Advertise on podcast: Modern Practice Podcast

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, SFHMSenior PrincipalPerformance Improvement ConsultingVizient Guest:Christen Hunt, DNP, FNP-C, CPNP-ACAssociate Vice PresidentWorkforce ConsultingVizient   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: [email protected] Christen Hunt’s email: [email protected]   Subscribe Today!Apple PodcastsAmazon PodcastsAndroidGoogle PodcastsSpotifyRSS Feed    

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, SFHMSenior Principal, Performance Improvement ConsultingVizient   Guests:Suzanne Miller, MSN, RNSenior Consulting Director, Reliability and Management SystemsVizient   Katerie Chapman, MHASenior Principal, Safe and Reliable HealthcareVizient   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: [email protected] Vizient Safe and Reliable Healthcare site Click here Suzanne’s email: [email protected] Katerie’s email: [email protected]   Subscribe Today!Apple PodcastsAmazon PodcastsAndroidGoogle PodcastsSpotifyRSS Feed    

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, SFHMSenior Principal, Performance Improvement ConsultingVizient   Guests:Suzanne Miller, MSN, RNSenior Consulting Director, Reliability and Management SystemsVizient   Katerie Chapman, MHASenior Principal, Safe and Reliable HealthcareVizient   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: [email protected] Vizient Safe and Reliable Healthcare site Click here Suzanne’s email: [email protected] Katerie’s email: [email protected]   Subscribe Today!Apple PodcastsAmazon PodcastsAndroidGoogle PodcastsSpotifyRSS Feed  

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, SFHMSenior Principal, Performance Improvement ConsultingVizient   Guests:Suzanne Miller, MSN, RNSenior Consulting Director, Reliability and Management SystemsVizient   Katerie Chapman, MHASenior Principal, Safe and Reliable HealthcareVizient   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: [email protected] Vizient Safe and Reliable Healthcare site Click here Suzanne’s email: [email protected] Katerie’s email: [email protected]   Subscribe Today!Apple PodcastsAmazon PodcastsAndroidGoogle PodcastsSpotifyRSS Feed  

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

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

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

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

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

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

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

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