Chris Petrakis

https://lnkd.in/e_KBZUx2 this can help providers leapfrog their capability maturity but clean data pipelines are a foundational prerequisite.

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This is an old news item, but still very relevant I think. I have noticed a lot of 'isolated incidents' happening around the country as a result of sub-optimal EPR implementations. This time last year, there was a news article that the U.S. Department of Veterans Affairs had got so fed up with its under-performing #EPR, that it had renegotiated its contract with the vendor to include penalties related to performance management, specifically reliability, responsiveness and interoperability. (I wonder if the new contract is publicly available Neil Evans, MD ?) While this is a $10Bn contract, UK trusts looking to contract with an EPR vendor should still try to include penalties for under performance, and most importantly, safety issues. Especially those that directly affect patients such as the one at Durham (https://lnkd.in/eyQePGip). https://lnkd.in/e6GC4HhC #patientsafety #digitalhealth #EHR #electronichealthrecord #EMR #clinicalsafety #humanfactors #implementationsafety Sam Shah Shane Tickell Simon Swift Adrian Byrne FBCS CHCIO Dr Temi Akitikori Dilshan Arawwawala Jenny Sutcliffe Stuart Harrison CEng FIET MIEEE Apira Ltd Alan Brown Mohammad Al-Ubaydli Masood Ahmed Dr Patrick Lester, PhD 🩺 Dr Gyles Morrison MBBS MSc Dr Penny Kechagioglou Helen Hughes Jonathan Hazan Kiran D Shetty Lisa Goldstone Patient Safety Learning

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Here's one of many ways providers can use payer transparency data. Deerhold's data can be used to determine the fairness of Qualified Payment Amounts "QPAs" on out of network claims. It gives you a fair appraisal of your services that you can compare to the payment you received. If you are going to dispute, do it with confidence and market intelligence.

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ClinIntell's webinars are a treasure trove of information on sustainable clinical documentation improvement and serve as a roadmap to success through physician engagement. Follow the link below to access our catalog of available sessions, and let me know which one you find most valuable

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Instead of using a third-party app, consider a license for the validated MMAS scales directly into your EHR. Here’s why: ✅ Simplified Licensing – Fewer terms, less hassle. 💸 Cost-Effective – No hidden software fees. 🔒 Better Data Security – Keep patient data in-house. 💻 Customizable Workflows – use internal Large Language Learning models that you control. Tailored for your clinicians. 🕒 Independence from Vendor Support – Manage updates on your schedule. Think about the benefits of keeping validated tools close to home. Better efficiency for your team, better outcomes for your patients! www.moriskyscale.com #HealthcareInnovation #EHR #PatientCare #HealthcareTech #ClinicalWorkflows #MedicationAdherence

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💡Part 2 of Steve Gravely and Gravely Group's ongoing #HTI2ProposedRule series delving into the Proposed Rule for Health Data, Technology, and Interoperability: Patient Engagement, Information Sharing, and Public Health Interoperability. _______________________________________________________________ See Part 1 here: https://lnkd.in/esuG2yVV vi. New exception- #ProtectingCareAccess. This new exception is specific to EHI related to “reproductive health” as defined under #HIPAA. The exception would protect practices to withhold EHI about reproductive health services based on the Actor’s good faith belief that sharing the EHI could expose the patient to legal risk. This exception is specifically targeting situations in which a woman obtains reproductive health services in a state where such services are legal but their information is requested by someone else. In order to assert this exception, an Actor must demonstrate its good faith belief that the practice is no broader than necessary to protect the patient from legal risk. In addition to this threshold requirement, the Actor must show that the practice satisfies either the patient protection condition or the access to care condition: 1. Patient protection condition requires that EHI being withheld shows that patient obtained reproductive health services or inquired about them or EHI has specific demographic information that implicates reproductive health.   2. Access to care condition are practices that actor takes to limit exposure of providers to legal liability. vii. New exception- #RequestorPreferences. ONC notes that sometimes, a requestor of EHI will state specific preferences that limit the EHI it wants. This could be a date range, a specific type of care or anything else. ONC states that a requestor often does not want all of the EHI that an Actor has in its system. 🎙️Steve Gravely says, "Apparently, ONC has heard concerns that honoring these limitations could be an information blocking violation. I am skeptical, since information blocking is about fulfilling a request and if the requestor limits the scope of the request, I do not see how complying with this could be information blocking. Creating a new exception seems way over the top and makes me wonder if something else is going on." viii. #TEFCAMannerException - ONC is seeking input in HTI-2 about the new TEFCA Manner Exception that it created in HTI-1. Specifically, ONC wants feedback about the “carve-out” related to FHIR APIs. The TEFCA Manner Exception, as adopted in HTI-1, did not apply if the request for EHI was made using the standards adopted in 45 CFR 170.215 which include the FHIR API standards. ONC is seeking comments on whether specifically referring to the standards at 45 CFR 170.215 is too limited. Stay tuned for more insights!

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About to retire an #EHR or financial system? Going through an app rationalization initiative? Legacy Data Access can help with your #healthcare data archive with a proven methodology for retiring, managing, and accessing historical healthcare data. https://lnkd.in/eJ8wvzm7

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We all know how difficult it can be to stay on medications, either from our own experience or via our loved ones. I always appreciate the opportunity to share our progress on improving medication management, especially at Magnolia Regional Health Center and the University of Maryland Medical System. If you're interested in finding out how my team at DrFirst, Inc. is addressing medication adherence at the population level, please check out my interview with John Lynn below. #medicationadherence #healthit #populationhealth #heartfailure #copd

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#Integration, #continuity, and #Interoperability are key topics in healthcare Check out this conversation with Andrew Munroe ⬇ ⬇⬇

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An interesting article that highlights the importance of aligning strategies with value-based care #VBC goals to enhance patient outcomes and operational efficiency. One critical aspect is #datadrivencare management. Utilizing analytics platforms to aggregate and analyze data from sources like electronic health records #EHRs allows for population health analysis, risk stratification, and tracking quality metrics, all of which contribute to improving care quality. Additionally, placing proactive #preventivecare at the center of your strategy is essential. Implementing wellness visits, chronic disease management, and timely immunizations can boost overall health while reducing long-term costs. Another vital factor is enhancing #carecoordination. Developing care transition protocols, streamlining provider communication, and creating multidisciplinary care teams help ensure a seamless patient journey and better outcomes. Furthermore, increasing #patientengagement and education plays a crucial role. Addressing #socialdeterminants of health is also key. Screening for social challenges, building a community resource database, and ensuring proper referrals and follow-ups are necessary steps to support overall patient well-being. Finally, building #partnerships and aligning incentives with payers, community organizations, and technology vendors is essential. Collaborative efforts to align goals, share data, and explore innovative solutions lead to better patient care and organizational performance. By integrating these strategies into your healthcare business approach, you can effectively align with VBC goals and enhance #patientcare. #healthcarestrategy #resourceoptimization #performanceincentives #stafftraining #healthcareinnovation #hbr #leadership #strategy #lifelonglearner #digitaltransformation #innovations

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Interoperability and sharing of information is the only way to build a modern healthcare ecosystem.

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Stephanie Cheng recently wrote a piece for NAHAM about enhancing prior authorization workflows. One standout strategy? Consolidating processes. By unifying how authorizations are handled across departments, we can drastically reduce confusion and speed up decision-making. Have you tried implementing a unified process in your practice? How has it impacted your workflow? Take a look at the strategies shared in Stephanie’s article here: https://hubs.ly/Q02FPk9k0 #NAHAM #PatientAccess #PriorAuthorization #HealthcareOperations

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A good reminder for anyone in the healthcare industry as we often deal with sensitive patient information... 🔒 As a trusted partner of top healthcare systems across the US, SpendMend understands the critical importance of data security in the healthcare industry. 🔒 By completing HITRUST certification, we are able to provide an additional layer of assurance to our customers that we are meeting rigorous standards for data protection. Our completion of HITRUST certification sets us apart from our competitors, and demonstrates our unwavering commitment to protecting the sensitive data of our customers. In this post, I’ll explain what HITRUST is, why it’s important for healthcare organizations, and what our completion of HITRUST certification means for our customers. 🔒 What is HITRUST?  HITRUST is a certification program designed to ensure that organizations properly manage risk and protect sensitive information, particularly in the healthcare industry. HITRUST certification requires organizations to meet strict standards for data protection, including compliance with HIPAA regulations. 🔒 Why does HITRUST i1 Certification matter?   As a trusted partner for top healthcare systems in the US, SpendMend understands the critical importance of data security. We have taken proactive and significant measures to ensure the security of our customers’ data, including investing heavily in technology, implementing security controls, and conducting regular security assessments. By completing HITRUST certification, we are able to provide an additional layer of assurance to our customers that we are meeting their rigorous standards for data protection. In addition, our completion of HITRUST certification sets SpendMend apart from our competition. Our customers can be assured that we take data security and privacy seriously and have gone above and beyond to protect their data. 🔒 Final Word  SpendMend’s completion of HITRUST certification demonstrates our commitment to protecting the sensitive data of healthcare customers. Our customers can trust that their data is being managed and protected at the highest level, and can expect a higher level of security, trust, and confidence in our services. #phi #hipaa #dataprivacy #patientinformation #trust #patientfirst https://lnkd.in/ecJt6RaT

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Time to share your thoughts with the ONC on health equity, modernizing public health delivery and tech, and real people having meaningful actionable access to their health data.

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IMAT Solutions, a leader in delivering innovative, real-time, healthcare data management and population health reporting solutions, was recently named in the Gartner report: “How Clinical Data Integration Improves U.S. Healthcare Payer Interoperability.”   The Gartner “How Clinical Data Integration Improves U.S. Healthcare Payer Interoperability” report “This research defines CDI processes and provides strategy and sourcing guidance to payer executives to achieve effective CDI at scale.”   The report also states that “Interoperability and clinical data integration are top of mind for Gartner payer clients because executives seek the richness and immediacy of data locked in providers’ electronic health records (EHRs) for use cases such as care management, utilization management, quality and risk adjustment optimization.”   It also highlights how “Clinical data integration is a complex value chain, not a single process, and each step requires specialized skills and capabilities that most payers cannot fully support internally.”   Read the report here, to learn more. https://lnkd.in/evajKSwY

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ASTP/ONC proposal would require HHS contractors to use certified health IT tech. Section 13112 of the HITECH Act specifies that agencies, as defined in Executive Order 13410, shall require in contracts or agreements with health care providers, health plans, or health insurance issuers that as each provider, plan, or issuer implements, acquires, or upgrades health IT systems, it shall utilize, where available, health IT systems and products that meet standards and implementation specifications adopted under Section 3004 of the PHSA. In summary, the proposed rule says that healthcare providers, health plans and insurers that contract with HHS may be required to use ONC-certified technology. Historically, ONC has only certified electronic health records. The new rule could impact the technology that a broader swath of the healthcare industry is using, like public health data and health information systems. #tefca #qhin

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