Kaiser Permanente's Innovation Journey, presented by Marilyn Chow and Ted EytanTed Eytan, MD, MS, MPH
The Kaiser Permanente Innovation System is people, spaces, tools, networks, methodologies that an organization has in place to support continuous innovation. It’s in our DNA, which means that any problem we encounter, whether identified by our senior leaders or our frontline staff, is seen as an opportunity to make patient care better, more affordable, more accessible.
With that in mind, we would like to spend the next 30 minutes introducing you to five innovations that are portrayed on the Center’s digital walls, and to people here from Kaiser Permanente who you’ll want to meet and learn more from.
Presentation given at the DC Health Innovation Summit, part of DC Health Innovation Week, 2011 (http://tedeytan.com/tag/dc-health-innovation-week)
InstantPHR is a patient engagement platform that provides data visualization and care management tools for patients and providers. It can integrate with any EMR or clinical data system. The platform offers customizable widgets and tools to support care plans, alerts, messaging, and chronic disease management. It connects to the Microsoft HealthVault system to leverage HealthVault's security, privacy, and connectivity features. The presentation demonstrated InstantPHR and its capabilities.
Independence Blue Cross recently launched an enhanced heart failure program to help high-risk members with heart failure get more coordinated care through remote patient monitoring. The program coordinates appointments, provides home health visits, remotely monitors patients' vital signs, and conducts regular check-in calls. By monitoring patients and addressing barriers to care, the program aims to prevent avoidable hospital readmissions and define a new model of coordinated healthcare. Currently over 800 patients participate, with a goal of 1200 by fall 2015.
This New York Medicaid Nursing Facility Case Mix Seminar discusses the necessary documentation needed to support the assigned Medicaid RUG to ensure accurate reimbursement for care provided. New York OMIG Auditors are focused on auditing "high risk" Medicaid Case Mix MDSs for Nursing Facilities with a change in CMI by more than five percent for 2012.
1. Learn to identify the specific components of NY RUG-III 53 categories.
2. Learn to identify high risk NY RUG-III 53 categories.
3. Learn to identify documentation requirements to support the RUG components.
4. Learn to identify strategies for organization of the Medical Record in preparation for OMIG Audits.
Sharon Levine on integrated care - the role of multispeciality medical practi...The King's Fund
Sharon Levine, Associate Executive Medical Director of the Permanente Medical Group, outlines how the Kaiser Permanente integrated care system operates and describes the role of multispeciality medical practice in promoting integration.
In February 2013, the Office of Inspector General (OIG) released a report entitled Skilled Nursing Facilities Often Fail to Meet Care Planning Requirements, in which they found that 26% of facilities fail to meet care planning requirements. Is your facility meeting federal guidelines for care planning? This presentation discusses the important link between the MDS 3.0, the Care Area Assessments (CAAs) and the care plan. Learn the essential components of a resident-centered care plan, how to develop a care plan that supports the clinical care that is provided to the patient, and how to proactively maintain a care plan that will meet annual survey requirements. The presentation discusses strategies for completing the CAAs more effectively, and how the CAA process can be used to create a more resident-specific care plan. Learn to develop a resident centered known as ( I careplan) through a workshop discussing different elements of the careplan, from profile, interim, and diagnosis.
1. Gain an understanding of the purpose of a Care Plan.
2. Learn to define the purpose of the discharge Care Plan and Summary.
3. Learn to to articulate the link between the MDS 3.0 assessment, the nursing Care Plan, the discharge Care Plan, and accurate RUG-IV classification.
4. Understand the the correlation between the MDS 3.0 assessment, the Care Area Assessments (CAAs), and the Care Plan.
In February 2013, the Office of Inspector General (OIG) released a report entitled Skilled Nursing Facilities Often Fail to Meet Care Planning and Discharge Planning Requirements, in which they found that 26% of facilities fail to meet care planning and discharge planning requirements. Is your facility meeting federal guidelines for care planning?
Download the ABC’s of Care Planning presented by Beckie Dow, RN, RAC-MT for an overview of Care Planning in the Skilled Nursing Facility. Beckie discusses the important link between the MDS 3.0, the Care Area Assessments (CAAs) and the Care Plan.
Learn the essential components of a resident-centered care plan and how to develop a care plan that supports the clinical care that is provided to the patient. Beckie also discusses strategies for completing the CAAs more effectively and using the CAA process to create a more resident-specific care plan.
Learn How To:
1. Define the purpose of a Care Plan.
2. Define the purpose of the Discharge Care Plan and Summary.
3. Identify the correlation between the MDS 3.0 Assessment, the Care Area Assessments (CAAs), accurate RUG-IV Classification, and the Care Plan.
4. List three components of a Resident-centered Care Plan.
Can your Skilled Nursing Facility (SNF) afford to provide care to Medicare patients and not receive accurate and appropriate reimbursement? The resources utilized to respond to additional documentation requests, manage denials and the loss of revenue for care provided can have a devastating impact on your facilities budget. In addition, early identification of potential issues and prompt resolution of actual issues reduces a facilities risk of hefty fines and penalties related to non-compliance.
Skilled Nursing Facilities are required to have a compliance program effective March 2013. Compliance programs strengthen and document a SNFs efforts to prevent and reduce Medicare fraud and abuse and ensure accurate and appropriate reimbursement for quality care provided. Under SNF compliance regulations Medicare has redefined the definition of fraud. When a facility has not taken all the necessary steps to ensure all the technical and clinical qualifications are supported by your medical records to prevent improper billing, fines and penalties may be applied. The critical components of an effective compliance program include monitoring and auditing to ensure Skilled Nursing Facility provider's have a formalized and proactive approach towards detecting fraud, abuse, and waste of precious company resources.
Kaiser Permanente's Innovation Journey, presented by Marilyn Chow and Ted EytanTed Eytan, MD, MS, MPH
The Kaiser Permanente Innovation System is people, spaces, tools, networks, methodologies that an organization has in place to support continuous innovation. It’s in our DNA, which means that any problem we encounter, whether identified by our senior leaders or our frontline staff, is seen as an opportunity to make patient care better, more affordable, more accessible.
With that in mind, we would like to spend the next 30 minutes introducing you to five innovations that are portrayed on the Center’s digital walls, and to people here from Kaiser Permanente who you’ll want to meet and learn more from.
Presentation given at the DC Health Innovation Summit, part of DC Health Innovation Week, 2011 (http://tedeytan.com/tag/dc-health-innovation-week)
InstantPHR is a patient engagement platform that provides data visualization and care management tools for patients and providers. It can integrate with any EMR or clinical data system. The platform offers customizable widgets and tools to support care plans, alerts, messaging, and chronic disease management. It connects to the Microsoft HealthVault system to leverage HealthVault's security, privacy, and connectivity features. The presentation demonstrated InstantPHR and its capabilities.
Independence Blue Cross recently launched an enhanced heart failure program to help high-risk members with heart failure get more coordinated care through remote patient monitoring. The program coordinates appointments, provides home health visits, remotely monitors patients' vital signs, and conducts regular check-in calls. By monitoring patients and addressing barriers to care, the program aims to prevent avoidable hospital readmissions and define a new model of coordinated healthcare. Currently over 800 patients participate, with a goal of 1200 by fall 2015.
This New York Medicaid Nursing Facility Case Mix Seminar discusses the necessary documentation needed to support the assigned Medicaid RUG to ensure accurate reimbursement for care provided. New York OMIG Auditors are focused on auditing "high risk" Medicaid Case Mix MDSs for Nursing Facilities with a change in CMI by more than five percent for 2012.
1. Learn to identify the specific components of NY RUG-III 53 categories.
2. Learn to identify high risk NY RUG-III 53 categories.
3. Learn to identify documentation requirements to support the RUG components.
4. Learn to identify strategies for organization of the Medical Record in preparation for OMIG Audits.
Sharon Levine on integrated care - the role of multispeciality medical practi...The King's Fund
Sharon Levine, Associate Executive Medical Director of the Permanente Medical Group, outlines how the Kaiser Permanente integrated care system operates and describes the role of multispeciality medical practice in promoting integration.
In February 2013, the Office of Inspector General (OIG) released a report entitled Skilled Nursing Facilities Often Fail to Meet Care Planning Requirements, in which they found that 26% of facilities fail to meet care planning requirements. Is your facility meeting federal guidelines for care planning? This presentation discusses the important link between the MDS 3.0, the Care Area Assessments (CAAs) and the care plan. Learn the essential components of a resident-centered care plan, how to develop a care plan that supports the clinical care that is provided to the patient, and how to proactively maintain a care plan that will meet annual survey requirements. The presentation discusses strategies for completing the CAAs more effectively, and how the CAA process can be used to create a more resident-specific care plan. Learn to develop a resident centered known as ( I careplan) through a workshop discussing different elements of the careplan, from profile, interim, and diagnosis.
1. Gain an understanding of the purpose of a Care Plan.
2. Learn to define the purpose of the discharge Care Plan and Summary.
3. Learn to to articulate the link between the MDS 3.0 assessment, the nursing Care Plan, the discharge Care Plan, and accurate RUG-IV classification.
4. Understand the the correlation between the MDS 3.0 assessment, the Care Area Assessments (CAAs), and the Care Plan.
In February 2013, the Office of Inspector General (OIG) released a report entitled Skilled Nursing Facilities Often Fail to Meet Care Planning and Discharge Planning Requirements, in which they found that 26% of facilities fail to meet care planning and discharge planning requirements. Is your facility meeting federal guidelines for care planning?
Download the ABC’s of Care Planning presented by Beckie Dow, RN, RAC-MT for an overview of Care Planning in the Skilled Nursing Facility. Beckie discusses the important link between the MDS 3.0, the Care Area Assessments (CAAs) and the Care Plan.
Learn the essential components of a resident-centered care plan and how to develop a care plan that supports the clinical care that is provided to the patient. Beckie also discusses strategies for completing the CAAs more effectively and using the CAA process to create a more resident-specific care plan.
Learn How To:
1. Define the purpose of a Care Plan.
2. Define the purpose of the Discharge Care Plan and Summary.
3. Identify the correlation between the MDS 3.0 Assessment, the Care Area Assessments (CAAs), accurate RUG-IV Classification, and the Care Plan.
4. List three components of a Resident-centered Care Plan.
Can your Skilled Nursing Facility (SNF) afford to provide care to Medicare patients and not receive accurate and appropriate reimbursement? The resources utilized to respond to additional documentation requests, manage denials and the loss of revenue for care provided can have a devastating impact on your facilities budget. In addition, early identification of potential issues and prompt resolution of actual issues reduces a facilities risk of hefty fines and penalties related to non-compliance.
Skilled Nursing Facilities are required to have a compliance program effective March 2013. Compliance programs strengthen and document a SNFs efforts to prevent and reduce Medicare fraud and abuse and ensure accurate and appropriate reimbursement for quality care provided. Under SNF compliance regulations Medicare has redefined the definition of fraud. When a facility has not taken all the necessary steps to ensure all the technical and clinical qualifications are supported by your medical records to prevent improper billing, fines and penalties may be applied. The critical components of an effective compliance program include monitoring and auditing to ensure Skilled Nursing Facility provider's have a formalized and proactive approach towards detecting fraud, abuse, and waste of precious company resources.
Benjamin Chu: Transforming care in an integrated health systemNuffield Trust
Kaiser Permanente is the largest integrated health care delivery system in the US, serving 8.6 million members. It operates on a capitated payment model that emphasizes preventive care and keeping people healthy. The document discusses how Kaiser Permanente is transforming from a traditional sickness model to a proactive system focused on prevention through team-based and technology-enabled care that is integrated across settings.
An Overview of Kaiser Permanente - Integration and Information Systems in Hea...Empreender Saúde
Apresentação da Kaiser Permanente para o Brazilian Healthcare Trek: Mission Silicon Valley.
What is Kaiser Permanente?
Kaiser Permanente is committed to helping shape the future of health
care. We are recognized as the largest integrated delivery system in the
U.S. and one of the leading health care providers and not-for-profit
health plans.
Our strategy is to excel in providing high-quality, affordable health care
through our integrated delivery system, our investment in technology,
and our vision of supporting Total Health.
Our Mission and Vision
Mission: to provide high-quality, affordable
health care services and to improve the
health of our members and the communities
we serve.
Vision: To be a leader in Total Health by
making lives better.
7 regions serving 8 states and the District of
Columbia
More than 9.3 million members
More than 17,000 physicians and 174,000
employees (including 48,000 nurses)
38 hospitals (co-located with medical
offices)
608 medical offices and other outpatient
facilities
70 years of providing care (opened in 1945)
Provisions set forth in the Affordable Care Act (ACA) require the Centers for Medicare and Medicaid Services (CMS) to broaden quality improvement activities in nursing homes. Although the mandatory implementation date for nursing homes to provide evidence of a systematic Quality Assurance and Performance Improvement (QAPI) program has been delayed, but facilities should not delay in implementing a detailed and well-documented QAPI program. This presentation moves beyond the five elements of a QAPI and begins to drill down to practical concepts for “beefing up” an existing Quality Improvement program to meet QAPI standards. Learn how to objectively assess where your facility is in the QAPI journey, and gain a deeper insight into how practical implementation of QAPI activities can be a part of the culture of excellence that is part of all successful nursing homes.
1. Learn to detail the five elements of QAPI and correlate the five elements to the twelve step action plan for QAPI implementation.
2. Learn to articulate the steps to evaluating their facilities progress in QAPI efforts.
3. Understand Performance Improvement Projects (PIPs).
4. Learn the five steps of Root Cause Analysis (RCA) and learn how to apply the RCA process to adverse events in their facility routinely.
This document summarizes a presentation about healthcare compliance for skilled nursing facilities (SNFs). It discusses the impact of Office of Inspector General (OIG) audits finding high rates of billing errors in SNF Medicare claims. It reviews the Program for Evaluating Payment Patterns Electronic Report (PEPPER), which analyzes SNF claims data to identify outlier facilities. It emphasizes the importance of SNFs developing compliance programs to regularly audit claims and ensure appropriate billing. It also notes increased government scrutiny of healthcare fraud and changes to false claims acts that expand liability for incorrect billing.
NextGen Healthcare provides an electronic health record (EHR) system tailored specifically for correctional healthcare. The EHR allows facilities to integrate medical, dental, and behavioral health records, reducing duplicate testing and improving care coordination. It also helps facilities meet accreditation standards and prepare for changes under the Affordable Care Act. The integrated EHR solution offers templates and features to improve documentation, care quality, and health outcomes for inmates.
Preventing falls in the SNF environment can be a challenge. Learn how to become a fall CSI and inspire your interdisciplinary team to meet the challenge of Falls Reduction. Improve patient care and survey outcomes.
1. Learn to detail the Benefit of Root Cause analysis.
2. Gain an understanding of the Fall Investigation process.
3. Develop a clear understanding of accurate coding in Section M.
4. Learn how to verbalize the benefit of interdisciplinary involvement and follow-up for Fall Events.
Skilled Nursing Facilities have seen a significant increase in Medicare Part A and Part B Therapy denials. The goal of medical review is to determine whether the services are reasonable and necessary, delivered in the appropriate setting, and coded correctly, based on appropriate documentation. The speaker will begin this seminar by discussing recent national trends in Medical Review, reasons for increased review and the various Medical Review programs. The speaker will present specific denial trends associated with Medicare Part B Claims. The presentation will culminate in a review of the keys to responding to a medical record request and appeal tips and strategies.
We live in a world where our decisions are impacted by the results Google displays to us. When we need a second opinion we turn to our favorite Social Media outlet. You might not think that the world being described impacts the Skilled Nursing Facilities you run; but it does. Learn how the Best-In-Class Skilled Nursing Facilities are using Google and Social Media to position themselves for success in the age of digital marketing.
This is the first installment of the hitchhiker's guide to Health Level Seven. When complete this presentation will provide a concise overview of the history, operational framework, and standards of Health Level Seven (HL7). It is intended to be a guide to those seeking to engage in the HL7 standards development effort or to be consumers of HL7 products and services.
The presentation is being written and posted in five iterations. This particular installment introduces HL7 the organization and HL7 the portfolio of health informatics standard.
Concierge Benefit Services provides telemedicine services as an affordable alternative to traditional doctor visits. Their services allow members to consult with licensed physicians via phone or video chat 24/7 for common medical issues. This saves members time and money compared to urgent care or emergency room visits. Telemedicine can address over 70% of common conditions and prescriptions are sent electronically to the member's pharmacy of choice. Concierge Benefit Services' telemedicine aims to make healthcare more convenient and accessible while reducing costs for individuals and employers.
The DBear EMR iPad app aims to improve diabetes management through three features: 1) integrating a toy-based reinforcement of care using a bear with a glucose meter, 2) increasing patient compliance with insulin pumps and monitoring through gamification, and 3) promoting patient education. The app is currently in development and will be brought to market in collaboration with Sproutel to target physicians, practices, diabetic patients, and longterm care facilities.
The New Healthcare Model - Collaboration is KeyIVCi, LLC
Heathcare reform is quickly changing the face of medicine. Join IVCi and Polycom for an informative webinar covering the power of collaboration in the delivery of healthcare.
In this presentation you will learn:
How Accountable Care Organizations (ACO) are redefining care coordination
The role visual collaboration can play in EHR roll-outs
Reduce unnecessary readmissions through better collaboration
What grant funding sources are available to drive these initiatives
HealthBotz Allscripts challenge care plan presentation finaltmarcin
The document describes HealthBotz, a web application that enables providers and patients to collaborate on care plans for patients with chronic diseases like diabetes. It addresses the problems of high healthcare costs and improving outcomes for these patients by increasing engagement in care plan creation and compliance. The application would pull data from electronic medical records and push updates back to provide a collaborative care planning tool integrated with medical records. It outlines the technical architecture and plans for piloting the application with partners.
For more information contact: Slideshare@marcusevans.com
Presentation delivered by Joseph H. Schneider, MD, MBA, FAAP, Vice President and Chief Medical Information Officer and Medical Director, Clinical Informatics, North Texas, Baylor Scott and White Health at the marcus evans National Healthcare CMO/CMIO Summit 2015 at the Ritz-Carlton Buckhead Atlanta.
Open app challenge phase 1 submission team recommindKathleenAller
Decisiv Care Connect is a prototype application that replaces traditional physician searches with one that matches provider characteristics and experience to patient needs and values. It addresses issues like improved patient engagement, care coordination, and participation in shared decision making. The application uses Recommind's technology to analyze unstructured clinical data and integrate it with structured data to identify relevant healthcare providers for patients and their physicians.
This mobile app, available in both English and Spanish, allows doctors and patients to work together on wellness, preventative, or treatment programs for metabolic syndrome. It enables remote monitoring of a patient's progress towards goals like reduced medication use, normal biometrics, and improved emotional well-being. The app aims to improve outcomes through increased engagement between doctors and patients.
1. The solution provides a mobile platform and tablet for patients to track health data like medication adherence and vital signs at home to reduce hospital readmissions.
2. It addresses reducing readmissions and penalties from CMS while improving patient satisfaction scores.
3. The solution is in the code development stage and not yet integrated with the Allscripts API.
Open appchallenge phase1submission-hrsRohan Udeshi
1. The document describes a mobile platform called Health Recovery Solutions that aims to reduce hospital readmissions by engaging patients outside of the hospital.
2. It collects real-time patient data through mobile devices to track things like medication adherence, weight, and diet. This data is accessible to clinicians to monitor patient status.
3. If a patient's risk of readmission increases based on the collected data, caregivers and clinicians can intervene.
The document describes Hippokros, an app that allows patients to search for doctors and hospitals, make appointments with doctors, and create and share medical profiles with doctors. It addresses issues with connecting with patients digitally and securely, making appointments, and sharing medical information easily while maintaining security. The app is currently in the prototype stage and 80% complete, with plans to showcase it to Duke Hospital. It would integrate with Allscripts EHR systems to collect patient data and create a health timeline to help doctors diagnose patients.
mHealth Israel_Ben Echeazu_Highmark Health_ Startups Engaging with US PayersLevi Shapiro
Presentation by Ben Echeaz, Business Development Director, Highmark Health, March 25, 2019, for the mHealth Israel community: Startups Engaging with US Payers. Includes overview of the US Payerand health insurance sector, Relationship to Blue Cross Blue Shield, Challenges in addressing needs and gaps through Big Data technology, How Payers de-risk their reimbursement and coverage decisions with early stage startups, the role of Big Data in informing the movement toward value-based healthcare, Enterprise focus areas across 7 major applications: Diagnostic, Preventative, Precision Medicine, Adverse medication events, Cost reduction, Medical research Population health, etc. Highmark's VITAL has projects in the top 5 areas, these area are not mutually exclusive.
Value Based Care Model
Inadequate Evidence
Solution
Traversing “Valley of Death”
De-risking Reimbursement
Vital Innovation
Conclusion
Focus areas for evidence development
This is an analysis of the communication and marketing strategy, SWOT analysis and general company description for Proteus ad Helius, a digital health patch to monitor your medicine intake online.
Benjamin Chu: Transforming care in an integrated health systemNuffield Trust
Kaiser Permanente is the largest integrated health care delivery system in the US, serving 8.6 million members. It operates on a capitated payment model that emphasizes preventive care and keeping people healthy. The document discusses how Kaiser Permanente is transforming from a traditional sickness model to a proactive system focused on prevention through team-based and technology-enabled care that is integrated across settings.
An Overview of Kaiser Permanente - Integration and Information Systems in Hea...Empreender Saúde
Apresentação da Kaiser Permanente para o Brazilian Healthcare Trek: Mission Silicon Valley.
What is Kaiser Permanente?
Kaiser Permanente is committed to helping shape the future of health
care. We are recognized as the largest integrated delivery system in the
U.S. and one of the leading health care providers and not-for-profit
health plans.
Our strategy is to excel in providing high-quality, affordable health care
through our integrated delivery system, our investment in technology,
and our vision of supporting Total Health.
Our Mission and Vision
Mission: to provide high-quality, affordable
health care services and to improve the
health of our members and the communities
we serve.
Vision: To be a leader in Total Health by
making lives better.
7 regions serving 8 states and the District of
Columbia
More than 9.3 million members
More than 17,000 physicians and 174,000
employees (including 48,000 nurses)
38 hospitals (co-located with medical
offices)
608 medical offices and other outpatient
facilities
70 years of providing care (opened in 1945)
Provisions set forth in the Affordable Care Act (ACA) require the Centers for Medicare and Medicaid Services (CMS) to broaden quality improvement activities in nursing homes. Although the mandatory implementation date for nursing homes to provide evidence of a systematic Quality Assurance and Performance Improvement (QAPI) program has been delayed, but facilities should not delay in implementing a detailed and well-documented QAPI program. This presentation moves beyond the five elements of a QAPI and begins to drill down to practical concepts for “beefing up” an existing Quality Improvement program to meet QAPI standards. Learn how to objectively assess where your facility is in the QAPI journey, and gain a deeper insight into how practical implementation of QAPI activities can be a part of the culture of excellence that is part of all successful nursing homes.
1. Learn to detail the five elements of QAPI and correlate the five elements to the twelve step action plan for QAPI implementation.
2. Learn to articulate the steps to evaluating their facilities progress in QAPI efforts.
3. Understand Performance Improvement Projects (PIPs).
4. Learn the five steps of Root Cause Analysis (RCA) and learn how to apply the RCA process to adverse events in their facility routinely.
This document summarizes a presentation about healthcare compliance for skilled nursing facilities (SNFs). It discusses the impact of Office of Inspector General (OIG) audits finding high rates of billing errors in SNF Medicare claims. It reviews the Program for Evaluating Payment Patterns Electronic Report (PEPPER), which analyzes SNF claims data to identify outlier facilities. It emphasizes the importance of SNFs developing compliance programs to regularly audit claims and ensure appropriate billing. It also notes increased government scrutiny of healthcare fraud and changes to false claims acts that expand liability for incorrect billing.
NextGen Healthcare provides an electronic health record (EHR) system tailored specifically for correctional healthcare. The EHR allows facilities to integrate medical, dental, and behavioral health records, reducing duplicate testing and improving care coordination. It also helps facilities meet accreditation standards and prepare for changes under the Affordable Care Act. The integrated EHR solution offers templates and features to improve documentation, care quality, and health outcomes for inmates.
Preventing falls in the SNF environment can be a challenge. Learn how to become a fall CSI and inspire your interdisciplinary team to meet the challenge of Falls Reduction. Improve patient care and survey outcomes.
1. Learn to detail the Benefit of Root Cause analysis.
2. Gain an understanding of the Fall Investigation process.
3. Develop a clear understanding of accurate coding in Section M.
4. Learn how to verbalize the benefit of interdisciplinary involvement and follow-up for Fall Events.
Skilled Nursing Facilities have seen a significant increase in Medicare Part A and Part B Therapy denials. The goal of medical review is to determine whether the services are reasonable and necessary, delivered in the appropriate setting, and coded correctly, based on appropriate documentation. The speaker will begin this seminar by discussing recent national trends in Medical Review, reasons for increased review and the various Medical Review programs. The speaker will present specific denial trends associated with Medicare Part B Claims. The presentation will culminate in a review of the keys to responding to a medical record request and appeal tips and strategies.
We live in a world where our decisions are impacted by the results Google displays to us. When we need a second opinion we turn to our favorite Social Media outlet. You might not think that the world being described impacts the Skilled Nursing Facilities you run; but it does. Learn how the Best-In-Class Skilled Nursing Facilities are using Google and Social Media to position themselves for success in the age of digital marketing.
This is the first installment of the hitchhiker's guide to Health Level Seven. When complete this presentation will provide a concise overview of the history, operational framework, and standards of Health Level Seven (HL7). It is intended to be a guide to those seeking to engage in the HL7 standards development effort or to be consumers of HL7 products and services.
The presentation is being written and posted in five iterations. This particular installment introduces HL7 the organization and HL7 the portfolio of health informatics standard.
Concierge Benefit Services provides telemedicine services as an affordable alternative to traditional doctor visits. Their services allow members to consult with licensed physicians via phone or video chat 24/7 for common medical issues. This saves members time and money compared to urgent care or emergency room visits. Telemedicine can address over 70% of common conditions and prescriptions are sent electronically to the member's pharmacy of choice. Concierge Benefit Services' telemedicine aims to make healthcare more convenient and accessible while reducing costs for individuals and employers.
The DBear EMR iPad app aims to improve diabetes management through three features: 1) integrating a toy-based reinforcement of care using a bear with a glucose meter, 2) increasing patient compliance with insulin pumps and monitoring through gamification, and 3) promoting patient education. The app is currently in development and will be brought to market in collaboration with Sproutel to target physicians, practices, diabetic patients, and longterm care facilities.
The New Healthcare Model - Collaboration is KeyIVCi, LLC
Heathcare reform is quickly changing the face of medicine. Join IVCi and Polycom for an informative webinar covering the power of collaboration in the delivery of healthcare.
In this presentation you will learn:
How Accountable Care Organizations (ACO) are redefining care coordination
The role visual collaboration can play in EHR roll-outs
Reduce unnecessary readmissions through better collaboration
What grant funding sources are available to drive these initiatives
HealthBotz Allscripts challenge care plan presentation finaltmarcin
The document describes HealthBotz, a web application that enables providers and patients to collaborate on care plans for patients with chronic diseases like diabetes. It addresses the problems of high healthcare costs and improving outcomes for these patients by increasing engagement in care plan creation and compliance. The application would pull data from electronic medical records and push updates back to provide a collaborative care planning tool integrated with medical records. It outlines the technical architecture and plans for piloting the application with partners.
For more information contact: Slideshare@marcusevans.com
Presentation delivered by Joseph H. Schneider, MD, MBA, FAAP, Vice President and Chief Medical Information Officer and Medical Director, Clinical Informatics, North Texas, Baylor Scott and White Health at the marcus evans National Healthcare CMO/CMIO Summit 2015 at the Ritz-Carlton Buckhead Atlanta.
Open app challenge phase 1 submission team recommindKathleenAller
Decisiv Care Connect is a prototype application that replaces traditional physician searches with one that matches provider characteristics and experience to patient needs and values. It addresses issues like improved patient engagement, care coordination, and participation in shared decision making. The application uses Recommind's technology to analyze unstructured clinical data and integrate it with structured data to identify relevant healthcare providers for patients and their physicians.
This mobile app, available in both English and Spanish, allows doctors and patients to work together on wellness, preventative, or treatment programs for metabolic syndrome. It enables remote monitoring of a patient's progress towards goals like reduced medication use, normal biometrics, and improved emotional well-being. The app aims to improve outcomes through increased engagement between doctors and patients.
1. The solution provides a mobile platform and tablet for patients to track health data like medication adherence and vital signs at home to reduce hospital readmissions.
2. It addresses reducing readmissions and penalties from CMS while improving patient satisfaction scores.
3. The solution is in the code development stage and not yet integrated with the Allscripts API.
Open appchallenge phase1submission-hrsRohan Udeshi
1. The document describes a mobile platform called Health Recovery Solutions that aims to reduce hospital readmissions by engaging patients outside of the hospital.
2. It collects real-time patient data through mobile devices to track things like medication adherence, weight, and diet. This data is accessible to clinicians to monitor patient status.
3. If a patient's risk of readmission increases based on the collected data, caregivers and clinicians can intervene.
The document describes Hippokros, an app that allows patients to search for doctors and hospitals, make appointments with doctors, and create and share medical profiles with doctors. It addresses issues with connecting with patients digitally and securely, making appointments, and sharing medical information easily while maintaining security. The app is currently in the prototype stage and 80% complete, with plans to showcase it to Duke Hospital. It would integrate with Allscripts EHR systems to collect patient data and create a health timeline to help doctors diagnose patients.
mHealth Israel_Ben Echeazu_Highmark Health_ Startups Engaging with US PayersLevi Shapiro
Presentation by Ben Echeaz, Business Development Director, Highmark Health, March 25, 2019, for the mHealth Israel community: Startups Engaging with US Payers. Includes overview of the US Payerand health insurance sector, Relationship to Blue Cross Blue Shield, Challenges in addressing needs and gaps through Big Data technology, How Payers de-risk their reimbursement and coverage decisions with early stage startups, the role of Big Data in informing the movement toward value-based healthcare, Enterprise focus areas across 7 major applications: Diagnostic, Preventative, Precision Medicine, Adverse medication events, Cost reduction, Medical research Population health, etc. Highmark's VITAL has projects in the top 5 areas, these area are not mutually exclusive.
Value Based Care Model
Inadequate Evidence
Solution
Traversing “Valley of Death”
De-risking Reimbursement
Vital Innovation
Conclusion
Focus areas for evidence development
This is an analysis of the communication and marketing strategy, SWOT analysis and general company description for Proteus ad Helius, a digital health patch to monitor your medicine intake online.
This document provides an overview of developing a game-changing telehealth strategy. It identifies key steps such as conducting stakeholder interviews, assessing current clinical services, identifying top telehealth opportunities, developing use cases and financial models, and creating an organizational and governance structure. The goal is to develop a comprehensive telehealth business plan that can be presented for executive approval and funding. The document also covers telehealth definitions, popular service types, growth drivers in the market, and considerations for strategic implementation.
The document discusses trends in health and opportunities in the future health system. Key trends include increased self-care and consumer-directed health management, aging populations and chronic diseases, and advancing technologies. This is creating new opportunities around prevention, maintenance, and cures. The future will be more individual-centric, with individuals taking a larger role in their health. New business models and payment structures will focus on outcomes rather than procedures. The summary focuses on the high-level trends and opportunities discussed in the document.
iMPak Health Kraken Allscripts open app challengeiMPak1
The document discusses the Kraken Medication Management Solution created by Allscripts Healthcare Solutions to address the problems of low prescription medication compliance rates in the US. The solution involves a low-cost device and mobile application that tracks patient medication compliance and shares the data with physicians and patients. It aims to improve management of chronic diseases and support value-based care by maximizing the benefits of prescribed medications through enhanced monitoring and compliance. The solution is currently in development and plans are outlined for integrating it with Allscripts solutions, establishing pricing, distribution channels, and selecting the solution.
This document summarizes a senior care coordination service called Dovetail Care. It collects comprehensive health, legal, financial, and personal records from seniors and their circle of care in a secure cloud storage. This allows real-time monitoring of a senior's ability to live independently and travel safely. The service aims to unite family members and professionals to support seniors' goals through accessible communication and care portals.
The Philippine Health Agenda 2016-2022 aims to achieve three guarantees: universal health insurance, a functional service delivery network, and services for all life stages and diseases. It outlines strategies to advance health promotion, cover all Filipinos against financial health risks, harness human resources, invest in health data and technology, increase accountability and transparency, improve responsiveness to patients, and elicit multi-sectoral support for health. The agenda seeks to attain health-related UN Sustainable Development Goals by 2022.
Imagine a healthcare system where people live long, healthy lives, receiving quality, affordable care, with clinicians nationwide collaborating to improve outcomes. That's Accountable Care! Learn the benefits of becoming an ACO in this insightful eBook.
Artisan HealthCare (AH) is a bariatric medicine informatics solution company that resells the #1 Dutch EMR (Vermeer) and PHR (Patient Health & Wellness Record - PHR+) solutions to support bariatric surgeons and their patients. AH provides end-to-end bariatric informatics through the Vermeer EMR, Patient Advocacy Navigation (PAN) to guide patients through the approval process, and PHR+ to allow post-operative tracking of health outcomes. Obesity is a growing problem in the US, and AH aims to help both patients and clinicians through customized informatics solutions
End of Life Planning - Directives by DesignBen Quirk
Learn about Directives by Design, a culturally sensitive tool to guide patients through end of life choices and create a living will as required for hospitals in MU2.
Histololgy of Female Reproductive System.pptxAyeshaZaid1
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
10 Benefits an EPCR Software should Bring to EMS Organizations Traumasoft LLC
The benefits of an ePCR solution should extend to the whole EMS organization, not just certain groups of people or certain departments. It should provide more than just a form for entering and a database for storing information. It should also include a workflow of how information is communicated, used and stored across the entire organization.
The skin is the largest organ and its health plays a vital role among the other sense organs. The skin concerns like acne breakout, psoriasis, or anything similar along the lines, finding a qualified and experienced dermatologist becomes paramount.
DECLARATION OF HELSINKI - History and principlesanaghabharat01
This SlideShare presentation provides a comprehensive overview of the Declaration of Helsinki, a foundational document outlining ethical guidelines for conducting medical research involving human subjects.
Kosmoderma Academy, a leading institution in the field of dermatology and aesthetics, offers comprehensive courses in cosmetology and trichology. Our specialized courses on PRP (Hair), DR+Growth Factor, GFC, and Qr678 are designed to equip practitioners with advanced skills and knowledge to excel in hair restoration and growth treatments.
share - Lions, tigers, AI and health misinformation, oh my!.pptxTina Purnat
• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
These lecture slides, by Dr Sidra Arshad, offer a simplified look into the mechanisms involved in the regulation of respiration:
Learning objectives:
1. Describe the organisation of respiratory center
2. Describe the nervous control of inspiration and respiratory rhythm
3. Describe the functions of the dorsal and respiratory groups of neurons
4. Describe the influences of the Pneumotaxic and Apneustic centers
5. Explain the role of Hering-Breur inflation reflex in regulation of inspiration
6. Explain the role of central chemoreceptors in regulation of respiration
7. Explain the role of peripheral chemoreceptors in regulation of respiration
8. Explain the regulation of respiration during exercise
9. Integrate the respiratory regulatory mechanisms
10. Describe the Cheyne-Stokes breathing
Study Resources:
1. Chapter 42, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 36, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 13, Human Physiology by Lauralee Sherwood, 9th edition
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9. Why this solution should be
selected - 1
• How and Why ROYL was developed: I am a retired cardiothoracic surgeon
and have served as a Chief of Surgery, Assistant Medial School Dean and
Chief of Quality Management for the US Army. During my career I came to
realize that no one was really talking to patients about the meaning of their
situations. I learned about doing this and is was a positive experience for me
and for my patients. When I retired, I wanted to provide a computer
companion for doctors and their patients to help people have ‘The
Conversation.”
• How and Why ROYL has evolved: I developed ROYL as a web app geared
to doctors and end of life care. In this process, I came to understand that
there were many stakeholders involved in addition to doctors- nurses,
lawyers, financial planners and insurance agents, social service workers,
health and retirement specialists and death industry workers. I also realized
that this is about living and about the Rest of Your Life and that end of life
issues are important but need to be addressed earlier on and as part of Rest
of Your Life planning. ROYL is dedicated to the many patients and families
and loved ones I have worked with the past forty years and for their patience
with me.
9
11. Why this solution should be
selected - 3
• ROYL begins with the goal of increasing advanced care planning. This may utilize a
new work force member to be a ROYL Champion in clinical settings. If a patient
chooses to do advanced care planning, they are on the road to fulfilling their goals of
remaining at home and preserving the family financial integrity. The ROYL Champion
will follow up with help for home modifications, for home health monitoring and for
earlier home hospice in appropriate situations.
• ROYL also facilitates patient/family/loved one interactions with doctors, nurses,
lawyers, financial planners and insurance agents, social service workers, health and
aging specialists and death industry workers.
• ROYL helps patients/families/loved ones and health care providers have ‘The
Conversation’
• ROYL also meets some HITECH MU-2 criteria for advanced care planning and helps
care providers meet their goals for HITECH reimbursement
• ROYL also meets some HITECH MU-3 criteria for patient health portals to increase
patient engagement with the EMR/EHR
• ROYL improves the quality of care, increases patient/family/loved ones
satisfaction and reduces the cost of health care.
11