Challenges in Documenting Spinal Surgery, Part 2

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.   Host: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Performance Improvement Consulting Vizient   Guest: Michael Strilesky Senior Principal, Care Delivery Transformation Strategy Consulting Vizient   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: [email protected] Michael Strilesky’s email: [email protected] “Grow hospital market share by integrating ambulatory care across acute service lines” (Vizient publication): Click here   Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed

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.   Host: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Performance Improvement Consulting Vizient   Guest: Michael Strilesky Senior Principal, Care Delivery Transformation Strategy Consulting Vizient   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: [email protected] Michael Strilesky’s email: [email protected] “Grow hospital market share by integrating ambulatory care across acute service lines” (Vizient publication): Click here   Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed

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.   Host: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Performance Improvement Consulting Vizient   Guest: Michael Strilesky Senior Principal, Care Delivery Transformation Strategy Consulting Vizient   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   Links | Resources: To contact Modern Practice: [email protected] Michael Strilesky’s email: [email protected] “Grow hospital market share by integrating ambulatory care across acute service lines” (Vizient publication): Click here   Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed

On this final episode of a three-part series, Tomas finishes his discussion with two experts on high-reliability organizations who examine the crucial role of learning areas in the success of top performers. High-performing organizations take care of not only their patients but their staff and indeed enable staff to be at their best.   Host: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Performance Improvement Consulting Vizient   Guests: Suzanne Miller, MSN, RN Senior Consulting Director, Reliability and Management Systems Vizient   Katerie Chapman, MHA Senior Principal, Safe and Reliable Healthcare Vizient   Show Notes: [00:54] Need for change-ready units in the organization [01:32] Overcome the perception “this is one more thing” [03:17] Example: skeptical ICU nurse – “This is going to fail” [04:56] Taking a phased approach [05:37] Measuring success of learning areas: the benchmarks to use 06:22] Excited staff members   Links | Resources: To contact Modern Practice: [email protected] Vizient Safe and Reliable Healthcare site: Click here Suzanne’s email: [email protected] Katerie’s email: [email protected]   Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed

On this episode, Tomas continues his discussion with two expert guests about learning areas and how they are proving effective and essential in developing high-reliability organizations.   Host: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Performance Improvement Consulting Vizient   Guests: Suzanne Miller, MSN, RN Senior Consulting Director, Reliability and Management Systems Vizient   Katerie Chapman, MHA Senior Principal, Safe and Reliable Healthcare Vizient   Show Notes: [00:41] Who engages in learning areas? [03:17] A flood of kudos in the ED – an example of lifting morale [05:10] Team participation in barcode scanning – an example of improving compliance [07:02] A resource for senior leaders [07:55] A safety concern that, once identified, was quickly corrected [08:44] Real-time nature of rounding and issue resolution   Links | Resources: To contact Modern Practice: [email protected] Vizient Safe and Reliable Healthcare site: Click here Suzanne’s email: [email protected] Katerie’s email: [email protected]   Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed

Learning areas have become an effective aspect of high-reliability organizations in healthcare. Employing floor or departmental huddles as the focal point for these learning areas, the experience of the huddles has been augmented and reinforced by bulletin boards and whiteboards. Even more effective is the newest wrinkle in the experience – LENS (Learning & Engagement System) boards, which are dynamic, digitally-based visual boards that can transmit messaging on a 24/7 basis in a designated learning area. On the next three episodes, Tomas discusses learning areas with two expert guests, who will share the rationale behind them and how to make them work for you.   Host: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Performance Improvement Consulting Vizient   Guests: Suzanne Miller, MSN, RN Senior Consulting Director, Reliability and Management Systems Vizient   Katerie Chapman, MHA Senior Principal, Safe and Reliable Healthcare Vizient   Show Notes: [01:58] Developing and sustaining learning areas [03:02] Elements employed in a learning area [05:00] The cornerstone of high reliability [06:07] The visual management role [07:37] Advantages of the LENS board [09:07] Selecting a unit to be a learning area   Links | Resources: To contact Modern Practice: [email protected] Vizient Safe and Reliable Healthcare site: Click here Suzanne’s email: [email protected] Katerie’s email: [email protected]   Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed

The healthcare workforce is in a state of crisis: shortages of healthcare workers, rampant burnout, schedules in flux and outbreaks of violence in the workplace. On this episode, Tomas continues his discussion with a leading expert on the healthcare workforce on steps organizations can take to alleviate this crisis. Host: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Clinical Operations and Quality Vizient   Guests: Eric Burch, MBA, RN, FACHE Executive Principal, Operations and Workforce Services Vizient   Show Notes: [00:32] Need for collecting and leveraging data [02:12] Reflecting the community in recruiting and retention [03:28] Addressing regulatory issues [06:10] Unions [07:06] Taking the pulse [07:35] Expanding the pipeline [09:23] Fostering wellness and resilience [10:52] Short- and long-term strategies   Links | Resources: To contact Modern Practice: [email protected] Eric’s email: [email protected]   Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed

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

On this episode, Dr. Tomas Villanueva and a leading clinical documentation expert finish their discussion on the need to correctly document everything involving spial surgery. Spinal surgery represents a complex challenge for documentation specialists and clinicians alike, and this episode will clear up what is needed to be successful in coding and documenting these procedures.   Host: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Clinical Operations and Quality Vizient   Guest: Rachel Mack, MSN, RN, CCDS, CDIP, CCS, CRC Consulting Director, Clinical Documentation Improvement Vizient   Show Notes: [00:31] Query opportunities and low-hanging fruit [01:53] Blood loss and the whole clinical picture in querying [02:50] Using that “magic word” can make a difference – coding to an MCC [03:43] Other query opportunities [10:36] When the documentation is wrong [12:44] Reconciliation and feedback needed   Links | Resources: To contact Modern Practice: [email protected] Rachel Mack’s email: [email protected]   Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed

On this episode, Dr. Tomas Villanueva continues his discussion with a leading clinical documentation expert on the need to correctly document everything involving spial surgery. Spinal surgery represents a complex challenge for documentation specialists and clinicians alike.   Host: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Clinical Operations and Quality Vizient   Guest: Rachel Mack, MSN, RN, CCDS, CDIP, CCS, CRC Consulting Director, Clinical Documentation Improvement Vizient   Show Notes: [00:41] Rise in spinal surgeries [01:23] Coding challenges and parameters [01:53] Predicaments for coding and CDI specialists [07:22] Common DRGs for spinal surgeries – the need to use the “magic words”   Links | Resources: To contact Modern Practice: [email protected] Rachel Mack’s email: [email protected]   Subscribe Today! Apple Podcasts Amazon Podcasts Android Spotify RSS Feed