Roji Intel Blog

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ACO ReportingClinical Data RegistryFuture of Health CarePerformance ImprovementRegistry ScienceResearchValue-Based Health Care
April 26, 2016

Your Health Care IT Investments: How to Purchase for Performance Improvement

Health care technology (HIT) is frequently oversold. That may be a surprising message coming from a Registry CEO, but it’s the truth. In the quest for answers, too many providers search for a system that can “do it all,” a dream technology that exists, well, only in your dreams. There is intense pressure on providers to prepare for undertaking the financial risk of patient care, while maintaining or improving patient quality and outcomes. Two factors are driving the push for HIT purchases to meet this demand: providers’ strong wish for easy and straightforward solutions that can mesh with existing technology,…
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Clinical Data RegistryFuture of Health CareMeaningful UseMerit-Based Incentive Payment System (MIPS)Qualified Clinical Data Registry ReportingSpecialized RegistryValue-Based Health Care
March 29, 2016

Public Health Reporting Under Meaningful Use: Delayed—or Dead?

Of all the requirements in the EHR Incentive Program, the Modified Stage 2 provisions for public health reporting were among the most controversial when finalized—and remain the most muddled. Amended by a series of CMS FAQs since Final Rules, the 2016 requirements have been significantly eased. Providers now question whether Specialized Registry reporting will become a reality, and some have put off active engagement with Registries until CMS clarifies its direction. What should your path be, and how secure is your exclusion from reporting? Public Health Reporting: Who Is “Public Health”? Public health reporting under Meaningful Use falls into three…
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ACO ReportingAlternative Payment Models (APM)Clinical Data RegistryMeaningful UseMerit-Based Incentive Payment System (MIPS)Performance ImprovementValue-Based Health Care
March 22, 2016

Ready for Risk? How to Foster Physician Alignment with Your Health System’s APMs

We’ve seen unprecedented consolidation among hospitals, hospital systems and physician groups in recent years, sparked by the drive for greater market share. As systems organize competitively to participate in risk models such as ACOs and bundled payments, however, the dramatic surge in hospital employment of physicians hasn’t helped ACO success. In fact, most Medicare ACOs have not met cost targets needed to generate revenue. All too often, hospitals or health systems and their physicians clash over goals, expectations, outcomes and basic communication regarding Alternate Payment Models (APMs). As a Registry helping large systems take steps toward clinical integration, ACOs and performance…
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ACO ReportingClinical Data RegistryMeaningful UseQualified Clinical Data Registry ReportingSpecialized RegistryValue-Based Health Care
February 15, 2016

ICLOPS Specialized Registry Now Open: Don’t Miss 2-29 Deadline for Active Engagement in 2016 MU Public Health Reporting

Attention, Eligible Providers and Hospitals looking for a Specialized Registry to meet public health reporting requirements in Modified Stage 2 of Meaningful Use: ICLOPS is open for business. ICLOPS Specialized Registry services will support both Eligible Providers, regardless of specialty, and Eligible Hospitals, plus all eCQMs. Since CMS finalized the modifications to the Meaningful Use program in October 2015, providers have been scrambling to find information on public health reporting options. While some providers are already connected to their specialty registries or to state and local immunization registries, many Eligible Providers have been without options for meeting this requirement. There is…
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Clinical Data RegistryMedical Decision-MakingPerformance ImprovementRegistry ScienceResearchValue-Based Health Care
February 9, 2016

Plenty of Data, Not Enough Answers: What We Need to Improve Health Care Performance

If you read the industry hype, you might believe that we’ve left the data wasteland for the data land of plenty. Some health care technology and analytics companies allege that, with all this enhanced data capability, you can now discover everything you need to know about your operations and patients that will lead you to higher profitability. But if that’s so, why are health care costs continuing to increase? Why are providers still not able to succeed under risk-based payment models? Why don’t we know more about what actually works to improve patient outcomes? It’s true that we have access…
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ACO ReportingClinical Data RegistryFuture of Health CarePerformance ImprovementRegistry ScienceResearchValue-Based Health Care
January 26, 2016

Why Traditional VBHC Trouble Shooting Will Get You in Trouble with Performance Improvement

You’ve heard the phrase. You know it’s a key goal in Value-Based Health Care. But many providers don’t understand the full meaning of performance improvement. All too often, health care systems rely on piecemeal, troubleshooting approaches that emphasize short-term gains over meaningful, improved outcomes. Here’s a common example: Almost every hospital has adjusted its discharge process to avoid readmissions. But unless they can explain why patients were readmitted—few actually can—gains will diminish. New patients presenting with the same high-risk conditions will challenge reduction of readmissions because efforts addressed the symptom but not the root cause. Improving performance means more than…
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Clinical Data RegistryFuture of Health CarePerformance ImprovementValue-Based Health Care
December 22, 2015

Happy New Year: Higher Patient Financial Responsibility Risks More Provider Debt

A few weeks ago, we learned that the rate of health care spending has escalated, with a 5.3 percent gain in 2014—accounting for 17.5 per cent of the U.S. Gross Domestic Product. And, according to the Kaiser Foundation, this predicted upward trend shows no signs of abating anytime soon. At some point, this cost burden on the economy is unsustainable. So where is the outcry? The relative silence around the trend, compared with prior decades, reveals a shift in financial responsibility from employers to individuals, which just might crack the foundations of the health care system. Consumers are Paying More…
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Clinical Data RegistryFuture of Health CareMeaningful UseMedical Decision-MakingPerformance Improvement
November 24, 2015

Putting the “Meaning” in MU Public Health Reporting: 
How to Move Beyond “Check the Box”

Can Medicare influence health care delivery via the “public health” reporting requirements of the EHR Incentive Program? That question is central to the updated EHR Incentive Program (more commonly known as Meaningful Use, or “MU”). The answer boils down to a fundamental choice: whether providers view the external reporting Objective as just one more compliance effort, or an opportunity to improve. Apart from governmental reporting, Modified Stage 2 of MU requires eligible providers to submit data reporting to one of three types of “public health” registries: immunization, syndromic surveillance and Specialized Registries. This is reporting for the public good, and…
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ACO ReportingClinical Data RegistryFuture of Health CareMeaningful UseMerit-Based Incentive Payment System (MIPS)
November 10, 2015

Questions You Should Ask (or Should Have) About Medicare’s Alternative Payment Models

Are you prepared for your risk or reward under Medicare payment reforms? It’s hard to give up current revenues that reward volume, sooner than absolutely necessary. That’s the dilemma facing all providers who realize that Medicare is serious about moving 50 percent of its provider reimbursement to Alternative Payment Models (APMs) by the end of 2018. While some providers have rushed into the new system while Medicare still allows for failure to meet targets, others are waiting (including many higher cost academic medical centers). Here’s what to ask before plunging in—and if you’re already in, how to right the ship.…
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Future of Health CarePerformance ImprovementQualified Clinical Data Registry Reporting
September 29, 2015

Big Data Analytics v Clinical Data Registry: Which Is Best for Performance Improvement?

A few weeks ago, Epic announced that it would create an unidentified database of patient data for customer research, with a plan that the “Cosmos Research Network” will leverage data for better decisions. There’s been a flurry of activity in recent years to create Big Data in health care. The Clinical Data Registry (CDR) is a variation of the concept, soon to be populated by data from Meaningful Use public reporting requirements. The question: Can both these data engines help performance improvement? The answer depends on a key distinction between Big Data Analytics and the CDR, with important implications for…
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