Denise Kuhn

Challenges and Solutions for Inpatient Capacity Management - HIT Consultant Title: Challenges and Solutions for Inpatient Capacity Management #CriticalChallenges In a recent report on inpatient capacity management, several critical challenges were identified. These challenges include inefficient patient flow, lack of real-time data, and inadequate communication among healthcare teams. #InefficientPatientFlow One of the major challenges in inpatient capacity management is inefficient patient flow. This can lead to bottlenecks in the system, increased wait times, and decreased patient satisfaction. Healthcare IT solutions can help streamline patient flow and optimize resource utilization. #LackofRealTimeData Another challenge highlighted in the report is the lack of real-time data. Without access to up-to-date information on bed availability, staffing levels, and patient status, healthcare providers may struggle ai.mediformatica.com #health #management #report #staffing #discharge #healthsystems #healthcare #leantaas #insights #provider #staffingshortages #aipowered #digitalhealth #healthit #healthtech #healthcaretechnology @MediFormatica (https://buff.ly/4dv4UyJ)

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Would your healthcare organization benefit from a more streamlined RFP process? Well, our tool is not just for data analysis. Valify also provides a centralized platform for managing proposals. It's a lesser-known feature, but it saves our members hundreds of hours of administrative labor and ensures that they get the best value from their suppliers. Want to learn more about simplifying your RFP process? Send me a DM and let's chat!

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Key Strategic Insights = A Successful OP CDI Program The challenge of value-based care starts with a collaborative approach, when launching an Outpatient Clinical Documentation Integrity (OP CDI) program. Here are some key strategic insights to success: 1. Engage with Population Health Understand Pain Points: Begin by understanding the specific challenges faced. This fosters collaboration. Tailored Questions: Use customized questions to facilitate productive discussions and ensure alignment with needs. 2. Effective Software Implementation Manage Patient (Pt.) Volumes: Implement software solutions to efficiently handle pt. volumes. OP CDI Calculator: Utilize a calculator to determine Full-Time Equivalent (FTE) needs. Data Analytics and Reporting: Emphasize the importance of continuous improvement via data analytics. 3. Workflow Creation Establish Robust Workflows: Create strong workflows before integrating reviewers. 4. Collaboration & Communication Promote Strong Collaboration: Encourage robust communication between key stakeholders. Leverage Software: Use technology to reduce physician burnout & streamline communication. 5. Patient-Centered Approach Address social determinants of health (SDOH) & ensure accurate documentation of conditions and care plans. Patient Outcomes: Keep patient care at the center of all doc. & workflow processes. 6. Regulatory Compliance Adhere to Guidelines: Follow regulatory requirements such as CMS guidelines on Hierarchical Condition Categories (HCC) coding to avoid penalties and enhance credibility. 7. Measurable Outcomes Set Clear Goals: Aim for measurable outcomes like improved HCC recapture rates, enhanced RAF scores, better HEDIS measures, and addressing SDOH needs. 8. Stakeholder Engagement Involve All Stakeholders: Ensure that executives, clinicians, and other relevant parties are involved in planning and implementation process. Success Stories Recently, I helped several CDI directors validate their cases for OP CDI programs within Accountable Care Organizations (ACOs). By engaging with population health leadership, we identified key issues such as RAF gaps and HEDIS measures, and tailored processes to address them. For instance, a CDI director I guided successfully identified HCC and HEDIS recapture as their biggest pain points. With strategic solutions in place, they are now ready to implement the project for the 2025 budget yr., aiming to improve their HCC recapture rate by 20%, leveraging data analytics for outcomes and improvement needs. Benefits of Implementing These Strategies Align Risk Stratification: Properly align risk stratification with chronic conditions and healthcare needs. Quality Measures: Improve quality measures and address SDOH. Collaborative Team: Ensure success with a collaborative team supported by technology. Overall, these strategic actions will enhance patient care and operational efficiency. #Healthcare #Leadership #CDI #PatientCare #ValueBasedCare #HealthcareInnovation

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Migrating data from a legacy EHR system to a new system can be like trying to fit a square peg into a round hole. Check out our newsletter to learn ways you can OVERCOME Data Mapping Challenges. Aesto's data mapping services are just one piece of the puzzle to shorten gap periods and improve speed to go-live for our clients. Share your thoughts on shrinking project timelines in the comments! https://zurl.co/SWCM

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Migrating data from a legacy EHR system to a new system can be like trying to fit a square peg into a round hole. Check out our newsletter to learn ways you can OVERCOME Data Mapping Challenges. Aesto's data mapping services are just one piece of the puzzle to shorten gap periods and improve speed to go-live for our clients. Share your thoughts on shrinking project timelines in the comments! https://zurl.co/SWCM

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Migrating data from a legacy EHR system to a new system can be like trying to fit a square peg into a round hole. Check out our newsletter to learn ways you can OVERCOME Data Mapping Challenges. Aesto's data mapping services are just one piece of the puzzle to shorten gap periods and improve speed to go-live for our clients. Share your thoughts on shrinking project timelines in the comments! https://zurl.co/ydnE

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Are you tired of the hassle and headaches of prior authorizations? Our new eBook, "A Comprehensive Guide for Taking the Pain Out of Prior Authorizations," is here to transform your experience! This must-have guide delves into why prior authorizations are necessary, explores their impacts, and provides an in-depth look at their complexities. Packed with valuable tips and strategies, this eBook will equip you with the knowledge and tools to streamline the prior authorization process. Don't miss out on this essential resource—download your copy now and make prior authorizations easier than ever before! https://lnkd.in/gJP5E_rw

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Implementing an electronic health record (EHR) or migrating to a new one is a complex process. It requires you to keep track of timelines and stay on budget – all while keeping clinicians happy and not interrupting patient care. In its latest report, Gartner® notes that when implementing a new EHR “healthcare provider CIOs can avoid setbacks and position for success by undertaking an organizational readiness assessment and mitigating risks during the strategy and planning phase.” Access the complimentary Gartner® report, Gauge Readiness and Mitigate Risk to Succeed in EHR Implementations, to learn more. Read the report: https://bit.ly/3KCgZVY #EHR #EHRmigration #EMR #EMRmigration #healthcare #interoperability #digitalhealthenablement

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📘 Struggling with Prior Authorizations? Our eBook, "A Comprehensive Guide for Taking the Pain Out of Prior Authorizations," offers 5 key facts, effective strategies, and insights on new regulations and technology that can help streamline the process. Learn what doctors wish patients knew and how to navigate the future of Prior Authorizations with ease. Download your copy today: https://buff.ly/3zdBi9A #ebook #priorauthorization #medicalpractice #healthcare #regulations #ehr #emr #prognocis #prognocisehr

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It’s expected that healthcare organizations will bring in and connect all patient data for a 360-degree view. Easier said than done. Brendan Smith-Elion and Joe Gaffy describe ways organizations can addresses interoperability challenges: https://lnkd.in/eshKcC2z #interoperability #healthcaredata #patientcare 

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🚀 Streamlining Prior Authorization: Enhancing Care and Revenue Cycle Management 🏥 The prior authorization process has been a major hurdle for healthcare providers and patients. But recent changes are aiming to make it more efficient. Key developments include: 🔄 Reduced Prior Authorization Requirements: Major insurers have cut down prior authorization by 20% for services, particularly benefiting cancer patients. 🏛️ State and Federal Reforms: Ten states and CMS have implemented laws to speed up approvals, increase transparency, and improve patient access to care. 🧬 Improved Cancer Care: Insurers are reducing prior authorization for oncology services, ensuring faster treatment aligned with evidence-based guidelines. 💼 RCM Impact: Efficient prior authorization management can reduce claim denials, improve cash flow, and ensure compliance with payer policies. As an RCM company, we know how essential prior authorization is to optimizing revenue and reducing administrative delays. MEDSCoders team is a just click away to help you navigate these changes and keep your practice on track. Reach out today for a consultation! #PriorAuthorization #RCM #MedicalBilling #HealthcareInnovation #RevenueCycleManagement

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Healthcare systems must recognize the importance of both HHS-HCC and CMS-HCC risk adjustment models. While the CMS-HCC model remains crucial for Medicare Advantage plans, the HHS-HCC model provides essential insights for managing risks in the broader ACA market. Understanding and integrating both models ensures that healthcare systems can deliver high-quality care, maintain financial stability, and comply with regulatory requirements across different patient populations. By doing so, they can better navigate the complexities of modern healthcare delivery and funding, directly impacting our quality of care. Healthcare systems benefit from integrating knowledge of both models to: 1. Enhance Comprehensive Care: By addressing the needs of diverse populations. 2. Improve Accuracy: In risk assessment and resource allocation. 3. Ensure Compliance: With federal regulations and market requirements. 4. Promote Equity: In healthcare access and funding.

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Effective #patientengagement is essential for hospitals and health systems to improve outcomes, reduce costs, and increase patient satisfaction. Our Expert Insight explores seven considerations for healthcare leaders prioritizing patient engagement. https://ow.ly/20q650TMLQ8 #HealthcareInnovation

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“RCM is the most interesting opportunity in healthcare,” says Principal Kim Waters, MBA, CDH-E, CHFP, Advisory Services at CereCore. Discover how to transform your organization with #RCM in our latest HIStalk article: https://hubs.li/Q02Jdmlz0

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CMS June 28 Round-Up: Key Updates for Healthcare Providers CMS recently released important updates on June 28, 2024, that healthcare providers need to be aware of: 1. Quality Reporting Enhancements: Updates to the Quality Reporting Programs aim to improve patient outcomes. 2. Medicare Payment Adjustments: Changes to Medicare payment policies are crucial for financial planning. 3. Telehealth Expansion: New policies continue to support the growth of telehealth services. 4. Regulatory Compliance: Staying compliant with updated CMS regulations is essential to avoid penalties. For more details, check out the full CMS Round-Up article below: #HealthcareUpdates #Medicare #CMS #Telehealth #Compliance

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How do major health systems manage the complexities of digital transformation? Join Jason Joseph, Chief Information and Digital Officer at Corewell Health as they discuss insights on regional build processes and change management in healthcare IT. Learn how Corewell Health is working to integrate 22 hospitals and over 60,000 employees into a unified system in this #keynote: https://loom.ly/5yDJZuE #TWH #HealthIT

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