Creating a successful patient experience strategy is a long-term investment in planning, surveying, training, and technology. Healthcare organizations hope these efforts will pay off at the very least with a growing base of loyal patients, better care quality, and stable reimbursement. And then there are those organizations that are turning patient experience into a movement. What’s their endgame? They intend to build state-of-the-art service-oriented cultures that rival other industries, and they are doing it through data analytics, unique communication programs, radical cultural shifts, and consumer-centric technologies.
The Centers for Medicare & Medicaid Services, the nation’s largest payer, has set a clear direction with its publication of targets: By 2018, 50% of fee-for-service payments will be through alternative payment models, such as ACOs and bundled payments, and 90% of FFS payments will be tied to quality or value. And CMS has begun to introduce mandatory bundles. This suggests that all providers will
need to develop population health competencies, including the ability to manage risk for both cost and quality.
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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.
With the inception of Value-Based Purchasing, the measurement of successful patient care delivery has been redefined. The move from fee-for-service to pay-for-performance means that reimbursements are tied to the quality of care that is delivered.
Discover how the Saint Joseph Mercy Health System used the ReptraxTM vendor credentialing service to improve the compliance of commercial visitors, resulting in a safer and more secure environment for patients.
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.
Medicare spend per beneficiary (MSPB) information is a Centers for Medicare & Medicaid Services metric that reflects the average cost of an episode of care for Medicare patients. This measure is important to consider as part of a hospital’s national balanced scorecard, as it reflects executives’ efforts to transform the healthcare delivery system and manage the full continuum of care, including the prominent shift from inpatient to outpatient utilization.
The shift from inpatient to outpatient care is increasing as hospitals transition from volume to value. A specific shift is seen in interventional cardiology treatment (cardiac catheterization, intracoronary stents, and percutaneous transluminal coronary angioplasties [PTCA]), which is moving from an inpatient hospital to outpatient hospital setting. Preliminary data show that most interventional cardiology procedures will soon be performed in the hospital outpatient setting. It will be important for hospitals to consider future demand and volume for interventional cardiology services; capacity for an increase in hospital outpatient volume; and staffing and operational implications.
What do standard best practices for radiology look like? Without them, it is impossible for a hospital to identify the strengths and weaknesses of its current radiology services and strive for improvements.
In late August 2014, the Centers for Medicare and Medicaid Services (CMS) announced plans to reinstate the Recovery Audit program on a limited basis. CMS reports the delay in restarting the Recovery Audit program was to enable the various RAC regions to restructure, allowing time for the appeals to catch up. Soon, however, the hiatus will end and RACs in all regions will resume automated reviews; these will be in addition to select complex reviews based on topics chosen by CMS.
Healthcare billing and claims handling has become increasingly complex. With the transition to Version 5010 of the HIPAA electronic transaction standards, the expansion of billing codes under ICD-10, and the ever-changing requirements of insurance companies and the Centers for Medicare and Medicaid Services (CMS), it can be nearly impossible for providers to keep up.
The current is changing. And as healthcare organizations switch from fee-for-service to fee-for-value, leaders will face new challenges. This downloadable presentation provides critical information for leaders managing the volume to value transition.
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.
As Managed Service Organizations (MSOs) have grown, so have myths surrounding their methods. Somnia offers a fresh perspective, exposing truths, dispelling myths and helping you objectively evaluate options for improving your anesthesia management.
H&S Ventures provides management services for the Anaheim Ducks hockey team and its home-ice venue—the Honda Center. This popular indoor arena hosts scores of events and concerts, and H&S oversees everything from ticket sales to marketing and finance.
H&S’s performance is measured by attendance, big-name bookings and how much fans spend on merchandise and concessions. Digital innovation plays a crucial role in creating a thrilling live experience that raises fans’ satisfaction and their average “spend.”
Digital transformation has arrived, and it’s creating unprecedented opportunities for companies of all sizes to become market leaders through the evolution of business processes and the creation of new products and services. Organizations that master digital transformation will see a dramatic increase in revenues and profitability by converging people, processes and technologies; those that do not will struggle to survive. Evidence of this is clear to see by looking at the churn in the biggest
companies in the world. For example, a Capgemini study found that since 2000, 52% of the Fortune 500 has disappeared through acquisitions or bankruptcies. The study also found that digital organizations control 70% of market share in all industries today. Therefore, making the shift to a digital business must be a top initiative for IT and business leaders.
Download this whitepaper to see how Cisco has become the Market Share Leader in Online Meetings.
Published By: Zendesk
Published Date: May 21, 2018
Customers are more technically savvy than everand have come to prefer the DIY approach to solving their issues and answering their own questions. Years of research by ICMI has confirmed that customers prefer to resolve issues themselves and within their channels of choice. Furthermore, customers onlyseek direct interactions when they unsuccessfully exhaust their self-service options. This is backed up by data from American Express, which found that 48% of consumers prefer to speak with a customer service rep when dealing with complex issues, but only16% prefer the same contact for simple issues. The goal
of this paper is simple: We want to help you build an all-in-one knowledge base, community, and customer portal. All of which can be accomplished with a help center like Zendesk Guide.
Published By: Zendesk
Published Date: May 21, 2018
The start of a new chapter of your business, whether you're moving upmarket or adding products and features, is a great time to scale your customer service operations in a smart way.
We know customers prefer self service, via a knowledge base, if one is available. A Gartner report estimates that CIOs can reduce customer support costs by 25% or more when proper knowledge management discipline is in place.
If you've been on the sidelines waiting to take the self-serv ice leap, this white paper will prove that you and your agents already partake in the activities needed to offer great self-service,every single day.
Published By: Zendesk
Published Date: May 31, 2018
Be always on with your customers; wherever they are. With Zendesk Chat, your customer agents can engage with customers over websites, mobile apps, and popular messaging apps like Facebook Messenger, Twitter, and LINE. That means you can build relationships with customers in the places they prefer.
Multicloud Storage for Dummies consists of five short chapters that explore the following:
- How the multicloud storage model aligns with modern business and IT initiatives
- Common barriers to cloud adoption and how a multicloud storage model addresses them
- How to build a multicloud data center
- What to look for in multicloud storage services
- Real-world multicloud use cases
Les technologies d'intelligence artificielle telles que l'apprentissage machine et le Deep Learning permettent d'obtenir des informations et de la précision à deux marques majeures dans des secteurs très différents : la santé et les assurances.
Des théories sur les futures incidences de l'intelligence artificielle (IA) sur les entreprises et la société vont florissantes. Mais la réalité du terrain aujourd'hui pour les entreprises et les dirigeants appliquant des technologies comme l'apprentissage machine et l'apprentissage profond à leurs enjeux majeurs est déjà très enthousiasmante. Les modèles de fonctionnement sont refondés en se basant sur les informations obtenues de puissantes capacités cognitives. De nouveaux produits et services améliorent l'expérience client, voire la condition humaine. D'une façon très concrète et significative, l'IA change le monde pour le meilleur.
AI-Technologien wie Machine Learning und Deep Learning liefern zwei großen Marken in zwei sehr unterschiedlichen Branchen – Gesundheit und Versicherungen – Insights und Genauigkeit.
Theorien zu den zukünftigen Auswirkungen künstlicher Intelligenz (AI) auf die Geschäftswelt und die Gesellschaft sind allgegenwärtig. Aber die Realität, wie Unternehmen sie kennen, die Technologien wie Machine Learning und Deep Learning anwenden, ist schon aufregend genug. Geschäftsmodelle werden anhand der Insights umgestaltet, die durch die leistungsstarken kognitiven Funktionen generiert werden. Neue Produkte und Dienstleistungen verbessern das Benutzererlebnis – um nicht zu sagen die menschliche Existenz. Auf sehr reale und bedeutsame Weise verbessert AI die Welt.