Knowledge on the Go

Emergency Medicine of the Future, Part 2

Even before the COVID-19 pandemic, emergency medicine departments faced a myriad of challenges. Dr. Tomas Spiegel from the University of Chicago and Dr. Martin Lucenti from Vizient return for part two of this three-part series. They explore factors shaping emergency medicine today and tomorrow. In this episode, they outline how operational strategies and payer models could evolve to better support emergency medicine in the future.
 Guests:
Thomas Spiegel, MD, MS, BA, EDMedical DirectorUniversity of Chicago Medicine
Martin Lucenti, MD, PhDSVP & CMO, Solution ArchitectureVizient
For more information, email knowledgetransfer@vizientinc.com
Show notes:
00:00-3:58     The Emergency Room as an independent, immediate care service line.
03:58-07:57   Positioning the Emergency Department to serve as a support system to route patients towards other service lines.
07:58-14:30 Helping providers shift to take on different roles and address patient satisfaction.
14:31-18:19   Changes to payment reimbursement models and how they affect the emergency department.
 
 

Emergency Medicine of the Future, Bonus Edition

Even before the COVID-19 pandemic, emergency medicine departments faced a myriad of challenges. In this bonus edition to the Emergency Medicine of the Future three-part series, Dr. Thomas Spiegel from the University of Chicago summarizes factors shaping emergency medicine today and offers his thoughts on what will be different in the future.  The broad-ranging discussion covers everything from emergency room current challenges, to implementing operational efficiency, operations management and functioning as a diagnostic center and COVID-19 patient hub for the organization.
 
Guest:Thomas Spiegel, MD, MS, MBAED Medical DirectorUniversity of Chicago Medicine
 
For more information, email knowledgetransfer@vizientinc.com
 
Show Notes:
[00:00 – 01:33]  Adjusting to COVID-19 in the Emergency Department
[01:34 – 02:33]  Caring for COVID patients in the Emergency Department
[02:34 – 03:46]  Separating patients into care spaces
[03:37 – 05:44]  Identifying and treating COVID-19 cases
[05:45 – 06:05]  Guideline: The 5 liters of oxygen
[06:06 – 09:55]  Ventilators vs. high-flow nasal cannula approach
[09:56 – 12:02]  High-flow nasal cannula differs from oxygen delivered though the standard nasal cannula
[12:03 – 15:57]  Continuous Positive Airway Pressure Helmets or CPAP
[15:58 – 16:54] Contraindications for co-morbidity patients
[16:55 – 17:42] Drawbacks for treatment options
[17:43 – 18:39] Lessons learned – Prevent the vent
[18:40 – 20:25] Future of Emergency Medicine
 
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Maternal Mortality

Dr. Carol Solie and Jennifer Gallagher from the Wyoming Medical Center knew they needed better staff training for maternal mortality by post-partum hemorrhage and hypertension. They decided on the obstetrical training simulation process and the results were astounding. They join us on this program to discuss their decision, including the challenges and benefits.
 
Guests:
Jennifer Gallagher
Clinical Educator for Obstetrics
Wyoming Medical Center 
 
Dr. Carol Solie
Vice President of Quality and Medical Safety
Wyoming Medical Center 
 
Resources:
Watch the Vizient Reducing Maternal Mortality collaborative webcast for additional details.
 
For more information, email knowledgetransfer@vizientinc.com
 
Show Notes:
[00:00 – 02:40]  Recognize the need for better training
[02:41 – 03:39]  Bedside simulation program with hands on training
[03:40 – 04:15]  Doctor education
[04:16 – 05:25]  Simulation pre-briefing scenarios and objectives
[05:26 – 06:05]  Identifying roles and scripting
[06:06 – 06:59]  Team building and positive experiences
[07:00 – 09:50]  Simulation challenges and benefits
[09:51 – 11:29]  Setting up for success
 
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Emergency Medicine of the Future, Part 1

Even before the COVID-19 pandemic, emergency medicine departments faced a myriad of challenges. In the first of a three-part series, Dr. Thomas Spiegel from the University of Chicago and Dr Martin Lucenti from Vizient summarize factors shaping emergency medicine today and offer their thoughts on what will be different in the future.  Their broad-ranging discussion covers everything from emergency room current challenges, to implementing operational efficiency, operations management and functioning as a diagnostic center and patient hub for an organization.
 
Guests:
Thomas Spiegel, MD, MS, BA, ED
Medical Director
University of Chicago Medicine
 
Martin Lucenti, MD, PhD
SVP & CMO, Solution Architecture
Vizient
 
For more information, email knowledgetransfer@vizientinc.com
 
Show Notes:
[00:00 – 03:15]  Current state of Emergency Medicine
[03:29 – 06:14]  Emergency Room efficiency model and its effect on overcrowding and finances
[06:31 – 07:27]  Challenges with behavioral health patient needs
[07:27 - 08:00]  Challenges with geriatric population
[08:00 - 08:31]  Challenges with workforce issues
[08:49 - 10:54]  What lies ahead: flattening of low acuity patient and growth in higher acuity patients
[10:55 – 14:13]  Operational efficiency, adopting operations management, system reliability
[14:21 - 16:41]  Emergency department functioning as a diagnostic center and patient hub
 
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Implementation of an Opioid Stewardship Program

Health care organizations across the country are implementing opioid stewardship programs to address the opioid crisis. BJC HealthCare joined the Vizient performance improvement collaborative hoping to discover best practices to improve the mortality rates for their system. The collaborative suggests participants inventory your current efforts as a first step in the process. And right at square one, BJC uncovered one of its hospitals had a unique program that was saving—and transforming—patients’ lives.
 
Guests:
Amanda Hays, PharmD, MHA, BCPS, CPHQ, System Pharmacy and Outcomes Manager. Center for Clinical Excellence – BJC HealthCare
Jordan Shapiro, Business Process Consultant, Healthcare Informatics, Center for Clinical Excellence – BJC HealthCare
 
Resources:
Watch the Vizient Opioid Stewardship Program collaborative webcast for additional details.
 
For more information, email knowledgetransfer@vizientinc.com
 
Show Notes:
[00:00 – 01:26] BJC singles out the opioid problem as a focus area and describes the impact on the community
[01:26 – 02:14]  A potential solution is uncovered within their system: EPICC –engaging patients in care coordination
[02:14 – 03:10] The ED provides a key opportunity for connecting patients in need
[03:10 – 04:09] Finding the secret sauce to the opioid addiction recovery efforts
[04:09 – 05:14]  Challenges to efforts
[05:14 – 06:25] Anticipating and overcoming addiction stigma
 
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Improving Care Access through Virtual Health Care Design

Lack of access to care is a critical issue facing too many patients and providers.  More and more consumers, clinicians and health care organizations are investing in virtual health as a solution. Virtual health—or telehealth—may seem like it’s a result of technology advances over the last decade.  But Dr. Elizabeth Krupinski of Emory University explains telemedicine history goes back 40+ years. In this episode, she tells us what’s behind virtual health’s slow build and why it is ready to boom.
 
Guest:
Elizabeth Krupinski, PhD, Professor and Vice Chair for Research, Emory University Departments of Radiology and Imaging Sciences and Co-Director of  Director of the Southwest Telehealth Resource Center in Arizona
 
Resources:
Watch the Vizient Improving Care Access through Virtual Health Care Design collaborative webcast for additional details.
 
For more information, email knowledgetransfer@vizientinc.com
 
Show Notes:
[00:00 - 01:33]  Introduction and telemedicine background[01:33 - 2:26]    Benefits of virtual health to patients[02:26 - 03:05]  Benefits of virtual health to providers[03:05 - 04:34]  Which virtual health programs work--and why[04:34 - 05:18]  Getting C-suite buy-n[05:18 - 06:12]  Building the telehealth team[06:12 - 06:48]  Staying ahead of technology changes[06:48 - 07:28]  How technology helps improve outcomes[07:28 - 08:06]  The one thing you can count on with telehealth[08:06 - 08:41]  Practice makes perfect[08:41 - 09:06]  The rewards of virtual health
 
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Joy in the Workplace

When it comes to reversing the burnout trend in health care, colleagues at Temple University Health System just might surprise you with their one word answer. They share that and more in this episode for increasing joy in the workplace.  Featuring Dwight McBee and Mark Meyers.
Guests:
Dwight McBee, CPXP, MBA, BSN
Chief Experience Officer
Temple University Health System
 
Mark Meyers, DNP, MBA, RN, NEA-BC
Director of Performance Improvement and Healthcare Informatics
Temple University Health System
 
Resources:
Watch the Vizient Joy in the Workplace collaborative webcast for additional details.
 
For more information, email knowledgetransfer@vizientinc.com
 
Show Notes:00:45 What is GROSS?01:21 Interacting with staff to determine change.02:34 Empowering leaders with context.04:30 How to learn from ‘unintended consequences’.05:48 Physician feedback example.06:45 How does an organization track and measure GROSS?07:55 Involving your staff is key.
 
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