Knowledge on the Go

The Vizient PI Collaboratives team hosts podcasts throughout the year on issues such as leading and managing systems, engaging your workforce, and optimizing care delivery.

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Episodes

Sprinting to Decrease LOS

Monday Apr 17, 2023

Monday Apr 17, 2023

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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Monday Apr 03, 2023

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

Monday Mar 20, 2023

Monday Mar 20, 2023

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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Tuesday Mar 07, 2023

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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Monday Feb 20, 2023

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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Monday Feb 06, 2023

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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Tuesday Jan 17, 2023

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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Tuesday Jan 03, 2023

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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Monday Dec 19, 2022

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:Donna Avila, RNDirector, Care CoordinationNorman Regional Health System
 
Kristin Burger O’Neal, BSN, RN, CCM, ACM-RNAdministrator, Post-Acute Transitions and Community EngagementNorman Regional Health System 
 
Moderator:  Laura Hoffman, DNP, MSN, RN, CPHQProgram DirectorPerformance Improvement Collaboratives
 
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 picollaboratives@vizientinc.com
 
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Improving Health Equity

Monday Dec 05, 2022

Monday Dec 05, 2022

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: Joanna Dixon, MSN, RN, NPD-BC, CENLead Clinical Nurse EducatorNurse Residency and OnboardingMain Line Health System 
 
Joseph MacDonald, CSSBB, MBAProcess Improvement EngineerMain Line Health System 
 
Shonalie Roberts, MHA, ARM, LSSGBSystem Director, Health EquityMain Line Health System
 
Host:  Laura Hoffman, DNP, MSN, RN, CPHQProgram DirectorPerformance Improvement Collaboratives
 
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 picollaboratives@vizientinc.com
 
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