With conversations of connecting healthcare data across the care continuum at a fevered pitch, many are considering the true sustainability of efforts like HIE. While designing, selecting, implementing, and managing an HIE can appear like just another IT project, the ultimate goal of the Enterprise HIE is to improve the quality of care for patients […]
Posts Tagged ‘healthcare reform’
It’s time to keep the Meaning in Meaningful Use
In the chase to implement EMRs and meet the deadlines for attestation for Meaningful Use, the real reason behind the requirements seems to get lost in some healthcare organizations. Those numerators and denominators represent people – patients with real medical needs that simply don’t want to be a number or a faceless statistic. As the […]
New White Paper! The HIT Trifecta: Meaningful Use, ICD-10 and HIPAA 5010
Inefficiencies are cited for contributing heavily to the spiraling costs associated with healthcare. Amazingly, much of the healthcare industry operates with ill-equipped, outdated technology systems which hamper efficiency and effectiveness. To remedy this problem, the government is incentivizing healthcare organizations to make substantial business changes that rely on sizable investments in Healthcare Information Technology (HIT). […]
Health Insurance Consumers: Let Them Eat Cake
Last week I read an article in TechCrunch called “Cake Health, The ‘Mint for Health Insurance’“. This article is about a new start up, called Cake Health of course, and it really got my attention. Cake Health aims to rid healthcare consumer of their headaches, and that’s quite a lofty business model considering the current […]
New White Paper! Implementing ICD-10: Hard Work Brings Rewards
Implementing healthcare reform measures impact every aspect of healthcare operations. In January 2009, HHS published the proposed rule mandating all U.S. healthcare providers to migrate to ICD-10 medical diagnosis codes by October 1, 2013. However, to be ICD-10 compliant, organizations must also have transitioned from the Health Insurance and Portability and Accountability Act (HIPAA) 4010 […]
ICD-10 Migration Approach: Systems Remediation
Healthcare Payers must determine all business processes and applications impacted by the change to ICD-10. Applications that capture, store, send, receive, or edit diagnosis or procedure codes must be modified. Fields must support alphanumeric characters and expanded to support an extra digit. The new specificity of IDC-10 codes will impact corresponding application logic, business rules, […]
ICD-10 Migration Approach: Data Impact Assesment
While 5010 has taken a backseat to ICD-10 in the media, payers must still meet the change to 5010 on January 1, 2012 before implementing ICD-10. Version 5010 accommodates the ICD-10 code, and must be in place first before the changeover to ICD-10. ICD-10 codes must be used on all HIPAA transactions, including outpatient claims […]
ICD-10 Migration Approach
The migration from the ICD-9 to ICD-10 code sets is one of the most extensive and risky conversion projects Healthcare Insurers will face. Conversion will impact organizational structure, business processes, healthcare policies and IT systems. The scope of this change presents significant risks to Insurers seeking to achieve financial and benefit neutrality to avoid undermining […]
New Models of Care Delivery Fuel Health IT Discussions
New models of care delivery are inevitable. Whether it’s accountable care, or another favored form, the current incentive structure is evolving. This is occurring in hopes that waste can be eliminated and quality can improve. Although there is still much uncertainty, the inevitable truth is that the need to streamline and share information is central […]
How the Healthcare CIO Saves Lives: #3 Decreases our Reliance on Paper
The U.S. healthcare system is run by highly talented people that are using outmoded forms of communication. Many clinicians still use paper files and faxes to communicate and lack the basic infrastructure to communicate efficiently regarding critical care decisions. As health insurance companies and health providers struggle with efforts to control costs, reduce administration and […]
Creating a Self-Sustaining Business Model for HIE
It is important for state and local agencies building an HIE solution to have a self-sustaining business model. This will be especially important once the federal government grant money ends. It is just as important for healthcare systems to consider the value proposition they need or want to get out of their HIE solution. Therefore, […]
High-cost Patients, High-Tech Solutions: Why Taxpayers Deserve ICD-10 Compliance
When the sickest 1-percent of patients are responsible for nearly 30-percent of healthcare costs (over $690 billion annually) everyone loses. Since millions of people will be joining Medicaid under the new healthcare reform, states must either be prepared to pay the price tag associated with high-cost patients or determine a better way to manage the […]