The huge flurry of changes in how we deliver healthcare have brought into question the viability of the conventional medical group model, whether it’s sustainable and gives us a competitive advantage or whether we need to invest in something else. On the next three episodes of this award-winning podcast, an expert joins Tomas to consider the future of medical group practices.

Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Performance Improvement Consulting Vizient

Guest: Michael Strilesky Senior Principal Care Delivery Transformation Strategy Consulting Vizient

Show Notes:

[01:46] Current medical group model

[02:58] Impact and role of medical groups

[04:12] Drawbacks and limitations of current model

[06:13] Different care and practice models emerging

[07:49] The disruptors have been fantastic

[09:47] Different approach for medical groups affiliated with academic medical centers

Resources:

To contact Modern Practice: modernpracticepodcast@vizientinc.com

Michael Strilesky’s email: michael.strilesky@vizientinc.com

“Grow hospital market share by integrating ambulatory care across acute service lines” (Vizient publication): Click Here

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In this re-air of our two-part, award-winning podcast series, we discuss how physical violence in the healthcare workplace is on the rise. Healthcare workers are more in danger of violence than are police officers or prison guards. Looking at the labor force in general, healthcare workers have five times the likelihood of facing violence than workers across all other industries. And that doesn’t include the verbal abuse. Clinicians need skills to defuse conflict and hopefully settle down hostilities before they get out of hand. On this episode, Tomas and Cecilia finish their discussion with some helpful tips.

Moderator:

Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal Clinical Operations and Quality Vizient

Guest: Cecilia Cruz, MD, MPH, CPCC, ACC Founder and Chief Executive Officer Marpe, LLC Board-certified emergency medicine physician Former co-chair of Quality Division of Emergency Medicine NorthShore University HealthSystem

Show Notes:

[01:10] Influences and attitudes from culture/media

[02:45] The pandemic factor; example from CoxHealth

[04:45] Prevalence of incivility

[06:23] Paying attention to the signs; observation skills to use; actions to take

[09:30] Give the situation the same importance that patients and families give it

[10:16] Tools clinicians can use – Marpe’s role in alleviating violence

[12:05] A symptom of the healthcare crisis

Links | Resources:

To contact Modern Practice: modernpracticepodcast@vizientinc.com

Dr. Cruz’s email: ceciliacruz@marpejourney.com

Dr Cruz’s Linkedin page: Cecilia Cruz - Founder and CEO - MARPE, LLC | LinkedIn

MARPE, LLC website: https://www.marpejourney.com/

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Hermes award-winner!

In a special re-air of this award-winning episode, we discuss how the hospital is increasingly becoming a hostile environment, with clinicians facing verbal abuse and physical violence from patients and their families. Clinicians need skills to defuse conflict and hopefully settle down hostilities before they get out of hand. If calming hostilities is not possible, they need to know what to do in the face of violent confrontation. Tomas discusses patient hostility with a leading expert on the topic.

Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Clinical Operations and Quality Vizient

Guest: Cecilia Cruz, MD, MPH, CPCC, ACC Founder and Chief Executive Officer Marpe, LLC Board-certified emergency medicine physician Former co-chair of Quality Division of Emergency Medicine NorthShore University HealthSystem

Show Notes:

[02:15] Patient hostility on the rise

[03:16] Verbal violence is most prevalent, and the most unreported

[04:05] Cleveland Clinic: violence four times more prevalent in health care

[04:40] Health care workers more exposed than prison guards and police officers

[05:12] Higher risk of assaults for nurses

[05:59] Biggest risk in high-acuity settings – ambulances, EDs, ICUs, psych units

[06:44] Reasons/origins

[09:25] Patient families as source of conflict

Links | Resources:

To contact Modern Practice: modernpracticepodcast@vizientinc.com

Dr. Cruz’s email: ceciliacruz@marpejourney.com

Dr Cruz’s Linkedin page: Cecilia Cruz - Founder and CEO - MARPE, LLC | LinkedIn

MARPE, LLC website: https://www.marpejourney.com/

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