This document outlines a framework for outcomes-based contracting in healthcare. It discusses how outcomes-based contracting can align incentives to focus on outcomes rather than activities. A case study examines how a London clinical commissioner transitioned to population-based outcomes contracting over 10 years using data analysis. The framework emphasizes collaborative business engagement, rapid iterative implementation, and change management to achieve desired returns on investment.
What do big data and advanced analytics mean for healthcare? This question was answered during the Georgia Society of CPAs (GSCPA) 2015 Healthcare Conference, February 6, at the Cobb Galleria Centre in Atlanta, GA. PYA Principal Marty Brown and PYA Analytics President & CEO Brian Worley presented “Big Data Applications in Healthcare.”
Congress Gave Hospitals and Providers $100B in the Coronavirus Stimulus Packa...Health Catalyst
The COVID-19 pandemic has caused immense financial strain on healthcare systems across the nation. As a result, Congress passed a $3 trillion stimulus package that includes $100 billion for hospitals and other healthcare providers. While this relief for healthcare organizations is much needed, it can also add confusion. What can organizations use these stimulus funds for? What are the risks and compliance requirements?
Bobbi Brown, Senior Vice President of Professional Services, and Dan Orenstein, General Counsel at Health Catalyst, discuss answers to these questions and more. With over thirty years of experience in healthcare financial planning and analysis, Bobbi shares her unique perspective on the stimulus package and how providers can use these funds in their recovery planning. Dan has over two decades of legal experience in healthcare and discusses the specifics of compliance requirements.
In this webinar, Bobbi and Dan address the following:
-Explain significant sections of the four laws passed, including the CARES Act.
-Review program details of the Provider Relief Fund.
-Explore the use of the funds and compliance with terms and conditions.
-Discuss policy changes to better prepare for healthcare emergencies.
Big Data: Implications of Data Mining for Employed Physician Compliance Manag...PYA, P.C.
PYA Principal Denise Hall, along with King & Spalding’s Michael Paulhus, co-presented “Big Data: Implications of Data Mining for Employed Physician Compliance Management” at the Health Care Compliance Association’s (HCCA) 19th Annual Compliance Institute.
Three Key Strategies for Healthcare Financial TransformationHealth Catalyst
To succeed in today’s rapidly evolving business environment, healthcare organizations must have accurate financial data. Approximately 50 percent of CMS payments are now tied to a value component; hospital operating margins are at an all-time low; and consumer demands are rising with their costs. In order to meet these new challenges, health systems must shift their strategy or risk being left behind. This article details the operational, organizational, and financial strategies that drive financial transformation, as well as examples of how to obtain and utilize financial data, find waste reduction opportunities, and much more.
Why Accurate Financial Data is Critical for Successful Value TransformationHealth Catalyst
Approximately 50 percent of CMS payments are now tied to a value component. The CMS Innovation Center has allocated nearly $5.4 billion to implement 37 value-based payment models, with 55 percent of those funds marked for development and implementation of additional value-based models. The shift towards value and consumerism is pushing providers to adopt a novel financial mindset and strategy. The key component? Accurate financial data.
In this webinar Steve Vance, senior vice president and executive advisor at Health Catalyst, explores why accurate financial data, coupled with specific tools and strategies, is critical for successful transformation.
View this webinar for key insights into thriving in a value-based environment:
- Why it’s time to embrace new payment methodologies.
- What role financial and clinical data play in value- and risk-based contracts.
- Various organizational and operational strategies for successful financial transformation.
- How Health Catalyst solutions support an innovative data-driven financial process.
COVID-19 Capacity Planning Tool Live Demo and Q&AHealth Catalyst
COVID-19 has created unprecedented strain on hospital capacity and resources. For some of you, you’re already over capacity; for the rest, you know capacity challenges are coming. We are in uncharted territory, all trying to do what we can to help.
In our attempt to help healthcare systems weather the storm, we created the Capacity Planning Tool to address capacity needs throughout your healthcare system—for COVID-19 and all your other patients. We started with the Penn Med Epidemic Model and added capacity planning, starting with the scarcest resources—beds and ventilators—and then we’ll focus on the dramatic increase in the need for PPE, other respiratory equipment, and staffing.
We have already made the Capacity Planning Tool available to everyone (the tool can be found here: https://www.healthcatalyst.com/covid1...). In this session, our experts explain the tool and how it’s best leveraged.
In this demo the topics we cover include:
- What the Capacity Planning Tool is
- How the tool will evolve
- How you can use the tool
- How to get additional help if needed
- Live Q&A session with our experts
The Evolving Role of the Compliance Officer in the Age of Accountable CarePYA, P.C.
Much has been written about new competencies physicians must develop in the face of payment and delivery system reform. But providers are not the only ones seeing their roles change. Compliance officers, who serve as organizations’ internal police officers, will have many new challenges. PYA Principal Martie Ross presented a national Health Care Compliance Association (HCCA) webinar entitled “The Evolving Role of the Compliance Officer In the Age of Accountable Care.”
What do big data and advanced analytics mean for healthcare? This question was answered during the Georgia Society of CPAs (GSCPA) 2015 Healthcare Conference, February 6, at the Cobb Galleria Centre in Atlanta, GA. PYA Principal Marty Brown and PYA Analytics President & CEO Brian Worley presented “Big Data Applications in Healthcare.”
Congress Gave Hospitals and Providers $100B in the Coronavirus Stimulus Packa...Health Catalyst
The COVID-19 pandemic has caused immense financial strain on healthcare systems across the nation. As a result, Congress passed a $3 trillion stimulus package that includes $100 billion for hospitals and other healthcare providers. While this relief for healthcare organizations is much needed, it can also add confusion. What can organizations use these stimulus funds for? What are the risks and compliance requirements?
Bobbi Brown, Senior Vice President of Professional Services, and Dan Orenstein, General Counsel at Health Catalyst, discuss answers to these questions and more. With over thirty years of experience in healthcare financial planning and analysis, Bobbi shares her unique perspective on the stimulus package and how providers can use these funds in their recovery planning. Dan has over two decades of legal experience in healthcare and discusses the specifics of compliance requirements.
In this webinar, Bobbi and Dan address the following:
-Explain significant sections of the four laws passed, including the CARES Act.
-Review program details of the Provider Relief Fund.
-Explore the use of the funds and compliance with terms and conditions.
-Discuss policy changes to better prepare for healthcare emergencies.
Big Data: Implications of Data Mining for Employed Physician Compliance Manag...PYA, P.C.
PYA Principal Denise Hall, along with King & Spalding’s Michael Paulhus, co-presented “Big Data: Implications of Data Mining for Employed Physician Compliance Management” at the Health Care Compliance Association’s (HCCA) 19th Annual Compliance Institute.
Three Key Strategies for Healthcare Financial TransformationHealth Catalyst
To succeed in today’s rapidly evolving business environment, healthcare organizations must have accurate financial data. Approximately 50 percent of CMS payments are now tied to a value component; hospital operating margins are at an all-time low; and consumer demands are rising with their costs. In order to meet these new challenges, health systems must shift their strategy or risk being left behind. This article details the operational, organizational, and financial strategies that drive financial transformation, as well as examples of how to obtain and utilize financial data, find waste reduction opportunities, and much more.
Why Accurate Financial Data is Critical for Successful Value TransformationHealth Catalyst
Approximately 50 percent of CMS payments are now tied to a value component. The CMS Innovation Center has allocated nearly $5.4 billion to implement 37 value-based payment models, with 55 percent of those funds marked for development and implementation of additional value-based models. The shift towards value and consumerism is pushing providers to adopt a novel financial mindset and strategy. The key component? Accurate financial data.
In this webinar Steve Vance, senior vice president and executive advisor at Health Catalyst, explores why accurate financial data, coupled with specific tools and strategies, is critical for successful transformation.
View this webinar for key insights into thriving in a value-based environment:
- Why it’s time to embrace new payment methodologies.
- What role financial and clinical data play in value- and risk-based contracts.
- Various organizational and operational strategies for successful financial transformation.
- How Health Catalyst solutions support an innovative data-driven financial process.
COVID-19 Capacity Planning Tool Live Demo and Q&AHealth Catalyst
COVID-19 has created unprecedented strain on hospital capacity and resources. For some of you, you’re already over capacity; for the rest, you know capacity challenges are coming. We are in uncharted territory, all trying to do what we can to help.
In our attempt to help healthcare systems weather the storm, we created the Capacity Planning Tool to address capacity needs throughout your healthcare system—for COVID-19 and all your other patients. We started with the Penn Med Epidemic Model and added capacity planning, starting with the scarcest resources—beds and ventilators—and then we’ll focus on the dramatic increase in the need for PPE, other respiratory equipment, and staffing.
We have already made the Capacity Planning Tool available to everyone (the tool can be found here: https://www.healthcatalyst.com/covid1...). In this session, our experts explain the tool and how it’s best leveraged.
In this demo the topics we cover include:
- What the Capacity Planning Tool is
- How the tool will evolve
- How you can use the tool
- How to get additional help if needed
- Live Q&A session with our experts
The Evolving Role of the Compliance Officer in the Age of Accountable CarePYA, P.C.
Much has been written about new competencies physicians must develop in the face of payment and delivery system reform. But providers are not the only ones seeing their roles change. Compliance officers, who serve as organizations’ internal police officers, will have many new challenges. PYA Principal Martie Ross presented a national Health Care Compliance Association (HCCA) webinar entitled “The Evolving Role of the Compliance Officer In the Age of Accountable Care.”
Beware of Benchmarks: Use of Survey Data in Determining FMVPYA, P.C.
PYA Principal Tynan Olechny and Consulting Manager Zach Doolin recently presented, “Beware of Benchmarks: Use of Survey Data in Determining FMV,” as part of NACVA’s Online Winter Summit.
A 360° view of value-based healthcare: how to position your facility for successSourceMed
The shift from volume to value-based healthcare is underway and many outpatient providers are already participating. How are you preparing for this transition?
This presentation will explore the move to value-based care, and share ways for your facility to adapt what it is doing today to thrive under collaborative service delivery models, including: revenue cycle management, data analytics, patient engagement and system interoperability.
Modern Physician-Hospital Affiliations in an Era of Increased Fraud and Abuse...PYA, P.C.
PYA Senior Manager Chris Beckham co-presented “Modern Physician-Hospital Affiliations in an Era of Increased Fraud and Abuse Scrutiny” with Ross Burris of Polsinelli at the American Health Lawyer Association’s (AHLA) Physicians and Hospitals Law Institute, February 8-10, 2016.
Data Science for Health Facility Planning - By: Matt BrunsdonMatt Brunsdon
This is a talk I gave in 2019 to an economic delegation at Austrade's offices in Sydney. Attendees included Chile’s Minister for the Economy, Jose Ramon Valente. The presentation outlines TAHPI's Data Science and BIM products that can assist with healthcare planning, use of these products to shape health policy can have significant ecenomic benifits for country scale economies.
Commercial Reasonableness in Hospital-Physician TransactionsPYA, P.C.
PYA Principals Lyle Oelrich and Darcy Devine presented “Commercial Reasonableness in Hospital-Physician Transactions” to the Health Care Fraud Working Group in Memphis, TN, April 10, 2013.
Big Data: Implications of Data Mining for Employed Physician Compliance Manag...PYA, P.C.
PYA Principal Denise Hall presented “Big Data: Implications of Data Mining for Employed Physician Compliance Management” at Becker’s Annual CEO & CIO Strategy Roundtables, November 18-19, 2015.
The presentation explored:
Data being aggregated by the government, as well as new approaches by regulators.
Public relations and litigation risk from the public dissemination of data by the government.
Big data connections to payment through quality metrics and the potential for new theories of False Claims Act (FCA) suits.
Internal use of broad spectrum analytics in employed physician compliance management.
Determination of risk tolerance and the customization of “outside the box” analytics.
Benchmarking, monitoring, and defining physician-focused risk area reviews.
COVID-19 Capacity Planning Tool Demo: New Infection Forecasting with Empirica...Health Catalyst
Last month we introduced our public Capacity Planning Tool to support your ongoing COVID-19 response and recovery. We have introduced a major update allowing you to forecast infections based upon actual county level data and dynamic infection spread rates (Empirical Model), as well as better classification of ICU patients.
You can still run multiple scenarios and estimate demand for beds, mechanical ventilators, supplies such as personal protection equipment (PPE), and staff. We hope that you will view this demo as our experts explain how to best use these new features and answer questions from the audience.
The topics covered include:
- A brief review of the Capacity Planning Tool
- How to forecast infections based upon actual county level data and dynamic infection spread rates
- Improved classification of ICU patients
- Where to get additional help if needed
- Q&A session with our experts
Webinar Examines Benchmarking Medical Practice PerformancePYA, P.C.
PYA executives Lori Foley and Tynan Olechny discussed “Benchmarking Medical Practice Performance” during a webinar for Part 7 of Business Valuation Resources’(“BVR”) 2013 Online Symposium on Healthcare Valuation, July 30.
PYA Speaks the New Language of HealthcarePYA, P.C.
PYA Principal David McMillan addressed the 2013 Florida Institute of Certified Public Accountants Health Care Industry Conference and offered a consultant-turned-linguist perspective on “Learning the New Language of Healthcare.”
Closed-Loop EHR Integration Targets Burnout, Improves WorkflowsHealth Catalyst
The widespread adoption of EHRs has significantly altered the workflows of physicians and other healthcare workers. However, while EHRs were developed to better organize patient data and improve care coordination, most require significant and sometimes duplicative documentation, often resulting in workforce burnout.
Health Catalyst’s new Closed-Loop Analytics™ service tackles the EHR workload challenge by helping healthcare providers optimize their use of analytics in existing workflows. Closed-Loop Analytics leverages the knowhow of Health Catalyst clinical workflow experts with work experience at EHR vendors such as Epic, Cerner, and Allscripts. The team works with health systems to deploy analytics solutions directly into the EHR and better leverage analytics to simplify workflows and improve outcomes.
In this webinar, you will learn how Closed-Loop Analytics can help you:
- Determine where end-users are wasting time on duplicative tasks and how to optimize the EHR build to develop efficiencies.
- Develop analytical tools and deploy them into the EHR for increased utilization and improved insights at the point of decision-making.
- See the value of expanded integration capabilities with an analytics tool embedded into the EHR, such as launching to a patient’s chart or initiating an update to a treatment team.
- Understand how interoperability and FHIR are revolutionizing workflow integration and how you can put them to work.
Healthcare ito in healthcare payer - annual report - preview deck - july 2013Everest Group
This report provides an overview of the ITO market for the healthcare payer industry. Analysis includes key trends in market size & growth, demand drivers, adoption & scope trends, emerging themes, key areas of investment, and implications for key stakeholders. The report also provides specific updates on the readiness of the various stakeholders from the perspective of payer reform mandates
The healthcare transformation from fee for service to fee for outcomes just got an adrenaline shot in the arm April 27th when the Department of Health and Human Services surprised many in the market by announcing a Quality Payment Program, a proposed set of new rules to take effect in 2019 based on key provisions of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).
Webinar Deck: The Changing Face of IT Outsourcing in the Healthcare Payer Mar...Everest Group
On June 5, Everest Group will host a one-hour webinar that will answer the following questions: What are the beneath-the-surface changes taking place in the payer IT industry? What are the trends and opportunities arising out of these changes? Why should CIOs start thinking of these transformational changes now? How should service providers assess their services portfolios and sales strategies from this transformational change perspective?
Provides an overview of various ACO models existing in U.S. healthcare, their evolution and performance over last 5-6 years and provide a perspective on each of the model
***Proyecto PAPIIT IN102210***
UNAM. Facultad de Ingeniería.
Integrantes:
JUAN JOSE CARREON
J. ULISES GONZALEZ MEDINA
ANA LAURA GARCÍA ACOSTA
OMAR SIBAJA BAUTISTA
ROBERTO SOSA HIGAREDA
Beware of Benchmarks: Use of Survey Data in Determining FMVPYA, P.C.
PYA Principal Tynan Olechny and Consulting Manager Zach Doolin recently presented, “Beware of Benchmarks: Use of Survey Data in Determining FMV,” as part of NACVA’s Online Winter Summit.
A 360° view of value-based healthcare: how to position your facility for successSourceMed
The shift from volume to value-based healthcare is underway and many outpatient providers are already participating. How are you preparing for this transition?
This presentation will explore the move to value-based care, and share ways for your facility to adapt what it is doing today to thrive under collaborative service delivery models, including: revenue cycle management, data analytics, patient engagement and system interoperability.
Modern Physician-Hospital Affiliations in an Era of Increased Fraud and Abuse...PYA, P.C.
PYA Senior Manager Chris Beckham co-presented “Modern Physician-Hospital Affiliations in an Era of Increased Fraud and Abuse Scrutiny” with Ross Burris of Polsinelli at the American Health Lawyer Association’s (AHLA) Physicians and Hospitals Law Institute, February 8-10, 2016.
Data Science for Health Facility Planning - By: Matt BrunsdonMatt Brunsdon
This is a talk I gave in 2019 to an economic delegation at Austrade's offices in Sydney. Attendees included Chile’s Minister for the Economy, Jose Ramon Valente. The presentation outlines TAHPI's Data Science and BIM products that can assist with healthcare planning, use of these products to shape health policy can have significant ecenomic benifits for country scale economies.
Commercial Reasonableness in Hospital-Physician TransactionsPYA, P.C.
PYA Principals Lyle Oelrich and Darcy Devine presented “Commercial Reasonableness in Hospital-Physician Transactions” to the Health Care Fraud Working Group in Memphis, TN, April 10, 2013.
Big Data: Implications of Data Mining for Employed Physician Compliance Manag...PYA, P.C.
PYA Principal Denise Hall presented “Big Data: Implications of Data Mining for Employed Physician Compliance Management” at Becker’s Annual CEO & CIO Strategy Roundtables, November 18-19, 2015.
The presentation explored:
Data being aggregated by the government, as well as new approaches by regulators.
Public relations and litigation risk from the public dissemination of data by the government.
Big data connections to payment through quality metrics and the potential for new theories of False Claims Act (FCA) suits.
Internal use of broad spectrum analytics in employed physician compliance management.
Determination of risk tolerance and the customization of “outside the box” analytics.
Benchmarking, monitoring, and defining physician-focused risk area reviews.
COVID-19 Capacity Planning Tool Demo: New Infection Forecasting with Empirica...Health Catalyst
Last month we introduced our public Capacity Planning Tool to support your ongoing COVID-19 response and recovery. We have introduced a major update allowing you to forecast infections based upon actual county level data and dynamic infection spread rates (Empirical Model), as well as better classification of ICU patients.
You can still run multiple scenarios and estimate demand for beds, mechanical ventilators, supplies such as personal protection equipment (PPE), and staff. We hope that you will view this demo as our experts explain how to best use these new features and answer questions from the audience.
The topics covered include:
- A brief review of the Capacity Planning Tool
- How to forecast infections based upon actual county level data and dynamic infection spread rates
- Improved classification of ICU patients
- Where to get additional help if needed
- Q&A session with our experts
Webinar Examines Benchmarking Medical Practice PerformancePYA, P.C.
PYA executives Lori Foley and Tynan Olechny discussed “Benchmarking Medical Practice Performance” during a webinar for Part 7 of Business Valuation Resources’(“BVR”) 2013 Online Symposium on Healthcare Valuation, July 30.
PYA Speaks the New Language of HealthcarePYA, P.C.
PYA Principal David McMillan addressed the 2013 Florida Institute of Certified Public Accountants Health Care Industry Conference and offered a consultant-turned-linguist perspective on “Learning the New Language of Healthcare.”
Closed-Loop EHR Integration Targets Burnout, Improves WorkflowsHealth Catalyst
The widespread adoption of EHRs has significantly altered the workflows of physicians and other healthcare workers. However, while EHRs were developed to better organize patient data and improve care coordination, most require significant and sometimes duplicative documentation, often resulting in workforce burnout.
Health Catalyst’s new Closed-Loop Analytics™ service tackles the EHR workload challenge by helping healthcare providers optimize their use of analytics in existing workflows. Closed-Loop Analytics leverages the knowhow of Health Catalyst clinical workflow experts with work experience at EHR vendors such as Epic, Cerner, and Allscripts. The team works with health systems to deploy analytics solutions directly into the EHR and better leverage analytics to simplify workflows and improve outcomes.
In this webinar, you will learn how Closed-Loop Analytics can help you:
- Determine where end-users are wasting time on duplicative tasks and how to optimize the EHR build to develop efficiencies.
- Develop analytical tools and deploy them into the EHR for increased utilization and improved insights at the point of decision-making.
- See the value of expanded integration capabilities with an analytics tool embedded into the EHR, such as launching to a patient’s chart or initiating an update to a treatment team.
- Understand how interoperability and FHIR are revolutionizing workflow integration and how you can put them to work.
Healthcare ito in healthcare payer - annual report - preview deck - july 2013Everest Group
This report provides an overview of the ITO market for the healthcare payer industry. Analysis includes key trends in market size & growth, demand drivers, adoption & scope trends, emerging themes, key areas of investment, and implications for key stakeholders. The report also provides specific updates on the readiness of the various stakeholders from the perspective of payer reform mandates
The healthcare transformation from fee for service to fee for outcomes just got an adrenaline shot in the arm April 27th when the Department of Health and Human Services surprised many in the market by announcing a Quality Payment Program, a proposed set of new rules to take effect in 2019 based on key provisions of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).
Webinar Deck: The Changing Face of IT Outsourcing in the Healthcare Payer Mar...Everest Group
On June 5, Everest Group will host a one-hour webinar that will answer the following questions: What are the beneath-the-surface changes taking place in the payer IT industry? What are the trends and opportunities arising out of these changes? Why should CIOs start thinking of these transformational changes now? How should service providers assess their services portfolios and sales strategies from this transformational change perspective?
Provides an overview of various ACO models existing in U.S. healthcare, their evolution and performance over last 5-6 years and provide a perspective on each of the model
***Proyecto PAPIIT IN102210***
UNAM. Facultad de Ingeniería.
Integrantes:
JUAN JOSE CARREON
J. ULISES GONZALEZ MEDINA
ANA LAURA GARCÍA ACOSTA
OMAR SIBAJA BAUTISTA
ROBERTO SOSA HIGAREDA
Join us to learn how to using the right ingredients can help you create an email in 30 minutes or less. We’ll cover the basics on what you’ll need before you start – images, logo and text. You’ll learn what size images you should blend into the email, how to match your logo, and the best tools to write your text in. Plus we’ll talk about different types of emails, such as welcome email, event, or promotion and what to mix into them for success. This is a webinar is geared toward beginner or intermediate attendees.
Leveraging New Technology Tools To Better Support Families & EducatorsFHI 360
Presented at the State of Virginia's Parent Resource Center Conference:
CONNECT FOR SUCCESS
Promoting Collaborative Connections between Families and Schools
to Improve Student Outcomes
Juan Ramón Rallo: "Algunos errores (graves) en la teoría monetaria de Mises"juandemariana
Ludwig con Mises es uno de los economistas más importantes del s. XX, especialmente para los economistas austriacos. Su primera obra, Teoría del dinero y de los medios fiduciarios (1912), contribuyó a sentar las bases de la teoría monetaria de la Escuela Austriaca. Sin embargo, y pese a la importancia que pudo tener en su momento la obra, Mises no era un economista infalible: su teoría monetaria contenía notables errores que, en la medida en que no quieran ser reconocidos y rectificados, lastran gravemente el desarrollo de la teoría monetaria austriaca.
Juan Ramón Rallo es director del Instituto Juan de Mariana, economista y profesor del Centro de Estudios OMMA. Recientemente ha publicado La pizarra de Juan Ramón Rallo (Deusto, 2016).
With 2000 students, the Zurich University of Teacher Education (Pädagogische Hochschule Zürich / PHZH) is one of the largest teacher education institutes in Switzerland and a leading centre of expertise for initial and in-service teacher education, continuing professional development, research and development, and services. As a member of the Zurich University of Applied Sciences and Arts (ZFH) it cooperates closely with several other higher education institutions in Zurich. http://www.universitieshandbook.com/
POTENCIAL DE LAS NUEVAS TECNOLOGIAS DE INFORMACION (SOCIAL NETWORKING)magdabaladi
ANALIZAR EL POTENCIAL DE LAS NUEVAS TECNOLOGIAS DE INFORMACION (SOCIAL NETWORKING) EN EL MERCADEO Y PROMOCIÓN DE PRODUCTOS Y SERVICIOS EN VENEZUELA. CASO DE ESTUDIO FACEBOOK
Prezentacja, którą wygłosiłem przy okazji wystąpienia na konferencji "outsourcing sposobem na kryzys"dla branży dziecięcej. Impreza była organizowana przez pismo "Branża Dziecięca" we wrześniu 2013 roku.
Kontakt: majewskibartos@gmail.com
Health IT Summit Houston 2014 - Case Study "EHR Optimization for Organizational Value in a Changing Healthcare Environment"
Luis Saldana, MD, MBA, FACEP
CMIO
Texas Health Resources
iHT2 case studies and presentations illustrate challenges, successes and various factors in the outcomes of numerous types of health IT implementations. They are interactive and dynamic sessions providing opportunity for dialogue, debate and exchanging ideas and best practices. This session will be presented by a thought leader in the provider, payer or government space.
In this presentation, Shaheen Gauher talks about two things: (1) How data science and machine learning can be used to manage and control escalating healthcare costs, and (2) How to create a Population Health Management Solution using state of the art Azure Data Lake Analytics and Population Health Report with real time visualization capability using Power BI. The solution presented can be deployed on Azure through a one-click deployment option in https://gallery.cortanaintelligence.com/
Netta Hollings (Programme Manager - Mental Health and Community Care) discusses how you can get the most out of the Maternity Services Data Set (MSDS) and the Child Health Data Sets.
The data sets provide comparative, mother and child-centric data that will be used to improve clinical quality and service efficiency; and to commission services in a way that improves health and reduce inequalities.
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
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.
Presentation by Rich Pollack, VP and Chief Information Officer, VCU Health, at the marcus evans National Healthcare CIO Summit held in Pasadena, CA March 13-14 2017
Industry Perspectives and Future Trends in Population HealthRohan DSouza
Presentation on industry perspectives on the future of population health management. This is a talk I gave at the eClinicalWorks National Users Conference in Nashville, TN (2015). With a lot of buzz surrounding pop health programs, I wanted to provide a roadmap on making the switch and succeeding.
Unlock Insights Enabling Data-driven Decisions with Databricks, Precisely & CMAPrecisely
Learn how to unlock your most valuable asset, information, to make better data driven decisions. Our public sector clients manage a complex portfolio of programs, legacy systems and data sources that are critical to delivering citizen services. CMA will present real life health and human services use cases that increase service delivery, improve health outcomes and manage a multi-billion dollar enterprise.
Increasing availability of location-based data and the growing capabilities of AI/ML provide an optimal opportunity for companies using Databricks to capitalize on location-based data science for a competitive edge. According to a Willis Towers Watson survey, 60% of companies are targeting AI/ML capabilities in 2021to address IT and organizational bottlenecks, such as data infrastructure, to better analyze data when evaluating risk models and reducing manual input.
Yet many companies have work to do in unlocking value from their data. To make sense of the volumes of business data, location provides a consistent and common thread to connect data across an organization. Using location, companies organize and manage data in a way that moves them to contextualized knowledge, automation, and better decision-making at all levels.
Learn how clients are leveraging advanced analytics and enrichment solutions to:
• Simplify the complexity of location data and transform it into valuable insights
• Enrich data with thousands of attributes for better, more accurate analytical models, such as AI and ML technologies
• Enable real-time answers when integrating geospatial data in business processes while leveraging the power of Databricks
• Enhance customer-facing and operational tasks to create more meaningful and timely customer interactions
Health Data Exchange:. Still a Pipe Dream? A Presentation from 2009David Lee Scher, MD
This presentation discussing interoperability was given at the European Society of Cardiology in 2009.This remains an important topic for healthcare worldwide. Addendum: All names shown are fictitious and not real patients.
Extending Your EMR with Business Intelligence SolutionsPerficient, Inc.
The best business intelligence applications start with one part EMR, one part financial applications, and one part operational applications stirred into real insights. These slides show examples from speakers that have successfully extended EMRs into managing costs, transmitting information to disease registries and improving patient care.
Health IT Summit Denver 2014 - "Anatomy of a Health System"
This unique discussion series explores behind-the-scenes looks at the most progressive and high performing health systems in the country. Panelists will discuss critical areas such as go-live strategy, vendor management, patient engagement, IT governance and more. Attendees will walk away with a better understanding of how departments can effectively work together, tangible strategies for delivering high quality care while maintaining an efficient and secure health information system.
Moderator: Cynthia Burghard, Research Director, IDC Health Insights
Marc Lassaux, CTO, Technical Director Beacon Project, Quality Health Network
Justin Aubert, Chief Financial Officer, Quality Health Network
Kevin Fitzgerald, MD, CMO, Rocky Mountain Health
How Northwestern Medicine is Leveraging Epic to Enable Value-Based CarePerficient, Inc.
Value-based care and payment reform are prompting hospitals and healthcare providers to more closely manage population health. Hospitals and health systems rely on technology and data to outline the characteristics of their population and identify high-risk patients in order to manage chronic diseases and deliver enhanced preventative care.
Our webinar covered how Cadence Health, now part of Northwestern Medicine, is leveraging the native capabilities of Epic to manage their population health initiatives and value-based care relationships across the continuum of care.
Our speakers:
-Analyzed how Epic’s Healthy Planet and Cogito platforms can be used to manage value-based care initiatives.
-Examined the three steps for effective population health management: Collect data, analyze data and engage with patients.
-Covered how access to analytics allows physicians at Northwestern Medicine to deliver enhanced preventive care and better manage chronic diseases.
-Discussed Northwestern Medicine’s strategy to integrate data from Epic and other data sources.
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.
Similar to Outcomes-based Contracting Insights from WEDI-Con15 (20)
Struggling with intense fears that disrupt your life? At Renew Life Hypnosis, we offer specialized hypnosis to overcome fear. Phobias are exaggerated fears, often stemming from past traumas or learned behaviors. Hypnotherapy addresses these deep-seated fears by accessing the subconscious mind, helping you change your reactions to phobic triggers. Our expert therapists guide you into a state of deep relaxation, allowing you to transform your responses and reduce anxiety. Experience increased confidence and freedom from phobias with our personalized approach. Ready to live a fear-free life? Visit us at Renew Life Hypnosis..
We understand the unique challenges pickleball players face and are committed to helping you stay healthy and active. In this presentation, we’ll explore the three most common pickleball injuries and provide strategies for prevention and treatment.
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cell
R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
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
2. Today’s Presentation
Topics:
1. Understand Concept of Outcomes-based Contracting
2. Data Discussion and Opportunity
3. Case Study
4. Delivery Framework
Key Learnings:
1. Outcomes-based Contracting
2. Importance of Data Framework / Informatics
3. Appreciation of Collaboration and Time to Implement
4. Outcomes-based Contracting
What is Outcomes Based Contracting?
KEY CHARACTERISTICS:
• A focus on business outcomes
rather than activities and tasks
• The use of measurable
performance standards that are
tied to the required outcomes.
• Structure, Process
Outcomes
• A pricing model that comprises
or includes rewards and risks
Traditional
Model
Outcomes-
based Model
Source: http://outcomesbasedhealthcare.com/Contracting_for_Outcomes.pdf
Source: Donabedian, A. (2005). Evaluating the quality of medical care. The Millbank Quarterly, 83, 4, 691-729.
5. What Opportunity Does Outcomes-
based Contracting Address?
Healthcare costs are growing faster than the available budgets. This is not
sustainable in the future.
Value($)
Time
Healthcare Costs
Healthcare Budget
Budgetary
Gap
6. Aligning Data Across Complex Health
Ecosystems
Developing and implementing Outcomes-based Contracting program
requires strong data and technology coordination across stakeholders.
7. Information Management Evolving
Industry standards and efforts are aligning to make Outcomes-based
Contracting ‘practical’.
Digital Maturity
Patient
Experience and
outcomes
National
Standards
Powerful
Analytical
Solutions
Quality of
Reporting
Technology
Integration
Behavioral
Insights
Cost reduction
8. Components of a Outcomes-based
Contracting Model
• Business Intelligence (data and information)
• Performance Against Outcomes Metrics
• Payment and Reimbursement Modeling
• System Readiness for Change
• Governance
Establishing an Outcomes-based reimbursement contract requires a
systematic approach to planning and realization.
Quality
-Outcomes
-Safety
-Experience
Payment
-Cost for all
health care
delivery
Value÷
Source: HFMA 2011 – Value in Healthcare: Current State and Future Directions
10. Growth of Health Care Quality
Measures
The health quality measures inventory is growing.
U.S. Health Department of
Health and Human Services
Measures Inventory
National Quality Measures Clearing House
Source: AHRQ
11. Measuring Quality
Regulatory-driven
Measures/Reporting
Industry Standards
NCQA-
HEDIS
Meaningful Use
AMA-
PCPI
Stars
QRS
CQM
PQMP-CHIPRA
IHI-Whole System
Measures
OQR
IPR
PQRS
HIQRP
Structured and Unstructured Data
Structured Data
(Claims, Electronic Medical Record,
Financial/Actuary, Utilization,
Biometrics Lab, Pharma, etc.)
Unstructured
(Social Media, Health Monitoring,
Research, Mobile Apps, Patient Voice,
etc.)
Data Attributes
(Syntax, Format, Definition, Situation,
Relationship, Metadata Taxonomy)
Data Attributes
(Distributed Network, Hashtag,
Emoticon, Wiki-Collective, Social,
Patient Health Records)
PROM
URAC
PQA Performance
Data Capture, Aggregation, Analysis
Business Informatics
Outcomes-basedContracting
Opportunities
MACRA/MIPS
12. Basic Data Framework
Developing a Value-based Outcomes arrangement requires data aggregation and
analysis across multiple data types and measures.
Identify the treatments and
the patients that drive costs
Quantitative Data Qualitative Data
Activity-Level Data
Medical/Encounter
Prescribing Patterns
Supplies/Equipment
Financial Data
Year of Care
Cost per Occurrence
Other financial variables e.g.
- Rebates
- Excess Risk Indicators
- Risk adj. payments
Clinical Quality
Readmission
LOS
Medical Adherence
Safety
Never Events/Exclusions
Medical Adherence
Patient Experience
Simplification
Lower out of pocket
Quality of Life
Satisfaction
One-time set-up cost
Data Monitoring
Technology
Population Identification:
• Conditions
• Risk scores/stratification
• Personal data (age, gender,
ethnicity, etc.)
• Bio-physical data
• Socio-economic indicators
Construct the
Episodic/Treatment Groupers
13. Beyond Traditional Data
Standards
Healthcare has been traditionally focused on interoperable, fixed data layouts and
definitions. We have a unique opportunity to develop informatics that use
metadata, distributed networks research, and social/wiki conventions (#hashtags,
emoticons)
Data
Collection
Archiving
Sharing
Networking
Analysis
Linked Data
Patient Stories
Emoticons
Hashtags
Conversational
Context
15. Case example: London-based Clinical
Commissioner
A 10 year journey to population level Outcomes-based Payment
• A membership organization of 44 Group Practices (GPs) across a
London borough commissions health services for a population of
around 310,600
• 2015-16 healthcare budget allocation of $575MM
• Key Demographic Variables
– Urban deprivation is higher than the average
– Population profile is younger than the UK average
– Population is highly ethnically diverse
– Life expectancy is below that of London and England, for both males
and females
• The combination of increasing demand for healthcare and cost
inflation in excess of income growth results in a real terms financial
challenge - in a “no change” scenario, it is estimated that this is a
“gap” of about $20MM million in 2014/15 and $15MM million in
2015/16.
• Add to this the reduction in social care budget from $130MM in
2013/14 by $10 MM in 2014/15 and a further $11MM in 2015/16
16. The journey
Moving from current reimbursement (bundled payments) to population-
based outcome contracting.
Source: Need to Nurture: Outcomes-based commissioning in the NHS, Health Foundation, 2015
17. •Identify data
sources
•Finance and
activity data for
current delivery
model
Initial target group
baseline data
analysis and
assessment
•Full baseline
data set
•Define and cost
the activity in
the new care
delivery model
Full population
baseline data
analysis
•Full baseline for
full population
•Model system
impacts
•Model upfront
investments
Model new care
delivery model
costs and volumes
•Design outcome
metrics
•Model potential
benefits for risk
and gainsharing
Alternative
payment and
reimbursement
mechanisms
Outcomes-based Model
Approach
The data and information Optimity Advisors is using to support the
roadmap development.
18. The 10 year roadmap
Using data and information to shape the journey
Identify sources
Assure comparability and data quality
Identify gaps
Determine information system
interoperability
Develop new data requirements to
support outcomes measurement
Design an integrated information
system architecture
Run new systems on contract
performance monitoring
Decision support dashboards for
contract performance monitoring
Baseline
•Population
•Finance
•Activity
•Quality and performance
Years 1-3
•Risk stratification
•Cost* versus price
•Activity shift incentivised
•Outcome contracts for 2-3
population cohorts
Years 4-10
•Population health system
analytics (commissioner)
•Decision support tools
•Performance monitoring
•Risk and gain share based on
outcomes (commissioners and
providers)
*Patient level and actual cost not
bundled payments
19. Enabling Outcomes-based
Contracting
Short term intensive baseline and setup support and long-term
performance management support
Baseline for
outcomes
contracting
Setting up the
integrated
system for real
time decisions
Performance
reporting
20. Example Technology Target
State
The target technology architecture comprises of 4 key outputs:
CACI Database
Livedash
Waiting times
Standard Reports
Performance vs Planned
1 2
WS ETL - UP
Data
Mart
FrontEnd
Business Schema
MS SQL Server
Livedash
MS SQL Server
KPI
Customer
Centric
Financial
Enterprise Data Warehouse
LaaS
Big Data Analytic Environment
Integration&DataWarehouse
File Storage
ETL
Livedash
One repository where data is collected
ETL - IN
Clinical data
dB and excel
Community
Rio
Non Clinical
dB
iCare
dB
LocalEnvironment
Data
Sources
Unstructured
data
Emails etc.
ANALYTICS
Combined analytics
Predictions
1 2
LocalLocal
Distributed Processing
Cluster
NoSQL
Data Store
MODELLING
Population modelling
1 2 big
Service Data
Performance
RTTs
Daily sit reps
Commissioners’ reports
Service Line Reports
22. Outcomes-based Contracting
Delivery Framework
Our approach to transformation and out performance emphasizes
collaborative business engagement, rapid and iterative implementation,
focused communication and change management to result in desired ROI
Discovery - Critical Success Factors:
Participation and accountability cross strategy,
operations and implementation teams
Business engagement and shared accountability for
business case, scope prioritization/sequencing and
budget
Upfront agreement on success measurements
Implementation - Critical Success Factors:
Deep and shared understanding of the strategic goals and business
rationale and sustained business sponsorship and engagement
Holistic portfolio/program/product and change management approach
Effective benefit realization measurement and reporting
Strategy
Definition
Time-Boxed Discovery
INFORM
Project initiation
Strategy review and intent
Opportunities analysis and research
Current State & Operational Pain Points
Gap and priority analysis
Business Case & Success Criteria
Future State Vision, Scope & Roadmap
Budget & Organization Plan
Roles identification to support ongoing
innovation
Discovery
Iterative Initiative Implementation
Business process, role and technology architecture design
Proof of concept
Rapid Interactive Elaboration, Design & Prototyping
Output/Product Prioritisation & Ownership
Data Architecture, Mining, Design, Development and
Visualization
Change Management and Training Planning and Execution
Program/Project, Vendor and Communication Management
throughout
Business
Process
Data &
Architecture
Design
Roll Out
&
Change
Manage
ment
Management & Oversight
Iterative Elaboration, Build and Test
Cycles
ROI /
Benefits
Realizatio
n
Measurement
and
continuous
improvement
OUTPERFORM
23. What You Need to Know
• Delivery on Results is One Component of a Successful Shared
Collaboration in Outcomes-based Contracting
• The Dawn of Using Unstructured Data is Here
• Importance of Business Informatics (vs. data warehouse)
• Define Denominator (Quality) Clearly – Identify Performance
Measures
• Start Now – Leverage Quality Measures, Episodic Groupings,
Pharma as Critical Components and Understand Iterating and Time
to Mature
• Leverage Global Health Intellectual Property/Processes/Knowledge
Sharing
24. Thanks for Participating
Questions?Ken Barrette
Partner
Washington, DC | Brussels | London | Los Angeles | New York | Zurich
1600 K Street NW, Suite 200, Washington DC 20006
d: 202.341.2651 t:202.540.9222
e: ken.barrette@optimityadvisors.com www.optimityadvisors.com
twitter.com/optimity
www.linkedin/company/optimity-advisors