Population Health Definition…

Population Health Definition…

Population health is the aggregation and capacity to be able to acquire patient healthcare data from across the continuum of care and multiple health information technology resources to a larger data pool where it can be sorted into a single actionable patient record. Healthcare providers can improve patient, clinical and financial outcomes by having all of the actionable patient record. More »

Why is it necessary…

Why is it necessary…

Population Health has been a concern from the beginning as this would be the only way to control spiraling costs and improve outcomes. It is by no coincidence, that in early 2009 both ICD 10-Snomed and Meaningful Use were created. More »

What It Means

What It Means

You can completely customize the featured slides from the theme theme options page. You can also easily hide the slider from certain part of your site like: categories, tags, archives etc. More »

What is it or is not…

What is it or is not…

Population health- Is a tag, buzz and mega word in today\\\\\\\\\\\\\\\'s healthcare field, it best describes where we are and where we want to go, for healthcare today and tomorrow. It will require that we bring together the elements which have been absent for many years, comprehensive care management. More »

What you will need…

What you will need…

Danger, selecting the wrong population health vendor can spell disaster. After trying to secure a population health solution for a client, it became very clear that even the very large vendors in this space did not have a real end to end solution. More »

How you can start an initiative for Population Health…

How you can start an initiative for Population Health…

Population Health initiative is a fluid, dynamic process that is currently not in its entirety in place in many institutions. The risk and rewards acquired by capturing the marketplace early is clear, time is of the essence and the collection of the right technology, people and processes are key. More »

 

Population Health Initiative: At the core what Revenues look like

Last article we took a high-altitude look at a population health initiative. Today we are looking at how revenues and capabilities acquired within these core revenue lines help build a successful initiative.

These revenue lines are generated from Medicare-allowables but are transferable to other payer models as they all mostly follow traditional Medicare.

Transitional Care Management TCM, not to be confused with Transformational Care is right at the core, as it provides us the best chance to get started not only gathering data but getting those very sick and recently discharged from an inpatient acute care setting back in front of their primary care physicians. This is crucial as we find that many PCP’s are not aware of the inpatient stay and acuity that caused the admission, let alone the changes and or addition made to the patients care plan and medications. This is the first instance that we are able to coordinate medical treatment plans for better management of the patient’s disease. This is done in either a less than a 7 day CPT Code 99496 or a 14 day CPT Code 99495 window from the date of discharge for the patient to be seen by the primary care physician after discharge as a face to face. Revenues range from 130 to 200 dollars.

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Population Health Initiative

Population Health Initiative - What Should It Look Like At Its Core (Part 1)

A Multi Part Deep Dive Into Population Health

 Population Health initiative is a fluid, dynamic process that is currently not in its entirety in place in many institutions. The risk and rewards acquired by capturing the marketplace early is clear, time is of the essence and the collection of the right technology, people and processes are key. Improving population health requires simultaneous pursuit of three aims: improving the experience of care, improving the health of populations and reducing the per capita costs. Analytics captured through a 360° view utilizing interoperability are the key to enabling and achieving the Triple Aim as defined by CMS.

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Choosing The Right Technology Partner.

      Danger, selecting the wrong population health vendor can spell disaster. After trying to secure a population health solution for a client, it became very clear that even the very large vendors in this space did not have a real end to end solution. Besides your electronic medical records or your electronic health records vendor (ideally it should be the same, but not necessary) you should only have one additional vendor, that vendor should provide all of your population health needs, reporting and administrative dashboards and provide it all in a friendly interoperable enterprise setting.

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Solutions for Addressing Health Information Exchange Challenges

Health information exchange is essential to achieving true interoperability, but solutions are necessary for addressing challenges to information sharing.

Source: Thinkstock

    

“Hospitals and physicians are now exchanging more electronic health information than ever before,” the Office of the National Coordinator for Health Information Technology told Congress in an annual report from early November.

It is a statement of fact backed up by rather positive statistics.

“In 2008, 41 percent of all hospitals electronically exchanged health information with outside health care providers,” the report continues. “These rates have since doubled. In 2015, more than eight in ten (82 percent) non-federal acute care hospitals electronically exchanged laboratory results, radiology reports, clinical summaries or medication lists.”

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Out of Control Spiraling Medical Costs

Population Health or the health of the population has been a concern from the beginning as this would be the only way to control spiraling costs and improve outcomes. It is by no coincidence, that in early 2009 both ICD 10-Snomed and Meaningful Use were created.

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Defining Population Health Analytics

Population health is the aggregation and capacity to be able to acquire patient healthcare data from across the continuum of care and multiple health information technology resources to a larger data pool where it can be sorted into a single actionable patient record. Healthcare providers can improve patient, clinical and financial outcomes by having all of the actionable patient record.

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Few Healthcare Business Intelligence Users Join an ACO, HIE

Healthcare business intelligence users may have more insight into their operations, but they aren't necessarily using the data for ACO and HIE participation.

Healthcare business intelligence adoption

Source: Thinkstock

    
 By Jennifer Bresnick
 

 - Healthcare providers who want to wade into the value-based care ecosystem are well aware that they must overcome a number of technical and organizational hurdles before they can reap the rewards of joining an accountable care organization (ACO) or taking on a pay-for-performance contract with a payer.

Not only must they feel comfortable with using their electronic health records for basic documentation and patient management, but they must also master the complex continuum of healthcare business intelligence tools that combine to support risk stratification, revenue cycle management, and care coordination.

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Joining an ACO Key to Success Under MACRA, Report Finds

The report finds that being part of an ACO allows clinicians to be rated as a group for a key measure to determine Medicare reimbursement.

Published Online: March 30, 2017

Mary Caffrey

Joining an accountable care organization (ACO) could help clinicians raise key Medicare performance scores up to 30%, which boosts their chances of higher reimbursement relative to competitors, according to a new report from Caravan Health.

The report, by Lynn Barr MPH, CEO of Caravan Health, and LeeAnn Hastings, JD, MPH, a compliance officer for 23 ACOs under the Medicare Shared Savings Program (MSSP), compared what payments will look like for clinicians inside and outside ACOs under the Medicare Access and CHIP Reauthorization Act (MACRA, passed in 2015 to push healthcare toward value-based payment.

Under MACRA, performance data reported from 2017 will be used to calculate payments in 2018. CMS has worked to ease the transition to value-based payment, allowing clinicians to select how quickly they want to take on the associated risk. In fact, reporting a small amount of data for 2017 can help clinicians avoid penalties.

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