Published By: McKesson
Published Date: Mar 09, 2016
The ripple effect of healthcare reform is beginning to impact care delivery strategies as care management now falls increasingly to providers.
According to a recent HealthLeaders Intelligence survey, hospital leaders are making progress with care management efforts, but more robust tools will be needed if hospitals want to scale up. The October 2014 survey polled 134 senior, clinical, operations, finance, marketing, and information leaders across the healthcare spectrum. The majority of respondents were from nonprofit organizations (63%), while the remainder (37%) came from for-profit settings.
Nearly six years after passage of the Patient Protection and Affordable Care Act, the healthcare industry is in the midst of a massive retooling that is dramatically altering the way we think about cost management, strategic partnerships, and customer service.
Fee-for-service reimbursement is giving way to new models of care delivery and payment to support a system based on pay-for-value. With financial risk or payments tied to value measures (such as patient satisfaction, clinical performance, and population health), compensation and reimbursement will increasingly be tied to value-based incentives.
Healthcare reforms have prompted hospitals across the country to improve cost efficiencies wherever they can. In response, the accounts payable department of Southern Louisiana’s Ochsner Health System discovered a solution that helped improve cash management while reducing costs.
Workforce management and the pursuit of productivity have formed a consistent pain point for hospitals for several years. The Affordable Care Act has only exacerbated the problem, increasing the demand on providers as the number of insured grows and the bar continues to rise on quality of care. According to a recent HealthLeaders Media Council survey, workforce productivity and acuity-based staffing will continue to be top priorities this year. Karlene Kerfoot, PhD, chief clinical integration officer at API Healthcare, says the survey results indicate a shift taking place as workforce management initiatives are expected to deliver more than reduced labor costs.
In the coming era of accountable care, providers will finally have something to gain by actively engaging patients in taking care of their health—and a lot to lose by not doing so. The best way to do that is to manage every aspect of their care. But the patients themselves will remain free to defect to another provider whenever they choose, either temporarily or permanently. Persuading them to centralize their care will rapidly become job 1. This report explores survey results about the primary forces enabling patient engagement and features a case study about the active care management program in development at Beaufort Memorial Hospital in South Carolina.
Healthcare organizations are facing uncertain times, which is putting strains on their revenue cycle management. Automation can help lower staff costs, enhance clean claims rates, cut denial rates, improve patient collections and reduce bad debt.
Electronic health record (EHR) system implementation is one of the largest IT investments most healthcare systems have ever made but it’s success is largely dependent upon the data which feeds it. One the main data sources for the EHR is the item master, which drives not only supply chain processes but also a broad range of clinical and financial functions. Only with a clean, accurate and complete item master can a healthcare organization trust the outputs generated from its EHRs – from evaluating the clinical effectiveness of products to securing reimbursements. Learn how to execute a master data management strategy to derive the greatest value from your EHR investment.
HealthLeaders' survey on workforce management queried leaders from a cross-section of U.S. healthcare organizations, including hospitals, health systems, physician organizations, and long-term care/skilled nursing facilities. The 150 respondents represent executives across all disciplines — administration, clinical, operations, finance, marketing, and information. In the next three to five years, hospitals, health systems, and other patient service providers expect to augment their time-and-attendance and payroll systems with integrated applications that enable more sophisticated data crunching around labor analytics, acuity management, and staffing assignments. The goal? To convert the workforce from overhead to asset — a flexible, agile asset that will help organizations succeed in an increasingly demanding regulatory and competitive environment.
CEP America provides three case studies illustrating how integration across the acute care continuum and innovative models of care help manage populations by improving throughput, reducing readmissions, and producing superior hospital-wide metrics.
Data is the DNA of modern healthcare. As healthcare technology continues to evolve at a rapid pace, and patient data management and security evolve, emerging approaches for disease treatment and prevention—like precision medicine and healthcare content management—are becoming more necessary. Precision medicine is about moving from generic to more precise, population-focused diagnostics and treatment by factoring in data from patients’ genes, environment, lifestyle factors and family history, into clinical decision-making for earlier, more accurate diagnoses, and more effective treatment and prevention. Data is at the heart of enabling doctors and scientists to execute on this mission. Additionally, rapidly changing regulations throughout the world are affecting the management of all healthcare data. Infinidat removes data management barriers from this level of data interaction by removing isolated islands of storage and allowing much more data to reside on a single, high-performance, h
The key benefit of creating a case management methodology is to multiply its effectiveness by replicating it across the organization's patient-facing departments, practices and functions. In this way, your organization can reduce costs, increase quality and streamline its operations.
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The possibilities for a career in Human Resources (HR) are vast. But, typically the path to the top HR management jobs is not a straight one. Moving up the HR ladder requires aligning your contributions to business objectives, developing ongoing mentor relationships and taking calculated risks.
Published By: HPE Intel
Published Date: Mar 15, 2016
To free up staff resources to focus on strategic business initiatives, many IT leaders are considering engaging a partner to handle ongoing data center maintenance and optimization. But, too often, data center management services fall short of expectations. Standard care services may be limited in scope, and may not support the range of legacy hardware already in the data center. Conversely, complex managed or outsourced services may involve a costly, fully-customized engagement, in which costs are unpredictable, and control is wrested away from the enterprise. Finally—and perhaps most importantly—many data center management service providers seem to lack the innovative spark that will ensure continuous improvement to data center operations.
Insurers have long been plagued by fraud, error, waste, and abuse in health care payments. The costs are huge – amounting to as much as 25 percent of payments made. Today’s data management and
analytics platforms promise breakthroughs by incorporating comparative and behavioral data to predict as well as detect loss in all its forms. To explore the opportunities and how insurers can capitalize on them, IIA spoke with Ben Wright, Sr. Solutions Architect in SAS’s Security Intelligence Global Practice.
Case management frameworks built on business process management platforms help IT solutions architects deploy case-handling applications and offer an alternative to specialized case management applications and custom coding. According to Gartner, the complex architecture required to support case management has relegated it to the status of a niche application, typically addressed by specialist, commercial off-the-shelf application providers and system integrators. Case management as a process style is being applied in many sectors beyond government, legal and insurance, including healthcare, banking, higher education and retail. Industry and cross-industry case management frameworks are now available. "Adaptive case management" hype exceeds the reality of what buyers need. Gartner evaluated 12 vendors including Pegasystems against nine critical capabilities in four use cases.
Download this Gartner analysis and gain a better understanding of the case management frameworks solutions offe
The volume of information in the healthcare industry continues to grow exponentially. Meaningful Use, ICD-10, and Accountable Care are all contributing to this data growth. Download this whitepaper to learn how your organization can develop strategies to effectively manage this information throughout its life cycle.
This paper examines a new paradigm for Health Information and Records Management (HIRM) and provides practical guidance to help HIM professionals unwind paper records, offload the burden of low-value production work and lead the transition from traditional records management to an optimized HIRM model.