Roji Intel Blog

Theresa Hush 0
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Future of Health CareMACRAMedical Decision-MakingPatient Empowerment
March 7, 2017

The Problematic “A” in the ACA Repeal and Replace

Last week, my sister sent me a copy of an email that she had sent to her inner circle. It began, “I am writing you today as a metastatic breast cancer patient . . . and also as your friend or relative who wants you to have the best resources and care if this disease ever affects your life or loved ones.” It was a plea for women to understand what would happen to breast cancer patients if the Affordable Care Act (ACA) was repealed, linked to an article. She was hoping to reach across a divide to raise consciousness about…
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Dave Halpert 0
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Alternative Payment Models (APM)Meaningful UseMerit-Based Incentive Payment System (MIPS)PQRS ReportingQualified Clinical Data Registry ReportingValue Modifier
February 28, 2017

How to Turn 2016 PQRS Success into Better Care (and a MIPS Win)

March has arrived. The submission window for PQRS shuts on March 31. It’s the moment of truth for providers, practices and Registries. Are you ready to report, ready to panic or somewhere in-between? It’s probably too late to implement an initiative designed to improve your PQRS measures, but with the right Registry partner, there is still a path to 2016 PQRS success, even if you aren’t “PQRS Ready.” More importantly, if you follow these three steps, you’ll also create a pathway to success in the Quality Payment Program (either through MIPS or an APM)—both by avoiding penalties, as well as…
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Robert McNutt, M.D. 0
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Future of Health CareMedical Decision-MakingPatient EmpowermentResearch
February 21, 2017

For Patients, “Trust Me” Is No Longer Good Enough for Medical Decision-Making

It’s time to rethink ideologies of medical care that no longer make sense. The following may sound revolutionary, but are nonetheless true: Patients are the future leaders in medical care. Patients must and can make their own medical decisions after being informed. Patients can and must learn to discern useless from useful information. Science must improve to match the increasing abilities of patients. At present, none of these concepts are fully embraced by the business of medicine and, in fact, may be a 180-degree reversal from the way things work now. So, why are these statements important? Because getting the…
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Theresa Hush 0
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Future of Health CareMedical Decision-MakingPatient EmpowermentPerformance Improvement
February 14, 2017

Turning Patients into Health Care Consumers—For Economic Survival

If we want to help people take better charge of their health—both physically and financially—we should start by treating them as real consumers, instead of patients. While that may seem like a simple change in terminology, it is anything but. A Patient Is a Recipient of Services, Not the Actor Health care organizations often work hard to welcome patients and provide as many services as needed. They design facilities to be comfortable, and there are often superb training programs for staff to be courteous, communicative, and to make patients comfortable. But let’s be honest. Health care is a business concern,…
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Theresa Hush 0
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MACRAMerit-Based Incentive Payment System (MIPS)Qualified Clinical Data Registry ReportingRegistry Science
February 7, 2017

Roji Health Intelligence’s Roji Registry Earns ONC-Health IT Certification from Drummond Group LLC

Roji Health Intelligence has reached another milestone, enhancing Solutions to help providers achieve better outcomes and lower costs. Roji Registry has earned Office of the National Coordinator for Health Information Technology (ONC-Health IT) 2015 Edition Health IT Module Certification via Drummond Group LLC, an Authorized Certification Body (ACB). See details here. Why ONC-Health IT Certification is Important to Current and Future Roji Health Intelligence Clients ONC-Health IT Certification provides Roji Health Intelligence with additional capabilities for streamlining performance measurement and improvement. This is especially important for the Roji Health Intelligence Qualified Clinical Data Registry (QCDR), which has unique advantages for…
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Theresa Hush 0
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Future of Health CarePerformance Improvement
January 31, 2017

The Dirty Little Secret About Performance Measurement Data

“The data just hooks up.” That was an opening remark from a competitor applauding his company’s scoring system for physician quality. He went on to explain how this data produced reliable scores on quality. The idea that data hooks up and produces a true scoring system for quality is a fantasy. Not only is data itself flawed, but it doesn’t always tell the exact truth. Treating data casually amounts to an off-hand dismissal of the complexity and inherent biases of performance measurement. But here’s the kicker: we need to measure performance, anyway. In fact, it’s more critical than ever to…
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Theresa Hush 0
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Future of Health CarePatient EmpowermentPerformance Improvement
January 24, 2017

Real Patient Empowerment Depends on Real Performance Measurement

“Patient empowerment” is a new term to watch. It’s a banner for some health care reform initiatives being proposed in lieu of the Affordable Care Act (ACA). In fact, “Empowering Patients First” is the title of legislation introduced by Congressman Tom Price (nominee for Secretary of the Department of Health & Human Services, which oversees Medicare and Medicaid) to replace the ACA. Empowering patients can be very positive, if they have the appropriate tools to make the health care system work to improve their health status. What Exactly Is Patient Empowerment? But what does “patient empowerment” actually mean within the current…
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Theresa Hush 0
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Future of Health CareMACRAMerit-Based Incentive Payment System (MIPS)Qualified Clinical Data Registry ReportingRoji Health Intelligence
January 17, 2017

Roji Health Intelligence: Chart Your Course for the New Phase in Health Care

With 2017 we are predicting some big changes in how the health care industry moves forward. Having worked with health care organizations for 15 years, we know that most of them are not ready. Roji Health Intelligence was not just a name change for ICLOPS, but a signal that we are ready to help. Roji Health Intelligence Website Signals Evolution of Services Our new website is up and ready. It is light-filled and inviting, for a good reason. We believe the path to change can be collaborative yet still focused on results and real data. We refute contentious and negative approaches…
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Theresa Hush 0
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ACO ReportingFuture of Health CareMACRAMerit-Based Incentive Payment System (MIPS)Performance ImprovementValue-Based Health Care
January 10, 2017

Can Health Care Stay the Course of Reform Amidst Uncertainty?

With the new year finally here, health care organizations need to know: How should you proceed amidst uncertainty about Medicare policy, including Value-Based and Risk programs initiated by the Obama administration? In the crosshairs are the new, complex Quality Payment Programs under MACRA, including both MIPS and Alternative Payment Models (APMs) such as ACOs. Although MACRA had bipartisan support in the 114th Congress, it was the Affordable Care Act (ACA) that created the foundation for ACOs and other Value-Based programs. As the new Congress hurtles toward ACA repeal, the landscape for all of health care is murkier than ever. The…
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Theresa Hush 0
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Future of Health CareMACRAValue-Based Health Care
January 3, 2017

Onward to 2017 as Roji Health Intelligence

  It’s been a momentous year in health care, with significant changes on the way for 2017. “Patient Empowerment” and cost shifting to the consumer are gaining political currency in Washington. MACRA is looming on the horizon, with the coming year being the first under the Final Rule for measuring performance. Health care organizations have significant strategic decisions to make as we move more intensively through an era of Value-Based Health Care and into Risk. Patients, too, will face serious questions about health care coverage and how to find accurate, comparative information for making choices about providers and networks. It…
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