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2018 HIT Leaders,care coordination,clinical communications,HIT Lists

HIT Leaders articles graphic image.

2018 best secure communications platforms – HIT Leaders Awards

HIT Lists graphic image.Our staff polled clinicians on today’s most innovative care team communications solutions to determine which product/service line yields the most effective results from their day-to-day use. We asked about alert integration, secure messaging, cross platform support, enterprise-wide directories, ease of use, analytics and reporting tools and cost. We surveyed 19 separate solutions. Below are the top 10 HIT Leaders for 2018.

  1. Telmediq logo graphic image. @Telmediq
  2. Halo Communications logo graphic image. @DocHaloApp
  3.  @VoceraComm
  4. Patient Safe Solutions logo graphic image. @PatientSafeSoln
  5. Spok logo graphic image. @spoktweets
  6. Imprivata logo graphic image. @Imprivata
  7. Tiger Connect logo graphic image. @TigerConnect
  8.  @PerfectServe
  9.  @Cerner

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care coordination,CareSync,CCM,chronic care management,MACRA,Medicare Access and CHIP Reauthorization Act of 2015,Merit-based Incentive payment system,MIPS

MACRA and CCM: How IT leaders can deliver value

Bond head shot

Travis Bond, Chief Executive Officer, CareSync

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), which aims to replace the volume-based era of healthcare with value-based medicine, may not take full effect for another three years in terms of financial impacts, but the performance measurement period is quickly approaching, beginning this coming New Year’s Day.

As organizations prepare for MACRA, it’s essential to take into account how requirements can be met through chronic care management (CCM) programs – a CMS initiative to help providers bridge the gap between fee-for-service and value-based care by emphasizing care coordination between providers. While technically separate initiatives, CCM programs are an underlying component of MACRA, practically driving what the regulation is aiming to achieve: a push toward truly value-based, patient-centric care. It is, after all, nearly impossible to meet the requirements of MACRA without also performing the tasks of CCM.

IT leaders, especially in mid-sized or larger group physician practices, play a key role in preparing their organizations by ensuring all tools and infrastructure are in place now to meet basic CMS requirements for care coordination and value-based care. In doing this, IT leaders have the opportunity to lay the foundation for a truly effective CCM program – that benefits the financial health of the organization and, more importantly, the physical and mental well-being of its patients.

Regardless, time is of the essence: For every day that physician practices fail to meet care coordination requirements under the MACRA performance period, currently scheduled to begin in 2017, they risk a reduction in Medicare reimbursements beginning January 2019.

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care coordination,Electronic Health Records,Infor,Medication administration,nurse satisfaction,nurses,Nursing informatics

Reclaiming the day for patient care

Danielle Miller, RNC, PhD (c)

Elizabeth Meyers

Elizabeth Meyers, RN, PhD(c), CPHIMSS

Every day, millions of nurses report to hospitals across the globe. They assume responsibility for the care of patients across their healthcare continuum. The responsibilities of the nurse is multifaceted. They care for the patients and often times their families all while continually updating the physician on the patient’s progress. This is in addition to continually documenting both.

In a study of 767 medical-surgical nurses, it was discovered that less than 20 percent of their time is spent on direct patient care activities. And surprisingly, more than 22 percent of nurses’ time is devoted to non-clinical tasks. Paying nurses to perform non-nurse activities drives substantial cost and burden in the healthcare inpatient setting. Efficiency on the front lines makes a difference to patients and the bottom line.

How can we as nurse reclaim our workday to focus more on patient care?

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Affordable Care Act,care coordination,Centers for Medicare & Medicaid Services,CMS,Cognosante,Enrollment Broker,managed care organizations,Medicaid

Effective Medicaid consumer engagement: Thinking outside the box

Rebecca Bruno, MPM, Director of Policy and Regulatory Affairs, Cognosante

Person-centered approach

Many individuals enrolled in Medicaid also access services from other state human services agencies and community-based providers. Deploying a “whole person” approach for enrollees – supported by modern tools and one-to-one support – can increase beneficiary engagement while lowering a state’s overall costs and administrative burden.

The Medicaid landscape is changing

Since implementation of the Affordable Care Act (ACA) in January 2014, Medicaid enrollment has been steadily increasing. As of August 2016, the latest period for which data is available, more than 73 million Americans were covered by Medicaid.[i] This is approximately a 28 percent increase from the enrollment period just prior to the first Marketplace Open Enrollment period in October 2013.[ii] In addition to Medicaid’s traditional coverage of low-income families, low-income elderly individuals, and individuals with disabilities, in many states Medicaid now covers adults without dependent children. Also, more Medicaid beneficiaries in need of long-term services and supports (LTSS) are being served in home and community-based settings rather than nursing homes and institutions.

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care coordination,care transitions,Centers for Medicare & Medicaid Services,CMS,Ensocare,information exchange

Better care transitions yield better outcomes

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Mary Kay Thalken, RN, MBA, Chief Clinical Officer, Ensocare

Healthcare organizations have long struggled with care transitions, especially when moving complex patients who require multifaceted care from acute settings to a post-acute environment. These transitions are often fraught with communication breakdowns, poor information exchange and slow responses to changing patient conditions. As a result, patients frequently don’t receive the care they need, or that care is delayed, causing them to end up back in the hospital. According to the Centers for Medicare & Medicaid Services (CMS), nearly 20 percent of Medicare patients discharged from a hospital are readmitted within 30 days, at a cost of more than $26 billion every year. Not only do inadequate transitions have ramifications from a cost perspective, they also negatively affect patient satisfaction and the overall patient experience.

Left unchecked, the issue of poor care transitions will continue to decline as the population ages. In fact, it is estimated that by 2030, one in five U.S. residents will be 65 years or older, and since older patients are more apt to visit the hospital and require post-acute care after discharge, it is becoming even more critical for these care transitions to be smooth and seamless.  

Insufficient communication is the main reason why care transitions break down. When organizations do not have processes and systems in place to facilitate consistent information exchange, important data can be lost, increasing the risk for potential issues that could occur. Additionally, it is estimated that 80 percent of serious medical errors are attributable to miscommunication during hand-offs, and these communication deficits often lead to poor, if not detrimental outcomes.

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athenahealth,care coordination,patient/physician interaction time,The Kirklin Clinic of UAB Hospital,UAB Health System

UAB Medicine selects athenahealth to advance care coordination

The University of Alabama at Birmingham, home to the UAB Health System and the third largest academic medical center in the United States, and athenahealth, a provider of cloud-based services and mobile applications for medical groups and health systems, announced that they will work together to improve care coordination in the ambulatory space.

UAB Medicine is implementing athenaCoordinator Enterprise patient access services, which streamline care transitions and patient referrals, in The Kirklin Clinic of UAB Hospital, a multi-specialty ambulatory care site that serves more than 2,000 patients a day in 35 specialties. Through use of this athenahealth service and support, set to be live in July, UAB Medicine will ensure that as patients move between care settings, the correct information follows them and is available at the right time, whether it is to support the moments of care or streamline reimbursement associated with care delivered.

“This is one of many important UAB Medicine initiatives as we continue to work to give our patients and their families the highest-quality care and best possible experience,” said UAB Health System CEO Will Ferniany. “These new patient access services allow information to follow the patient and for us to streamline care transitions, enhancing our ability to improve patient outcomes and reduce costs while maintaining the highest quality of world-class care.”

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