Knowledge on the Go

Patient mobility and safe patient handling

Most hospital patients spend over 80 percent of their stay in the bed. Immobility contributes to higher lengths of stay, increases in falls, pressure injuries and new nursing home placements. All of this reduces overall quality of care and patient satisfaction. On this episode, we examine a health care organization that has embarked on a journey to reverse this trend by getting patients up and moving all across the hospital. ThedaCare participated in the Creating a Culture of Mobility Collaborative, and we’ll provide the details on this podcast.
Guest speakers:
Kelly Parish, DPT
Physical Therapist
ThedaCare
 
Amy Shadick, RN, BSN, CV-BC
Inpatient Rehabilitation Unit Manager
ThedaCare
Host:
Laura Hoffman, DNP, MSN, RN, CPHQ
Performance Improvement Program Director
Vizient
Show Notes:
[01:26] Empowering patients by improving their handling
[02:10] Story of bariatric patient who became mobile
[02:58] Use of Bedside Mobility Assessment Tool (BMAT)
[03:36] Training in patient handling: didactic and hands-on
[05:45] Meaning of safe patient handling; equipment used for initiative
[07:03] Details and impact of hands-on training: 3 fewer nursing injuries, 10 fewer falls
[08:56] Mobilizing patients and effect on falls
[11:20] Metrics on new program
[12:09] Future plans and partnerships
Links | Resources:
Contacting Knowledge on the Go: picollaboratives@vizientinc.com
Laura’s email: laura.hoffman@vizientinc.com
Kelly’s email: kelly.parish@thedacare.org
Amy’s email: amy.shadick@thedacare.org
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Effective strategies for sustaining and optimizing telehealth

Telehealth found wide adoption and acceptance during the pandemic, accompanied with loosened government restrictions on its use. On this episode, two experts examine the current state of telehealth, bolstered by findings from the project Effective Strategies for Sustaining and Optimizing Telehealth in Primary Care conducted by Vizient and the Association of American Medical Colleges (AAMC).
Guest speaker:
Danielle Carder, MSc
Senior Program Specialist
Access and Clinical Innovations
Association of American Medical Colleges
Host:
Courtney Furrow-White, MPM, RN
Senior PI Program Director
Vizient
Show Notes:
[00:26] The project
[00:37] The surge of telehealth
[02:15] Vizient-AAMC partnership: survey and resulting video interviews
[03:37] Foundational investments: technology, work force, care services
[05:25] Effective strategies to incorporate telehealth
[07:05] Provider and staff engagement – physicians as drivers
[08:25] A seamless patient encounter
[09:36] Use of metrics
[10:34] Challenges and barriers
[14:16] Use will continue into the future
Links | Resources:
Contacting Knowledge on the Go: picollaboratives@vizientinc.com
Joint Telehealth Report: Click here
Courtney’s email: courtney.furrowwhite@vizientinc.com
Danielle’s email: dcarder@aamc.org
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AI-assisted detection of heart murmurs

Since its development over 50 years ago, the stethoscope hasn’t changed much – until now. Enter artificial intelligence (AI). On this episode, we discuss how AI, working with robust datasets, promises to enhance the newest generation of stethoscopes, maybe in the very near future.
 
Guest speaker:Joe Cummings, PhDTechnology Program DirectorVizient
 
Moderator:Marilyn Sherrill, RN, MBAPI Program DirectorVizient
 
Show Notes:
[01:36] Deep learning AI algorithms for heart sounds
[03:04] Need for a large data set to train an AI neural network – machine learning
[04:08] Electronic stethoscopes
[05:21] Public databases: the key to development of alternative technologies
[05:33] Phonocardiogram
[07:30] Does it work?
[08:35] Adjunct tool
[09:42] “Hospitals should be buying outcomes, not technologies”
[10:15] Publications and studies to come
[10:53] Improving diagnostic accuracy over time
[12:57] Detecting heart failure (Mayo)
 
Links | Resources:
Contacting Knowledge on the Go:
picollaboratives@vizientinc.com
Marilyn’s email: marilyn.sherrill@vizientinc.com
Joe’s email: joe.cummings@vizientinc.com
 
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Elevating the Workforce: Reimagining Models of Care

In the wake of COVID, the nation’s health care organizations are experiencing staffing shortages, burnout and other workforce challenges.  Health leaders are turning to innovation, technology and alternative staffing models to address these challenges. Vizient’s Principal of Clinical Workforce Strategy, Dr. Jacqueline Herd, joins us to discuss ways health organizations can improve efficiency, workforce optimization and redesign their models of care.
 
Guest speaker:Jacqueline Herd, DNP, MSN, RN, NEA-BC, FACHEPrincipal, Clinical Workforce StrategyVizient
 
Moderator:Amber Hanser, MHA, CPHQSenior Program DirectorPerformance Improvement ProgramsVizient 
 
Show Notes:
[01:24] Dr. Jacqueline Herd’s background
[02:47] The need for new models of care to handle shortages and to compete with retail
[04:55] Reimagining workflow involves redesigning how work is done and how to make it more efficient so we stop burnout and exhaustion
[05:27] Models of care that make work more efficient  
[08:05] Working top of license and certification
[10:21] Integrating the community care worker into the care team
[12:16] Understanding what a licensed practical nurse (LPN) can do helps them work at top of license   
[14:52] Virtual nursing
 
Links | Resources:
Vizient Nursing Workforce Intelligence Report: Click Here
Contact Knowledge on the Go: picollaboratives@vizientinc.com
Jackie Herd’s email:  jackie.herd@vizientinc.com
Amber Hanser’s email: amber.hanser@vizientinc.com
 
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Sprinting to Decrease LOS

Patient length of stay (LOS) is a crucial measurement for health care organizations since longer patient stays increase patient risk for complications while reducing patient satisfaction. They also represent higher costs for the hospital. At the University of Kentucky, using a model of short-term improvement actions called “sprints,” along with participation in a Vizient performance improvement collaborative and the commitment of senior leaders, a clinical performance team has led an initiative to reduce LOS that has produced strong, ongoing results.
 
Guest speakers:
Jennifer Rose, MBA
Associate Vice President
Core Clinical and Performance Services
UK HealthCare
 
Lauren Miller, MBA
Senior Quality Improvement Specialist
Core Clinical and Performance Services
UK HealthCare
 
Moderator:
Margaret Rudisill, MS-HQS, RN
Performance Improvement Program Director
Vizient
 
Show Notes:
[02:54] Working on reducing LOS at UK HealthCare
[04:00] Joining the Vizient Performance Improvement Collaborative
[04:32] Leadership involvement, participant accountability, process transparency
[06:39] Linking with the stakeholders
[07:46] The Sprint Model and the Forcefield Analysis
[08:51] Three themes
[09:56] How the Sprint brings testing to a quick resolution
[11:09] Sprint example
 
Links | Resources:
Contacting Knowledge on the Go: picollaboratives@vizientinc.com
Margaret’s email: margaret.rudisill@vizientinc.com
Jennifer’s email: jennifer.rose@uky.edu
Lauren’s email: lauren.miller@uky.edu
Sample Forcefield Analysis: Forcefield Analysis Template
 
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Digital Technologies for Pediatric Mental Health

The mental health of our children is important to our society. Unfortunately, the state of mental wellness for our nation’s children and adolescents is declining. Twenty percent were diagnosed with a mental disorder before COVID-19, and only a fraction of that is receiving professional help. Vizient’s Technology Program Director, Joe Cummings joins us to discuss innovative digital technologies to help our young people who are getting mental health treatment.
 
Guest speaker:
Joe Cummings, PhD
Technology Program Director
Vizient
 
Moderator:
Laura Hoffman, DNP, MSN, RN, CPHQ
Program Director
Performance Improvement Programs
Vizient
 
Show Notes:
[01:30] Digital technology used in healthcare
[02:20] Prescriptive digital therapeutics
[04:05] Innovative digital technologies that appeal to children
[07:40] Game playing improving ADHD outcomes
[09:12] Virtual reality to improve adolescent stress
[09:50] Family engagement important for successful outcomes in pediatric behavioral health
[11:40] Digital therapy is one tool for cognitive care, may still need in-person care
[13:10] Technology for diagnosing pediatric conditions
 
Links | Resources:
Contact Knowledge on the Go: picollaboratives@vizientinc.com
Joe’s email: joe.cummings@vizientinc.com
Laura’s email: laura.hoffman@vizientinc.com
Addressing the Pediatric Mental Health Crisis with Integrated Behavioral Health blog: Click Here
 
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Remote Patient Monitoring

In healthcare today, with care shifting from hospitals and clinics to the home, remote patient monitoring (RPM) provides a key foundational element to the success of that transition. Health care organizations need to fully implement RPM as a vital strategy to promote health and improve patient management and care. Through RPM, providers capture disease-related and physiological data on the patient and digitally transmit that data via telephone, internet, or video conferencing from the patient's home to a healthcare center, providing clinical feedback. Nowadays, RPM devices such as intelligence sensors, wearables, or handheld devices, internet-connected cellphones, and implanted monitoring devices are widely available. This podcast episode explores the latest RPM innovations with a leading expert in health technology.
 
Guest speaker:
Joe Cummings, PhDTechnology Program DirectorVizient
 
Moderator:
Courtney Furrow-White, MPM, RNSenior Performance Improvement Program DirectorVizient
 
Show Notes:
[01:32] Ramping up digital technologies
[02:12] Shortening the hospital learning curve of tech adoption
[03:21] Making captured physiologic info part of the care paradigm
[04:06] Solving several healthcare challenges
[05:13] Impact of consumerism on RPM: wireless, patches, expanding vitals collection
[08:50] Contactless sensors: how they work
[10:04] AI is here: chatbots, disruption, deep-learning algorithms, decision support
[12:14] Challenges to RPM
 
Links | Resources:
Contact Knowledge on the Go: picollaboratives@vizientinc.com
Joe’s email: joe.cummings@vizientinc.com
Courtney’s email: courtney.furrowwhite@vizientinc.com
“If you still aren’t sure what ChatGPT is” (Business Insider): Click here
Innovative Technology for Remote Monitoring (Vizient): Click here
 
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Surgical Services Throughput, Part 2

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 picollaboratives@vizientinc.com
 
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Surgical Services Throughput, Part 1

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:Jay Prystowski, MDPrincipalVizient
 
Rosanne Zagone, MSAssociate PrincipalVizient
 
Moderator:Marilyn SherrillSenior PI Program DirectorVizient
 
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 picollaboratives@vizientinc.com
 
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Optimization of Biosimilar Medications Collaborative Strategies - Mayo Clinic

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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