In my last blog posting, I talked about the Subject Area Data Stewardship Subcommittee and how it is the forum for collaboration and stewardship over a specific data subject area or domain. In this article, I will describe three key roles involved in Data Governance and Stewardship organizations which are critical for setting and maintaining […]
Posts Tagged ‘healthcare IT’
Financial Crossroads of Healthcare Sustainability
The emergence of bridging the capacities of quality and performance of healthcare delivery systems with the financial health of organizations elicits discussion focusing on core areas and concepts for both stability and change. Furthermore, we can address these issues to develop a tiered paradigm of diagnosis, treatment, billing, and reimbursement. Although these are representative of […]
Big Data to attack Healthcare Fraud
According to a U.S. Senate Panel on Healthcare, healthcare fraud and abuse costs as much as $100 billion a year, or 10 percent of the $1 trillion spent on healthcare. In addition, these fraud costs are increasing at a rate of $3 billion a year. The traditional approach has been to pay claims and then […]
Creating a Lean Mean Healthcare Machine: Part 4
Through this blog series, I have introduced the basic purpose and goals of the process improvement methodology known as Lean Healthcare. We took a look at Lean’s 5 basic principles and its 7 deadly wastes in an effort to help readers begin to understand the key concepts and tools of Lean thinking and how it […]
Readmission Rates – No Pain, No Gain
The readmission rate refers to patients who are discharged, then readmitted to the same facility for the same medical condition within a specific time period. For example, if I am discharged with Heart Failure and I return to the same hospital with Heart Failure conditions within 15 or 30 days, that is considered a readmission. […]
BI Usage is Growing in Healthcare
In his article, Healthcare’s Radar Picks up Increased Business Intelligence Activity, Eric Wicklund makes some good points and ponders the best way to use business intelligence to improve healthcare. Some background: 75% of payers and 44% providers find value in analytics, yet only 26% have BI programs in use. This shows a tremendous market for […]
Is the Economy Stalling Health Innovation?
CMS has paid out more than $4 billion in Meaningful Use incentive money. I believe this is the catalyst to start healing our healthcare system. Let me explain. The healthcare industry is lagging behind the banking industry about 30 years. When I was in college, I had a checking account with a local bank. It […]
The Brave New World of Consumer Engagement in a Post Reform Insurance Market
A year ago I wrote a blog post entitled, “Strengthening Consumer Experience in a Post-Reform Insurance Market“, which presented research from a Forrester report that showed the health insurance industry faces a great deal of discontent from consumers. In fact, of the 13 industries tracked by Forrester in that report, health plans rank dead last […]
Health IT: The Solution to Healthcare CIO Challenges
A recent article addressed some of the top challenges facing CIOs in the healthcare industry. Many of these challenges are created by the need to keep up with constantly changing regulations as well as addressing HIPAA security concerns. Here are a few of the top concerns of healthcare CIOs, and how health information technology can […]
Healthcare Analytics Predicted to Grow to 50% in 4 years
Research for Frost & Sullivan shows only 10% of hospitals used health analytics tools in 2011. They further predict this to follow the increased investment in EHR technology to 50% by 2016. This is fueled by programs such as the HITECH Act where analytics are needed to justify and qualify for payments. My recent blog […]
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 […]
CDS Tools: Should we pile them on?
A 2008 study on CDS (clinical decision support) tools found that while the benefits of CDS technologies are widely understood and accepted by providers, there is still a lack of proactivity in its adoption. An article summarizing the study stated: “For example, Chang said that while CPOE with CDS is now already widely accepted, it […]