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.
This white paper considers the pressures that enterprises face as the volume, variety, and velocity of relevant data mount and the time to insight seems unacceptably long. Most IT environments seeking to leverage statistical data in a useful way for analysis that can power decision making must glean that data from many sources, put it together in a relational database that requires special configuration and tuning, and only then make it available for data scientists to build models that are useful for business analysts. The complexity of all this is further compounded by the need to collect and analyze data that may reside in a classic datacenter on the premises as well as in private and public cloud systems. This need demands that the configuration support a hybrid cloud environment. After describing these issues, we consider the usefulness of a purpose-built database system that can accelerate access to and management of relevant data and is designed to deliver high performance for t
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?
Published By: FM Global
Published Date: Jun 10, 2019
From wildfires to hurricanes, nobody is immune to natural disasters. Our latest report, "Master the Disaster," is an in-depth look at the often unexpected high costs that come from a wide range of catastrophes. The first step toward resilience is understanding your risk, so download our full report today.
The B2B sales landscape has shifted dramatically, with prospects expecting a much more simplified purchasing experience, personalized and powered by data. Have you been meeting their needs, or falling short?
Published By: Skillsoft
Published Date: Aug 09, 2018
Compliance Training Tip:
Why Should I Implement a Hearing Conservation Program
in my Workplace?
Excessive noise could be putting your organization at risk.
Ongoing exposure to excessive noise in the workplace can lead to permanent hearing loss. It can also increase stress, reduce efficiency, interfere with concentration and cause fatigue. Excessive noise can even cause industrial accidents if employees can’t hear co-workers give them warnings or directions.
Hearing loss due to excessive noise is often so gradual that employees may not realize they have a problem until it’s too late. Fortunately, there are simple steps you take to protect your employees’ hearing… Download our free paper today to learn what those steps are.
You’ll also learn:
• What you can do to prevent hearing loss in the workplace
• The OSHA Standards for hearing conservation
• How Hearing Conservation can affect the bottom line
• And more
Published By: Genesys
Published Date: Jun 19, 2019
Contact centers often pool agents into large groups of generalists to distribute work evenly. Skills-based routing takes this a step further with specialized groups. But neither approach scales properly to identify all opportunities and drive business outcomes on each interaction.
Predictive routing uses artificial intelligence (AI) and machine learning to create balance—meeting targets and giving customers a personalized experience. Read Demystifying AI: Creating an AI partnership that maximizes business results to learn how predictive routing systematically:
Evaluates historical and real-time data to make predictions;
Makes the best customer-agent match to drive desired outcomes;
Keeps agents engaged and reduces handle times.
The direct and indirect costs associated with Employee Health & Happiness have shifted Employee Wellness from voluntary benefit to Strategic Imperative. HR is on the front lines of this fight. Are you ready?
Today, when you make decisions about information technology (IT) security priorities, you must often strike a careful balance between business risk, impact, and likelihood of incidents, and the costs of prevention or cleanup. Historically, the most well-understood variable in this equation was the methods that hackers used to disrupt or invade the system.
Countless studies and analyst recommendations suggest the value of improving security during the software development life cycle rather than trying to address vulnerabilities in software discovered after widespread adoption and deployment. The justification is clear.For software vendors, costs are incurred both directly and indirectly from security flaws found in their products. Reassigning development resources to create and distribute patches can often cost software vendors millions of dollars, while successful exploits of a single vulnerability have in some cases caused billions of dollars in losses to businesses worldwide. Vendors blamed for vulnerabilities in their product's source code face losses in credibility, brand image, and competitive advantage.
Improved business productivity often requires more efficient IT and more efficient IT cannot be achieved without a better understanding of the way business services are run and delivered. Configuration Management Databases (CMDBs) have emerged as a central component for Information Technology Infrastructure Library (ITIL) and business service management (BSM).
Effective workload automation that provides complete management level visibility into real-time events impacting the delivery of IT services is needed by the data center more than ever before. The traditional job scheduling approach, with an uncoordinated set of tools that often requires reactive manual intervention to minimize service disruptions, is failing more than ever due to todays complex world of IT with its multiple platforms, applications and virtualized resources.
Employee engagement is critical to maximizing the value of an employer’s benefits portfolio. Innovative tools and programs can be implemented to achieve employees’ behavior change; however, engagement with such tools can be often difficult to predict and influence.
Scott Matthews of Castlight Health has managed communications for some of the most prominent employers in the U.S. His work has helped employers achieve engagement rates of up to 80%.
In this white paper, he discusses:
•Six drivers of employee engagement
•Why each factor affects engagement
•Three employer case studies
Published By: Skillsoft
Published Date: Sep 25, 2013
Employee training is often seen as a luxury, especially if the workforce is being streamlined to cut costs. But a lack of investment in employee training in order to save costs can have the opposite effect. A well-trained workforce can improve business productivity and efficiency, drive innovation and development and vastly alter a customer’s perception of the business. We’ve identified the seven deadly skills that every modern employee should have in their skill set. This
paper highlights those general soft skills that are vitally important for the prosperous, innovative and efficient business.
Tick-borne diseases such as Lyme disease, Rocky Mountain spotted fever, and ehrlichiosis are a significant concern for many thousands of workers who have frequent and unavoidable exposure to tick-infested habitats. Treatment of clothing with permethrin, a nontoxic chemical with insecticidal, knockdown, and repellent properties, is highly effective against ticks. However, most permethrin products must be reapplied after several washings to maintain insecticidal activity.
Recently, a factory-based method for long-lasting permethrin impregnation of clothing has been developed by Insect Shield, Inc., that allows clothing to retain insecticidal activity for over 70 washes.
This study provides preliminary evidence that long-lasting permethrin-impregnated clothing may be highly effective against tick bites.