Decoding Health: The Role of Precise Coding and Risk Adjustment in Patient Care

miniVHAN

#Tech #Fitness #Medicine #VHAN #Vanderbilt Health Affiliated Network #Medicalcoding #Medicalpractice #Patient #Preventativecare #Technician #Doctor Who #Health and Well-Being #Hospitality

33:19

What’s the secret to lasting friendships? How does queer community show up through the ebbs and flows of life? And what’s the REAL story behind the “YMCA” song? In the first episode of Silver Linings, The Old Gays dive into an essential part of queer life: chosen family. They discuss the vital love, support, and sense of belonging that community provides, especially during life's toughest moments. They open up about what “queer” means to them, how chosen family has impacted their lives, and how to maintain close bonds over time–including their love for each other! “We’ve come a long way, baby.” Family isn’t just what you’re born with; it’s the people who show up, shape you, and stick around. See omnystudio.com/listener for privacy information.…

about a year ago 24:31

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Dr. Legner underscores the need to regularly update patients’ records to ensure all providers have up-to-date information about their patients’ conditions. The episode also discusses areas where coding mistakes are common, such as chronic conditions like depression and diabetes. Tune in for insight into how precise coding can help health care professionals improve patient care and adapt to new care models that focus on value.

42 episodes

Decoding Health: The Role of Precise Coding and Risk Adjustment in Patient Care

miniVHAN

published about a year ago

MP3•Episode home

42 episodes

#Tech #Fitness #Medicine #VHAN #Vanderbilt Health Affiliated Network #Medicalcoding #Medicalpractice #Patient #Preventativecare #Technician #Doctor Who #Health and Well-Being #Hospitality

All episodes

miniVHAN

1
Beyond the Bedside: Bolstering Support for Caregivers 25:37

14 weeks ago25:37

25:37

In the newest episode of the miniVHAN podcast, we sit down with Terrell Smith, MSN, RN, the recently retired senior director of Patient and Family Engagement at Vanderbilt University Medical Center. With over five decades of experience, Terrell shares heartfelt anecdotes and insights into the challenges caregivers face daily. We shine a spotlight on these unsung heroes, exploring the emotional and physical toll of caregiving and the vital importance of community support. This episode addresses caregiving as a significant public health issue, emphasizing the need for greater awareness and examining how caregiving can be integrated into preventive health care practices. As we explore the evolving landscape of caregiving within value-based care models, Terrell shares valuable advice for caregivers on managing their roles and maintaining self-care. This episode is a call to action for health care providers to recognize caregivers' pivotal role and ensure they are equipped with necessary resources and support.…

miniVHAN

1
Reshaping Dental Care: Discover How Interfaith Dental Transforms Lives and Strengthens Its Community 33:14

17 weeks ago33:14

33:14

This episode of the miniVHAN spotlights the work of Interfaith Dental, a Middle Tennessee nonprofit that helps vulnerable populations achieve and sustain a healthy smile. Rhonda Switzer-Nadasdi, DMD, the organization’s visionary CEO, walks us through Interfaith Dental’s modest beginnings in 1995 and evolution into a cornerstone community resource that has rapidly adapted to break down barriers in health care. Our conversation shows how the organization has expanded services to patients of all ages and addressed social determinants of health through innovative solutions like teledentistry, walk-in days and community dental health workers.…

miniVHAN

1
Insights on the Patient-Centered Medical Home (PCMH) Model Designation 22:53

23 weeks ago22:53

22:53

In this episode, we explore the Patient-Centered Medical Home (PCMH) model with our guest, Liz Pierce, MD, pediatric regional medical director for the Vanderbilt Health Affiliated Network. With over 30 years of experience in pediatrics, Dr. Pierce shares her invaluable insights into how this physician-led, team-based care model can enhance patient outcomes. The PCMH model, rooted in the principles of coordinated and comprehensive care, seeks to centralize the patient's medical journey and make health care more accessible and effective. Because implementing the model can be a challenge, Dr. Pierce discusses the pivotal role of PCMH champions within organizations and highlights state programs that offer financial aid and coaching to ease the transition. For those eager to embark on the journey toward PCMH designation, Dr. Pierce walks us down the path of achieving and maintaining PCMH certification, a designation granted by the National Committee for Quality Assurance (NCQA). We also invite listeners to use the resources from this episode to learn more.…

miniVHAN

1
Rethinking Antibiotics for Kids - Tips for Parents and Providers 21:39

27 weeks ago21:39

21:39

We’re hitting the road with Elizabeth Randolph, MD, from Green Hills Pediatric Associates, to explore the growing problem of antibiotic resistance and how it’s making infections harder to treat. Discover why antibiotic stewardship is vital to decrease the risk of disease spread and severe illness. We’ll tackle the challenges of managing patient and family expectations when it comes to antibiotic use and share strategies for reassuring parents about non-antibiotic treatments for common ailments. We’ll also discuss many of the risks involved in overprescribing. Learn how Green Hills Pediatrics is leading a cultural shift towards more thoughtful antibiotic use by educating patients and tracking prescription data. Join us for this episode aimed at building a strong foundation for pediatric health.…

miniVHAN

1
Turning Hope into Action with the American Foundation for Suicide Prevention 36:28

31 weeks ago36:28

36:28

Join us as we welcome Paul Augustyniak, board chair for the Tennessee chapter of the American Foundation for Suicide Prevention (AFSP). Paul highlights the organization's mission to save lives and bring hope to those affected by suicide through research, advocacy, education and healing initiatives. With 1,200 Tennesseans lost to suicide last year and the state ranked 22nd in the nation for suicide rates, increasing awareness and encouraging open conversations are crucial for prevention. Our discussion also underscores the need to expand mental health resources, particularly in areas with limited health care access. This episode also covers the expansion of outreach and volunteering opportunities within AFSP, with the goal of increasing community engagement through events like the AFSP walks and State Capitol Days. Tune in to hear how these community-building efforts create a beacon of hope for individuals in need. If you or a loved one need support, you can call or text the 988 suicide and crisis lifeline 24/7/365. Conversations with lifeline counselors are free and confidential.…

miniVHAN

1
Beyond the Clinic: Building Healthier Communities Through Human Connection 25:48

35 weeks ago25:48

25:48

With close to 90% of health outcomes affected by patients’ conditions outside of the clinic walls, the intersection of medical care and community health plays a vital role in meeting people where they are. Joining the miniVHAN to share about the social determinants of health is Amy Richardson, Chief Community Health Officer at Siloam Health, a nonprofit organization that provides whole-person care to Middle Tennessee’s underserved populations. Richardson spotlights the benefits of like-minded organizations partnering to promote health equity, explaining how Siloam Health has built trust with local organizations such as the Tennessee Immigrant and Refugee Rights Coalition and Nashville Noticias to effectively reach immigrant and refugee communities. She also shares how her organization has collaborated with the Tennessee Community Health Worker Program to remove barriers to care and improve the health and well-being of patients and families across the state. Learn more about how communities create human connections that enable healthier, fuller lives.…

miniVHAN

1
Patients at the Helm: Redefining Roles in Value-Based Care 26:34

36 weeks ago26:34

26:34

Join us in the miniVHAN as we welcome Cecelia Theobald, MD, Chief of Staff for Corporate Clinical Affairs at Vanderbilt University Medical Center. Dr. Theobald, an internist, is also the attending physician at the student-run Shade Tree Clinic, which provides free health care to uninsured individuals. She has witnessed patients taking a more active role in their care—and explains why that’s such a positive development for providers and health care as a whole. Dr. Theobald underscores the importance of trust and clear communication within patient care teams, highlighting how that strong foundation can lead patients toward more solid decision-making. Tune in to learn how you can best serve patients as they navigate complex medical information, build relationships with their health care providers and take charge of their own health.…

miniVHAN

1
Beyond the Bottom Line: Dr. Michael Kobernick on Employers’ Role in Care Transformation 34:23

37 weeks ago34:23

34:23

Can employers really transform health care quality and costs? Join us in the miniVHAN for an eye-opening conversation with Michael Kobernick, MD, Senior Medical Director at Blue Cross Blue Shield of Michigan, as he unpacks the evolving roles of employers and brokers in the health care ecosystem. Dr. Kobernick draws upon his experience both in the practice of medicine and in critical health care leadership to imagine how employers can more successfully collaborate with provider organizations. Tune in to understand how value-based care models can lead to healthier communities by removing patients’ social and financial barriers. You’ll also discover how businesses, regardless of size, can shift the focus from merely cutting expenses to genuinely enhancing their employees' health.…

miniVHAN

1
Everyone Plays a Role: CJ Stimson on Revolutionizing Care Delivery 32:17

38 weeks ago32:17

32:17

Imagine a world where health care is as personalized and easy to use as your favorite streaming service. That’s the vision of CJ Stimson, MD, urological surgeon, Executive Vice President of Population Health and Chief Medical Officer for the Employee Health Plan at Vanderbilt University Medical Center. In this episode, he hops in the miniVHAN to share how his personal experience and time as senior advisor at the Center for Medicare and Medicaid Innovation have fueled his passion for value-based care – an approach he believes can revolutionize patient outcomes and increase provider satisfaction. With an aging population and too few doctors, traditional ways of providing care aren't working. Dr. Stimson will explore how a team-oriented approach, focused on patient needs, can empower providers, reduce clinician burnout and improve patient care. We'll learn how better communication and cooperation between patients, employers and providers can overcome the challenges of the value-based care shift and drive this transformation forward.…

miniVHAN

1
Decoding Health: The Role of Precise Coding and Risk Adjustment in Patient Care 24:31

1 year ago24:31

24:31

Coding is an often overlooked but critical aspect of health care. Dr. Victor Legner, a geriatrician with a wealth of knowledge in clinical documentation and coding integrity, unravels the intricate web of ICD-10 codes, hierarchical condition categories and risk adjustment factor scores, spotlighting how accurate coding is key to ensuring providers are adequately funded. Dr. Legner underscores the need to regularly update patients’ records to ensure all providers have up-to-date information about their patients’ conditions. The episode also discusses areas where coding mistakes are common, such as chronic conditions like depression and diabetes. Tune in for insight into how precise coding can help health care professionals improve patient care and adapt to new care models that focus on value.…

miniVHAN

1
What Patient-Centered Health Care Looks Like: Dr. Mitch Kaminski’s Vision for Population Health 26:05

1 year ago26:05

26:05

Mitch Kaminski, MD, MBA, has thrived in the health care industry for over 40 years – and continues to make meaningful contributions. He's not only a family physician and professor; he's also a leader who embraces change. Even while serving as former Chief Clinical Officer at Delaware Valley ACO and as current Program Director at Jefferson’s College of Population Health, he has made it a priority to stay connected to patients. Putting his passion into practice allows him to bring real-world experience to leadership roles and positively influence health care year after year. Join us as we learn valuable lessons from Dr. Kaminski’s example.…

miniVHAN

1
3 Ways to Maximize Medication Adherence 32:48

1 year ago32:48

32:48

There’s a good reason Medicare triple-weights medication adherence as a performance measure. Prescriptions aren’t effective if patients can’t access them easily or take them routinely. One way VHAN’s Care Management team supports network members is by helping their patients overcome barriers to filling prescriptions and managing complex medication regimens. In this episode, clinical pharmacist Danya Wilson and nurse practitioner Catherine McMullan discuss the transformative power of personalized patient medication strategies. We explore how a renewed focus on medication adherence can help VHAN members improve health care outcomes and costs, leading to better contract performance and greater financial incentives.…

miniVHAN

1
From Quantity to Quality: Navigating Health Care Transition 37:47

1 year ago37:47

37:47

VHAN Director of Network Operations Matt Duckworth joins the miniVHAN to peel back the layers of health care’s monumental shift from volume to value in the past 10-plus years. Duckworth leans on his expertise in law and health care policy to offer insights on the Affordable Care Act's impact and the innovative strategies being tested by the CMS Innovation Center.…

miniVHAN

1
The Role of Community Health Workers in Tennessee's Health Care Transformation 23:58

1 year ago23:58

23:58

Local communities across the state are in serious need of compassionate, problem-solving health professionals who can build bridges between doctors and patients and ensure every individual receives the care they deserve. That’s why the miniVHAN is proud to spotlight Tennessee’s Community Health Workers (CHWs) initiative and show how these workers are filling health care gaps, especially for those in high-need, hard-to-reach populations. The podcast welcomes two women leading the charge: Nikayla Boyd, Ed.D., Executive Director of the Tennessee Community Health Worker Association, and Barbara Clinton, who served as the director of Vanderbilt Center for Health Services for more than 30 years. These experts share their unique experiences on the role of CHWs as bridge builders and trust makers, ensuring that all community members are connected to vital health and social services. Our conversation illuminates the way CHWs are transforming health outcomes across Tennessee by overcoming barriers such as resource scarcity and housing insecurity. Get ready to be inspired and learn how you can contribute to the initiative. This conversation is not just about health care—it's about people, community and the power of compassion in action. Learn more about the Community Health Worker Training Program of Tennessee (CHWTPT) and find out how to apply: https://www.vhan.com/new-state-program-available-to-train-community-health-workers/…

miniVHAN

1
Coping with Grief: Navigating Loss in Personal and Professional Life 46:04

1 year ago46:04