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:

Guests:

Show Notes:

Links | Resources:

To contact Modern Practice: [email protected]

Rachel Mack’s email: [email protected]

“Costs of Postoperative Sepsis: The Business Case for Quality Improvement to Reduce Postoperative Sepsis in Veterans Affairs Hospitals” (JAMA): Click Here

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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:

Guests:

Show Notes:

[00:34] Dealing with preoperative infections

[01:56] Percentage of elective surgery patients who develop sepsis—with 25% mortality

[03:45] Accurately coding to avoid a PSI 13 being charged to your practice/organization

[05:34] Do not miss a Present on Admission case

[07:30] Need for CDI specialists to collaborate with quality (the “dotted line”)

[08:50] Issues around PSI 7

Links | Resources:

To contact Modern Practice: [email protected]

Rachel Mack’s email: [email protected]

“Costs of Postoperative Sepsis: The Business Case for Quality Improvement to Reduce Postoperative Sepsis in Veterans Affairs Hospitals” (JAMA): Click Here

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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, FACPE, SFHM

Senior Principal, Performance Improvement Consulting

Vizient

Guests:

Rachel Mack, MSN, RN, CCDS, CDIP,  CCS, CRC

Consulting Director, Clinical Documentation Improvement

Vizient

Show Notes:

[01:21] Planned surgeries

[02:26] Five most common elective surgeries and who has them

[04:15] Why elective surgeries are unique

[05:44] What you need to document – examples

[09:13] Obesity and documentation—capturing a CC

Links | Resources:

To contact Modern Practice: [email protected]

Rachel Mack’s email: [email protected]

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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:

Guests:

Elizabeth Mack, MD, MS

Show Notes:

Links | Resources:

To contact Modern Practice: [email protected]

Dr. Mack’s email: [email protected]

Kristina Kelada’s email: [email protected]

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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:

Guests:

Elizabeth Mack, MD, MS

Show Notes:

To contact Modern Practice: [email protected]

Dr. Mack’s email: [email protected]

Kristina Kelada’s email: [email protected]

Subscribe Today!

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:

Guest:

Show Notes:

Links | Resources:

To contact Modern Practice: [email protected]

Christen Hunt’s email: [email protected]

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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 from the academic to the clinical realm. On the next two episodes, this award-winning podcast examines how organizations and practices can address this gap.

Moderator:

Guest:

Show Notes:

[02:02] Residencies and fellowships and what they mean for APPs

[04:41] APPs and orientation – need for a deeper dive

[05:13] Growth of APP positions and necessity for new care models

[06:44] Fostering the business side of healthcare

[07:14] Integrating APPs into the team

[08:13] Bringing APPs into the culture

Links | Resources:

To contact Modern Practice: [email protected]

Christen Hunt’s email: [email protected]

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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:

Guests:

Katerie Chapman, MHA

Show Notes:

[00:54] Need for change-ready units in the organization

[01:32] Overcome the perception “this is one more thing”

[03:17] Example: skeptical ICU nurse – “This is going to fail”

[04:56] Taking a phased approach

[05:37] Measuring success of learning areas: the benchmarks to use

06:22] Excited staff members

Links | Resources:

To contact Modern Practice: [email protected]

Vizient Safe and Reliable Healthcare site Click here

Suzanne’s email: [email protected]

Katerie’s email: [email protected]

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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:

Guests:

Katerie Chapman, MHA

Show Notes:

[00:41] Who engages in learning areas?

[03:17] A flood of kudos in the ED – an example of lifting morale

[05:10] Team participation in barcode scanning – an example of improving compliance

[07:02] A resource for senior leaders

[07:55] A safety concern that, once identified, was quickly corrected

[08:44] Real-time nature of rounding and issue resolution

Links | Resources:

To contact Modern Practice: [email protected]

Vizient Safe and Reliable Healthcare site Click here

Suzanne’s email: [email protected]

Katerie’s email: [email protected]

Subscribe Today!

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 dynamic, digitally-based visual boards that can transmit messaging on a 24/7 basis in a designated learning area. On the next three episodes, Tomas discusses learning areas with two expert guests, who will share the rationale behind them and how to make them work for you.

Moderator:

Guests:

Katerie Chapman, MHA

Show Notes:

[01:58] Developing and sustaining learning areas

[03:02] Elements employed in a learning area

[05:00] The cornerstone of high reliability

[06:07] The visual management role

[07:37] Advantages of the LENS board

[09:07] Selecting a unit to be a learning area

Links | Resources:

To contact Modern Practice: [email protected]

Vizient Safe and Reliable Healthcare site Click here

Suzanne’s email: [email protected]

Katerie’s email: [email protected]

Subscribe Today!