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, SFHM Senior Principal Clinical Operations and Quality Vizient

Guest: Thomas Munger, MD Chair, Heart Rhythm Division Associate Professor of Medicine Mayo 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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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, SFHM Senior Principal Clinical Operations and Quality Vizient

Guest: Thomas Munger, MD Chair, Heart Rhythm Division Associate Professor of Medicine Mayo 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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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, SFHM Senior Principal Clinical Operations and Quality Vizient

Guest: Thomas Munger, MD Chair, Heart Rhythm Division Associate Professor of Medicine Mayo 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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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, SFHM Senior Principal Clinical Operations and Quality Vizient

Guest: Simon Henley, MBA, CMBB Director, Global Market Growth Defibrillator Solutions Medtronic

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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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, SFHM Senior Principal Performance Improvement Consulting Vizient

Guest: Michael Strilesky Senior Principal Care Delivery Transformation Strategy Consulting Vizient

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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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, 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: 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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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, 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

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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In this re-air of our two-part, award-winning podcast series, we discuss how physical violence in the healthcare workplace is on the rise. Healthcare workers are more in danger of violence than are police officers or prison guards. Looking at the labor force in general, healthcare workers have five times the likelihood of facing violence than workers across all other industries. And that doesn’t include the verbal abuse. Clinicians need skills to defuse conflict and hopefully settle down hostilities before they get out of hand. On this episode, Tomas and Cecilia finish their discussion with some helpful tips.

Moderator:

Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Clinical Operations and Quality Vizient

Guest: Cecilia Cruz, MD, MPH, CPCC, ACC Founder and Chief Executive Officer Marpe, LLC Board-certified emergency medicine physician Former co-chair of Quality Division of Emergency Medicine NorthShore University HealthSystem

Show Notes:

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

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

[04:45] Prevalence of incivility

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

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

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

[12:05] A symptom of the healthcare crisis

Links | Resources:

To contact Modern Practice: 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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