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Health IT & Digital Health-Opinion | Op-Eds | Guest Columns | Analysis, Insights - HIT Consultant

4 Benefits of Augmenting Your Integrated Care Strategy with Performance Management Analytics

by Alyson Erwin, VP, Analytics, Product Management at Relias 10/01/2018 Leave a Comment

4 Benefits of Augmenting Your Integrated Care Strategy with Performance Management Analytics

 Integrated care is a hot topic today – numerous studies have shown the value and benefit of integrated care costs, quality of care and patient satisfaction and engagement. To effectively execute on any integrated care strategy, you need not only great clinical initiatives but also a strong Performance Management Analytics solution to augment and enhance your clinical initiatives. Integrating both will significantly impact your time to value with any solution as well the financial and quality
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How Design Thinking in Healthcare Can Improve Patient Experience

by Krithika Srivats, Sr. Director, Health/Clinical Center of Excellence at Hinduja Global Solutions (HGS) 09/27/2018 Leave a Comment

How Design Thinking in Healthcare Can Improve Patient Experience

According to the American Hospital Association, an overwhelming majority of hospital executives consider technological innovation a centerpiece of their long-term organizational goals, particularly as it pertains to solving complex problems and meeting the needs of consumers.However, if you are a regular attendee of healthcare tradeshows, you may have noticed that innovations come and go while the problems they were intended to solve remain as intractable as ever. Despite a robust market for
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EHRs Need More Bananas, Fewer Oranges to Improve Care

by Irv Lichtenwald , CEO of Medsphere Systems Corporation 09/25/2018 Leave a Comment

Medsphere CEO Talks Affordable Healthcare IT and Future of EHRs

Physicians are people, too, as it turns out.Well of course they are, you say, perhaps while acknowledging that we may have expected doctors to perform superhuman feats since television feeds us a steady diet of doctors as boy geniuses, adult geniuses, other types of geniuses and personally troubled but ethically unassailable walking Greek tragedies.In the real world, we know that doctors these days are engaged in very human struggles to pay off massive medical school bills, walk the gauntlet of
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Volume to Value: The Transformation Poised to Revolutionize Medicine

by Mary Tolan, Managing Director at Chicago Pacific Founders 09/25/2018 Leave a Comment

Volume to Value: The Transformation Poised to Revolutionize Medicine

With healthcare access a perennial hot-button issue, it becomes imperative to take stock of the major shift happening among providers, one that perhaps has not dominated headlines. As America’s population ages and the need for quality healthcare becomes ever more important on an individual level, new developments in health payment functionality allow for care that’s truly catered to each patient according to need. This system promises to give each patient the course of care that their affliction
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Value-based Care Success: 7 Stages of the Health Data Life Cycle

by Richard A. Royer, CEO at Primaris Healthcare Business Solutions 09/24/2018 Leave a Comment

Value-based Care Success: 7 Stages of the Health Data Life Cycle

Back in the day – the late 1960s, when social norms and the face of America was rapidly changing – a familiar public service announcement began preceding the nightly newscast. “It’s 10 p.m. Do you know where your children are?” Today, as the healthcare landscape changes rapidly with a seismic shift from the fee-for-service payment model to value-based care models, there’s a similar but new clarion call for quality healthcare: “It’s 2018. Do you know where your data is?”Compliance with the
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Patient Engagement: 9 Ways to Engage Patients on Their Own Terms

by Peter Borden, Chief Digital Officer, Healthcare, Cognizant, and Charlotte Vangsgaard, Partner at ReD Associates 09/17/2018 Leave a Comment

Patient Engagement: 9 Ways to Engage Patients on Their Own Terms

Prioritizing measurable clinical outcomes, defining an evidence-based, codified patient journey, and incenting strict adherence to treatment plans have been the base for many patient engagement initiatives. These seem to be logical ways to improve outcomes, reduce costs and encourage patients to follow post-care plans mapped to a journey designed to yield specific clinical measures. Yet despite the industry’s focus on patient centricity, the healthcare industry is still struggling to realize the
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Future of Medicine: Why Everyone in Healthcare is Looking at Your Wrist

by Tim Houchin, VP at Adherium 09/10/2018 Leave a Comment

Future of Medicine: Why Everyone in Healthcare is Looking at Your Wrist

When you look at your wrist, you’re looking at the future of medicine. Wrists offer the potential that nothing else in the health technology world can offer: round-the-clock, non-intrusive contact. For people enduring chronic illness and doctors treating it, this can mean, in the near future, a seamless, two-way flow of information about medication use and the circumstances where health events, such as asthma attacks, or hypoglycemic events occur.Children with asthma, for instance, using a smart
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What The Patient Engagement Metrics Aren’t Telling You

by Anish Sebastian, Co-ounder of Babyscripts, 09/05/2018 Leave a Comment

Bullshit Metrics: Is Patient Engagement Real?

The tech industry loves to tout high-level metrics to garner attention for apps: the success of an app is often demonstrated by quoting staggering numbers of subscribers, weekly views, in-app session length, number of downloads, monthly average users, etc. And these statistics are not irrelevant -- they are useful for gauging product performance and often correlate to a successful product. For apps driven by ad-revenue, they are sometimes the most important metrics.But as I address elsewhere,
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Optimizing Revenue Cycle Management – What Will It Take to Get There?

by Stacy Leidwinger, VP of Product, Nuance’s Document Imaging Division 09/04/2018 Leave a Comment

The U.S. healthcare system is undergoing a major transformation, from many freestanding hospitals and individual practices to fewer large, integrated healthcare systems. One motivating factor is the promise of greater efficiencies when it comes to delivering more holistic patient care and improving core operational processes. Revenue cycle management is one process that’s primed for improvement. Poor billing practices can cost hospitals millions of dollars due to lost reimbursement or the imposition of fines, which can undermine patient care quality and erode the operational advantages that expansions and mergers were intended to create. What are the ongoing trends making revenue cycle management so challenging? Disjointed front-end and back-end processes – Revenue cycle management is traditionally separated into front- and back-end functions. The front-end is patient-facing and includes administration, intake documents and the confirmation of coverage eligibility, while the back-end includes payer coordination, claims reimbursement, denial communications and ultimately, collection. With patients assuming more responsibility for out-of-pocket expenses, the first step to improving the revenue cycle is maximizing patient collections. The best chance for this lies in collecting payments as early as possible in the patient interaction. According to one recent survey, 85 percent of healthcare organizations say that collecting payments from patients after they have left the facility is a difficult task. Hospitals need to commence billing processes immediately at patient admission, which requires better integration between front- and back-end workflows. Electronic or digitally-based workflows are intrinsically more efficient and secure than paper-based workflows since they don’t rely on paper passing hands and because there is less risk of document misplacement. IT and Toolset Limitations – Successful revenue cycle management has traditionally depended on a strong supporting healthcare IT infrastructure as well as a solid base of highly fluent administrative knowledge workers, who understand the intricacies of working with various types of payers. Unfortunately, many hospitals do not have the resources to invest in the dedicated on-site infrastructure needed to expedite revenue collection and claims management. Hospitals should also train staff members to code and submit claims as accurately and efficiently as possible. The lack of training is often the difference between a fast, efficient claims reimbursement and a potentially time-consuming kick-back. It is also important for knowledge workers to have “DIY” capabilities when it comes to directly hand-picking their own workflow functions to secure the capabilities they need quickly. Back-end staff may include an electronic signature capability in their workflow, which allows supervisors to verify the authenticity of a claim and sign-off, even if they are traveling or on a mobile device. If software tool is available as part of a larger, pre-approved menu, this will also reduce the threat of “shadow IT” - when staff use technology without IT being aware. Lack of automation – Paper remains ubiquitous in the healthcare enterprise, particularly in the admissions process. Better revenue cycle management requires faster, more efficient digitization of paper-based documents. It is particularly important to quickly incorporate insurance details contained in these documents into streamlined digital workflows. Revenue cycle management can be made more efficient by automating manual data entry. Document conversion and classification can easily convert paper documents to digital form in bulk and route the data to appropriate electronic files and personnel for processing. Advances in machine learning soon will enable scanners to “read” and identify characteristics specific to certain documents. For example, the technology could identify an insurance policy, and route the information appropriately while streamlining the entire claims submission process. Poor provider/payer collaboration – Forward-thinking hospitals are creating new types of streamlined payment processes whose workflows are similar to those integrating front- and back-end claims processing. Tailored workflows can address the unique requirements of individual payers, enabling information exchange and critical communications through a highly secure, digital process. For example, different payers may use a different chain of command or steps for reimbursement approvals. Workflows can be created and modified to adhere to acknowledge this. These provider/payer frameworks also provide end-to-end visibility across the claim lifecycle, allowing providers to take appropriate action to improve collection processes – for instance, identifying and addressing late reimbursements. Increased automation plays a role here as well by alerting knowledge workers when a particular claim reimbursement is complete, or automatically flagging problems and their source. While the challenges of improving revenue cycle management are abundant, and many organizations aren’t sure where to begin, certain threads are common. These include the need for tighter workflow integration (both within an organization and between payers and providers) and greater empowerment of knowledge workers through automation and simplified workflows. Effective revenue cycle management is critical to the success of the healthcare enterprise in its mission to promote high standards of patient care and satisfaction and operational excellence. Most organizations have room for improvement, and the capabilities described here are a good starting point. Stacy Leidwinger, VP of Product, leads the team driving product innovation within Nuance’s Document Imaging Division. She oversees the product roadmap and all phases of the product lifecycle with the goal of planning, launching and managing best of breed software products.

The U.S. healthcare system is undergoing a major transformation, from many freestanding hospitals and individual practices to fewer large, integrated healthcare systems. One motivating factor is the promise of greater efficiencies when it comes to delivering more holistic patient care and improving core operational processes.Revenue cycle management is one process that’s primed for improvement. Poor billing practices can cost hospitals millions of dollars due to lost reimbursement or the
Read More

4 Ways Healthcare IT Can Save Rural Hospitals

by Irv Lichtenwald , CEO of Medsphere Systems Corporation 08/29/2018 Leave a Comment

Rural Healthcare

In business, disruption is often seen as a good thing, e.g., digital photography disrupting Eastman Kodak’s business so significantly that the company has scrambled in recent years just to stay afloat, the thing they once did better than anyone now largely irrelevant.So, disruption is negative for employees of old technology companies, but it’s a boon for workers in cutting-edge businesses and generally for consumers as well. Those who benefit greatly outnumber those who don’t.And disruption
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