Modern Practice Podcast

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 resu...

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  ...

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 R...

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 Viz...

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 su...

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  ...

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...

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 Vi...

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 i...

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 t...

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, SFHM Senior Principal, Performance Improvement Co...

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, SFHM Senior Principal, Performance Improvemen...

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 expert...

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, SFHM Senior Principal, Performance Improvement Consulting Vizient   Guest: Andrew Bruenderman, MHA Category Manager Surgical Services Vizient   Show Notes: [00:44...

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, SFHM Senior Principal, Performance Improvement Consulting Vizient   Guest: Andrew Bruenderman, MHA Category Manager Surgical Services Vizient   Show Notes...

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, SFHM Senior Principal, Performance Improvement Consulting Vizient   Guests: Rachel Mack, MSN, RN, CCDS, CDIP,  CCS, CRC Consulting Director, Clinical Documentation Improvement Vizient  ...

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, SFHM Senior Principal, Performance Improvement Consulting Vizient...

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,...

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, SFHM Senior Principal, Performance Improvement Consulting Vizient   Guests: Kristina...

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,...

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,...

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 fr...

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.   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Princ...

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.   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Performance Improvement Consulting Vizient   Guests: Suzanne Miller, MSN, RN Senior Consulting Director, Reliability and Management Systems Viz...

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...