8otKXHFIHo5YRbueb?si=X7y4fe1uS7CgzsUyKrOFqw RSS Feed https://modernpracticepodcast.podbean.com/feed.xml  

11m

Feb 08

Learning 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 for you.   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: [01:58] Developing and sustaining learning areas [03:02] Elements employed in a learning area [05:00] The cornerstone of high reliability [06:07] The visual management role [07:37] Advantages of the LENS board [09:07] Selecting a unit to be a learning area   Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Vizient Safe and Reliable Healthcare site: https://www.vizientinc.com/our-solutions/care-delivery-excellence/reliable-care-delivery Suzanne’s email: suzanne.miller@vizientinc.com Katerie’s email: katerie.chapman@vizientinc.com   Subscribe Today! Apple Podcasts https://podcasts.apple.com/us/podcast/modern-practice-podcast/id1504139663 Amazon Podcasts https://music.amazon.com/podcasts/681aea88-1816-4e2b-9513-76a24ebbe6a3 Android http://subscribeonandroid.com/modernpracticepodcast.podbean.com/feed.xml Google Podcasts https://podcasts.google.com/feed/aHR0cHM6Ly9tb2Rlcm5wcmFjdGljZXBvZGNhc3QucG9kYmVhbi5jb20vZmVlZC54bWw= Spotify https://open.spotify.com/show/329eE8otKXHFIHo5YRbueb?si=X7y4fe1uS7CgzsUyKrOFqw RSS Feed https://modernpracticepodcast.podbean.com/feed.xml  

11m

Feb 01

This episode finishes our discussion on how organizations can tackle persistent quality, safety and workplace challenges on the way to becoming high reliability organizations (HROs). Tomas engages with two expert guests on what constitutes an HRO and how to make that journey to better performance.   Moderator: Tomas Villanueva, DO, MBA, FACPE, 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 Vizient   Show Notes: [00:42] Dealing with burnout [02:51] Culture and high reliability [05:06] Assessing organizations [08:25] Just Culture   Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Vizient Safe and Reliable Healthcare site: https://www.vizientinc.com/our-solutions/care-delivery-excellence/reliable-care-delivery Allan’s email: allan.frankel@vizientinc.com Katerie’s email: katerie.chapman@vizientinc.com Subscribe Today! Apple Podcasts https://podcasts.apple.com/us/podcast/modern-practice-podcast/id1504139663 Amazon Podcasts https://music.amazon.com/podcasts/681aea88-1816-4e2b-9513-76a24ebbe6a3 Android http://subscribeonandroid.com/modernpracticepodcast.podbean.com/feed.xml Google Podcasts https://podcasts.google.com/feed/aHR0cHM6Ly9tb2Rlcm5wcmFjdGljZXBvZGNhc3QucG9kYmVhbi5jb20vZmVlZC54bWw= Spotify https://open.spotify.com/show/329eE8otKXHFIHo5YRbueb?si=X7y4fe1uS7CgzsUyKrOFqw RSS Feed https://modernpracticepodcast.podbean.com/feed.xml

10m

Jan 25

On this episode, we continue our discussion on how organizations can tackle persistent quality, safety and workplace challenges on the way to becoming high reliability organizations (HROs). Tomas discusses with two expert guests on what constitutes an HRO and how to make that journey to better performance.   Moderator: Tomas Villanueva, DO, MBA, FACPE, 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 Vizient   Show Notes: [00:46] Areas to address and challenges to meet [01:52] Examples of challenges to high reliability [03:47] Complex processes that can undermine reliability [05:20] Sustaining improvement [07:49] Vizient’s Safe and Reliable Healthcare: a force multiplier [11:41] Burnout   Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Vizient Safe and Reliable Healthcare site: https://www.vizientinc.com/our-solutions/care-delivery-excellence/reliable-care-delivery Allan’s email: allan.frankel@vizientinc.com Katerie’s email: katerie.chapman@vizientinc.com Subscribe Today! Apple Podcasts https://podcasts.apple.com/us/podcast/modern-practice-podcast/id1504139663 Amazon Podcasts https://music.amazon.com/podcasts/681aea88-1816-4e2b-9513-76a24ebbe6a3 Android http://subscribeonandroid.com/modernpracticepodcast.podbean.com/feed.xml Google Podcasts https://podcasts.google.com/feed/aHR0cHM6Ly9tb2Rlcm5wcmFjdGljZXBvZGNhc3QucG9kYmVhbi5jb20vZmVlZC54bWw= Spotify https://open.spotify.com/show/329eE8otKXHFIHo5YRbueb?si=X7y4fe1uS7CgzsUyKrOFqw RSS Feed https://modernpracticepodcast.podbean.com/feed.xml

14m

Jan 18

Reducing patient harm, team burnout and waste in healthcare requires organizations to tackle persistent quality, safety and workplace challenges. This work is what leads to becoming a high reliability organization (HRO). On the next three episodes, Tomas discusses with two expert guests on what constitutes an HRO and how to make that journey to better performance.   Moderator: Tomas Villanueva, DO, MBA, FACPE, 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 Vizient   Show Notes: [02:37] High reliability defined five key practices [06:22] Origins of high reliability [07:49] Combining complexity and human cognition   Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Vizient Safe and Reliable Healthcare site: https://www.vizientinc.com/our-solutions/care-delivery-excellence/reliable-care-delivery Allan’s email: allan.frankel@vizientinc.com Katerie’s email: katerie.chapman@vizientinc.com   Subscribe Today! Apple Podcasts https://podcasts.apple.com/us/podcast/modern-practice-podcast/id1504139663 Amazon Podcasts https://music.amazon.com/podcasts/681aea88-1816-4e2b-9513-76a24ebbe6a3 Android http://subscribeonandroid.com/modernpracticepodcast.podbean.com/feed.xml Google Podcasts https://podcasts.google.com/feed/aHR0cHM6Ly9tb2Rlcm5wcmFjdGljZXBvZGNhc3QucG9kYmVhbi5jb20vZmVlZC54bWw= Spotify https://open.spotify.com/show/329eE8otKXHFIHo5YRbueb?si=X7y4fe1uS7CgzsUyKrOFqw RSS Feed https://modernpracticepodcast.podbean.com/feed.xml      

10m

Jan 11

This episode of our award-winning podcast continues our examination of the complexities of cardiac surgery patients and the challenges in understanding them and in assessing and documenting  their status.   Moderator: Tomas Villanueva, DO, MBA, FACPE, 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 heart failure [11:15] Issues involving major comorbid conditions (MCCs) [12:35] The biggest take-away   Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Rachel’s email: rachel.mack@vizientinc.com   Subscribe Today! Apple Podcasts https://podcasts.apple.com/us/podcast/modern-practice-podcast/id1504139663 Amazon Podcasts https://music.amazon.com/podcasts/681aea88-1816-4e2b-9513-76a24ebbe6a3 Android http://subscribeonandroid.com/modernpracticepodcast.podbean.com/feed.xml Google Podcasts https://podcasts.google.com/feed/aHR0cHM6Ly9tb2Rlcm5wcmFjdGljZXBvZGNhc3QucG9kYmVhbi5jb20vZmVlZC54bWw= Spotify https://open.spotify.com/show/329eE8otKXHFIHo5YRbueb?si=X7y4fe1uS7CgzsUyKrOFqw RSS Feed https://modernpracticepodcast.podbean.com/feed.xml

14m

Jan 04

On this episode, we continue our examination of cardiac surgery with its unique challenges and risks for patients, with a  focus on accurate and thorough documentation of these procedures.   Moderator: Tomas Villanueva, DO, MBA, FACPE, 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 the move [04:49] Common cardiac surgeries [08:22] Vasopressors do not always indicate shock [09:24] Encephalopathy and dementia   Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Rachel’s email: rachel.mack@vizientinc.com   Subscribe Today! Apple Podcasts https://podcasts.apple.com/us/podcast/modern-practice-podcast/id1504139663 Amazon Podcasts https://music.amazon.com/podcasts/681aea88-1816-4e2b-9513-76a24ebbe6a3 Android http://subscribeonandroid.com/modernpracticepodcast.podbean.com/feed.xml Google Podcasts https://podcasts.google.com/feed/aHR0cHM6Ly9tb2Rlcm5wcmFjdGljZXBvZGNhc3QucG9kYmVhbi5jb20vZmVlZC54bWw= Spotify https://open.spotify.com/show/329eE8otKXHFIHo5YRbueb?si=X7y4fe1uS7CgzsUyKrOFqw RSS Feed https://modernpracticepodcast.podbean.com/feed.xml

11m

Dec 28, 2023

Cardiac surgery poses unique challenges with its risks for patients, its potential complications and the difficulty in capturing the details in thorough documentation. On this episode, we discuss those challenges and how to approach them effectively.   Moderator: Tomas Villanueva, DO, MBA, FACPE, 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 [05:08] Cardiac surgeons and documentation [06:13] Intra-aortic balloon pumps and cardiogenic shock [07:50] Cardiogenic acute renal failure [08:31] Arrythmias and pacing [09:10] The end of the road in intervention [11:08] Document the reason for a patient’s deterioration Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Rachel’s email: rachel.mack@vizientinc.com   Subscribe Today! Apple Podcasts https://podcasts.apple.com/us/podcast/modern-practice-podcast/id1504139663 Amazon Podcasts https://music.amazon.com/podcasts/681aea88-1816-4e2b-9513-76a24ebbe6a3 Android http://subscribeonandroid.com/modernpracticepodcast.podbean.com/feed.xml Google Podcasts https://podcasts.google.com/feed/aHR0cHM6Ly9tb2Rlcm5wcmFjdGljZXBvZGNhc3QucG9kYmVhbi5jb20vZmVlZC54bWw= Spotify https://open.spotify.com/show/329eE8otKXHFIHo5YRbueb?si=X7y4fe1uS7CgzsUyKrOFqw RSS Feed https://modernpracticepodcast.podbean.com/feed.xml

11m

Dec 21, 2023

The healthcare workforce is in a state of crisis: shortages of healthcare workers, rampant burnout, schedules in flux and outbreaks of violence in the workplace. On this episode, Tomas continues his discussion with a leading expert on the healthcare workforce on steps organizations can take to alleviate this crisis.   Moderator: Tomas Villanueva, DO, MBA, FACPE, 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 collecting and leveraging data [02:12] Reflecting the community in recruiting and retention [03:28] Addressing regulatory issues [06:10] Unions [07:06] Taking the pulse [07:35] Expanding the pipeline [09:23] Fostering wellness and resilience [10:52] Short- and long-term strategies   Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com  Eric’s email: eric.burch@vizientinc.com Subscribe Today! Apple Podcasts https://podcasts.apple.com/us/podcast/modern-practice-podcast/id1504139663 Amazon Podcasts https://music.amazon.com/podcasts/681aea88-1816-4e2b-9513-76a24ebbe6a3 Android http://subscribeonandroid.com/modernpracticepodcast.podbean.com/feed.xml Google Podcasts https://podcasts.google.com/feed/aHR0cHM6Ly9tb2Rlcm5wcmFjdGljZXBvZGNhc3QucG9kYmVhbi5jb20vZmVlZC54bWw= Spotify https://open.spotify.com/show/329eE8otKXHFIHo5YRbueb?si=X7y4fe1uS7CgzsUyKrOFqw RSS Feed https://modernpracticepodcast.podbean.com/feed.xml

14m

Dec 14, 2023

Before the Covid outbreak, the healthcare workforce was already in a state of crisis. Covid made it much worse. On this new series of our award-winning podcast, we examine the varied causes behind workforce challenges and shortages of nurses, physicians and other related disciplines. We’ll also explore steps we can take to alleviate this crisis. Joining is us a leading workforce expert to provide an overview.   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient   Guests: Eric Burch, MBA, RN, FACHE Executive Principal Operations and Workforce Services Vizient   Show Notes: [01:21] The workforce issue and the pandemic [02:04] Drivers of the crisis [04:19] Changing the traditional model [05:48] Potential technology role in alleviating the crisis08: [08:47] Recruitment and retention approaches [11:22] Leadership and retention   Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com   Eric’s email: eric.burch@vizientinc.com  Subscribe Today! Apple Podcasts https://podcasts.apple.com/us/podcast/modern-practice-podcast/id1504139663 Amazon Podcasts https://music.amazon.com/podcasts/681aea88-1816-4e2b-9513-76a24ebbe6a3 Android http://subscribeonandroid.com/modernpracticepodcast.podbean.com/feed.xml Google Podcasts https://podcasts.google.com/feed/aHR0cHM6Ly9tb2Rlcm5wcmFjdGljZXBvZGNhc3QucG9kYmVhbi5jb20vZmVlZC54bWw= Spotify https://open.spotify.com/show/329eE8otKXHFIHo5YRbueb?si=X7y4fe1uS7CgzsUyKrOFqw RSS Feed https://modernpracticepodcast.podbean.com/feed.xml

13m

Dec 07, 2023

On this episode, Tomas continues examining an area often overlooked in documentation – chronic fatigue and debilities. Joining him is a leading expert on clinical documentation improvement. She will demonstrate how crucial this area is to reimbursement and patient care, affecting as it does mortality, length of stay and other indicators.   Moderator: Tomas Villanueva, DO, MBA, FACPE, 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: [00:37] Additional conditions in the Vizient variable [04:57] Impact on direct costs [05:46] SDOH Coding guidelines and subsequent reluctance to document [04:50] Under-documented medical conditions and their ramifications [09:08] Barriers to capturing this Vizient variable and use of queries [11:10] How correct documentation can benefit patient care down the line   Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com  Rachel’s email: rachel.mack@vizientinc.com     Subscribe Today! Apple Podcasts https://podcasts.apple.com/us/podcast/modern-practice-podcast/id1504139663 Amazon Podcasts https://music.amazon.com/podcasts/681aea88-1816-4e2b-9513-76a24ebbe6a3 Android http://subscribeonandroid.com/modernpracticepodcast.podbean.com/feed.xml Google Podcasts https://podcasts.google.com/feed/aHR0cHM6Ly9tb2Rlcm5wcmFjdGljZXBvZGNhc3QucG9kYmVhbi5jb20vZmVlZC54bWw= Spotify https://open.spotify.com/show/329eE8otKXHFIHo5YRbueb?si=X7y4fe1uS7CgzsUyKrOFqw RSS Feed https://modernpracticepodcast.podbean.com/feed.xml

12m

Nov 30, 2023

An area often overlooked in documentation can be crucial to reimbursement and efficacious care, and that is the realm of chronic fatigue and debilities. Joining Tomas is a leading expert that will explain the importance of accurate coding for these patients.. Moderator: Tomas Villanueva, DO, MBA, FACPE, 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 codes [03:19] Codes that capture Vizient variable for chronic fatigue and debilities [04:50] Under-documented medical conditions and their ramifications   Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Rachel’s email: rachel.mack@vizientinc.com Subscribe Today! Apple Podcasts https://podcasts.apple.com/us/podcast/modern-practice-podcast/id1504139663 Amazon Podcasts https://music.amazon.com/podcasts/681aea88-1816-4e2b-9513-76a24ebbe6a3 Android http://subscribeonandroid.com/modernpracticepodcast.podbean.com/feed.xml Google Podcasts https://podcasts.google.com/feed/aHR0cHM6Ly9tb2Rlcm5wcmFjdGljZXBvZGNhc3QucG9kYmVhbi5jb20vZmVlZC54bWw= Spotify https://open.spotify.com/show/329eE8otKXHFIHo5YRbueb?si=X7y4fe1uS7CgzsUyKrOFqw RSS Feed https://modernpracticepodcast.podbean.com/feed.xml  

12m

Nov 22, 2023

This 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, CDIP Senior Consulting Director Clinical Documentation Improvement Vizient   Show Notes: [00:35] Increase to DRG relative weights and to reimbursement` [02:54] Changes to coding guidelines [05:37] Codes involving social determinants of health (SODH) [07:06] Documenting SDOH [08:48] Other changes   Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Sheila’s email: sheila.bowlds@vizientinc.com Jim’s email: james.tamburini@vizientinc.com ICD-10-CM Official Guidelines for Coding and Reporting: https://www.cms.gov/files/document/fy-2024-icd-10-cm-coding-guidelines.pdf   Subscribe Today! Apple Podcasts https://podcasts.apple.com/us/podcast/modern-practice-podcast/id1504139663 Amazon Podcasts https://music.amazon.com/podcasts/681aea88-1816-4e2b-9513-76a24ebbe6a3 Android http://subscribeonandroid.com/modernpracticepodcast.podbean.com/feed.xml Google Podcasts https://podcasts.google.com/feed/aHR0cHM6Ly9tb2Rlcm5wcmFjdGljZXBvZGNhc3QucG9kYmVhbi5jb20vZmVlZC54bWw= Spotify https://open.spotify.com/show/329eE8otKXHFIHo5YRbueb?si=X7y4fe1uS7CgzsUyKrOFqw RSS Feed https://modernpracticepodcast.podbean.com/feed.xml  

10m

Nov 16, 2023

Every 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 Quality Vizient Guests: Sheila Bowlds, MBA Associate Principal Clinical Documentation Improvement Vizient Jim Tamburini, BS, RHIT, CCS, CSS-P, CDIP Senior Consulting Director  Clinical Documentation Improvement Vizient Show Notes: [01:39] Background and explanation of CMS coding updates [03:19] When changes go into effect [03:37] Impact on providers and hospitals [04:42] Number of diagnosis and procedure codes added, deleted and revised [06:48] Specificity drives the documentation [07:26] Changes to complications/comorbidities (CCs) and Major complications/comorbidities (MCCs) [11:58] Changes to DRGs and MS-DRGs   Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Sheila’s email: sheila.bowlds@vizientinc.com Jim’s email: james.tamburini@vizientinc.com ICD-10-CM Official Guidelines for Coding and Reporting: https://www.cms.gov/files/document/fy-2024-icd-10-cm-coding-guidelines.pdf   Subscribe Today! Apple Podcasts https://podcasts.apple.com/us/podcast/modern-practice-podcast/id1504139663 Amazon Podcasts https://music.amazon.com/podcasts/681aea88-1816-4e2b-9513-76a24ebbe6a3 Android http://subscribeonandroid.com/modernpracticepodcast.podbean.com/feed.xml Google Podcasts https://podcasts.google.com/feed/aHR0cHM6Ly9tb2Rlcm5wcmFjdGljZXBvZGNhc3QucG9kYmVhbi5jb20vZmVlZC54bWw= Spotify https://open.spotify.com/show/329eE8otKXHFIHo5YRbueb?si=X7y4fe1uS7CgzsUyKrOFqw RSS Feed https://modernpracticepodcast.podbean.com/feed.xml

15m

Nov 09, 2023

On 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 Internal Medicine Hospitalist CDI and Quality Physician Advisor Sanford Hospital – Fargo Khaled Zreik, MD Director, Critical Care Acute Care Surgeon Sanford Health   Show Notes: [00:39] Use of data in managing PSI reduction [03:14] Results of a successful program [04:05] Lessons learned [08:15] Expanding and standardizing throughout the enterprise   Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Rachel Leyk’s email: rachel.leyk@sanfordhealth.org Dr. Mannuru’s email: devendranath.mannuru@sanfordhealth.org Dr. Zreik’s email: khaled.zreik@sanfordhealth.org PSI ACS Poster: PSI ACS Poster Final.pdf https://vizientinc-my.sharepoint.com/:b:/p/corey_doss/EfiYx4Bn4ZdEvbBJGRV9PhsB-QSKjcNYQS51w9HRan6mXw?e=nLg4rr 2023 Quality and Safety Conference presentation: 2023-qsc-ppt-final presentation.pptx https://vizientinc-my.sharepoint.com/:p:/p/corey_doss/EVZU0R38nyRJqnPwcIm0XaEBXectHOLnuYuk906cV3chjw?e=7zersR   Subscribe Today! Apple Podcasts https://podcasts.apple.com/us/podcast/modern-practice-podcast/id1504139663 Amazon Podcasts https://music.amazon.com/podcasts/681aea88-1816-4e2b-9513-76a24ebbe6a3 Android http://subscribeonandroid.com/modernpracticepodcast.podbean.com/feed.xml Google Podcasts https://podcasts.google.com/feed/aHR0cHM6Ly9tb2Rlcm5wcmFjdGljZXBvZGNhc3QucG9kYmVhbi5jb20vZmVlZC54bWw= Spotify https://open.spotify.com/show/329eE8otKXHFIHo5YRbueb?si=X7y4fe1uS7CgzsUyKrOFqw RSS Feed https://modernpracticepodcast.podbean.com/feed.xml  

12m

Nov 02, 2023

On this episode of Modern Practice, we continue highlighting an organization that has made huge strides in reducing Patient Safety Indicators (PSIs) throughout health system.   Moderator: Tomas Villanueva, DO, MBA, FACPE, 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 Surgeon Sanford Health   Show Notes: [01:06] Managing PSI notifications to staff – keeping it non-punitive [03:46 Escalation process versus peer review – addressing practice variation [05:12] Keys to achieving collaboration   Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Rachel Leyk’s email: rachel.leyk@sanfordhealth.org Dr. Mannuru’s email: devendranath.mannuru@sanfordhealth.org Dr. Zreik’s email: khaled.zreik@sanfordhealth.org PSI ACS Poster: PSI ACS Poster Final.pdf https://vizientinc-my.sharepoint.com/:b:/p/corey_doss/EfiYx4Bn4ZdEvbBJGRV9PhsB-QSKjcNYQS51w9HRan6mXw?e=nLg4rr 2023 Quality and Safety Conference presentation: 2023-qsc-ppt-final presentation.pptx https://vizientinc-my.sharepoint.com/:p:/p/corey_doss/EVZU0R38nyRJqnPwcIm0XaEBXectHOLnuYuk906cV3chjw?e=7zersR   Subscribe Today! Apple Podcasts https://podcasts.apple.com/us/podcast/modern-practice-podcast/id1504139663 Amazon Podcasts https://music.amazon.com/podcasts/681aea88-1816-4e2b-9513-76a24ebbe6a3 Android http://subscribeonandroid.com/modernpracticepodcast.podbean.com/feed.xml Google Podcasts https://podcasts.google.com/feed/aHR0cHM6Ly9tb2Rlcm5wcmFjdGljZXBvZGNhc3QucG9kYmVhbi5jb20vZmVlZC54bWw= Spotify https://open.spotify.com/show/329eE8otKXHFIHo5YRbueb?si=X7y4fe1uS7CgzsUyKrOFqw RSS Feed https://modernpracticepodcast.podbean.com/feed.xml  

9m

Oct 26, 2023

This episode of our award-winning podcast continues the success story of how Sanford Health has reduced PSIs through a concerted, multifaceted effort throughout the organization. Tomas interviews members of the clinical team that guided the way.   Moderator: Tomas Villanueva, DO, MBA, FACPE, 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 Surgeon Sanford Health   Show Notes: [00:34] Surgeon’s perspective [02:04 Role of nurse reviewer [03:18] Necessities for success [04:05] Importance of executive leadership; need to be non-punitive (the “gold nugget”) [06:37] Reliable software and establishing the stop bill process [08:15] Involving HIM, coding and the CDI team [10:36] Engaging the clinical staff   Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Rachel Leyk’s email: rachel.leyk@sanfordhealth.org Dr. Mannuru’s email: devendranath.mannuru@sanfordhealth.org Dr. Zreik’s email: khaled.zreik@sanfordhealth.org PSI ACS Poster: PSI ACS Poster Final.pdf https://vizientinc-my.sharepoint.com/:b:/p/corey_doss/EfiYx4Bn4ZdEvbBJGRV9PhsB-QSKjcNYQS51w9HRan6mXw?e=nLg4rr 2023 Quality and Safety Conference presentation: 2023-qsc-ppt-final presentation.pptx https://vizientinc-my.sharepoint.com/:p:/p/corey_doss/EVZU0R38nyRJqnPwcIm0XaEBXectHOLnuYuk906cV3chjw?e=7zersR   Subscribe Today! Apple Podcasts https://podcasts.apple.com/us/podcast/modern-practice-podcast/id1504139663 Amazon Podcasts https://music.amazon.com/podcasts/681aea88-1816-4e2b-9513-76a24ebbe6a3 Android http://subscribeonandroid.com/modernpracticepodcast.podbean.com/feed.xml Google Podcasts https://podcasts.google.com/feed/aHR0cHM6Ly9tb2Rlcm5wcmFjdGljZXBvZGNhc3QucG9kYmVhbi5jb20vZmVlZC54bWw= Spotify https://open.spotify.com/show/329eE8otKXHFIHo5YRbueb?si=X7y4fe1uS7CgzsUyKrOFqw RSS Feed https://modernpracticepodcast.podbean.com/feed.xml

15m

Oct 19, 2023

Developed by the Agency for Healthcare Research and Quality (AHRQ), Patient Safety Indicators, or PSIs, represent measurements of adverse events that enable healthcare organizations to gauge how they compare to others regarding patient safety. In addition, CMS looks at PSIs in scoring and penalizing organizations. In this series, Tomas talks with members of a clinical team that has seen great results in reducing PSIs throughout the organization.   Moderator: Tomas Villanueva, DO, MBA, FACPE, 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 Surgeon Sanford Health   Show Notes: [02:00] Patient Safety Indicators (PSIs) defined [02:46] PSI-90 and individual PSIs [03:43] Hospital Acquired Conditions Reduction Program (HACRP) [05:06] Documentation and the “dotted line” to quality [05:44] Benchmarking with the Vizient Clinical Data Base [06:23] Focused objectives for the PSI reduction program [07:34] Steps in building the program structure [09:35] Addressing gaps in education – once clinicians know what to do, they don’t fail   Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Rachel Leyk’s email: rachel.leyk@sanfordhealth.org Dr. Mannuru’s email: devendranath.mannuru@sanfordhealth.org Dr. Zreik’s email: khaled.zreik@sanfordhealth.org   PSI ACS Poster: PSI ACS Poster Final.pdf https://vizientinc-my.sharepoint.com/:b:/p/corey_doss/EfiYx4Bn4ZdEvbBJGRV9PhsB-QSKjcNYQS51w9HRan6mXw?e=nLg4rr 2023 Quality and Safety Conference presentation: 2023-qsc-ppt-final presentation.pptx https://vizientinc-my.sharepoint.com/:p:/p/corey_doss/EVZU0R38nyRJqnPwcIm0XaEBXectHOLnuYuk906cV3chjw?e=7zersR   Subscribe Today! Apple Podcasts https://podcasts.apple.com/us/podcast/modern-practice-podcast/id1504139663 Amazon Podcasts https://music.amazon.com/podcasts/681aea88-1816-4e2b-9513-76a24ebbe6a3 Android http://subscribeonandroid.com/modernpracticepodcast.podbean.com/feed.xml Google Podcasts https://podcasts.google.com/feed/aHR0cHM6Ly9tb2Rlcm5wcmFjdGljZXBvZGNhc3QucG9kYmVhbi5jb20vZmVlZC54bWw= Spotify https://open.spotify.com/show/329eE8otKXHFIHo5YRbueb?si=X7y4fe1uS7CgzsUyKrOFqw RSS Feed https://modernpracticepodcast.podbean.com/feed.xml  

11m

Oct 12, 2023

Physical violence in the healthcare workplace is on the rise. Healthcare workers are more in danger of violence than are police officers or prison guards. Looking at the labor force in general, healthcare workers have five times the likelihood of facing violence than workers across all other industries. And that doesn’t include the verbal abuse. Clinicians need skills to defuse conflict and hopefully settle down hostilities before they get out of hand. On this episode, Tomas and Cecilia finish their discussion with some helpful tips.   Moderator: Tomas Villanueva, DO, MBA, FACPE, 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 of Emergency Medicine NorthShore University HealthSystem   Show Notes: [00:39] Influences and attitudes from culture/media [02:14] The pandemic factor; example from CoxHealth [04:15] Prevalence of incivility [05:53] Paying attention to the signs; observation skills to use; actions to take [09:00] Give the situation the same importance that patients and families give it [09:46] Tools clinicians can use – Marpe’s role in alleviating violence [11:35] A symptom of the healthcare crisis   Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Dr. Cruz’s email: ceciliacruz@marpejourney.com Dr Cruz’s Linkedin page: Cecilia Cruz - Founder and CEO - MARPE, LLC | LinkedIn https://www.linkedin.com/in/cecilia-cruz-8779a15b?original_referer=https%3A%2F%2Fwww.linkedin.com%2Fin%2Fcecilia-cruz-8779a15b MARPE, LLC website: https://www.marpejourney.com/   Subscribe Today! Apple Podcasts https://podcasts.apple.com/us/podcast/modern-practice-podcast/id1504139663 Amazon Podcasts https://music.amazon.com/podcasts/681aea88-1816-4e2b-9513-76a24ebbe6a3 Android http://subscribeonandroid.com/modernpracticepodcast.podbean.com/feed.xml Google Podcasts https://podcasts.google.com/feed/aHR0cHM6Ly9tb2Rlcm5wcmFjdGljZXBvZGNhc3QucG9kYmVhbi5jb20vZmVlZC54bWw= Spotify https://open.spotify.com/show/329eE8otKXHFIHo5YRbueb?si=X7y4fe1uS7CgzsUyKrOFqw RSS Feed https://modernpracticepodcast.podbean.com/feed.xml

13m

Oct 05, 2023

The hospital is increasingly becoming a hostile environment, with clinicians facing verbal abuse and physical violence from patients and their families. Clinicians need skills to defuse conflict and hopefully settle down hostilities before they get out of hand. If calming hostilities is not possible, they need to know what to do in the face of violent confrontation. 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, MPH, CPCC, ACC Founder and Chief Executive Officer Marpe, LLC Board-certified emergency medicine physician Former co-chair of Quality Division of Emergency Medicine NorthShore University HealthSystem   Show Notes: [01:41] Patient hostility on the rise [02:43] Verbal violence is most prevalent, and the most unreported [03:19] Cleveland Clinic: violence four times more prevalent in health care [04:08] Health care workers more exposed than prison guards and police officers [04:39] Higher risk of assaults for nurses [05:26] Biggest risk in high-acuity settings – ambulances, EDs, ICUs, psych units [06:10] Reasons/origins [08:52] Patient families as source of conflict   Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Dr. Cruz’s email: ceciliacruz@marpejourney.com Dr Cruz’s Linkedin page: Click here https://www.linkedin.com/in/cecilia-cruz-8779a15b?original_referer=https%3A%2F%2Fwww.linkedin.com%2Fin%2Fcecilia-cruz-8779a15b MARPE, LLC website: Click here https://www.marpejourney.com/   Subscribe Today! Apple Podcasts https://podcasts.apple.com/us/podcast/modern-practice-podcast/id1504139663 Amazon Podcasts https://music.amazon.com/podcasts/681aea88-1816-4e2b-9513-76a24ebbe6a3 Android http://subscribeonandroid.com/modernpracticepodcast.podbean.com/feed.xml Google Podcasts https://podcasts.google.com/feed/aHR0cHM6Ly9tb2Rlcm5wcmFjdGljZXBvZGNhc3QucG9kYmVhbi5jb20vZmVlZC54bWw= Spotify https://open.spotify.com/show/329eE8otKXHFIHo5YRbueb?si=X7y4fe1uS7CgzsUyKrOFqw RSS Feed https://modernpracticepodcast.podbean.com/feed.xml  

10m

Sep 28, 2023

Screening 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   Show Notes: [01:05] CRC screening options [02:40] Colonoscopy advantages and disadvantages [03:35] Virtual colonoscopies [04:14] Artificial intelligence enhancement [04:54] Improvements in the future [07:10] No tests are foolproof [07:50] Need to improve access   Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Dr. Aadam’s email: abdul.aadam@northwestern.edu   Subscribe Today! Apple Podcasts https://podcasts.apple.com/us/podcast/modern-practice-podcast/id1504139663 Amazon Podcasts https://music.amazon.com/podcasts/681aea88-1816-4e2b-9513-76a24ebbe6a3 Android http://subscribeonandroid.com/modernpracticepodcast.podbean.com/feed.xml Google Podcasts https://podcasts.google.com/feed/aHR0cHM6Ly9tb2Rlcm5wcmFjdGljZXBvZGNhc3QucG9kYmVhbi5jb20vZmVlZC54bWw= Spotify https://open.spotify.com/show/329eE8otKXHFIHo5YRbueb?si=X7y4fe1uS7CgzsUyKrOFqw RSS Feed https://modernpracticepodcast.podbean.com/feed.xml  

9m

Sep 21, 2023

In 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 submucosal dissection [02:10] Prevalence of colorectal cancer [02:38] Risk factors [05:10] Reason for the need of early detection [06:35] Challenges for screening [07:56] Rise in younger patients [09:11] Screening of the elderly [09:54] Increasing screening rates [11:09] Additional screening options   Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Dr. Aadam’s email: abdul.aadam@northwestern.edu   Subscribe Today! Apple Podcasts https://podcasts.apple.com/us/podcast/modern-practice-podcast/id1504139663 Amazon Podcasts https://music.amazon.com/podcasts/681aea88-1816-4e2b-9513-76a24ebbe6a3 Android http://subscribeonandroid.com/modernpracticepodcast.podbean.com/feed.xml Google Podcasts https://podcasts.google.com/feed/aHR0cHM6Ly9tb2Rlcm5wcmFjdGljZXBvZGNhc3QucG9kYmVhbi5jb20vZmVlZC54bWw= Spotify https://open.spotify.com/show/329eE8otKXHFIHo5YRbueb?si=X7y4fe1uS7CgzsUyKrOFqw RSS Feed https://modernpracticepodcast.podbean.com/feed.xml

13m

Sep 14, 2023

This 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 highest level of specificity [04:08] Capturing the low-hanging fruit [05:47] Case mix index issues [07:44] Severity of illness and risk of mortality [08:52] Addressing query fatigue   Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Erica Braun’s email: erica.braun@vizientinc.com   Subscribe Today! Apple Podcasts https://podcasts.apple.com/us/podcast/modern-practice-podcast/id1504139663 Amazon Podcasts https://music.amazon.com/podcasts/681aea88-1816-4e2b-9513-76a24ebbe6a3 Android http://subscribeonandroid.com/modernpracticepodcast.podbean.com/feed.xml Google Podcasts https://podcasts.google.com/feed/aHR0cHM6Ly9tb2Rlcm5wcmFjdGljZXBvZGNhc3QucG9kYmVhbi5jb20vZmVlZC54bWw= Spotify https://open.spotify.com/show/329eE8otKXHFIHo5YRbueb?si=X7y4fe1uS7CgzsUyKrOFqw RSS Feed https://modernpracticepodcast.podbean.com/feed.xml

11m

Sep 07, 2023