Managing National Health: An Overview of Metrics & OptionsDale Sanders
This is a presentation that I gave at the annual international healthcare conference hosted by the Cayman Islands government. It summarizes the international standards and frameworks for planning and managing the health of a nation. One of the most fun parts of a very fun career was the time that I spent working and living in the Cayman Islands and serving as the CIO of the national health system. The Cayman Islands national health system sat at the intersection of three very influential healthcare ecosystems-- the United States, United Kingdom, and the Pan-American Healthcare Organization. As a result, I was fortunate enough to learn from these international settings and contrast that to the US healthcare system. Other healthcare systems tend to benchmark themselves internationally more so than the United States, where we tend to benchmark ourselves internally. Unfortunately, those internal US benchmarks are the lowest in the developed world by almost every measure of national health.
Microsoft: A Waking Giant in Healthcare Analytics and Big DataDale Sanders
Ten years ago, critics didn’t believe that Microsoft could scale in the second generation of relational data warehouses, but they did. More recently, many of these same pundits have criticized Microsoft for missing the technology wave du jour in cloud offerings, mobile technology, and big data. But, once again, Microsoft has been quietly reengineering its culture and products, and as a result, they now offer the best value and most visionary platform for cloud services, big data, and analytics in healthcare.
The term “Big Data” emerged from Silicon Valley in 2003 to describe the unprecedented volume and velocity of data that was being collected and analyzed by Yahoo, Google, eBay, and others. They had reached an affordability, scalability and performance ceiling with traditional relational database technology that required the development of a new solution, not being met by the relational data base vendors. Through the Apache Open Source consortium, Hadoop was that new solution. Since then, Hadoop has become the most powerful and popular technology platform for data analysis in the world. But, healthcare being the information technology culture that it is, Hadoop’s adoption in healthcare operations has been slow. In this webinar, Dale Sanders, Executive Vice President of Product Development will explore several questions:
Why should healthcare leaders and executives care about this technology?
What makes Hadoop so attractive and rapidly adopted in other industries but not in healthcare?
Why is Big Data a bigger deal to them than healthcare?
What do they see that we don’t and are we missing the IT boat again?
How is the cloud reducing the barriers to adoption by commoditizing the skilled labor impact at the local healthcare organizational level?
The 2019 CitiusTech 'AI in Healthcare' Readiness Survey polled over 50 health systems to develop an industry viewpoint and key insights on the state of AI/ML adoption, key challenges and the near-term outlook for healthcare providers.
ACO = HIE + Analytics - a Healthcare IT PresentationPerficient, Inc.
With the release of the Accountable Care Organization (ACO) regulations, healthcare providers must be able to identify, access, and seamlessly share patient information to drive efficiencies and enjoy a potential share in ACO program incentives. Additionally, more than half of the 93 draft National Committee for Quality Assurance (NCQA) ACO measures are also Meaningful Use measures, which further elevates the need to achieve meaningful use stage 2 or higher.
Given these goals, success will ultimately depend on an organization’s ability to share patient data at the point of care and its ability to gain meaning from historical and longitudinal data for use in managing population health. Healthcare organizations will need to give focused attention to the IT strategies, appropriate architectures, and roadmaps they will use to move from desired state to reality.
We discuss the practical architectural approach for creating an ACO. As Health Information Exchanges (HIEs) evolve into their second generation, they are able to the support the functional ACO tasks of delivering and managing care for a defined population, accept payment, distribute savings to participants, and perform disease management with predictive modeling to improve outcomes. We will also discuss the need to achieve meaningful use stage 2 or higher and the data/analytics requirements for ACO participants.
Presenter Martin Sizemore is the Director of Healthcare Strategy for Perficient. Martin has been a consultant and trusted advisor to CEOs, COOs, CIOs and senior managers for global multi-national companies and healthcare organizations, and is a certified Enterprise Architect with specialized skills in Enterprise Application Integration (EAI) and Service Oriented Architecture (SOA).
Going Beyond the EMR for Data-driven Insights in HealthcarePerficient, Inc.
Join Dr. Marcie Stoshak-Chavez, MD, FACEP, Director of Healthcare Strategic Advisory Services at Perficient and Mr. J.D. Whitlock, Director of Clinical & Business Intelligence at Catholic Health Partners to learn how analytics is being used to measure and monitor performance and provide service-line directors and financial administrators with reporting and analysis that enhances clinical care processes and business operations.
Learn how clinicians and administrators armed with the data-driven insights from the EMR and beyond can:
Derive meaningful insights for care delivery by analyzing clinical, financial and operational data
Collaborate more effectively and improve quality of care by securely sharing insights among providers
Meaningfully measure and understand performance across key Federally mandated measures and take prescribed action
Stay on top of shifts in regulatory policy that impact reimbursements and quality requirements
Managing National Health: An Overview of Metrics & OptionsDale Sanders
This is a presentation that I gave at the annual international healthcare conference hosted by the Cayman Islands government. It summarizes the international standards and frameworks for planning and managing the health of a nation. One of the most fun parts of a very fun career was the time that I spent working and living in the Cayman Islands and serving as the CIO of the national health system. The Cayman Islands national health system sat at the intersection of three very influential healthcare ecosystems-- the United States, United Kingdom, and the Pan-American Healthcare Organization. As a result, I was fortunate enough to learn from these international settings and contrast that to the US healthcare system. Other healthcare systems tend to benchmark themselves internationally more so than the United States, where we tend to benchmark ourselves internally. Unfortunately, those internal US benchmarks are the lowest in the developed world by almost every measure of national health.
Microsoft: A Waking Giant in Healthcare Analytics and Big DataDale Sanders
Ten years ago, critics didn’t believe that Microsoft could scale in the second generation of relational data warehouses, but they did. More recently, many of these same pundits have criticized Microsoft for missing the technology wave du jour in cloud offerings, mobile technology, and big data. But, once again, Microsoft has been quietly reengineering its culture and products, and as a result, they now offer the best value and most visionary platform for cloud services, big data, and analytics in healthcare.
The term “Big Data” emerged from Silicon Valley in 2003 to describe the unprecedented volume and velocity of data that was being collected and analyzed by Yahoo, Google, eBay, and others. They had reached an affordability, scalability and performance ceiling with traditional relational database technology that required the development of a new solution, not being met by the relational data base vendors. Through the Apache Open Source consortium, Hadoop was that new solution. Since then, Hadoop has become the most powerful and popular technology platform for data analysis in the world. But, healthcare being the information technology culture that it is, Hadoop’s adoption in healthcare operations has been slow. In this webinar, Dale Sanders, Executive Vice President of Product Development will explore several questions:
Why should healthcare leaders and executives care about this technology?
What makes Hadoop so attractive and rapidly adopted in other industries but not in healthcare?
Why is Big Data a bigger deal to them than healthcare?
What do they see that we don’t and are we missing the IT boat again?
How is the cloud reducing the barriers to adoption by commoditizing the skilled labor impact at the local healthcare organizational level?
The 2019 CitiusTech 'AI in Healthcare' Readiness Survey polled over 50 health systems to develop an industry viewpoint and key insights on the state of AI/ML adoption, key challenges and the near-term outlook for healthcare providers.
ACO = HIE + Analytics - a Healthcare IT PresentationPerficient, Inc.
With the release of the Accountable Care Organization (ACO) regulations, healthcare providers must be able to identify, access, and seamlessly share patient information to drive efficiencies and enjoy a potential share in ACO program incentives. Additionally, more than half of the 93 draft National Committee for Quality Assurance (NCQA) ACO measures are also Meaningful Use measures, which further elevates the need to achieve meaningful use stage 2 or higher.
Given these goals, success will ultimately depend on an organization’s ability to share patient data at the point of care and its ability to gain meaning from historical and longitudinal data for use in managing population health. Healthcare organizations will need to give focused attention to the IT strategies, appropriate architectures, and roadmaps they will use to move from desired state to reality.
We discuss the practical architectural approach for creating an ACO. As Health Information Exchanges (HIEs) evolve into their second generation, they are able to the support the functional ACO tasks of delivering and managing care for a defined population, accept payment, distribute savings to participants, and perform disease management with predictive modeling to improve outcomes. We will also discuss the need to achieve meaningful use stage 2 or higher and the data/analytics requirements for ACO participants.
Presenter Martin Sizemore is the Director of Healthcare Strategy for Perficient. Martin has been a consultant and trusted advisor to CEOs, COOs, CIOs and senior managers for global multi-national companies and healthcare organizations, and is a certified Enterprise Architect with specialized skills in Enterprise Application Integration (EAI) and Service Oriented Architecture (SOA).
Going Beyond the EMR for Data-driven Insights in HealthcarePerficient, Inc.
Join Dr. Marcie Stoshak-Chavez, MD, FACEP, Director of Healthcare Strategic Advisory Services at Perficient and Mr. J.D. Whitlock, Director of Clinical & Business Intelligence at Catholic Health Partners to learn how analytics is being used to measure and monitor performance and provide service-line directors and financial administrators with reporting and analysis that enhances clinical care processes and business operations.
Learn how clinicians and administrators armed with the data-driven insights from the EMR and beyond can:
Derive meaningful insights for care delivery by analyzing clinical, financial and operational data
Collaborate more effectively and improve quality of care by securely sharing insights among providers
Meaningfully measure and understand performance across key Federally mandated measures and take prescribed action
Stay on top of shifts in regulatory policy that impact reimbursements and quality requirements
Presentation I used as a Strategic Account Manager to sell affiliate programs (purchase subsidies) to strategic accounts. RAMP stands for Regional Affiliate Marketing Program.
CMS’ New Interoperability and Patient Access Proposed Rule - Top 5 Payer ImpactsCitiusTech
The recently proposed rule by the CMS introduces new policies to expand access to healthcare information and improve the seamless exchange of data in healthcare. This increased data sharing is a critical component of healthcare transformational efforts, and this eBook highlights the rules’ possible impact on payer systems and steps they need to take to manage this change effectively.
Achieve Internet VP of Operations Marc Hermsmeyer and Dexcom Inc., Senior Marketing Manager Tom Hall speak about technology solutions for the Healthcare Industry using Open Source software, such as Drupal.
The Government is forcing technology innovation within the Healthcare industry yet there are very few solutions out there that are tailored for the specific requirements and needs of the Healthcare market. In past experiences with Dexcom and other Healthcare clients Achieve has leveraged the power of Drupal to create powerful solutions that drive patient outcomes, improve workflows, and remain compliant with rigorous regulatory requirements.
This presentation shines a light on the technology needs of the Healthcare market and how Drupal can meet those needs.
Data-driven decisions for healthcare - Unleash Enterprise Innovation3Capgemini
With HP Converged System for Microsoft APS, Power BI and Sogeti, you can easily get started visualizing, modeling and reporting data insights for the healthcare industry through what we call the Unleash Enterprise Innovation3 solution. Learn how your organization can easily unite your relational inpatient and outpatient data with non-relational data from public sources and social media, allowing you to capture and analyze the data that will effectively impact your decision-making processes.
Harness Your Clinical and Financial Data with an Enterprise Health Informat...Perficient, Inc.
The importance of Enterprise Health Information Exchange (EHIE) as a key way to empower your physicians and patients and demonstrate meaningful use of electronic health records:
- Present the business case for EHIE as an important architecture that matters to progressive health systems
- Take a look at some of the market-leading EHIE architectures and products
- Provide real exam...ples of organizations that are using EHIE to improve their operations
Healthcare Best Practices in Data Warehousing & AnalyticsDale Sanders
This is from a class lecture that I gave in 2005. Rather dated, but 95% of content is still very relevant today, which is a bit unfortunate. That's an indication of how little we've progressed in the healthcare domain.
Dr Graham Willis, Head of Research and Development, presented to the Norwegian Health Workforce Summit, providing attendees with an overview of the CfWI's Horizon 2035 programme and the latest thinking around health workforce planning.
RowdMap’s Risk-Readiness® Benchmarks help health plans, physician groups, and hospital systems identify, quantify, and reduce no-value care that physicians deliver—a central tenet of successful pay-for-value programs.
Providers use RowdMap to manage internal variation, to identify partners for risk arrangements, and to match physicians to risk.
An Ernst and Young EY Entrepreneur Of The Year®, RowdMap helps providers and payers identify, quantify and reduce low-value care in 46 states covering over 91 million patients and members and is a partner of US News and World Reports.
HIPAA & OIG Compliance for Medical Billing Company OwnersKareo
The success of your business relies on timely billing and accurate coding. Whether you’re managing the billing for one provider or 50, it’s a complex job that must meet a variety of regulations, making it easy for medical billing companies to be the target of false claims and fraudulent crimes. As healthcare fraud continues to be a growing issue in the industry, medical billers are increasingly being held liable for their role in the submission of fraudulent claims.
Executive Director of American Medical Billing Association, Cyndee Weston, CMRS, CMCS, CPC, will provide an in-depth analysis of what can be considered fraud when submitting medical claims, how the government is enforcing guidelines, and what you can do to help protect your business as well as your practices.
Leveraging Technology to Empower Patients and Reduce Healthcare CostsPerficient, Inc.
Telehealth, once reserved for the chronically ill, is now being used to drive increased revenue by creating services that scale beyond traditional geographic boundaries.
Perficient and KP OnCall discussed how telehealth is impacting healthcare and how the nation’s leading telehealth provider is leveraging innovative technologies to:
-Reduce patient visits and lower healthcare costs
-Empower patients through self-treatment
-Deliver alternate methods of patient/provider communication
-Manage symptoms and medical conditions for the patients and populations they serve
-Generate data-driven insights
Have Data—Need Analysts. Lessons Learned From The Woodworking IndustryHealth Catalyst
Recent advances in healthcare technology are designed to help organizations achieve the Quadruple Aim. While IT vendors tout better tools as the solution for healthcare woes, all data analysts and architects know this isn’t true. John Wadsworth, senior vice president, Health Catalyst, will share valuable, practical learnings from his 20 plus years of experience as a data analyst in this hands-on session that will explore the rich analytic ecosystem found in health care.
John will share:
Healthcare industry examples that highlight the required synergy of technology (e.g. EHRs, EDWs, ancillary health and reporting systems, etc.)
Data analyst skill proficiencies that help drive sustained clinical, financial, and operational improvements.
John’s unique presentation style leverages simple and fun analogies to galvanize key concepts for technology, clinical, and executive attendees. In this webinar, he will bring lessons learned from the woodworking industry and demonstrate how they apply to healthcare analytics. Come prepared to engage, laugh, and learn. You’ll leave with a deeper understanding of the skills needed to fully leverage your analytic ecosystem.
Break All The Rules: What the Leading Health Systems Do Differently with Anal...Dale Sanders
This was my attempt to capture the intangible differences between leaders and followers in data driven healthcare. It should be noted that the organizations listed are not necessarily Health Catalyst clients. This slide deck is not intended to market or advertise Health Catalyst, but rather highlight leadership in analytics, wherever it exists.
Session at Health Datapalooza on designing and curating a pay for value ready network with Value Proposition: Designing and Curating a Pay-for-Value Ready Network
Joshua Rosenthal, PhD Co-Founder and Chief Scientific Officer at RowdMap, Inc.; Jonathan Blum, Executive Vice President at CareFirst Blue Cross BlueShield and Former Principal Deputy Administrator at Centers for Medicare and Medicaid Services; Ali Khan, Medical Officer at CareMore, an Anthem Company; Steve Ondra, Chief Medical Officer at Health Care Service Corporation (Blue Cross and Blue Shield plans in Illinois, Montana, New Mexico, Oklahoma and Texas) and Senior Policy Advisor for Health Affairs at the Department of Veterans Affairs in Washington, DC.
Predicting the Future of Predictive Analytics in HealthcareDale Sanders
This is the latest version of a slide deck that discusses some of the less technical, but very important issues, related to the effective use of predictive analytics in healthcare.
Importance of URAC Accreditation for Health PlansCitiusTech
Utilization Review accreditation Commission (URAC) is one of the two major organizations which accredit health plans on various healthcare quality measures.It is a Washington DC-based, nonprofit, independent organization founded in 1990, recognized by 46 states, District of Columbia, and 6 federal agencies
There Is A 90% Probability That Your Son Is Pregnant: Predicting the Future ...Health Catalyst
In this webinar, which is geared for managers and executives, Dale Sanders provides a new version of a very popular lecture he presented at this year’s Health Analytics Summit in Salt Lake City. Attendees will gain an understanding of:
What to expect from predictive analytics as it relates to human behavior
A general overview of predictive analytics models, and the contexts in which those various models should and should not be used
The scenarios in which predictive models in healthcare are effective and when they are not, given that 80% of population health outcomes are determined by socio-econonic factors, not healthcare delivery
The relationship between predictive analytic accuracy and topics of data management such as data quality, data volume and patient outcomes data
The use of predictive analytics to identify patients who are on a trajectory for poor, as well as good, outcomes
How current predictive analytics strategies are overlookng the cost of intervention and “Return on Engagement”, ROE— the cost per unit of healthcare improvement for patient populations
The cultural, philosophical, and legal conundrums that predictive analytics will create for healthcare, notably healthcare rationing
The success of predictive analytics will not be defined by the simple risk stratification of patient populations for care management teams. Success will depend on the costs of intervention to reduce the risks that are identified by predictive analytics, which boils down to this two-part question: Now that we can predict a patient’s risk for a bad healthcare outcome, “What’s the probability of influencing this patient’s behavior towards a better outcome?” And, “How much effort and cost will be required for that influence?”
The Deloitte Center for Health Solutions took a pulse on where industry stakeholders are in their progress in preparing for MACRA. We found MACRA is poised to disrupt relationships across health systems, health plans, and life sciences companies. http://www2.deloitte.com/us/en/pages/life-sciences-and-health-care/articles/macra.html?id=us:2sm:3ss:macra:eng:chs:091518:macra
Podcast Summary - Patient Identity and the Role of Today's Modern CIOM2SYS Technology
M2SYS Healthcare Solutions offers this slide show summary of our podcast with Sharon Canner from the College of Healthcare Information Management Executives (CHIME) on topics including: patient identity, CIOs, the advantages and disadvantages of a national patient identifier (NPI), how healthcare IT has succeeded and fallen short to implement electronic health records, the impact of health IT on the economy, and more.
Managing Fraud and Compliance in HealthcareMike Wons
Technology brings additional resources to the fingertips of nurses and homecare professionals at the frontline to support their clinical decision-making and contribute to improved client outcomes. With day to day changing patient needs, there is increasing evidence that technology and applications will transform the industry and facilitate faster and better communications, prevent fraud, and proactively manage compliance requirements.
Presentation I used as a Strategic Account Manager to sell affiliate programs (purchase subsidies) to strategic accounts. RAMP stands for Regional Affiliate Marketing Program.
CMS’ New Interoperability and Patient Access Proposed Rule - Top 5 Payer ImpactsCitiusTech
The recently proposed rule by the CMS introduces new policies to expand access to healthcare information and improve the seamless exchange of data in healthcare. This increased data sharing is a critical component of healthcare transformational efforts, and this eBook highlights the rules’ possible impact on payer systems and steps they need to take to manage this change effectively.
Achieve Internet VP of Operations Marc Hermsmeyer and Dexcom Inc., Senior Marketing Manager Tom Hall speak about technology solutions for the Healthcare Industry using Open Source software, such as Drupal.
The Government is forcing technology innovation within the Healthcare industry yet there are very few solutions out there that are tailored for the specific requirements and needs of the Healthcare market. In past experiences with Dexcom and other Healthcare clients Achieve has leveraged the power of Drupal to create powerful solutions that drive patient outcomes, improve workflows, and remain compliant with rigorous regulatory requirements.
This presentation shines a light on the technology needs of the Healthcare market and how Drupal can meet those needs.
Data-driven decisions for healthcare - Unleash Enterprise Innovation3Capgemini
With HP Converged System for Microsoft APS, Power BI and Sogeti, you can easily get started visualizing, modeling and reporting data insights for the healthcare industry through what we call the Unleash Enterprise Innovation3 solution. Learn how your organization can easily unite your relational inpatient and outpatient data with non-relational data from public sources and social media, allowing you to capture and analyze the data that will effectively impact your decision-making processes.
Harness Your Clinical and Financial Data with an Enterprise Health Informat...Perficient, Inc.
The importance of Enterprise Health Information Exchange (EHIE) as a key way to empower your physicians and patients and demonstrate meaningful use of electronic health records:
- Present the business case for EHIE as an important architecture that matters to progressive health systems
- Take a look at some of the market-leading EHIE architectures and products
- Provide real exam...ples of organizations that are using EHIE to improve their operations
Healthcare Best Practices in Data Warehousing & AnalyticsDale Sanders
This is from a class lecture that I gave in 2005. Rather dated, but 95% of content is still very relevant today, which is a bit unfortunate. That's an indication of how little we've progressed in the healthcare domain.
Dr Graham Willis, Head of Research and Development, presented to the Norwegian Health Workforce Summit, providing attendees with an overview of the CfWI's Horizon 2035 programme and the latest thinking around health workforce planning.
RowdMap’s Risk-Readiness® Benchmarks help health plans, physician groups, and hospital systems identify, quantify, and reduce no-value care that physicians deliver—a central tenet of successful pay-for-value programs.
Providers use RowdMap to manage internal variation, to identify partners for risk arrangements, and to match physicians to risk.
An Ernst and Young EY Entrepreneur Of The Year®, RowdMap helps providers and payers identify, quantify and reduce low-value care in 46 states covering over 91 million patients and members and is a partner of US News and World Reports.
HIPAA & OIG Compliance for Medical Billing Company OwnersKareo
The success of your business relies on timely billing and accurate coding. Whether you’re managing the billing for one provider or 50, it’s a complex job that must meet a variety of regulations, making it easy for medical billing companies to be the target of false claims and fraudulent crimes. As healthcare fraud continues to be a growing issue in the industry, medical billers are increasingly being held liable for their role in the submission of fraudulent claims.
Executive Director of American Medical Billing Association, Cyndee Weston, CMRS, CMCS, CPC, will provide an in-depth analysis of what can be considered fraud when submitting medical claims, how the government is enforcing guidelines, and what you can do to help protect your business as well as your practices.
Leveraging Technology to Empower Patients and Reduce Healthcare CostsPerficient, Inc.
Telehealth, once reserved for the chronically ill, is now being used to drive increased revenue by creating services that scale beyond traditional geographic boundaries.
Perficient and KP OnCall discussed how telehealth is impacting healthcare and how the nation’s leading telehealth provider is leveraging innovative technologies to:
-Reduce patient visits and lower healthcare costs
-Empower patients through self-treatment
-Deliver alternate methods of patient/provider communication
-Manage symptoms and medical conditions for the patients and populations they serve
-Generate data-driven insights
Have Data—Need Analysts. Lessons Learned From The Woodworking IndustryHealth Catalyst
Recent advances in healthcare technology are designed to help organizations achieve the Quadruple Aim. While IT vendors tout better tools as the solution for healthcare woes, all data analysts and architects know this isn’t true. John Wadsworth, senior vice president, Health Catalyst, will share valuable, practical learnings from his 20 plus years of experience as a data analyst in this hands-on session that will explore the rich analytic ecosystem found in health care.
John will share:
Healthcare industry examples that highlight the required synergy of technology (e.g. EHRs, EDWs, ancillary health and reporting systems, etc.)
Data analyst skill proficiencies that help drive sustained clinical, financial, and operational improvements.
John’s unique presentation style leverages simple and fun analogies to galvanize key concepts for technology, clinical, and executive attendees. In this webinar, he will bring lessons learned from the woodworking industry and demonstrate how they apply to healthcare analytics. Come prepared to engage, laugh, and learn. You’ll leave with a deeper understanding of the skills needed to fully leverage your analytic ecosystem.
Break All The Rules: What the Leading Health Systems Do Differently with Anal...Dale Sanders
This was my attempt to capture the intangible differences between leaders and followers in data driven healthcare. It should be noted that the organizations listed are not necessarily Health Catalyst clients. This slide deck is not intended to market or advertise Health Catalyst, but rather highlight leadership in analytics, wherever it exists.
Session at Health Datapalooza on designing and curating a pay for value ready network with Value Proposition: Designing and Curating a Pay-for-Value Ready Network
Joshua Rosenthal, PhD Co-Founder and Chief Scientific Officer at RowdMap, Inc.; Jonathan Blum, Executive Vice President at CareFirst Blue Cross BlueShield and Former Principal Deputy Administrator at Centers for Medicare and Medicaid Services; Ali Khan, Medical Officer at CareMore, an Anthem Company; Steve Ondra, Chief Medical Officer at Health Care Service Corporation (Blue Cross and Blue Shield plans in Illinois, Montana, New Mexico, Oklahoma and Texas) and Senior Policy Advisor for Health Affairs at the Department of Veterans Affairs in Washington, DC.
Predicting the Future of Predictive Analytics in HealthcareDale Sanders
This is the latest version of a slide deck that discusses some of the less technical, but very important issues, related to the effective use of predictive analytics in healthcare.
Importance of URAC Accreditation for Health PlansCitiusTech
Utilization Review accreditation Commission (URAC) is one of the two major organizations which accredit health plans on various healthcare quality measures.It is a Washington DC-based, nonprofit, independent organization founded in 1990, recognized by 46 states, District of Columbia, and 6 federal agencies
There Is A 90% Probability That Your Son Is Pregnant: Predicting the Future ...Health Catalyst
In this webinar, which is geared for managers and executives, Dale Sanders provides a new version of a very popular lecture he presented at this year’s Health Analytics Summit in Salt Lake City. Attendees will gain an understanding of:
What to expect from predictive analytics as it relates to human behavior
A general overview of predictive analytics models, and the contexts in which those various models should and should not be used
The scenarios in which predictive models in healthcare are effective and when they are not, given that 80% of population health outcomes are determined by socio-econonic factors, not healthcare delivery
The relationship between predictive analytic accuracy and topics of data management such as data quality, data volume and patient outcomes data
The use of predictive analytics to identify patients who are on a trajectory for poor, as well as good, outcomes
How current predictive analytics strategies are overlookng the cost of intervention and “Return on Engagement”, ROE— the cost per unit of healthcare improvement for patient populations
The cultural, philosophical, and legal conundrums that predictive analytics will create for healthcare, notably healthcare rationing
The success of predictive analytics will not be defined by the simple risk stratification of patient populations for care management teams. Success will depend on the costs of intervention to reduce the risks that are identified by predictive analytics, which boils down to this two-part question: Now that we can predict a patient’s risk for a bad healthcare outcome, “What’s the probability of influencing this patient’s behavior towards a better outcome?” And, “How much effort and cost will be required for that influence?”
The Deloitte Center for Health Solutions took a pulse on where industry stakeholders are in their progress in preparing for MACRA. We found MACRA is poised to disrupt relationships across health systems, health plans, and life sciences companies. http://www2.deloitte.com/us/en/pages/life-sciences-and-health-care/articles/macra.html?id=us:2sm:3ss:macra:eng:chs:091518:macra
Podcast Summary - Patient Identity and the Role of Today's Modern CIOM2SYS Technology
M2SYS Healthcare Solutions offers this slide show summary of our podcast with Sharon Canner from the College of Healthcare Information Management Executives (CHIME) on topics including: patient identity, CIOs, the advantages and disadvantages of a national patient identifier (NPI), how healthcare IT has succeeded and fallen short to implement electronic health records, the impact of health IT on the economy, and more.
Managing Fraud and Compliance in HealthcareMike Wons
Technology brings additional resources to the fingertips of nurses and homecare professionals at the frontline to support their clinical decision-making and contribute to improved client outcomes. With day to day changing patient needs, there is increasing evidence that technology and applications will transform the industry and facilitate faster and better communications, prevent fraud, and proactively manage compliance requirements.
Presentation from California Homecare Association 2013 Annual event. Technology brings additional resources to the fingertips of nurses and homecare professionals at the frontline to support their clinical decision-making and contribute to improved client outcomes. With day to day changing patient needs, there is increasing evidence that technology and applications will transform the industry and facilitate faster and better communications, prevent fraud, and proactively manage compliance requirements.
How Data Empowers the Member-Centric Enterprise (AHIP Presentation)Mandi Bishop
Presentation at AHIP OpsTech and Consumer Forum, focusing on the 7Vs of data driving the member-centric health plan enterprise: velocity, volume, variability, vulnerability, veracity, volunteered, and viscosity.
A hybrid approach to data management is emerging in healthcare as organizations recognize the value of an enterprise data warehouse in combination with a data lake.
In this SlideShare, we discuss data lakes in healthcare and we:
Provide an overview of a Hadoop-based data lake architecture and integration platform, and its application in machine learning, predictive modeling, and data discovery
Discuss several key use cases driving the adoption of data lakes for both providers and health plans
Discuss available data storage forms and the required tools for a data lake environment
Detail best practices for conducting data lake assessments and review key implementation considerations for healthcare
Health IT Summit in Seattle 2014 - Case Study "Health IT Transformation: Insurance Exchange and Provider Perspective" with Curt Kwak, Chief Information Officer, Proliance Surgeons
What you'll get to learn :
Introduction: Healthcare IT and Liferay
Importance of Healthcare IT
Future of Healthcare
How Smart Healthcare is the game changer?
Challenges - Healthcare IT
How to overcome the challenges?
Liferay for digital transformation
Liferay for Healthcare IT
Why Liferay for healthcare IT solution?
Benefits of having unified omnichannel healthcare experience platform
Liferay case studies for Healthcare IT
How AIMDek can help ?
Q&A Session
Microsoft: A Waking Giant In Healthcare Analytics and Big DataHealth Catalyst
In 2005, Northwestern Memorial Healthcare embarked upon a strategic Enterprise Data Warehousing (EDW) initiative with the Microsoft technology platform as the foundation. Dale Sanders was CIO at Northwestern and led the development of Northwestern’s Microsoft-based EDW. At that time, Microsoft as an EDW platform was not en vogue and there were many who doubted the success of the Northwestern project. While other organizations were spending millions of dollars and years developing EDW’s and analytics on other platforms, Northwestern achieved great and rapid value at a fraction of the cost of the more typical technology platforms. Now, there are more healthcare data warehouses built around Microsoft products than any other vendor. The risky bet on Microsoft in 2005 paid off.
Ten years ago, critics didn’t believe that Microsoft could scale in the second generation of relational data warehouses, but they did. More recently, many of these same pundits have criticized Microsoft for missing the technology wave du jour in cloud offerings, mobile technology, and big data. But, once again, Microsoft has been quietly reengineering its culture and products, and as a result, they now offer the best value and most visionary platform for cloud services, big data, and analytics in healthcare.
In this context, Dale will talk about:
His up and down journey with Microsoft as an Air Force and healthcare CIO, and why he is now more bullish on Microsoft like never before
A quick review of the Healthcare Analytics Adoption Model and Closed Loop Analytics in healthcare, and how Microsoft products relate to both
The rise of highly specialized, cloud-based analytic services and their value to healthcare organizations’ analytics strategies
Microsoft’s transformation from a closed-system, desktop PC company to an open-system consumer and business infrastructure company
The current transition period of enterprise data warehouses between the decline of relational databases and the rise of non-relational databases, and the new Microsoft products, notably Azure and the Analytic Platform System (APS), that bridge the transition of skills and technology while still integrating with core products like Office, Active Directory, and System Center
Microsoft’s strategy with its PowerX product line, and geospatial analysis and machine learning visualization tools
Shaping the Future of Trusted Digital IdentityNoreen Whysel
May 2019 presentation by Noreen Whysel to the CARIN Technology Committee. Discusses the Identity Ecosystem Framework Registry (idefregistry.org) and proposed health data use cases for potential trusted identity API for healthcare.
This is a presentation and pitch deck that introduces my ideas, its technical and business views for the investors and companies.Projects proposed: Job Cafe, AI Lawyer, AI wearable, & AI based food tester
Why should we care about integrating data? What should we be trying to achieve? Population Health. The Softer, Human Side of Being “Data Driven” not “Driven By Data." The New Era of Decision Support in Healthcare. Top 10 Challenges To Integrating External Data.
An overview of clinical healthcare data analytics from the perspective of an interventional cardiology registry. This was initially presented as part of a workshop at the University of Illinois College of Computer Science on April 20, 2017.
Development and implementation of a system to support prediction of suicide risk in the Department of Veterans Affairs - DR. Robert Bossarte and Paul Bradley
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
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Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
Navigating the Health Insurance Market_ Understanding Trends and Options.pdfEnterprise Wired
From navigating policy options to staying informed about industry trends, this comprehensive guide explores everything you need to know about the health insurance market.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
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One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
QA Paediatric dentistry department, Hospital Melaka 2020Azreen Aj
QA study - To improve the 6th monthly recall rate post-comprehensive dental treatment under general anaesthesia in paediatric dentistry department, Hospital Melaka
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
8. Why is Patient Matching Such a Challenge?
• Technical
– Heterogeneous technologies and vendors
– Data exchange latency (e.g. timeouts, lack of consent/authorization)
• Data
– Data quality, completeness, consistency
– Different default values (“John Doe”)
• Policy and legal
– Different legal jurisdictions and requirements (such as for minors)
– Different patient matching rules
– Consent, security, sensitive data sharing
• Process
– Different QA and human and system workflows (latency, variations, definitions, etc.)
– Organizational size, resource allocation, project timelines, commitment, skill levels
– Change management
• The result:
– Match rates ACROSS organizations are frequently unacceptable
– 10% to 30% in several cases