Posts in Category: hospital management

LUMEDX gets ready for ASE's Scientific Sessions  

The 28th Annual Scientific Sessions of the American Society of Echocardiography, the premier event for bringing together echo experts from around the world to share learning and networking opportunities, will take place June 2-6 in Baltimore, Md.

This year, the Scientific Sessions will highlight the cycle of introducing new advances into clinical medicine: investigation-innovation-incorporation. These three themes are integrated throughout the program and cover a broad range of topics related to cardiovascular ultrasound.

LUMEDX will be at ASE in force, manning Booth 617 at the Baltimore Convention center. Please drop by to see our latest workflow and data intelligence solutions.

Exhibition hours are:

Saturday, June 3, 4:30 p.m to 6:30 p.m - President's Reception
Sunday, June 4, 9 a.m. to 4 p.m.
Monday, June 5, 9 a.m. to 4 p.m.​

Can't make ASE this year? Contact us to learn about our newest echo innovations.

LUMEDX webinar outlines the benefits of clinical data integration  

Orlando HealthHospital leaders can gain many advantages from aggregating financial, clinical and operational data to create dashboards that help them run their CV service line more effectively.

The LUMEDX webinar, "Improving Performance with Clinical Data Integration: How Orlando Health Used Dashboards to Better Manage its CV Service Line," will outline how to achieve these outcomes.

The complimentary webinar will take place Thursday, May 4, at 10 a.m. PT, 12 p.m. CT and 1 p.m. ET.

In this webinar, Rick Jones, RPH, Business Support Manager, Cardiovascular Service, Surgery and Pharmacy, Orlando Health, will outline how this comprehensive private, not-for-profit healthcare network in Florida is integrating data and making it available to decision-makers on a regular, refreshable basis to improve productivity, clinical and financial outcomes.

Click to Register

Integrated clinical analytics opens new vistas for healthcare providers 

The explosion of available health data is giving organizations the opportunity for the first time to leverage critical data analysis for key services such as financial and clinical decision support management.

This week, a report from Transparency Market Research (TMR) found that the global IT spending on clinical analytics reached $11.6 billion in 2015 and is projected to reach $32.4 billion by 2024.

The high demand of integrated clinical analytics solutions stems from their dynamic nature and ability for users to extract data from clinical documents synched with the system, such as (electronic health records) EHR, using the data to generate key insights, TMR said.

As a result, this spending makes sense when seen as the means to leverage programs offering actionable insight previously unavailable to healthcare leaders, Stefano Bertozzi, dean and professor of health policy and management at the UC Berkeley School of Public Health, said recently in Healthcare IT News.

"But to the extent that we are increasingly able to correct for other factors that create differences, Big Data can reveal what the differences in performance really are," he said. "And, as a result, what are the interventions that are effective for improving the performance."

LUMEDX is leveraging analytics for healthcare leaders to access new insights in key operations. LUMEDX's HealthView Analytics and Cardiovascular Performance Program (CPP) delivers immediate access to the clinical and financial information needed for success in value-based healthcare: registry, outcomes, and risk data; operational data; physician scorecards; and more.

By offering meaningful analytics that enable you to monitor, measure, and improve all aspects of CV services, LUMEDX's data intelligence tools and packages help drive performance while reducing costs.

 
 

CMS Delays Cardiac Bundled-Payment Program  

The Centers for Medicare and Medicaid Services (CMS) has pushed back the implementation date for its bundled payments for cardiac care from July 1 until Oct. 1, according to Cardiovascular Business. It also suggested it could further delay the model until Jan. 1, 2018.

CMS announced the delay of the program, titled the Cardiac Rehabilitation Incentive Payment Model, this week in the Federal Register.

The bundled-payment program would allow approximately 1,120 acute care hospitals in 98 designated markets to hold on to the savings they achieve if they spend less than the target price for a 90-day episode of care for bypass and heart attack patients. However, hospitals that exceed the target price must repay Medicare -- and target prices will be determined retrospectively.

CMS previously predicted that the program - which also covers knee and hip replacement - would save the federal government as much as $159 million between now and 2021. In 2014, the CMS said, heart attack treatment for 200,000 patients cost Medicare more than $6 billion.

The new Secretary of Health & Human Services, Tom Price, has been a critic of the program, objecting to the mandatory nature of the initiative. Seema Verma, the new CMS administrator, said during her confirmation hearing in February that she preferred a gradual expansion of new payment models, Cardiovascular Business reported.

The CMS announcement said an additional three-month delay is necessary to allow time for additional review, "to ensure that the agency has adequate time to undertake notice and comment rulemaking to modify the policy if modifications are warranted, and to ensure that in such a case participants have a clear understanding of the governing rules and are not required to take needless compliance steps."

CMS added that participants would have more time to prepare for these models with the delay and that it would be preferable for payment periods to align with the calendar year. As a result, the CMS said, it is seeking comment on delaying the bundles until January 2018.

 

From one hospital to another, the cost of treating heart attack patients varies by as much as 50 percent. Does your hospital have a plan to meet the target prices for bypass and heart attack patients? LUMEDX's Cardiovascular Performance Program can help. Click here to find out how.

Radial Access, Same-Day Release after PCIs Could Save $300 Million a Year 

New research shows that U.S. hospitals could save $300 million annually--and see fewer complications--if they use transradial access for percutaneous coronary interventions, and release patients on the same day.

Analysis shows that same-day, transradial PCIs cost $3,500 less than discharges that did not occur on the day of the procedure. Compared to transfemoral interventions, transradial PCIs also reduce:

  • Bleeding
  • Vascular complications
  • Transfusions

"We now have identified a mechanism for hospitals to improve their efficiency and lower costs that is associated with improved PCI outcomes simultaneously," says the study's lead author, Amit P. Amin, MD, of Washington University School of Medicine in St. Louis, in a news release.

"Our data show there is a tremendous potential to reduce costs of PCI, reduce complications and achieve a 'win-win' for both patients and hospitals," Amin adds. "Hospitals that redesign their care pathways to perform more same-day, transradial PCIs can potentially save hundreds of thousands of dollars each year."

As this research indicates, a major part of achieving cost savings is reducing avoidable complications. But reducing PCI complications is just one part of the puzzle; CV service lines can reduce adverse events for a myriad of other procedures.

There are also opportunities to achieve cost savings in other ways, such as by improving throughput and making billing easier and more accurate. Identifying these opportunities is crucial for physicians and cardiovascular leadership.

That's where LUMEDX's Cardiovascular Performance Program comes in. This new program offers a no-charge analysis of your facility's performance on complication rates and other issues that reduce revenues. It then generates a detailed plan for improvement.

The opportunities for better clinical and financial performance are dramatic. Learn more by contacting the Cardiovascular Performance Program team at info@lumedx.com or 800-966-0699.

See you at ACC: If you'll be at ACC.17 this month, stop by and say hi at LUMEDX Booth 2411. Or schedule a meeting to find out about the latest innovative software and services that can help you improve care and dramatically reduce costs across your CV service line. 

 

Cardiac Bundled-Payment Program to Go Forward Despite Change in Administration 

The bundled-payment program for cardiac care will go forward despite the Trump administration and the confirmation of new Health & Human Services Secretary Tom  Price, a critic of the program. July 1 remains the start date for the initiative, according to an HHS official who spoke to Modern Healthcare.

Under the bundled-payment model, hospitals in 98 designated markets can keep the savings they achieve if they spend less than the target price for a 90-day episode of care for bypass and heart attack patients. However, hospitals that exceed the target price must repay Medicare -- and Target prices will be determined retrospectively.

The HHS spokesman confirmed that the start of the initiative will not be slowed by the Trump administration, which previously had moved to delay the effective date for a rule that launched it. Nor does it appear that Price will stand in the way of its implementation.

Last fall, Price criticized bundled payments in a letter to then-President Obama. Price objected to the mandatory nature of the initiative, arguing that the Centers for Medicare & Medicaid had exceeded its authority and upset the balance of power between Congress and the president.

CMS predicts that the program--which also covers knee and hip replacement--will save the federal government as much as $159 million between now and 2021. In 2014, the CMS said, heart attack treatment for 200,000 patients cost Medicare more than $6 billion. 

From one hospital to another, the cost of treating heart attack patients varies by as much as 50 percent. Does your hospital have a plan to meet the target prices for bypass and heart attack patients? LUMEDX's Cardiovascular Performance Program can help. Click here to find out how. 

The Promise of Predictive Analysis 

If hospitals could accurately predict which patients were going to experience complications down the road, they could intervene early with those patients, and perhaps prevent them from having to be rehospitalized. Reducing readmissions is one of the potential benefits of predictive analysis, and it’s a big one.

“We have 750 patients every day. Instead of looking at everybody, if we can look at 20 patients, that would be a great advantage,” said Jose Azar, M.D., of Indiana University Health, in an H&HN article.

Also highlighted in the Hospitals & Health Networks article is Christiana Care Health System, which has been using predictive analytics for about five years. The Wilmington, Delaware, nonprofit health system set up its homegrown analytics system in 2012 with $10 million in grant funding from the Centers for Medicare & Medicaid Innovation Center.

Predictive analytics has helped Christiana Care improve on financial and utilization metrics, but administrators cautioned that predictions are no help if an organization doesn’t have the resources to respond to them. That means everyone – from doctors and care managers to nurses and social workers, and even clerical staff – needs to be ready to intervene based on predictions about patients.

“You need to be able to respond to and receive information in real time,” said Terri Steinberg, M.D., chief health information officer at Christiana Care. “That’s the cost of entry,” Steinberg told H&HN. “Without a robust care-management program, there’s no point” in making predictions.

Complimentary webinar recording available

A recent LUMEDX/Christiana Care webinar is now available as an online download or on CD. "Delivering Clinical and Business Excellence — The Power of Data Transparency: How Christiana Care Leverages Cardiology Data to Improve Care Quality and Contain Costs" can be downloaded by clicking hereIf you prefer to have a CD mailed to you, please click here.

 

Webinar to Highlight a Winning Data Analysis Strategy 

Christiana Care Health System, one of the largest healthcare providers in the mid-Atlantic, has achieved wide-ranging improvements in both clinical performance and business outcomes after implementing strategies designed to ensure top-quality care delivery while at the same time containing costs.

Christiana's success began with a data strategy that will be laid out in a complimentary webinar called Delivering Clinical and Business Excellence: The Power Of Data Transparency. Subtitled How Christiana Care Leverages Cardiology Data to Improve Care Quality and Contain Costs, the webinar will take place on Thursday, Feb. 2.

It will include discussions on: 

  • How data transparency drives cost and outcome awareness and impacts the CV service line
  • Christiana Care's experience comparing the costs and benefits of undertaking a costing model
  • The value of case attributes

Presented by Leslie Mulshenock, Director of Heart & Vascular Services, and Matthew Esham, Heart & Vascular Service Line Manager, the webinar will also include a summary of the costs and benefit of Christiana's strategic improvement plan, which has resulted in optimal reimbursement, lower costs-per-case and higher patient satisfaction. 

A live Q & A will conclude the Feb. 2 event, which will take place at 1 p.m. Eastern time, 12 p.m. Central and 10 a.m. Pacific.

Click here to register for this complimentary event.

Are You Ready for the New Cardiac Bundled-Payment Program? 

Heart hospital across the country are preparing for the new mandatory bundled-payment program for cardiac care. Set to begin this July, the program makes hospitals in certain markets accountable for the quality and cost of care for bypass and heart attack patients until 90 days after discharge.

CMS predicts that the program-which also covers knee and hip replacements-will save the federal government as much as $159 million between now and 2021. In 2014, the CMS said, heart attack treatment for 200,000 patients cost Medicare more than $6 billion. From one hospital to another, the cost of treating heart attack patients varies by as much as 50 percent, according to Modern Healthcare.

The bundled-payment model allows hospitals to keep the savings they achieve if they spend less than a target price for an episode of care. However, hospitals that exceed the target price must repay Medicare. Target prices will be determined retrospectively.

LUMEDX offers a path to meeting or beating those targets. Our Cardiovascular Performance Program helps facilities gather the consolidated CV data they need to see and manage quality and cost of care in real time. The program helps CV service lines analyze their data, identify higher-risk patients and act to ensure they are performing at or better than national targets so they can keep any savings they have realized-and avoid repaying Medicare. 

Inpatient costs are likely to account for most of the cost of the 90-day bundled-payment period, and LUMEDX is uniquely positioned to help providers reduce those expenses. Our Cardiovascular Performance Program can help CV service lines contain costs while improving outcomes by reducing:

  • Door-to-balloon time
  • Door-to-Troponin-testing time
  • PCI and CABG complications
  • PCI and CABG cost-per-case variation

These are just a few of the many ways LUMEDX solutions can help heart hospitals demonstrate best-quality, best-value care delivery-and uncover the solutions to radical improvement. 

How will the bundled-payment program impact your CV service line? Share your thoughts in our comment section, below. 

Early Reaction to MACRA Rule Mostly Positive 

Last weekend was a busy one for those trying to parse the new MACRA rule released on Friday. At 2,202 pages, the Medicare Access and CHIP Reauthorization Act rule wasn't exactly beach reading, and it gave the health IT community plenty to talk about on social media and in policy statements.

The dust is still settling, but it appears that early reaction to the rule was mostly positive. Healthcare organizations praised the CMS for being responsive to concerns they had raised during the comment period leading up to the rule's finalization. In fact, about 80 percent of the 2,000+ pages are comments CMS received and its responses.
The American Medical Association was pleased with the permanent elimination of the Sustainable Growth Rate (SGR) formula. "The new law," according to the AMA's press release, "gives many physicians the opportunity to be rewarded for the improvements they make to their practices and for delivering high-quality, high-value care to Medicare patients."
Other features that drew favorable reactions included:

  • The rule's overarching theme that improving the organization and payment models for medical care must stress quality over quantity.
  • Greater reporting flexibility for clinicians, as well as support for innovation in the delivery of care.
  • The formal adoption of a transition year during 2017, which makes major changes to the Quality Payment Program (QPP) reporting requirements, and provides a longer time frame for those transitioning to the QPP.
  • Emphasis on helping clinicians educate themselves about the rule.
  • Easing of the policy defining the Advanced Alternative Payment Model (APM), which will allow additional programs to quality.

But the rule is not without its detractors. "It's disappointing that the flexibility provided for quality reporting in 2017 largely disappears in 2018 and beyond," the Medical Group Management Association said in a policy statement.
Other organizations complained that the nominal risk standard defining the Advanced APM remains too high.

Want to know more? Healthcare Dive has a great breakdown of the rule changes you need to know. And for even more information on the new rule, click here. 
What's your take on the final MACRA rule? Share your thoughts in our comment section below.

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