Modern Practice Podcast

In this re-air of our two-part, award-winning podcast series, we discuss how 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:

[01:10] Influences and attitudes from culture/media

[02:45] The pandemic factor; example from CoxHealth

[04:45] Prevalence of incivility

[06:23] Paying attention to the signs; observation skills to use; actions to take

[09:30] Give the situation the same importance that patients and families give it

[10:16] Tools clinicians can use – Marpe’s role in alleviating violence

[12:05] A symptom of the healthcare crisis

Links | Resources:

To contact Modern Practice: [email protected]

Dr. Cruz’s email: [email protected]

Dr Cruz’s Linkedin page:

Cecilia Cruz - Founder and CEO - MARPE, LLC | LinkedIn

MARPE, LLC website:

https://www.marpejourney.com/

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Hermes award-winner!

In a special re-air of this award-winning episode, we discuss how 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. 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:

[02:15] Patient hostility on the rise

[03:16] Verbal violence is most prevalent, and the most unreported

[04:05] Cleveland Clinic: violence four times more prevalent in health care

[04:40] Health care workers more exposed than prison guards and police officers

[05:12] Higher risk of assaults for nurses

[05:59] Biggest risk in high-acuity settings – ambulances, EDs, ICUs, psych units

[06:44] Reasons/origins

[09:25] Patient families as source of conflict

Links | Resources:

To contact Modern Practice: [email protected]

Dr. Cruz’s email: [email protected]

Dr Cruz’s Linkedin page:

Cecilia Cruz - Founder and CEO - MARPE, LLC | LinkedIn

MARPE, LLC website:

https://www.marpejourney.com/

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This episode of our award-winning podcast finishes our discussion on the state of research today. Despite proven benefits, enrollment in clinical trials is sparse across the country, but participation can positively impact patients and organizations alike. Two experts in research lay out all the facts.

Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Performance Improvement Consulting Vizient

Guests:

Dylan Steen, MD, MS Chief Executive Officer and Co-founder High Enroll Cardiologist, UC Health Adjunct Associate Professor, UC College of Medicine

Daniel Flora, MD, PharmD Medical Director, Oncology Research Hematologist/Oncologist St. Elizabeth Healthcare

Show Notes: [01:32] Market research at St. Elizabeth Healthcare

[02:58] Benefits and advantages of clinical research to practices and organizations

[04:50] Background for High Enroll and the program’s value: opportunities offered

[06:20] Getting High Enroll started

[08:39] Vision for research at St. Elizabeth Healthcare – approaching a cure

Links | Resources:

To contact Modern Practice: [email protected]

Dr. Steen’s email: [email protected]

Dr. Flora’s email: [email protected]

High Enroll website: https://www.highenroll.org

(513) 993-0330

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Despite proven benefits, enrollment in clinical trials is sparse across the country. This episode of our award-winning podcast continues our discussion on the state of research today and how participation can positively impact patients and organizations alike. Two experts in research lay out all the facts.

Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Performance Improvement Consulting Vizient

Guests: Dylan Steen, MD, MS Chief Executive Officer and Co-founder High Enroll Cardiologist, UC Health Adjunct Associate Professor, UC College of Medicine

Daniel Flora, MD, PharmD Medical Director, Oncology Research Hematologist/Oncologist St. Elizabeth Healthcare

Show Notes: [01:31] Lack of inclusivity in trials – need for “real-world” participants

[04:05] Research organizations give standard of care that is lacking elsewhere

[04:50] Background for High Enroll and the program’s value: opportunities offered

[07:40] Latest generation of technology and information availability

[08:20] Improvement over other research sites (such as clinicaltrials.gov)

Links | Resources:

To contact Modern Practice: [email protected]

Dr. Steen’s email: [email protected]

Dr. Flora’s email: [email protected]

High Enroll website: https://www.highenroll.org

(513) 993-0330

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The truth is: patients enrolled in clinical trials fare better than patients who are not. Participating in research can be a boon to a practice or organization and its patients. Yet, enrollment in clinical trials is still sparse across the country and part of the reason is organizations don’t realize the value research can bring. On the next three episodes of this award-winning podcast, two experts in research lay out the benefits in participating in clinical trials.

Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Performance Improvement Consulting Vizient

Guests: Dylan Steen, MD, MS Chief Executive Officer and Co-founder High Enroll Cardiologist, UC Health Adjunct Associate Professor, UC College of Medicine

Daniel Flora, MD, PharmD Medical Director, Oncology Research Hematologist/Oncologist St. Elizabeth Healthcare

Show Notes:

[02:16] Research marketing

[03:20] Background: how High Enroll got started

[04:05] Number one problem in research

[05:20] Problem is still unsolved

[07:07] Need for cancer research at community level

[08:18] Look at research as a valuable product for the organization/practice

[09:03] Moving medicine forward: the value of clinical trials to the patient

[09:52] How to boost research participants for an organization

Links | Resources:

To contact Modern Practice: [email protected]

Dr. Steen’s email: [email protected]

Dr. Flora’s email: [email protected]

High Enroll website: https://www.highenroll.org

(513) 993-0330

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On this episode of our award-winning podcast, we continue discussing the impact and benefits of the latest generation of single-use endoscopes, which promise a revolutionary role in surgery.

Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Performance Improvement Consulting Vizient

Guest: Andrew Bruenderman, MHA Category Manager Surgical Services Vizient

Show Notes: [00:44] Circumstances calling for single-use scopes [03:19] Financial considerations [04:37] ROI possibilities [06:05] Environmental impact [07:17] Final thoughts to consider

Resources: To contact Modern Practice: [email protected]

Andrew’s email: [email protected]

Vizient TechWatch article on single-use ureteroscopes: Vizient TechWatch Medical Device Vol. 3 (Single-Use Ureteroscopes).pdf

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The latest generation of single-use endoscopes promises a revolutionary role in surgery. On this episode of our award-winning podcast, we discuss the impact and benefits of single-use ureteroscopes.

Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Performance Improvement Consulting Vizient

Guest: Andrew Bruenderman, MHA Category Manager Surgical Services Vizient

Show Notes: [01:48] Early models were lacking; new models are advanced and improved [02:49] Cross-contamination and adverse events from multiuse scopes [04:15] Safety approaches with single-use scopes [05:21] Wave of the future? [06:20] Shelf life of single-use ureteroscopes and associated efficiencies [07:37] Problems with early models may cause reluctance to use later models

Resources: To contact Modern Practice: [email protected]

Andrew’s email: [email protected]

Vizient TechWatch article on single-use ureteroscopes: Vizient TechWatch Medical Device Vol. 3 (Single-Use Ureteroscopes).pdf

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On this episode, we finish the discussion about the challenges and issues involving documenting elective surgeries 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: [00:37] Anticoagulation – often overlooked in documentation [01:30] PSI 9 [02:20] Thrombocytopenia [03:57] Antiplatelets and elective surgeries [05:56] Every PSI reported means money lost to the practice

Links | Resources:

To contact Modern Practice: [email protected]

Rachel Mack’s email: [email protected]

“Costs of Postoperative Sepsis: The Business Case for Quality Improvement to Reduce Postoperative Sepsis in Veterans Affairs Hospitals” (JAMA):Click Here

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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: [email protected]

Rachel Mack’s email: [email protected]

“Costs of Postoperative Sepsis: The Business Case for Quality Improvement to Reduce Postoperative Sepsis in Veterans Affairs Hospitals” (JAMA)

Click Here.

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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: [email protected]

Rachel Mack’s email: [email protected]

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