Advancing Quality & Patient Safety: A Podcast Series

NMHA's Quality Committee and hospitals across New Mexico have been working to expand networks and ways to communicate evidence-based best practices in quality and patient safety. This podcast series, launched in January, 2019, brings hospital leaders together to share important successes.

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The New Mexico Hospital Association Approved Provider Unit is an Approved Provider of nursing professional development/continuing education by NMNA Accredited Approver Unit, an accredited approver by the American Nurse Credentialing Center’s Commission on Accreditation.

Series 1 (Episodes 1-11)
You must attend the whole session of each podcast for which you claim participation, and submit a completed evaluation form for up to 5.66 contact hours of approved Nursing Continuing Professional Development. Complete the evaluation now. 

Series 2 (Episodes 12-20)
You must attend the whole session of each podcast for which you claim participation, and submit a completed evaluation form for up to 4.5 contact hours of approved Nursing Continuing Professional Development. Complete the evaluation now. 

Questions? Suggestions? Dan Lanari, NMHA Director of Quality & Patient Safety

Listen Now: NMHA Podcasts Via Anchor

New!  Episode 19:  Flu Vaccinations for Healthcare Personnel, Miners' Colfax Medical Center

Lacey Robinson, Infection Prevention & Employee Health nurse at Miners' Colfax Medical Center in Raton, recently championed a a hospital-wide initiative that improved their healthcare personnel flu vaccination rates from 67% last flu season, to nearly 100% this year.  She'll share creative ideas and solutions to addressing this challenging topic while supporting staff and maintaining a positive culture of safety.  As a new IP, Lacey will also discuss how important it is to develop relationships and collaborate with physician leaders and administration.

Episode 18:  2019 Quest for Excellence Top Hospital, Lincoln County Medical Center's Hospital Readmission Reduction

Wendi Hulett, Chief Nurse Executive at Lincoln County Medical Center (LCMC) in Ruidoso, New Mexico, shares with us data-driven approaches the hospital has taken to drive key interventions in reducing hospital readmissions to as low as 2.2%. Multidisciplinary approaches taken at the hospital, along with partnerships established with local EMS to conduct home visits post hospital discharge and important modifications they made to their in-hospital questionnaire helped them gain a better patient and family perspective. 

Read more about LCMC's top honor at the 2019 NMHA Quality Awards and follow the link to their full project description in pdf. 

Episode 17: Rehabilitation Hospital of Southern New Mexico Partners with Patients & Families for Successful Reintegration into the Community

Megan VanNatta, Director of Compliance; Christina Salazar, Director of Nursing and Jennifer Risley, Director of Therapy, Rehabilitation Hospital of Southern New Mexico, share with us a program developed to service spinal cord injury survivors with successful reintegration into their community. The hospital was the winner of the 2019 NMHA Quest for Excellence Award for top specialty hospital.

The interdisciplinary team at Rehabilitation Hospital of Southern New Mexico adopted validated clinical practice guidelines, along with standardized care management processes to help spinal cord injury patients regain functional independence and return to their daily activities.  We learn the importance of partnering with patients and families from day one of the hospital stay, setting shared goals with them, and most notably, always asking the patient what is most important to them.  We also highlight the hospital’s commitment to patients post-discharge with programs like community support groups.

Episode 16: Clinical Huddles to Improve Documentation & Patient Outcomes

 Kelly Garland, Quality Coordinator,  and Erin Martin, Chief Quality Officer, at MountainView Regional Medical Center in Las Cruces share with us a multidisciplinary huddle that occurs in their hospital. What sets this huddle apart from most is its focus on documentation accuracy and coding in real-time, and the message “ If isn’t codable documentation: It didn’t happen.” They also share with us the widespread learning that occurs with real-time, root cause analysis at the unit level combined with unit led improvements in clinical care processes. MountainView Regional Medical Center is a winner of the 2019 NMHA Quest for Excellence Top General Acute Care Hospital award for exemplifying the importance of physician leadership, nurse-driven improvements and a culture of safety to improve documentation & clinical care.

Episode 15:  Hospital Certification Programs

Paula Bustillos, Quality Program Coordinator, UNM Sandoval Regional Medical Center, joins us to discuss hospital certification programs. She shares insights and recent examples from her leadership of her hospital's Bariatric Surgery Certification. Learn similarities  and differences between certification & accreditation, the team you need to assemble when pursuing certification, data abstraction & metrics and how to engage and facilitate standardization to evidence-based practice.

 Episode 14:  Leadership Philosophy with Dr. Robert Underwood

Dr. Robert Underwood, Chief Medical Officer, San Juan Regional Medical Center, is currently writing a book on physician leadership. In this interview, he covers how to identify good potential leaders within your organization;  distinguishing between formal and informal leaders; and how to develop and apply your own leadership philosophy at your hospital. 

Episode 13:  Leading Large-Scale Performance Improvement 

Marie Cleary- Fishman, VP for Clinical Quality, American Hospital Association, talks with us about transitions quality leaders need to make when leading a large-scale improvement project, whether it is spreading improvement across a hospital or multiple hospitals. Insights include change management strategies, data analysis and engaging stakeholders at all levels. Lastly, Marie shares lessons learned from her career in quality and stories about important mentors she’s had along the way. Marie will also be speaking at the NMHA Quality Awards during the Annual Meeting. Are you registered yet?

Episode 12:  Solutions for Nursing Leader Burnout

Sharon Radcliffe,  Chief Nursing Officer, Los Alamos Medical Center, is completing her Doctor of Nursing Practice degree. Part of her work is a doctoral thesis capstone project researching burnout among nurse leaders across the country. Sharon shares results of that research and discusses solutions around this important healthcare issue. Sharon also speaks to the importance of continuous learning as a healthcare leader, and how pursuing this advanced degree has helped further her passion for nursing leadership.

Episode 11:  Process Design to Improve Patient Outcomes and Employee Satisfaction

Doug Johnson, RN, Director of Quality, Lovelace Medical Center, is a Lean Six Sigma Black Belt with extensive experience in process improvement.  He teaches us about the principles of process design, methodologies with which it aligns and tools used to apply it. Recent success of utilizing process design at Lovelace Medical Center, specifically with care management, has resulted in improved patient outcomes while significantly improving employee satisfaction.

Episode 10:  Leadership Insights from a CEO, Christina Campos, Guadalupe County Hospital

Guadalupe County Hospital, under the long-term leadership of Christina Campos, was recently crowned as a top 20 rural hospital in the country. Christina gives us insights and stories around their journey to this top ranking, including the hospital’s approach to quality improvement and how this is preparing them for the emerging focus on value-based care and population health. She teaches about the importance of community partnerships and how Guadalupe County has taken a proactive approach toward a healthy community. Lastly, Christina shares with us her servant leadership approach in leading a hospital, and why mentorship is crucial to the professional development of a leader. 

National Rural Health Association Top 20 Press Release  (link)

Episode 9:  Lincoln County Medical Center, Patient Safety Culture & Reducing Patient Falls

Wendi Hulett, Chief Nurse Executive, Lincoln County Medical Center (LCMC),  shares key practices surrounding the hospital's success in reducing patient falls. The hospital was honored with the 2018 NMHA Quest for Excellence Award for their work. Wendi highlights the strong patient safety culture that has been established, including best practices on leadership rounding and patient safety huddles. Not only has this culture improved care for patients, it has facilitated collaboration across the organization and engaged the workforce.

  • Project Description (LCMC AHA HRET Case Study based on 2018 NMHA Quest for Excellence Award winning project) in pdf
Episode 8:  Nor-Lea Hospital District, The Baldrige Framework

BranDee Savell, Chief Quality Officer, Nor-Lea Hospital District, describes their recent success in earning the Level 4 Zia Award, the most prestigious Baldrige recognition at the state level. BranDee educates on the Baldrige Framework, application and survey processes, and how Baldrige aligns with and utilizes many other performance improvement methods. BranDee also shares how this framework has resulted in improvements in quality & patient safety, enhancements to the patient experience and improved financial outcomes. 

Episode 7:  Presbyterian Hospital, “Warm” Handoffs Between the ED & Inpatient Units 

Cathy Nicholson, Manager of Quality Programs & Penny Beattie, Chief Nursing Officer of Presbyterian Hospital share with us a project they led on the topic of patient handoffs from the Emergency Department to inpatient units. "Warm" handoffs have proven effective with facilitating better teamwork, patient/family engagement, and improving the patient experience. 

Episode 6:  Evidence-Based Management of Sepsis in the ED

Dr. Greenwood-Ericksen of UNM Hospital & UNM School of Medicine talks about leading, with the American College of Emergency Physicians (ACEP), the national effort for the formation of the Emergency Quality Network (E-QUAL). Within that network, best-practices and tool kits for managing sepsis were developed for rural emergency departments and their providers.  She also educates us on the CMS Core Measure for sepsis and provides an overview of her research on rural and urban ED sepsis management performance, recently published in the Journal of Rural Health.   

Episode 5:  A Unique Approach to Quality,  CDPI at CHRISTUS St. Vincent

Dr. Lara Goitein, Medical Director of Clinician Directed Performance Improvement (CDPI) at CHRISTUS St. Vincent Health System, shares with us the mission and structure of CDPI, its intersection with the hospital's traditional quality program, and the effect CDPI has had on improving physician engagement, culture of safety and reducing patient harm. The program was honored last year when CHRISTUS St. Vincent Regional Medical Center received the NMHA Quest for Excellence Award and was recognized at IHI's Patient Safety Congress in Boston. 

Read the AHA Case Study (pdf) based on CHRISTUS St. Vincent's NMHA Quest for Excellence Award-winning CDPI project.

 Episode 4:  Part 2...Tips for the New Quality Leader

Tony Baird, DSc, MHA, CPHQ, CPPS of Memorial Medical Center in Las Cruces is the Executive Administrative Director of Medical Staff Services & Clinical Quality at the hospital. Tony shares with us the role of mentorship and how it has influenced his development as a quality leader.  He also shares insights on how to engage senior executives with quality and patient safety initiatives, how to be successful with system-wide improvement projects, and what he sees changing in the healthcare quality landscape.   

Episode 3:   "Tips For the New Quality Leader:  What I Wish Someone Had Told Me"

Lisa Thompson, CJCP, CPHRM, CPHQ, TQMC, is the Chief Quality Officer at Lea Regional Medical Center in Hobbs, New Mexico. In this podcast, she uses more than 30 years of experience in quality leadership to share insights into how new quality leaders can become successful. She covers key relationships the quality leader must develop and how to influence change across an organization. Lisa also gives important guidance on the hospital survey process, with tips on preparation, readiness and etiquette.

Episode 2: Leaders from Cibola General Hospital in Grants, NM, talk about their population health project improving flu vaccination rates

  • Project Description (Cibola General AHA HRET Case Study based on 2018 NMHA Quest for Excellence Award winning project) in pdf
  • Contact these in-state experts: Ambroshia Mandagaran, Director of Quality and Risk Management,;  Glenna Losito, Co-Chief Nursing Officer,;  Maria Atencio, Co- Chief Nursing Officer,;  Rick Smith, Director of IT,;  Randy Mattila, Hospital Pharmacist;  

Episode 1: Gila Regional Medical Center (Silver City, NM) Reduction in Readmissions through Care Transitions

  • Project description (GRMC 2018 NMHA Quest for Excellence Award winning program application) in pdf
  • Contact these in-state experts:  Rennie Mariscal, RN, ACM-RN, Physician Practice Administrator &  Former Director of Case Management,;  Amanda Pryor, RN, BSN  Interim Director of Case Management,;  Tanya Carroccio, MBA, DNP, APRN, Chief Quality and Compliance Officer, 
  • Read recent news about more important work at Gila Regional.