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Can FHIR Spark Health Information Exchange, Interoperability?

by System Administrator - Wednesday, 12 April 2017, 2:05 PM
 

¿Puede FHIR Spark soportar el intercambio de información en salud, es decir, la interoperabilidad?

Can FHIR Spark Health Information Exchange, Interoperability?

by Jennifer Bresnick

Health information exchange in the United Sates may suffer from chronic fragmentation, data duplication, misinterpretation, ambiguity, and disunity, but there’s one thing nearly all providers can come together to agree upon: data interoperability could be much, much easier if health IT infrastructures all spoke the same language.

 

But deciding what language that should be, not to mention implementing it across tens of thousands of systems, has been a lengthy process fraught with difficulty.  From vendor mistrust to reluctance from providers to invest even more in their technologies without seeing measurable return, private industry and government organizations alike have stumbled time and again over bumps in the road to truly interoperable data exchange.

Enter FHIR, the Fast Healthcare Interoperability Resources standard from HL7 International that has rekindled hope of a simple, accessible way to use common internet protocols that change the way healthcare views data exchange.

While this wunderkind of the data standards world may not be the magical solution to every health information exchange problem ever identified, it has been lauded as a huge step forward for interoperability by the Office of the National Coordinator, the JASON Taskforce, and private consortiums including the CommonWell Health Alliance, and the Argonaut Project – not to mention experts such as Micky Tripathi, CEO of the Massachusetts eHealth Collaborative and Chair of the eHI Interoperability Workgroup.

“To me, FHIR is currently the best candidate for the next step forward in health information exchange technology,” Tripathi told HealthITAnalytics.com.  “We want to move away from where we are now, which is document-based exchange. Right now, interoperability in healthcare is basically just the exchange of Consolidated Clinical Document Architecture (C-CDAs).”

“The exchange of these XML documents has a certain value, because unlike in banking, where I just need raw data, whole documents are really important in clinical care,” he continued.  “For banking, you can just tell how many dollars there are, or tell me how many units there are. Give me an account number, and I’m good to go.  I don’t need a document.  I don’t need as much context around the data in that transaction.”

But in clinical care, context is everything.  “If you just send me some lab results or a list of allergies, that’s great,” said Tripathi.  “I need those things, but you haven’t told me the story of the patient, and that’s really important for a clinician to understand.  Document exchange is important, but so is that data-level exchange.  Health information exchange based entirely on C-CDA XML documents doesn’t allow you to access information at a data level as well.”

That’s one place where the healthcare system has stalled, especially when it comes to clinical analytics and liberating big data from confines that limit its usefulness.  C-CDAs provide a tidy way to bundle all the patient information required for meaningful use, but even the ONC admits that developing a truly standardized, simplified framework for C-CDA exchange is beyond the capabilities of the EHR Incentive Programs at this time.

In its proposal for updating the 2015 Certified EHR Technology (CEHRT) criteria, the ONC explains that there are two release versions of the C-CDA, and many health IT systems cannot read one or the other.  Instead of requiring health IT module vendors to develop a single document that can be read by all systems, 2015 certified products will need to send two separate C-CDAs, one in each version, and vendors are allowed to accomplish the accompanying error tracking and data validation in any manner they choose.

Transmitting duplicate documents may get the job done, but it isn’t really what many stakeholders have in mind when they hear the word “interoperability.”  C-CDA data is not easy to extract to use for clinical analytics and taking the next step in population health management, and it’s not something the majority of providers are equipped to do.

“You can get data out of C-CDAs,” Tripathi acknowledges.  “My company does a very large business in data warehousing, where we get over 500,000 C-CDA records a month.  We parse those and deliver data-level healthcare analytics back to our customers.  You can do it. It’s just very inefficient.”

Healthcare must move beyond temporary patches and short-term fixes that enable a certain level of health information exchange, but don’t allow health IT systems access to deeper, richer analytics and integration functionalities.  FHIR is one of the protocols that present a new way of thinking about moving clinical information around.

 

“The next step in health information exchange is what almost every other industry has already started to do, which is developing more open APIs that allow data-level access,” states Tripathi. “These have to be based on internet conventions like the Representational State Transfer (REST), which is a much easier way to exchange information securely between two different entities.  You already use it every day.”

“When you order something on Amazon, for example, look at your browser line,” he added.  “If you’re logged in and you click on something, what you’ll see is a URL that says “https” and then this huge string of nonsense.   That’s a query-retrieve system that’s generated in your browser and sent to Amazon, and then Amazon immediately returns the results securely.  That’s essentially a single line command that can be received by all through browser technology, so I don’t need complicated interfaces.  I can do it through any internet browser I want.”

“That’s really the next step forward in healthcare.  We need to start taking that kind of approach as we think about interoperability instead of building these complicated interfaces that take too much time and too much money.”

But FHIR “isn’t a magic bullet solution,” Tripathi says, and it comes with its own set of challenges that dovetail with the ongoing, contentious debate over EHR usability.  Regardless of which protocols are functioning behind the scenes, EHRs and data analytics interfaces must be user-friendly, and must enhance the provider workflow instead of reducing productivity, sapping time, and wasting energy.

FHIR works so well because it is based on the use of discrete data elements, or resources, that are sufficiently standardized.  The resources require data to be entered into the system in an expected and specific manner.  “FHIR tells people, in fairly specific terms, that if you want this data resource to be interoperable, you’ve got to enter the information in this standardized way,” explains Tripathi.  “That means you’re left without a whole lot of options for how the data is entered by the user, but that’s a way of driving standardization.”

Drop-down menus and check boxes are an excellent way to jumpstart data standardization, but these limited input fields have long been the bane of providers complaining about poorly designed EHR interfaces and a complete lack of intuitive design among available products.  But that doesn’t mean FHIR is going to make EHR usability worse.  Instead, bringing more vendors into the FHIR community and making interoperability a standard feature may drive competition and innovation among the vendor community, which will have to distinguish themselves on something other than their ability to participate in health information exchange.

“Once you have those expectations for a particular set of things you want to do in FHIR, that’s where the EHR vendor comes in and competes with other vendors in terms of usability,” Tripathi believes.  “Some may say, ‘Well, I’m going to force the user to enter everything according to a set of pull down menus.  And I’m going to lock it all down so that they won’t enter any bad data.’”

“Others might say, ‘I’m going to allow the user some flexibility, and then underneath the covers I’ll do the mapping.  I’ll allow a user to enter an ICD-9 code for a problem and then I’ll map it behind the scenes so the user doesn’t have to worry about that.’ The vendors will figure out which is the right balance for the right users, because we have to remember that healthcare is just like any other market when it comes to segmentation.”

“There are a lot of providers who want standardized buttons and drop-down menus.  I hear them say, ‘How come my vendor hasn’t locked down the way that I do this so that the data is normalized?’  Others get tremors when they think about an interface that restricts how they enter data, and they want to have a lot of flexibility.  I think you’ll see vendors who take different approaches for different types of users, and eventually they’ll develop products that will meet enough expectations and enough needs.”

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Can Google Glass Transform Medical Education?

by System Administrator - Thursday, 7 August 2014, 6:23 PM
 

Can Google Glass Transform Medical Education?

Google Glass looks exciting for the medical world, and presents a particularly powerful opportunity for medical education(for examples, see Forbes article here or Phys.org here). A white paper by the Department of Emergency Medicine, Singapore General Hospital says, “simulation-based training has opened up a new educational application in medicine. It can develop health professionals’ knowledge, skills, and attitudes, whilst protecting patients from unnecessary risks”. Google Glass is taking simulation to the next level and making it more real, as the patients treated are real.

Yet the underlying concept of simulation-based-learning in medicine isn’t new. Neither are the individual components of Google Glass (such as the video recording feature and the possibility of sharing procedures online with any number of students). The biggest innovation might be having all this in one device. As Aristotle said, the whole is more than the sum of its parts.

Medical education is often a two stage process. In stage one, doctors in training need to study voluminous tomes and pass exams; stage one is the collection and storing of knowledge – perhaps too much knowledge. Richard Barker says in his book 2030, the future of medicine, that “as our bio-medical insights continue to fragment traditional diseases into multiple molecular disorders, keeping pace with advances gets tougher and tougher; … ‘head knowledge’ needs to be complemented by online decision support, distilling the wisdom and experience of the best specialist and putting it at the fingertips of the practitioner”. In other words, clinicians are starting to need real-time knowledge on tap.

Stage two focuses on learning through direct patient contact under the guidance of seniors, and Barker’s position suggests that stage two may never really end. Google Glass would support this stage of the curriculum, helping to simulate the practice of medicine, teach decision making, and then allow collaboration long after qualification. With a teacher demonstrating on patients (or that earlier revolution: a mannequin) with a headset camera, the learner is brought straight into the operating theater.

Google Glass is similar to a standard pair of glasses. It has an optical head-mounted display, sitting just above the right eye. Features include a built-in GPS, microphone and Bluetooth, and a camera which can record and live-stream videos to a Google hangout. Particularly useful is voice activation which would allow surgeons to, for example, do a web search for latest research or access EMRs or even real-time patient metrics without “breaking scrub” (compromising operating room sterility). As well as improving the provision of care, this ought to give students a more holistic understanding of each case.

Related: EHR Vendor Develops EH​R App for Google Glass to Improve Clinician-Patient Interaction

Dr. Rafael J. Grossmann, Surgeon, mHealth Innovator and Google Glass Explorer was the first to perform a Google Glass-aided surgery, including remote teaching contexts and offering clinical advice remotely via Google hang-out. Orthopaedic surgeon Dr. Selene Parekh followed with a demo of foot and ankle surgery, and then plastic surgeon Dr. Anil Shah used the device while carrying out a rhinoplasty. Recently, Medical News Today wrote about a surgeon who live-streamed a procedureusing Google Glass and a tablet device.

Grossman says that exposing students to the real life of a surgeon and their problems is critical for training and students should learn and mimic best practices early on. Furthermore, he adds that Google Glass education goes beyond the operating room, “Google Glass is a great start with practically limitless opportunities. “For example, how to connect with patients, how to teach bedside manner, how to prepare patients for surgery can all be best taught from real life examples. Google Glass records it and demonstrates best practice, from A to Z through the responsibilities of a practitioner,” he says.

Related: Is Google Glass the Future of Teletrauma? 

 

Plus, of course, these Google Glass recorded procedures can be shared across the globe. InnovatorArmando Iandolo, co-founder of Surgery Academy and his team have created an application for Google Glass that lets surgeons stream a heads-up view of procedures to students anywhere in the world. The big, bold innovation is to connect these streams in MOOCs (massive open online courses), says Iandolo. He and his co-founder are currently crowd-funding the idea on Indigogo. “Students will access an operating theatre online and watch a surgical intervention, live, for the procedure of their choice”, says Iandolo. “As we enter Universities, we want to become an integral part of the medical student’s study curriculum”.

MOOCs aren’t new either, but with the Surgery Academy everything seems to fall in place. By bringing the learner straight into theatre, simulation via Google Glass makes courses operate more like apprenticeships.

The patient would need to give their approval, but this is surely quite reassuring for the patient: which practitioner – and one good enough to teach – wants to screw up while being live-streamed to hundreds of students and fellow physicians?

The speed at which Google Glass eventually becomes a standard educational support tool is less certain, and we can learn from previous waves of innovation. In 2010, the Northern Ontario School of Medicine introduced a new mobile device program (medical students received laptops, iPhones and iPads). To assess its value, educators there how medical learners use mobile technologies. Their white paper concluded, “Students would adapt their use of mobile devices to the learning cultures and contexts they find themselves in.” Device value needs to be taught. It depends on how welcome new tech is perceived to be in classrooms, by students, teachers, and the wider ecosystem.

A typical fear is that, especially early in the curriculum (stage one above), medical students will miss out on basic knowledge. Search and find functions make it easier to zero in on an answer, but perhaps without the rich context and basic knowledge provided by reading cover to cover. Students – and teachers – could work just ‘for the test’.

Well, books have always had indices. It’s the process of search which has been accelerated, and there is no evidence that students would treat a digital medical textbook differently than its paperback version. In fact digital isn’t a replacement for the traditional textbook; it’s an opportunity to augment it. There is a generational shift in the learning styles of medical students, Mihir Gupta writes in aKevinMD article. Digital allows the stodgy textbook to be augmented with visual and multimedia, which will suit certain learning styles. “Innovative digital resources are vital for helping students retain knowledge and simplify difficult concepts”, says Gupta. These new resources are great for quick access to updated medical knowledge, but “it will not replace textbook learning, nor should it”.

Lucien Engelen, Director of the Radboud Reshape Center at Radboud University Medical Center, is currently working on various applications for Google Glass in medicine. He says that the only way to get Google Glass into education is “to make it part of education innovation”. He says, “Take some high profile doctors, professors and nurses and some patients and have them run some tests. All of a sudden the advantages (of Google Glass) seem to fall in place seamlessly”.

Frances Dare is Managing Director of Accenture Connected Health Services, which has partnered with Philips on a Google Glass proof of concept. She agrees with Engelen, cautioning that it is important to create an environment in which experimentation can take place and to understand the type of training needed to prepare clinicians to use Google Glass effectively and safely in practice.

But don’t bet against Google Glass. After all, educators have argued for decades over calculators in math class. Engelen says that he really doesn’t think of Google Glass as something special: it’s just another computer form-factor facing the same barriers of acceptance. It will take some time and discussion over privacy to achieve it, but the new wave is coming.

by Nick Saalfeld and Ben Heubl, Contributing Writers at HIT Consultant 

 

Nick Saalfeld is a corporate journalist and entrepreneur based in London, UK. He has written for seven years about health-tech for clients including Microsoft, Imprivata and Howareyou.com. He also co-founded Yoodoo, the online platform devoted to delivering behavioral change through learning experiences, with many applications in public health and clinical/pharmaceutical adherence.

 

Ben Heubl is a digital health advocate, activist and journalist for health 2.0 innovation.Ben Heubl is speaker at various healthcare innovation conferences and events, a TEDMED delegate, founded the non-for-profit organization Health 2.0 Copenhagen, Mentor at the HealthXL accelerator, and currently passionately writes for various online magazines in the context of digital health innovation and technology. Ben also currently supports a UK health innovation SME to change how citizens access healthcare. You can follow him on Twitter at @benheub

Can Google Glass Transform Medical Education? by Nick Saalfeld and Ben Heubl

Link: http://hitconsultant.net/2014/03/19/can-google-glass-transform-medical-education/

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Can innovative solutions for mobile care meet your needs?

by System Administrator - Friday, 11 September 2015, 9:12 PM
 

Can innovative solutions for mobile care meet your needs?

The Visiting Nurse Association (VNA) California wanted to update their mobile technology to improve timely access to data. They had a few requirements:

  • Organizational effectiveness – mobile solutions to effectively provide secure in-home care.
  • High-quality, personalized care – for the most effective care, teams needed quick and accurate collaborations.
  • PC management and data security – their small IT support staff supports a highly mobile workforce, so any solutions would need to help manage all of their data security/compliance challenges.

Download the Case Study: Mobile Productivity for a Home Health Workforce to learn how VNA California provided their personnel greater performance flexibility and improved security with Intel®-based mobile solutions.

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Cancer Antibodies & Assays

by System Administrator - Thursday, 9 July 2015, 3:59 PM
 

Cancer Antibodies & Assays

Cancer research is dependent on reliable tools for interrogating and identifying the phenotypic differences between cancer cells and corresponding normal cells of the same lineage. The recent output of data from genomic, proteomic, and epigenomic studies comparing tumor and non-tumor cells points to several key traits or “hallmarks”, shared by most tumor types, that drive disease progression.

These hallmarks of cancer are important—not only because they represent opportunities for therapeutic intervention, but because they are opportunities to use tumors as models to decipher the signaling pathways underlying both normal and diseased cellular processes.

Recognizing both the tremendous opportunities and the challenges facing cancer research, Merck Millipore has been dedicated to developing and refining products for the study of cancer. With Merck Millipore’s comprehensive portfolio, including the Upstate, Chemicon, and Calbiochem brands of assay kits, reagents and antibodies, researchers can count on dependable, high quality solutions for analyzing the hallmarks of cancer.

Please read the attached whitepaper.

Link: http://www.merckmillipore.com

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Cancer Genomics Cloud Platform

by System Administrator - Saturday, 18 October 2014, 9:42 PM
 

Google Partners to Create Cancer Genomics Cloud Platform

The Research at Google team is partnering with the Institute for Systems Biology (ISB) and SRA International, Inc to develop a Cancer Genomics Cloud (CGC). The platform will serve as a large-scale data repository and provide the computational infrastructure necessary to carry out cancer genomics research at unprecedented scales.

The $6.5M two-year project funded by the NIH’s National Cancer Institute (NCI) will migrate data collected from the TCGA (The Cancer Genome Atlas) to Google Cloud Platform to provide easy and secure access to the large datasets. The new collaboration will accelerate large-scale genome sequencing for a faster understanding of the molecular basis of cancer. 

“The CGC will democratize access to the wealth of cancer genomics data by substantially lowering the barrier to accessing and computing over these datasets,” said Dr. Ilya Shmulevich, professor at ISB and CGC prime investigator in the press release. “Cancer researchers will be able to analyze and explore entire cohorts of rich genomic data, without needing access to a large local compute cluster. The CGC will also facilitate collaborative research by allowing scientists to work on common datasets and projects in a cloud environment.”

As part of the collaboration, ISB will manage the needs of the researchers spearheading development of apps that will provide community access to the cloud-based data and computational infrastructure. 

photo credit: glbrc.communications via cc

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CANCER METASTASIS REDUCED UP TO 90% IN MICE USING ENGINEERED DECOY PROTEIN

by System Administrator - Tuesday, 14 October 2014, 6:39 PM
 

CANCER METASTASIS REDUCED UP TO 90% IN MICE USING ENGINEERED DECOY PROTEIN

 

Written By: Arlington Hewes

Cancer often begins in one part of the body but spreads elsewhere via the bloodstream or lymphatic system. This spreading, called metastasis, makes the disease deadly and difficult to halt—even using chemotherapy drugs with serious side effects.

However, in a preclinical study in mice, a Stanford team may have discovered another way to slow or even stop tumors from metastasizing.

Cancer spreads when certain proteins link up on cells, causing them to break off from the tumor. The Stanford study focused on two such proteins. One protein (Axl) forms bristle-like receptors on the cell’s surface tailored to fit the other protein (Gas6).

When two Gas6 proteins interact with two Axl proteins, the cancer cells are able to drift away from the original tumor and form new tumors in other areas.

To prevent this interaction, the scientists engineered a decoy Axl protein that is as much as a hundred times as effective at binding with Gas6 as the naturally occuring version. When deployed in the blood, the decoy proteins can bind Gas6 proteins before they have a chance to interact with the Axl proteins on the cancer cells.

In a recent paper published in Nature, lead authors Jennifer Cochran, a Stanford associate professor of bioengineering, and Amato Giaccia, professor of radiation oncology, say the decoy protein significantly slowed metastasis in their study.

After testing the decoy protein in mice with breast cancer and ovarian cancer, the scientists found a 78% reduction in metastatic nodules in the breast cancer group and a 90% decrease in metastatic nodules in the ovarian cancer group.

And unlike current cancer drugs, the researchers say the decoy protein is nontoxic.

How the scientists engineered the protein is almost as fascinating as the results themselves. The team mimicked evolution—only at a vastly accelerated pace. Using advanced analytics software and lab equipment the team built and evaluated over ten million minor variants of the Axl protein to find the one that best fit Gas6.

The researchers hope their work may extend beyond Axl proteins. There are other receptors, Mer and Tyro3, that bind with Gas6 and are associated with metastasis—the decoys could further render both harmless as bound Gas6 wouldn’t interact with them.

There is, of course, a long way to go before a therapy based on the group’s findings might make its way into the mainstream. They’ll have to scale production of the protein, complete more animal tests, and eventually, do human trials.

In the meantime, however, it offers a ray of hope for a much more humane cancer treatment in the future and a fascinating glimpse into the promise of bioengineering.

Image Credit: protein courtesy of Shutterstock

This entry was posted in HealthMedicine and tagged Amato GiacciaAxl proteincancerdirected evolutionGas6 proteinJennifer Cochran,metastasisStanfordsynthetic biology.

Link: http://singularityhub.com

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CDI Plan

by System Administrator - Saturday, 27 September 2014, 4:26 PM
 

71% of hospitals plan CDI partnerships to tackle ICD-10

Author: Jennifer Bresnick

The majority of hospitals won’t be staring down the challenges of ICD-10 clinical documentation improvement (CDI) on their own, Black Book Rankings says, but will seek consultants and service partners to help them make the necessary adjustments ahead of the new code set.  By October 1, 2015, 71% of hospitals plan to have engaged a CDI partner, and nearly 25% have done so already.

After gaining an extra year to prepare when the code set was delayed this spring, providers are finally realizing that collaboration is the key to a successful transition.  “Transitioning to ICD-10 is a complicated process and hospitals are leaning on the expertise and successes of outsourcing vendors,” says Doug Brown, Managing Partner of Black Book. “We still operate in an ICD-9 world, complicated by EHR implementations, value-based reimbursement models, compliance issues and optimizing reimbursement; a perfect storm from which outsourcers have the expertise to shield their clients.”

Eighty-eight percent of large hospitals that are already outsourcing CDI efforts have realized significant gains in revenue, the survey says, totaling over $1 million per facility.  Eighty-three percent also noted improvements to the quality of care and increases in the case mix index.  More than a quarter of hospitals that are already outsourcing their coding and CDI are considering upgrading their technology, as well, in an attempt to keep pace with physician practice acquisitions and EHR implementation efforts that have sapped time and resources from the ICD-10 transition.

Throughout the lengthy and oft-delayed transition, experts have urged providers to start with the basics: ensuring that the documentation produced by physicians contains every piece of information necessary for a coder to select the most detailed ICD-10 code available.  Physicians and coders often don’t view the same terms in the same way, which can lead to poor coding, a loss of rightful revenue, and a dip in quality metrics that don’t reflect the actual level of care being provided.

 

“The problem is that when physicians write in clinical terms that they understand, they assume everybody else understands those terms.  But they don’t.  We needed a bridge between clinical language and coding language, and we needed to explain to physicians that the coders cannot always interpret what they’re thinking,” said Dr. Georges Feghali Chief Medical Officer and Chief Quality Officer at TriHealth Medical, while explainingwhy his organization invested in a CDI program ahead of ICD-10.  “My doctors were looking like terrible physicians just because they weren’t documenting care the right way.”

“I’ve been doing CDI for 15 years and physicians still don’t provide all the details needed to ensure appropriate, thorough documentation,” says Mel Tully, MSN, CCDS, CDIP and Vice President of Clinical Services and Education at Nuance.  “Unless they’re being prompted and given a tool or person to help guide them, they will always document pneumonia as pneumonia.  There are many, many other ways to document it and even today, physicians still need guidance on how best to capture the specific details needed to accurately reflect the severity of the care provided.”

In the Black Book poll, Nuance Communications received the highest customer experience and client satisfaction scores among vendors of CDI and coding products or services.  Also ranking highly in the category were 3M, Optum, the Advisory Board, Navigant, Chartwise Medicla, Precyse, and DCBA.

 

Related White Papers:
Related Articles:
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Chronic care management: 4 steps to implementation

by System Administrator - Monday, 9 March 2015, 3:26 AM
 

Chronic care management: 4 steps to implementation

 By Debra Beaulieu-Volk

Medicare's new chronic care management (CCM) program offers practices of all specialties a major opportunity to reap revenue from services they've thus far provided for free. With 1,000 qualified patients, a practice could earn an additional $511,200 per year, noted an article from Medscape.

IT concerns top the list of barriers to the programFiercePracticeManagement has reported, and some practices may also need to add to their existing infrastructure and staff to implement code 99490. Family physician Matt T. Rosenberg, M.D., of MidMichigan Health Center, for example, told Medscape he hired a full-time nonclinical manager to obtain patients' consent to be enrolled in the program, which requires a 20 percent copay. The manager also ensures that clinicians are documenting CCM activities, including going over medications or insurance issues by phone.

But while practices such as Rosenberg's are doing their best to design programs that enhance patient care, there is little guidance available to do so, noted an opinion piece published in the Journal of the American Medical Association.

"Although there has been discussion of the fiscal and operational challenges posed by the new payment, less consideration has been given to the implications of the new policy for clinicians who will wonder what is required of them and how can they do it well," wrote authors Louise Aronson, M.D.; Christopher A. Bautista, M.D.; and Kenneth Covinsky, M.D.

Thus, they recommended four-step process for doctors to approach CCM with each patient:

  1. Determine the likelihood of care coordination needs (e.g., two or more chronic conditions)
  2. Establish goals of care (e.g., current life and health priorities, treatment preferences)
  3. Assess care needs (medical, functional, psychosocial and environmental)
  4. Match resources to needs (medical, functional, psychosocial and environmental)

With all of the effort that these measures entail, providers also have to ask themselves tough questions regarding patients who refuse to sign up for the program, noted Medscape. "The decision was tough," Rosenberg said. "The best decision we came to is that if you are eligible for this program and you chose not to sign the consent, then we will no longer offer non-face-to-face interactions."

 

To learn more:
- read the article
- see the opinion piece (subscription required)

Related Articles:

Link: http://www.fiercepracticemanagement.com

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Ciclo de Ingresos: Watauga Orthopaedics

by System Administrator - Wednesday, 23 August 2017, 3:37 PM
 

Ciclo de ingresos | Estudio de caso: Watauga Orthopaedics triplica su tamaño

Watauga Orthopedics solía dedicar tres empleados a tiempo completo a confirmar la elegibilidad de seguro de los pacientes, y otro empleado era responsable de mantener un registro de las reglas cambiantes del ordenante.

El grupo médico ha triplicado su tamaño, reducido su tasa de negación y reducido la cantidad de trabajo administrativo que su personal asume, eliminando seis roles de empleados a tiempo completo y liberando personal. Para centrarse en los pacientes.

Por favor lea el PDF adjunto.

 

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Cloud, Big Data, Mobile and Social Drive Next Generation EMR

by System Administrator - Friday, 23 January 2015, 3:08 PM
 

Cloud, Big Data, Mobile and Social Drive Next Generation EMR

As healthcare providers respond to the Affordable Care Act and achieve initiatives for meaningful use of electronic medical records (EMR), growing demands for reduced costs and higher accountability are driving monumental change. Organizations are changing their business models with the objective of delivering safer patient care at a lower cost.

However, traditional IT infrastructures cannot continue to meet the demands of today’s value-based care model. More healthcare data is being generated than ever before as populations continue to age and the average life span continues to grow. To extract the most value from this large influx of patient data, healthcare providers need the tools equipped to ingest all of this structured and unstructured information.

Behold the hybrid cloud: a combination of public and private cloud options.

Private and public cloud tools enable healthcare IT to assimilate all of this patient health information driven by social, mobile and big data while remaining complaint to HIPPA and HITECH mandates on a limited IT budget.

Download these attached white papers to discover how a culmination of private and public cloud options offer the agility, security and cost-efficiency healthcare providers need to operate successfully.


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