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Humana’s Chief Medical Officer Shares his Perspectives on Driving Forward into Value-Based Care

December 15, 2017     Heather Landi
Humana chief medical officer Roy Beveridge, M.D., shares his perspectives on the findings of a recent value-based care study and the implications for providers making the transition to value-based reimbursement model agreements.

Public Health Departments Report Progress on Multi-Sector Data Efforts

December 15, 2017     David Raths
Executives from four big-city public health departments gathered online Dec. 14 to share insights from their work to use data to more closely align their work with housing, education, social service, economic development, and safety.

At the HIT Summit-Dallas, Texas Health Resources Clinical Informatics Leaders Innovate Towards High-Reliability Healthcare

December 14, 2017     Mark Hagland
Luis Saldaña, M.D., CMIO, and Mary Beth Mitchell, R.N., CNIO, at Texas Health Resources, shared with the HIT Summit-Dallas audience the advances they’ve made towards transforming their health system into a high-reliability organization

A Leading CISO On The Current Threat Environment: “The Days of Just Protecting the EMR are Gone”

December 14, 2017     Rajiv Leventhal
UC Irvine Health’s CISO speaks with us about the current cybersecurity landscape, what threats are most concerning to him, and how being connected to other University of California healthcare organizations changes his job.

At One Children’s Hospital, Healthcare Leaders are Transforming the Patient Experience with Technology

December 13, 2017     Heather Landi
Senior executive leaders at the University of Iowa Health Care saw an opportunity to leverage patient engagement technology solutions to supports its patient experience initiatives, with a specific focus on pediatric patients.

Market Profile: San Diego’s Leaders Manage Parallel Trajectories When It Comes to Population Health

December 12, 2017     Mark Hagland
San Diego is one of the more advanced metro healthcare markets, with a long history of risk-based contracting; yet providers must manage both risk-based and FFS contracting, in parallel environments, to be successful

The Many Layers of Healthcare’s EHR Gender Identity Problem

December 12, 2017     Rajiv Leventhal
As healthcare providers have shifted from paper records to EHRs over the years, one ongoing challenge has been meeting the needs of transgender patients—specifically being able to properly record their gender identity.

The Leapfrog Group and a Chicago Community Hospital Square Off in a Lawsuit Over Quality Grading

December 11, 2017     Mark Hagland
St. Anthony Hospital in Chicago is suing the Leapfrog Group over a dispute about the Leapfrog Hospital Safety Grade that it received this fall, opening a new, legal, front in the discussion around quality ratings

Catalyst for Payment Reform’s Suzanne Delbanco on ACO Measurement and the CVS-Aetna Deal

December 8, 2017     Mark Hagland
Suzanne Delbanco, Ph.D. of Catalyst for Payment Reform, which is focused on helping employer-purchasers get value for their spending, shares her perspectives on the CVS-Aetna merger, and on CPR’s new ACO value measurement tool

Ten Steps to Reduce Denials, Win More Appeals, and Improve Hospital Performance

December 8, 2017     Carol Everhart, RN, MS, IQCI, Senior Clinical Consultant, Decision Support Change Healthcare
Hospitals everywhere are striving to answer this question: How can we better manage denials? Denials related to medical necessity account for about 5% of denials nationally. But by closing common gaps that lead to medical necessity denials, your organization can quickly have a positive impact on the revenue cycle, while also enhancing care quality. Kaiser Health News just published a report, “So Much Care It Hurts: Unneeded Scans, Therapy, Surgery Only Add to Patients’ Ills” which describes aggressive over-treatment for breast cancer. And a story in Health Affairs, “Low-Cost, High-Volume Health Services Contribute the Most to Unnecessary Health Spending” showed that a preponderance of prescribed low-value health services offered little medical value while increasing patients’ costs.

What are the Top Technology Priorities for Health System Leaders in 2018? A New Survey Sheds Some Light

December 7, 2017     Heather Landi
A new survey indicates hospital and health system leaders are prioritizing investments in 2018 on proven technology solutions that will have an immediate impact and are proceeding cautiously with technologies like artificial intelligence.

In Michigan, Lakeland Health’s Newfound Focus on Patient Monitoring and Safety

December 7, 2017     Rajiv Leventhal
Motivated to improve patient safety, clinical and IT leaders at Lakeland Health have implemented a monitoring system that gives hospital patients an automated early warning score.

Study: Assigning Pharmacy Staff to Take Drug Histories in ED Cuts Medication Errors

December 7, 2017     David Raths
A research study led by Cedars-Sinai in Los Angeles found that when pharmacy professionals — rather than doctors or nurses — take medication histories of patients in emergency departments, mistakes in drug orders can be reduced by more than 80 percent.

Healthcare Spending: CMS Researchers See a Mixed Landscape on Inflation

December 7, 2017     Mark Hagland
After a period of lowered healthcare spending inflation, the U.S. healthcare system is expected to return to historical norms of spending growth, researchers from CMS have found

Market Profile: San Diego Healthcare Leaders Find Togetherness Comes Naturally

December 6, 2017     Mark Hagland
In part 1 of a three-part series, Healthcare Informatics looks at the dynamics of the San Diego healthcare market around collaboration among stakeholder groups—and finds a metro healthcare market culture that fosters both cooperation and innovation

For Some, CMS’ Cancelling of Two Mandatory Bundled Payment Models is Music to the Ears

December 5, 2017     Rajiv Leventhal
When the news last week broke that CMS finalized a rule that will cancel mandatory hip fracture and cardiac bundled payment models, for some industry stakeholders, the rule came as a welcome relief.

Can Technology Transform Behavioral Care? Healthcare Leaders Discuss the Promise and the Hype

December 5, 2017     Heather Landi
During a healthcare conference sponsored by MIT’s Sloan School of Management, Don Mordecai, M.D., Kaiser Permanente National Leader for Mental Health and Wellness, shared his perspective on the state of digital health innovation in mental health care.

CVS Health Announces $69 Billion Acquisition of Aetna

December 4, 2017     Rajiv Leventhal
CVS Health announced this weekend that it has agreed to acquire Aetna in a $69 billion dollar merger that is the largest ever in the health insurance industry.

State Medicaid Leaders Parse the Challenges of Healthcare Payment Reform

December 1, 2017     Heather Landi
During a health innovation conference sponsored by MIT’s Sloan School of Management, three state Medicaid leaders discussed their states’ progress to implement value-based payment models and the ongoing challenges of healthcare payment reform.

Healthcare Informatics Innovator Awards Program Deadline EXTENDED

December 1, 2017     the Editors of Healthcare Informatics
Due to outpouring requests from both vendors and providers, we have decided to extend the deadline to submit to this year’s Innovator Awards Program.

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