Posts Tagged ‘data exchange’

Infographic: Managing Medical Data on a Blockchain

July 19th, 2017 by Melanie Matthews

Shared infrastructure for information exchange via a blockchain in healthcare can eliminate duplication of healthcare services among treating physicians and improve care coordination, according to a new infographic by Gem.

The infographic demonstrates how the blockchain is used as a common registry for medical records between providers.

Remote Patient Monitoring for Chronic Condition Management: Leveraging Technology in a Value-Based System 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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Can Healthcare Embrace Data Aggregation to Support Value-Based Reimbursement?

May 13th, 2014 by Patricia Donovan

In order for value-based payment models to succeed, the system must support sophisticated data exchange between payors, providers, pharma and care management. Is healthcare ready for this challenge? Julie Schilz, director of care delivery transformation for WellPoint, responds from the payor’s point of view.

I can answer this in several ways. One is that right now, payors have clinical claims information. We can do wonderful things with that information. But how powerful it would be to be able to add clinical data from providers to enrich that claims data. And also to add information related to social determinants of health to truly create a picture of a member.

One of the reasons we were excited to participate in Comprehensive Primary Care initiatives is the component in which as a multi-payor structure we come together and define data aggregation. We bring our data forth to the practices who are selected to participate in the primary care initiative as payors, and are able to report in a consistent manner out to the practices.

This isn’t easy. There is hard work ahead of us; it is incredibly important work ahead of us. One of the discoveries we are making in this process, which we call ‘barrier busting,’ is to assure that everyone is in agreement in terms of the use of the data. Then we need to come together and decide: do we all have the same definitions around data use in our reporting structure? Is an attributed member for this payor the same as an attributed member for another payor? We must consider security of data; we have to assure privacy and security in the process.

We also know that it’s technically possible to exchange this data. For example, with the Continuity of Care Record (CCR), there are structures that exist in terms of how to share this data back and forth. But it still doesn’t always make it easy. There’s been some great work done by the Office of the National Coordinator for Health Information Technology. I was part of a program associated with that. There are many health information exchanges that are doing this work. There are all-payor claims databases that are forging ahead with this work.

It’s the right work to be doing, but it is not as easy as flipping a switch; there are governance structures, there are conversations, there are security structures that need to be in place in order for this to be successful.

Excerpted from: Driving Value-Based Reimbursement with Integrated Care Models

HINfographic: 12 Trends on the ACO Frontier in 2014

November 1st, 2013 by Jackie Lyons

The accountable care organization (ACO) movement shows no signs of slowing. In fact, looking ahead, there is a greater number of ACOs in the wings than one year ago.

Forty-four percent of developing ACOs will be helmed by physician-hospital organizations, according to a new infographic from the Healthcare Intelligence Network. This HINfographic examines 12 emerging ACO trends at 138 healthcare organizations and delivers tactics from a top performing Pioneer ACO, Monarch HealthCare.

12 Trends on the ACO Frontier in 2014

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Information presented in this infographic was excerpted from: 2013 Healthcare Benchmarks: Accountable Care Organizations. If you would like to learn more about accountable care organizations, this resource includes sector-specific qualitative data on comparative 2011-to-2013 data on key ACO metrics, metrics on use of case management, patient portals, evidence-based care and many other ACO program components.

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