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, SFHM Senior Principal Clinical Operations and Quality Vizient

Guests: Rachel Leyk, RN, CMSRN, CPHQ Improvement Advisor Quality and Safety – Fargo Sanford Health

Devendranath (Dev) Mannuru, MD, CHCOM Internal Medicine Hospitalist CDI and Quality Physician Advisor Sanford Hospital – Fargo

Khaled Zreik, MD Director, Critical Care Acute Care Surgeon Sanford 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 Final.pdf

2023 Quality and Safety Conference presentation: 2023-qsc-ppt-final presentation.pptx

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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, SFHM Senior Principal Clinical Operations and Quality Vizient

Guests: Rachel Leyk, RN, CMSRN, CPHQ Improvement Advisor Quality and Safety – Fargo Sanford Health

Devendranath (Dev) Mannuru, MD, CHCOM Internal Medicine Hospitalist CDI and Quality Physician Advisor Sanford Hospital – Fargo

Khaled Zreik, MD Director, Critical Care Acute Care Surgeon Sanford 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 Final.pdf

2023 Quality and Safety Conference presentation: 2023-qsc-ppt-final presentation.pptx

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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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