Infographic: How Millennials Are Re-Shaping Healthcare

December 19th, 2014 by Melanie Matthews

When it comes to managing their health, millennials have more access to information, connectivity, and technology than any other generation. Yet, financial pressures mean tradeoffs between healthcare spending and other purchases, leading them outside the traditional system of care in an attempt to live in the moment and save money.

This new infographic by communispace health looks at millennials' perception and use of the healthcare system.

Social Media in Healthcare: Connect, Communicate, Collaborate, 2nd editionThe growth of social networking has been dramatic, and the applications are quickly finding their way into healthcare organizations.

Social Media in Healthcare: Connect, Communicate, Collaborate, 2nd edition describes the major social media applications and reviews their benefits, uses, limitations, risks, and costs. It also provides tips for creating a social media strategy based on your organization’s specific needs and resources. Through real-world examples and up-to-date statistics on social media and healthcare, this book illustrates how social media can improve the efficiency, effectiveness, and marketing of your healthcare organization.

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Top Risk Stratification Tools for Telephonic Case Management

December 18th, 2014 by Patricia Donovan

The case management assessment is the top tool for stratifying candidates for telephonic case management contact, according to market data from HIN’s 2014 survey on Telephonic Case Management.

Sixty-one percent of respondents use a case management assessment to identify high-risk, high-cost individuals who would benefit from telephonic follow-up and care coordination.

Other risk stratification tools reported by survey respondents include the following:

  • Provider referral: 60 percent

  • Claims utilization data: 55 percent

  • Hospital census and discharge reports: 48 percent

  • Predictive modeling: 39 percent

  • Self- or family referrals: 37 percent

In other market data, more than 84 percent of respondents utilize telephonic case managers, with more than half—54 percent—making contact with patients from virtual home offices.

The complex comorbid are the primary targets of telephonic case managers (TCMs), the survey found, but the newly discharged, those in acute stages of chronic illness, frequent utilizers and high-risk, high-cost patients also receive their fair share of telephonic attention from these case managers.

Source: Stratifying High-Risk, High-Cost Patients: Benchmarks, Predictive Algorithms and Data Analytics

http://hin.3dcartstores.com/Stratifying-High-Risk-High-Cost-Patients-Benchmarks-Predictive-Algorithms-and-Data-Analytics_p_4934.html

Stratifying High-Risk, High-Cost Patients: Benchmarks, Predictive Algorithms and Data Analytics presents a range of risk stratification practices to determine candidates for health coaching, case management, home visits, remote monitoring and other initiatives designed to engage individuals with chronic illness, improve health outcomes and reduce healthcare spend.

Each program discussion is supplemented by market data on risk stratification approaches for that care coordination intervention.

Infographic: Healthcare Information Security

December 17th, 2014 by Melanie Matthews

Safeguarding healthcare information is everyone's a shared responsibility across a healthcare organization. With well-publicized and recent cyber attacks affecting all industries, healthcare organizations need to take proactive steps to safeguard information, according to a new infographic by HIMSS and the National Cyber Security Alliance (NCSA).

The NCSA-HIMSS infographic can serve as a guide for healthcare organizations to help keep patient information safe and secure.

HIPAA Training for Employees DVD

HIPAA Training for Employees DVD provides training on the following HIPAA privacy and security compliance, including: privacy rule basics; use and disclosures; patient rights; employee behaviors to safeguard patient information; security rules; safeguards to protect patient information electronically; HITECH; breach identification and notification; enforcement and level of fines.

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11 Statistics About Embedded Case Managers

December 16th, 2014 by Cheryl Miller

CMS readmissions penalties and accountable care organization (ACO) cost savings were among circumstances driving some organizations to embed case managers, according to the Healthcare Intelligence Network’s (HIN) inaugural survey on Embedded Case Management.

The majority of the survey’s 125 respondents (68 percent) have embedded programs in place to meet the expanding demand for case management services across the healthcare continuum, with the intent of improving care and quality outcomes.

Sites for embedding or co-locating of case managers ranged from primary care practices (PCP) to the hospital discharge area.

Following are eight more statistics from the 2014 Embedded Case Management survey:

  • „„9 percent of respondents that don’t have such programs intend to implement them within the next 12 months.
  • The average monthly case load of an embedded case manager is 1 to 49, according to 34 percent of respondents. Slightly less than one third (32 percent) of respondents cite case loads of between 50 and 99 patients a month.
  • „„The majority of respondents (77 percent) prefer that embedded case managers be registered nurses; 55 percent prefer that they have a bachelor’s degree.
  • „„In addition to case management assessments (75 percent), provider referrals were a key factor in stratifying individuals for embedded case management, according to 52 percent of respondents.
  • „„In addition to the PCP and hospital locations, some respondents embed their case managers in skilled nursing facilities (SNF), sub-acute facilities, and oncologists’ practices.
  • Seven percent of survey respondents report program ROI between 2:1 and 3:1, and 3:1 and 4:1.
  • „„Patient satisfaction is among the greatest successes of embedded case management programs.
  • The biggest challenge of embedding case managers is maintaining a care management focus and communication, according to 22 percent of respondents.

Source: 2014 Healthcare Benchmarks: Embedded Case Management

http://hin.3dcartstores.com/2014-Healthcare-Benchmarks-Embedded-Case-Management-_p_4985.html

2014 Healthcare Benchmarks: Embedded Case Management provides actionable data from 125 healthcare organizations leveraging embedded or co-located case management to improve healthcare quality, outcomes and spend — including those who apply a hybrid embedded case management approach. This report also shares highlights from embedded case management initiatives at Caldwell UNC Health Care, where case managers are embedded with primary care and employer sites; and Sentara Medical Group, whose highly successful hybrid approach to co-located case management utilizes case managers during home visits, in the hospital, in the primary care provider office, on the phone or via online virtual sessions.

Infographic: The Value of Price Transparency in Healthcare

December 15th, 2014 by Melanie Matthews

Increased price transparency could save the nation as much as $36 billion per year, according to a new infographic by Truven Health.

The infographic looks at variations in healthcare costs and consumer perceptions on healthcare price and quality comparisons.

Data Sources for Rate-Setting in ACOs, Exchanges and Narrow NetworksGreater cost transparency and consumer engagement are front-and-center in the health insurance revolution that is underway, and the use of data is driving these monumental changes.

Data Sources for Rate-Setting in ACOs, Exchanges and Narrow Networks examines the various ways claims data can be used in the new health insurance marketplace. In addition to helping support the adjudication of out-of-network claims, claims data can provide the building blocks for ACO development, as well as the foundation for pursuing a narrow-network strategy, developing consumer-oriented tools to promote effective plan selection and plan management, and building internal dashboards for strategic decision making.

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Infographic: Weighing in on Obesity

December 12th, 2014 by Melanie Matthews

Three in five adults agree that obesity is a significant problem in the United States, according to a new infographic by TeleVox.

The infographic looks at the growing obesity rates among males in the United States and how to address obesity.

Since its passage, the Patient Protection and Affordable Care Act (ACA) has sent major ripples across the healthcare landscape. ACA has also underscored the value of disease management in population health as a strategy to improve health outcomes and slam the brakes on healthcare spend.

38 Disease Management Metrics: Population Health Benchmarks to Drive Accountable CareTo illustrate the contributions of disease management across the care continuum, the Healthcare Intelligence Network has compiled 38 Disease Management Metrics: Population Health Benchmarks to Drive Accountable Care. Through a series of 38 graphs and charts, this 35-page resource dives deep into several years of market research to document the role and outcomes of disease management in 11 key areas, as well as the high-focus diseases and health conditions.

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Infographic: Variations in Maternity Care Quality Measures

December 10th, 2014 by Melanie Matthews

Hospital performance on four measures of maternity care — low-risk C-section rates, episiotomy rates, rates of exclusive breastfeeding before discharge, and VBAC (vaginal birth after C-section) rates — varied widely by hospital in California, according to an analysis by the California Hospital Assessment and Reporting Taskforce.

This infographic illustrates how two first-time expectant mothers, each with a low-risk pregnancy, can have very different delivery experiences depending on the hospital.

6 Value-Based Physician Reimbursement Models: Action Plans for Alignment, Analytics and ProfitabilityIn today's value-based healthcare sphere, providers must not only shoulder more responsibility for healthcare outcomes, cost and quality but also align with emerging compensation models rewarding these efforts—models that often seem confusing or contradictory. The challenges for payors and partners in creating a common value-based vision are sizing the reimbursement model to the provider organization and engaging physicians' skills, knowledge and behaviors to foster program success.

6 Value-Based Physician Reimbursement Models: Action Plans for Alignment, Analytics and Profitability examines a set of provider compensation models across the collaboration continuum, advising adopters on potential pitfalls and suggesting strategies to survive implementation bumps.

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3 Factors Driving Healthcare’s Transition from Volume to Value

December 9th, 2014 by Patricia Donovan

Long term, the healthcare industry's well-documented transition from a value-based system to one that rewards value will ultimately promote consolidation in the industry, putting some companies out of business while making consumers more accountable for their care, predicted Steven Valentine, president of The Camden Group, during HIN's eleventh annual healthcare trends forecast.

But how rapidly will the market complete this transformation? Valentine shares three factors that will impact the change.

People always say how fast our market will change. There are three factors to consider as the market transitions from volume to value.

The first is the time frame for the transition. Driving the time frame are concerns such as competitors’ activities, payor payment models (capitation, shared savings, case rates). What is going on in payor models that will help move the market? Another driver is managed care penetration. Some parts across the country have little to no managed care penetration. Those will be areas with lower change in terms of that market.

The second factor is the delivery system change. Impacting this is the physician-hospital economic alignment. We look for contiguous geography. A hopscotch strategy doesn’t work very well for transitioning the market. We look at the integration along the continuum, starting with doctors through a minimum, then the ambulatory and acute area. Our belief is that this year, post-acute begins to show up. We see most of the money that can be made in bundled payment really comes from a longer period of time to be at risk: 90 to 120 days. We find it in the post-acute care arena to save the money. Other drivers for change in the delivery system include the use of population health tools (PCMH, ACOs and chronic care centers), as well as clinical integration.

Finally, we look at the payment system—incentives, pay for performance, shared savings—any value-based purchasing programs put in place. You will need to take risks. Organizations that take risks, especially well organized medical groups, will help to drive a market and the transition to value much more quickly.

healthcare trends 2015
Steven T. Valentine, MPA, is president of The Camden Group, a national healthcare management consulting company. With more than 35 years of healthcare consulting experience, he has considerable expertise in the areas of strategic planning, business transactions, mergers, hospital-physician relationships, and financial analysis.

Source: Healthcare Trends & Forecasts in 2015: Performance Expectations for the Healthcare Industry

Infographic: What Medical Innovations Will Transform Healthcare in 2015?

December 8th, 2014 by Melanie Matthews

What medical innovations have the potential to improve patient care in 2015 and beyond?

The following infographic produced by HIT Consultants illustrates the Cleveland Clinic's annual top 10 medical innovations that are likely to have a major impact on improving patient care in 2015.

Healthcare Trends & Forecasts in 2015: Performance Expectations for the Healthcare IndustryFrom collaboration and consolidation to the inevitable acceptance of a value-based system, the state of healthcare continues to stimulate health plans, providers and employers.

Healthcare Trends & Forecasts in 2015: Performance Expectations for the Healthcare Industry, HIN's eleventh annual industry forecast, examines the factors challenging healthcare players and suggests strategies for organizations to distinguish themselves in the steadily evolving marketplace.

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Infographic: Meaningful Use Audits

December 5th, 2014 by Melanie Matthews

Meaningful use audits could recover $33M in EHR incentives, according to data from the HHS published in a recent Health Security Solutions infographic. Although the precise reason for failure is not included in the dataset, there is reason to believe from strong anecdotal evidence that failure to conduct an adequate risk analysis is the most common reason entities fail their MU audits.

The infographic looks at both pre- and post-payment audits and which states have the highest audit failure rates.

Keys to EMR/EHR Success, Second EditionIn this revised second edition, nationally recognized expert Ron Sterling, president, Sterling Solutions, Ltd., has included up-to-date information on this daily-changing topic of Health IT. A new chapter on EHR and malpractice risk has been added, as well as detailed coverage of conversion issues for practices that have an old EMR. Also, new additions on ARRA and meaningful use will help many medical practices evaluate whether an EHR investment makes sense.

Keys to EMR / EHR Success, Second Edition starts with an overview of preparing the practice for technology. From there, Sterling helps the reader define requirements, choose the right system, get physician and staff buy-in, and take the system "live" as smoothly as possible. Sterling translates his experience into a step-by-step process any medical practice can follow with ease, from first considering an EHR, all the way through post-implementation training and updates.

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