Knowledge on the Go

Bonus Episode: Sg2 Perspectives: Diving Into Health Care at Home - Start With Your Organization’s “Strategic Why”

This week on Sg2 Perspectives, Sg2 Principals Heidi Pandya, MSHA, and Jayme Zage, PhD, join us to discuss all things related to health care at home. Heidi and Jayme start with the current landscape and why health care organizations are evaluating care-at-home services, and then cover how organizations can get started with health-care-at-home programs and prioritize their options. (Hint: stand back and take stock of your strategic imperatives first, then prioritize those strategies and see where care at home fits.)
 
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Improvement Journey with Contextualist Model for Change

Michelle Lewis and Pat Reagan Webster discuss the challenges and successes of Strong Memorial Hospital’s improvement journey with onset C. difficile infection rates.
 
Guest speaker:Pat Reagan WebsterAssociate Quality OfficerStrong Memorial Hospital
 
Moderator:Michelle LewisSenior Director, ProgramsVizient
 
Show Notes:
[01:09] Strong Memorial Hospital had plateaued in its efforts to decrease hospital-onset C. difficile infection rates.
[02:06] Strong’s successful prevention team was diverse and physician-led.
[04:09] Strong’s analysis, using the contextualist model, included brainstorming drivers, blueprinting, and identifying barriers.
[07:06] Interventions were established, monitored, and modified appropriately.
[08:38] COVID continues to cause challenges.  
[09:42] Interventions have proven to be successful, and infection rates have dropped dramatically.
[10:24] Strong made “really significant change in a time when we thought no change was possible.”
 
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Digital Technologies for Behavioral Health

Dr. Joe Cummings and Courtney Furrow-White explore fascinating new technologies that are advancing mental health care yet, at the same time, are causing some concerns.
 
Guest speaker:Joe Cummings, PhDTechnology Program DirectorVizient
 
Moderator:Courtney Furrow-WhitePerformance Improvement Program DirectorVizient
 
Show Notes:
[01:21] Digital technologies include apps, AI, VR, and chatbots.
[02:13] There are an exuberant amount of applications for use.
[04:13] Digital phenotyping applications are still controversial.
[05:37] Digital applications may be the only mental health resource for some.
[07:06] Most of these applications are not subject to FDA regulation.  
[10:09] Data on smartphone applications still in very early stages.  
[13:01] There is risk for possible harm with some of these technologies.
 
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Workplace Violence – Part 3

Closing out Workplace Violence Awareness Month, Lindsay Mayer and Heidi Boehm deep dive into protocols and procedures for dealing with the aftermath of a violent event.
 
Guest speaker:Heidi BoehmBehavioral Health Program ManagerThe University of Kansas Health System
 
Moderator:Lindsay MayerSenior DirectorVizient
 
Show Notes:
[00:38] Survey employees to learn how supported they feel.    
[02:35] Awareness campaigns help reduce workplace violence.   
[05:15] Implement a comprehensive and standardized debriefing process.   
[08:13] Simply checking in with staff, post-event, is a powerful tool.
[09:26] COVID has impacted the launch of a post-event leadership guidebook.    
[10:38] Routine, ongoing data collection is very important.
[12:05] Leaders must be equipped with the necessary tools.
 
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Workplace Violence – Part 2

Continuing the discussion for Workplace Violence Awareness Month, Lindsay Mayer, Rick Litzinger, and Dan Hunnisett explore the importance of building a solid foundation for staff education and training programs around workplace violence.
 
Guest speaker:Rick LitzingerManager, Emergency Preparedness, Safety, SecurityAltru Health System
 
Dan HunnisettSecurity Program Specialist, Security Altru Health System
 
Moderator:Lindsay MayerSenior DirectorVizient
 
Show Notes:
[01:02] Education is foundational in addressing workplace violence, so it is vital to assess your organization’s training gaps and educational needs.    
[02:36] Strong training programs include several key components.   
[03:30] Altru’s multi-tiered training curriculum.   
[06:45] The challenges and successes of virtual learning, as experienced during the pandemic.
[08:20] Surveys are extremely important in understanding your organization’s culture of safety, as well as education needs and preferences.    
[10:37] Recommended to strengthen your training program: Data collection and cross-discipline strategic partnerships.
 
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Workplace Violence – Part 1

In recognition of Workplace Violence Awareness Month, Lindsay Mayer, Mark Reed, and Diana Scott discuss the latest workplace violence statistics and the trends organizations are facing within the industry.
 
Guest speaker:Mark ReedDirector of Support ServicesMLK Community Healthcare
 
Diana ScottAssociate Vice President of Accreditation and Regulatory Advisory ServicesVizient
 
Moderator:Lindsay MayerSenior DirectorVizient
 
Show Notes:
[01:29] Workplace violence has increased continuously throughout 2020 and 2021.
[02:25] The pandemic is a major contributing factor.  
[04:03] The workforce shortage has impacted organizations.  
[05:14] The Joint Commission has released new requirements for 2022.
[08:00] Organizations are implementing unique and innovative strategies.   
[10:30] Leaders can aid in addressing and preventing workplace violence.
 
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High Reliability: Strategies to Reduce Patient Falls

High Reliability Organizations are organizations that experiences success in avoiding harm within a highly complex and risky business.  This podcast will discuss how one participant of the Vizient High Reliability PI Collaborative reduced their patient falls.
 
Guest speakers:Bert Lindsey, PT, DHDirector of Rehab Services & Patient Mobility, AcuteSaint Tammany Health System
 
Rebecca BaradellRehab Manager for Acute CareSaint Tammany Health System
 
Moderator:Marilyn Sherrill, RN, MBAPI Program DirectorVizient
 
For more information, email picollaboratives@vizientinc.com
 
Show Notes:
[01:30] Saint Tammany uses new graduates as mobility technicians to increase patient rounding and mobility assessment.
[3:10] Saint Tammany uses Weick and Sutcliffe’s pre-occupation with failure techniques. They train their young, just out of college, staff to expect errors and to work on repeatable results. 
[4:30] GEM (Greenville Early Mobility) is a four-integer scoring system developed by a group of physical therapists to aid acute care nurses by assigning patients to a level of mobility.
[5:35] Saint Tammany uses the GEMs as part of their Progressive Mobility Program which is an order set for nurses to mobilize patients to their highest capability twice a day.
[6:54] Data showing the correlation between the patient’s mobility and their likelihood to fall
[9:03] Mobility technicians look for the 3 P’s: pain, potty and position.
[10:09] Communicating patient mobility status with the caregivers
[12:30] Getting the program started
[14:00] Future plans for improving the Progressive Mobility Program
 
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Colonoscopy Screening Technology

In recognition of National Colorectal Cancer Awareness Month, Dr. Joe Cummings and Marilyn Sherrill explore exciting and innovative technological advancements in colonoscopy screening.
 
Guest speaker:Joe Cummings, PhDTechnology Program DirectorVizient
 
Moderator:Marilyn Sherrill, RN, MBAPerformance Improvement Program DirectorVizient
 
Show Notes:
[01:20] A new technology called GI Genius is aiding in polyp detection.
[02:54] Adenoma detection rate statistics are promising, but still emerging.
[06:48] There’s a learning curve and shift in workflow to successfully use AI.
[09:17] There will be brand competition for AI platform development.
[11:58] There are many early-adopter hospitals currently using AI.
[12:50] Hospitals should evaluate AI technology appropriately.
 
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AI in Stroke

Dr. Joe Cummings and Heather Ramirez discuss the use of Artificial Intelligence (AI) for stroke detection, triage, and notification.
 
Guest speaker:Joe Cummings, PhDTechnology Program DirectorVizient
 
Moderator:Heather Ramirez, MS-HSMVentures DirectorVizient
 
Show Notes:
[01:26] There are many types of, and uses for, Artificial Intelligence.
[02:54] AI brings high value when used for acute stroke.
[07:37] There are 5 FDA-cleared, AI products available for LVO stroke.
[08:41] CMS’ New Tech Add-on Payment program is a major accomplishment.
[10:42] Clinical evidence supports good AI accuracy.
[11:49] Different AI applications offer a wide variety of services.
[12:55] Hospitals need to be ready for the AI revolution.
 
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Evidence Analysis for Clinical Supply Integration

Vizient Technology Program Director, Dr. Joe Cummings, provides insights on evidence-based technology assessments in support of the knowledge domain, one of four performance domains in Vizient’s CSI model, which focuses on clinical literature and evaluation.
 
Guest speaker:Joe Cummings, PhDTechnology Program DirectorVizient
 
Moderator:LaTammy Marks, MBA, BSN, RNPerformance Improvement Program DirectorVizient
 
Show Notes:
[02:09] Clinical evidence defined.  
[02:50] Many sources, including PubMed, are used to support CSI.
[04:58] How to use “gray literature.”
[05:46] Literature search is a fulltime job.
[06:37] Use an evidence grading scale to rate literature strength.
[09:49] A mature CSI program involves financial analysis.
[11:54] Tips for hospitals struggling with evidence-based data.
 
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