Jim Swoben has over 20 years of experience implementing systems in hospitals, medical groups, and health plans. He has led clinical implementations for multi-hospital systems and EMR applications for physician groups. Most recently, he has consulted on compliance and risk adjustment software selection and implementation for health plans serving Medicare and Medicaid patients.
The Medical Quality Improvement Consortium from
GE Healthcare is a rapidly growing community of over 500
Centricity* Practice Solution (CPS) and Centricity EMR (CEMR)
customers who contribute de-identified patient clinical data to
a centralized data warehouse to enable quality benchmarking,
Meaningful Use reporting, public health reporting, and research
opportunities. Data from over 25,000 providers and approximately 25 million unique patient records are represented in
the data warehouse today.
Kevin Sherman has over 10 years of experience providing senior level business analysis and IT consulting for large health systems. He is skilled at improving system performance and functionality to enhance customer satisfaction. Sherman excels at managing projects, developing staff, and securing organizational objectives. He has a proven track record of increasing operations, revenues, and performance through customized solutions.
Chaka Bell is an analytical and results-driven consultant with over 10 years of experience in claims systems and clinical applications implementations, with a focus on compliance and clinical reporting. She has experience as a project manager, business analyst, and operations manager supporting various health insurance clients. Her expertise includes configuration of claims, membership, provider, and medical management systems, as well as NCQA HEDIS and AHCA Florida Medicaid reporting.
EFutures provides various technology solutions for the medical and healthcare industry, including patient tracking systems, medical reimbursement programs, and online wellness programs. Some key features of their solutions include reducing wait times, managing patient and inventory data, billing and claims processing, and social networking tools for medical professionals. EFutures works with clients like hospitals, clinics, and health organizations to implement these customized digital solutions.
Mary Wallace is a healthcare professional with extensive experience implementing and supporting clinical systems like MEDITECH and Patient Keeper. She has over 20 years of experience directing implementations, software training, and technical support. Her background includes roles implementing pharmacy modules, electronic health records, and helping facilities achieve Meaningful Use certification.
The document describes Cloudpital, an electronic medical record (EMR) software. It provides information on Cloudpital's features such as maintaining patient documentation, managing medication and problem lists, capturing clinical documents, and creating care plans. Cloudpital allows for flexible workflows and customizable templates. It also discusses Cloudpital's global offices, how it works in hospitals, advantages for users, and analytics capabilities. The document promotes Cloudpital as providing the best EMR solution.
This document provides a summary of Venu Madhav.B's professional experience as a Performance Testing professional specializing in LoadRunner. It outlines his 3+ years of experience developing test scripts in LoadRunner, executing performance tests, analyzing results, and preparing reports. It also lists 3 projects he has worked on, providing details of the clients, technologies used, roles and responsibilities which included creating test scripts, enhancing scripts, executing various test types, analyzing results, and coordinating with stakeholders.
Urology Specialty Care (USC) is a 3 physician urology practice that sought to increase collections and control expenses. They implemented Avisena's medical billing software, which improved billing processes and collections. Within 2 years, USC increased collections by over 29% compared to their previous billing service. Avisena's data analytics tools also allowed USC to better analyze billing data and negotiate with payers. USC's net collection rate reached 99% compared to the industry average of 90%, reducing expenses while increasing revenues and collections.
The Medical Quality Improvement Consortium from
GE Healthcare is a rapidly growing community of over 500
Centricity* Practice Solution (CPS) and Centricity EMR (CEMR)
customers who contribute de-identified patient clinical data to
a centralized data warehouse to enable quality benchmarking,
Meaningful Use reporting, public health reporting, and research
opportunities. Data from over 25,000 providers and approximately 25 million unique patient records are represented in
the data warehouse today.
Kevin Sherman has over 10 years of experience providing senior level business analysis and IT consulting for large health systems. He is skilled at improving system performance and functionality to enhance customer satisfaction. Sherman excels at managing projects, developing staff, and securing organizational objectives. He has a proven track record of increasing operations, revenues, and performance through customized solutions.
Chaka Bell is an analytical and results-driven consultant with over 10 years of experience in claims systems and clinical applications implementations, with a focus on compliance and clinical reporting. She has experience as a project manager, business analyst, and operations manager supporting various health insurance clients. Her expertise includes configuration of claims, membership, provider, and medical management systems, as well as NCQA HEDIS and AHCA Florida Medicaid reporting.
EFutures provides various technology solutions for the medical and healthcare industry, including patient tracking systems, medical reimbursement programs, and online wellness programs. Some key features of their solutions include reducing wait times, managing patient and inventory data, billing and claims processing, and social networking tools for medical professionals. EFutures works with clients like hospitals, clinics, and health organizations to implement these customized digital solutions.
Mary Wallace is a healthcare professional with extensive experience implementing and supporting clinical systems like MEDITECH and Patient Keeper. She has over 20 years of experience directing implementations, software training, and technical support. Her background includes roles implementing pharmacy modules, electronic health records, and helping facilities achieve Meaningful Use certification.
The document describes Cloudpital, an electronic medical record (EMR) software. It provides information on Cloudpital's features such as maintaining patient documentation, managing medication and problem lists, capturing clinical documents, and creating care plans. Cloudpital allows for flexible workflows and customizable templates. It also discusses Cloudpital's global offices, how it works in hospitals, advantages for users, and analytics capabilities. The document promotes Cloudpital as providing the best EMR solution.
This document provides a summary of Venu Madhav.B's professional experience as a Performance Testing professional specializing in LoadRunner. It outlines his 3+ years of experience developing test scripts in LoadRunner, executing performance tests, analyzing results, and preparing reports. It also lists 3 projects he has worked on, providing details of the clients, technologies used, roles and responsibilities which included creating test scripts, enhancing scripts, executing various test types, analyzing results, and coordinating with stakeholders.
Urology Specialty Care (USC) is a 3 physician urology practice that sought to increase collections and control expenses. They implemented Avisena's medical billing software, which improved billing processes and collections. Within 2 years, USC increased collections by over 29% compared to their previous billing service. Avisena's data analytics tools also allowed USC to better analyze billing data and negotiate with payers. USC's net collection rate reached 99% compared to the industry average of 90%, reducing expenses while increasing revenues and collections.
Anthony Watkins is an experienced Healthcare Informatics professional seeking a position to utilize his management, technical, research, and training skills. He holds a Bachelor of Science in Health Informatics from Mercer University and an Associate of Science in Biomedical Technology from the University of Alabama at Birmingham. His technical skills include expertise in Cerner Millennium, ITSM/ITIL, databases, HL7, and networking. He has over 25 years of experience in healthcare roles implementing systems, providing training, managing projects, and meeting sales goals. His objective is to make positive contributions through leadership and the use of his diverse skillsets.
Timothy L. Gould has over 20 years of experience in medical imaging and healthcare IT. He currently serves as a Senior Imaging Systems Administrator and Project Manager at Methodist Health Systems, where he manages PACS and HL7 systems for multiple hospitals and imaging centers. Previously, he held similar roles at Radiology Associates of San Antonio and the U.S. Army, where he implemented PACS systems, developed HL7 interfaces, and managed imaging departments. He has extensive experience in DICOM, HL7, database scripting, and project management.
Ellen L. Sanford is seeking an administrative position utilizing over 20 years of experience in various office roles. She has extensive experience with databases, accounting software, budget management, and customer service. Her background includes roles in medical billing, insurance verification, scheduling, and administrative support. She is proficient in Microsoft Office, database programs, and electronic medical record systems like Allscripts and EPIC.
GeneCIS Communicating the Patient JourneyDMF-Systems
GeneCIS is DMF Systems suite of Clinical Information Systems. GeneCIS communicates the patient journey from the referral right through to discharge. The suite consists of eReferrals, eScheduler, MediViewer, Clinical Summaries and eDischarge.
All of the solutions within the GeneCIS suite can be implemented on a modular basis to ensure you get exactly what you require. Each additional module can be bolted on seamlessly as required. This enables organisations to utilise scarce resources to meet pertinent needs and then grow from there as resources become available.
GeneCIS improves patient outcomes, significantly reduces costs and leads to superior use of scarce hospital resources.
All of the modules can be integrated with the hospital PAS to reduce data entry.
Integration services can also be utilised to revive legacy systems.
Amanda Yerkes-Goodwin has over 20 years of experience in various medical fields including as a program/project manager, clinical/pharmacy analyst, and healthcare IT specialist. She has extensive experience implementing and supporting various electronic medical record applications including McKesson, Cerner, and Epic. Most recently, she has worked as an independent consultant providing activations, implementations, and Meaningful Use compliance support requiring weekly travel.
MEDRECON 2011 - Presented to 500 delegates all over India on 11th and 12th Feb 2011. Dr. G. D. Mogli appreciated and his comments are below Innovative session for the students and professional on how to attract the Hospital management towards Medical Records by presenting informations like this on paper.
This document discusses Contineo's services for implementing Caboodle, Epic's clinical data warehouse platform. It outlines their thorough implementation process, including infrastructure analysis, project planning, end user training, and experienced resources. Caboodle aims to improve care coordination by bringing together clinical, financial and operational data to provide analytics for informed decision making and better patient outcomes. The advantages of Caboodle include optimized clinical decision support, predictive analytics, and integration with other visualization tools.
Benita Pennick seeks a position leveraging her 15 years of experience in healthcare IT, revenue cycle management, and process improvement. She has extensive experience implementing and supporting healthcare software, training users, and developing documentation. Currently she is a Process Improvement Analyst where she leads a work from home project saving $500,000 annually and resolved a $2 million billing rejection issue. She holds masters and bachelors degrees in information systems and psychology respectively and is HIT Pro certified.
Decisio Health provides an FDA cleared class II medical device that displays real-time actionable information with the goal of increasing clinical guideline adherence, which has been shown to improve clinical outcomes and reduce hospital costs. It is a clinical decision support tool for use in hospitals.
All You Need To Know About Insurance Prior Authorizations In HealthcareGaryRichards30
Prior authorization is the talk of the healthcare industry since the increase in specializations in healthcare. Any healthcare process has its own pros and cons. Prior authorization is no exception to that. A Health Insurance Company must verify if the patient is eligible for an insurance for a certain drug or procedure. Before the physician prescribes it to the patient, it is a common practice to parallely check for authorization from an insurance company. Watch to know more about insurance prior authorizations!
Kathleen McCloskey has over 30 years of experience in healthcare IT project management, implementation, training, and clinical analysis. She has led large scale implementations of medical management software and electronic health record systems. Some of her roles include project lead, clinical analyst, consultant, and systems analyst. She is proficient in healthcare IT, project management, testing, training, and working with a variety of electronic health record systems.
Ashfield Pharmacovigilance is a global leader in safety and risk management services supporting pharmaceutical, biotech, medical device, consumer health and animal health organizations.
Uniquely focused on pharmacovigilance, we provide outsourced solutions and modified services to augment existing safety departments.
Ashfield Pharmacovigilance has a unique advantage in drug safety and pharmacovigilance due to the high level of expertise across our case managers, project managers, quality and regulatory staff and database administrators. We allow you to focus on your core business, while we partner with you to promote patient safety and product longevity. We achieve this by fostering the open exchange of ideas among organizations throughout the pharmacovigilance community.
By delivering innovative approaches to global case management, aggregate report development, literature search services, signal detection and surveillance, risk management services, safety system implementation, and medical information and call center services, Ashfield Pharmacovigilance is helping to advance the practice of pharmacovigilance on a global scale.
Founded in 2000, we were acquired by UDG Healthcare in 2012 and are proud to be part of its Ashfield division.
Ashfield Pharmacovigilance is headquartered in Research Triangle Park, North Carolina. Learn more about us at www.ashfieldhealthcare.com and follow us on Twitter, @DSA_PV and LinkedIn.
About Ashfield Healthcare
Ashfield Commercial & Medical Services is the sales, marketing and medical arm of UDG Healthcare plc. Established in the UK in 1997, the division is comprised of eight areas of expertise with a history of providing outstanding, client-focused services.
These eight areas of expertise include medical information, pharmacovigilance, healthcare communications, contract sales, market research, leadership training, market access strategy and meeting and event planning. The division consists of more than 5,500 staff in 20 countries.
About UDG Healthcare
Headquartered in Dublin, Ireland, UDG Healthcare plc is a diverse, global healthcare solutions company with interests in healthcare supply chain management, special packaging, sales and marketing and medical services for life science companies.
Find out more http://www.ashfieldhealthcare.com
1) Ashfield Pharmacovigilance provides pharmacovigilance services to ensure clients can focus on other areas of product development by smoothly navigating regulatory requirements.
2) The document outlines many regulatory changes to pharmacovigilance between 2012-2015 from organizations like EMA, FDA, and ICH.
3) Ashfield Pharmacovigilance has experts in compliance and regulatory solutions who monitor regulatory changes and provide services like case management, database hosting, and audit support across various therapeutic areas and product types.
This document discusses IntelliCentrics' role in helping healthcare facilities achieve secure care through compliance monitoring and credential verification. IntelliCentrics monitors over 10,000 facilities and verifies credentials across multiple databases and agencies to ensure only qualified individuals interact with patients. The document emphasizes that secure care requires understanding and participation from all parties, including patients and their families.
Louis Schwartz is an experienced IT leader in healthcare with over 25 years of experience. He currently works as a Senior Solutions Consultant at Philips Healthcare, where he helps clients uncover requirements, assess solutions, and transition projects to implementation. Previously he held IT leadership roles in the US Army, managing health information systems for military medical facilities around the world. He has a Master's degree and certifications in healthcare IT, project management, and process improvement.
We have a unique profile for a CRO providing distinctive and innovative dual expertise by combining clinical research implementation with the development of customized IT applications specific to the pharmaceutical industry.
Block anm hmis_guideline_ppt_bankura d duttadrdduttaM
This document discusses data reporting and quality issues related to health management information systems (HMIS) in India. It notes that some health facilities are not fully reporting all service data, including services provided to non-resident patients. It also finds inconsistencies in reporting of specific indicators like eclampsia cases and inpatient admission numbers. The document highlights missing data elements, discrepancies between reported data and facility registers, and misclassification of home deliveries as facility deliveries. It emphasizes the importance of adhering to data definitions, guidelines for complete reporting, and monitoring data quality at all levels to strengthen HMIS.
Larry Glass has over 15 years of experience as a product manager in healthcare IT, developing requirements and managing the roadmap for a novel oncology clinic management system. He has a background in healthcare administration and laboratory management. His career goals are to continue working as a product manager for healthcare information systems supporting patients, clinicians, and business customers.
This document summarizes an individual's qualifications for a healthcare IT position. They have 20+ years of experience in [1] implementing and supporting clinical and financial systems, [2] analyzing surgical and financial data to improve operations and reduce costs, and [3] training staff on new healthcare technologies. They also have advanced degrees in business administration and health services administration along with membership in several professional healthcare organizations.
Peggy Gedzyk has over 25 years of experience in healthcare operations management. She has a track record of streamlining operations, realizing cost savings, and developing new leaders. Most recently, she led a team that ensured the timely and secure transfer of over 500 million data records between prescription benefit managers. She has also held management roles overseeing medical claims departments and has a background in quality assurance testing.
Christopher Greene is a healthcare IT consultant with over 12 years of experience advising Fortune 500 healthcare companies on projects valued at $200 million. He has expertise in EMR/EHR systems, clinical applications, and healthcare business systems. Greene has worked with over 50 healthcare organizations, including hospitals, insurance companies, and government agencies. He specializes in system integrations, data standards, regulatory compliance, and user training.
Anthony Watkins is an experienced Healthcare Informatics professional seeking a position to utilize his management, technical, research, and training skills. He holds a Bachelor of Science in Health Informatics from Mercer University and an Associate of Science in Biomedical Technology from the University of Alabama at Birmingham. His technical skills include expertise in Cerner Millennium, ITSM/ITIL, databases, HL7, and networking. He has over 25 years of experience in healthcare roles implementing systems, providing training, managing projects, and meeting sales goals. His objective is to make positive contributions through leadership and the use of his diverse skillsets.
Timothy L. Gould has over 20 years of experience in medical imaging and healthcare IT. He currently serves as a Senior Imaging Systems Administrator and Project Manager at Methodist Health Systems, where he manages PACS and HL7 systems for multiple hospitals and imaging centers. Previously, he held similar roles at Radiology Associates of San Antonio and the U.S. Army, where he implemented PACS systems, developed HL7 interfaces, and managed imaging departments. He has extensive experience in DICOM, HL7, database scripting, and project management.
Ellen L. Sanford is seeking an administrative position utilizing over 20 years of experience in various office roles. She has extensive experience with databases, accounting software, budget management, and customer service. Her background includes roles in medical billing, insurance verification, scheduling, and administrative support. She is proficient in Microsoft Office, database programs, and electronic medical record systems like Allscripts and EPIC.
GeneCIS Communicating the Patient JourneyDMF-Systems
GeneCIS is DMF Systems suite of Clinical Information Systems. GeneCIS communicates the patient journey from the referral right through to discharge. The suite consists of eReferrals, eScheduler, MediViewer, Clinical Summaries and eDischarge.
All of the solutions within the GeneCIS suite can be implemented on a modular basis to ensure you get exactly what you require. Each additional module can be bolted on seamlessly as required. This enables organisations to utilise scarce resources to meet pertinent needs and then grow from there as resources become available.
GeneCIS improves patient outcomes, significantly reduces costs and leads to superior use of scarce hospital resources.
All of the modules can be integrated with the hospital PAS to reduce data entry.
Integration services can also be utilised to revive legacy systems.
Amanda Yerkes-Goodwin has over 20 years of experience in various medical fields including as a program/project manager, clinical/pharmacy analyst, and healthcare IT specialist. She has extensive experience implementing and supporting various electronic medical record applications including McKesson, Cerner, and Epic. Most recently, she has worked as an independent consultant providing activations, implementations, and Meaningful Use compliance support requiring weekly travel.
MEDRECON 2011 - Presented to 500 delegates all over India on 11th and 12th Feb 2011. Dr. G. D. Mogli appreciated and his comments are below Innovative session for the students and professional on how to attract the Hospital management towards Medical Records by presenting informations like this on paper.
This document discusses Contineo's services for implementing Caboodle, Epic's clinical data warehouse platform. It outlines their thorough implementation process, including infrastructure analysis, project planning, end user training, and experienced resources. Caboodle aims to improve care coordination by bringing together clinical, financial and operational data to provide analytics for informed decision making and better patient outcomes. The advantages of Caboodle include optimized clinical decision support, predictive analytics, and integration with other visualization tools.
Benita Pennick seeks a position leveraging her 15 years of experience in healthcare IT, revenue cycle management, and process improvement. She has extensive experience implementing and supporting healthcare software, training users, and developing documentation. Currently she is a Process Improvement Analyst where she leads a work from home project saving $500,000 annually and resolved a $2 million billing rejection issue. She holds masters and bachelors degrees in information systems and psychology respectively and is HIT Pro certified.
Decisio Health provides an FDA cleared class II medical device that displays real-time actionable information with the goal of increasing clinical guideline adherence, which has been shown to improve clinical outcomes and reduce hospital costs. It is a clinical decision support tool for use in hospitals.
All You Need To Know About Insurance Prior Authorizations In HealthcareGaryRichards30
Prior authorization is the talk of the healthcare industry since the increase in specializations in healthcare. Any healthcare process has its own pros and cons. Prior authorization is no exception to that. A Health Insurance Company must verify if the patient is eligible for an insurance for a certain drug or procedure. Before the physician prescribes it to the patient, it is a common practice to parallely check for authorization from an insurance company. Watch to know more about insurance prior authorizations!
Kathleen McCloskey has over 30 years of experience in healthcare IT project management, implementation, training, and clinical analysis. She has led large scale implementations of medical management software and electronic health record systems. Some of her roles include project lead, clinical analyst, consultant, and systems analyst. She is proficient in healthcare IT, project management, testing, training, and working with a variety of electronic health record systems.
Ashfield Pharmacovigilance is a global leader in safety and risk management services supporting pharmaceutical, biotech, medical device, consumer health and animal health organizations.
Uniquely focused on pharmacovigilance, we provide outsourced solutions and modified services to augment existing safety departments.
Ashfield Pharmacovigilance has a unique advantage in drug safety and pharmacovigilance due to the high level of expertise across our case managers, project managers, quality and regulatory staff and database administrators. We allow you to focus on your core business, while we partner with you to promote patient safety and product longevity. We achieve this by fostering the open exchange of ideas among organizations throughout the pharmacovigilance community.
By delivering innovative approaches to global case management, aggregate report development, literature search services, signal detection and surveillance, risk management services, safety system implementation, and medical information and call center services, Ashfield Pharmacovigilance is helping to advance the practice of pharmacovigilance on a global scale.
Founded in 2000, we were acquired by UDG Healthcare in 2012 and are proud to be part of its Ashfield division.
Ashfield Pharmacovigilance is headquartered in Research Triangle Park, North Carolina. Learn more about us at www.ashfieldhealthcare.com and follow us on Twitter, @DSA_PV and LinkedIn.
About Ashfield Healthcare
Ashfield Commercial & Medical Services is the sales, marketing and medical arm of UDG Healthcare plc. Established in the UK in 1997, the division is comprised of eight areas of expertise with a history of providing outstanding, client-focused services.
These eight areas of expertise include medical information, pharmacovigilance, healthcare communications, contract sales, market research, leadership training, market access strategy and meeting and event planning. The division consists of more than 5,500 staff in 20 countries.
About UDG Healthcare
Headquartered in Dublin, Ireland, UDG Healthcare plc is a diverse, global healthcare solutions company with interests in healthcare supply chain management, special packaging, sales and marketing and medical services for life science companies.
Find out more http://www.ashfieldhealthcare.com
1) Ashfield Pharmacovigilance provides pharmacovigilance services to ensure clients can focus on other areas of product development by smoothly navigating regulatory requirements.
2) The document outlines many regulatory changes to pharmacovigilance between 2012-2015 from organizations like EMA, FDA, and ICH.
3) Ashfield Pharmacovigilance has experts in compliance and regulatory solutions who monitor regulatory changes and provide services like case management, database hosting, and audit support across various therapeutic areas and product types.
This document discusses IntelliCentrics' role in helping healthcare facilities achieve secure care through compliance monitoring and credential verification. IntelliCentrics monitors over 10,000 facilities and verifies credentials across multiple databases and agencies to ensure only qualified individuals interact with patients. The document emphasizes that secure care requires understanding and participation from all parties, including patients and their families.
Louis Schwartz is an experienced IT leader in healthcare with over 25 years of experience. He currently works as a Senior Solutions Consultant at Philips Healthcare, where he helps clients uncover requirements, assess solutions, and transition projects to implementation. Previously he held IT leadership roles in the US Army, managing health information systems for military medical facilities around the world. He has a Master's degree and certifications in healthcare IT, project management, and process improvement.
We have a unique profile for a CRO providing distinctive and innovative dual expertise by combining clinical research implementation with the development of customized IT applications specific to the pharmaceutical industry.
Block anm hmis_guideline_ppt_bankura d duttadrdduttaM
This document discusses data reporting and quality issues related to health management information systems (HMIS) in India. It notes that some health facilities are not fully reporting all service data, including services provided to non-resident patients. It also finds inconsistencies in reporting of specific indicators like eclampsia cases and inpatient admission numbers. The document highlights missing data elements, discrepancies between reported data and facility registers, and misclassification of home deliveries as facility deliveries. It emphasizes the importance of adhering to data definitions, guidelines for complete reporting, and monitoring data quality at all levels to strengthen HMIS.
Larry Glass has over 15 years of experience as a product manager in healthcare IT, developing requirements and managing the roadmap for a novel oncology clinic management system. He has a background in healthcare administration and laboratory management. His career goals are to continue working as a product manager for healthcare information systems supporting patients, clinicians, and business customers.
This document summarizes an individual's qualifications for a healthcare IT position. They have 20+ years of experience in [1] implementing and supporting clinical and financial systems, [2] analyzing surgical and financial data to improve operations and reduce costs, and [3] training staff on new healthcare technologies. They also have advanced degrees in business administration and health services administration along with membership in several professional healthcare organizations.
Peggy Gedzyk has over 25 years of experience in healthcare operations management. She has a track record of streamlining operations, realizing cost savings, and developing new leaders. Most recently, she led a team that ensured the timely and secure transfer of over 500 million data records between prescription benefit managers. She has also held management roles overseeing medical claims departments and has a background in quality assurance testing.
Christopher Greene is a healthcare IT consultant with over 12 years of experience advising Fortune 500 healthcare companies on projects valued at $200 million. He has expertise in EMR/EHR systems, clinical applications, and healthcare business systems. Greene has worked with over 50 healthcare organizations, including hospitals, insurance companies, and government agencies. He specializes in system integrations, data standards, regulatory compliance, and user training.
MD Revolution offers a digital health services platform called RevUp for chronic care management. RevUp uses algorithms to segment patients by clinical data, goals, and care plans. It then provides personalized coaching through secure messaging from care teams. In clinical trials, RevUp users experienced reductions in body fat, weight, blood pressure, and improvements in cardiorespiratory fitness after 90 days. MD Revolution provides an end-to-end chronic care management solution with tools for patient enrollment, care plan creation, clinically relevant messaging through multiple modalities, and billing automation.
Randal Blanc is a revenue cycle management professional with over 10 years of experience in healthcare billing and collections. He has held various manager roles overseeing revenue integrity, patient financial services, and IT/compliance. His experience includes working with large hospital systems and third-party billing vendors. He aims to enhance hospital revenue through initiatives like reducing late charges, capturing missed charges, and improving billing processes and compliance.
Meditech - Healthcare Information System - Sunil Nair Health Informatics Dalh...Sunil Nair
Meditech is a healthcare IT company that provides an integrated software system for healthcare organizations. Their system handles various functions like patient management, clinical documentation, financial management, and more. It allows for things like computerized physician order entry, management of clinical and financial data, budgeting and cost analysis. The system aims to facilitate information sharing across different departments and providers. It collects data in a centralized data repository for reporting and decision making. Meditech competes with other large healthcare IT vendors and their system is used widely, though full integration across the healthcare system has yet to be achieved.
Pamela Davis has over 20 years of experience in healthcare operations and revenue cycle management. She seeks a manager or leadership role where she can utilize her experience to improve business operations, streamline services, and reduce costs while eliminating unnecessary processes. Her background includes implementing revenue cycle projects, evaluating processes, developing relationships across departments, and testing electronic remittance processes. She most recently served as the Manager of Revenue Cycle Remittance/Collections and Credit Resolution, overseeing operations across three locations.
Sentry Data Systems offers a Revenue Cycle Management (RCM) business intelligence (BI) application called Sentinel RCM that aggregates and analyzes hospital data without requiring additional IT resources. The application includes Claims Guardian which provides financial benchmarking, volume management, charge master coding updates, and billing/denial analysis. Reports include track and trend options with an alert engine. The non-intrusive cloud-based solution is competitively priced with no added fees or costs. Upcoming regulatory changes will greatly impact hospital reimbursements, requiring data analytics to improve outcomes and cost controls. Sentry's application allows hospitals to effectively manage these changes by aggregating diverse data sources to monitor performance, contracts, and financial risks in order to make
An accomplished project manager and health information management professional seeking a role utilizing experience managing HIM system implementations and conversions. Experience includes managing clinical documentation conversions, document archiving conversions, and testing integrations between HIM systems and third party applications. Provides expertise in areas such as project management, HIM operations, coding, health information systems, and team leadership.
When the pandemic happened, this prominent healthcare provider from the Tri-State area couldn’t rely on their painfully slow and inflexible systems to create meaningful customer experiences. They partnered with TVS Next to rapidly modernize their systems and increase their appointment booking capability by 2000%, winning the hearts of the community they served.
Linda Ruiz has over 25 years of experience in healthcare finance and information services, including 9 years of supervisory experience. She has worked as an expert business analyst and clinical informaticist for Allscripts and UCI Medical Center, where she supported electronic medical record systems, developed interfaces, and provided technical support. The document outlines her technical skills and experience in clinical documentation, interface development, database management, and customer service.
Scenario:
Midwest Regional Health is one of Wisconsin's largest and most sophisticated hospitals, is Implementing a new EHR system that will better their services to their internal and external customers. They are asking ITMC (I-Tech Medical Consortium) to help them navigate through this long term project, thereby improving their commitment to their surrounding community.
A leading home healthcare provider implemented MetricStream's governance, risk, and compliance platform to strengthen audit management and regulatory compliance while protecting confidential patient information. The platform centralized audit tracking, improved RAC audit preparation, and automated workflows to ensure compliance with various healthcare regulations. It provided collaboration tools and reporting capabilities to help different teams conduct thorough audits and resolve issues efficiently. With MetricStream's solution, the organization now has stronger compliance controls and security of sensitive data.
Geza Asboth has over 20 years of experience in healthcare IT, including 15 years of project management experience. He has managed complex projects on time and on budget, including clinical, financial, and electronic medical record applications. He is PMP and CPHIMS certified and has expertise in areas such as project management, healthcare applications, systems integration, and policies/procedures.
Workflow Continuity—Moving Beyond Business Continuityin a Mu.docxambersalomon88660
Workflow Continuity—Moving Beyond Business Continuity
in a Multisite 24–7 Healthcare Organization
Brian J. Kolowitz & Gonzalo Romero Lauro &
Charles Barkey & Harry Black & Karen Light &
Christopher Deible
Published online: 6 July 2012
# Society for Imaging Informatics in Medicine 2012
Abstract As hospitals move towards providing in-house
24×7 services, there is an increasing need for information
systems to be available around the clock. This study inves-
tigates one organization’s need for a workflow continuity
solution that provides around the clock availability for in-
formation systems that do not provide highly available
services. The organization investigated is a large multifacil-
ity healthcare organization that consists of 20 hospitals and
more than 30 imaging centers. A case analysis approach was
used to investigate the organization’s efforts. The results
show an overall reduction in downtimes where radiologists
could not continue their normal workflow on the integrated
Picture Archiving and Communications System (PACS)
solution by 94 % from 2008 to 2011. The impact of un-
planned downtimes was reduced by 72 % while the impact
of planned downtimes was reduced by 99.66 % over the
same period. Additionally more than 98 h of radiologist
impact due to a PACS upgrade in 2008 was entirely elimi-
nated in 2011 utilizing the system created by the workflow
continuity approach. Workflow continuity differs from high
availability and business continuity in its design process and
available services. Workflow continuity only ensures that
critical workflows are available when the production system
is unavailable due to scheduled or unscheduled downtimes.
Workflow continuity works in conjunction with business
continuity and highly available system designs. The results
of this investigation revealed that this approach can add
significant value to organizations because impact on users
is minimized if not eliminated entirely.
Keywords Workflow continuity . Business continuity .
PACS planning . PACS integration . PACS downtime
procedures . PACS administration . PACS . PACS service .
Software design . Systems integration . Workflow .
Productivity . Management information systems .
Information system . Image retrieval . Health level 7 (HL7) .
Efficiency
Background
Recently, the US government mandated the use of health
information technology for healthcare providers [1]. The
legislation outlines financial penalties for providers that
choose not to adopt technologies as well as benefits for
those that do adopt the technologies. As the adoption of
health information technology increases, so will the need for
information systems that allow critical organizational work-
flows to continue when those systems are unavailable due to
either scheduled or unscheduled system downtimes.
This paper is a case analysis of one organization’s solu-
tion to a need for a system that provides workflow continu-
ity around the clock. Workflow continuity moves beyond.
Barbara Hanlon has over 20 years of experience in healthcare consulting, focusing on fraud, waste, and abuse prevention. She currently serves as the Central States Fraud, Waste, and Abuse Lead for UnitedHealth Group, overseeing initiatives in 7 states. Previously, she held various roles at UnitedHealth Group, including leading project testing teams and developing business rules to automate and improve claim processing. She also has experience managing multi-office budgets and transitioning systems during acquisitions. Hanlon has a Bachelor's degree in Biochemistry and has held volunteer leadership positions with the American Heart Association and various charity organizations.
This document provides an overview of the HDI RAC Team quality processes and agenda for a meeting. It introduces the leadership team and describes HDI's mission to ensure integrity of Medicare claims. It explains HDI's quality management program and medical advisory boards that oversee review guidelines and processes. The document also summarizes HDI's RAC process, including how new issues are identified and approved by CMS, medical record requests, discussion periods, and appeals. Contact information is provided for the RAC provider portal and telephone support.
Services for Healthcare Industry - ScienceSoftSergei Rabotai
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1. Jim Swoben4100 E. Broadway #5 Long Beach, CA 90803 562-439-5993 jswoben@aol.com
Summary 20 year experience; in systems implementation in hospitals, medical groups and
health plans and integrated delivery systems Provided leadership in clinical implementations for
multi- hospital systems, EMR applications for physician groups and lead revenue cycle
applications which incorporated medical records documentation requirements for care and
management of chronically and acutely ill patients to assure eligibility, prior authorization, case
management and risk adjusted payment by health plans.
Health Insurance Experience
Health Systems Consultant November 2012- current Compliance consultant to Health plans
engaged in Medicare and Medicaid services. Engaged to select risk adjustment software,
contractors and implement oversight and compliance activities. Evaluated physician
documentation in medical record systems made recommendations to improve risk adjusted
revenue cycle performance. Developed strategies for ICD-10 physician training
Requirements Consultant Cornerstone Data Strategies April-2012- October 2012
Lead the requirements phase Claims system replacement project Managed a team user specialist
to and prepared requirements documents for conversion of LA Care Health Plan systems to
Trizetto QNXT, Care Advance, and constituent web services products. Conducted design
reviews with user representatives, prepared requirements for interfaces, test and acceptance
requirements and reviewed implementation sequence alternatives for LA care product lines.
Prepared requirements for Medi-Medi Duals reporting and accounting
Interim Director of Information Technology Gold Coast Health Plan Ventura CA. Nov. 2010-
May 2011.Reporting to the CEO. Managed Systems projects for a startup Medi-Cal health plan
operation. Managed an outsourced team of Xerox implementation staff. Procured and installed
Multiview accounting software, web site content management system, and the CQS medical
management application. Lead implementation of the IKA suite of system and Kwik customer
service application. Managed schedule, budget scope and resources. Procured hardware
Consultant 7/2008- Oct 2010 Independent consultant to health plans and providers
Molina Healthcare Reviewed clinic physician based systems and documented system
specifications for an in-house development and prepared training materials for physician
users.
DaVita Dialysis- Revenue Cycle Consultant Reviewed and implemented processes
improvements to eligibility, authorization, contract management and claims
clearinghouse services. Procured Ingenix EDI series for eligibly processing for the 1500
Dialysis clinics. Enhanced billing features for PPO billing and scheduling of contracted
services to patients. Maintained schedule scope an budget for procurement. Utilized
Agile development methodology
Medical Data Exchange 10/2006- 6/2008 Risk Adjustment Product Manager
Under the direction of the CEO lead the product definition and system specification for a web
based risk adjustment application to enhance medical group and health plan financial
2. performance through the clinical profiling of physician practices and the identification of patients
for intervention by case managers and physicians. Lead and Agile software development in .Net
of a cloud based solution for clients Provided specification for the enhancement of the VChart
electronic medical record product to improve the risk adjusted revenue cycle features. Completed
successful alpha and installation of three client sites and measured financial benefits.
Project managed the implementation of software in client sites and enhancement. Defined
schedule, scope , resources and alternatives for customers. .
Manager of Encounter Data, Healthcare Informatics Scan Health Plan 3/2004- 9/2006
Processed 1 million EDI 837 Claims into the health plan data warehouse . Developed clinical
data base application to improve physician documentation of disease for the Medicare risk
adjustment revenue cycle model. Managed relationship with clearinghouse services for 40
medical groups and 50 hospitals for the collection of claims data. Developed and implemented
physician clinical summary for use by medical groups and physicians to improve clinical
documentation for the Medicare risk adjusted payment system. Project managed the deployment
our Risk Check application which included schedule, budget, scope and documentation
training in 40 client sites. Used an Agile development methodology for software development
and release.
Manager Health Plan Systems, Caremore Insurance Services 7/2002-12/2003
Under the direction of the Chief operating officer and Health plan general manager led a cross
functional team thought the upgrade and re-configuration of systems to become a Medicare
Advantage health plan. Project managed the development of a membership system with and
Agile methodology and to upgrade of the claims payment system with controls for schedule
scope and budget. Provided program management of the suite of health plan applications and
managed medical group revenue cycle applications Upgraded professional billing systems and
scheduling application for office practice locations.
Health Systems Program Manager 9/2001-8/2002 Community Health Partnership of Santa
Clara County Implemented Revenue cycle model with an EDI solution to provide improved
electronic interchange of data between affiliated clinics and the county health system. Reduced
the cost of claims rework with a contract management application which defined contacted
scope of services for health plan contracts. Implemented a web based lab results system for
physician use. Installed practice management billing and scheduling systems
.
Medical Group Consulting Engagements
La Vida Medical Group 10/99-9/2001 Project managed the Installation of the Millbrook
Physician Revenue Cycle systems for the for 5 clinic locations system. Procured and installed
the Ezcap clams payment and 4Medica Web based clinical information system in five clinic
locations. Installed the Millbrook billing and patient scheduling systems.
Automated Case Management Systems 4/1/99- 9/25/99
Implemented a case management system for the Dade County Department of Audit and
Management Services, Miami Florida. Administrator of a 200 user PC based system for 32
3. agencies engaged in medical and social service delivery. Implemented clinic billing, scheduling
and case management systems.
Palomar Pomerado Medical Associates Consulting 6/98-4/99: Implementation of EZCAP
Managed care application Re-implemented enrollment, encounter and claims systems.
Implemented utilization management and case management applications.
James Swoben
San Ysidro Health Centers San Diego CA 9/98-4/99: System selection for a Medical billing
and managed care application. Replaced IDX system with a Unix based web enabled practice
management and managed care application. for the divestiture of the medical practice from the
HMO. Moved system reporting to a Unix based data warehouse
Family Health Network 11/97- 6/98 Start Up Medical services organization brought into
production in 90 days. Implemented a PC based client server managed care system for a 300
Physician Network Software vender: EZ- CAP
East Jefferson Medical Center Metaire, Louisiana December 1997 Developed and
implementation strategy for a senior risk contact. EZ CAP
UCSD Health Plan 5/97- 11/97Responsible for systems specification and implementation of
providers service network for direct contracting with HCFA as a Medicare choices
demonstration site. Prepared requirements documents and managed contract programming of
specifications IDX
Riverside Physician Network 4/96-4/97
Procured and installed systems for a 300 physician MSO under contract with 20 health plans for
commercial, senior and MediCal enrollment for 75,000 members CSC Merged Systems for two
organizations .Managed technical support staff and programmer analysts.
Manager of Professional Billing and Managed care a systems Scripps Health San Diego,
CA. 9/93-2/96 IDX System manager for the 300 physician Scripps Clinic and the 4 IPAs
associated with Scripps Health hospitals Managed interfaces to the hospital billing for ancillary
departments for an integrated delivery system which included 5 hospitals Managed a staff of 20
contactors during conversion and 8 in-house staff of programmers.
Hospital Experience
Project Manager Pioneer Hospital and Mullikin Medical Group Artesia, CA. 6/90-12/92
Reporting to the CIO, installed hospital, managed care and clinical systems for a 400 Physician
hospital based medical group integrated delivery system. IBM Mainframe; Invision and
Signature environment HL-7 interface engine. 40 Clinics 100 bed hospital
Project Manager American Medical International Information Systems Group 10/88-8/89
Implemented information systems for a new 300 bed hospital in Irvine CA. Contracted for
and installed HBO products. Prepared project plans HL7 interface specification and test plans for
4. systems integration testing. Implemented hospital revenue cycle applications: eligibility,
authorization electronic claims and remittance.
Manager of Medical Data Systems Los Angeles County Department Data Processing 4/87-
9/88 Medical Systems Division leader for 5 county hospitals. Selected and contracted for the
installation of all clinical systems for the 1,000 Bed LA County USC Medical Center . Used a
formal competitive bid process .with defined contract specifications, interface requirements and
test plans for acceptance testing to achieve project goals . Conducted formal design reviews as
part of a structured methodology for implementation management.
Revenue Cycle Consultant Superior Consultant Company West Bloomfield MI 9/85-2/87
Consultant to the IBM corporation for its Hospital Patient Accounting product. Provided release
management and QA services for their patient account product. Used formal systems
methodology for specification and regression testing of hospital accounting applications
Systems Engineer Electronic Data Systems Health Services Division Dallas TX 6/83- 9/85
Installed five hospital information systems in the western region. Prepared specifications for
HL7 interfaces. Prepared project and test plans and, developed procedures for application
management and trained staff in revenue cycle applications.
Management Analyst Veterans Administration 1/79-8/82
Provided procurement specifications for a hospital information systems for a replacement
hospital in Albuquerque NM.
Education
Masters Health Care Administration George Washington University 1980
Post Masters Information System University of New Mexico 1984
BA University of California San Diego 1977
Speaker Nation Managed Care Congress 1998 1999
Microsoft office and project proficient