Although quality-reporting programs such as meaningful use provide incentives to help providers implement and use electronic health records (EHRs) to collect and report on clinical data, practices often need help deciding what data to collect, which measures to report on, and how to best use their EHRs to do so. This white paper provides you with the basic information you need to choose appropriate CQMs for your practice, and offers tips on how to use your EHR to store the data in a structured format.
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.
Spending on supplies and pharmaceutical services varies among U.S. hospitals. It is not uncommon for hospitals with similar types of patients, including case mix and severity, to have significant differences in purchasing intensity for certain clinical services. Even small changes in efficiency can make a difference for hospitals and health systems, because supply-chain spending typically accounts for hospitals’ biggest spend after labor costs. Costs totaled about $74 billion in 2012, according to the Healthcare Supply Chain Association.
The tax on high-cost health plans, which are often referred to as Cadillac plans, is expected to impact a considerable share of the plans provided by healthcare organizations for their own employees, as much as 39% by 2020. The implications are significant because the excess-benefits tax requires the employer to pay 40% on the value of the portion of the plan that exceeds thresholds set by the Patient Protection and Affordable Care Act. Employers also need to consider that the tax is measured as a direct function of plan cost, and not actuarial plan value, and that a number of factors can drive excise-tax exposure.
The annual Truven Health AnalyticsTM 100 Top Hospitals® identifies U.S. hospitals with the best overall performance across multiple organizational metrics, including clinical, operational, and financial. The ability of some hospitals to adapt as the industry is changing demonstrates leadership as the winners set the standards their peers seek to achieve. The study revealed that the nation’s best hospitals had a lower mortality index, considering patient severity; had fewer patient complications; followed accepted care protocols; had lower 30-day mortality and 30-day readmission rates; sent patients home sooner; provided more timely emergency care; kept expenses low, both in-hospital and through the aftercare process; and scored better on patient surveys of hospital experience
The changing healthcare environment has put pressure on healthcare organizations to deliver top-quality care while keeping costs under control. Superior operational and financial performance can be measured by high margins and low costs. But there are significant operational indicators that differ between high- and low-performing hospitals, depending on whether performance is defined by expense or by margin. Often, hospitals with the lowest costs are considered the most successful. But low-cost hospitals do not necessarily behave the same way as hospitals with healthy margins. Low-cost hospitals can include both efficient hospitals and hospitals that are in dire financial circumstances that have forced them to even eliminate expenses necessary for their long-term fiscal health.
Even as the move to electronic health records (EHR) progresses in earnest, there are a myriad of challenges involving legacy data systems. Chief among these challenges is the cost of maintaining obsolete systems solely for the patient information they contain. When up to 70% of a typical IT budget is spent on maintaining the current IT infrastructure and application portfolio, organizations have little left to invest in much-needed innovation. According to a recent HealthLeaders Media Survey, many organizations are still adjusting after their migration to a new EHR system. Hospitals need to get a better grasp on all forms and sources of data that they have—and the data they don’t yet have—so that the right information can be delivered to the right individual, and in the right context, at the point of care.
Creating a state-of-the-art clinical documentation improvement (CDI) program isn’t just about boosting coding accuracy. It’s a key strategy in managing the transition from volume-based to value-based care, say healthcare leaders. That transition is a risky endeavor that is putting hospital and physician financial performance to the test. As hospitals participate in new care and business models aimed at improving value, leaders must ensure that their organizations are able to maintain reimbursement levels, effectively treat the chronically ill—especially in outpatient settings—and gather accurate data that will allow them to assess performance and segment their varying populations. While some organizations often believe they are leaving revenue on the table because of documentation and coding issues, CDI offers numerous opportunities for improving financial performance, finds a recent HealthLeaders Media survey of 149 healthcare executives at provider organizations.
Why do patients so often forget to tell you about their new insurance plans? And what can you do to keep your cash flow running smoothly when it happens? Read this flipbook to learn how to avoid eligibility-related “surprises.”
Published By: Parallon
Published Date: Oct 12, 2015
To succeed in today’s healthcare environment, hospitals and health systems must evaluate the best operating model for key functions to enhance efficiency and optimize performance. This often involves determining whether partnering with another organization to perform a business function makes sense for you.
A growing business can mean early mornings, late nights, business trips, impromptu meetings - the list goes on. With all this growth also comes the need to streamline and manage costs, all while keep your employees happy. Especially when it comes to the travel portion. Often one of the most costly line items, implementing the right travel practices at any stage of growth can make a significant impact on your team and overall business. In this guide, we break down the best travel practices to keep employee morale high and move your business forward.
When we first launched the Women In Alternative Investments Report (WAI Report) in 2001, we were among the few voices talking about women’s advancement in alternative investments. It was a delicate conversation and one that few people were comfortable having. But now, eight years later, the conversation has shifted. The issues have moved mainstream, the dialogue has broadened, and the voices are many, but change is afoot. Investors are pressuring Alternative Investment Firms to increase gender diversity at the funds and portfolios they invest in. Read the KPMG report to understand why achieving gender diversity is a business imperative.
Research shows that legacy ERP 1.0 systems were not designed for usability and insight. More than three quarters of business leaders say their current ERP system doesn’t meet their requirements, let alone future plans 1. These systems lack modern best-practice capabilities needed to compete and grow. To enable today’s data-driven organization, the very foundation from which you are operating needs to be re-established; it needs to be “modernized”.
Oracle’s goal is to help you navigate your own journey to modernization by sharing the knowledge we’ve gained working with many thousands of customers using both legacy and modern ERP systems. To that end, we’ve crafted this handbook outlining the fundamental characteristics that define modern ERP.
Published By: Barracuda
Published Date: Oct 14, 2019
Traditional email-security defenses aren’t enough anymore. In today’s rapidly evolving threat environment, to stop email-borne threats, you must effectively defend against phishing and other potentially-devastating social-engineering attacks. These sophisticated threats are often able to bypass defenses using back-door techniques, including email spoofing, spear phishing and personal email fraud to penetrate network defenses and wreak havoc.
Here’s a total email-protection strategy that
can help radically reduce an organization’s
susceptibility to attacks.
There are many challenging tasks when developing autonomous driving features to cope with the various changes to the environment. Often lane markings are faded or are covered with snow or dirt and can be difficult for a camera-based detection system. In this report, VSI addresses the application of HD map assets to improve the safety and performance of automated vehicle features within the context of lane keeping and trajectories.
VSI has been examining applications of HD maps in our test vehicle. In a previous report, we discussed map-based Adaptive Cruise Control (ACC) using the advised speed attributes from HERE’s HD map data. In this report, we apply HERE’s HD map data to a lane keeping application and examine performance of lane keeping with a map-based approach compared to a camera and computer vision-based approach.
Despite the greater frequency of extreme weather events occurring around the globe, freight still has to be delivered on time and on a year-round basis. Truck drivers often find themselves driving through rain, snow, sleet, hail, fog, ice, thunderstorms, tornadoes and high winds. While drivers aren't generally expected to stick to pre-planned routes in extreme weather, fleet managers don’t really have the capacity to outline every possible alternate route in anticipation of a future hazardous weather scenario.
Data-driven route planning saves fuel, prevents accidents and improves ETAs, which is why many logistics companies are turning to advanced supply chain optimization solutions with real-time weather alerts and rerouting functionalities. Today, tech-savvy fleet managers are looking for exactly this type of tech innovations to provide them with a sharp competitive edge in an already crowded industry such as long-haul logistics.
As one of the world's leading location platforms, HER
Complying with financial and economic sanctions is likely to pose new challenges after Brexit. Explore the issues with KPMG experts Karen Briggs and Neal Dawson, with Maya Lester QC and Arjun Ahluwalia, Head of Sanctions Advisory at HSBC UK.
Listen now to discover:
• Details of current sanctions policy and post-Brexit implications
• How financial and economic sanctions impact the private sector
• How manage compliance better by using sanctions technology.
Employees in every industry are expected to work quickly, but they’re often frustrated by company-issued apps. As a result, they’re downloading personal apps to get the job done instead of using secure, enterprise-approved tools. It’s called shadow IT, and it’s gaining traction fast.
Published By: Salesforce
Published Date: Oct 17, 2019
Customer experience management means caring about the end-to-end experience your brand has with its prospects, customers, and brand evangelists. Managing the customer experience requires attention to detail at all steps along the path to purchase, from the content created to capture awareness, to the ecommerce experience of shopping on your site, and the after-sale commitment to keep loyal customers engaged using newsletters, coupons, and customer-appreciation sales. Read this guide to find out more.
Published By: Mimecast
Published Date: Oct 02, 2019
By any measure, Office 365 is a success as millions of Microsoft seats transition from on-premises Exchange to a cloud-based email service as part of Office 365. While Microsoft has been offering hosted email solutions for more than 20 years, they have hit their stride with Office 365, the third major iteration of the company’s foray into hosted/cloud-based email and collaboration.
This white paper discusses the key issues that decision makers need to consider as they evaluate the email, security, and resilience capabilities of Office 365. After reading this analyst perspective completed by Michael Osterman of Osterman Research, we believe you will better understand:
Special considerations related to hybrid Exchange and Office 365 email deployments
The importance of programmatic security efficacy rather than simple functionality
How to ensure business messaging continuity in the context of Office 365 outages
Whether third-party backup/recovery is critical for protecting your infrastr
A perfect storm of legislation, market dynamics, and increasingly sophisticated fraud strategies requires you to be proactive in detecting fraud quicker and more effectively.
TIBCO’s Fraud Management Platform allows you to meet ever-increasing requirements faster than traditional in-house development, easier than off-the-shelf systems, and with more control because you’re in charge of priorities, not a vendor. All this is achieved using a single engine that can combine traditional rules with newer predictive analytics models.
In this webinar you will learn:
Why a fraud management platform is necessary
How to gain an understanding of the components of a fraud management platform
The benefits of implementing a fraud management platform
How the TIBCO platform has helped other companies
Unable to attend live? We got you. Register anyway and receive the recording after the event.
City leaders around the world are working to improve the quality of life and increase the number of useful services for their citizens, businesses, and visitors. Smart city initiatives are gaining attention in several countries, as administrators, industry, and citizens are working together to enhance their communities, cities, regions, and nations. After more than ten years of smart city hype, innovative projects have emerged, but few have provided a disruptive impact on the city system itself. Because every city is different, few of the existing models apply universally. An effective response requires leaders to consider a series of prerequisites:
• Consider the local culture and the people • Prioritize basic needs and requests • Work at overcoming silos and encourage collaboration across departments • Consider each “smart” initiative as an integral part of an overall city system
A smart city reflects a number of aspirations: efficiency, resiliency, connectedness, innovatio
Even after decades of industry and technology advancements, there still is no universal, integrated storage solution that can reduce risk, enable profitability, eliminate complexity and seamlessly integrate into the way businesses operate and manage data at scale? To reach these goals, there are capabilities that are required to achieve the optimum results at the lowest cost. These capabilities include availability, reliability, performance, density, manageability and application ecosystem integration? This paper outlines a better way to think about storing data at scale—solving these problems not only today, but well into the future?
2017 war kein einfaches Jahr für einen CIO / CISO, und auch 2018 gibt es derzeit keine Anzeichen dafür, dass es einfacher wird. Bei so vielen Datenverstößen, die sogar Karrieren beendeten, allein im Jahr 2017 (Equifax, Uber, Yahoo, um nur einige zu nennen) und mit weltweit verschärften regulatorischen Anforderungen haben CIOs / CISOs die unternehmerische Verantwortung, ihren Ansatz zur Datensicherheit zu überdenken.
Abgesehen von der Einhaltung gesetzlicher Vorschriften sind Unternehmen gegenüber ihren Kunden und Aktionären verp?ichtet, Daten zu schützen und ihre Gefährdung nicht nur gegenüber externen Angreifern, sondern auch gegenüber Mitarbeitern zu minimieren. Die im Jahr 2017 am häu?gsten genutzte Methode für Datendiebstahl war das Phishing, welches sich an interne Mitarbeiter von Unternehmen richtete (siehe Report zur Untersuchung von Datenverstößen im Jahr 2017). Damit wurden diese Mitarbeiter unwissentlich mitschuldig an der Datenverletzung: Über 80% der erfolgreichen Cyber-An
Für Geschäftsausfälle, oder zumindest für Rentabilitäts- und Gewinnverluste, wurden in den vergangenen 24 Monaten folgende Faktoren verantwortlich gemacht: Die digitale Disruption, wirtschaftliche Instabilität, politische Umwälzungen sowie ein anhaltender Fachkräftemangel. Vermutlich ist es keine große Überraschung, dass eine CEO-Umfrage von Gartner unter Geschäftsleuten ergab, dass das digitale Geschäft im nächsten Jahr oberste Priorität hat. Umfrageteilnehmer wurden gefragt, ob sie eine Management-Initiative oder ein TransformationsProgramm haben, um ihr Unternehmen digitaler zu machen. Die Mehrheit, 62 Prozent, sagte, sie hätten dies. 54 Prozent dieser Unternehmen gaben an, dass ihr digitales Geschäftsziel transformatorisch sei, während 46 Prozent angaben, das Ziel der Initiative sei die Optimierung. * Daher geht es für Unternehmen darum, zu lernen, sich zu entwickeln und agil zu sein. Zudem gilt es für sie, Technologien einzusetzen um effizienter zu konkurrieren und nicht der Trägh