The Future of Health Information Data Exchange

Data is integral to every aspect of healthcare. Timely access to accurate, up-to-date data – medical history, drug interactions, information about a particular disease – positions providers to successfully treat patients in a safe and efficient manner. Today’s physicians are armed with more information than ever before, thanks to technology that can transfer vast amounts of data at increasingly rapid speeds.

But is there such a thing as having too much data? Continue reading

Making Room for Specialists in the Medical Neighborhood

The patient-centered medical home (PCMH) model has historically focused on primary care medicine. The model was designed to promote comprehensive care – managing acute and chronic conditions, providing preventive services – by improving patient access to a care team. Coordination and integration are the hallmarks of such a team, which may include clinicians (PCP, APC), nurses (RN, LPN), medical assistants, administrative assistants, care managers, social workers, and others. One of the key objectives of such proactive care coordination and management is to keep patients out of more costly care settings, such as hospitals and specialists’ offices. Continue reading

Bundled Payment Program Development – Selecting the Service

Amid healthcare’s continuing transition to value-based care delivery, many health systems are considering the possibility of developing bundled payment programs for single episodes of care. But making the decision to build these programs is only the first step. The second step is selecting the best service to bundle – and this is critical to ensuring success. In this article for Becker’s Hospital CFO, Jason Lee and Josh Neal offer a guide for choosing the right bundled service.

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Navigating the Uncertainty of the Comprehensive Care for Joint Replacement Program

The Comprehensive Care for Joint Replacement (CCJR) program proposed by CMS in July 2015 is accelerating the pace of payment reform, and it’s ramping up pressure on hospitals to effectively manage patients and monitor costs for joint replacements.

In a prior blog post, we provided an overview of the proposed CCJR model. This post spells out the program structure and physician relationship parameters.

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Remaining Relevant in Musculoskeletal Care – Positioning Your Service Line for Value

As healthcare reform continues to change the provision and payment of care, orthopedic surgeons and providers of musculoskeletal (MSK) care are challenged to find ways to redesign the coordination and delivery of their services.  Healthcare systems, meanwhile, are struggling to develop strategies to keep up with increasing competition from other health systems and physician-owned facilities, including ambulatory surgery centers (ASCs), advanced imaging, physical therapy, and urgent care centers.  So how are organizations positioning the MSK service line to thrive in this changing landscape?  Let’s explore the five components of the value-based enterprise – integrated, scaled, rationalized, informed, and responsive – and apply them to the delivery of MSK services. Continue reading