Challenges in documenting spinal surgery, Part 1

Spinal 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, SFHMSenior PrincipalClinical Operations and QualityVizient
Guest:Rachel Mack, MSN, RN, CCDS, CDIP, CCS, CRCConsulting DirectorClinical Documentation ImprovementVizient
 
Show Notes:
[01:26] Around 1.62 million procedures per year
[02:22] Procedures on the increase (2.4 times the level of 15 years ago)
[03:54] The most common spinal diagnoses
[05:15] Often not caught by primary care
[06:20 Less common reasons for spinal surgery
[07:09] Reasons for planned surgeries—often a last resort
[08:45] Risks for avoiding surgery
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Rachel Mack’s email: rachel.mack@vizientinc.com
 
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The Evolving Role of CSOs

In this week’s Sg2 Perspectives, you’ll hear a familiar voice as host Tori Richie talks to one of the podcast’s other hosts, Associate Principal Trevor DaRin, about the evolving role of the chief strategy officer in health systems. Trevor highlights the key skills and backgrounds necessary for the CSO role and how different market conditions influence their strategies.
 
 We are always excited to get ideas and feedback from our listeners. You can reach us at sg2perspectives@sg2.com, or visit the Sg2 company page on LinkedIn.

Helena Aftermath - Baxter Production Shortage

Baxter's Intravenous Fluids North Cove Plant was impacted in September by Hurricane Helene. Although Baxter implemented a hurricane preparedness plan, a levy breach and bridge collapse forced a complete shutdown. Intravenous fluids are now on allocation as the plant remains shuttered. Multiple actions by the FDA and Baxter are in effect to improve supply for these fluids. Vizient colleagues Katie Korte, VP Assurance and Continuity Team and Kyle Hoelting, Senior Clinical Manager of Drug Information and Shortages join Stacy Lauderdale, Associate Vice president of Evidence-based Medicine today to discuss lessons learned from this and past supply disruptions, ongoing efforts by the FDA to improve supplies and the supply outlook for the next four to eight weeks
 
Guest speakers: 
Katie Korte, PharmD, MHA
VP Assurance and Continuity Team
Vizient
 
Kyle Holting, PharmD, BCPS
Senior Clinical Manager of Drug Information and Shortages
Vizient Center for Pharmacy Practice Excellence
 
Host: 
Stacy Lauderdale, PharmD, BCPS
Associate Vice president of Evidence-based Medicine
Vizient Center for Pharmacy Practice Excellence 
 
Show Notes: 
[00:57-01:27] Guest’s background information 
[01:28-04:33] Recent supply disruptions
[04:34-05:54] What Vizient has learned from past disruptions
[05:55-09:30] What providers have learned from these shortages
[09:31-13:42] What the FDA is doing to assist with this shortage
[13:43-18:23] What the trajectory of this shortage looks like over the next four to eight weeks
[18:24-19:45] Most important thing to emphasize to our listeners as they continue to handle this fluid shortage
 
Links | Resources: 
Vizient’s IV push list: Click here
Vizient’s IV fluid conservation strategies: Click here
Baxter’s North Cove facility website: Click here
FDA’s Baxter North Cove facility website: Click here
 
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Mental fitness for physicians, Part 3

Years 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, SFHMSenior PrincipalClinical Operations and QualityVizient
Guest:Cecilia Cruz, MD, MPH, CPCC, ACCFounder and Chief Executive OfficerMarpe, LLCBoard-certified emergency medicine physicianFormer co-chair of QualityDivision of Emergency MedicineNorthShore University HealthSystem
 
Show Notes:
[00:34] Physician suicide
[02:44] Need connection
[04:03] What organizations need to do
[06:20] A learned skill and resource
[06:37] Mental fitness
[08:20] The Marpe approach
 
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
MARPE, LLC website: https://www.marpejourney.com/
 
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Strategy Exchange Debrief: Ambulatory

In this week’s Sg2 Perspectives, host Trevor DaRin is joined by Sg2 Senior Director Tony Guth and Principal Rebecca Limestall, who give a debrief from Sg2’s recent Strategy Exchange, which was all about the convergence of ambulatory strategy and capacity planning. Tony and Rebecca focus on ambulatory care, its management and future investments.
 
We are always excited to get ideas and feedback from our listeners. You can reach us at sg2perspectives@sg2.com, or visit the Sg2 company page on LinkedIn.
 

Pharmacy Vision Awards-Professional Excellence: UCSF

The Pharmacy Vision Awards at Vizient celebrate values and achievements of our program participants. Elham Amiri, pharmacy informatics project manager at UCSF Health, is a recipient of the professional excellence award, given to an individual who demonstrates leadership, strategic contribution and commitment to ongoing learning and development. Elham and Dr. Noelle Chapman, vice president, chief pharmacy officer and COO at UCSF Health, join us today to discuss their award-winning program.
 
Guest speakers: Elham Amiri, CPhT, CSPT, BSPharmacy Informatics Project Manager UCSF Health
Noelle Chapman, PharmD, MBAVice president, Chief Pharmacy Officer and COO UCSF Health
Host: Carolyn Liptak, BS Pharmacy, MBA  Pharmacy Executive Director  Vizient Center for Pharmacy Practice Excellence  
 
Show Notes: 
[00:52-02:07] Guest’s background information 
[02:08-03:32] Their great work at UCSF Health
[03:33-05:49] How their work contributed to the Pharmacy Value Improvement Program
[05:50-07:27] Taking a roll and running with it
[07:28-09:25] How UCSF supports professional development
[09:25-10:24] How patients benefit from this model
[10:25-13:45] What does the future hold
 
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Building Success for the Community Health Worker

Chronic illnesses present a significant challenge to our healthcare system, straining resources and impacting patient quality of life. One innovative approach to tackling this issue is the community health worker model, a strategy that empowers individuals to take control of their health and navigate complex healthcare systems more effectively.
Today, we are exploring the creation of the model and how to create sustainability. Vanessa Saylor, systems director of health equity at Main Line Health in Philadelphia joins us to discuss her work on building the community health worker model.
 
Guests:
Vanessa Saylor, Ed.D, MSW, LSW, CCM
System Director, Health Equity
Main Line Health
 
Host:
Margaret Rudisill, RN, BSN, MS-HQS
Senior PI Program Director
Vizient
 
Show Notes: 
[01:21 – 02:24]  The moment Vanessa realized that a community health worker model could make a significant difference in managing chronic illnesses
[02:25 – 03:58]  Gaining buy-in from stakeholders
[03:59 – 05:23]  Initial challenges you faced when trying to implement the community health worker model and overcoming them
[05:24 – 07:17]  Most effective strategies fostering trust between the community health worker and the patients
[07:18 – 08:32]  Data collected and analyzed to demonstrate the worth and sustainability of the program
[08:33 – 09:47]  Advice for other organizations looking to build a successful community health worker model
 
For more information, email picollaboratives@vizientinc.com
 
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Mental fitness for physicians, Part 2

This 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, SFHMSenior PrincipalClinical Operations and QualityVizient
Guest:Cecilia Cruz, MD, MPH, CPCC, ACCFounder and Chief Executive OfficerMarpe, LLCBoard-certified emergency medicine physicianFormer co-chair of QualityDivision of Emergency MedicineNorthShore University HealthSystem
 
Show Notes:
[01:00] The in-box, EMR documentation and authorizations have only gotten worse
[01:40] If we don’t change, it’s all going to fall apart
[03:23] Examples from medical school and training—a lack of respect
[06:45] The EMR and the need for a 27-hour day
[08:05] Deficit of 40,000 primary care physicians by 2030 (AAMC)
[08:30] Emerging mental health issues and workplace violence
 
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
MARPE, LLC website: https://www.marpejourney.com/
 
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Spine Program Strategy

This week on Sg2 Perspectives, host Tori Richie chats with Sg2 spine experts Director Donnelle Jageman and Senior Director Kate Zentner, focusing on the development and operational aspects of spine programs, including workforce strategies, site of care shifts, and policy implications.
 
We are always excited to get ideas and feedback from our listeners. You can reach us at sg2perspectives@sg2.com, or visit the Sg2 company page on LinkedIn.

Mental fitness for physicians, Part 1

Though 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, SFHMSenior Principal, Clinical Operations and QualityVizient
 
Guest:Cecilia Cruz, MD, MPH, CPCC, ACCFounder and Chief Executive OfficerMarpe, LLCBoard-certified emergency medicine physicianFormer co-chair of QualityDivision of Emergency MedicineNorthShore University HealthSystem
 
Show Notes:
[01:10] Physician heal thyself? Not happening!
[02:35] Weakness means not being the best
[03:31] An ingrained culture of perfectionism
[04:20] The burnout crisis
[06:40] Physician types affected the most
[07:30] Bigger burden on specialists
[09:13] Overcoming – awareness is only 20% of progress
 
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
MARPE, LLC website: https://www.marpejourney.com/
 
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Outpatient Portfolio Strategy

This week on Sg2 Perspectives, we're focusing on SG2 research and around outpatient portfolio and why this research is valuable to our members. Host Trevor DaRin is joined by Sg2 Principal Justin Cassidy PhD, and Senior Consultant Rachael Zirkelbach, who highlight the strategic frameworks developed by Sg2 to better understand and plan for the outpatient landscape.
We are always excited to get ideas and feedback from our listeners. You can reach us at sg2perspectives@sg2.com, or visit the Sg2 company page on LinkedIn.

Take a Deep Breath: RSV Vaccinations Information

We emerged from the COVID -19 pandemic in 2022 to headlines about unseasonably early spikes in respiratory syncytial virus and concerns and threats of a triple pandemic of CV19, influenza, and RSV.  Fortunately, there’s been no triple pandemic, but what has emerged is multiple first-time vaccine approvals for RSV. Dr. John Schoen, Senior Manager of Drug Information at The Vizient Center for Phamacy Practice Excellence joins his colleague and Program Host Stacy Lauderdale, Associate Vice President of Evidence-Based Medicine to discuss the use of the RSV vaccines.
 
Guest speakers: John Schoen, PharmD, BCPSSenior Manager of Drug Information Vizient Center for Pharmacy Practice Excellence
 
Host:Stacy Lauderdale, PharmD, BCPSAssociate Vice President of Evidence-Based Medicine Vizient Center for Pharmacy Practice ExcellenceVerifiedRx Host
 
Show Notes: 
[00:55-01:46] John’s background 
[01:47 -03:15] The RSV disease burden in older adults, and risk factors
[03:16-04:42] The relative disease severity of RSV versus influenza
[04:43-07:04] Vaccine uptake during the last RSV season
[07:05-8:35] Efficacy of the RSV vaccines in observational data compared to the clinical trials
[8:36-11:22] Changes in ACIP recommendations
[11:23-13:14] Potential benefits of RSV vaccination for ages older than 75
[13:15-15:32] Potential adverse reactions of RSV vaccines
[15:33-18:31] Comparisons of the RSV vaccines
[18:32-20:46] Are patients going to need more than one RSV vaccine?
 
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The difficulty of quality metrics, Pt 3

On this episode of our award-winning podcast, Dr. Tomas Villanueva concludes his discussion on how organizations can approach quality metrics today – what metrics to choose and how to apply them.
 
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior PrincipalPerformance Improvement ConsultingVizient
Guest:Rick May, MDSenior PrincipalConsulting SolutionsVizient
 
Show Notes:
[00:38] The burden of reporting
[02:09] Surgical quality and outcomes – technical vs. medical
[03:41] A focus on the systems
[05:00] Systems changes and results
[05:42] Engaging the physicians
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Dr. May’s email: rick.may@vizientinc.com
 
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Critical Care Capacity

Earlier this year, Sg2/Vizient released a new monthly report series derived from Sg2 and Vizient data analytics, with the first report focused on critical care capacity. So on this week’s Sg2 Perspectives, host Jayme Zage, PhD, invited Sg2 experts Associate Principals Justin Cassidy, PhD, and Rhae Ana Gamber and Vice President Catherine Maji to share their insights on this topic. Justin, Rhae and Catherine discuss the challenges and strategies for managing ICU resources in various health care settings, including community hospitals, academic medical centers (AMCs) and children's hospitals.
 Access our Data on the Edge report library here.
 
We are always excited to get ideas and feedback from our listeners. You can reach us at sg2perspectives@sg2.com, or visit the Sg2 company page on LinkedIn.

The difficulty of quality metrics, Pt 2

On this episode of our award-winning podcast, Dr. Tomas Villanueva continues his discussion on how organizations can approach quality metrics today – what metrics to choose and how to apply them.
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior PrincipalPerformance Improvement ConsultingVizient
Guest:Rick May, MDSenior PrincipalConsulting SolutionsVizient
 
Show Notes:
[00:54] Importance clinical documentation
[02:40] Is it possible to eliminate all CLABSIs (or other infections)?
[04:40] Length of stay as quality metric
[05:10] Surgical complications and length of stay
[05:55] Length of stay and complication rates
[06:40] The most heavily weighted metric
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Dr. May’s email: rick.may@vizientinc.com
 
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Provider-Supplier Partnerships: Compass One Healthcare and University of Kentucky

In this week’s Sg2 Perspectives, host Jayme Zage, PhD, is joined by special guests Dr. Eric Monday, executive vice president for finance and administration and co-executive vice president for health affairs at the University of Kentucky, and Jeff Moser, senior vice president for partner strategy at Compass One Healthcare. Eric and Jeff focus on unique partnerships between health care providers and supply organizations, discussing the partnership between their organizations and exploring how they collaborate to achieve mutual goals in health care services and infrastructure.
 
We are always excited to get ideas and feedback from our listeners. You can reach us at sg2perspectives@sg2.com, or visit the Sg2 company page on LinkedIn.

Pharmacy Vision Awards - Oschner: “Gar-On-Tee” Innovations

The Pharmacy Vision Awards at Vizient celebrate values and achievements of our program participants. The innovation award is granted to an individual or group who works with others to implement an innovative approach to a challenging patient care or operational practice issue. The 2023 winner, Ochsner Health, represented by Dr. Lisa Boothby, Director of Pharmacy at Ochsner Medical Center - West Bank Campus, Dr. Johlee Odinet, System Medication Safety Officer and Veronica Theriot, Director of MedSurg/Tele Stepdown Unit discuss with host Gretchen Brummel their program aimed at expanding pharmacists’ responsibilities to include medication administration.
 
Guest speakers: 
Lisa Boothby, PharmD, MBA
Director of Pharmacy
Ochsner Medical Center West Bank Campus
 
Johlee Odinet, PharmD, BCPS, CPPS
System Medication Safety Officer
Ochsner Medical Center West Bank Campus
 
Veronica Theriot, RN
Director of MedSurg/Tele Stepdown Unit
Ochsner Medical Center West Bank Campus
 
Host: 
Gretchen Brummel, PharmD, BCPS 
VerifiedRx
 
Show Notes: 
[00:55-02:02] Guest’s background information 
[02:03-03:17] Ochsner Information
[03:18-05:30] People not mentioned who were contributors to their success
[05:31-07:47] Need for pharmacists' expanded role in administering medications in the inpatient setting
[07:48-18:06] How Ochsner accomplishes pharmacist expanded role
[18:07-23:02] Other outcomes from their work
[23:03-26:00] What surprised them about the process
[26:01-28:42] Advice for others wanting to implement this innovative practice
 
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The difficulty of quality metrics, Pt 1

Concerning quality measures in healthcare organizations, a common complaint is, “I've got so many people looking over my shoulder, pulling our data in, ranking me, rating me, everything else, and there is no way I can keep track of literally the hundreds of metrics for which we’re accountable.”
 
On this episode of our award-winning podcast, Dr. Tomas Villanueva welcomes back a leading quality expert to discuss how organizations can approach quality metrics today – what metrics to choose and how to apply them.
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior Principal, Performance Improvement ConsultingVizient
 
Guest:Rick May, MDSenior Principal, Consulting SolutionsVizient
 
Show Notes:
[01:49] Why measuring quality is crucial
[02:17] If you do quality well, financial success follows
[02:57] Quality attracts staff
[03:46] Has quality improved overall in healthcare?
[04:42] Choosing the right metrics – 500 metrics exist overall
[05:58] Mishmash in timing of measures – complex and “all over the map”
[08:03] Realistic rate of improvement (hint: it’s not 10%!)
[08:53] Impact of under-capturing documentation
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Dr. May’s email: rick.may@vizientinc.com
 
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Hospital of the Future

This week on Sg2 Perspectives, host Trevor DaRin chats with two experts from our emerging strategies practice, Senior Consultant Nikita Arora and Senior Director Andrew Rebhan, about the concept of the hospital of the future. Nikita and Andrew discuss smart hospitals and their potential benefits—especially in the context of post-pandemic recovery and technological advancements—as well as share examples of smart hospital implementations.
 
We are always excited to get ideas and feedback from our listeners. You can reach us at sg2perspectives@sg2.com, or visit the Sg2 company page on LinkedIn.

Pharmacy Revenue Cycle

The pharmacy revenue cycle is a multi-phase continuous process, which requires ongoing collaboration across many disciplines. The process starts at pre-registration and continues through payment reconciliation. Steven Loborec, associate director of Pharmacy at the Ohio State University Wexner Medical Center joins host Jim Lichauer to discuss the details of his program.
 
Guest:Steven Loborec, PharmDAssociate Director of PharmacyThe Ohio State University Wexner Medical Center
Moderator:Jim Lichauer, PharmD, BCPS, FASHPSenior PI Program Director, PharmacyVizient 
Show Notes: 
[00:45 – 02:34] Overview of pharmacy revenue cycle process and areas where tOSU Wexler Medical Center is engaged
[02:35 – 04:10] Addressing the Charge Master
[04:11 – 09:14] Finding new and additional revenue streams
[09:15 – 13:31] Identifying medications or sites of care opportunities that generate greatest margins
[13:32 – 14:14] Lessons learned
 
Links | Resources:
Contacting Knowledge on the Go: picollaboratives@vizientinc.com
 
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Why Risk Adjustment Is So Important

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
 
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Care Delivery Transformation

This week on Sg2 Perspectives, host Tori Richie is joined by two experts on the Vizient/Sg2 consulting team, Principal Heidi Pandya and Senior Principal Mike Strilesky, to talk about care delivery transformation in health care. Heidi and Mike discuss capacity and workforce challenges, innovative solutions, and the integration of technology and partnerships.
 
We are always excited to get ideas and feedback from our listeners. You can reach us at sg2perspectives@sg2.com, or visit the Sg2 company page on LinkedIn.
 

Optimization Prime – A Consulting Success Story

Clinical pharmacy optimization opportunities abound, and executing on them can be enhanced when collaborating with external partners. Dr. Nikolai Dahl, program manager for medication utilization and formulary at John Muir Health, and Dr. Tony Huke, senior consulting director at Vizient, join host Gretchen Brummel to share their partnership experience and the resulting successes.
 
Guest speakers: Nikolai Dahl, Pharm DProgram Manager for Mediation Medication UtliazationUtilizationJohn Muir Health
Tony Huke, Pharm D, BCPS, FASHPSenior Consulting DirectorVizient
Host: Gretchen Brummel, PharmD, BCPS Verified Rx Host
 
Show Notes: 
[00:44-01:16] How partnership came about
[01:17-02:31] Nikolai’s and Tony’s initial thoughts about the partnership
[02:32-03:24] How their work together started
[03:25-3:49] Prioritizing a to-do list
[03:49-4:21] Early wins
[04:22-4:38] What surprised them about the engagement
[04:38-6:18] Positive stories
 
Vizient Pharmacy Vision Awards celebrate the values and achievement of our pharmacy program participants. The Excellence in Integrated Transformational Practice award is given to a system that accelerates success in delivering high value care in the four domains of operations, quality, strategic growth, supply chain and pharmacy.  Joining us from the winning organization, UCSF Health, are Drs. Desi Kotis, Chief Pharmacy Executive, Jessica Galens, Assistant Chief Pharmacy Officer of Business Services and Erin St. Angelo, Director of Pharmacy Procurement and Contracting. They join us to share his perspective on pharmacy leadership with program host Gretchen Brummel.
 
Guest speakers: Desi Kotis, Pharm DChief Pharmacy Executive UCSF Health
Jessica Galens, Pharm DAssistant Chief Pharmacy Officer of Business Services UCSF Health
Erin St. Angelo, Pharm DDirector of Pharmacy Procurement and Contracting UCSF Health
Host: Gretchen Brummel, PharmD, BCPS Verified Rx Host
 
Show Notes: 
[00:56-03:41] Backgrounds and roles at UCSF
[03:42-07:14] UCSF’s overall approach
[07:15-08:53] Background for innovative and clinical practice
[08:54-10:19] Financial successes
[10:20-13:17] How UCSF has been able to expand their services
[13:18-14:35] Future for UCSF
 
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Advances in colorectal cancer screening, Pt 2

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
 
Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Dr. Aadam’s email: abdul.aadam@northwestern.edu
 
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Service Line Consulting

This week on Sg2 Perspectives, host Tori Richie is joined by two Sg2/Vizient consultants, Associate Principal Ryan Hallenbeck and Principal Melissa Threlkeld, to talk about the resurgence and strategic importance of service line planning in health care systems. Ryan and Melissa explore the evolution, key components and strategic approaches to service line management, while emphasizing leadership, infrastructure and physician involvement.
 
We are always excited to get ideas and feedback from our listeners. You can reach us at sg2perspectives@sg2.com, or visit the Sg2 company page on LinkedIn.

Advances in colorectal cancer screening, Pt 1

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, SFHMSenior PrincipalClinical Operations and QualityVizient
Guest:Abdul Aziz Aadam, MDInterventional GastroenterologistDirector, Interventional EndoscopyMedical Director, International Patient ServicesNorthwestern 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
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Dr. Aadam’s email: abdul.aadam@northwestern.edu
 
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Sg2 Executive Summit 2024

This past July, Sg2 held its annual flagship event, the Sg2 Executive Summit, with the theme of “A Pivotal Moment.” So on this week’s Sg2 Perspectives, host Trevor DaRin is joined by Sg2 Senior Principal Bill Woodson to talk about the big takeaways from the event and how they resonated with our attendees. Bill discusses the key themes of leadership synchronization, economic challenges, and strategic pivots in health care, while highlighting the importance of adaptable leadership, the economic realities facing health care systems, and strategies for growth and innovation. 
 
We are always excited to get ideas and feedback from our listeners. You can reach us at sg2perspectives@sg2.com, or visit the Sg2 company page on LinkedIn.

The air you breathe: Eliminating surgical smoke in the ER, Part 2

On this episode, we continue our discussion on preventing surgical smoke in the OR.
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior PrincipalPerformance Improvement ConsultingVizient
Guest:Rachel Medina, BSBASenior Category ManagerSurgical ServicesVizient
 
Show Notes:
[00:29] Regulation and legislation around surgical smoke
[03:04] Best practices
[04:09] Sustaining efforts on smoke prevention
[05:01] Technological advances in prevention
[06:15] Financial costs and learning curve – outweighed by benefits
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Rachel Medina’s email: rachel.medina@vizientinc.com
“As important as the air you breathe” (Vizient Tech Watch, p 38): Tech Watch Medical Device - Volume 2, 2022.pdf
 
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VRI Study: Consumer Needs and Access Barriers

This week on Sg2 Perspectives, host Jayme Zage, PhD, discusses the Vizient Research Institute (VRI) study on consumer needs and access barriers in health care with Sg2 Senior Analyst Victoria Beal and VP, Strategic Research, Erika Johnson. Victoria and Erika share their research findings and surprising highlights, along with recommendations for health systems.
 
We are always excited to get ideas and feedback from our listeners. You can reach us at sg2perspectives@sg2.com, or visit the Sg2 company page on LinkedIn.

Vizient Pharmacy Vision Awards: Excellence in Integrated Transformational Practice - UCSF

Vizient Pharmacy Vision Awards celebrate the values and achievement of our pharmacy program participants. The Excellence in Integrated Transformational Practice award is given to a system that accelerates success in delivering high value care in the four domains of operations, quality, strategic growth, supply chain and pharmacy.  Joining us from the winning organization, UCSF Health, are Drs. Desi Kotis, Chief Pharmacy Executive, Jessica Galens, Assistant Chief Pharmacy Officer of Business Services and Erin St. Angelo, Director of Pharmacy Procurement and Contracting. They join us to share his perspective on pharmacy leadership with program host Gretchen Brummel.
 
Guest speakers: Desi Kotis, Pharm DChief Pharmacy Executive UCSF Health
Jessica Galens, Pharm DAssistant Chief Pharmacy Officer of Business Services UCSF Health
Erin St. Angelo, Pharm DDirector of Pharmacy Procurement and Contracting UCSF Health
Host: Gretchen Brummel, PharmD, BCPS Verified Rx Host
 
Show Notes: 
[00:56-03:41] Backgrounds and roles at UCSF
[03:42-07:14] UCSF’s overall approach
[07:15-08:53] Background for innovative and clinical practice
[08:54-10:19] Financial successes
[10:20-13:17] How UCSF has been able to expand their services
[13:18-14:35] Future for UCSF
 
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The air you breathe: Eliminating surgical smoke in the ER, Part 1

The daily smoke produced in an operating room is the equivalent of 27-30 cigarettes, and the OR staff breathes this in five days a week. When tools in the OR cut and cauterize human tissue, they generate a plume of smoke containing toxic chemicals, carcinogens, malignant cells and viruses. Surgical smoke can cause a host of conditions, anything from headaches and sore throat to lung disease and lung cancer. On this episode, a Vizient expert discusses the ramifications of surgical smoke and how to begin preventing it.
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior PrincipalPerformance Improvement ConsultingVizient
Guest:Rachel Medina, BSBASenior Category ManagerSurgical ServicesVizient
 
Show Notes:
[01:27] Surgical smoke: a byproduct of surgical procedures
[01:51] Health issues from surgical smoke
[02:15] Not considered seriously over the decades
[02:47] Lung disease in physicians and OR staff
[03:34] Financial implications
[04:47] Growing awareness and the role of AORN
[06:33] Toxic materials and the effects of smoke plumes in the OR
[08:30] Vizient platform developing on surgical smoke
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Rachel Medina’s email: rachel.medina@vizientinc.com
“As important as the air you breathe” (Vizient Tech Watch, p 38): Tech Watch Medical Device - Volume 2, 2022.pdf
 
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The Bill Woodson Show: Finances Part 1

This week on Sg2 Perspectives, we’re doing the first installment in another special edition of the podcast with Sg2 Senior Principal Bill Woodson as the host—welcome to The Bill Woodson Show! In this episode, Bill talks to Ken Kaufman, Chair at Kaufman Hall, about the financial challenges faced by hospitals post-pandemic, the evolving role of CFOs, the impact of private equity, and the complexities of mergers and acquisitions in the health care sector. 
 
We are always excited to get ideas and feedback from our listeners. You can reach us at sg2perspectives@sg2.com, or visit the Sg2 company page on LinkedIn.
 

Vizient Pharmacy Vision Awards: Executive Leadership – Curtis Haas

The Pharmacy Vision Awards at Vizient celebrate values and achievements of our program participants. The Executive Leadership Award is granted to an individual who provides strategic insight, advances leading clinical practices, and demonstrates business acumen for their entire organization. Our 2023 winner is Dr. Curtis Haas, Chief Pharmacy Officer at the University of Rochester Medical Center. He's joins us to share his perspective on pharmacy leadership with Gretchen Brummel, your program host.
 
Guest speakers: Curtis Haas, Pharm D, FCCPDirector of PharmacyUniversity of Rochester Medical Center
Host: Gretchen Brummel, PharmD, BCPS Verified Rx Host  
Show Notes: 
[00:47-05:11] Curtis Haas background and why it’s important
[05:12-07:02] Why elevating pharmacy practice on a state and national basis is important
[07:03-08:59] Results of success by placing priority on providing resources and support and encouraging innovation
[09:00-12:36] What Curtis has been doing lately at the University of Rochester Medical Center that he would like to highlight
[12:37-14:53] Curtis’ volunteer work outside his organization
 
Links | Resources: 
https://verifiedrx.podbean.com/e/transcendental-medication-management-transformational-practice-in-pharmacy/
 
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A comprehensive approach to reducing PSIs, Part 4

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, SFHMSenior PrincipalClinical Operations and QualityVizient
 
Guests:Rachel Leyk, RN, CMSRN, CPHQImprovement AdvisorQuality and Safety – FargoSanford Health
 
Devendranath (Dev) Mannuru, MD, CHCOMInternal Medicine HospitalistCDI and Quality Physician AdvisorSanford Hospital – Fargo
 
Khaled Zreik, MDDirector, Critical CareAcute Care SurgeonSanford 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
2023 Quality and Safety Conference presentation: 2023 QSC presentation
 
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Network Integrity and Physician Alignment

In this episode of Sg2 Perspectives, host Trevor DaRin discusses health systems' efforts to understand and improve network integrity and physician alignment with guests Tammy Tiller-Hewitt, FACHE, President/CEO of Tiller-Hewitt HealthCare Strategies LLC, and Sg2 Associate Principal Christine Sasser-Perry. Tammy and Chris delve into the challenges and solutions health systems face, emphasizing the importance of data, strategic partnerships and effective communication.
 Explore these related case studies: Lake Charles Memorial Health System and Memorial Medical Group and Archbold Medical Center
 
We are always excited to get ideas and feedback from our listeners. You can reach us at sg2perspectives@sg2.com, or visit the Sg2 company page on LinkedIn.

A comprehensive approach to reducing PSIs, Part 3

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, SFHMSenior PrincipalClinical Operations and QualityVizient
 
Guests:Rachel Leyk, RN, CMSRN, CPHQImprovement AdvisorQuality and Safety – FargoSanford Health
 
Devendranath (Dev) Mannuru, MD, CHCOMInternal Medicine HospitalistCDI and Quality Physician AdvisorSanford Hospital – Fargo
 
Khaled Zreik, MDDirector, Critical CareAcute Care SurgeonSanford 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
2023 Quality and Safety Conference presentation: 2023 QSC presentation
 
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Cell and Gene Therapy

In this week’s Sg2 Perspectives, host Jayme Zage, PhD, is joined by Sg2 Associate Principal Justin Cassidy, PhD, to discuss what’s going on in the cell and gene therapy space. Justin talks about the increasing approvals of gene therapies and their primary barriers and challenges, as well as who should be involved in the decisions about receiving these therapies and how providers and manufacturers can gain patients’ trust. 
 
We are always excited to get ideas and feedback from our listeners. You can reach us at sg2perspectives@sg2.com, or visit the Sg2 company page on LinkedIn.

Vizient Pharmacy Market Outlook – Summer 2024

Vizient publishes our Pharmacy Market Outlook twice a year. The outlook features drug price projections and key market insights to help support members' strategic planning. Drs. Jeni Hayes and Amanda Frick, both Senior Clinical Managers for Market Intelligence, join Carolyn Liptak, Pharmacy Executive Director in the Vizient Center for Pharmacy Practice Excellence and your program host to give an early look.
 
Guest speakers: Jeni Hayes, PharmD, MSPharm, BCPSSenior Clinical Manager, Market IntelligenceVizient 
Amanda Frick, PharmD, BCPSSenior Clinical Manager, Market IntelligenceVizient 
Host: Carolyn Liptak, MBA, BS Pharm Pharmacy Executive Director Vizient Center for Pharmacy Practice Excellence 
 
Show Notes: 
[00:45-02:06] Hot Topics 2024 highlighted in this Pharmacy Market Outlook 
[02:07-02:50] Pipeline section looks different. What are the updates?
[02:51-03:44] Looking forward to drugs being approved in 2024: afami-cel and obi-cel
[03:45-4:45] New and noteworthy medication approvals
[4:46 – 5:55] Cell and gene therapy agents
[5:56-10:32] Therapeutic area updates
6:45 Autoimmune and inflammatory
7:16 Cardiopulmonary
7:51 Endocrine and metabolic
8:05 Hematological agents
8:26 Infectious diseases
8:47 Neurology
9:10 Oncology
10:06 Plasma
[10:33 -11:29] What's the projection for this edition
[11:30-12:08] Where listeners go if they want more detailed information on the outlook
 
Links | Resources: 
Vizient Pharmacy Market Outlook provider link: Click Here
Vizient Pharmacy Market Outlook highlights public version: Click Here
 
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High Reliability: the nuts and bolts

Healthcare organizations across the nation strive to become highly reliable organizations.  Vizient defines an high reliability organization as an organization that has experienced significant success in avoiding harm within an environment of high complexity and risk.  This podcast discusses strategies and emerging practices identified in Vizient’s high reliability culture of safety collaborative.  Joining in the discussion to share their insights on how to improve your health organization’s culture of safety is collaborative participant, Caryn Douma, Corporate Director of Patient Safety Strategy from the University of Pennsylvania Health System and Michael Leonard, Senior Principal at Vizient and an High Reliability expert.   
 
Speakers: Caryn Douma, MS, RN, CPPSCorporate Director of Patient Safety StrategyUniversity of Pennsylvania Health System
 
Michael Leonard, MDSenior PrincipalVizient
Host: Marilyn Sherrill, RN, MBASenior Program Director, Performance Improvement ProgramsVizient
 
Show notes: 
[2:08] Essential elements for High Reliability
[5:00] Senior leader engagement and feedback
[7:00] How to close the loop with frontline staff at a large, comprehensive, academic medical center
[8:30] Making leadership rounds meaningful and positive
[11:40] Personal accountability and teamwork helps with the patient care tasks reliably getting done
[13:36] How to set your staff up for success rather than punishing them for results that didn’t come out as intended
[[14:25] Creating a culture where staff feel comfortable speaking out
[17:45] Psychological safety
 
Links | Resources:
Contacting Knowledge on the Go: picollaboratives@vizientinc.com
 
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A comprehensive approach to reducing PSIs, Part 2

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, SFHMSenior Principal, Clinical Operations and QualityVizient
 
Guests:Rachel Leyk, RN, CMSRN, CPHQImprovement AdvisorQuality and Safety – FargoSanford Health
 
Devendranath (Dev) Mannuru, MD, CHCOMInternal Medicine HospitalistCDI and Quality Physician AdvisorSanford Hospital – Fargo
 
Khaled Zreik, MDDirector, Critical CareAcute Care SurgeonSanford 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
2023 Quality and Safety Conference presentation: 2023 QSC presentation
 
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Strategy Exchange Debrief

Sg2 recently hosted another Strategy Exchange, so on this week’s Sg2 Perspectives, host Trevor DaRin chats with Sg2 Senior Director Janelle Kwan and Senior Consultant Rachael Zirkelbach about what common themes and challenges were shared from Sg2 member participants. Trevor, Janelle and Rachael discuss the top priorities and emerging relationships for strategy leaders and how strategy leaders not only coordinate with health system CEOs and AI teams, but also how they collaborate with other stakeholders.
 
We are always excited to get ideas and feedback from our listeners. You can reach us at sg2perspectives@sg2.com, or visit the Sg2 company page on LinkedIn.

A comprehensive approach to reducing PSIs, Part 1

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, SFHMSenior Principal, Clinical Operations and QualityVizient
 
Guests:Rachel Leyk, RN, CMSRN, CPHQImprovement AdvisorQuality and Safety – FargoSanford Health
 
Devendranath (Dev) Mannuru, MD, CHCOMInternal Medicine HospitalistCDI and Quality Physician AdvisorSanford Hospital – Fargo
 
Khaled Zreik, MDDirector, Critical CareAcute Care SurgeonSanford 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
 
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
2023 Quality and Safety Conference presentation: 2023 QSC presentation
 
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Private Equity in Health Care

This week on Sg2 Perspectives, host Trevor DaRin is joined by Sg2 Associate Principal Casi Roethler and Kaufman Hall Senior VP Adnan Qureshi to discuss the impact of private equity in health care. Casi and Adnan talk about the current trends and developments in private equity deals and share their perspectives on how private equity can help health care, while also acknowledging its challenges and criticisms.
 
We are always excited to get ideas and feedback from our listeners. You can reach us at sg2perspectives@sg2.com, or visit the Sg2 company page on LinkedIn.
 
 

Exceeding Expectations Vizient Pharmacy Vision Award: Performance Improvement

Vizient Pharmacy Vision Awards celebrate the values and achievements of our pharmacy members. The Excellence in Performance Improvement Award is given to an organization that achieves performance excellence and exceeds expectations in clinical, operations, specialty, retail, or 340B pharmacy. Corewell Health won award in 2023. Stephanie Field, VP, Finance – Pharmacy Business Services, and Margo Bowman, Senior Director of Clinical Pharmacy, are here from Corewell Health to discuss their award-winning program. I'm Gretchen Brummel your program host.
 
Guest speakers: 
Stephanie Field, MBA
Vice President Finance – Pharmacy
Corewell Health
 
Margo Bowman, PharmD
Senior Director of Clinical Pharmacy
Corewell Health
 
Host: 
Gretchen Brummel, PharmD, BCPS 
VerifiedRx Host
 
Show Notes:
[00:52-02:35] Background information Stephanie and Margo
[02:36 - 03:46] Situation before the team started their work
[03:47- 04:55] Coming up with a solution
[04:56 - 06:05] The program
[06:06 -09:20] Outcome improvements they have seen
[09:21 - 11:14] How frontline staff responded to the program
[11:15-12:18] Enhancing the program in the future.
 
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Emerging Treatments for Atrial Fibrillation, Part 3

On this episode of our award-winning podcast, a leading expert in electrophysiology concludes our discussion on pulsed field ablation as the newest approach to treating atrial fibrillation.
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior PrincipalClinical Operations and QualityVizient
 
Guest:Thomas Munger, MDChair, Heart Rhythm DivisionAssociate Professor of MedicineMayo Clinic
 
Show Notes:
[00:48] New energy source
[01:40] Current electroporation is more controlled
[06:30] Anticoagulation and pulse field ablation
[08:42] Be sure to work with colleagues when wanted to adopt PF ablation
[09:05] Exciting development in electrophysiology
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Dr. Munger’s email: munger.thomas@mayo.edu
More information (Vizient): Additional pulsed field ablation resources
Information on improving an electrophysiology program (Vizient):
Optimizing your EP program  
 
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Data Storytelling for Health Care Leaders

This week on Sg2 Perspectives, we’re focusing on data storytelling—a concept we’ve been talking about with Sg2 members that’s gotten a positive reception. So host Trevor DaRin has invited two Sg2 leaders working in this space, Senior Director Janelle Kwan and Principal Rebecca Limestall, to discuss the core steps of data storytelling and its challenges and best practices.
 
We are always excited to get ideas and feedback from our listeners. You can reach us at sg2perspectives@sg2.com, or visit the Sg2 company page on LinkedIn.

Sg2 Executive Summit 2024 Preview

Sg2 Executive Summit 2024: A Pivotal Moment is taking place soon in Chicago, so on this week’s Sg2 Perspectives, host Jayme Zage, PhD, is joined by Sg2 Principal Brianna Motley and Senior Principal Bill Woodson to provide some background on our theme, as well as a preview of the health care insights and perspectives our experts will be sharing. Brianna and Bill discuss health system structure and culture, the impact of financial performance and resilience on strategic choices, the evolution of the C-suite and CSO, and much more!
 
We are always excited to get ideas and feedback from our listeners. You can reach us at sg2perspectives@sg2.com, or visit the Sg2 company page on LinkedIn.

Emerging Treatments for Atrial Fibrillation, Part 2

On 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, SFHMSenior PrincipalClinical Operations and QualityVizient
 
Guest:Thomas Munger, MDChair, Heart Rhythm DivisionAssociate Professor of MedicineMayo Clinic
 
Show Notes:
[00:50] Atrial fibrillation: pathophysiology and risk factors
[03:20] Treating rhythm and treating rate
[07:01] Efficacy of ablation and other treatments
[09:40] Pulse field ablation
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Dr. Munger’s email: munger.thomas@mayo.edu
More information (Vizient): Additional pulsed field ablation resources
Information on improving an electrophysiology program (Vizient):
Optimizing your EP program  
 
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Emerging Treatments for Atrial Fibrillation, Part 1

Atrial 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, SFHMSenior PrincipalClinical Operations and QualityVizient
 
Guest:Thomas Munger, MDChair, Heart Rhythm DivisionAssociate Professor of MedicineMayo Clinic
 
Show Notes:
[01:06] History of electrophysiology
[01:55] Training to become an electrophysiologist
[02:44] Electrophysiology and the only organ that moves constantly
[04:22] Seizure of the heart
[05:22] The discipline of electrophysiology and evolving practice of ablation
[07:47) The types of ablation
 
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Dr. Munger’s email: munger.thomas@mayo.edu
More information (Vizient): Additional pulsed field ablation resources
Information on improving an electrophysiology program (Vizient):
Optimizing your EP program  
 
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Hermes Award-winner! Surviving cardiac arrest

Simon 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.
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior PrincipalClinical Operations and QualityVizient
 
Guest:Simon Henley, MBA, CMBBDirector, Global Market GrowthDefibrillator SolutionsMedtronic
 
Show Notes:
[00:51] Simon’s background
[01:25] An avid runner
[01:49] The call
[03:23] Every minute a cardiac arrest goes untreated drops survival rate by 10%
[04:23] No previous symptoms
[05:57] Rehabilitation
[06:55] Dealing with emotions and with recurring cardiac events
[10:19] Changed perspective
[11:12] No guarantees
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Simon’s email: simon.henley@medtronic.com
Sudden cardiac arrest: symptoms and causes (Mayo Clinic):
Click Here
Heart attack and cardiac arrest (American Heart Association):
Click Here
Cardiac care management (Medtronic):
Click Here
 
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Outpatient Rehab in Orthopedics and Spine

This week on Sg2 Perspectives, host Trevor DaRin discusses outpatient rehab—an area that’s seeing significant growth—with Sg2 orthopedics expert Director Donnelle Jageman and neurosciences expert Senior Director Kate Zentner. Donnelle and Kate talk about the impact of disrupters and bundled payments on rehab—as well as the role of physical therapy in improving access and outcomes—and challenges and opportunities of the rehab workforce.
 
We are always excited to get ideas and feedback from our listeners. You can reach us at sg2perspectives@sg2.com, or visit the Sg2 company page on LinkedIn.

Protecting patients all over the world, at home

The Pharmacy Vision Awards from Vizient celebrate values and achievements of our program participants. The Excellence in Clinical Practice Award is granted to an organization that implements novel clinical practices to improve patient outcomes and reduce the cost of medication utilization. Doctors Jona Banzon, Director of Outpatient Operations for infectious disease, Pooja Cerrato, Clinical Pharmacist – Travel Medicine and Infectious Diseases, and Kaitlyn Rivard, Infectious diseases Clinical Specialist all from the Cleveland Clinic, join host Gretchen Brummel, Pharmacy Executive Director in the Vizient Center for Pharmacy Practice Excellence, to discuss their award winning travel clinic.
 
Guest speakers: 
Jona Banzon, MD
Director of Outpatient Operations for Infectious Disease
Cleveland Clinic
 
Pooja Cerrato, PharmD
Clinical Pharmacist – Travel Medicine and Infectious Diseases
Cleveland Clinic
 
Kaitlyn Rivard, PharmD
Infectious Diseases Clinical Specialist
Cleveland Clinic
 
Host: 
Gretchen Brummel, PharmD, BCPS 
Pharmacy Executive Director 
Vizient Center for Pharmacy Practice Excellence
 
Show Notes: 
[00:59-02:29] Guests background information 
[02:30-03:23] Recognition of others for this award
[03:24-06:06] How Cleveland Clinic first identifed the need for a travel clinic
[06:107-12:33] Pulling the clinic together
[12:34-15:12] What services did the clinic eventually offer
[15:13-18:01] Impact of the clinic
[18:02-21:38] Barriers
[21:38-23:14] Expanding the clinic
[23:15-27:04] Advice for others wanting to start a travel clinic
 
Links | Resources:
Travelers' Health | CDC
What Vaccines Do I Need for Travel? (clevelandclinic.org)
Pharmacy Vision Awards
 
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2024 Impact of Change® Pediatrics

This week on Sg2 Perspectives, we’re closing out our 2024 Impact of Change® Forecast series by focusing on the pediatrics forecast. Host Tori Richie is joined by Sg2 pediatrics experts Senior Consultant Dionne Dela Cruz and Principal Karyl Kopaskie, PhD, to talk about the main trends and drivers of this year’s pediatrics forecast, along with the challenges and opportunities children’s hospitals are facing.
 
We are always excited to get ideas and feedback from our listeners. You can reach us at sg2perspectives@sg2.com, or visit the Sg2 company page on LinkedIn.

Rethinking medical group strategy, Part 3

This episode of our award-winning podcast concludes our discussion on a new approach for medical groups in this time of drastic change. Only those models undergoing change will succeed.
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior PrincipalPerformance Improvement ConsultingVizient
 
Guest:Michael StrileskySenior PrincipalCare Delivery TransformationStrategy ConsultingVizient
 
Show Notes:
[01:09] Current state of medical groups
[03:12] Issues around the surgical practice model
[05:01] Sustainability of the group practice model
[06:35] Finding a medical group strategy
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Michael Strilesky’s email: michael.strilesky@vizientinc.com
“Grow hospital market share by integrating ambulatory care across acute service lines” (Vizient publication): Click Here
 
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2024 Impact of Change® Primary Care

This week on Sg2 Perspectives, host Tori Richie is focusing on primary care in the context of our 2024 Impact of Change® forecast, with Sg2 Consultant Caleb Bentley, Associate Principal (and fellow host) Trevor DaRin and Director Stephanie Snider. Caleb, Trevor and Stephanie talk about primary care trends and challenges, the importance of preventive visits, opportunities for integrating behavioral health with primary care, and more.
 
We are always excited to get ideas and feedback from our listeners. You can reach us at sg2perspectives@sg2.com, find us on Twitter as @Sg2HealthCare, or visit the Sg2 company page on LinkedIn.

Rethinking medical group strategy, Part 2

All the drastic changes occurring in healthcare, particularly in the way it is delivered, necessitate corresponding changes in how we structure medical groups. This episode of our award-winning podcast continues the discussion on the need for a new strategy for medical groups, and an expert returns to consider what that strategy might be.
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior Principal, Performance Improvement ConsultingVizient
 
Guest:Michael StrileskySenior PrincipalCare Delivery TransformationStrategy ConsultingVizient
 
Show Notes:
[01:11] Academic medical centers and the need for innovation
[02:46] Meeting the physician shortage challenge
[04:51] Resistance to a new care model
[06:23] Reimbursement, technology and consumer desires will drive the new model
[07:06] The physician compensation factor in the new model
 
Links | Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Michael Strilesky’s email: michael.strilesky@vizientinc.com
“Grow hospital market share by integrating ambulatory care across acute service lines” (Vizient publication): Click Here
 
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Sg2 Perspectives Live!

We have an exciting episode for you this week, as this episode of Sg2 Perspectives was our first podcast recorded with a live (on Zoom) audience! Hosts Trevor DaRin, Tori Richie and Jayme Zage, PhD, chatted in real time with Sg2’s top thought leaders—Principals Brian Esser and Rebecca Limestall and Senior Principal Bill Woodson—about the pivotal moments and decisions that health systems face in current market conditions. Tune in to hear their thoughts on the role of strategy and change management, potential threats from disrupters, the outlook for M&amp;A activity and much more! 
 
We are always excited to get ideas and feedback from our listeners. You can reach us at sg2perspectives@sg2.com, find us on Twitter as @Sg2HealthCare, or visit the Sg2 company page on LinkedIn.

A chief pharmacy officer in your C-suite: Vital to health system success

Margins are tight everywhere in healthcare, and a health system pharmacy adds value especially when led by an established chief pharmacy officer.  Jordan Dow, Chief Pharmacy Officer at Froedtert Health, Michael Oinonen, VP of Pharmacy Networks at Vizient, and our usual host Gretchen Brummel, Pharmacy Executive Director for the Vizient Center for Pharmacy Practice Excellence join guest host Carolyn Liptak, Pharmacy Executive Director with the Vizient Center for Pharmacy Practice Excellence to discuss the importance of the CPO role.
 
Guest speakers: Jordan Dow, PharmD, MS, FASHP, FACHEChief Pharmacy OfficerFroedtert Health
 
Michael Oinonen, PharmDVP of Pharmacy Networks Vizient
 
Gretchen Brummel, PharmD, BCPS Pharmacy Executive Director Vizient Center for Pharmacy Practice Excellence 
 
Host: Carolyn Liptak, BS Pharmacy, MBA Pharmacy Executive Director Vizient Center for Pharmacy Practice Excellence 
 
Show Notes: 
[00:54-02:53] Mike Oinonen and Jordon Dow background information 
[02:54-04:31] What exactly is a Chief Pharmacy Officer and how the CPO role differs from other types of health system pharmacy leaders
[04:32-08:17] Gretchen and Mike discuss their blog post on the CPO role
[08:18-07:46] Does the CPO role apply to all health systems in all hospitals big or small
[07:47-12:11] How prevalent is this CPO role, and its history
[12:12-15:42] Benefits of having a pharmacist at the C-suite level
[15:42-19:03] What an organization is mission without a CPO
[19:04-21:46] Where the CPO role is going in the future
 
Links | Resources:
A Chief Pharmacy Officer in your C-suite: Vital to health system success 
Vizient Pharmacy Solutions 
Pharmacy Network 
HVPE 
ASHP Statement on the Roles and Responsibilities of the Pharmacy Executive 
Rationale for having a chief pharmacy officer in a health care organization | American Journal of Health-System Pharmacy | Oxford Academic (oup.com) 
The rise of the chief pharmacy officer 
 
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Rethinking medical group strategy, Part 1

The huge flurry of changes in how we deliver healthcare have brought into question the viability of the conventional medical group model, whether it’s sustainable and gives us a competitive advantage or whether we need to invest in something else. On the next three episodes of this award-winning podcast, an expert joins Tomas to consider the future of medical group practices.
 
Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMSenior Principal, Performance Improvement ConsultingVizient
 
Guest:Michael StrileskySenior PrincipalCare Delivery TransformationStrategy ConsultingVizient
 
Show Notes:
[01:46] Current medical group model
[02:58] Impact and role of medical groups
[04:12] Drawbacks and limitations of current model
[06:13] Different care and practice models emerging
[07:49] The disruptors have been fantastic
[09:47] Different approach for medical groups affiliated with academic medical centers
 
Resources:
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Michael Strilesky’s email: michael.strilesky@vizientinc.com
“Grow hospital market share by integrating ambulatory care across acute service lines” (Vizient publication): Click Here
 
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2024 Impact of Change® Innovation

This week on Sg2 Perspectives, host Tori Richie is continuing the 2024 Impact of Change® (IoC) forecast conversation with Sg2 Director Gurmeet Bawa and Consultants Setu Shah and Emily Smith—this time, around the topic of innovation. Gurmeet, Setu and Emily talk about some of the key medical innovations in this year’s IoC forecast and their implications for health systems, as well as trends and advancements in diagnostic innovations. 
 
We are always excited to get ideas and feedback from our listeners. You can reach us at sg2perspectives@sg2.com, find us on Twitter as @Sg2HealthCare, or visit the Sg2 company page on LinkedIn.

Life on the Pharm: challenges and opportunities facing rural health-system pharmacy

Rural pharmacy practitioners are unique, and practicing in this setting takes a broad and deep understanding of pharmacy opportunities and challenges.  Dr. Kyle Johnicker and Dr. Samreena Rasheed, both pharmacy clinical coordinators at Northwestern Medicine overseeing small and rural hospitals join host Gretchen Brummel, Pharmacy Executive Director with the Vizient Center for Pharmacy Practice Excellence at ASHP Midyear in Anaheim to discuss their unique opportunity and challenges.
 
Guest speakers: Kyle Johnicker, PharmDPharmacy Clinical CoordinatorNorthwestern Medicine Kishwaukee Hospital
 
Samreena Rasheed, PharmD, BCPSRegional Pharmacy Clinical CoordinatorNorthwestern Medicine Huntley, McHenry, and Woodstock Hospitals
 
Host: Gretchen Brummel, PharmD, BCPS Pharmacy Executive Director Vizient Center for Pharmacy Practice Excellence 
 
Show Notes: 
[00:47-02:28] Dr. Johnicker and Dr. Rasheed background information 
[02:29-04:10] What attracted them to rural pharmacy
[04:11-05:32] Skill set necessary for rural pharmacy
[05:33-07:46] Recent pharmacy successes at their organization
[07:47-09:29] Where they would like to see rural pharmacy grow in the future
[09:30-10:48] Advice for students or residents thinking about a career in rural pharmacy
 
Links | Resources: 
Antimicrobial and Diagnostic Stewardship Program: Northwestern Medicine
 
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Facing hostile patients, Part 2

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, SFHMSenior Principal, Clinical Operations and QualityVizient
 
Guest:Cecilia Cruz, MD, MPH, CPCC, ACCFounder and Chief Executive OfficerMarpe, LLCBoard-certified emergency medicine physicianFormer co-chair of QualityDivision of Emergency MedicineNorthShore 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: modernpracticepodcast@vizientinc.com
Dr. Cruz’s email: ceciliacruz@marpejourney.com
Dr Cruz’s Linkedin page: Cecilia Cruz - Founder and CEO - MARPE, LLC | LinkedIn
MARPE, LLC website: https://www.marpejourney.com/
 
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2024 Impact of Change® Service Line Stories

As you already know, Sg2’s 2024 Impact of Change® Forecast was released last week—be sure to check out our previous episode for an overview. In this week’s Sg2 Perspectives, host Tori Richie dives into key stories from the forecast around the CV, orthopedics and neurosciences service lines with Sg2 service line experts Senior Directors Joshua Aaker, PhD, and Kate Zentner and Director Donnelle Jageman. Joshua, Kate and Donnelle discuss the impact of an aging population on those service lines, the challenges and opportunities of shifting care settings and sites, and much more!
 
We are always excited to get ideas and feedback from our listeners. You can reach us at sg2perspectives@sg2.com, find us on Twitter as @Sg2HealthCare, or visit the Sg2 company page on LinkedIn.

School Transitions Following Psychiatric Hospitalization

Imagine the stress of returning to school, following a psychiatric hospitalization for the pediatric patient, their family and caregivers. Dr. Sarah Edwards, director for the Division of Child and Adolescent Psychiatry and Courtney Vaughn, school transition Specialist at the University of Maryland join join host Laura Hoffman, Sr. Performance Improvement Program Director, to explain how their school transitions program helps these patients and families adjust to that transition.
 
Guests:Sarah Edwards, DODirector for the Division of Child and Adolescent PsychiatryUniversity of Maryland
 
Courtney Vaughan, MSW, LCSW-C School Transition Specialist University of Maryland
 
Moderator:Laura Hoffman, DNP, MSN, RN, CPHQ PI Program DirectorVizient
 
Show Notes: 
[00:52 – 02:54]  Overview of the school transitions program
[02:55 – 03:55]  What is a family connector and how they provide emotional support
[03:56 – 05:30]  Program elements that help youth to stay on track
[05:31 – 07:57]  Impressive outcomes of this program
[07:58 – 09:16]  What this program has meant to them from a personal or a professional standpoint
 
Links | Resources:
Contacting Knowledge on the Go: picollaboratives@vizientinc.com
 
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Facing hostile patients, Part 1

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, SFHMSenior Principal, Clinical Operations and QualityVizient
 
Guest:Cecilia Cruz, MD, MPH, CPCC, ACCFounder and Chief Executive OfficerMarpe, LLCBoard-certified emergency medicine physicianFormer co-chair of QualityDivision of Emergency MedicineNorthShore 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: modernpracticepodcast@vizientinc.com
Dr. Cruz’s email: ceciliacruz@marpejourney.com
Dr Cruz’s Linkedin page: Cecilia Cruz - Founder and CEO - MARPE, LLC | LinkedIn
MARPE, LLC website: https://www.marpejourney.com/
 
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2024 Impact of Change® Forecast

This Week on Sg2 Perspectives, host Tori Richie joins Sg2 Principals Chad Giese and Karyl Kopaskie, PhD, to talk about the Sg2 2024 Impact of Change® Forecast, which was just released today! Tori, Chad and Karyl discuss key trends in the new forecast and how health systems can use this forecast to inform their strategies. They also touch on some wild cards and innovations that could change the demand and delivery of health care over the next decade.
 
We are always excited to get ideas and feedback from our listeners. You can reach us at sg2perspectives@sg2.com, or visit the Sg2 company page on LinkedIn.
 

The drug shortage specialist will see you now

The incredible staying power of drug shortages kicks the door open for full-time pharmacy roles designed to combat this issue. Dr. Austin Pytlowany, clinical pharmacist specialist in drug shortage management at Michigan Medicine and Vizient's Kyle Hoelting, senior clinical manager of drug shortages and drug information join host Gretchen Brummel, Pharmacy Executive Director with the Vizient Center for Pharmacy Practice Excellence to discuss drug shortages and drug information and share their perspectives.
 
Guest speakers: Austin Pytlowany, PharmDPharmacy Manager – Inventory and Drug Shortage ManagementMichigan Medicine
 
Kyle Hoelting, PharmD, BCPSSr. Clinical Manager of Drug Information and ShortagesVizient Center for Pharmacy Practice Excellence 
 
Host: Gretchen Brummel, PharmD, BCPS Pharmacy Executive Director Vizient Center for Pharmacy Practice Excellence 
 
Show Notes: 
[00:48-01:53] Dr. Pytlowany background information 
[01:54-02:52] Why Michigan Medicine created his position
[02:53-05:52] The overall impact of drug shortages right now
[05:53-07:12] National impact of drug shortages
[07:13-10:41] Austin’s position helping improving patient care at Michigan Medicine
[10:42-12:25] Organizational benefits of individuals or a teams dedicated to drug shortages
[12:26-16:41] Other kinds of positions out there
[16:42-20:40] Concepts and solutions coming out of this or to market
[20:41-22:11] Future for these types of roles in drug shortages
[22:12-25:38] Advice for people who want to get into this specialty
 
Links | Resources: 
The One Thing You Need to Know about Drug Shortage Stewardship
Drug Shortage Stewardship: Calls to Action for the Interconnected Supply Chain
ASHP Current Drug Shortages
 
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How research marketing can impact your organization, Part 3

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, SFHMSenior Principal, Performance Improvement ConsultingVizient
 
Guests:
Dylan Steen, MD, MSChief Executive Officer and Co-founderHigh EnrollCardiologist, UC HealthAdjunct Associate Professor, UC College of Medicine
 
Daniel Flora, MD, PharmDMedical Director, Oncology ResearchHematologist/OncologistSt. 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: modernpracticepodcast@vizientinc.com
Dr. Steen’s email: steendy@gmail.com
Dr. Flora’s email: daniel.flora@stelizabeth.com
High Enroll website: https://www.highenroll.org
(513) 993-0330
 
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What Members Are Talking About

This week on Sg2 Perspectives, we’re bringing together all three of our podcast hosts—Trevor DaRin, Tori Richie and Jayme Zage, PhD—to review the discussions each are having with Sg2 members, whether that’s similar themes they’re hearing or surprising topics that are brought up. Trevor, Tori and Jayme talk about the bifurcation of health systems in terms of being proactive vs reactive, margin recovery and innovation, and the segmentation of primary care, as well as how life sciences companies are trying to create more value for health systems.
 
 We are always excited to get ideas and feedback from our listeners. You can reach us at sg2perspectives@sg2.com, or visit the Sg2 company page on LinkedIn.
 

Sg2 Strategy Exchange Debrief

Sg2 recently hosted one of its Strategy Exchanges, so on this week’s Sg2 Perspectives, host Trevor DaRin chats with Sg2 Senior Director Janelle Kwan and Senior Consultant Rachael Zirkelbach about what insights were gleaned from Sg2 member participants. Trevor, Janelle and Rachael discuss the common themes (eg, the importance of data and storytelling) and what are “musts” for strategy leaders (eg, balancing strategy with operational/financial responsibilities, driving transformation), as well as the evolving role of the VP of Strategy. 
 
We are always excited to get ideas and feedback from our listeners. You can reach us at sg2perspectives@sg2.com, find us on Twitter as @Sg2HealthCare, or visit the Sg2 company page on LinkedIn.

How research marketing can impact your organization, Part 2

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, SFHMSenior Principal, Performance Improvement ConsultingVizient
 
Guests:Dylan Steen, MD, MSChief Executive Officer and Co-founderHigh EnrollCardiologist, UC HealthAdjunct Associate Professor, UC College of Medicine
 
Daniel Flora, MD, PharmDMedical Director, Oncology ResearchHematologist/OncologistSt. 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: modernpracticepodcast@vizientinc.com
Dr. Steen’s email: steendy@gmail.com
Dr. Flora’s email: daniel.flora@stelizabeth.com
High Enroll website: https://www.highenroll.org
(513) 993-0330
 
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Cultivating infusion services from every angle

Health system pharmacies are turning to outpatient infusion services to improve financial performance as margins shrink. Dr. Zinkeng Asonganyi, Director of Ambulatory Pharmacy and Infusion Services at University of Texas Medical Branch or UTMB Health discusses the program and it’s implications with host Gretchen Brummel, Pharmacy Executive Director with the Vizient Center for Pharmacy Practice Excellence.
 
Guest speaker: Zinkeng Asonganyi, PharmDDirector of Ambulatory Pharmacy OperationsUTMB
 
Host: Gretchen Brummel, PharmD, BCPS Pharmacy Executive Director Vizient Center for Pharmacy Practice Excellence 
 
Show Notes: 
[00:52-01:38] Dr. Asonganyi background information 
[01:39-06:44] What’s happening in infusion at UTMB
[06:45-12:15] Complexities and logistics of the program
[12:16-15:13] Maintaining and growing reimbursement in this time of challenges
[15:14-18:33] Biggest opportunities for enhancement or growth
 
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How research marketing can impact your organization, Part 1

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, SFHMSenior Principal, Performance Improvement ConsultingVizient
 
Guests:Dylan Steen, MD, MSChief Executive Officer and Co-founder                         High EnrollCardiologist, UC HealthAdjunct Associate Professor, UC College of Medicine
 
Daniel Flora, MD, PharmDMedical Director, Oncology ResearchHematologist/OncologistSt. 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: modernpracticepodcast@vizientinc.com
Dr. Steen’s email: steendy@gmail.com
Dr. Flora’s email: daniel.flora@stelizabeth.com
High Enroll website: https://www.highenroll.org
(513) 993-0330
 
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Community Hospital Optimization

This week on Sg2 Perspectives, host Tori Richie talks to two Vizient consulting leads, Michael Lutkus and Amit Sharma, about why community hospital optimization is important for health systems. Michael and Amit cover some of the barriers to optimization (eg, M&amp;A, care shifts), along with some strategies health systems can pursue, including engaging in change management work.
 
We are always excited to get ideas and feedback from our listeners. You can reach us at sg2perspectives@sg2.com, find us on Twitter as @Sg2HealthCare, or visit the Sg2 company page on LinkedIn.

Improving care with single-use ureteroscopes, Part 2

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, SFHMSenior Principal, Performance Improvement ConsultingVizient
 
Guest:Andrew Bruenderman, MHACategory ManagerSurgical ServicesVizient
 
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: modernpracticepodcast@vizientinc.com
Andrew’s email: andrew.bruenderman@vizientinc.com
Vizient TechWatch article on single-use ureteroscopes:Vizient TechWatch Medical Device Vol. 3 (Single-Use Ureteroscopes).pdf
 
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Trends in Obstetrics Care

Recently, there’s been a lot of news around closures related to obstetrics services. So on this week’s Sg2 Perspectives, host Jayme Zage, PhD, has a conversation with Sg2 OB experts Consultant Dionne Dela Cruz and Fellow Jeremy Miller, MD around the challenges and trends of obstetrics care. Dionne and Jeremy discuss options for organizations to maintain or close OB units and the impact of closures, as well as obstetrics care strategies for health systems.
 
We are always excited to get ideas and feedback from our listeners. You can reach us at sg2perspectives@sg2.com, find us on Twitter as @Sg2HealthCare, or visit the Sg2 company page on LinkedIn.
 
 

Using AI to improve observed mortality

Artificial Intelligence has been helping improve healthcare for years, but just recently, there has been a seismic shift in capability, buy-in and attention. Healthcare systems across the country are looking into safely and effectively using AI to improve observed mortality. On this episode, we examine how Intermountain Health is effectively using AI for their patients.
 
Guest speaker:
Sathya Vijayakumar, MS, MBA
Senior Manager, Clinical Operations
Intermountain Health
 
Moderator:
Shannon Sullivan, MHA
Fellow
Performance Improvement
Vizient
 
Show Notes:
[01:22] Opportunity to benchmark observed mortality
[02:11] Using AI to track observed mortality
[06:16] Details on the process used at Intermountain Health
[08:37] How Intermountain piloted and fostered adoption of the initiative – outcomes
[12:09] Barriers to implementation
[13:43] Will never replace clinical judgment
[14:43] Recommendations and takeaways
[07:02] Next steps
 
Links | Resources:
Contacting Knowledge on the Go: picollaboratives@vizientinc.com
Shannon’s email: shannon.sullivan@vizientinc.com
Sathya’s email: Sathya.Vijayakumar@imail.org
 
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Improving care with single-use ureteroscopes, Part 1

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, SFHMSenior Principal, Performance Improvement ConsultingVizient
 
Guest:Andrew Bruenderman, MHACategory ManagerSurgical ServicesVizient
 
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: modernpracticepodcast@vizientinc.com
Andrew’s email: andrew.bruenderman@vizientinc.com
Vizient TechWatch article on single-use ureteroscopes:Vizient TechWatch Medical Device Vol. 3 (Single-Use Ureteroscopes).pdf
 
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Where Payers Stand Today

This week on Sg2 Perspectives, host Trevor DaRin is joined by Associate Principal Joe Maher from Vizient's value transformation and payer provider alignment team. Joe is our expert on the payer side of health care, so in this episode, he’ll cover payers (eg, new entrants and models, partnership opportunities for health systems) and health plans (eg, Medicare Advantage, care delivery capabilities), as well as implications for 2025.
 
We are always excited to get ideas and feedback from our listeners. You can reach us at sg2perspectives@sg2.com, find us on Twitter as @Sg2HealthCare, or visit the Sg2 company page on LinkedIn.

Special Delivery: Impacts of Specialty Pharmacy

A big part of total national drug spend is the continuing growth of the specialty drug market. Health systems depend on specialty pharmacy to make up margin losses from other areas. Dr. Vinay Eapen, Senior Manager of Specialty Pharmacy at University of Texas Medical Branch, joins Gretchen Brummel, Pharmacy Executive Director in the Vizient Center for Pharmacy Practice Excellence and your program to share a bold approach to starting specialty pharmacy services at an academic medical center.
 
Guest speakers: 
Vinay Eapen, PharmD
UTMB Senior Specialty Pharmacy Manager
Lean Adjunct Faculty
UTMB Department of Pharmacy
 
Host: 
Gretchen Brummel, PharmD, BCPS 
Pharmacy Executive Director 
Vizient Center for Pharmacy Practice Excellence 
  
Show Notes: 
[00:46-01:09] Dr. Eapen background information 
[01:10-01:52] History of the specialty drug market
[01:53-02:43] Categorizing specialty drugs
[02:44-03:26] When UTMB decided to start a specialty program
[03:27-04:18] Building the program
[04:19-05:25] Benefits of the program
[05:26-06:11] Unexpected issues
[06:12-06:54] Where specialty pharmacy is going
[06:55-07:37] Advice for other starting specialty pharmacy programs
[07:38-08:21] Reasons to start a specialty pharmacy
 
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Issues around elective surgery documentation, Part 3

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, SFHMSenior Principal, Performance Improvement ConsultingVizient
 
Guests:Rachel Mack, MSN, RN, CCDS, CDIP,  CCS, CRCConsulting Director, Clinical Documentation ImprovementVizient
 
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: 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
 
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Sg2 Economic Index 2.0

Sg2 continuously monitors the margins and financial resiliency of our members across the country, so on this week’s Sg2 Perspectives, host Jayme Zage, PhD, talks to Sg2 Principal Brian Esser, Senior Consultant Sushma Narra and Director Ryota Terada about the latest iteration of Sg2’s Economic Index, which helps organizations anticipate where future financial headwinds and tailwinds may develop. Brian, Sushma and Ryota discuss the four domains of the Economic Index; how this tool can benefit not only providers but also life sciences companies; and their bold predictions for what will impact financial resiliency over the next couple years.
 
We are always excited to get ideas and feedback from our listeners. You can reach us at sg2perspectives@sg2.com, find us on Twitter as @Sg2HealthCare, or visit the Sg2 company page on LinkedIn.

Issues around elective surgery documentation, Part 2

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, SFHMSenior Principal, Performance Improvement ConsultingVizient
 
Guests:Rachel Mack, MSN, RN, CCDS, CDIP,  CCS, CRCConsulting Director, Clinical Documentation ImprovementVizient
 
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
 
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The Bill Woodson Show: Looking to a Brighter Future at Vizient Health Executive Forum

This week on Sg2 Perspectives, we’re excited to announce the first of our episodes we like to call “The Bill Woodson Show.” For these special editions, our host will be none other than Sg2 Senior Principal Bill Woodson, who will chat with Sg2 experts and health care industry thought leaders about top-of-mind topics in the health care space. For this episode, Bill is joined by John Becker, SVP, Sales, Service &amp; Insights Delivery for the Data &amp; Digital business unit at Vizient. John recently attended the Vizient Health Executive Forum (VHEF), and he shares messages and themes he heard, including workforce solutions, transformation, AI, systemness and much more.
For more insights from VHEF, check out this article: The view from VHEF: 4 challenges that are top of mind — and what you can do about them
 
We are always excited to get ideas and feedback from our listeners. You can reach us at sg2perspectives@sg2.com, find us on Twitter as @Sg2HealthCare, or visit the Sg2 company page on LinkedIn.

Issues around elective surgery documentation, Part 1

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
 
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Unpacking Post-Acute Care in Today’s Health Care Landscape

This week on Sg2 Perspectives, host Jayme Zage, PhD, digs into post-acute care services with Sg2 Consultant Gurleen Sahota and Senior Consultants Nikita Arora and Rachael Zirkelbach, who share some insights from our recent post-acute care member survey. Gurleen, Nikita and Rachael discuss workforce and capacity challenges, telehealth utilization and policies, what to expect from the 2024 Impact of Change® forecast for post-acute care, and much more!
 
We are always excited to get ideas and feedback from our listeners. You can reach us at sg2perspectives@sg2.com, find us on Twitter as @Sg2HealthCare, or visit the Sg2 company page on LinkedIn.

A New Spin on Pharmacy Spend

Health system margins are shrinking making pharmacy spend a growing opportunity target. MultiCare Health System departs from historical methods with an exciting, multifaceted approach to the issue.  Dr. Tyson Frodin, Assistant Vice President Pharmacy Supply Chain, Rev Cycle, Technology MultiCare Health System-Pharmacy Services, joins Gretchen Brummel, Pharmacy Executive Director in the Vizient Center for Pharmacy Practice Excellence and your program host to give his thoughts on this issue.
 
Guest speakers: 
Tyson Frodin, PharmD, MHA, FACHE
Assistant Vice President
Pharmacy Supply Chain, Rev Cycle, Technology
MultiCare Health System-Pharmacy Services
 
Host: 
Gretchen Brummel, PharmD, BCPS 
Pharmacy Executive Director 
Vizient Center for Pharmacy Practice Excellence 
  
Show Notes: 
[00:46-01:31] Dr. Tyson Frodin background information 
[01:32-02:39] What drove the need for MultiCare’s pharmacy spend initiative
[02:40-08:42] Multi-pronged plan for MultiCare’s pharmacy spend initiative
[08:43-10:20] What surprised MultiCare about the process
[10:21-11:25] Outcomes
[11:26-13:11] Advice they have for other pharmacies who may wanna attempt something like this
[13:12-15:06] What’s in the future for MultiCare
 
Links | Resources: 
Coming soon – New Pharmacy Portal and Pharmacy Analytics platform
We're excited to announce the launch of our new Pharmacy Portal on March 25th, alongside the rebranding of Vizient Savings Actualyzer – Pharmacy (VSAP) to Pharmacy Analytics.
The Pharmacy Portal is designed to be a comprehensive hub, offering a wide range of pharmacy tools and metrics, all accessible in one convenient location. With the rebranding to Pharmacy Analytics, we're introducing upgraded features and functionalities aimed at optimizing contract management, benchmarking spend, evaluating drug shortages and much more.
Join our webinar on March 27, Navigating Vizient Pharmacy Analytics with PMO projections and data, to learn more about the features and benefits of our new Pharmacy Portal and rebranded Pharmacy Analytics platform.
Plus, we will be hosting deeper dive sessions March 18 through April 5 where you can experience the new tools and ask questions of our pharmacy analytics experts. Learn more and sign up for one or multiple sessions.
 
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Hospital-acquired infection improvement journey

Hospital-acquired infections affect every health organization. These infections may be caused by a variety of pathogens including bacterial, viruses, fungi and parasites. They can lead to increased morbidity, mortality and healthcare costs. Joining us to discuss their efforts to reduce hospital-acquired infections at SSM Health are Dr. Shephali Wulff, System Vice President of Quality and Safety and Chief Quality Officer and Chris Zirges, System Director of Infection Prevention.
 
Guest speakers:Shephali Wulff, DOSystem Vice President of Quality and Safety, Chief Quality OfficerSSM Health
Chris Zirges, DNP, APRN-BC, CIC, FAPICSystem Director of Infection PreventionSSM Health 
Host:Courtney Furrow-White, MPM, RNSenior PI Program DirectorVizient 
 
Show Notes:
[:56] SSM Health infection prevention overview
[1:35] Current infection disease collaboration between four teams: infection disease physicians, infection prevention, microbiology and infection disease pharmacists
[2:43] Partnering with continuous improvement team to put hospital-acquired infection guidelines into a change package
[3:05] Over a span of two years, efforts led to 60% infection reduction for three targeted infections
[3:20] Challenges with standardizing the work
[4:15] Standardizing process structure and change framework
[7:00] Process checks to support freezing and/or unfreezing behavior for validity and sustainability
[10:00] Training modules and tools
[11:45] Focus strategy for monitoring and reducing other hospital-acquired infections  
[14:40] Different processes are needed for patients that are entering care in different ways: i.e., elective vs emergent surgery vs. in-patient surgery
[15:20] Lessons learned
 
Links | Resources:
For more information: picollaboratives@vizientinc.com 
 
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How to transform to a safety culture, Part 2

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, SFHMSenior Principal, Performance Improvement ConsultingVizient
 
Guests:Kristina Kelada, PHR, CHRE, CHRSAssociate Principal, Reliability and Management SystemsVizient
 
Elizabeth Mack, MD, MSPrincipal, Reliability and Management SystemsVizient
 
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
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Dr. Mack’s email: elizabeth.mack@vizientinc.com
Kristina Kelada’s email: kristina.kelada@vizientinc.com
 
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True Consumer Centricity Means Understanding Health Care Consumer Needs

This week on Sg2 Perspectives, host Trevor DaRin talks consumer innovation with Sg2 Principals Yelena Bouaziz and Laurie Dowd—what members are asking and how health care providers can be more consumer centric. Yelena and Laurie cover the long-term vision for consumer innovation and where health systems are making progress, as well as how they’re addressing leakage.
 
We are always excited to get ideas and feedback from our listeners. You can reach us at sg2perspectives@sg2.com, find us on Twitter as @Sg2HealthCare, or visit the Sg2 company page on LinkedIn.
 

Bernadette Melnyk, Chief Wellness Officer, The Ohio State University

In this episode, Barbara chats with Dr. Bernadette Melnyk, Chief Wellness Officer at the Ohio State University. Dr. Melnyk is an internationally known expert on evidence-based practice, population health and patient and clinical well-being. 
 
Guest speaker:Bernadette Melnyk, PhD, CPRN-CNP, FAANP, FNAP, FAANChief Wellness OfficerThe Ohio State University
 
Host:Barbara Seymour, DNP, RN, NE-BC, CPPSAssociate Vice President, Member ConnectionsVizient 
 
Show Notes:
[1:18] A personal tragedy at the age of 15 made her passionate about mental health and wellness, and lead her to a career in nursing
[3:35] Evidence-based positive influencers that can help improve mental health and stress
[5:20] Ten dimensions of wellness
[6:12] Career wellness – dream big!
[7:05] Three D’s to career success: Dream big, discover and deliver
[7:55] If you’re not aligned with your dreams, purpose and passion, every day will be difficult
[9:14] Creating and sustaining a well culture that is caring and supportive
[10:40] Self-care for yourself and your loved ones
 
Links | Resources:
Bernadette Melnyk's Biographical Information
 
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How to transform to a safety culture, Part 1

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, SFHMSenior Principal, Performance Improvement ConsultingVizient
 
Guests:Kristina Kelada, PHR, CHRE, CHRSAssociate Principal, Reliability and Management SystemsVizient
 
Elizabeth Mack, MD, MSPrincipal, Reliability and Management SystemsVizient
 
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
To contact Modern Practice: modernpracticepodcast@vizientinc.com
Dr. Mack’s email: elizabeth.mack@vizientinc.com
Kristina Kelada’s email: kristina.kelada@vizientinc.com
 
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CFO Outlook: Five Common Themes of Top Performers

This week on Sg2 Perspectives, host Trevor DaRin is joined by Vizient VP, Member Networks, Michael Busch and Sg2 Principal Brian Esser to get an understanding of how CFOs are looking at 2024—where is there hope, where is there opportunity? Mike and Brian talk about where top performers are finding growth, the importance of data and analytics, and how CSOs can pitch effectively to CFOs.
 
We are always excited to get ideas and feedback from our listeners. You can reach us at sg2perspectives@sg2.com, find us on Twitter as @Sg2HealthCare, or visit the Sg2 company page on LinkedIn.
 

505b2 Pathway: Ghost Generics

The 1984 Hatch-Waxman Act codified the 505(b)(2) drug approval pathway and allowed the use of studies from a previously approved drug. To be clear, medications approved via this pathway are not generic molecules of the reference listed drug. They may have similar clinical effects and roles in therapy, but they also bring challenges. Dr. Tyler Wood, System Director of Pharmacy Oncology and Biosimilars, and Pharmacy Executive Director, Carolyn Liptak at Vizient, join Gretchen Brummel, Pharmacy Executive Director in the Vizient Center for Pharmacy Practice Excellence and your program host to give an early look.
 
Guest speakers: Tyler Wood, PharmD, BCBBSSystem Director, Pharmacy Oncology and Biosimilars Providence St. Joseph Health
 
Carolyn Liptak, MBA, BSPharmPharmacy Executive Director Vizient 
 
Host: Gretchen Brummel, PharmD, BCPS Pharmacy Executive Director Vizient Center for Pharmacy Practice Excellence
 
Show Notes: 
[00:55-01:34] Dr. Tyler Wood background information 
[01:35-03:09] How the 505(b)(2) pathway is intended to work
[03:10-04:32] Comparisons can we draw from the biologics approval process
[04:33-05:53] What the FDA says about which pathway to use
[05:54-07:05] What's changed recently in the approval process
[07:06-08:09] Can a 505(b)(2) product be rated as a generic equivalent?
[08:10 -09:07] How CMS changes are impacting management
[09:08-11:23] What our providers can do to plan and act to address these issues
[11:24-12:27] What’s most concerning moving forward
 
Links | Resources: 
Applications Covered by 505(b)(2)
Hospital Outpatient Prospective Payment System: January 2024 Update
MLN Matters® Articles Sign-up
CMS.gov ASP Pricing Files
CMS.gov What's a MAC
Drugs@FDA: FDA-Approved Drugs
FDA: Overview of the 505(b)(2) Regulatory Pathway for New Drug Applications
HCPCS Level II Coding for 505(b)(2)-Approved Drugs or Biologicals – Frequently Asked Questions
 
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Investing in the transition of APPs to practice, Part 2

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, SFHMSenior Principal, Performance Improvement ConsultingVizient
 
Guest:Christen Hunt, DNP, FNP-C, CPNP-ACAssociate Vice President, Workforce ConsultingVizient
 
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
 
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Sg2’s Digital Health Expert Is Over These Five Digital Health Cliches

This week on Sg2 Perspectives, host Trevor DaRin gives Sg2 Director and digital health expert Andrew Rebhan space to share five often-said, often-heard cliches about digital health, and why Andrew wants to move away from using them. Andrew discusses cliches for telehealth, AI, big tech disrupters, “shiny new objects” and digital transformation.
 
 
We are always excited to get ideas and feedback from our listeners. You can reach us at sg2perspectives@sg2.com, find us on Twitter as @Sg2HealthCare, or visit the Sg2 company page on LinkedIn.

Marcus Engel, Compassion Consultant

Marcus Engel survived a traumatic car accident that taught him the healing power of compassion and human connection. He uses his experiences and narrative medicine to help caregivers nationwide to rediscover their compassion for the benefit of themselves and their patients.
 
Guest speaker:Marcus Engel, MS, CPXP, CSPCompassion ConsultantMarcusEngel.com
 
Host:Barbara Seymour, DNP, RN, NE-BC, CPPSAssociate Vice President, Member ConnectionsVizient 
 
Show Notes:[1:00] Marcus Engel turned a tragic accident into a journey of narrative medicine to help others overcome challenges
[2:27] Narrative medicine origin and therapeutic attributes 
[4:27] Narrative medicine done well promotes listening, feeling heard and feeling seen
[6:55] How caregivers can reconnect and heal 
[8:45] Teaching future generations of nurses how to develop human connections and compassion
 
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Investing in the transition of APPs to practice, Part 1

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 Principal, Performance Improvement ConsultingVizient
 
Guest:Christen Hunt, DNP, FNP-C, CPNP-ACAssociate Vice President, Workforce 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: modernpracticepodcast@vizientinc.com
Christen Hunt’s email: christen.hunt@vizientinc.com
 
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The Ideal State for Rural Health Systems

Ever wonder what happens when the podcast host is put in the hot seat? Check out this week’s Sg2 Perspectives, where host Trevor DaRin is interviewed by Sg2 Senior Director Janelle Kwan! Both Trevor and Janelle have researched rural care continuums—which Sg2 calls Systems of CARE—so today, they discuss rural health systems, including workforce challenges, strategic partnerships and leaning in on digital health.
 
We are always excited to get ideas and feedback from our listeners. You can reach us at sg2perspectives@sg2.com, find us on Twitter as @Sg2HealthCare, or visit the Sg2 company page on LinkedIn.

Improving sepsis bundle compliance

Sepsis has long been a challenge for healthcare organizations. It is a leading cause of morbidity, readmissions and mortality. As a reaction to an infection, sepsis can spread quickly, progress to septic shock and eventually shut down organ systems. Catching it early is a priority and the basis for much of a hospital’s approach to the disease. This episode features a healthcare expert who shares her organization’s approach to sepsis, as part of a Vizient collaborative, that has resulted in significant reduction in the disease.
 
Guest speaker:Leanne Bonds, MSN, RN, CPHQDirector of Quality and Patient SafetyUF Health Shands Hospital
 
Host:Shannon Hale, MHA, RN, CPHQPerformance Improvement Program DirectorVizient
 
Show Notes:
[01:14] Rationale for participating in the collaborative
[01:53] Goal of participation
[02:23] Increasing compliance with the sepsis order set
[03:11] Use of sepsis sidebar
[04:06] Barriers to implementation
[04:46] Outcomes from collaborative
[05:45] A takeaway from the collaborative
[07:02] Next steps
 
Links| Resources:
Contacting Knowledge on the Go: picollaboratives@vizientinc.com
Shannon’s email: shannon.hale@vizientinc.com
Leanne’s email: lbon0001@shands.ufl.edu
CDC sepsis website: https://www.cdc.gov/sepsis/what-is-sepsis.html
 
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Sg2 Perspectives Podcast