Knowledge on the Go

Revenue and margins, deferred surgeries, preventive care, rising patient acuity, a maturing inpatient to outpatient shift and the persistent pressure of health inequality impact surgery volumes.

In the second part of this two-part program, Dr Jay Prystowski and Rosanne Zagone join host Marilyn Sherrill to discuss the effects of first case, on time starts and how important staying on time is for a surgical facility.

Guests:

Jay Prystowski, MD

Principal

Vizient

Rosanne Zagone, MS

Associate Principal

Vizient

Moderator:

Marilyn Sherrill

Senior PI Program Director

Vizient

Show Notes:

[01:32 – 03:07]  Why first case, on time starts are so important

[03:08 – 04:12]  Standard definition of on time starts

[04:13 – 06:34]  Grace periods for on time starts

[06:35 – 07:41]  Cutoff times for on time starts

[07:42 – 12:33]  Impacts of first case delays

[12:34 – 16:15]  Getting schedules back on track

[16:16 – 19:47]  Benefits of on time starts

For more information, email [email protected]

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Revenue and margins, deferred surgeries, preventive care, rising patient acuity, a maturing inpatient to outpatient shift and the persistent pressure of health inequality impact surgery volumes.

In the first part of this two-part program, Dr Jay Prystowski and Rosanne Zagone join host Marilyn Sherrill to discuss the effects on surgical services throughput as it relates to operating room utilization and how it impact a hospital’s mission.

Guests:

Rosanne Zagone, MS

Moderator:

Show Notes:

[01:32 – 02:39]  Why operating room utilization is so important

[02:40 – 05:42]  How operating room utilization is calculated

[05:43 – 07:44]  The item that most impacts optimal utilization

[07:45 – 10:00]  Open room blocks and how they help with operating room utilization [10:01 – 13:24]  Is there a standard calculation of operating room utilization

[13:25 – 16:09]  Typical utilization rates on average

[16:10 – 19:05]  Other thoughts

For more information, email [email protected]

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This episode continues examining insights gained from the Optimization of Biosimilars Medications Collaborative.

Chelsee Jensen and Scott Soefje from Mayo Clinic discuss their participation in the project, key takeaways and what's on the horizon in the Biosimilar market. 

Speakers:

Chelsee J. Jensen, Pharm.D., BCPS, R.Ph.

Senior Pharmacy Specialist, Pharmaceutical Formulary Manager

Supply Chain Management

Mayo Clinic

Scott Soefje, PharmD, MBA, BCOP, FCCP, FHOPA

Director, Pharmacy Cancer Care

Assistant Professor of Pharmacy

Mayo Clinic

Moderator:

Jim Lichauer, PharmD, BCPS, FASHP

Sr PI Program Director, Pharmacy

Vizient

Show Notes:

[00:42] Current state of the Biosimilar market

[01:58] The financial opportunity available and what that opportunity might look like

[03:56] Key strategies and impactful strategies utilized during the collaborative

[07:07] Key takeaways from the collaborative project

[08:25] Moving Biosimilars into the retail space and what that might mean

[10:48] Navigating the complexities of medications covered under the pharmacy benefit

[11:46] Other Biosimilar products on the way

[12:30] Final thoughts and advice for organizations considering Biosimilars

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With a potential savings of over $100 million over the next five years, spend on biologics continues to outpace the total market by a two-to-one margin. However, utilization rates in the United States have been slowed by numerous issues.

Wendy Biese and Carmen Gust join this episode to discuss the strategies ThedaCare Regional Medical Center has adopted to optimize biosimilars, and some of the barriers they’ve had to overcome in order to achieve their successful results.

Speakers:

Wendy Biese, PharmD, DPLA

System Director – Pharmacy Services

ThedaCare Regional Medical Center

Carmen Gust, PharmD, BCPS

System Clinical Pharmacy Coordinator

ThedaCare Regional Medical Center

Moderator

Jim Lichauer, PharmD, BCPS, FASHP

Sr PI Program Director, Pharmacy

Vizient

Show Notes:

[00.05] Background information on biosimilars and the history of biologics spend.

[01:40] Background information about ThedaCare.

[03:42] ThedaCare’s initial work with biosimilar conversion, from 2018 to early 2022.

[05:57] How ThedaCare’s game-changer initiative began, in the cancer center, and how key stakeholders were engaged.

[09:37] ThedaCare’s best practices for actively converting patients to biosimilars.

[12:04] Results so far, including outcomes and projected savings.

[13:01] Advice for organizations planning to implement similar biosimilar strategies.

[15:21] How ThedaCare is moving into the next phase of biosimilar conversion, and strategies for overcoming challenges.

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Studies have shown that Care At Home promotes an effective and cost-efficient manner for patients to recover.

Jayme Zage and Brianna Motley, both from Sg2, join this episode to discuss the findings and insights garnered from the Integrated Performance Solution Care At Home Strategy Accelerator and how organizations can identify and prioritize what options and programs best fit their health-care-at-home strategy.

Speakers:

Jayme Zage, PhD

Principal, Intelligence

Sg2

Brianna Motley

Principal, Intelligence

Sg2

Moderator:

Courtney Furrow-White, MPM, RN

Senior Performance Improvement Program Director

Vizient

Show Notes:

[01:21] Background information about the IPS Strategy Accelerator and how Vizient and Sg2 define Care At Home

[03:28] Explanation of the portfolio approach to Care At Home

[04:52] Why it makes sense strategically for an organization to consider Care At Home

[06:10] Questions organizations should ask of themselves and their leadership as they consider this strategy

[07:44] Insights gained from participants in the Strategy Accelerator

[11:27] Levers needed to develop a sustainable Care At Home business model

[14:05] How this strategy can impact staffing concerns

[17:39] Recommendations for organizations looking to prioritize Care At Home resources they might already have

[20:16] Final thoughts and advice

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Research indicates that unmet social determinants of health —such as transportation, housing, and food security —can negatively impact health outcomes.

Kristin Burger O’Neal and Donna Avila join this episode to discuss how their team at Norman Regional Health System began screening for social determinants of health, and the impact on patient care.

Speakers:

Kristin Burger O’Neal, BSN, RN, CCM, ACM-RN

Moderator:  

Show Notes:

[01:20] Why now is the right time to concentrate on social determinants of health.

[03:36] Norman Regional Health System’s engagement in the communities they serve, and the idea of the “elder orphan.”

[05:13] The transportation program’s impact on elder orphans.

[07:15] What’s involved in screening for social determinants of health, and what is done with patients determined to be at-risk.

[11:14] The Community Health Navigator role and its effect on patients in the community.

[13:59] Next steps in the process for Norman Regional Health System.

[15:50] Advice for other health systems considering screening for social determinants of health.

[16:41] Why it is invaluable to keep an open mind about your patient population.

Links | Resources:

For more information, email [email protected]

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Adults with food insecurities have an increased risk for negative health outcomes, including obesity and chronic disease; and children with food insecurities may be at a higher risk for obesity, developmental problems and mental health issues. In this podcast, we’ll discuss what Main Line Health is doing to address food insecurities for their patients who come through their emergency departments.

Guest speakers: 

Joseph MacDonald, CSSBB, MBA

Shonalie Roberts, MHA, ARM, LSSGB

Host:  

Show Notes: 

[1:48] Why Main Line Health decided use the emergency department to screen for food insecurities  

[2:53] Their screening revealed 530 patients with food insecurities, and the nurses wanted to do more for those patients and that was the beginning of their food bag program

[3:34] The ED screening program isn’t the first food insecurity program at Main Line Health. The Deaver Wellness Farm on their Lankenau Medical Center campus has supplied fruits and vegetables to patients during doctor visits since 2015.

[6:00] Who supports the food bag program

[6:47] EMR helps with the lunch bag program’s workflow

[8:00] Sustainability for the program takes streamlined behind the scenes logistics and standardization of tasks

[10:52] Food bag content

[12:00] Follow up after the patient receives the food bag

[12:48] Program impact on the patients and staff

For more information, email [email protected]

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This episode features a team using a systemwide approach to communicate quality data and engage their stakeholders. Through this ongoing process, they have forged relationships that have improved patient care throughout the Intermountain Healthcare organization.

Guest speakers:

Daniel Barker, MBA, RRT

Moderator:

Show Notes:

[01:26] Developing communication process to impact each care site

[02:34] Communication channels

[03:18] Engagement approach – a non-threatening attitude

[05:36] Looking at gaps to reduce PSI 3s (patient safety indicator for pressure ulcers)

[06:14] “What if” calculator for care site benchmarking

[07:04] Sharing systemwide – “system learning”

[09:05] Quality Insights Dashboard – sharing PSI data and best practices systemwide

[11:29] Other communication approaches across the system

[13:18] Beyond PSIs – mortality, QAPI data

[14:38] Not about reducing the numbers

[16:18] “Fail fast, move forward”

Links | Resources:

Recent PI Collaborative broadcast featuring Bonnie Gregson and Danny Barker discussing their quality approach at Intermountain Healthcare: Click Here

To contact Knowledge on the Go: [email protected]

To contact Bonnie: [email protected]

To contact Danny: [email protected]

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CDC statistics suggest that one in three people who die in a hospital have sepsis. Furthermore, in almost 87% of cases the patient had sepsis or a sepsis-causing infection before admission to the hospital.

Innovative healthcare organizations are increasingly using artificial intelligence (AI) technology to combat sepsis.

In this episode, Dr. Joe Cummings explains the technology and shares the latest developments in the battle against sepsis.

Guest speaker:

Moderator:

Show Notes:

[01:36] Basic definition of artificial intelligence (AI).

[02:21] AI subtypes important to the sepsis discussion.

[03:49] More on how AI can combat sepsis.

[05:39] Barriers to implementation.

[09:55] Other AI models and their results.   

[11:33] What the future holds for sepsis models. 

[12:20] Advice to organizations interested in AI options for sepsis.

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Facilitating access to care for patients is focused on ensuring timely, necessary, and appropriate health care services. Improving access to care is a strategic priority for most health systems and a challenge for nearly all.

The Association of American Medical Colleges and Vizient recently collaborated on a study regarding a patient-centered approach to optimizing ambulatory access.  Guests on this episode discuss those findings and   insights from ambulatory care leaders, physicians, and staff in five academic medical centers whose organization's access performance has been outstanding.

Guest Speakers:

Danielle Carder, MSC

Moderator:

Show Notes:

[01:28] General findings from the project, including primary drivers of success.

[04:12] More details about what the framework.

[04:56] The role engaged leadership plays in success.

[06:03] Supporting foundational leadership and culture with organization-wide structure and standard processes.

[07:08] Actionable data and analytics.  

[09:43] Optimizing care delivery.

[11:50] The role of workforce engagement in reducing turnover and burnout.

[13:28] Leveraging technology.  

[16:36] Summary of the project findings.

[17:44] Recommendations for organizations that want to incorporate this framework.

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