Healthcare Transformation

Archives for June 2014 « Recent Articles

Photo of Cynthia BurghardOffline

The introduction and deployment of population health management programs by providers include many challenges and opportunities. Brought on by the movement from volume-based payment to payment for value, population health management is nascent. While many health plans have been attempting to manage at-risk populations, they did so with relatively limited data and no collaboration with physicians. There was a time when an individual could be enrolled in multiple programs managed by different vendors. The concept of population health being managed by hospitals and/or physician offices creates the ability to centralize and coordinate care management.

Photo of Deanne KasimOffline

Merriam-Webster ( defines "engage" as: to get and keep (someone's attention, interest, etc.). In a post-health reform environment, payers must develop new strategies to obtain and maximize the attention, interest, and loyalty of a new group of consumers from the individual policy marketplace. Thriving in a post-health reform environment requires payers to look at the practice of consumer engagement more holistically, select a combination of high touch and high tech approaches, and also borrow best practices from the retail industry.

Photo of Sven LohseOffline

CMIOs from top Healthcare Systems and other well informed experts weighed in on the topic of patient engagement at the NG Healthcare conference held June 9-11 in Austin, TX. Leading executives with ample experience of both the challenges and opportunities for patient engagement took two long, in-depth working sessions to debate and clarify their thoughts.

Photo of Judy HanoverOffline

IDC Health Insights recently published a case study focuses on best practices seen at the University of Pittsburgh Medical Center (UPMC), using technology designed to improve clinical documentation, coding accuracy, and revenue cycle operations. The clinical documentation improvement (CDI) application in use at UPMC, leveraged with computer-assisted coding (CAC), has been in place since 2008. The CDI applicaiton assists physicians by incorporating its technology into their normal workflow and allows the healthcare system to perform semi-automatic concurrent document review while patients are hospitalized and physicians are actively providing treatment. This drives more efficient coding and enhanced revenue and prepares physicians and staff for ICD-10 implementation. The goal of leveraging natural language processing (NLP) using CDI, in conjunction with CAC, is to automate the coding and physician query processes to ensure that cases can be properly documented, coded, and final billed by the time of patient discharge.

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