Quality Measurement

See the following -

Clarifying MACRA Certification Requirements for Hospitals

With all the changes happening to Meaningful Use, Quality Measurement, and MACRA in 2016, I’ve been asked many questions by many organizations to help them plan for the future. As I’ve said many times, one of the great challenges we have is that the 2015 Edition final rule has an enormous scope extending beyond Meaningful Use with the notion that it can be coupled to every government healthcare IT program. Standards need to be based on requirements and specific use cases with little optionality, so creating a broadly scoped rule before the use cases are known just doesn’t work...

Halamka Sets Healthcare Innovation Priorities for 2017

As we begin 2017, what should be the focus of our work over the next year?... Regardless of the policies, repeals, and delays of the Trump administration, we’ll still need to optimize usability and support the four goals of value-based purchasing - quality measurement, total medical expense management, practice process improvement and technology adoption. BIDMC has already created a prototype of groupware documentation and we should complete our next generation inpatient documentation solution by mid 2017. Part of that work incorporates open source secure texting as part of the medical record. We’re also piloting Google’s G-suite so that our stakeholders can store/share, collaborate, and communicate on any device from anywhere using only a browser...

Halamka's Health IT Observations from Japan and New Zealand

This week I’ve taken vacation time to help my colleagues in Japan and New Zealand with national IT planning. As I often say, the healthcare IT challenges are the same all over the world, but the cultural context is different. In Japan, I spent 2 days in Tokyo and 1 day in Kyoto, lecturing, meeting, and listening to stakeholders. There is a great desire to share data for care coordination and clinical trials/clinical research. Telemedicine/telehealth is increasingly important in an aging Japanese society that has increasing healthcare needs but a limited number of caregivers and few opportunities to increase healthcare budgets. Here are a few of the current issues we discussed...

New Paper from American Medical Informatics Association Details How to ‘Cross the Health IT Chasm’

Press Release | American Medical Informatics Association (AMIA) | April 5, 2017

The American Medical Informatics Association (AMIA) held a briefing today on Capitol Hill to unveil the findings and recommendations from a new paper, detailing ways that policymakers should focus on liberating data for patients, improving interoperability for clinicians, and enhancing the capacity for research and innovation to impact patient care. The paper, “Crossing the Health IT Chasm: Considerations and Policy Recommendations to Overcome Current Challenges and Enable Value-based Care,” is published in the Journal of the American Medical Informatics Association (JAMIA) in tandem with the briefing...

Scenarios for Health Care Reform (Part 2 of 2)

Andy Oram | EMR and HIPAA | May 18, 2017

Some health care providers balk at the requirement to share data, but their legal and marketing teams explain that they have been doing it for years already with companies whose motives are less commendable. Increasingly, the providers are won over. The analytics service appeals particularly to small, rural, and safety-net providers. Hammered by payment cuts and growing needs among their populations, they are on the edge of going out of business and grasp the service as their last chance to stay in the black...

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The Blockchain Interview with Jason Goldwater

Mr HIStalk | HIStalk | April 3, 2017

There are three, initially, that it has the potential to solve. First is access to data. The way that systems have been set up in hospitals or large integrated physician networks is that the data will either reside in a centralized server or now the trend is to reside it in a cloud. That’s fine and that certainly has been effective, but you’re talking about a large consolidation of data in a centralized location. Blockchain is very different because it is what is known as distributed ledger technology...

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The Experience of Interoperability Thus Far

As I travel across the country and listen to CIOs struggling with mandates from Meaningful Use to ICD-10 to the HIPAA Omnibus rule to the Affordable Care Act, I'm always looking for ways to reduce the burden on IT leaders. All have expressed frustration with the health information exchange (HIE) policies and technologies for care coordination. quality measurement, and patient engagement. As a country, what can we do to reduce this anxiety? Read More »

Unnecessary CT Scans Increase Radiation Concerns

Walt Bogdanich and Jo Craven McGinty | New York Times | August 18, 2011

Long after questions were first raised about the overuse of powerful CT scans, hundreds of hospitals across the country needlessly exposed patients to radiation by scanning their chests twice on the same day, according to federal records and interviews with researchers. Read More »