Knowledge on the Go

Mortality Outcomes

Mortality affects hospitals all over the country and having structured systems in place helps improve outcomes. Tiffany Harvey, Quality Assurance Reviewer at INTEGRIS Health, joins host Shannon Hale, Senior PI Program Director at Vizient, to discuss why a meaningful mortality review process is so critical to quality improvement work. They reflect on lessons learned from Vizient’s mortality review collaborative and the value of learning alongside peer organizations.
 
Guest Speaker:
Tiffany Harvey, RN
Quality Assurance Reviewer
INTEGRIS Health
 
Host:
Shannon Hale, MHA, RN, CPHQ Senior Program Director, Performance Improvement Programs Vizient  
 
Show Notes:  
[00:52] – Participation in Establishing a Structured Mortality Review Team Collaborative  
[01:35] – Goals from joining the collaborative  
[02:29] – Insights that helped inform change to mortality process  
[03:33] – How Integris and Tiffany’s team are improving the outcomes  
[04:59} – After the collaborative where is team and the improvement work going  
[06:04] – Sustainability in mortality review  
[07:18] – Looking to the future what is the dream for mortality review  
 
Links | Resources: Contacting Knowledge on the Go: picollaboratives@vizientinc.com 
 
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Sepsis Awareness

Sepsis affects millions of people each year and remains one of the most complex and deadly medical emergencies facing healthcare today. Michelle Lewis, Senior Director of PI Programs at Vizient, is joined by Shannon Hale, Senior PI Programs Director and sepsis subject matter expert, to explore why sepsis is so difficult to identify. Together, they discuss awareness gaps that still exist across providers, staff and communities. 
Guest Speaker: Shannon Hale, MHA, RN, CPHQSenior Program DirectorPerformance Improvement Programs
 
Host: Michelle LewisSenior Director ProgramsPerformance Improvement Programs
 
Show Notes: [00:47] Why sepsis remains a critical and complex challenge in healthcare[01:58] Vizient sepsis projects and what members are struggling with most[2:45] Lessons learned from sepsis performance improvement teams and the role of champions[03:43] Executive sponsorships and celebrating wins [06:10] Sustaining education, addressing staff and resident turnover[07:10] New approaches to education including social media and community engagement[08:28] How organizations and individuals can increase sepsis awareness [10:09] Public policy advocacy and educating lawmakers about sepsis [11:01] Potential role of AI in earlier identification 
 
Links | Resources:Contacting Knowledge on the Go: picollaboratives@vizientinc.com
 
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Care Between Visits

Healthcare providers are receiving patient portal messages at large volumes, reshaping how care teams deliver and manage care between visits. As patient messaging grows from simple prescription questions to complex clinical concerns, this “invisible” work is placing a significant strain on provider workload. In this episode, Vizient Fellow Mathilde Hanchard talks to Dr. Ko, Director and Chief of Dermatology Service Line and Associate Chief Quality Officer at Stanford Health Care, about how his team uncovers the true scope of patient medical interactions. 
 
Guest Speaker: Dr. Justin M. Ko, MD, MBADirector and Chief of Medical DermatologyStanford Health Care (SHC)
Host: Mathilde Hanchard, MS-HSMFellow, Performance Improvement ProgramsVizient 
 
Show Notes:
[00:52] Dr. Ko explains provider workload tied to patient portal messaging [02:12] Rapid growth of patient portal messages since 2020 [03:50] Making portal messaging more visible and measurable[05:27] The complexity of accurately quantifying the communication workload [07:47] Plans to publish and share data[11:19] Evaluating patient portal messages and trends[12:57] The future of patient portal messaging within care delivery
 
Links | Resources:Contacting Knowledge on the Go: picollaboratives@vizientinc.com
 
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Automated patient messaging

Patient messaging has become more common across health systems, but few use it in a way that truly supports better health outcomes. Northwestern Medicine’s Smart Outreach for Better Health is taking patient communication a step further by using automation to identify specific populations and send personalized clinically relevant messages. Our host Myesha Williams and Northwestern’s Program Manager Dharmesh Patel share how this initiative bridges care gaps, boosts follow up rates and helps patients stay engaged in their own care.
 
Guest speaker:
Dharamesh PatelProgram Manager, Quality and Patient SafetyNorthwestern Medicine 
 
Host:Myesha Williams SN, RNFellow, Performance Improvement ProgramsVizient
 
Show notes:
[00:56] – Overview of the Better Health initiative and how patient messaging was deployed
[01:53] – Collaboration between data and quality leaders that launched automated patient outreach
[03:17] – Implementing a systemwide strategy to enhance outreach and care coordination
[04:19] – Timing messages to reach patients when they’re most likely to respond
[06:32] – Role of patient and family advisors in driving success and credibility
[07:40] – How the team increased follow-through rates, engaging 13% of patients
[09:12] – Tackling challenges and leveraging EMR analyst expertise
[09:54] – Addressing time constraints as a key project barrier
 
Links | Resources:Contacting Knowledge on the Go: picollaboratives@vizientinc.com
 
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Pharmacy medication histories

Pharmacy driven medication history programs are essential for accurate transitions of care and patient safety, especially in rural and resource-limited settings. Jenny Slavens, from IU Health Arnett shares how her team built a 24/7 regional program that provides medication history support for their community hospital and several critical access facilities. She discusses the shift from a nurse-led to a pharmacy technician-driven model, the operational challenges of scaling services across multiple sites, and the decision to use phone-based interviews to streamline workflows.
 
Speaker: Jenny Slavens, PharmD, BCPS Pharmacy Manager Inpatient Clinical Pharmacy Services Department of PharmacyIndiana University Health - West Region
 
Host: Jim Lichauer, PharmD, BCPS, FASHPSr PI Program Director, PharmacyPerformance Improvement ProgramsVizient
 
Show notes:
[00:52] – Jenny outlines the structure of the medication history team at IU Health Arnett and how the program operates across facilities
[02:10] – Discussion of coverage for critical access hospitals and how the team manages varying hours across sites
[02:53] – The evolution from a nurse-led process to a pharmacy-driven model for medication history documentation
[04:08] – Why the team shifted from using web-based technology to phone-based medication histories for efficiency and safety
[05:20] – How bidirectional communication between pharmacy staff and physicians is maintained through the electronic medical record system
[07:03] – Establishing the goal of completing 80% of medication histories within four hours of admission to support timely care decisions
[08:55] – How the newly added Tipton facility improved from 10% to 72% completion of medication histories
[10:56] – Strategies for balancing staff workload across inpatient, surgical, and emergency admissions
[14:22] – Demonstrating the value of the medication history process and creatively using FTE staffing to improve coverage and efficiency
 
Links | Resources:Contacting Knowledge on the Go: picollaboratives@vizientinc.com
 
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Savings through preference card management

Preference card management plays a critical role in improving accuracy, reducing costs, and driving efficiency across surgical services. Host LaTammy Marks, Senior Performance Improvement Program Director at Vizient, sits down with Carol Zelenkowski, System Operations Manager for Surgical Services at Main Line Health, to discuss their journey toward optimizing over 20,000 preference cards. Carol shares how her team used data to uncover cost variations, build surgeon buy-in, and achieve reduction in card volume. She also reflects on lessons learned and how these improvements are now expanding into other specialties, offering valuable insights for health systems nationwide.
 
Guest speaker:
Carol Zelenkowski, BSN, RN, CNORSystem Operations ManagerMLH Surgical Services, Main Line Corporate Center
 
Host:LaTammy Marks, MBA, BSN, RNSenior PI Program Director, Performance Improvement ProgramsVizient
 
Show notes:
[01:01] – Main Line Health’s starting point and challenges with preference cards before joining the Vizient collaborative
[01:50] – Why Main Line Health chose to participate in the Vizient collaborative
[02:51] – How the team decided which preference cards to prioritize for review and optimization
[03:24] – Key insights uncovered in the data, including cost saving and variation trends
[04:33] – Gaining surgeon buy-in by presenting accurate preference card data
[05:35] – The measurable savings achieved and the positive impact on Main Line Health’s surgical services
[06:52] – Expanding preference card optimization to other specialties and the future of this work.
 
Links | Resources:Contacting Knowledge on the Go: picollaboratives@vizientinc.com
Unlocking savings through preference card management
Transform your perioperative supply chain
 
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System quality structures

Quality and clinical outcomes improve when healthcare systems are built on strong and cohesive quality structures. Dr. Matthew McCambridge, Chief Quality Officer at Lehigh Valley Health Network, joins host Amber Hanser to explore findings from a Vizient benchmarking survey that reveals the positive impact of system quality executives on clinical performance. He shares practical strategies for aligning governance and organizational priorities highlighting how leading through influence can strengthen both clinical excellence and financial stability.
 
Speaker: Matthew McCambridge, MD, Senior Vice President and Chief QualityPatient Safety and Acute Care Continuum OfficerLVHN
 
Host: Amber Hanser, MHA, CPHQSenior Director, ProgramsPerformance Improvement ProgramsVizient
Show Notes:[1:20] – Defining the Chief Quality Officer role and how a hub and spoke model supports large health systems[3:02] – Ways to assess if a system’s structure can sustain strong clinical performance[4:13] – Ensuring integration success and the role of quality subcommittees in governance[5:41] – Departments and functions that report under quality[8:10] – How quality executives collaborate with peers across the industry[11:04] – Leading with data rather than drama to drive improvement
 
Links | Resources:Contacting Knowledge on the Go: picollaboratives@vizientinc.com
 
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AI in healthcare

AI is advancing rapidly in the healthcare space, raising important questions about how it will be used responsibly and effectively. Host Courtney Furrow White is joined by Sarah Pollet and Julia Bongiorno from UCSF to explore the evolving role of AI in clinical environments. Together, they break down the development of UCSF’s IMPACC framework, a platform designed to evaluate and guide enterprise AI implementation. The conversation dives into what it takes to make AI safe, reliable, and trustworthy, not only for patients, but for the frontline staff who rely on these tools.
 
Guest speakers:
Julia Bongiorno, PMP, MSHCHealth AI Program Supervisor (Interim)UCSF Health
 
Sarah Pollet, MPHProgram DirectorUCSF AI Impact & Monitoring (IMPACC)
 
Host:Courtney Furrow White MPM, RNSenior Director, Performance Improvement ProgramsVizient
 
Show notes: [1:47] Overview of UCSF’s AI I-M-P-A-C-C framework and how it informs future deployments.[3:02] UCSF’s approach to AI governance emphasizes safety, ethics and active research.[4:03] What it takes to ensure AI tools are reliable and clinically trusted.[6:41] Providers seek AI tools that reduce cognitive burden and improve workflows.[10:43] Educating patients on AI while reflecting on tools that failed to deliver.[13:01] How AI is shaping the nurse experience through practical tool integration.[15:44] Advice for other organizations on implementing AI responsibly and effectively.
 
Links | Resources:Contacting Knowledge on the Go: picollaboratives@vizientinc.com
 
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Mortality

Mortality is often viewed as a key indicator of the quality of care in a healthcare organization, and something that most organizations are working to improve upon.
Through Vizient's work with national organizations all working to improve mortality, key lessons learned have emerged that can help organizations improve mortality within their facilities. Shannon Hale Senior PI Director of Performance Improvement Programs at Vizient joins host Nicole Spatafora, AVP, Performance Improvement, Vizient, to discuss mortality improvement.
 
Guest:Shannon HaleSenior PI Program Director, Performance Improvement ProgramsVizient
Host:Nicole SpataforaAVP, Performance ImprovementVizient
 
Show Notes:
[00:47 – 02:48] Why it is so important that healthcare facilities look at mortality
[02:49 – 04:24] Getting C-Suite buy in
[04:25 – 07:36] How organizations can get their frontline engaged
[07:37 – 08:58] What happens if you don't have engagement at the C-suite level or frontline level
[08:59 – 10:55] Sustaining change
[10:56 – 12:15] PI Mortality future plans
 
Links | Resources:Contacting Knowledge on the Go: picollaboratives@vizientinc.com
 
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The power of value analysis

Value analysis empowers health systems to make strategic, evidence-based decisions to optimize patient outcomes and reduce costs. Host LaTammy Marks and guest Nicole Schmidt talk about the power of value analysis in healthcare. Nicole shares how her team built a structured process that emphasizes stakeholder engagement, data integration, and continuous improvement at the University of Kansas Health System.
 
Guest speaker:Nicole Schmidt System Assistant DirectorThe University of Kansas Health System
Host:LaTammy Marks, MBA, BSN, RNSenior PI Program Director, Performance Improvement ProgramsVizient
 
Links | Resources:Contacting Knowledge on the Go: picollaboratives@vizientinc.com
 
Show notes: [ 00:44 – 01:26] Why value analysis has been top-of-mind for The University of Kansas Health System[01:27 – 02:20] Why it’s important for The University of Kansas Health System to participate in Vizient Value Analysis Benchmarking Survey[02:21 – 03:57] Gaining buy-in from leadership when initially implementing your Value Analysis program?[03:58 – 06:09] How The University of Kansas Health System goes beyond price and manage and analyze data to support value analysis decisions[06:10 – 07:37] Lessons Learned in The University of Kansas Health System Value Analysis Program[07:38 – 10:24] Notable achievements related to The University of Kansas Health System’s Value Analysis Program[10:25 – 11:52] Number one thing Nicole would share with organizations on how they can get started on focusing on value analysis more[11:53 – 13:10] What is next for The University of Kansas Health System Value Analysis Program
 
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