This document discusses medical nomenclatures and classification systems used for coding diagnoses and procedures. It also covers third-party payer systems, health care reimbursement methodologies like DRGs, and fraud and abuse prevention efforts. Classification systems have evolved over time from early systems like the London Bills of Mortality to current standardized systems like ICD, CPT, and HCPCS codes. Reimbursement is increasingly based on case mix analysis and severity of illness adjustments.
Radiologists in the United States are currently facing a dilemma as far as “meaningful use” (MU) of Electronic Health Records (EHRs) is concerned. The American College of Radiology (ACR) IT and Informatics Committee leaders and staff have met the National Coordinator for HIT (ONC) as well as Center for Medicare and Medicaid Services (CMS) staff to discuss the HR incentive program from the point of view of radiologists, on October 13, 2011.
The Emergency Triage, Treat, and Transport (ET3) Model team hosted an overview webinar about the ET3 Model Request for Applications (RFA) on Tuesday, June 11 from 2:00 - 3:00 p.m. EDT. The ET3 Model team reviewed key components of the RFA, including eligibility requirements, necessary information required to submit a complete application, and application timelines.
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CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
Radiologists in the United States are currently facing a dilemma as far as “meaningful use” (MU) of Electronic Health Records (EHRs) is concerned. The American College of Radiology (ACR) IT and Informatics Committee leaders and staff have met the National Coordinator for HIT (ONC) as well as Center for Medicare and Medicaid Services (CMS) staff to discuss the HR incentive program from the point of view of radiologists, on October 13, 2011.
The Emergency Triage, Treat, and Transport (ET3) Model team hosted an overview webinar about the ET3 Model Request for Applications (RFA) on Tuesday, June 11 from 2:00 - 3:00 p.m. EDT. The ET3 Model team reviewed key components of the RFA, including eligibility requirements, necessary information required to submit a complete application, and application timelines.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
DIA 2015 - EMR/EHR Clinical Data Intergration with EDC SystemsClinCapture
It has been a longstanding challenge to integrate patient data from EMRs (Electronic Medical Record systems) with EDC (Electronic Data Capture) systems for clinical studies and trials.
Integration between disparate systems can be done in many ways. Any two systems can be integrated given enough time and money. However, if there is to be wide-scale integration between applications used by clinicians at their practice or in the hospital, it requires the formation and use of standards for the structure and content of data as well as the transport of data between two systems.
A historic problem has been the lack of EMR adoption, particularly in physician offices. Thankfully, this is improving dramatically, something I will touch on later.
There is also a historic problem that Case Report Forms and the databases that contain them in EDC systems are routinely not designed from the start with standardized labels, content or structure. More adoption of the CDISC standards, such as C-DASH (clinical data acquisition standards harmonization) which dictates structure and content, and ODM (operational data model) which is an XML rendering of the CDASH CRFs.. If you take anything away from this talk, please ensure any data capture you do within an EDC system going forward meets the ODM model.
Patient matching between systems is important. There is a whole industry for Community and Master Patient Indexes to link records in disparate systems to the same patient. This gets even more complex when the patients are to be kept anonymous or the studies are blinded.
Lastly, moving data across systems is a challenge. There are two primary methods – 1) asynchronous file transfer in conjunction with an ETL, or 2) APIs where one system is inquiring in real time into another application for data. The latter is usually regarded as a more robust integration, but without standard APIs these are one off solutions. The former, using ETL, requires the sending and receiving applications be able to communicate
It has been a longstanding challenge to integrate patient data from EMRs (Electronic Medical Record systems) with EDC (Electronic Data Capture) systems for clinical studies and trials.
The challenges include:
Low adoption rates of EMRs in physician practices
Lack of interoperability tools provided by vendors to extract data from EMRs
Lack of standardized payload (content) and method of delivering (transport) from different EMRs to the EDC systems
All subjects of clinical studies not being part of the same health system and therefore same EMR
Lack of automated methods for identifying the same patient between EMRs and EDC systems
Inability to map and translate the EMR data into CRFs (case report forms) of the EDC systems
These hurdles have been so high that the task has rarely been attempted in earnest, let alone accomplished in any significant way. That is until recently. How are these challenges being overcome today? What changes have allowed this integration to be to considered and implement today? The answer is: lots!
The Center for Medicare & Medicaid Services hosted a webinar on Thursday, April 14, 2016. During this webinar staff provided an overview of the model. A repeat of the webinar was held on Tuesday, April 19.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The ET3 Model team hosted a tutorial webinar on Thursday, August 8th, 2019 from 12:00 p.m.-1:30 p.m. EDT, to provide an overview of the Application Portal. During the session, the ET3 Model team reviewed key functionality of the Portal as well as provided guidance and tips for ambulance suppliers and providers to submit a complete application to participate in the Model. The webinar also provided an opportunity for Q & A with the ET3 Model team.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
In this presentation, we highlight 10 drivers of healthcare costs in the US. The US spends over $2.6 trillion on healthcare or about 18% of GDP. Other nations are able to provide healthcare services for considerably less: U.K. – 9.6% GDP, Germany – 11.6% GDP and Japan – 9.5% GDP. Despite our high level of spending on healthcare, the US lags in healthcare quality. This level healthcare spending is an unsustainable burden on the United States economy, more specifically businesses, employees and consumers. Businesses who provide health insurance are less competitive internationally, employees experience stagnation of wages and consumers spend more on healthcare and less on other necessities.
The CMS Innovation Center hosted a webinar on Wednesday April 9, 2014 to provide an overview of the Medicare Care Choices Model and the application process. Subject matter experts from the CMS Innovation Center provided details and answered questions.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
CMS hosted an Open Door Forum call on November 22, 2013 to allow providers, suppliers, beneficiary advocacy groups, and other interested parties to provide input into the design and implementation of this demonstration. Mandated by the “Medicare IVIG Access and Strengthening Medicare and Repaying Taxpayers Act of 2012 (P.L. 112-242)”, the purpose of this demonstration is to evaluate the impact of providing payment for items and services needed for the in-home administration of IVIG for the treatment of primary immune deficiency disease (PIDD). The demonstration will provide these benefits for up to 4,000 Medicare beneficiaries for a period of three years.
- - -
CMS Innovations
http://innovations.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
Five cost saving tactics for healthcare providers that lead to better outcomes on the income statement and individually can help providers with their bottom line, including reducing, reusing, refurbishing, reprocessing and reimbursement. For the full article, visit http://www.mdbuyline.com/blog/power-re/.
DIA 2015 - EMR/EHR Clinical Data Intergration with EDC SystemsClinCapture
It has been a longstanding challenge to integrate patient data from EMRs (Electronic Medical Record systems) with EDC (Electronic Data Capture) systems for clinical studies and trials.
Integration between disparate systems can be done in many ways. Any two systems can be integrated given enough time and money. However, if there is to be wide-scale integration between applications used by clinicians at their practice or in the hospital, it requires the formation and use of standards for the structure and content of data as well as the transport of data between two systems.
A historic problem has been the lack of EMR adoption, particularly in physician offices. Thankfully, this is improving dramatically, something I will touch on later.
There is also a historic problem that Case Report Forms and the databases that contain them in EDC systems are routinely not designed from the start with standardized labels, content or structure. More adoption of the CDISC standards, such as C-DASH (clinical data acquisition standards harmonization) which dictates structure and content, and ODM (operational data model) which is an XML rendering of the CDASH CRFs.. If you take anything away from this talk, please ensure any data capture you do within an EDC system going forward meets the ODM model.
Patient matching between systems is important. There is a whole industry for Community and Master Patient Indexes to link records in disparate systems to the same patient. This gets even more complex when the patients are to be kept anonymous or the studies are blinded.
Lastly, moving data across systems is a challenge. There are two primary methods – 1) asynchronous file transfer in conjunction with an ETL, or 2) APIs where one system is inquiring in real time into another application for data. The latter is usually regarded as a more robust integration, but without standard APIs these are one off solutions. The former, using ETL, requires the sending and receiving applications be able to communicate
It has been a longstanding challenge to integrate patient data from EMRs (Electronic Medical Record systems) with EDC (Electronic Data Capture) systems for clinical studies and trials.
The challenges include:
Low adoption rates of EMRs in physician practices
Lack of interoperability tools provided by vendors to extract data from EMRs
Lack of standardized payload (content) and method of delivering (transport) from different EMRs to the EDC systems
All subjects of clinical studies not being part of the same health system and therefore same EMR
Lack of automated methods for identifying the same patient between EMRs and EDC systems
Inability to map and translate the EMR data into CRFs (case report forms) of the EDC systems
These hurdles have been so high that the task has rarely been attempted in earnest, let alone accomplished in any significant way. That is until recently. How are these challenges being overcome today? What changes have allowed this integration to be to considered and implement today? The answer is: lots!
The Center for Medicare & Medicaid Services hosted a webinar on Thursday, April 14, 2016. During this webinar staff provided an overview of the model. A repeat of the webinar was held on Tuesday, April 19.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
The ET3 Model team hosted a tutorial webinar on Thursday, August 8th, 2019 from 12:00 p.m.-1:30 p.m. EDT, to provide an overview of the Application Portal. During the session, the ET3 Model team reviewed key functionality of the Portal as well as provided guidance and tips for ambulance suppliers and providers to submit a complete application to participate in the Model. The webinar also provided an opportunity for Q & A with the ET3 Model team.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
In this presentation, we highlight 10 drivers of healthcare costs in the US. The US spends over $2.6 trillion on healthcare or about 18% of GDP. Other nations are able to provide healthcare services for considerably less: U.K. – 9.6% GDP, Germany – 11.6% GDP and Japan – 9.5% GDP. Despite our high level of spending on healthcare, the US lags in healthcare quality. This level healthcare spending is an unsustainable burden on the United States economy, more specifically businesses, employees and consumers. Businesses who provide health insurance are less competitive internationally, employees experience stagnation of wages and consumers spend more on healthcare and less on other necessities.
The CMS Innovation Center hosted a webinar on Wednesday April 9, 2014 to provide an overview of the Medicare Care Choices Model and the application process. Subject matter experts from the CMS Innovation Center provided details and answered questions.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
CMS hosted an Open Door Forum call on November 22, 2013 to allow providers, suppliers, beneficiary advocacy groups, and other interested parties to provide input into the design and implementation of this demonstration. Mandated by the “Medicare IVIG Access and Strengthening Medicare and Repaying Taxpayers Act of 2012 (P.L. 112-242)”, the purpose of this demonstration is to evaluate the impact of providing payment for items and services needed for the in-home administration of IVIG for the treatment of primary immune deficiency disease (PIDD). The demonstration will provide these benefits for up to 4,000 Medicare beneficiaries for a period of three years.
- - -
CMS Innovations
http://innovations.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
Five cost saving tactics for healthcare providers that lead to better outcomes on the income statement and individually can help providers with their bottom line, including reducing, reusing, refurbishing, reprocessing and reimbursement. For the full article, visit http://www.mdbuyline.com/blog/power-re/.
Navigating the complexity of forecasting in the oncology marketIndegene
In a presentation at Pharmaceutical Management Science Association’s Fall Symposium 2022, Indegene highlighted one of the most challenging areas in pharmaceutical forecasting - the oncology forecast. The presentation delved deeper into some of the complexities that oncology forecasters face and highlighted what they can do to navigate through and how they can benefit from dynamic patient- and patient-flow-based models.
Navigating the complexity of forecasting in the oncology marketIndegene
In a presentation at Pharmaceutical Management Science Association’s Fall Symposium 2022, Indegene highlighted one of the most challenging areas in pharmaceutical forecasting - the oncology forecast. The presentation delved deeper into some of the complexities that oncology forecasters face and highlighted what they can do to navigate through and how they can benefit from dynamic patient- and patient-flow-based models.
Diagnos Inc. Investor Presentation September 2018MomentumPR
Diagnos is a publicly traded Canadian corporation with a mission of early detection of critical health issues through the use of its artificial intelligence tool CARA (computer-assisted retina analysis). CARA is a tele-ophthalmology platform that integrates with existing equipment (hardware and software) and processes at the point of care. CARA is a cost-effective tool for screening large numbers of patients in real time and has been cleared for commercialization by several regulatory authorities such as Health Canada, the U.S. Food and Drug Administration and the European Union.
Value-based Healthcare today and tomorrow by Deloitte.DayOne
There is an increasing need for a value-based Healthcare based on holistic patient and health system outcomes. Success can only be reached by a genuinely collaborative approach.
Presented at the DayOne Expert event in Basel
Industry Perspectives and Future Trends in Population HealthRohan DSouza
Presentation on industry perspectives on the future of population health management. This is a talk I gave at the eClinicalWorks National Users Conference in Nashville, TN (2015). With a lot of buzz surrounding pop health programs, I wanted to provide a roadmap on making the switch and succeeding.
How to Make a Field invisible in Odoo 17Celine George
It is possible to hide or invisible some fields in odoo. Commonly using “invisible” attribute in the field definition to invisible the fields. This slide will show how to make a field invisible in odoo 17.
Synthetic Fiber Construction in lab .pptxPavel ( NSTU)
Synthetic fiber production is a fascinating and complex field that blends chemistry, engineering, and environmental science. By understanding these aspects, students can gain a comprehensive view of synthetic fiber production, its impact on society and the environment, and the potential for future innovations. Synthetic fibers play a crucial role in modern society, impacting various aspects of daily life, industry, and the environment. ynthetic fibers are integral to modern life, offering a range of benefits from cost-effectiveness and versatility to innovative applications and performance characteristics. While they pose environmental challenges, ongoing research and development aim to create more sustainable and eco-friendly alternatives. Understanding the importance of synthetic fibers helps in appreciating their role in the economy, industry, and daily life, while also emphasizing the need for sustainable practices and innovation.
Palestine last event orientationfvgnh .pptxRaedMohamed3
An EFL lesson about the current events in Palestine. It is intended to be for intermediate students who wish to increase their listening skills through a short lesson in power point.
The French Revolution, which began in 1789, was a period of radical social and political upheaval in France. It marked the decline of absolute monarchies, the rise of secular and democratic republics, and the eventual rise of Napoleon Bonaparte. This revolutionary period is crucial in understanding the transition from feudalism to modernity in Europe.
For more information, visit-www.vavaclasses.com
The Indian economy is classified into different sectors to simplify the analysis and understanding of economic activities. For Class 10, it's essential to grasp the sectors of the Indian economy, understand their characteristics, and recognize their importance. This guide will provide detailed notes on the Sectors of the Indian Economy Class 10, using specific long-tail keywords to enhance comprehension.
For more information, visit-www.vavaclasses.com
This is a presentation by Dada Robert in a Your Skill Boost masterclass organised by the Excellence Foundation for South Sudan (EFSS) on Saturday, the 25th and Sunday, the 26th of May 2024.
He discussed the concept of quality improvement, emphasizing its applicability to various aspects of life, including personal, project, and program improvements. He defined quality as doing the right thing at the right time in the right way to achieve the best possible results and discussed the concept of the "gap" between what we know and what we do, and how this gap represents the areas we need to improve. He explained the scientific approach to quality improvement, which involves systematic performance analysis, testing and learning, and implementing change ideas. He also highlighted the importance of client focus and a team approach to quality improvement.
Welcome to TechSoup New Member Orientation and Q&A (May 2024).pdfTechSoup
In this webinar you will learn how your organization can access TechSoup's wide variety of product discount and donation programs. From hardware to software, we'll give you a tour of the tools available to help your nonprofit with productivity, collaboration, financial management, donor tracking, security, and more.
2024.06.01 Introducing a competency framework for languag learning materials ...Sandy Millin
http://sandymillin.wordpress.com/iateflwebinar2024
Published classroom materials form the basis of syllabuses, drive teacher professional development, and have a potentially huge influence on learners, teachers and education systems. All teachers also create their own materials, whether a few sentences on a blackboard, a highly-structured fully-realised online course, or anything in between. Despite this, the knowledge and skills needed to create effective language learning materials are rarely part of teacher training, and are mostly learnt by trial and error.
Knowledge and skills frameworks, generally called competency frameworks, for ELT teachers, trainers and managers have existed for a few years now. However, until I created one for my MA dissertation, there wasn’t one drawing together what we need to know and do to be able to effectively produce language learning materials.
This webinar will introduce you to my framework, highlighting the key competencies I identified from my research. It will also show how anybody involved in language teaching (any language, not just English!), teacher training, managing schools or developing language learning materials can benefit from using the framework.
