Six Steps to Transform Population Health Management Into a Reality

Posted by Wendy Vincent, RN, National Practice Director, Strategic Advisory Group on Aug 13, 2014 9:04:00 AM

For the first time in history, the US healthcare system has begun to focus on proactively keeping people well. Leaders have long realized that Population Health Management (PHM) is the most common sense approach to healthcare, and it makes the most fiscal sense over the long term. Pop_Health-1

Now, with healthcare reform driving change, we’re seeing PHM being adopted by an increasing number of organizations. Putting emphasis on prevention and creating more opportunities for patients to take better control over their health reduces the need for emergency services. Healthier people tend to need expensive care less often. 

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Topics: Population Health

Four Questions the Proposed Meaningful Use Rule Doesn’t Answer

Posted by Robert Tennant, Executive Consultant, Strategic Advisory Group on Jul 21, 2014 2:32:00 PM

On May 20, 2014, CMS released a Notice of Proposed Rulemaking (NPRM) which would grant flexibility to Eligible Hospitals (EH) and Eligible Providers (EP) unable to fully implement 2014 Edition CEHRT for the full 2014 EHR reporting period.  At first glance, this NPRM might have appeared to offer quick and easy relief, yet significant questions remain.  Below are four key unanswered questions. Decision20Making_1

  1. What is meant by “not able to fully implement 2014 Edition CEHRT for a full EHR reporting period?”
    Since the NPRM only applies to an EH or EP who falls into this category, we suddenly need greater clarity around the definition and the documentation required to support this categorization if audited.  For example, would the NPRM apply to an EH or EP who is able to “implement,” yet a receiving provider/care setting they rely on for meeting the Summary of Care measure is not?

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Topics: Meaningful Use

Are You Ready for Change? Four Questions to Ask Before Launching a Healthcare IT Project

Posted by Krista Laybolt, Executive Consultant, Professional Services on Jun 19, 2014 10:39:00 AM

Did you know that projects or initiatives that drive change have the potential for a greater than 70% failure rate? Such a high potential for failure points to effective change management as the make or break success factor in many healthcare IT projects — which typically drive a significachangent amount of change throughout all areas of the organization.

So who is responsible for change management? While this has traditionally been considered within the realm of responsibility of the project manager, effective management of change actually has many different requirements outside broader project management responsibilities.

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Topics: Project Management, Strategy, IT Strategy, Change Management

The Good, The Bad, and The Ugly of Proposed Changes to 2014 Meaningful Use

Posted by Bruce Eckert, MBA, CPHIMS, FHIMSS, National Practice Director on May 22, 2014 4:45:00 PM

On Tuesday night, CMS released a proposed rule that if finalized would defer Meaningful Use (MU) Stage 2 until 2015.Doctors_15_jpg

The problem this proposed rule addresses is ongoing delays in the availability of 2014 Certified Electronic Health Record Technologies (CEHRT). While most major vendors now have 2014 CEHRT versions of their systems, some smaller EHR vendors and many departmental systems are not yet 2014 certified.  Even those vendors with 2014 CEHRT status are challenged to  getting these systems released and installed for all their clients in just a few months.  We estimate that as many as half of eligible hospitals may have some issues with 2014 CEHRT status within their application portfolios.  

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Topics: EHR, Meaningful Use Stage 1, Meaningful Use Stage 2, Meaningful Use Stage 3

Don’t Just Survive, Thrive – Using the ICD-10 Delay to Gain a Competitive Advantage

Posted by Craig Greenberg, CMPE, Associate Practice Director, Strategic Advisory Group on May 9, 2014 9:53:48 AM

If you are like many healthcare provider organizations that were working diligently on their ICD-10 transition plans before the delay was announced, you knew it was going to be tight. You likely performed a readiness assessment and were making progress on addressing key implementation issues, but the time crunch limited your ability to make all the changes required to “get it right.” You may have been prepared to get claims out the door, but full optimization of people, process and technology requires additional time, which has now become available.Coding

With the new compliance deadline announced as October 1, 2015, you now have 511 days to get beyond the basics and truly refine and fine-tune your processes.

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Topics: ICD-10, Revenue Cycle, ICD-10 Delay, CDI