Dr. Lisa Lucas DNP, MBA, MHCM, RN-BC Informatics,CNE, CPHIMS,

Give a listen! 🎙️ National Standards Group (NSG) Director, Michael Cimmino, talks on how HIPAA relates to Administrative Simplification and how NSG is addressing administrative burdens in the healthcare system. #HIPAA #HIM #Healthcare #HealthIT #HealthInformation #HealthInformatics #NSG #CMS

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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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📚 Sue Schneider Spotlight: Lifelong Learning and Innovation in HIM Get inspired by Sue Schneider’s dedication to lifelong learning and her innovative contributions to health information management. Read more: https://ow.ly/CYOA50TLHc3

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The new federal Medicaid managed care rules include a focus on access to care. Rules will be implemented over time and may have significant implications for states, plans, and enrollees. Here are 10 things to know about managed care:

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Health care facilities play the biggest role in aiming to reduce and/or eliminate disparities in our communities. And with efforts by the EHR Association to standardize the capturing of this data, we can begin to address these issues. All that said, we can capture all the data we want, but if we're not going to take action on any of it -- what's the point?! I'm not arguing that health systems be the bank roll; I'm suggesting that we capture the data and work inwards in our community to connect people to resources. If our communities are healthier across any of these domains, we will slowly see many resources (and health care related expenses) begin to decline ... ultimately #makinglivingbetter.

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This type of support is essential for college and career readiness! This is just one of many classes we offer as a company to help students and families navigate the education system. #college #career #education #tutoring

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The IHS Health IT Modernization Program hosted a tribal consultation and urban confer on August 8 via Zoom, focusing on multi-tenant domain considerations and how they affect the building of the enterprise electronic health record (EHR) solution, PATH EHR. Check out this month’s blog post for a recap of the event and to learn more about how PATH EHR will support multi-tenant domain considerations: https://bit.ly/4dTuD3N #ModernizeHealth #HealthITModernization #NativeHealth #IndianCountry

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ICYMI: Collision Point: Tune📻 in for insights on leveraging💻 technology to elevate medication management👩🏾‍⚕️👨‍⚕️ and enhance the quality💖 of care within senior living communities. #pointclickcare #collisionpoint

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Healthcare accessibility remains a complex challenge. Beyond system-wide inequities, rising patient demand and limited doctor availability create additional barriers. 🛑 So, where should healthcare leaders begin? By tackling persistent bottlenecks. Discover the critical issues affecting care accessibility and practical strategies to address them: https://bit.ly/3yNKkd6 #HealthEquity #HealthcareAccess #OperationalExcellence #Accessibility

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What equity frameworks does your organization use? Have you seen the Agency for Healthcare Research and Quality's "Practical Guide for Implementing the Digital Healthcare Equity Framework"? AHRQ takes an intentional approach to considering equity throughout the digital healthcare lifecycle aims to promote improvement in: • Clinical outcomes such as mortality, morbidity, and health/quality of life • Process outcomes such as care continuity, care coordination, and care quality • Healthcare experiences such as patient satisfaction/engagement and provider satisfaction/engagement #HealthcareEquity #ClinicalOutcomes #PatientExperience https://lnkd.in/eTA9d9Gn

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What do you think about healthcare systems offering online, books, or both as resources for Inpatient and Outpatient CDI? Deciding whether CDI (Career Development Institute) resources should be in book format or online depends on various factors, including accessibility, usability, and audience preferences.  Book Format: Tangibility: Books offer a physical presence, which some individuals find comforting and more accessible to engage with than digital formats. Portability: Books can be carried anywhere without needing electronic devices or internet access, making them convenient for individuals who prefer offline studying. Longevity: Printed materials can be preserved for a long time without concerns about technology obsolescence or online platform changes. Less Screen Time: For those who spend significant time on screens, reading from a physical book can provide a break and reduce eye strain. Online Format: Accessibility: Online resources can be accessed from online, third-party healthcare vendors, making them more accessible to a broader audience, including those in remote areas. Interactivity: Online platforms can incorporate interactive elements such as quizzes, videos, and forums, enhancing engagement and learning outcomes. Timeliness: Online resources can be updated easily and quickly to reflect the latest developments in the field, ensuring that users have access to the most relevant information. Customization: Online platforms allow personalized learning experiences through features like adaptive learning algorithms and tailored recommendations. Ultimately, combining both formats might be ideal. CDI could provide core content in a printed book while offering supplementary online resources for interactive learning and updates. This approach ensures that CDI resources are accessible to a wide range of learners while leveraging the strengths of both formats. .

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Today in HealthLeaders: In my new podcast, i talk with Steve Miff of the Parkland Center for Clinical Innovation about PCCI's Community Vulnerability Index, and how technology is being used to identify and address #SDOH. https://lnkd.in/ergbEuYT

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There's still time to sign up for Plug In to Technology! I was able to work with Christopher Copsey on his Connections article (just published today! link below) around creating affinity scores, so I know this presentation, and the others will be fantastic. This is your opportunity to learn how to harness the power of technology in the nonprofit sector, including AI and its impact on fundraising and prospect identification. Plus, uncover the secrets of successful CRM conversions, change management and consolidation, concluding with the essential skill of building metrics for your CRM. As prospect development delves further into how technology can help our organizations succeed, Plug In to Technology will surely help you become a more rounded member of your team! https://lnkd.in/grASQdgM

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Do you know the four ingredients that are critical to any change management strategy? We highlight these and look at other ways to tailor your strategy to engage stakeholders at https://gag.gl/gfXF9o #Change #ChangeManagement #OCM

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Imagine this: You're a clinician reviewing a patient's chart and instantly know if there's valuable historical data hiding in their archived records. Our new Legacy Record Indicator, available for Epic, provides users a visual cue whenever a patient has a linked record in HealthData Archiver®. This means: ☑ Instant Identification: A clear icon lets you know if archived records exist. ☑ Seamless Access: Single Sign-On for easy viewing of past medical history. ☑ Configurable Display: Choose where the indicator appears in the EHR for optimal workflow. Learn more: https://lnkd.in/g8Zxt4nK

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🤔 Thinking about starting a career in Health Information Management (HIM) or Health Information Technology (HIT) and becoming RHIT certified? Choosing the right program is IMPORTANT but with so many options, it's easy to feel overwhelmed. In this video, I share my own experience of nearly joining the wrong program and break down the key factors to consider before you enroll. I cover 15 CAHIIM-accredited programs with outstanding employment and certification pass rates, the essentials of CAHIIM accreditation, and why doing your own research is vital. I've received numerous questions about picking the best schools, and this guide will help you make an informed choice by focusing on outcomes like job placement and exam success. Set yourself up for a successful HIM or HIT career by choosing the best program from the START! ✨

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#ATANexus is off to a great start. Honored to join Helen Hughes in an important conversation about mastering the execution of inpatient virtual care. When it comes to measuring the Return on Innovation, the call to action is clear: 1. Identify, and align, on the problem your program is solving. 2. Quantify data in the current state-you need to measure what your program achieves. 3. Look for partners who are ‘in it’ with you.

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