Healthcare Analytics, Population Health Management, Healthcare Big Data

Quality Of Care

Nurses Split on EHRs as Benefit for Care Coordination, Safety

by Jennifer Bresnick

EHRs are an important and effective tool to improve care coordination and reduce adverse patient safety events, say more than 70 percent of nurses in a new HIMSS Analytics nursing survey, yet the remaining 30 percent of participants wonder if...

32 Pioneer Accountable Care Organizations Save $384 Million

by Jennifer Bresnick

During their first two years of operation, accountable care organizations participating in the CMS Pioneer ACO Model saved Medicare more than $384 million, says an independent study published in the Journal of the American Medical Association...

Substance Abuse Help Cuts Population Health Management Costs

by Jennifer Bresnick

Integrating substance abuse care into a population health management program can help raise patient retention numbers, reduce emergency department visits, and cut healthcare costs by an average of 46 percent, says a study from Humana and Catasys...

43% of Orgs Use Clinical Decision Support for Patient Safety

by Jennifer Bresnick

Clinical decision support is an important tool for improving patient safety, said nearly half of healthcare providers responding to a HIMSS15 survey conducted by LogicNets.  Forty-three percent believe clinical decision support technology...

CMS Outlines Future for Clinical Quality Reporting Programs

by Jennifer Bresnick

Clinical quality reporting programs for physicians are getting a makeover as part of CMS’ ongoing efforts to better measure improvements in care quality, population health management, and patient safety, said Principal Deputy Administrator...

IOM Develops 15 Measures for Population Health Management

by Jennifer Bresnick

The Institute of Medicine (IOM) has released a new report outlining fifteen “vital signs” for assessing population health management and tracking the healthcare system’s progress towards better patient outcomes.  The core...

Is There a True Definition of Population Health Management?

by Jennifer Bresnick

“Population health management” is one of the healthcare industry’s most darling terms, used by everyone from CMS to payers to EHR vendors hoping to capture the spirit of care delivery transformation in rapidly changing, aging,...

Physician Quality Reporting System Penalties Snag 470K EPs

by Jennifer Bresnick

Nearly half a million eligible professionals will be losing 1.5 percent of their Medicare reimbursements thanks to non-participation in the Physician Quality Reporting System (PQRS) program in 2013, CMS says.  Despite increasing participation...

EHR Adoption, Health IT Use Improve Patient Safety, ONC Says

by Jennifer Bresnick

Widespread EHR adoption and the short-term impacts of meaningful use are measurably improving patient safety, the Office of the National Coordinator says in a new issue brief.  Despite ongoing concerns about transcription errors and poor...

Chronic Disease Management Costs 17 Times More than Average

by Jennifer Bresnick

The most expensive patients with the highest service utilization rates, including those who need chronic disease management services for multiple conditions, cost approximately 17 times more than patients who are not considered “high users”...

Do EHRs Improve Population Health Management, Data Analytics?

by Jennifer Bresnick

Electronic health records remain a barrier instead of a helpful tool for increasing population health management capabilities, clinical analytics, health information exchange, and patient care coordination, say physicians and other stakeholders...

Is the New CMS Hospital Quality Rating System Fair, Accurate?

by Jennifer Bresnick

CMS has given the nation’s hospitals lower-than-expected marks on their new report cards thanks to an overhaul of the way hospital quality scores are being calculated.  With the patient experience placed front and center in the new...

Obama Signs Sustainable Growth Rate Repeal, Ending an Era

by Jennifer Bresnick

Yesterday, President Obama put his pen to one of the most significant pieces of healthcare legislation since the Affordable Care Act.  The Medicare Sustainable Growth Rate repeal, passed in landslide votes by the House and the Senate, will simplify...

Senate Passes SGR Repeal, Embraces Value-Based Reimbursement

by Jennifer Bresnick

Value-based reimbursement will largely be the new law of the land after the Senate stepped up to pass the Medicare Sustainable Growth Rate (SGR) repeal.  After keeping the healthcare industry holding its breath for a long two weeks during its...

Nurse Informaticists Have “Direct Positive Impact” on Patient Care

by Jennifer Bresnick

Nurse informaticists are integral to the data analytics and health IT implementation strategies of healthcare organizations, says the 2015 Impact of the Informatics Nurse Survey released at HIMSS15 this week, and they produce a measurably positive...

$10 Medication Adherence Intervention May Reap 98% Return

by Jennifer Bresnick

A medication adherence intervention targeted towards Medicaid children with asthma that costs just ten dollars per month could substantially increase use of daily corticosteroid therapy while saving millions for managed care plans and state Medicaid...

Higher Hospital Readmissions, Worse Outcomes for Dual Eligibles

by Jennifer Bresnick

Patients who are eligible for both Medicare and Medicaid experience more hospital readmissions, less positive outcomes, and significantly lower Medicare Advantage Star Ratings, according to a new study from Inovalon.  The large-scale study,...

Private Payers Driving Value-Based Payment, Accountable Care

by Jennifer Bresnick

Commercial health plans are at the forefront of industry-wide efforts to improve care coordination and embrace value-based payment, writes Karen Ignagni, MBA, President and Chief Executive Officer, America’s Health Insurance Plans (AHIP) in...

SGR Fix to Simplify Quality Reporting, Value-Based Payments

by Jennifer Bresnick

In an annual battle that has flared up every spring since 1997, Congress is once again considering the repeal and replacement of the Medicare sustainable growth rate (SGR), and this year’s potential legislation has significant impacts on CMS...

CMS Details Methods for Streamlined Quality Program Reporting

by Jennifer Bresnick

CMS has long faced criticism that its quality program reporting structures are cumbersome and difficult to understand, but the agency is currently taking steps to ensure that the process becomes easier for providers who are participating in multiple...


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