John Bradshaw, Author at Perficient Blogs

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John Bradshaw

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HIPAA and its Impact on Your Organization

I bet many of you have heard of HIPAA, but you may not realize its impact on you and your organization. Personally, if you or a family member has been to see a physician in the last 10 year, you were presented with a HIPAA form to sign. Professionally, if you work in healthcare, you […]

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Key Ingredients to an Enterprise Information Management Solution

EIM Gumbo 1 portion of Data Governance 1 portion of Data Warehousing A stock of interoperability* Culture, chopped up finely Dash of patience *Measured and added to the extent as needed. Can be made up of a variety of means, manner and mechanisms to facility the move of data to the warehouse and information from […]

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5 ways OBI + BPM + Member Portal = Success

What kind of equation is that? I can understand Member Portal, but OBI? BPM? Well, OBI stands for operational business intelligence. OBI is real-time, dynamic use of analytics that enables a service component to decide, based upon the information available, how to proceed in engaging with a stakeholder. BPM, or business process management, refers to […]

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The Exchanges are coming, the Exchanges are coming!

Are you making the most of it? Yes, I said Exchange, but will refer to them as Health Insurance Marketplaces (HIM). I know many have been working to get ready for the October 1st open enrollment, but have you been doing everything you can? In the past, sales of individual policies haven’t amounted to more […]

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Healthcare Reform: Payers – HIXs and Eligibility

In healthcare, it’s a common occurrence to find your organization having to make an investment, unplanned in many cases, in order to comply with a new regulatory requirement due to Health Reform. When faced with a new compliance need, I have heard many wistfully ponder the question of ROI, yet are already resigned to another […]

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News Flash: Healthcare Reform Is Working (with some help)

I recently read an article in the NY Times talking about an “unexplainable” sharp and persistent slowdown in the growth of healthcare costs. It has been followed by others, such as this one from USA Today, that have begun attempting to shed light on the reasons why. Contrary to the partisanship rhetoric from our lawmakers, […]

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Why Do Many Health IT Projects Go On Forever? Here’s your answer

I guess I could’ve used “fail” instead of “go on forever,” but I chose to use the latter here for a reason. For smaller initiatives, you occasionally get the former, but as is so often the case with those large enterprise endeavors, it’s the latter. I’ve seen this occur time and time again, a couple […]

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Providers and the Adoption of ICD-10

There are two areas of focus in the ICD-10 conversion, each of which must be remediated/completed by October 1, 2014. Our initial thoughts, urges and efforts are towards technology or those systems that we must now use to do our jobs. Said another way, we need to update/upgrade the transactional systems, applications, and data repositories […]

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Health Plans – Are you at Risk?

If you’re a Health Plan that doesn’t periodically “calculate” and assign risk to members, you’ve put yourself into a tight spot. This is a foundational activity, which drives care management and planning for your member’s future utilization. For capitated or fully insured offerings, this is a critical step in rate setting/premium determination. For self-insured plans, […]

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Implementation Challenges: What is BI?

A common need and challenge experienced by many organizations in the delivery of a BI solution is that while the desire for information is great, it is difficult to get those with the desire to articulate what their need really is. This can include what they plan do with the information once they have it, […]

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Claim System Replacement and Consolidation Best Practices

Nothing is more impactful, engaging and notorious for a Health Insurance Payor than the replacement of their Claims platform or consolidation of many into one. For those contemplating such a move or already in the throes of one, here are some thoughts around “Best Practices” to make the effort successful. Data Repository To facilitate the […]

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I Need Data, Now!

This is a topic I touched on a couple of months ago in my blog “EHRs, Analytics, Utilization and Population Health.” Health Systems have been on a tear over the last several years with the deployment of technology to enable the transactional or tactical execution of business activities and delivery of care. With the diversity […]

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EHRs, Analytics, Utilization and Population Health

Spurred on by Meaningful Use, there has been an explosion in the implementation of EHRs over the last several years. This tidal wave has been sweeping through the healthcare community, sucking up much of the available bandwidth that organizations have to deal with change of this magnitude. The effect is really no different than what […]

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ICD-10: What’s all the Fuss about?

Several of the organizations that represent some of the many stakeholders in the healthcare delivery system have turned up the volume against ICD-10, yet again. Some of the arguments against it are that there’s too much of a burden due to compliance work already being done on other directives and some have also exclaimed that […]

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The Importance of Being Earnest about Security in Healthcare, Part 2

First, let me start with questions I asked at the close of Part 1. How does your organization manage security and its risks? Do you have a governance process in place, is it comprehensive, requirements driven, with the risks communicated, understood and mitigation plans developed and reviewed? Can you adequately answer these questions? If you […]

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The Importance of Being Earnest about Security in Healthcare, Part 1

In Healthcare, we talk about how important security is, all the while secretly hoping and assuming that, as an organization, we’re in compliance and have all the appropriate safeguards in place. When discussing compliance, at the very least this refers to the baseline set by the HIPAA Security Rule and the many contractual obligations we […]

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When Containing Costs Contains Solutions

Perficient has created this series, “Healthcare Analytics and Meaningful Use” to drive discussions around unlocking the true potential of EHRs with analytics. Stay tuned for this four-part series to be published throughout October and November. We welcome your comments and questions below. Henry Ford claimed that a good business rule of thumb is to “make […]

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