Archive for March, 2018

Infographic: 340B Hospitals Provide Healthcare Safety Net for Low-Income Americans

March 30th, 2018 by Melanie Matthews

340B hospitals treat significantly more low-income patients and provide a greater percentage of uncompensated and unreimbursed care, according to a new infographic by 340B Health.

The infographic examines the critical services 340B hospitals provide to low-income hospitals.

Healthcare Trends & Forecasts in 2018: Performance Expectations for the Healthcare IndustryHealthcare Trends & Forecasts in 2018: Performance Expectations for the Healthcare Industry, HIN’s 14th annual business forecast, is designed to support healthcare C-suite planning as leaders react to presidential priorities and seek new strategies for engaging providers, patients and health plan members in value-based care.

HIN’s highly anticipated annual strategic playbook opens with perspectives from industry thought leader Brian Sanderson, managing principal, healthcare services, Crowe Horwath, who outlines a roadmap to healthcare provider success by examining the key issues, challenges and opportunities facing providers in the year to come. Following Sanderson’s outlook is guidance for healthcare payors from David Buchanan, president, Buchanan Strategies, on navigating seven hot button areas for insurers, from the future of Obamacare to the changing face of telehealth to the surprising role grocery stores might one day play in healthcare delivery. Click here for more information.

Get the latest healthcare infographics delivered to your e-inbox with Eye on Infographics, a bi-weekly, e-newsletter digest of visual healthcare data. Click here to sign up today.

Have an infographic you’d like featured on our site? Click here for submission guidelines.

Guest Post: Outcomes Drive the Evidence-Based Practice Journey

March 29th, 2018 by Michele Farrington and Cindy Dawson

The Institute of Medicine set a goal that 90 percent of all healthcare decisions will be evidence-based by 2020. Executives and nursing leaders, at all levels within organizations, have clear responsibility for making this goal a reality and ensuring consistent, standardized use of evidence-based practice (EBP) in care delivery that will meet patient, family, clinician, and organizational outcomes.

Promoting use of evidence, valuing questioning of clinical and administrative practice, and building organizational capacity, culture, and commitment are pivotal to building a supportive organizational culture related to EBP.

Organizations must meet regulatory requirements, from the Centers for Medicare and Medicaid Services and The Joint Commission, that incorporate EBPs and the need for increasing public accountability and transparency (e.g., use of national benchmarks) for quality and safety. Financial incentives associated with pay-for-performance are also directly linked to EBP. Despite these outside forces in today’s healthcare environment, clinicians and executives cannot forget about the need to provide individualized patient care, which includes patient engagement strategies aimed at improving the overall patient experience.

EBP is a continuous journey for individual clinicians and organizations alike and starts with building organizational capacity.

Organizational Capacity

EBP capacity is built using a strategic, systematic approach to create a solid foundation and infrastructure to support the work. Before EBP work can be successful at the unit or clinic level, EBP must be integrated at the organizational level and a culture for change must exist.

The organization’s mission, vision, and strategic plan must include EBP language to ensure evidence-based healthcare is clearly portrayed as the organizational norm. Creating a culture valuing inquiry and innovation must start during orientation for new hires and continue during competency review for current employees and through ongoing training and professional development opportunities for both clinicians and executive leaders.

An infrastructure that directly integrates EBP work into the organizational governance structure is needed to support the mission, vision, and strategic plan. A crucial organizational decision is determining what group will hold primary accountability or functional responsibility for EBP to ensure it is integrated into practice processes, policies, and documentation.

Recruiting and hiring clinicians and executives with experience and/or interest in EBP will help build the desired culture and capacity. EBP mentors are developed from successful projects and are used to nurture the next generation.

A well-defined path for EBP includes adoption of an EBP-process model to guide implementation and sustained organizational change across disciplines. There are a number of EBP process models: The Iowa Model Revised: Evidence-Based Practice to Promote Excellence in Health Care; Johns Hopkins Nursing Evidence-Based Practice Model; Stetler Model of Evidence-Based Practice; and Advancing Research and Clinical Practice Through Close Collaboration (ARCC) Model. Each model follows a step-by-step problem-solving process suitable for concurrent use with the organization’s quality improvement processes.

Culture

The governance structure must clearly outline the process and channels for communicating EBP work and obtaining necessary approvals from applicable committees. EBP discussions should be a regular agenda item for all shared governance committees.

Project results should be reported internally through the organization’s shared governance and quality improvement structures to promote practice change adoption, share learning, garner continued support (e.g., time, resources), and as a platform to recognize success for the institution’s EBP program.

Successful EBP work takes time and effort, so successes should be celebrated and rewarded throughout the process. Celebrations are an opportunity to spotlight clinicians for doing this work and helps build a pervasive culture that supports and expects use of evidence in practice. These strategies promote organizational buy-in and commitment for the EBP process and set higher standards as a foundation for future efforts.

Expected behaviors from clinicians across all job classifications at every level must clearly demonstrate the value of EBP. Behavioral expectations regarding EBP are easily set if they are built into every job description and can be quickly reviewed annually during the performance appraisal process. Utilizing documents and mechanisms that already occur is an easy and efficient way to promote positive reinforcement and priority setting in busy work environments with many ongoing and competing demands for clinicians’ and leaders’ time and attention.

Benefits

EBP is value-added with a strong return on investment and responds to current priorities. A single project may improve patient and clinician safety, improve clinical outcomes, improve patient/family satisfaction, promote innovate care, and/or reduce costs.

Clinicians, nurses, and leaders all influence an organization’s capacity for EBP. Leaders who demonstrate and expect EBP will promote its use in clinical and operational decision-making at the unit or clinic and organizational levels. Building on the organization’s mission, vision, capacity, and value for delivery of reliable, safe, high quality care provides a foundation for success.

About the Authors:

Michele Farrington, BSN, RN, CPHON, is a clinical healthcare research associate at the University of Iowa Hospitals and Clinics. She is certified in pediatric hematology/oncology nursing and received her BSN from the University of Iowa. She has been leading, co-leading, or mentoring EBP initiatives since 2003, and her work has been awarded extramural funding, validating the strength of the projects and impact on nursing care. She is widely published and has given multiple local, regional, national, and international presentations.

Cindy Dawson, MSN, RN, CORLN, is the chief nurse executive and associate director of the University of Iowa Hospitals and Clinics. She received her BSN from the University of Iowa, MSN from the University of Phoenix, and is a Certified Otorhinolaryngology Nurse. Over the course of her career, she has published extensively on EBP, nurse triage, nursing management/leadership, and clinical practice guidelines and has given numerous local, regional, national, and international presentations on these topics.

HIN Disclaimer: The opinions, representations and statements made within this guest article are those of the author and not of the Healthcare Intelligence Network as a whole. Any copyright remains with the author and any liability with regard to infringement of intellectual property rights remains with them. The company accepts no liability for any errors, omissions or representations.

Infographic: Medicaid Market Innovations

March 28th, 2018 by Melanie Matthews

As the nation’s largest health insurer, Medicaid offers the opportunity to deliver value and improve healthcare on an unparalleled scale. Facing pressure to improve access, efficiency, and quality, the Medicaid market is primed for innovation.

A new infographic by the California Health Care Foundation examines the Medicaid market’s greatest areas of opportunity and some start-ups already making an impact.

Care Coordination of Highest-Risk Patients: Business Case for Managing Complex PopulationsAsked by its C-suite to quantify contributions of its multidisciplinary care team for its highest-risk patients, AltaMed Health Services Corporation readily identified seven key performance metrics associated with the team. Having demonstrated the team’s bottom line impact on specialty costs, emergency room visits, and HEDIS® measures, among other areas, the largest independent federally qualified community health center (FQHC) was granted additional staff to expand care management for its safety net population.

The Care Coordination of Highest-Risk Patients: Business Case for Managing Complex Populations chronicles AltaMed’s four-phase rollout of care coordination for dual eligibles—a population with higher hospitalization and utilization and care costs twice those of any other population served by AltaMed.

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Guest Post: Three Benefits to Using Virtual Care Services During Seasonal Epidemics

March 27th, 2018 by Dr. Delanor Doyle

Virtual Care

Virtual care benefits providers and patients.

This year, the flu epidemic reached an all-time high with 39 states experiencing high patient traffic and marking it as the most hectic season for hospitals since 2009. It seems every day in the news we heard about another state or city breaking a record for the most local flu cases of all time. It’s no wonder then that anyone, even medical professionals, were wary about coming into contact with others and being susceptible to the illness.

When a true epidemic breaks out, like this flu season, it is critical that healthcare providers encourage the use of virtual care services. This is important not only from a health perspective for themselves, but also because it benefits the patient in more ways than simply not having to get out of bed to go to the doctor’s office.

#1: Provides a Personalized, Holistic Care Approach

In the past, physicians would travel to the homes of their patients so the sick did not have to travel. With virtual care, physicians can actually return to this level of personalization. Now, physicians can talk with their patients one-on-one to relate to them on a deeper level—as if they were coming into their home—through the use of video conferencing capabilities. People want to relate to people so providing a face-to-face interaction virtually ensures the patient feels cared for and valued.

Additionally, there are many benefits to seeing the patient’s home or work environment that can help provide health advice that goes beyond a traditional visit. By seeing their surroundings, a physician may recognize triggers or red flags in the background that can help further diagnose a problem that wouldn’t otherwise be known from an office visit. This allows physicians to truly be care providers, as opposed to simply treating an illness.

#2: Improves Satisfaction in Level of Care Provided

We’ve all seen the emergency room that is full to the brim with patients waiting to be seen and feeling the level of stress rise in needing to get to every one of them as quickly as possible. During an epidemic like the flu, the ER is going to be packed and physicians will need to move from patient to patient quickly. However, they can actually do so just as fast, if not more so, virtually. Patients no longer have to become frustrated waiting hours in the ER intake room waiting to be seen. Instead, they receive more immediate care with less coordination and hassle at the office.

By using virtual care services, physicians are simplifying the process while also being able to scale faster. A dedicated virtual staff can answer patient questions efficiently while not losing the personal touch so they don’t feel rushed out of the office. Virtual care service removes the lag time between patients walking in and out of the office, allowing more time for care and the visit and the volume of those needing assistance decreases faster.

#3: Lower Out-of-Pocket costs While Increasing Retention Rates

It seems a patient’s immediate first step when they feel they are coming down with the flu or another quickly-spreading illness is to go to the ER or an urgent clinic because they want immediate care and do not want to wait to schedule an appointment with their primary care physician. Unfortunately, some of those types of visits are not covered by a patient’s insurance plan or they must pay an extremely high co-pay for it. As physicians, it is critical we better educate patients about virtual care services that can give them that immediate return that doesn’t cost them extra.

By reminding patients of these services and then providing quality care when they do utilize them, physician groups and healthcare organizations can build loyalty and begin shifting potential negative perceptions a patient might have about their provider. This allows providers to establish a true relationship with patients and be seen as a key resource for all health-related issues, which increases retention for reoccurring visits.

About the Author

Dr. Delanor Doyle

Dr. Delanor Doyle

Dr. Delanor Doyle is the chief medical officer of Texas Health Aetna, the jointly owned health plan focused on improving quality, affordability and overall member experience between Texas Health and Aetna. The company represents two leading healthcare organizations coming together to fundamentally transform the health care experience for members through technology-enabled, data-driven analytics and enhanced local care management. For more information, please visit www.texashealthaetna.com.

Infographic: Chronic Care Management Results

March 26th, 2018 by Melanie Matthews

The Chronic Care Management program through the Centers for Medicare and Medicaid Services (CMS) has produced significant positive changes during its first two years, according to a recent report by CMS researchers, Evaluation of the Diffusion and Impact of Chronic Care Management (CCM) Services: Final Report.

A new infographic by CareSync highlights the results of the CMS report, including benefits to healthcare providers, payers, and patients.

In the sphere of value-based healthcare, chronic care management (CCM) is a critical component of primary care and population health management. Targeting the Triple Aim goals of better health and care for individuals while reducing spending, CCM is viewed as a stepping-stone to success under Medicare’s Quality Payment Program that launched January 1, 2017.

2017 Healthcare Benchmarks: Chronic Care captures tools, practices and lessons learned by the healthcare industry related to the management of chronic disease.

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Infographic: Statewide Health Information Network for New York

March 23rd, 2018 by Melanie Matthews

The Statewide Health Information Network for New York (SHIN-NY) is a statewide network that facilitates secure and confidential sharing of patient data across the healthcare system to improve outcomes. The SHIN-NY is comprised of eight Qualified Entities (QEs) that are regional health information exchanges, according to a new infographic by the New York eHealth Collaborative, which leads the advancement of SHIN-NY.

The infographic examines how SHIN-NY works, the information that can be shared and the benefits to patients and providers.

Health Analytics in Accountable Care: Leveraging Data to Transform ACO Performance and Results Between Medicare’s aggressive migration to value-based payment models and MACRA’s 2017 Quality Payment Program rollout, healthcare providers must accept the inevitability of participation in fee-for-quality reimbursement design—as well as cultivating a grounding in health data analytics to enhance success.

As an early adopter of the Medicare Shared Savings Program (MSSP) and the largest sponsor of MSSP accountable care organizations (ACOs), Collaborative Health Systems (CHS) is uniquely positioned to advise providers on the benefits of data analytics and technology, which CHS views as a major driver in its achievements in the MSSP arena. In performance year 2014, nine of CHS’s 24 MSSP ACOs generated savings and received payments of almost $27 million.

Health Analytics in Accountable Care: Leveraging Data to Transform ACO Performance and Results documents the accomplishments of CHS’s 24 ACOs under the MSSP program, the crucial role of data analytics in CHS operations, and the many lessons learned as an early trailblazer in value-based care delivery.

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Infographic: Top 5 Digital Healthcare Transformation Trends

March 21st, 2018 by Melanie Matthews

Digital transformation is reshaping every industry and the healthcare industry is no exception, according to a new infographic by Estuate Inc.

The infographic examines five key digital transformation trends that are altering the way healthcare is delivered.

2018 Healthcare Benchmarks: Telehealth & Remote Patient MonitoringArtificial intelligence. Automation. Blockchain. Robotics. Once the domain of science fiction, these telehealth technologies have begun to transform the fabric of healthcare delivery systems. As further proof of telehealth’s explosive growth, the use of wearable health-tracking devices and remote patient monitoring has proliferated, and the Centers for Medicare and Medicaid Services (CMS) has added several new provider telehealth billing codes for calendar year 2018.

2018 Healthcare Benchmarks: Telehealth & Remote Patient Monitoring delivers the latest actionable telehealth and remote patient monitoring metrics on tools, applications, challenges, successes and ROI from healthcare organizations across the care spectrum. This 60-page report, now in its fifth edition, documents benchmarks on current and planned telehealth and remote patient monitoring initiatives as well as the use of emerging technologies in the healthcare space.

Get the latest healthcare infographics delivered to your e-inbox with Eye on Infographics, a bi-weekly, e-newsletter digest of visual healthcare data. Click here to sign up today.

Have an infographic you’d like featured on our site? Click here for submission guidelines.

Infographic: How Your Hospital Can Curb Rework and Burnout

March 19th, 2018 by Melanie Matthews

Hospital staff burnout is fueled by documentation rework and retrospective queries and burnout leads to an exponential rise in medical errors, denials, and increased costs, according to a new infographic by Nuance Communications, Inc.

The infographic examines how staff burnout impacts medical errors and contributes to increased financial costs to healthcare organizations.

Healthcare Trends & Forecasts in 2018: Performance Expectations for the Healthcare IndustryHealthcare Trends & Forecasts in 2018: Performance Expectations for the Healthcare Industry, HIN’s 14th annual business forecast, is designed to support healthcare C-suite planning as leaders react to presidential priorities and seek new strategies for engaging providers, patients and health plan members in value-based care.

HIN’s highly anticipated annual strategic playbook opens with perspectives from industry thought leader Brian Sanderson, managing principal, healthcare services, Crowe Horwath, who outlines a roadmap to healthcare provider success by examining the key issues, challenges and opportunities facing providers in the year to come. Following Sanderson’s outlook is guidance for healthcare payors from David Buchanan, president, Buchanan Strategies, on navigating seven hot button areas for insurers, from the future of Obamacare to the changing face of telehealth to the surprising role grocery stores might one day play in healthcare delivery. Click here for more information.

Get the latest healthcare infographics delivered to your e-inbox with Eye on Infographics, a bi-weekly, e-newsletter digest of visual healthcare data. Click here to sign up today.

Have an infographic you’d like featured on our site? Click here for submission guidelines.

Infographic: Physician Lifestyle and Happiness 2018 Report

March 16th, 2018 by Melanie Matthews

Physicians struggle with many of the same issues that other people do—friendships, relationships, exercising and maintaining a healthy weight, according to Medscape’s Physician Lifestyle and Happiness report.

A new infographic by Board Vitals highlights some of the survey findings including what role spiritual beliefs play in physicians’ coping skills, whether physicians are in a committed relationship and physician vacation habits.

Healthcare Trends & Forecasts in 2018: Performance Expectations for the Healthcare IndustryHealthcare Trends & Forecasts in 2018: Performance Expectations for the Healthcare Industry, HIN’s 14th annual business forecast, is designed to support healthcare C-suite planning as leaders react to presidential priorities and seek new strategies for engaging providers, patients and health plan members in value-based care.

HIN’s highly anticipated annual strategic playbook opens with perspectives from industry thought leader Brian Sanderson, managing principal, healthcare services, Crowe Horwath, who outlines a roadmap to healthcare provider success by examining the key issues, challenges and opportunities facing providers in the year to come. Following Sanderson’s outlook is guidance for healthcare payors from David Buchanan, president, Buchanan Strategies, on navigating seven hot button areas for insurers, from the future of Obamacare to the changing face of telehealth to the surprising role grocery stores might one day play in healthcare delivery. Click here for more information.

Get the latest healthcare infographics delivered to your e-inbox with Eye on Infographics, a bi-weekly, e-newsletter digest of visual healthcare data. Click here to sign up today.

Have an infographic you’d like featured on our site? Click here for submission guidelines.

HINfographic: Telehealth & Remote Patient Monitoring: No Limit to Where ‘Doctor Will See You Now’

March 14th, 2018 by Melanie Matthews

No longer reserved for rural populations, telehealth is proving a game-changer across the care continuum, as telepsychiatry, tele-ERs, tele-ICUs and even telepharmacies proliferate. Telehealth adoption rose from 63 percent in 2015 to 74 percent in 2018, according to the latest Telehealth & Remote Patient Monitoring Survey by the Healthcare Intelligence Network (HIN).

A new infographic by the Healthcare Intelligence Network examines clinical telehealth uses, telehealth-EHR integration and the use of free and/or discounted healthcare wearables.

2018 Healthcare Benchmarks: Telehealth & Remote Patient MonitoringArtificial intelligence. Automation. Blockchain. Robotics. Once the domain of science fiction, these telehealth technologies have begun to transform the fabric of healthcare delivery systems. As further proof of telehealth’s explosive growth, the use of wearable health-tracking devices and remote patient monitoring has proliferated, and the Centers for Medicare and Medicaid Services (CMS) has added several new provider telehealth billing codes for calendar year 2018.

2018 Healthcare Benchmarks: Telehealth & Remote Patient Monitoring delivers the latest actionable telehealth and remote patient monitoring metrics on tools, applications, challenges, successes and ROI from healthcare organizations across the care spectrum. This 60-page report, now in its fifth edition, documents benchmarks on current and planned telehealth and remote patient monitoring initiatives as well as the use of emerging technologies in the healthcare space. Click here for more information.

Get the latest healthcare infographics delivered to your e-inbox with Eye on Infographics, a bi-weekly, e-newsletter digest of visual healthcare data. Click here to sign up today.

Have an infographic you’d like featured on our site? Click here for submission guidelines.