Tag Archives: EMR

Clinical research becomes part of a care coordination model

Value-based care strategies are making partners out of former rivals and leading to the destruction of care silos. Maybe you know of a hospital that has teamed up with skilled nursing facilities or even a payer organization. But have you heard of a union between a provider and a clinical research network? That is what […]
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Is your data organized to allow for utilization?

Even early-adopter health systems – leaders in the transition to population health management who have relied on data for some time – find it valuable to review their analytics platforms and ask, ‘what can you do for me now?’ One such system is Mercy health system – a Pioneer ACO and participant in the Physicians Group Practice demonstration […]
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3 analytics deliverables credited with ACO progress

What does it take to create an accountable care organization that meets benchmarks in care delivery and proves to be profitable? Jeff James, Chief Executive Officer at North Carolina-based Wilmington Health, says metrics and analytics allow for his group’s ACO to exist. The ACO was formed as a partnership with Blue Cross Blue Shield of […]
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Documenting diagnoses makes a difference in care quality.

An often-repeated statistic warns that 8 million Americans have diabetes and don’t know it. There are similar claims about other chronic illnesses, like hypertension and chronic heart failure. If a patient doesn’t know they are missing a diagnosis, their health care provider may not either. The white paper Accurate coding: The foundation of accountable care explains that […]
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Analytics are becoming a habit of highly effective ACOs

Even the most practiced at population health management may struggle with one factor deemed by many to be crucial for success as an accountable care organization or ACO. The challenge? Implementing a health IT infrastructure and data analytics strategy. Health IT Analytics lists analytics as a defining capability of successful ACOs. It reports that a robust […]
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3 key elements of any effective analytics strategy

An effective analytics strategy can help provider organizations control costs and identify risks and opportunities – key techniques to succeeding in a world of payments based on outcomes rather than volume. Any effective analytical strategy needs three elements. 1. Highly accurate data Analytics tools that provide the most usable insights generally draw data from a […]
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Five best collaboration strategies to improve HEDIS rates

There are many ways to measurably improve HEDIS rates and the quality of care of members. The true challenge is navigating the various barriers that can delay your journey to get there. Without a doubt, collaboration is the difference between higher and lower HEDIS rates. The more effective the collaboration — and integration — the […]
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Four steps to population health management: Step three — Invest in in-home intervention

In our last blog, we discussed the importance of helping patients make seamless transitions to their homes or another care facility following their stay in the hospital. Through care management programs supported by data analytics, providers can identify and help patients who need a little extra help — and prevent costly re-admissions. The next step […]
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Four steps to population health management: Step two — Manage care transitions

In our last blog, on “Four Steps to population health management“, we discussed the first step of population health management (PHM), optimizing management of your physician referral network. By using data analytics, you can get a snapshot of which specialists are providing the highest-quality care at the lowest cost. But there is another area that […]
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Four steps to population health management: Step one — optimize network management

In our last blog, we talked about what it takes — a combination of claims and clinical data — to lay a solid foundation for population health management, or PHM. Now let’s take a look at the four steps of PHM, starting with the first step, optimizing network management. Value-based organizations should consider the referral […]
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