Continue reading "Six aspects to make US Healthcare Sustainable...A thought" »
Continue reading "Scope for leveraging IT in establishing patient centred care in an ACO" »
In the recent past we have seen a paradigm shift in application of social media to healthcare industry. Studies in this area show optimum utilization of social media can help improve the patient experience. However, there are equal numbers of challenges in adoption of social media tools in healthcare industry (in particular - healthcare providers). Some of the challenges in successful implementation of social media in hospitals include: lack of IT/social media awareness amongst the healthcare providers, need for IT infrastructure, time and resource crunch.
Having said that we also have some of the world class examples in United States of America where social media is revolutionizing the patient experience.
Here is a brief note from Mayo clinic center for social media: "The Mayo Clinic Center for Social Media, a first-of-its-kind social media center focused on health care, builds on Mayo Clinic's leadership among health care providers in adopting social media tools, which began with podcasting in 2005. Mayo Clinic has the most popular medical provider channel on YouTube and more than 175,000 "followers" on Twitter, as well as an active Facebook page with over 50,000 connections. With its News Blog, Podcast Blog and Sharing Mayo Clinic, a blog that enables patients and employees to tell their Mayo Clinic stories, Mayo has been a pioneer in hospital blogging. MayoClinic.com, Mayo's consumer health information site, also hosts a dozen blogs on topics ranging from Alzheimer's to The Mayo Clinic Diet".
The stats on application of social media in hospitals/healthcare providers look very impressive:
1,188 Hospitals have adapted social media and following is the channel-wise distribution:
· 548 YouTube Channels
· 1018 Facebook pages
· 788 Twitter Accounts
· 458 LinkedIn Accounts
· 913 Four Square
· 137 Blogs
There are close to 4000 hospital social networking sites.
(Source: ebennett.org, data as on June, 2011)
The future of social media application in healthcare is definitively very promising and some of the very obvious benefits of application of social media in hospitals include:
Improved doctor - patient interaction
Connect
Collaborate/Co-Create
Collective Wisdom
Patient Centric care
Community/Forum
We have to wait and watch the revolution happen in healthcare industry through application of social media tools and techniques.
Continue reading "Promoting Accountability in ACOs - Part 3" »
"To be or not to be" seems to be a burning thought in almost every provider these days and this is towards deciding whether or not it is sensible for providers to establish an ACO or join an ACO.
Continue reading ""To be or Not to be in an ACO...too early for Providers to decide"" »
In the previous blog, we have introduced the two key concepts that are going to influence the success of an Accountable Care Organization (ACO):
• Establishing and adhering to a central Vision
• Establishing a standard clinical process and benchmark
In the previous blog, we had started the discussion on the first topic i.e. Adherence to a central vision, and here we will extend our discussion further on the same. It has been observed that one of the primary reasons of higher cost of healthcare in the U.S. is the existence of the fragmented healthcare delivery organizations. Collaboration among the constituents has been suggested as one of the solutions if one wants to succeed as an ACO. But is it enough to put a right setup of people, process, technology and infrastructure? Most importantly, the ACO organization has to plan for an effective change management so that the gap between the current and future states in all the areas of healthcare continuum can be bridged.
Continue reading "Promoting accountability in ACO - A few insights (Part 2)" »
In a successful Accountable Care Organization (ACO), establishing and sustaining the exchange of information flow among the individual constituents matter the most.
The term accountable care organization (ACO) was coined in the Medicare Shared Savings Program as part of the Patient Protection and Accountable Care Act of year 2010 (PPACA). The program, anchored by the Centers for Medicare & Medicaid Services (CMS), will share annual savings for a population of Medicare beneficiaries with a group of providers who form a provider organization that meets the defined criteria. Such groups are called accountable care organizations (ACOs).
Continue reading "Promoting accountability in ACO - A few insights (Part 1)" »
As you might have guessed from my previous posts, I'm more or less in favor of the health care reform mandates, but there are still individual rules I'm concerned about, and some I'm definitely confused about. This post focuses on one such confusing rule--the requirement for payers to use 85 percent member premiums toward the MLR (Medical Loss Ratio). Simply, payers must spend at least 85 percent of the amount they collect toward the cost of care.
Read my views in the article in Health Data Management.
Since I wrote my last blog regarding the confusion that I have withthe whole medical-loss ratio mandate, I have been inundated with e-mails and phone calls. People either took strong opposition to my assertions or supporting my assertions about the uncertainties surrounding the MLR mandate.
Click here to read my views in my blog space in Health Data Management.
Everywhere I turn, I hear about accountable care organizations, especially during provider-focused forums. Nearly everyone is excited about their ACO (and medical home) initiatives, but I've also met with quite a few skeptics who believe that the concept is nothing new and has been tried many times--and failed--in various forms. Interesting!
Click here to read the complete blog in my blog space in Health Data Management:
Lately, I have been reading a lot and of course, simultaneously thinking a lot, about the whole business of HIX. The more I think about it the more I start believing that the HIX and subsequently the move towards the individual market could be the ultimate catalyst to bring that major change in US healthcare industry that everybody is looking for. But it could simply be wishful, a bit misty, thinking on part of an increasingly frustrated middle-aged healthcare industry professional. I guess I included half of the healthcare industry professionals out there, along with myself. Anyways, I am going to throw out a bit of what I have been thinking over the next few blogs and would love to hear back from you guys if it makes sense or is just a day-dream.
Read the entire article in Health Data Management Blog :
Continue reading "IT Infrastructure for Accountable Care Organizations" »
Continue reading "Health Benefit Exchange (HBE) - The different generations" »
Continue reading "Affordable Care Act (ACA)- Healthcare for all" »
Continue reading "Analytics for Accountable Care Organizations" »
A question has been coming up in discussions whether or not a hospital should build or buy a Meaningful Use application. According to our recent poll of about 100 hospitals, most are leaning towards building one. But I have my own apprehensions here. Meaningful Use requirements are out for Phase I with Phases II and III to follow.
Continue reading "Meaningful Use Reporting: Buy vs. Build?" »
Continue reading "Future of Fraud, Waste and Abuse in the post reform world!" »
Continue reading "Meaningful Use : A journey towards Healthcare Enterprise Performance Management" »
Continue reading "CER - You build it and they will come!!! " »
Continue reading "Health Benefit Exchange Vs Individual Market" »
Blog Post by Charles Podesta, SVP & CIO at Fletcher Allen Healthcare
As a participant of the October 21, 2010 webinar entitled "Meaningful Use a Catalyst for Enterprise Performance Management" I was struck by the high number of participants that planned on using MU as a catalyst to a higher performing organization (good thing) and the high number of participants that thought it was going to be a real stretch for their organization to get to Stage 1 MU (bad thing). This dynamic tells me that healthcare IT professionals want to do the right thing but may not have the resources to pull it off. IT professionals should take the opportunity to make the case that meeting Stage 1 MU goes far beyond getting a stimulus check and avoiding penalties in 2015. I believe that Infosys' HEPM methodology can assist healthcare IT professionals not only with the approval process but also to give comfort to the CEO and board that it's achievable. I view partnering with Infosys as an insurance policy for your organization. The risk to your organization's future of not meeting stage 1 MU is greater than the effort and resources required to get the job done. The bar will be higher with Stage 2,3 and beyond and the costs will be greater. This is not the time to take a wait and see attitude. Your organization's future is in your hands.
To view the recorded webinar Click here.
(Requires registration)
Thanks!
Chuck.
Continue reading "Meaningful Use : A key enabler for ICD 10 compliance for providers " »
Continue reading "Meaningful Use can trigger high-performance culture" »
Continue reading "Comparative effectiveness research: Industry need to weigh its benefits " »
In my first blog on Meaningful Use (MU), I had identified business process optimization and redesign to facilitate data collection/data quality management for MU as one of the key ingredient for Healthcare Enterprise Performance Management approach towards MU compliance. On delving deeper into the final rule for Meaningful Use, it is emerging that business process redesign will be one of the fundamental requirements for achieving Meaningful Use and more precisely for reporting on Meaningful Use measures.
Continue reading "Meaningful Use - The cause for proactive performance management!" »
Continue reading "Implementing "Meaningful Use" not EHR technology!" »
Continue reading "Healthcare Payer Industry shifts focus from Group to Individual Consumers....." »
Continue reading "Leveraging "meaningful use" thrust for sustained improvement " »
Continue reading ""Meaningful Usage" The real start of US healthcare reform marathon" »
Continue reading "Meaningful Use : Achieve it by value transformation" »
Implementing CCHIT-certified EMR is only the first step; for achieving Meaningful Use (MU). It's very logical that EMR has to be used first before we can expect meaningful use. Starting to use EMR that an organization has implemented sounds deceptively simple and a non-issue but the truth is EMR adoption in US has been significantly low. Umpteen reasons have been attributed to lower adoption of EMR including dollar investments required, unclear ROI, lack of interoperability infrastructure for healthcare data sharing, reduction in face-time with patients at point of care, longer visit times that directly impacts revenues and ineffective training of staff and physicians.
Continue reading "In reality Use precedes Meaningful Use " »
Continue reading "Why ICD-10 is the perfect opportunity to move away from legacy systems?" »
Deviating a bit from my previous discussion regarding provider's movement, up the EMR adoption chain, today I wanted to take a slight tangential divergence today to talk about the other big guy in the arena. Yes, I am talking about the adoption of ICD10. But is it really a tangential diversion? Isn't that the million dollar question?
Continue reading ""ICD10 and Meaningful usages... the twains shall meet, for sure"" »
Continue reading "Meaningful Use - Are you stuck : Take the first step " »
Continue reading "Berlin Wall - Billing System vs. Claims Adjudication System" »
Healthcare Reform bill is poised to change the economics of US healthcare. Nearly 32 million of currently uninsured population will get insurance coverage and subsidies in healthcare insurance will be available to families with income up to 400% of federal poverty level. Total out-of-pocket expenses would be limited, and insurance companies would be prevented from denying coverage for pre-existing conditions. Insurers would be barred from canceling coverage for sick people, as well as charging higher premiums based on a person's gender or medical history. While this is a welcome step towards healthcare socioeconomic equity, it will throw up unique challenges for insurers and providers to tackle.
Continue reading "Winds of Change for US Healthcare Providers" »
The debate on Healthcare reform is going on at full throttle in Washington DC as well as the rest of the country. No one knows where this is headed to or can confirm what the outcome will be. It looks more likely that we will see Healthcare exchanges will get setup. Most probably not at the national level, but instead at the state level.
Continue reading "Healthcare Reform and its impact on individual market" »
To begin diving deeper into interoperability within healthcare, let’s talk about interoperability within the healthcare provider sector. The healthcare provider industry is suffering from, what a colleague has very eloquently described as, ‘extreme heterogeneity’ of IT systems even within a single provider.
Continue reading "Interoperability Trends within the Healthcare Provider Sector" »
As the global healthcare industry grapples with tremendous challenges on both cost and quality fronts; the healthcare consumer is simultaneously undergoing an equally dramatic change in behavior, attitude and awareness. This new-age healthcare consumer will soon demand a significantly more active role in managing his/her own health needs as well as filtering and monitoring the relevant services that would be provided by the health industry.
Supply and demand is perhaps one of the most fundamental concepts of economics and it is the backbone of a market economy. Demand refers to how much (quantity) of a product or service is desired by buyers. The quantity demanded is the amount of a product people are willing to buy at a certain price; the relationship between price and quantity demanded is known as the demand relationship. Supply represents how much the market can offer. The quantity supplied refers to the amount of a certain good producers are willing to supply when receiving a certain price. The correlation between price and how much of a good or service is supplied to the market is known as the supply relationship. Price, therefore, is a reflection of supply and demand, according to Investopedia.com, a Forbes company.
Continue reading "The Law of Supply and Demand - "Healthcare Rationing for our Future”" »
The question these days, on everybody’s mind is ‘How is the health reform going to pan out?’
With the passage of the bill in the house (though surprisingly narrowly) and with a clear democratic majority in the senate, the issue is not of ‘If’ but more of ‘When’ and ‘In what shape’ the bill will come into being. Now that we have pretty much moved beyond that point, the foremost question becomes what will be the ultimate impact of the reforms on three primary stakeholders, namely the patients, the providers and the payers.
Continue reading "How is the health reform going to pan out?" »
Healthcare reform is all about money. Most of the discussion happening is around the reform to Healthcare Insurance. The various provisions that are discussed today like universal coverage, removal of restrictions on pre-existing conditions, electronic health records, Health Information exchanges etc are going to increase the cost that is currently borne by the members and the employers. Even without these changes, we are seeing the healthcare costs going up on an annual basis and it has increased consistently and alarmingly in the past 15 years. We have seen employers reduce their share of the expenses as the total price keeps going up. This trend is going to continue. When you talk about removing pre-existing conditions restriction that currently exists or allowing even chronically ill patients to be able to buy affordable (?) health insurance, it sounds great. But what does this mean to the health care costs? This definitely is going to increase the cost burden on the Insurers. So who gets to pay for this additional expense? Of course the member! Or let us consider the scenario where there is a competing government health plan option. Where does the government get the money from to pay for covering everyone? Again the members, who are the tax payers will get to pay for it. So is having Universal coverage not a good thing? Definitely not! So what do we need to focus on? Definitely the most efficient and cost effective way to provide the coverage to everyone. And that means the focus should be on efficiency and eliminating wastage and reduction in errors.
Yogi Berra's second claim to fame is for being one of the most quoted figures in the sports world. He is credited with coining the deceptively simplistic observation, "It ain't over till it's over." But he's also known for his flubs. Yogi takes his experiences as one of baseballs' all-time heroes and turns them into funny, appealing, and moving essays on the game of life. His philosophy is plainspoken and down-to-earth, honest through more than 50 years of reflecting on the game of baseball. Keep trying. Stay humble, Trust your instincts. Most importantly, act. When you come to a fork in the road, take it.
Continue reading ""When you come to a fork in the road; Take it!"" »
As the debate continues and the American People become more educated on the true impact of “Healthcare Reform” the question that begs for an answer is, “What is Healthcare Reform”? Read any article, tune into any top news organization and as soon as you think you understand the meaning from one of the political pundits or news anchors it will change as soon as you listen to another source. Even the politicians responsible for the legislation are confused!
It seems that there are many in the general public who feel that universal health care will answer all the cumulative issues which has caused the current state of health care crisis in America today. However, before anyone rushes into a “cure all” solution, there needs to be an understanding what universal healthcare is, how it will work for America, and further debate as to whether universal healthcare really is the right answer or if there are better ways for the government to spend taxpayer money towards a different kind of healthcare model.
Continue reading "Universal Healthcare- A Possible Solution?" »
As recently as a month ago, we might have compiled the multiple healthcare reform bills in search of common themes to prepare for likely changes to come. Who would have supposed that successfully managing a health insurance organization would require that we become political pundits? As the conversation unfolds, its resemblance to a dialogue is quickly dissembling into a conflict based on the loudest and last word spoken rather than on the merits of any given proposal. Terms are morphing, healthcare reform is being recast as health insurance reform. Our industry had approached the table with significant contributions, including a willingness to forego benefit exclusions based on pre-existing conditions in the context of a marketplace where effectively all lives are health-insured. Health insurers are now being cast (by those who oppose reform) as the villain solely responsible for wasteful healthcare costs.
Continue reading "Healthcare Change- Finding Common Ground" »
Continue reading "Enterprise Data analytics: Breaking department silos" »
Will the Henry Ford of healthcare emerge from the current effort to truly lead the reinvention of the US system? Not even 100 years ago, Henry Ford refined the assembly-line concept and completely transformed the automotive industry from a highly-specialized, one-off, craft-based culture into an industrial juggernaut based on fanatical process consistency, data-driven driven decision-making, and product standardization. Costs fell almost immediately to unforeseen lows. Access to automobiles became available to everyone. Solid, competent, reliable service delivered to everyone. Isn’t this what we all crave for our Healthcare system?
I was at the Institute 2009 conducted by AHIP in San Diego. Excellent weather, fantastic people and exciting ambience has now put San Diego on the top of my list for a repeat visit. However these were just added attractions when compared to the seminar. Almost 1400 people attended, 400 odd from the various health plans and the rest were people trying to sell them some solution or services! It was a motley crew of attendees from an Infosys perspective: Clients, Prospects, Potential and current alliance partners, competitors. The booth area was huge and was extremely well designed to manage the flow of people. We had a protest too and the officer assigned to stand guard at the main building entrance spend 15 minutes talking to me about the pros and cons of the various pubs and steakhouses in the Gaslamp Area – but that’s another story.
Continue reading "AHIP 2009 - Key to the HC Reform and Trends for the future" »
Observations;
There seems to be a divide in the Healthcare Technology World in the U S between those that are proactively pursuing technology because it is necessary, improves quality and a necessary component of compliance and those who are “Capital” challenged and waiting for the “Wizard” to grant them the permission ($) to proceed. The ARRA HIT stimulus bill is effecting Healthcare Executives in different ways. George Halverson, CEO of Kaiser Permanente, one of the largest Healthcare Provider organizations in the world, declared at HIMSS, 2009 in Chicago during his keynote address that it was time to “Fix it Dammit”. While it is obvious that this is one approach there are still those that want the money first.
Has anyone really given a thought to the plight of the small (and large!) physician as a result of all of the proposed reforms in healthcare? Doctors, to a large extent, seem to have been made scapegoats in the battle for healthcare reform. At the same time, true reform is impossible without doctors participating willingly and eagerly. An incredibly ironic situation, but ripe for disaster in the making.
After the Health Care Executive consortium meeting with Obama, the number 1 action is to reduce healthcare costs! But How?
Continue reading "Obama wants to reduce healthcare costs! But How?" »
The American Recovery and Reinvestment Act (ARRA) 2009…
… And the band is still playing on
My dear fellow Netizens, have you picked up any nationally renowned newspaper lately and flipped to page 5A, or switched on the tube and frivolously flipped the channel through the umpteen news channels? If you have, then I am sure you could not have escaped the raging debate regarding the ARRA and its impact on the US economy and its social implications and its morality in a society that is considered as the beacon of free market and its….. You get the drift.
Continue reading "American Recovery and Reinvestment Act : The band is still playing on" »
These times are tough for everyone considering the state of the world’s economy. But this is also an exciting time because of all the focus on healthcare and IT.
The analyst firms are predicting the healthcare sector to be almost recession proof, yet I am aware of layoff announcements in healthcare organizations in recent weeks.
As an astute leader in your healthcare organization, you’re scanning the headlines to find beacons to guide you through the economic doldrums. One can’t help but notice that the messages for the healthcare sector span the spectrum from hopeful and encouraging to dire.
Continue reading "Health Payer Survival Kit for a Suffering Economy" »
Some more predictions/extrapolations:
Obama’s incentives package has put power in the hands of Physicians.
Continue reading "Power Shift - Small Physicians become a large Healthcare-IT market in USA" »
As per my study here is a summary of Obama’s EMR and EHRS Incentive package:
1. $ 2B for developing standards, EMR installation grants and EHRS @ RHIR [I guess new name for RHIO]
2. $ 21B as incentives on EMR adoption. This is the net cost after anticipated savings of $ 15B are subtracted from the total spend of $ 36B on incentive payments.
The Obama Administration’s effort to get healthcare providers to acquire/adopt EHRs in “meaningful use” is certainly an ambitious dream supported with more than $21 billion of which about $17.2 billion consists of direct incentives that will be paid through Medicare and Medicaid. Physicians who show “meaningful use” of qualified EHRs will be eligible for $44,000 to $64,000 in subsidies over a five-year period, starting in 2011. Physicians who don’t use start using EHRs meaningfully by 2015 will start to see reductions in their Medicare payments.