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The pharmacy revenue cycle is a multi-phase continuous process, which requires ongoing collaboration across many disciplines. The process starts at pre-registration and continues through payment reconciliation. Steven Loborec, associate director of Pharmacy at the Ohio State University Wexner Medical Center joins host Jim Lichauer to discuss the details of his program.
Guest:Steven Loborec, PharmDAssociate Director of PharmacyThe Ohio State University Wexner Medical Center
Moderator:Jim Lichauer, PharmD, BCPS, FASHPSenior PI Program Director, PharmacyVizient
Show Notes:
[00:45 – 02:34] Overview of pharmacy revenue cycle process and areas where tOSU Wexler Medical Center is engaged
[02:35 – 04:10] Addressing the Charge Master
[04:11 – 09:14] Finding new and additional revenue streams
[09:15 – 13:31] Identifying medications or sites of care opportunities that generate greatest margins
[13:32 – 14:14] Lessons learned
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Contacting Knowledge on the Go: [email protected]
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Healthcare organizations across the nation strive to become highly reliable organizations. Vizient defines an high reliability organization as an organization that has experienced significant success in avoiding harm within an environment of high complexity and risk. This podcast discusses strategies and emerging practices identified in Vizient’s high reliability culture of safety collaborative. Joining in the discussion to share their insights on how to improve your health organization’s culture of safety is collaborative participant, Caryn Douma, Corporate Director of Patient Safety Strategy from the University of Pennsylvania Health System and Michael Leonard, Senior Principal at Vizient and an High Reliability expert.
Speakers: Caryn Douma, MS, RN, CPPSCorporate Director of Patient Safety StrategyUniversity of Pennsylvania Health System
Michael Leonard, MDSenior PrincipalVizient
Host: Marilyn Sherrill, RN, MBASenior Program Director, Performance Improvement ProgramsVizient
Show notes:
[2:08] Essential elements for High Reliability
[5:00] Senior leader engagement and feedback
[7:00] How to close the loop with frontline staff at a large, comprehensive, academic medical center
[8:30] Making leadership rounds meaningful and positive
[11:40] Personal accountability and teamwork helps with the patient care tasks reliably getting done
[13:36] How to set your staff up for success rather than punishing them for results that didn’t come out as intended
[[14:25] Creating a culture where staff feel comfortable speaking out
[17:45] Psychological safety
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Contacting Knowledge on the Go: [email protected]
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Imagine the stress of returning to school, following a psychiatric hospitalization for the pediatric patient, their family and caregivers. Dr. Sarah Edwards, director for the Division of Child and Adolescent Psychiatry and Courtney Vaughn, school transition Specialist at the University of Maryland join join host Laura Hoffman, Sr. Performance Improvement Program Director, to explain how their school transitions program helps these patients and families adjust to that transition.
Guests:Sarah Edwards, DODirector for the Division of Child and Adolescent PsychiatryUniversity of Maryland
Courtney Vaughan, MSW, LCSW-C School Transition Specialist University of Maryland
Moderator:Laura Hoffman, DNP, MSN, RN, CPHQ PI Program DirectorVizient
Show Notes:
[00:52 – 02:54] Overview of the school transitions program
[02:55 – 03:55] What is a family connector and how they provide emotional support
[03:56 – 05:30] Program elements that help youth to stay on track
[05:31 – 07:57] Impressive outcomes of this program
[07:58 – 09:16] What this program has meant to them from a personal or a professional standpoint
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Contacting Knowledge on the Go: [email protected]
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Artificial Intelligence has been helping improve healthcare for years, but just recently, there has been a seismic shift in capability, buy-in and attention. Healthcare systems across the country are looking into safely and effectively using AI to improve observed mortality. On this episode, we examine how Intermountain Health is effectively using AI for their patients.
Guest speaker:
Sathya Vijayakumar, MS, MBA
Senior Manager, Clinical Operations
Intermountain Health
Moderator:
Shannon Sullivan, MHA
Fellow
Performance Improvement
Vizient
Show Notes:
[01:22] Opportunity to benchmark observed mortality
[02:11] Using AI to track observed mortality
[06:16] Details on the process used at Intermountain Health
[08:37] How Intermountain piloted and fostered adoption of the initiative – outcomes
[12:09] Barriers to implementation
[13:43] Will never replace clinical judgment
[14:43] Recommendations and takeaways
[07:02] Next steps
Links | Resources:
Contacting Knowledge on the Go: [email protected]
Shannon’s email: [email protected]
Sathya’s email: [email protected]
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Hospital-acquired infections affect every health organization. These infections may be caused by a variety of pathogens including bacterial, viruses, fungi and parasites. They can lead to increased morbidity, mortality and healthcare costs. Joining us to discuss their efforts to reduce hospital-acquired infections at SSM Health are Dr. Shephali Wulff, System Vice President of Quality and Safety and Chief Quality Officer and Chris Zirges, System Director of Infection Prevention.
Guest speakers:Shephali Wulff, DOSystem Vice President of Quality and Safety, Chief Quality OfficerSSM Health
Chris Zirges, DNP, APRN-BC, CIC, FAPICSystem Director of Infection PreventionSSM Health
Host:Courtney Furrow-White, MPM, RNSenior PI Program DirectorVizient
Show Notes:
[:56] SSM Health infection prevention overview
[1:35] Current infection disease collaboration between four teams: infection disease physicians, infection prevention, microbiology and infection disease pharmacists
[2:43] Partnering with continuous improvement team to put hospital-acquired infection guidelines into a change package
[3:05] Over a span of two years, efforts led to 60% infection reduction for three targeted infections
[3:20] Challenges with standardizing the work
[4:15] Standardizing process structure and change framework
[7:00] Process checks to support freezing and/or unfreezing behavior for validity and sustainability
[10:00] Training modules and tools
[11:45] Focus strategy for monitoring and reducing other hospital-acquired infections
[14:40] Different processes are needed for patients that are entering care in different ways: i.e., elective vs emergent surgery vs. in-patient surgery
[15:20] Lessons learned
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For more information: [email protected]
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Sepsis has long been a challenge for healthcare organizations. It is a leading cause of morbidity, readmissions and mortality. As a reaction to an infection, sepsis can spread quickly, progress to septic shock and eventually shut down organ systems. Catching it early is a priority and the basis for much of a hospital’s approach to the disease. This episode features a healthcare expert who shares her organization’s approach to sepsis, as part of a Vizient collaborative, that has resulted in significant reduction in the disease.
Guest speaker:Leanne Bonds, MSN, RN, CPHQDirector of Quality and Patient SafetyUF Health Shands Hospital
Host:Shannon Hale, MHA, RN, CPHQPerformance Improvement Program DirectorVizient
Show Notes:
[01:14] Rationale for participating in the collaborative
[01:53] Goal of participation
[02:23] Increasing compliance with the sepsis order set
[03:11] Use of sepsis sidebar
[04:06] Barriers to implementation
[04:46] Outcomes from collaborative
[05:45] A takeaway from the collaborative
[07:02] Next steps
Links| Resources:
Contacting Knowledge on the Go: [email protected]
Shannon’s email: [email protected]
Leanne’s email: [email protected]
CDC sepsis website: https://www.cdc.gov/sepsis/what-is-sepsis.html
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Navigating patient-initiated portal communication to create better experiences for patients is a national priority for healthcare systems. The goal of the patient-initiated portal communication project collaboration between Vizient and the Association of American Medical Colleges (AAMC) is to understand the different ways that health systems are responding to patient-initiated portal communication, and the usage of e-visits, and its impact on the Quintuple AIM, equity, quality, patient experience, care team experience and cost. By learning the pros and cons of communication through the electronic patient portals, health systems can create better messaging and clarity for patients.
Danielle Carder, Senior Program Specialist from AAMC, joins host Courtney Furrow-White to share their collaborations on patient-initiated portal communication. Each share statistics, challenges and results from their findings and how organizations and patients are impacted.
Guest speakers:
Danielle Carder MSc
Senior Program Specialist, Access & Clinical Innovations
Association of American Medical Colleges
Host:
Courtney Furrow-White, MPM, RN
Senior PI Program Director
Vizient
Show Notes:
[1:38] Partnership between Vizient and AAMC to understand how health systems respond to patient initiated portals
[2:34] Analyzing the billing data of 78 clinical practices
[3:25] Members survey compiling data from equity, ROI to provider and patient satisfaction
[5:45] The challenges health care organizations face with e-visits, and managing perceptions of care
[7:33] Measuring feedback and engagement around the value of patient portals
[10:58] Active education and communication with patients on best ways to access care
[12:51] The operational workflows implemented to ease conversations about visit type
[14:34] Concerns from patients about billing and processing
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We know that social determinants of health such as housing instability, food insecurity, transportation barriers and limited access to education significantly influence individuals’ health outcomes. By screening for these factors, healthcare providers can provide, or healthcare providers can gain a more comprehensive understanding of patients' lives beyond their medical conditions. This holistic approach allows for tailored interventions that address the root causes of health disparities.
Heather Blonsky, Lead Data Scientist at Vizient, joins host Margaret Rudisill to talk about this topic and how we have used our Vizient vulnerability index tool, lovingly called the VVI tool, to address some of the nonclinical issues of each organization's top 2% in patient utilizers in our current collaborative, creating capacity transitioning of high-risk patients.
Guests:Heather BlonskyLead Data ScientistVizient
Moderator:Margaret RudisillPI Program DirectorVizient
Show Notes:
[01:27 – 04:04] Why and how the Vizient Vulnerability Index tool was created
[04:05 – 06:09] Homelessness and how it impacts health?
[06:10 – 10:02] Other factors that are common in the top 2% utilizers and utilization of Z codes
[10:03 – 11:39] How hospitals use that and Heather’s advice
[11:40 – 14:05] What do hospitals do when you they identify these needs
[14:06 – 15:06] How Vizient attempts to tie those 2% needs with the VVI and how beneficial it might be
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Reducing preventable hospital readmissions is a national priority for payers, providers, and policy makers seeking to improve health care and lower costs. More important than costs, are the goals of providing quality care to patients who present with healthcare needs, helping them heal, and returning them safely to their home and loved ones.
Tod Baker, Principal, Dawn Sagliani, Consulting Director, and Christine Pilley, Consulting Director, all from Vizient join host Marilyn Sherrill, Sr. Performance Improvement Program Director, to discuss the emerging practices related to reducing readmissions.
Guests:Tod BakerPrincipalVizient
Dawn SaglianiConsulting DirectorVizient
Christine PilleyConsulting DirectorVizient
Moderator:Marilyn SherillSr. PI Program DirectorVizient
Show Notes:
[01:14 – 02:48] How hospitals are managing the financial challenges, and taking risks for readmissions
[02:49 – 03:11] What hospitals are doing to reduce readmissions through better processes
[03:12 – 05:41] Why are patients being readmitted to hospitals
[05:42 – 09:49] The key elements to consider during the critical time of transition that can reduce a patient's risk of readmission
[09:50 – 010:40] Role of Nurse Navigators
[10:41 – 11:41] Benefit of assessing the home environment
[11:42 – 15:34] Barriers to reducing readmissions
[15:35 – 16:13] One recommendation for hospitals to bring about a more robust readmission program
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Remote patient monitoring, commonly referred to as RPM, is a type of telehealth in which healthcare providers monitor patients outside the traditional care setting using digital medical devices. The data collected from these devices are then electronically transferred to providers for care management. Automated feedback and workflows can be built into data collection, and out-of-range values or concerning readings can be flagged and then addressed by patient’s care team. In this episode two leading experts discuss building relationships to help drive referrals for an RPM program.
Guest speakers:Stephen Kropp, MSDirector of TelehealthThe University of Kansas Health System
Jacob Finke, BSN, RNRemote Patient Monitoring Nurse SupervisorThe University of Kansas Health System
Moderator:Courtney Furrow-White, MPM, RNSenior Performance Improvement Program DirectorVizient
Show Notes:
[01:16] RPM program at The University of Kansas Health System
[02:20] Early focus areas and peripheral devices used
[03:22] Well-suited for patients with chronic conditions
[03:50] Barriers faced
[06:15] Increasing referrals
[07:53] Marketing strategy
[11:00] Drawing patients into the RPM program
[14:54] Finding staff with people skills
[15:29] Building patient trust
[18:04] Advice to those just starting out
Links | Resources:
Contacting Knowledge on the Go:
Courtney’s email: [email protected]
Steve’s email: [email protected]
Jacob’s email: [email protected]
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Restraints can have a negative emotional impact on pediatric patients. Being physically restrained can be traumatic and lead to feelings of helplessness, anxiety and loss of control. Having to put pediatric patients in restraints takes a toll on staff as well.
Tanya Isaacs, Behavioral Health Clinical Instructor and Cheryl Miller, Behavioral Health Registered Nurse from The Queen’s Medical Center in Honolulu, Hawaii join us to talk to us today about their journey toward zero restraint use in pediatric psychiatry are.
Guests:Tanya Isaacs, BSN, RN, PMH-BC Behavioral Health Clinical Instructor The Queen’s Medical Center
Cheryl Miller, BSN, RN-PMH-BC Behavioral Health Registered Nurse The Queen’s Medical Center
Moderator:Laura Hoffman, DNP, MSN, RN, CPHQ PI Program DirectorVizient
Show Notes:
[01:08 – 02:07] How did Queen’s Medical Center determine the right path to take to zero restraint use in your pediatric psychiatry unit
[02:08 – 03:47] Defining moment that helped to solidify this decision from Tanya and Cheryl
[03:48 – 05:32] How they began this initiative
[05:33 – 07:28] “The how to help me plan”
[07:29 – 09:42] How the “how to help me plan” changed the way that you practice as a clinician
[09:43 – 11:47] Were they able to reduce restraint use for your pediatric patients with mental health issues?
[11:48 – 14:29] Other impacts other than a decrease in restraint use
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Contact Knowledge on the Go: [email protected]
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Antimicrobial resistance continues to be a public health threat across the globe. Recent updates to the Joint omission standards provide an opportunity to evaluate our current programs for improvements. Today’s program looks at what two health organizations are doing to optimize antimicrobial utilization, mitigate antimicrobial resistance and improve patient outcomes.
Joining Vizient’s Jim Lichauer for this discussion are Michael Postelnick System Program Director of Antimicrobial and Diagnostic Stewardship at Northwestern Medicine and Lucas Schulz, Antimicrobial Stewardship Program Director and PGY1 and PGY2 for Infectious Disease at University of Wisconsin Health.
Guest speakers:Michael Postelnick, RPh BCPS AQ-Infectious DiseasesSystem Program Director, Antimicrobial and Diagnostic StewardshipNorthwestern Medicine
Lucas Schulz, PharmD, BCIDPClinical Manager, Acute Care ServicesResidency Program Director – PGYI and PGY2 Infectious DiseasesUniversity of Wisconsin Health
Moderator:Jim Lichauer, PharmD, BCPS, FASHPSenior PI Program Director, Pharmacy Vizient
Show Notes:
[1:10] The Joint Commission and CMS updates are driving antimicrobial stewardship programs (ASP) forward
[3:50] EP 10 criteria to determine necessary resources to operate the stewardship program effectively and ensure that the resource allocation matches the determined needs
[5:20] EP 12 is revised to specifically require competency-based training for medical staff
[7:35] EP 20 recommends reporting ASP data to hospital leadership and prescribers
[9:45] Joint Commissions new standards include ambulatory care
[13:25] CMS rules for infection prevention and antimicrobial stewardship (CMSQSO-22-20)
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Contact Knowledge on the Go: [email protected]
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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 Performance Improvement Program director at Vizient joins host Nicole Spatafora, AVP, Performance Improvement, Vizient, to discuss his work on mortality improvement.
Guest:Shannon HalePerformance Improvement Program DirectorVizient
Moderator:Nicole SpataforaAVP, Performance Improvement Vizient
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
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For more information, email [email protected]
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Transitions from hospital to post-acute care is both time consuming and complex. When discharge tasks are not coordinated and stacked on the patient’s last day, any disruption can cause a cascade of negative events. In fact, 30% of all hospital admissions have a 24-hour discharge delay due to non-clinical reasons.
Bennett Masden, Director of Quality at Great River Health in West Burlington, Iowa joins host Margaret Rudisill, Performance Improvement Director at Vizient to explore how moving tasks before the day of discharge can help reduce a patient’s length of stay.
Guest Speaker:Bennett Masden, BBADirector of QualityGreat River Health
Moderator:Margaret Rudisill, RN, BSN, MS-HQSPI Program DirectorVizient
Show Notes:
[01:22] Task rebalancing to alleviate resource constraints at discharge
[02:04] Use a process map to determine when tasks are happening and decide what tasks can move earlier
[03:13] How to respond to pushback
[04:10] A cross-functional team of stakeholders develops an action plan and encourages commitment
[04:31] Example: moving exercise oximetry tests to the day before discharge
[05:35] Other examples: medication reconciliation and physical therapy
[07:35] Staff reaction to task rebalancing
Links | Resources:
Contacting Knowledge on the Go: [email protected]
Bennet Masden’s email: [email protected]
Margaret Rudisill’s contact: [email protected]
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Similar to residency programs physicians and other healthcare disciplines undergo, these programs give recently graduated nurses the support and learning opportunities to smooth the transition from novice to competent clinicians, while providing valuable peer and mentor support; keys that also address turnover.
Janine Lindgreen, nurse residency coordinator, and Dawn Profit, staff development specialist, both of University of Kentucky, Albert B. Chandler Hospital join Host LaTammy Marks to discuss what healthcare organizations can do to improve their new nurse graduate journey, utilizing the Vizient American Association of Colleges of Nursing, or AACN Nurse Residency Program, also NRP, and how they can increase the use of evidence-based practice while focusing on continuous performance improvement.
Guests:Janine LindgreenNurse Residency CoordinatorUniversity of Kentucky, Albert B. Chandler Hospital
Dawn ProfitStaff Development SpecialistUniversity of Kentucky, Albert B. Chandler Hospital
Moderator:LaTammy MarksPI Program DirectorVizient
Show Notes:
[02:56 – 04:39] How University of Kentucky operationalized the NRP
[04:40 – 06:55] A performance and improvement project done by the nursing residents and how a process improved as a result of this work including evidence-based practice
[06:56 – 10:01] Ways that University of Kentucky utilizes the NRP to monitor retention
[10:02 – 11:44] Describing the quarterly scorecard and why focusing on nurse retention is important to monitor on the scorecard for your organization
[11:45 – 14:23] How participation in these PI Collaborative supports the NRP
[14:24 – 16:20] What has contributed to the overall success of their NRP
[16:21 – 17:29] Advice for organizations that are starting a NRP program to shift their focus to retention of nurses, especially new nurses
For more information, email [email protected]
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Care is moving outside the hospital at a faster and faster pace. Due to payer mandates, shifts in sites of care to locations outside the hospital will bring an additional 18 percent expansion of patient visits to physician offices and outpatient facilities by 2032. Strategies for home infusion will play a big role in this shift as well. Currently, over 550 medications are available for home infusion. On this episode, two leading experts will detail their successful home infusion strategy at their organization.
Guests:Alicia Ranasinghe, PharmD, IgCPMedication Access Services PharmacistFairview Home Infusion
Brett BenfieldDirector of Home Infusion and CompoundingFairview Infusion Consulting Services
Moderator:Jim Lichauer, PharmD, BCPS, FASHPPerformance Improvement Program DirectorVizient
Show Notes:
[01:35] Fairview Pharmacy Services and home infusion
[03:06] IVIG Stewardship Program
[04:13] Process to establish patients in home infusion
[05:25] Pharmacist involvement
[05:50] Getting buy-in from colleagues
[06:58] Impact on patients
[08:12] Looking to the future
[08:39] Take-aways from the program
Resources:
Contacting Knowledge on the Go: [email protected]
Jim’s email: [email protected]
Alicia’s email: [email protected]
Brett’s email: [email protected]
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Recent studies have demonstrated that sepsis patients have a much higher readmission risk than other common conditions such as heart failure, heart attacks, and pneumonia. The National Institutes of Health states that sepsis is a substantial healthcare burden, accounting for 6.2% of total hospital costs in the United States.
Shannon Chase Weck, Performance Improvement Specialist and Sepsis Coordinator at Houston Methodist West in Texas joins Host Shannon Hale to discuss share their work to decrease sepsis readmissions.
Guests:Shannon Chase WeckPerformance Improvement Specialist and Sepsis CoordinatorHouston Methodist West Hospital
Moderator:Shannon HalePI Program DirectorVizient
Show Notes:
[00:58 – 01:24] Looking at Sepsis as an organization
[01:25 – 02:30] Organizations approach to sepsis readmissions
[02:31 – 03:09] Grand Prix theme and outcomes
[03:10 – 04:58] How they have sustained improvements
[04:59 – 06:15] The barriers
[06:16 – 07:23] Ah-has to share
For more information, email [email protected]
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Change management is a term bandied about a lot in industry as a whole and in the health care industry in particular. Yet, organizations struggle in carrying it out and few seem to see lasting results from their efforts. In this episode, two industry leaders in change management share principles to make your change management initiatives succeed.
Guest speaker:Dwayne Banks, CCPSenior Change Management PartnerVizient
Kimberly Kisner, MBADirector, Change ManagementVizient
Moderator:Amber Hanser, MHA, CPHQSenior Improvement Program DirectorPerformance Improvement ProgramsVizient
Show Notes:
[03:04] Defining change management
[03:46] Leading change
[05:35] Change fatigue
[08:47] Leading practices in change management
[10:22] How organizations should approach change management
[13:50] Communicating in times of uncertainty
[18:31] Sustaining change
[20:16] Start at the beginning of the process—steps to take
Links | Resources:
Contacting Knowledge on the Go: [email protected]
Amber’s email: [email protected]
Dwayne’s email: [email protected]
Kimberly’s email: [email protected]
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Many issues facing our healthcare systems, such as rising costs, staffing shortages, supply chain disruptions, why should sustainability be top of mind for healthcare organizations and what they how can they improve their sustainability journey.
Rebecca Hou, Environmental Sustainability product advisor for Vizient joins Host LaTammy Marks to discuss this important issue.
Guests:
Rebecca Hou
Environmental Sustainability Product Advisor
Vizient
Moderator:
LaTammy Marks
PI Program Director
Vizient
Show Notes:
[01:23 – 02:19] Rebecca’s role at Vizient
[02:20 – 04:18] Why environmental sustainability should be top of mind in healthcare
[04:19 – 05:32] Health risks our patient populations can face
[05:33 – 07:00] Hospitals focus on increased health risk utilization to improve sustainability
[07:01 – 08:44] How organizations are contributing to the environmental risk
[08:45 – 10:35] What healthcare organizations can do to decrease emissions
[10:36 – 12:05] The number one thing that organizations can do to start focusing on sustainability
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We have a Workplace Violence Survey underway now. The survey consists of 9 questions related to 4 outcome metrics. The deadline to submit data is August 18, 2023. If interested, please contact [email protected]
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:
[01:02] Survey employees to learn how supported they feel.
[02:59] Awareness campaigns help reduce workplace violence.
[05:39] Implement a comprehensive and standardized debriefing process.
[08:37] Simply checking in with staff, post-event, is a powerful tool.
[09:50] COVID has impacted the launch of a post-event leadership guidebook.
[11:02] Routine, ongoing data collection is very important.
[12:29] Leaders must be equipped with the necessary tools.
For more information, email [email protected]
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