Posts Tagged ‘healthcare’

One of the most costly and concerning healthcare expenditures is emergency room visits. Providers and payers are especially concerned with the uptick in ER visits, because ER visits are known to be extra costly and peppered with discressionary visits. Providers and payers have decided lowering ER useage could be done by identifying ER abusers and […]

Organizations are shifting focus away from what needs to be done to meet the government requirements for incentive money to how they can benefit from their new or improved interconnectedness. As it turns out, some organizations are using their connectedness to satisfy consumer demands. This places a different type of emphasis on business intelligence (BI) […]

In a previous post, I touched on the opportunity for lifestyle analytics to provide information for better care – specifically preventative care. In another post I discussed how having a healthy population benefits all of society. A recent article in the Wall Street journal, Tying Health Problems to Rise in Home Foreclosures, discusses a National […]

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, […]

A quick and dirty news search of “ICD-10” reveals that in the past month over 140 news articles were posted referencing ICD-10. Why the continued hype about a conversion that is a little more than two years away? The answer is – ICD-10 is a serious feat and requires a substantial outlay of time, effort […]

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 […]

There was a provocative blog published that linked prescription non-adherence with beliefs, trust and lack of communication. As I read through it, my mind thought of two things: 1. Robert Putnam’s classic publication Bowling Alone and the importance placed on trust to create social capital, and 2. the Advocacy Coalition Framework’s role of beliefs. According […]

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 […]

There has been ample hype surrounding how the health care industry is using business intelligence to improve quality and decrease costs associated with providing care. The hurdles and benefits of overcoming siloed data, gathering more data (ICD-10), and transmitting data to the right people (portals, security) are well-documented. This has encouraged the industry to look […]

It is no secret that the role of social media in health care continues to evolve and be better defined. As health care professions begin to venture into this new space many red flags and warnings are being issued. Dr. Brian Vartabedian of the Texas Children’s Hospital/Baylor College of Medicine and collegues from the Mayo […]

Preventive medical services traditionally occur within a conglomerate of divergent clinical care settings. When these systems are integrated to become fully interoperable, Health IT can be a catalyst for disease-management programs by 1) promoting preventive medicine services and 2) reducing the costs associated with these critical healthcare services overall. Strategic opportunities in preventive medicine include: […]

We have noticed a pretty significant trend from our healthcare clients. Many healthcare technology teams are getting requests from their board of directors to reduce the paper waste associated with their meetings and provide for a collaborative environment that can connect them across vast geographic boundaries. Collaboration tools, by way of portals, are the solution […]