Tying It All Together: Informatics In Action

Size: px
Start display at page:

Download "Tying It All Together: Informatics In Action"

Transcription

1 Tying It All Together: Informatics In Action Sherri Hess, MS-IS, BSN, RN, Director of Nursing Informatics, Denver Health System Andrew Steele, MD, MPH, CMIO, Denver Health System

2 Denver Health Integrated public safety net institution 5,300 employees Closed medical staff 500 bed hospital Extensive primary care network Level I Trauma Center Public Health Department

3 Denver Health Over 190,000 patients 25% of Denver population Payer mix 45% Medicaid 18% Uninsured 10% Medicare 27% Other $4B in unsponsored care since 1992 ~$400M in 2013

4 Clinical Technology Strategy Patient Portal Enterprise Master Patient Index Clinical Documen tation Results Repository Medication Administration Check Patient /Family and Provider Clinical Decision Support Analytics / BI Dashboard PACS/ Imaging System Data Warehouse CPOE Enterprise Document Management Dashboard Single Signon Immunization Tracking

5 Centers for Medicare and Medicaid Services: ACO "an organization of health care providers that agrees to be accountable for the quality, cost, and overall care

6 ACO Original Core Principals Provider-led organizations Strong base of primary care Accountable for quality and total per capita costs Provide full continuum of care for a population of patients Payments that are linked to quality improvements that also reduce overall costs Use sophisticated performance measurement

7 Payment Reforms Will Motivate and Reward Innovation at a Whole New Level -Todd Park, Chief Technology Officer, U.S. Department of Health and Human Services Accountable Care Organizations Shared savings; redesigned care processes for high quality, efficient delivery IT Innovations Needed: Timely Clinical Data, Decision Support Patient Centered Medical Homes Bundled Payments Readmission Reduction Programs Organized outpatient care, coordination and team-based approaches Pilot program for episodes of care; incentivizes reduced costs around eight conditions Motivates hospitals to engage with care coordinators and better organize delivery systems Care Integration Tools Technology to Extend Physician Reach Consumer Engagement Tools/Platforms/Apps Data Mining/Analytics

8 Denver Health Clinical Informatics History

9 Denver Health Clinical Informatics History Pre rare nurse or physician on a committee : 0.5 FTE Physician Champion : slowly added Master level Informatics Manager 2012: added Director of Nursing Informatics added 7 informatics nurses added 8 physicians (0.2) FTE each

10 Denver Health Informatics Team 3 Physicians 12 RN s RN s - 6 Masters in Health Informatics/IS; 2 in Grad School; 1 in DNP School 2 Pharmacists PharmD Future: ~25 RN FTE s, ~6 MD FTE s, ~4 Pharmacy FTE s, ~4 ancillary FTE s

11 Ratio of RN Informaticists Item Number RN Ratio Hospital Discharges 25, Employees 5, Outpatient Visits 600, Oupatient Members 120, Net Revenue $700,000, $30,434,782.61

12 Roles of Informaticists at Denver Health

13 Roles of Informaticists at Denver Health Order Sets Workflow/Clinical Decision Support Analysis of enhancement or new functionality Design Go-live support Testing Day to day clinical assistance Education Application support & build: new or upgrades Committee Participation

14 Denver Health Committees Provider/RN Engagement Physician Advisory (PAC) 10 physicians Nursing Informatics Council (NIC) ~35 nurses Clinical Champions, >100 Providers, 200 RN s, 150 HCP/Others

15 Accomplishments At Denver Health Over hauled EHR Class Communication: Tips and Tricks, Huddle, Doc Box Verbal Unsigned Orders from 3.5% to 0.1% Point of Care Decision Support 22 new clinical order sets 35 Live workflows

16 Verbal Orders

17 The Joint Commission Tracers

18 Huddle Sheets As Needed

19 Tips and Tricks Monthly

20 Doc Box News

21 Roles of Informaticists at Denver Health

22 Data Warehousing: Denver Health 1998 Financial Demographics Data Warehouse 2007 Pathology Pharmacy Pulmonary GI Lab Radiology Laboratory Encounter Orders Ultrasound EDM Forms Med Administration Custom Interfaces Med Recon ED Fetal Monitoring OR 2010 Scheduling Nursing Documentation Workflow Wait List/Referrals Vaccinations

23

24 BI at Point of Care 5/15/

25

26 How Does the Clinical Decision Support Team Help? With Clinical Champions, Stakeholders, and Clinical Practice Committee, design, coordinate, test, implement and evaluation Clinical Order Sets. Care set Guides the care of a specific type of patient/diagnosis/symptom, or defines a certain aspect of care Admission Set Guides the care of newly admitted patients; can be specific to a unit, area, or subset of patients. Perioperative Set Guides the care in preparation for or recovery from surgery. Picklist Conglomeration of orders without clinical guidance created to help providers efficiently search for and choose certain orders.

27 How Does the Clinical Decision Support Team Help? Linking orders to improve efficiency & patient safety TPN-Couple PCO and Pharm Order Places notification order for pharmacy when TPN is ordered Respiratory-Notify RT with vent/cpap/bipap changes Notifies RT when vent/cpap/bipap, etc. are revised or discontinued RT-Blood Gas/Blood Draw Notifies RT when a blood gas is ordered, discontinued, or revised RT-RT Therapy/Med Treatment Notifies RT when a med with route INH or NEB is ordered, revised, or discontinued Behavioral Health Emeds Automatically places and discontinues nursing notification order when EMED meds are ordered or discontinued. RT Mini BAL When respiratory culture ordered, RT notified if sample is a Mini-BAL (which is a lab collected by RT), but does NOT notify RT if the sample is selected to be bronchoalveolar lavage (which is a lab collected when doing a scope procedure)

28 How Does the Clinical Decision Support Team Help? Real-time quality reporting alert examples Central Line Identify patients with eligible central lines and evaluate need for removal in order to assist in the reduction of central line associated blood infections. Urinary Catheter Identify patients with Foley catheters and evaluate need for removal in order to assist in the reduction of catheter-associated urinary tract infections. Infection Control Alert the infection prevention team of positive infection results for infections requiring isolation, VRE, Cdiff, MRSA. Rapid Response on End of Shift Report Alert Charge Nurses and Clinical Nurse Educators of significant changes in the patient condition and determine the need for an Adult Rapid Response at 0600 and 1800.

29 How Does the Clinical Decision Support Team Help? CMS compliance alert examples Heart Failure AMI Alert the Healthy Heart Nurses of potential Heart Failure (HF) patients. Alert the Health Heart Nurses of potential Acute Myocardial Infarction (AMI) patients >= 18 years of age.

30 Real Reason For Informaticists

31 Journey To A Career In Informaticist at Denver Health On the job training -> Super User Informatics Certifications Practicum/Internship Degree programs CU Denver Regis University of Denver

32 Is It Worth It?

33 Denver Health Childhood Immunizations

34 Denver Health Hospital Survival

35 Clinical Informatics in Health Care

36

37 mhealth Integration

38 Chronic Care Management: Using a Customer Relationship Management (CRM) Application 38 38

39

40 References McLane, S., Turley, J.P. (2011). Informaticians. The Journal of Nursing Administration, 41, 1. Jt Comm J Qual Patient Saf Mar;37(3):

Mitzi Cardenas Sr. VP/Strategy, Business Development and Technology Truman Medical Centers

Mitzi Cardenas Sr. VP/Strategy, Business Development and Technology Truman Medical Centers Mitzi Cardenas Sr. VP/Strategy, Business Development and Technology Truman Medical Centers HIMSS Stage 7: What it Means Heart of America HIMSS and the Missouri Health Information Management Association

More information

YOUR HEALTH INFORMATION EXCHANGE

YOUR HEALTH INFORMATION EXCHANGE YOUR HEALTH INFORMATION EXCHANGE Introduction to Health Information Exchange Healthcare organizations are experiencing substantial pressures from initiatives and reforms such as new payment models, care

More information

2011 Summer Institute in Nursing Informatics The Tenet Story

2011 Summer Institute in Nursing Informatics The Tenet Story 2011 Summer Institute in Nursing Informatics The Tenet Story Liz Johnson, MS, FHIMSS, CPHIMS, RN-BC VP of Applied Clinical Informatics HHS Health Information Technology Standards Committee Member Modern

More information

PRISM Collaborative: Transforming the Future of Pharmacy PeRformance Improvement for Safe Medication Management

PRISM Collaborative: Transforming the Future of Pharmacy PeRformance Improvement for Safe Medication Management PRISM Collaborative: Transforming the Future of Pharmacy PeRformance Improvement for Safe Medication Management Mission: To improve the health of the people of Connecticut through safe and effective medication

More information

ACOs: California Style

ACOs: California Style ACOs: California Style ACO Congress John E. Jenrette, M.D. Chief Executive Officer Sharp Community Medical Group November 2, 2011 California Style California Style A CO California Style California Style

More information

1. PROMOTE PATIENT SAFETY.

1. PROMOTE PATIENT SAFETY. SAN FRANCISCO GENERAL HOSPITAL MEDICAL CENTER GOALS & ACCOMPLISHMENTS FISCAL YEAR 2006-2007 1. PROMOTE PATIENT SAFETY. Implemented medication reconciliation processes and procedures for admitted patients.

More information

Financial Policy & Financial Reporting. Jay Andrews VP of Financial Policy

Financial Policy & Financial Reporting. Jay Andrews VP of Financial Policy Financial Policy & Financial Reporting Jay Andrews VP of Financial Policy 1 Members & Groups Supported Center for Healthcare Excellence Hospital Leadership & Quality Departments Hospital Finance Departments

More information

The Updated Gartner CPR Generation Criteria

The Updated Gartner CPR Generation Criteria GARTNER TELECONFERENCE Healthcare The Updated Gartner CPR Generation Criteria Tom Handler, M.D. Barry Hieb, M.D. 13 June 2007 Notes accompany this presentation. Please select Notes Page view. These materials

More information

Informatics, PCMHs and ACOs: A Brave New World

Informatics, PCMHs and ACOs: A Brave New World Informatics, PCMHs and ACOs: A Brave New World R. Clark Campbell, MSN, RN-BC, CPHIMS, FHIMSS Kathleen Kimmel, RN, BSN, MHA, CPHIMS, FHIMSS Engagement Executive with Health Catalyst Objectives - Define

More information

Healthcare Analytics & Managing Population Health

Healthcare Analytics & Managing Population Health Healthcare Analytics & Managing Population Health Victoria Tiase, MS, RN, Director Informatics Strategy, NewYork-Presbyterian Hospital Kathleen McGrow, MS, RN, PMP, Director Customer Marketing, Caradigm

More information

Value of HIT. Pat Wise VP, Health Information Systems HIMSS North America June 21, 2017

Value of HIT. Pat Wise VP, Health Information Systems HIMSS North America June 21, 2017 Value of HIT Pat Wise VP, Health Information Systems HIMSS North America June 21, 2017 Value of HIT Value Score Pat Wise RN, MA, MS, FHIMSS COL (USA ret'd) Vice President, Health Information Systems Objectives

More information

Clinical Operations. Kelvin A. Baggett, M.D., M.P.H., M.B.A. SVP, Clinical Operations & Chief Medical Officer December 10, 2012

Clinical Operations. Kelvin A. Baggett, M.D., M.P.H., M.B.A. SVP, Clinical Operations & Chief Medical Officer December 10, 2012 Clinical Operations Kelvin A. Baggett, M.D., M.P.H., M.B.A. SVP, Clinical Operations & Chief Medical Officer December 10, 2012 Forward-looking Statements Certain statements contained in this presentation

More information

CMS Quality Program- Outcome Measures. Kathy Wonderly RN, MSEd, CPHQ Consultant Developed: December 2015 Revised: January 2018

CMS Quality Program- Outcome Measures. Kathy Wonderly RN, MSEd, CPHQ Consultant Developed: December 2015 Revised: January 2018 CMS Quality Program- Outcome Measures Kathy Wonderly RN, MSEd, CPHQ Consultant Developed: December 2015 Revised: January 2018 Philosophy The Centers for Medicare and Medicaid Services (CMS) is changing

More information

Deriving Value from a Health Information Exchange. HIMSS17 DA-CH Community Conference Healthix I New York I February 20, 2017

Deriving Value from a Health Information Exchange. HIMSS17 DA-CH Community Conference Healthix I New York I February 20, 2017 Deriving Value from a Health Information Exchange HIMSS17 DA-CH Community Conference Healthix I New York I February 20, 2017 About Healthix About Healthix Hundreds of healthcare organizations at more than

More information

The New World of Value Driven Cardiac Care

The New World of Value Driven Cardiac Care 1 The New World of Value Driven Cardiac Care Disclosures MPA Healthcare Solutions is an analytic health care consultancy that provides clients with insight into clinical performance; aids them in the evaluation,

More information

American Recovery & Reinvestment Act

American Recovery & Reinvestment Act American Recovery & Reinvestment Act Meaningful Use Dawn Ross, Clinical Informatics Director Linda Wilson, Meaningful Use Coordinator 10/26/2015 Overview American Recovery and Reinvestment Act of 2009

More information

Reducing Preventable Hospital Readmissions in Post Acute Care Kim Barrows RN BSN

Reducing Preventable Hospital Readmissions in Post Acute Care Kim Barrows RN BSN Reducing Preventable Hospital Readmissions in Post Acute Care Kim Barrows RN BSN Session Objectives At the end of the session the learner will be able to: 1. Discuss the history of hospital readmission

More information

The Wave of the Future: Value-Based Purchasing & the Impact of Quality Reporting Within the Revenue Cycle

The Wave of the Future: Value-Based Purchasing & the Impact of Quality Reporting Within the Revenue Cycle The Wave of the Future: Value-Based Purchasing & the Impact of Quality Reporting Within the Revenue Cycle Kim Charland, BA, RHIT, CCS Senior Vice President Clinical Innovation and Publisher VBPmonitor

More information

Medicare, Managed Care & Emerging Trends

Medicare, Managed Care & Emerging Trends Medicare, Managed Care & Emerging Trends LeadingAge Michigan 2015 Annual Leadership Institute August 12, 2015 Jon Lanczak, Manager Beth Sullivan, Senior Manager Plante Moran, PLLC Overall Theme Healthcare

More information

Reducing Readmissions: Potential Measurements

Reducing Readmissions: Potential Measurements Reducing Readmissions: Potential Measurements Avoid Readmissions Through Collaboration October 27, 2010 Denise Remus, PhD, RN Chief Quality Officer BayCare Health System Overview Why Focus on Readmissions?

More information

Agenda. NE CAH Region Discussion

Agenda. NE CAH Region Discussion NE CAH Region Discussion Tina Gagner, BSN, RN Clinical Application Analyst Agenda NDHIN Statistics Data Feeds to the HIE Participating Providers Event Notifications Communicate (Direct Secure Messaging)

More information

Successful Clinical Process Redesign in a Connected Healthcare Community. Linus Diedling Allison Foley, MD Elliot Sternberg, MD Michelle Woodley, RN

Successful Clinical Process Redesign in a Connected Healthcare Community. Linus Diedling Allison Foley, MD Elliot Sternberg, MD Michelle Woodley, RN Successful Clinical Process Redesign in a Connected Healthcare Community Linus Diedling Allison Foley, MD Elliot Sternberg, MD Michelle Woodley, RN AGENDA Care Redesign from 3 Perspectives Chief Medical

More information

Proposed Meaningful Use Incentives, Criteria and Quality Measures Affecting Critical Access Hospitals

Proposed Meaningful Use Incentives, Criteria and Quality Measures Affecting Critical Access Hospitals Proposed Meaningful Use Incentives, Criteria and Quality Measures Affecting Critical Access Hospitals Paul Kleeberg, MD, FAAFP, FHIMSS Clinical Director Regional Extension Assistance Center for HIT (REACH)

More information

Technology Fundamentals for Realizing ACO Success

Technology Fundamentals for Realizing ACO Success Technology Fundamentals for Realizing ACO Success Introduction The accountable care organization (ACO) concept, an integral piece of the government s current health reform agenda, aims to create a health

More information

Innovative Coordinated Care Delivery

Innovative Coordinated Care Delivery Innovative Coordinated Care Delivery The Arizona Readmissions Summit 2015, Mesa David W. Saÿen, MBA Regional Administrator Centers for Medicare & Medicaid Services San Francisco February 12, 2015 OUR STRATEGIC

More information

Appendix B: Formulae Used for Calculation of Hospital Performance Measures

Appendix B: Formulae Used for Calculation of Hospital Performance Measures Appendix B: Formulae Used for Calculation of Hospital Performance Measures ADJUSTMENTS Adjustment Factor Case Mix Adjustment Wage Index Adjustment Gross Patient Revenue / Gross Inpatient Acute Care Revenue

More information

Planning a Course to Population Health Management

Planning a Course to Population Health Management Planning a Course to Population Health Management A Complimentary Webinar From healthsystemcio.com Your Line Will Be Silent Until Our Event Begins at 12:00 ET Thank You! Slide Deck: http://goo.gl/1w119j

More information

Transforming Health Care with Health IT

Transforming Health Care with Health IT Transforming Health Care with Health IT Meaningful Use Stage 2 and Beyond Mat Kendall, Director of the Office of Provider Adoption Support (OPAS) March 19 th 2014 The Big Picture Better Healthcare Better

More information

Centers for Medicare & Medicaid Services (CMS) Quality Improvement Program Measures for Acute Care Hospitals - Fiscal Year (FY) 2020 Payment Update

Centers for Medicare & Medicaid Services (CMS) Quality Improvement Program Measures for Acute Care Hospitals - Fiscal Year (FY) 2020 Payment Update ID Me asure Name NQF # Value- (VBP) - (HACRP) (HRRP) ID Me asure Name NQF # Value- (VBP) - (HACRP) (HRRP) CMS s - Fiscal Year 2020 Centers for Medicare & Medicaid Services (CMS) Improvement s for Acute

More information

POPULATION HEALTH PLAYBOOK. Mark Wendling, MD Executive Director LVPHO/Valley Preferred 1

POPULATION HEALTH PLAYBOOK. Mark Wendling, MD Executive Director LVPHO/Valley Preferred   1 POPULATION HEALTH PLAYBOOK Mark Wendling, MD Executive Director LVPHO/Valley Preferred www.populytics.com 1 Today s Agenda Outline LVHN, LVPHO and Populytics Overview Population Health Approach Population

More information

Best Practices: Access Case Management

Best Practices: Access Case Management Best Practices: Access Case Management Sarah M. Clark, RN-BC, BSN, MHA/INF, CCM Manager, Care Coordination Education Sentara Healthcare August 15, 2013 1 Objectives Identify key components of an effective

More information

Clinical Documentation Improvement (CDI)

Clinical Documentation Improvement (CDI) Clinical Documentation Improvement (CDI) Lafayette General Health 2017 Nicholas E. Davies Enterprise Award of Excellence Jessie Hanks, BS, RHIA, Director HIM Amanda Logue, M.D., Chief Medical Information

More information

Mission Health Care Network. April 2017

Mission Health Care Network. April 2017 Mission Health Care Network April 2017 WHAT IS MISSION HEALTH CARE NETWORK? Mission Health Care Network is a Clinically Integrated Network including groups of doctors, the hospital and other health care

More information

HOSPITAL QUALITY MEASURES. Overview of QM s

HOSPITAL QUALITY MEASURES. Overview of QM s HOSPITAL QUALITY MEASURES Overview of QM s QUALITY MEASURES FOR HOSPITALS The overall rating defined by Hospital Compare summarizes up to 57 quality measures reflecting common conditions that hospitals

More information

CCHS: Quality and Patient Safety. J Michael Henderson, MD Guido Bergomi

CCHS: Quality and Patient Safety. J Michael Henderson, MD Guido Bergomi CCHS: Quality and Patient Safety J Michael Henderson, MD Guido Bergomi Outline Integrated Quality & Safety structure Quality Goals and Performance Improvement Quality data sources Quality Reporting The

More information

PENN Medicine. National Health Policy Forum. The Cost of Hospital Care. Keith A. Kasper

PENN Medicine. National Health Policy Forum. The Cost of Hospital Care. Keith A. Kasper PENN Medicine National Health Policy Forum The Cost of Hospital Care Keith A. Kasper SVP & Chief Financial Officer University of Pennsylvania Health System October 8, 2010 0 PENN Medicine Organizational

More information

Disclaimer. Learning Objectives

Disclaimer. Learning Objectives Data Analysis in Today s Skilled Nursing Facilities: How Data is Driving Reimbursement and 5-Star Ratings Presented by: Reinsel Kuntz Lesher Senior Living Services Consulting 0 Disclaimer The information

More information

Minnesota Statewide Quality Reporting and Measurement System: APPENDICES TO MINNESOTA ADMINISTRATIVE RULES, CHAPTER 4654

Minnesota Statewide Quality Reporting and Measurement System: APPENDICES TO MINNESOTA ADMINISTRATIVE RULES, CHAPTER 4654 Minnesota Statewide Quality Reporting and Measurement System: APPENDICES TO MINNESOTA ADMINISTRATIVE RULES, CHAPTER 4654 DECEMBER 2017 APPENDICES TO MINNESOTA ADMINISTRATIVE RULES, CHAPTER 4654 Minnesota

More information

Using Data for Proactive Patient Population Management

Using Data for Proactive Patient Population Management Using Data for Proactive Patient Population Management Kate Lichtenberg, DO, MPH, FAAFP October 16, 2013 Topics Review population based care Understand the use of registries Harnessing the power of EHRs

More information

Achieving Organizational Excellence Through Health

Achieving Organizational Excellence Through Health Achieving Organizational Excellence Through Health IT @JohnHDaniels Objectives Identify the various HIMSS Awards and their focus Determine the challenges and the opportunities of affecting organizational

More information

Session Objectives 10/27/2014. How Can I get Beyond the Basics of Hospital Readmission and Become a Preferred Provider? Kim Barrows RN BSN

Session Objectives 10/27/2014. How Can I get Beyond the Basics of Hospital Readmission and Become a Preferred Provider? Kim Barrows RN BSN How Can I get Beyond the Basics of Hospital Readmission and Become a Preferred Provider? Kim Barrows RN BSN Session Objectives At the end of the session the learner will be able to: 1. Discuss the history

More information

Health Management Information Systems: Computerized Provider Order Entry

Health Management Information Systems: Computerized Provider Order Entry Health Management Information Systems: Computerized Provider Order Entry Lecture 2 Audio Transcript Slide 1 Welcome to Health Management Information Systems: Computerized Provider Order Entry. The component,

More information

Priceless Partners: Common Patients, Common Goals

Priceless Partners: Common Patients, Common Goals Priceless Partners: Common Patients, Common Goals Erin Hodson, RN, BSN, ACM Senior Director Case Management Inova Fairfax Hospital Pamela Andrews, RN, MSW, MBA, CCM, ACM Director Medical Management INTotal

More information

Order Source Misattribution: The Impact on CPOE Metrics

Order Source Misattribution: The Impact on CPOE Metrics Order Source Misattribution: The Impact on CPOE Metrics Linda Catzoela, RN, BSN, Clinical Informaticist George Gellert, MD, MPH, MPA, Associate System CMIO CHRISTUS Health March 3, 2016 Co-authors and

More information

Code Sepsis: Wake Forest Baptist Medical Center Experience

Code Sepsis: Wake Forest Baptist Medical Center Experience Code Sepsis: Wake Forest Baptist Medical Center Experience James R. Beardsley, PharmD, BCPS Manager, Graduate and Post-Graduate Education Department of Pharmacy Wake Forest Baptist Health Assistant Professor

More information

2017 Nicolas E. Davies Enterprise Award of Excellence

2017 Nicolas E. Davies Enterprise Award of Excellence 2017 Nicolas E. Davies Enterprise Award of Excellence Agenda Memorial Hermann Health System Overview Journey to High Reliability Case study review CLABSI Prevention 2 Memorial Hermann Health System Woodlands

More information

Exhibit 1. Medicare Shared Savings Program: Year 1 Performance of Participating Accountable Care Organizations (2013)

Exhibit 1. Medicare Shared Savings Program: Year 1 Performance of Participating Accountable Care Organizations (2013) Exhibit 1. Medicare Shared Savings Program: Year 1 Performance of Participating Accountable Care Organizations (2013) 24 percent (52 ACOs) earned shared savings bonus 27 percent (60 ACOs) reduced spending,

More information

Medicare Value Based Purchasing August 14, 2012

Medicare Value Based Purchasing August 14, 2012 Medicare Value Based Purchasing August 14, 2012 Wes Champion Senior Vice President Premier Performance Partners Copyright 2012 PREMIER INC, ALL RIGHTS RESERVED Premier is the nation s largest healthcare

More information

SWAN Alerts and Best Practices for Improved Care Coordination

SWAN Alerts and Best Practices for Improved Care Coordination SWAN Alerts and Best Practices for Improved Care Coordination IHIN and SWAN Course Overview Our Goal: To educate healthcare providers in how to manage SWAN alerts for meaningful impact at the point of

More information

Low Income Pool (LIP) Tier One Milestone (STC-61) Application for Enhancement Projects. Submitted by:

Low Income Pool (LIP) Tier One Milestone (STC-61) Application for Enhancement Projects. Submitted by: 2012-2013 Low Income Pool (LIP) Tier One Milestone (STC-61) Application for Enhancement Projects Submitted by: Florida Health Sciences Center, Inc. d/b/a Tampa General Hospital July 31, 2012 1 1. Applicant:

More information

Patient-Centered Medical Home 101: General Overview

Patient-Centered Medical Home 101: General Overview Patient-Centered Medical Home 101: General Overview Publicly Available Slide Deck Last Updated: January 2015 Suggested Citation: PCPCC Map Tools. (2015). Patient-Centered Medical Home 101: General Overview.

More information

MorCare Infection Prevention prevent hospital-acquired infections proactively

MorCare Infection Prevention prevent hospital-acquired infections proactively Infection Prevention prevent hospital-acquired infections proactively Enterprise Software and Consulting Solutions for Improved Population Health s Enterprise Software and Consulting Solutions Healthcare

More information

Meaningful Use Is a Stepping Stone to Meaningful Care

Meaningful Use Is a Stepping Stone to Meaningful Care Meaningful Use Is a Stepping Stone to Meaningful Care Liz Johnson, RN-BC, MS, FCHIME, FHIMSS, CPHIMS Chief Clinical Informaticist and Vice President of Applied Clinical Informatics Tenet Healthcare Corporation

More information

The 5 W s of the CMS Core Quality Process and Outcome Measures

The 5 W s of the CMS Core Quality Process and Outcome Measures The 5 W s of the CMS Core Quality Process and Outcome Measures Understanding the process and the expectations Developed by Kathy Wonderly RN,BSPA, CPHQ Performance Improvement Coordinator Developed : September

More information

Informatics Essentials

Informatics Essentials Track A Informatics Essentials Faculty Eun-Shim Nahm, PhD, RN. FAAN Michele Lardner MS, RN-BC Patricia P. Sengstack DNP, RN-BC, CPHIMS Seth Carlson, MS Ruth Schleyer, MSN, RN-BC Jude Simonds, MSN, RN,

More information

Elmhurst Memorial Healthcare Successfully Attests to Stage 1 Meaningful Use

Elmhurst Memorial Healthcare Successfully Attests to Stage 1 Meaningful Use Welcome! Elmhurst Memorial Healthcare Successfully Attests to Stage 1 Meaningful Use Presented by: Larry Katzovitz & Judy Triano Elmhurst Memorial Healthcare Kay Jackson (978) 805-3104 Kay.Jackson@iatric.com

More information

Leveraging HIE to Bolster Accountable Care Organizations. Healthcare Unbound / July 12, 2013

Leveraging HIE to Bolster Accountable Care Organizations. Healthcare Unbound / July 12, 2013 Leveraging HIE to Bolster Accountable Care Organizations Healthcare Unbound / July 12, 2013 Types of Health Info. Exchange Direct (Point-to-Point) Query-Based 2013 Colorado Regional Health Information

More information

Accelerating the Impact of Performance Measures: Role of Core Measures

Accelerating the Impact of Performance Measures: Role of Core Measures Accelerating the Impact of Performance Measures: Role of Core Measures Mark McClellan, MD, PhD Director, Engelberg Center for Health Care Reform Senior Fellow, Economic Studies Leonard D. Schaeffer Chair

More information

Speakers. The Military Health System* Lessons Learned in Implementing a Global Electronic Health Record

Speakers. The Military Health System* Lessons Learned in Implementing a Global Electronic Health Record Lessons Learned in Implementing a Global Electronic Health Record HIMSS Annual Conference February 14, 2006 Speakers Victor Eilenfield, COL, USA, CHE Program Manager Dr. June Carraher, Col, USAF, MC Director,

More information

HIMSS Davies Enterprise Application --- COVER PAGE ---

HIMSS Davies Enterprise Application --- COVER PAGE --- HIMSS Davies Enterprise Application --- COVER PAGE --- Applicant Organization: Hawai i Pacific Health Organization s Address: 55 Merchant Street, 27 th Floor, Honolulu, Hawai i 96813 Submitter s Name:

More information

2018 MGMA COST AND REVENUE SURVEY

2018 MGMA COST AND REVENUE SURVEY (*Asterisks denote required questions) *Note: The Practice Profile must be completed before beginning any of the MGMA Surveys* Time is a valuable thing! We ve created a tiered participation benefit structure

More information

New York State Medicaid Value Based Payment: Data Driven Strategies. Bundled Payment Summit June 27, 2017

New York State Medicaid Value Based Payment: Data Driven Strategies. Bundled Payment Summit June 27, 2017 New York State Medicaid Value Based Payment: Data Driven Strategies Bundled Payment Summit June 27, 2017 Panelists Moderator Paloma Hernandez Anthony Thompson Marc Berg President and CEO Urban Health Plan

More information

Ontario Shores Journey to EMRAM Stage 7. October 21, 2015

Ontario Shores Journey to EMRAM Stage 7. October 21, 2015 Ontario Shores Journey to EMRAM Stage 7 October 21, 2015 ICE BREAKER Agenda System overview & pervasiveness of use Review Clinical Practice Guideline implementation Discuss Patient Portal implementation

More information

The content and/or presentation of the information will promote quality or improvements in healthcare and will not promote commercial interests

The content and/or presentation of the information will promote quality or improvements in healthcare and will not promote commercial interests Disclosure Statement: The content and/or presentation of the information will promote quality or improvements in healthcare and will not promote commercial interests UTILIZING POPULATION HEALTH DATA John

More information

Quality Based Impacts to Medicare Inpatient Payments

Quality Based Impacts to Medicare Inpatient Payments Quality Based Impacts to Medicare Inpatient Payments Overview New Developments in Quality Based Reimbursement Recap of programs Hospital acquired conditions Readmission reduction program Value based purchasing

More information

1/14/2013. Emerging Healthcare Issues: How Will They Impact Hospital Reimbursement? EMERGING HEALTHCARE TOPICS FOR DISCUSSION

1/14/2013. Emerging Healthcare Issues: How Will They Impact Hospital Reimbursement? EMERGING HEALTHCARE TOPICS FOR DISCUSSION 2013 University of California Compliance & Audit Symposium Lori Laubach, Partner Sharon Hartzel, Director Health Care Consulting Moss Adams LLP Emerging Healthcare Issues: How Will They Impact Hospital

More information

Physician Performance Analytics: A Key to Cost Savings

Physician Performance Analytics: A Key to Cost Savings Physician Performance Analytics: A Key to Cost Savings Session #90, February 21, 2017 Jim Gera, SVP of Business Development, Signature Medical Group, Inc. 1 Speaker Introduction Jim Gera, MBA SVP of Business

More information

Our Patient Portal Experience

Our Patient Portal Experience Our Patient Portal Experience Pat Bracknell, CHDA May 13, 2016 Central Oregon 1 Goal Describe how our organization is working through the benefits and challenges of implementing a patient portal in response

More information

Facility State National

Facility State National Percentage Summary Report Page 1 of 5 Data As Of: 07/27/2016 Total Performance Facility State National 35.250000000000 37.325750561167 35.561361414483 Unweighted Domain Weighting Weighted Domain Clinical

More information

TITLE: Processing Provider Orders: Inpatient and Outpatient

TITLE: Processing Provider Orders: Inpatient and Outpatient POLICY and PROCEDURE TITLE: Processing Provider Orders: Inpatient and Outpatient Number: 13211 Version: 13211.10 Type: Patient Care Author: Carol Vanetti; Provider Order Policy Committee Effective Date:

More information

Reducing Costs and Improving Outcomes: Strategies That Work and How to Get There

Reducing Costs and Improving Outcomes: Strategies That Work and How to Get There Institute of Medicine July 16, 2009 Reducing Costs and Improving Outcomes: Strategies That Work and How to Get There Glenn Steele Jr., MD, PhD President and CEO Geisinger Health System Geisinger Health

More information

Population Health Management in the Safety Net Elaine Batchlor, MD, MPH CEO, Martin Luther King, Jr. Community Hospital

Population Health Management in the Safety Net Elaine Batchlor, MD, MPH CEO, Martin Luther King, Jr. Community Hospital Population Health Management in the Safety Net Elaine Batchlor, MD, MPH CEO, Martin Luther King, Jr. Community Hospital November 5, 2013 Martin Luther King, Jr. Community Hospital Page 1 11/05/2013 Agenda

More information

QUEST: Collaboration for Performance

QUEST: Collaboration for Performance QUEST: Collaboration for Performance The National Pay for Performance Summit San Francisco, CA March 8, 2010 Carolyn Scott, RN, M.Ed., MHA Vice President, Performance Improvement and Quality, Premier,

More information

Meaningful Use Stages 1 & 2

Meaningful Use Stages 1 & 2 Meaningful Use Stages 1 & 2 Making Sure You Get the Most Out of Your EHR Tracy McDonald Medicaid EHR Incentive Program Coordinator Agenda Meaningful Use Stages & Incentive Program Timing 2014 Changes to

More information

2018 MGMA COST AND REVENUE SURVEY

2018 MGMA COST AND REVENUE SURVEY (*Asterisks denote required questions) *Note: The Practice Profile must be completed before beginning any of the MGMA Surveys* Time is a valuable thing! We ve created a tiered participation benefit structure

More information

The dawn of hospital pay for quality has arrived. Hospitals have been reporting

The dawn of hospital pay for quality has arrived. Hospitals have been reporting Value-based purchasing SCIP measures to weigh in Medicare pay starting in 2013 The dawn of hospital pay for quality has arrived. Hospitals have been reporting Surgical Care Improvement Project (SCIP) measures

More information

How an ACO Provides and Arranges for the Best Patient Care Using Clinical and Operational Analytics

How an ACO Provides and Arranges for the Best Patient Care Using Clinical and Operational Analytics Success Story How an ACO Provides and Arranges for the Best Patient Care Using Clinical and Operational Analytics HEALTHCARE ORGANIZATION Accountable Care Organization (ACO) TOP RESULTS Clinical and operational

More information

Meaningful Use Stage 2. Physicians February 2013

Meaningful Use Stage 2. Physicians February 2013 Meaningful Use Stage 2 Physicians February 2013 CME Disclosures J.N. Cook, D.O. MPH has nothing to disclose Randi Terry, MBA has nothing to disclose Credit where credit is due What is Meaningful Use? American

More information

A Practical Approach Toward Accountable Care and Risk-Based Contracting: Design to Implementation

A Practical Approach Toward Accountable Care and Risk-Based Contracting: Design to Implementation A Practical Approach Toward Accountable Care and Risk-Based Contracting: Design to Implementation Daniel J. Marino, President/CEO, Health Directions Asad Zaman, MD June 19, 2013 Session Objectives Establish

More information

A Framework for Evaluating Electronic Health Records Overview - Applying to the Davies Ambulatory Awards Program Revised May 2012

A Framework for Evaluating Electronic Health Records Overview - Applying to the Davies Ambulatory Awards Program Revised May 2012 A Framework for Evaluating Electronic Health Records Overview - Applying to the Davies Ambulatory Awards Program Revised May 2012 Introduction The Computer-Based Record Institute (CPRI) established the

More information

Sandra Robinson, RN, MSN, ACM, CEN

Sandra Robinson, RN, MSN, ACM, CEN Developing and Measuring Care Coordination Outcome Goals and Objectives ACMA National Conference April 28, 2015 Cleveland Clinic Care Management Sandra Robinson, RN, MSN, ACM, CEN (robinss12@ccf.org) Joan

More information

Unifying Real-Time Mobile Rounds with Follow Up Care Calls to Improve Patient Experience and Outcomes

Unifying Real-Time Mobile Rounds with Follow Up Care Calls to Improve Patient Experience and Outcomes Unifying Real-Time Mobile Rounds with Follow Up Care Calls to Improve Patient Experience and Outcomes Sue Murphy, RN BSN MS Chief Experience Officer Becker's 3rd Annual Health IT + Revenue Cycle 2017 1

More information

CMS Technology: Accomplishments and Challenges

CMS Technology: Accomplishments and Challenges CMS Technology: Accomplishments and Challenges Henry Chao, Acting Chief Technology Officer (CTO), Centers for Medicare & Medicaid Services (CMS) Northern Virginia Technology Council (NVTC) February 12,

More information

Marshfield Clinic Health System MSSP Track I ACO Experience

Marshfield Clinic Health System MSSP Track I ACO Experience Marshfield Clinic Health System MSSP Track I ACO Experience Narayana S Murali MD FACP EVP Care Delivery & Chief Clinical Strategy Officer, MCHS President/CEO MCHS Hospitals Inc. Executive Director, Marshfield

More information

Hospital Readmissions Survival Guide

Hospital Readmissions Survival Guide WHITE PAPER Hospital Readmissions Survival Guide The Long-Term Care Provider s Ultimate Survival Guide to Incorporating INTERACT into Health Information Technology (HIT) March 2017 In this survival guide,

More information

The Future of HIE in Alaska

The Future of HIE in Alaska The Future of HIE in Alaska 1 Presentation Outline Developing a Roadmap for Alaska s HIE The Vision of AeHN: HIE 2.0 A Provider s Perspective 2 Brief History of Alaska s Health Information Exchange System

More information

Future of Community Healthcare Providers. Author: Mr. Raj Shah, CEO, CTIS Inc.

Future of Community Healthcare Providers. Author: Mr. Raj Shah, CEO, CTIS Inc. Author: Mr. Raj Shah, CEO, CTIS Inc. Healthcare providers range from government to commercial sectors. In the government sector, this includes both civilian and military hospitals, academic medical and

More information

Medical Home as a Platform for Population Health

Medical Home as a Platform for Population Health Medical Home as a Platform for Population Health Population Health Colloquium March 8, 2016 Emily Brower Vice President, Population Health Atrius Health Emily_Brower@atriushealth.org 2016 Atrius Health,

More information

Transforming Clinical Care: Why Optimization of Clinical Systems Can t Wait

Transforming Clinical Care: Why Optimization of Clinical Systems Can t Wait Transforming Clinical Care: Why Optimization of Clinical Systems Can t Wait A White Paper March 2016 Impact Advisors LLC 400 E. Diehl Road Suite 190 Naperville IL 60563 1-800-680-7570 Impact-Advisors.com

More information

EXECUTIVE SUMMARY: briefopinion: Hospital Readmissions Survey. Purpose & Methods. Results

EXECUTIVE SUMMARY: briefopinion: Hospital Readmissions Survey. Purpose & Methods. Results briefopinion: Hospital Readmissions Survey EXECUTIVE SUMMARY: Purpose & Methods The purpose of this survey was to collect information about hospital readmission rates and practices. The survey was available

More information

Eligible Hours ( ) Achieving HIMSS Stage 7 and Gaining Physician Adoption of a Paperless Record CHC

Eligible Hours ( ) Achieving HIMSS Stage 7 and Gaining Physician Adoption of a Paperless Record CHC Below are the sessions that qualify for CPHIMS or CAHIMS continuing education (CE) hours. Check the column for all sessions attended and total the number of hours earned each day. At the end of the form,

More information

Quality and Health Care Reform: How Do We Proceed?

Quality and Health Care Reform: How Do We Proceed? Quality and Health Care Reform: How Do We Proceed? Susan D. Moffatt-Bruce, MD, PhD Chief Quality and Patient Safety Officer Associate Dean of Clinical Affairs Quality and Patient Safety Associate Professor

More information

Euclid Hospital CMS BPCI Episode

Euclid Hospital CMS BPCI Episode Euclid Hospital CMS BPCI Episode Two Paradigms in Health Care Reform Managing population 1 health, 2 PCMH Managing episodes of care, Bundled payments Health Status Baseline Episode Total Spend: Commercial

More information

HIT Incentives: Issues of Concern to Hospitals in the CMS Proposed Meaningful Use Stage 2 Rule

HIT Incentives: Issues of Concern to Hospitals in the CMS Proposed Meaningful Use Stage 2 Rule HIT Incentives: Issues of Concern to Hospitals in the CMS Proposed Meaningful Use Stage 2 Rule Lori Mihalich-Levin, J.D. lmlevin@aamc.org; 202-828-0599 Jennifer Faerberg jfaerberg@aamc.org; 202-862-6221

More information

2017 Quality Reporting: Claims and Administrative Data-Based Quality Measures For Medicare Shared Savings Program and Next Generation ACO Model ACOs

2017 Quality Reporting: Claims and Administrative Data-Based Quality Measures For Medicare Shared Savings Program and Next Generation ACO Model ACOs 2017 Quality Reporting: Claims and Administrative Data-Based Quality Measures For Medicare Shared Savings Program and Next Generation ACO Model ACOs June 15, 2017 Rabia Khan, MPH, CMS Chris Beadles, MD,

More information

Learning Session 4: Required Infection Reporting for Minnesota CAH

Learning Session 4: Required Infection Reporting for Minnesota CAH Learning Session 4: Required Infection Reporting for Minnesota CAH Presenters: Vicki Tang Olson Program Manager, Stratis Health Janet Lilleberg Quality Data Specialist, Stratis Health Marilyn Grafstrom,

More information

CMS in the 21 st Century

CMS in the 21 st Century CMS in the 21 st Century ICE 2013 ANNUAL CONFERENCE David Saÿen, MBA Regional Administrator Centers for Medicare & Medicaid Services San Francisco November 15, 2013 The strategy is to concurrently pursue

More information

PHCA Webinar January 30, Latsha Davis & McKenna, P.C. Kimber L. Latsha, Esq.

PHCA Webinar January 30, Latsha Davis & McKenna, P.C. Kimber L. Latsha, Esq. PHCA Webinar January 30, 2014 Latsha Davis & McKenna, P.C. Kimber L. Latsha, Esq. 1 2 Intended to: Encourage the development of ACOs in Medicare Promotes accountability for a patient population and coordinates

More information

Moving the Needle on Hospital Throughput: Breaking Through the Status Quo. Session ID: 325

Moving the Needle on Hospital Throughput: Breaking Through the Status Quo. Session ID: 325 Moving the Needle on Hospital Throughput: Breaking Through the Status Quo Session ID: 325 Objectives Objective 1: Demonstrate how two common strategies can be deployed to maximum benefit to support improvements

More information

A strategy for building a value-based care program

A strategy for building a value-based care program 3M Health Information Systems A strategy for building a value-based care program How data can help you shift to value from fee-for-service payment What is value-based care? Value-based care is any structure

More information