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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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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