Modern Practice Podcast

This episode finishes our discussion on how organizations can tackle persistent quality, safety and workplace challenges on the way to becoming high reliability organizations (HROs). Tomas engages with two expert guests on what constitutes an HRO and how to make that journey to better performance.   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Clinical Operations and Quality...

On this episode, we continue our discussion on how organizations can tackle persistent quality, safety and workplace challenges on the way to becoming high reliability organizations (HROs). Tomas discusses with two expert guests on what constitutes an HRO and how to make that journey to better performance.   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Clinical Operations an...

Reducing patient harm, team burnout and waste in healthcare requires organizations to tackle persistent quality, safety and workplace challenges. This work is what leads to becoming a high reliability organization (HRO). On the next three episodes, Tomas discusses with two expert guests on what constitutes an HRO and how to make that journey to better performance.   Moderator: Tomas Villanueva, DO...

This episode of our award-winning podcast continues our examination of the complexities of cardiac surgery patients and the challenges in understanding them and in assessing and documenting  their status.   Moderator: 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 Documen...

On this episode, we continue our examination of cardiac surgery with its unique challenges and risks for patients, with a  focus on accurate and thorough documentation of these procedures.   Moderator: 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 Improvem...

Cardiac surgery poses unique challenges with its risks for patients, its potential complications and the difficulty in capturing the details in thorough documentation. On this episode, we discuss those challenges and how to approach them effectively.   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient Guest: Rachel Mack, MSN, RN, CCDS, CDIP,...

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.   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Oper...

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...

On this episode, Tomas continues examining an area often overlooked in documentation – chronic fatigue and debilities. Joining him is a leading expert on clinical documentation improvement. She will demonstrate how crucial this area is to reimbursement and patient care, affecting as it does mortality, length of stay and other indicators.   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior P...

An area often overlooked in documentation can be crucial to reimbursement and efficacious care, and that is the realm of chronic fatigue and debilities. Joining Tomas is a leading expert that will explain the importance of accurate coding for these patients.. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient Guests: Rachel Mack, MSN, RN, CCD...

This episode of our award-winning podcast continues an examination of the recent updates to the coding guidelines released by the Centers for Medicare and Medicaid Services (CMS). Knowing these guidelines is crucial to practices and healthcare organizations for accurate reporting and reimbursement. Two leading clinical documentation experts join Tomas in this critical discussion.   Moderator: Toma...

Every year, the Centers for Medicare and Medicaid Services (CMS) makes revisions, additions and deletions to the coding guidelines that healthcare organizations and practices use for reporting, billing and reimbursement. The guidelines for 2024 include a number of new guidelines dealing with social determinants of health (SDOH) issues. It is crucial for practices to fully understand all the guidel...

On this episode of our award-winning podcast, we finish our feature on an organization that has made huge strides in reducing Patient Safety Indicators (PSIs) throughout health system. We will discuss the phenomenal results of the initiative so far and what is planned for the near future at Sanford Health.   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and...

On this episode of Modern Practice, we continue highlighting an organization that has made huge strides in reducing Patient Safety Indicators (PSIs) throughout health system.   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...

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 Improvem...

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...

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 hopefu...

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 to know what to do in the face of violent confrontation. On this episode, Tomas discusse...

Screening for colorectal cancer (CRC) has seen a lot of innovations, but there is still the conventional gold standard. On this episode of our award-winning podcast, Dr. Tomas Villanueva welcomes Dr. Aziz Aadam to discuss the need for early colorectal cancer (CRC) detection, and the options available to patients.   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operati...

In this episode of the award-winning podcast Dr. Tomas Villanueva welcomes Dr. Aziz Aadam to discuss the need for early colorectal cancer (CRC) detection, which drastically increases the rate of survival, and how improvements in CRC screening are giving patients better options.   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient   Guest: Abd...

This episode of the award-winning podcast examines the importance of risk adjustment. Dr. Tomas Villanueva leads the discussion on the impact of this crucial aspect of documentation that can affect hospital outcomes.   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient   Guest: Erica Braun, MS, RN, CCDS Senior Consulting Director Clinical Doc...

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.   Moderator: Tomas...

On this episode, Dr. Tomas Villanueva continues his discussion with a leading clinical documentation expert on the need to correctly document everything involving spinal surgery. Spinal surgery represents a complex challenge for documentation specialists and clinicians alike.   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient Guest: Rachel...

Spinal surgery represents a complex challenge for clinical documentation. Difficult to code and representing query situations that can be demanding, this is the area of focus for this episode of Modern Practice. Joining Dr. Tomas Villanueva is a leading expert returning to the podcast to talk about the challenges of spinal surgery documentation.   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM...

In this episode, we continue our discussion about the value of diagnosing mental health and why it's important to make that diagnosis. Dr. Tomas Villanueva Welcomes back a leading expert who is well-versed in the documentation of mental health.   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Clinical Operations and Quality Vizient   Guest: Connie Ryan, MBA, RN, CDIP Consultin...