Archive for 2015

Infographic: What Makes a Successful mHealth App?

December 30th, 2015 by Melanie Matthews

With over 10,000 medical apps available today, only 28 percent of smartphone users have reported to be very satisfied with the overall mHealth app quality and experience, according to a new infographic by Vigyanix.

The infographic details the components of a successful mHealth app and the pitfalls to avoid.

Despite reimbursement challenges, the healthcare industry is charged up about remote patient monitoring to manage chronic illness: two-thirds of respondents to HIN's 2015 Telehealth and Telemedicine survey monitor high-risk patients in this fashion. Encouraged by early success in coaching 23 patients to wellness at home via remote monitoring, CHRISTUS Health expanded its remote patient monitoring (RPM) enrollment to 170 high-risk, high-cost patients. At that scaling-up juncture, the challenge for CHRISTUS shifted to balancing its mission of keeping patients healthy and in their homes with maintaining revenue streams sufficient to keep its doors open in a largely fee-for-service environment.

Remote Patient Monitoring for Chronic Condition Management: Leveraging Technology in a Value-Based System chronicles the evolution of the CHRISTUS RPM pilot, which is framed around a Bluetooth®-enabled monitoring kit sent home with patients at hospital discharge.

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Infographic: Medication Management

December 28th, 2015 by Melanie Matthews

Serious medication errors occur in 3.8 million inpatient admissions each year, according to a new infographic by Sentri7.

The infographic reviews how medication errors and adverse drug events affect patients and hospitals.

A clinical pharmacist-driven medication management effort at Novant Health identifies patients at high-risk for readmissions or ED visits related to adverse drug events. Using a combination of medication reconciliation, pharmacotherapy review, and patient education, Novant Health's clinical pharmacists are working to reduce preventable readmissions by optimizing medication regimens and removing barriers to adherence among these high-risk patients.

During Medication Management: Using Clinical Pharmacists To Complete Comprehensive Drug Therapy Management Post Discharge in High-Risk Patients, a 45-minute webinar on February 3rd at 1:30 p.m. Eastern, Rebecca Bean, director, population health pharmacy, Novant Health, will share her organization’s medication management approach and why a clinical pharmacist is key to the program's success.

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2015 Healthcare Headlines: Top Stories Trace Route to Value-Based Reimbursement and Care

December 28th, 2015 by Patricia Donovan

Month by month, the industry's top stories confirmed that value-based innovations and collaborations are here to stay.

A look back at the year's top healthcare stories captures the industry's commitment to enhance the quality and efficiency of care delivered while reining in cost. Nearly all of HIN's most-read stories fell into one of two categories: announcements of new value-based models or pilots, or results from existing quality-focused initiatives.

Here are the stories that captured the attention of healthcare executives in 2015:

HHS Announces Timetable, Goals for Medicare Value-Based Reimbursement
Medicare kicks off 2015 with the rollout of an ambitious multi-year agenda for a shift to value-based reimbursement and alternative payment models.

Cigna Collaborative Care Reduced Avoidable ER Visits by 16 Percent
The February release of Cigna’s second-year results from a collaborative care initiative with Granite Healthcare Network documented significant progress in improved health and affordability.

2015 Hospital Market Will Hasten Transition to Value-Based Payment Business Model
The early 2015 economic outlook for the hospital industry continued to favor the largest, most geographically diverse health systems in the market, according to this January 2015 forecast from BDC Advisors.

Medicare Discharge Planning Proposed Rule: More Focus on Patient Preferences, Follow-Up Care and Communication
CMS proposed in October a revision of discharge planning requirements that hospitals, including long-term care hospitals and inpatient rehabilitation facilities, critical access hospitals, and home health agencies, must meet in order to participate in the Medicare and Medicaid programs.

Senate's Repeal of Medicare Sustainable Growth Rate Strengthens Move Toward Value-Based Physician Reimbursement
April 2015 saw the U.S. Senate's landmark repeal of the Medicare Physician Payment Reform Bill, otherwise known as the Sustainable Growth Rate (SGR), a mechanism used to calculate Medicare payments to physicians.

One-Fifth to Launch 'Next Generation ACO' in 2015
Twenty percent of healthcare organizations plan to participate in CMS’s new ‘Next Generation ACO' model in the coming year, according to 2015 Accountable Care Organization metrics compiled in May.

8 Wellmark Medicare ACOs Saved $17 Million in 2014, Boosted Quality by 8%
September saw the release of Wellmark Blue Cross and Blue Shield’s 2014 Accountable Care Organization (ACO) Shared Savings model data, in which eight participating ACOs improved their overall quality scores by 8 percent and saved more than $17 million during 2014.

CMS Launches New ACO Dialysis Model
CMS announced in October its Comprehensive ESRD Care (CEC) Model, designed specifically for beneficiaries with ESRD and built on lessons learned from other models and programs with ACOs, including the Pioneer ACO Model and the Medicare Shared Savings Program.

Final Rule for Joint Replacement Bundled Payments Favors Composite Quality Score
In November, CMS finalized its Comprehensive Care for Joint Replacement (CJR) model, set to begin on April 1, 2016, which will hold hospitals accountable for the quality of care they deliver to Medicare fee-for-service beneficiaries for hip and knee replacements and/or other major leg procedures from surgery through recovery.

Geisinger Pilots Patient Experience 'Warranty' for Select Surgeries
The Pennsylvania health system generated headlines in November with the launch of its innovative ProvenExperience™ warranty, a program that keeps the patient experience front and center by offering refunds to patients undergoing select surgical procedures whose expectations weren't met based on kindness and compassion.

To stay abreast of the latest healthcare headlines in 2016, subscribe free to HIN's Healthcare Business Weekly Update.

Infographic: Trends Impacting the Healthcare Workforce

December 25th, 2015 by Melanie Matthews

Aging demographics, population health, accountable care initiatives, and the rapid growth of retail healthcare clinics are all affecting talent management practices in the healthcare industry, according to a new study by HealthcareSource and the American Society for Healthcare Human Resources Administration (ASHHRA).

A new infographic by the two organizations breakdowns key data points from the study.

From cost pressures, consumerism and consolidation to a proliferation of patient-centered, value-based delivery and payment models, the state of healthcare continues to challenge organizations in the industry.

Healthcare Trends & Forecasts in 2016: Performance Expectations for the Healthcare Industry, HIN's 12th annual business forecast, pins down the trends destined to impact the industry in the year to come and proposes tactics C-suite executives can employ to distinguish their operations in a dynamic marketplace.

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Infographic: Volume to Value Companies Disrupting Healthcare Delivery

December 23rd, 2015 by Melanie Matthews

As the healthcare sector goes through a massive shift to value-based care, digital health is enabling many companies to innovate and deliver solutions to fundamentally change the way individuals receive primary, preventive and personalized care. From mHealth applications to personal diagnostics products, health startup solutions are changing the way care is delivered.

A new infographic by Vigyanix explores some of the companies that are contributing to the future of healthcare.

CMS's ambitious agenda for moving Medicare into alternative payment models is driving the U.S. healthcare system toward greater value-based purchasing at a furious rate.

Private payors also have pledged to continue to shift payments away from fee for service and into alternative payment models such as accountable care organizations (ACOs).

Fortunately, many healthcare organizations are already exploring value-based payments—often a single innovation at a time—testing models that reward providers for meeting Triple Aim goals of improving patient experience and population health while reducing healthcare's per capita cost.

11 Profitable Value-Based Reimbursement Models: Lessons from Early Adopters encapsulates nearly a dozen such approaches, from Bon Secours' building of a business case for its multidisciplinary care team to the John C. Lincoln ACO's deep dive into data analytics to identify and manage the care of high-risk, high-cost 'VIP' patients to 'beat the benchmark' to WellPoint's engagement of specialists in care coordination.

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What’s the Future of Accountable Care Organizations?

December 22nd, 2015 by Patricia Donovan

CMS launched its Pioneer ACO program in 2012, designing the initiative for early adopters of coordinated care who tend to be more experienced, have an established care coordination infrastructure, and assume greater performance-based financial risk. Following the departure of several healthcare organizations in 2015 from the Medicare Pioneer ACO program, the Healthcare Intelligence Network asked some industry thought leaders what these actions signal for the remaining Pioneer ACOs, other ACO programs and accountable care organizations in general.

(Laura Jacobs, executive vice president, Healthcare Camden Group) The flaws in the ACO model are becoming apparent as organizations are moving into the second and third years of their profiles, of their contracts. That’s the big challenge for the ACO model in general. The big wins in many cases for the ACOs were in markets where the costs were very high to begin with, and organizations were able to achieve their savings relatively easily. Some organizations weren’t even sure what they did to generate savings. But once you get into the second and third years, it becomes harder and harder to continue to achieve the performance thresholds.

That says that the ACO model in its current form must continue to evolve. We must think about how to get the data, how to deal with patient attribution, and how to manage in an environment where the savings will become increasingly difficult to achieve the further along you get. I see the ACO model as a model that will probably evolve to something else. One of the ideas in the Next Generation ACO is to try and continue to tweak that model. I think we’ll continue to see that on both the Medicare side and the commercial side; to see how this ACO structure continually needs to be modified.

(Paul H. Keckley, Ph.D., managing director, Navigant Center for Healthcare Research and Policy Analysis) CMS is doubling down on ACOs. Look at how CMS has pitted ACOs as part of its future. The ACO has the organizing framework, especially around strong primary care provider organizations. Then, sitting beside it are bundled payments, which become the organizing principle for specialists in hospitals on the inpatient side. It’s a pretty interesting Yin-Yang. All the indications from the hill are that this is the future; this is the track that’s been set for these alternative payments.

I think Laura is right. They’ll keep tweaking the program. They’ve doubled down on it, they’ve added three new programs to the first ones. The ACO is here to stay.

Source: Healthcare Trends & Forecasts in 2016: Performance Expectations for the Healthcare Industry

http://hin.3dcartstores.com/Framework-for-Patient-Engagement-6-Stages-to-Success-in-a-Value-Based-Health-System_p_5102.html

Healthcare Trends & Forecasts in 2016: Performance Expectations for the Healthcare Industry, HIN's 12th annual business forecast, pins down the trends destined to impact the industry in the year to come and proposes tactics C-suite executives can employ to distinguish their operations in a dynamic marketplace.

Infographic: 10 Healthcare Analytics Trends for 2016

December 21st, 2015 by Melanie Matthews

A focal point for healthcare organizations in 2016 will be healthcare data analytics and the ability to transform large amounts of data into meaningful information that can be utilized to improve patient care and operational performance, according to a new infographic by Perficient, Inc.

The infographic takes a deep dive into the top 10 healthcare data analytics trends for 2016.

Collaborative Health Systems (CHS), the largest sponsor of Medicare Shared Savings ACOs in the United States, manages 24 ACOs, nine of which generated savings of nearly $27 million in 2014.

While data analytics and integration is one of the greatest challenges for most accountable care organizations, the capture, analysis and reporting of data is the key to ACO success in improving quality, reducing costs and generating savings.

During Data Analytics in Accountable Care: Strategies and Case Studies, a 45-minute webinar on January 27th at 1:30 p.m. Eastern, Elena Tkachev, director of ACO analytics, Collaborative Health Systems, will share her organization's experience in using data analytics effectively to improve ACO results.

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Infographic: Reducing Readmissions Through Patient Education

December 18th, 2015 by Melanie Matthews

The importance of care transitions in improving patient safety is illustrated by recent data released by The Joint Commission on sentinel events compiled from January 2014 to October 2015.

The data show a total of 197 sentinel events—from suicide to falls to wrong site surgery—and the root causes included failures in patient communication (127 incidents), patient education (26 incidents) and patient rights (44 incidents). The majority of the patient education failures were related to not assessing the effectiveness of patient education or not providing education. The patient rights failures included absent or incomplete informed consent, and lack of the patient's participation in their care.

In response to these findings, the Joint Commission released an infographic to help healthcare providers in their efforts to reduce patient readmissions and improve the discharge process.

Providers who signed on for San Francisco Health Network's Care Transitions Task Force shared not only a professional passion for care transitions work but also the belief that care transitions responsibility should be spread across the healthcare continuum. And once the SFHN task force mined a 'black box' of administrative data buried in more than 60 siloed databases across its health network, continuum-wide care transition improvement seemed attainable.

Data-Driven Care Transition Management: Action Plans for High-Risk Patients documents how SFHN's deep data dive triggered the development of a data dashboard, a hospital discharge database and a set of uniform standards and practices that have streamlined care transitions within its safety net population.

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Two-Thirds of Healthcare Organizations Report Remote Monitoring of Patients

December 17th, 2015 by Patricia Donovan

A 2015 survey on telehealth and telemedicine practices determined that almost two-thirds of respondents remotely monitor patients, a spike in this telehealth application of about 6 percent since 2013.

Sixty-three percent of respondents to the Healthcare Intelligence Network's 2015 Telehealth & Telemedicine benchmarks study said they monitor patients remotely, with 67 percent of hospitals reporting they track patients in this manner.

The practice of remote monitoring ranked as the top clinical application of telehealth, followed by primary care e-visits (reported by 45 percent); specialty e-visits (31 percent) and health advice lines (26 percent).

Almost three-fourths of respondents to the 2015 survey expect the Centers for Medicare and Medicaid Services (CMS) to begin reimbursement for remote patient monitoring in the next 12 months.

Two-thirds of 2015 Telehealth & Telemedicine survey respondents monitor patients remotely.

Source: 2015 Healthcare Benchmarks: Telehealth & Telemedicine

Telehealth & Telemedicine

2015 Healthcare Benchmarks: Telehealth & Telemedicine delivers actionable new telehealth metrics on technologies, program components, successes and ROI from 115 healthcare organizations. This 60-page report, now in its fourth year, documents benchmarks on current and planned telehealth and telemedicine initiatives, with historical perspective from 2009 to present.

Infographic: How Do We Fight Chronic Diseases?

December 16th, 2015 by Melanie Matthews

Chronic disease is the leading cause of death in the United States and accounts for a majority of our healthcare spending, according to a new infographic by eVisit.

The infographic looks at how to manage care for chronic care patients, including the use of telehealth.

Real-time remote management of high-risk populations curbed hospitalizations, hospital readmissions and ER visits for more than 80 percent of respondents and boosted self-management levels for nearly all remotely monitored patients, according to 2014 market data from the Healthcare Intelligence Network (HIN).

Remote Monitoring of High-Risk Patients: Telehealth Protocols for Chronic Care Management profiles a successful eight-year initiative by New York City Health and Hospitals Corporation's (NYCHHC) House Calls Telehealth Program that significantly lowered patients' A1C blood glucose levels.

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