Omar Manejwala, M.D.

https://lnkd.in/epGSYUbR #EHR support for #healthcare providers is transforming thanks to the Clinical #ServiceDesk. Read how in this Becker's Healthcare article. #WeAreCereCore

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Provider Lifecycle Management (PLM) Software by Newgen Software How and what around: A) Provider Contracting B) Provider Data C) Provider Credentialing D) Prividers Appeals https://lnkd.in/eNV4q5_H

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More interesting #news today on #carecoordination and transitions of care, this time specific to bundled payments for hospitals and the #TEAM model. #CMS #Healthcare #reimbursement

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☝ Don't Miss the Application Deadlines for the ACO Primary Care Flex Model! CMS is accepting applications for the ACOs Primary Care Flex Model until August 1, 2024. Interested organizations must apply as new or renewing ACOs to the Medicare Shared Savings Program (MSSP) by June 17, 2024. The ACO PC Flex Model will launch on January 1, 2025, and run for five years. Low-revenue ACOs participating in the Shared Savings Program can apply to the ACO PC Flex Model. This innovative model aims to increase the number of low-revenue ACOs and enhance primary care payment through a Prospective Primary Care Payment (PPCP) option, shifting payment from fee-for-service to a predictable, monthly payment. 💲 Enhance primary care payment and innovative care delivery  📉 Narrow Disparities in health care outcomes  🔻Reduce program expenditures while preserving the quality of care  💪 Strengthen participation incentives for new and low-revenue ACOs 💰 Base Rate and Payment Enhancements  💴 One-time Advanced Shared Savings Payment Health Equity Strategy to drive accountable care and advance health equity #ACOPrimaryCareFlexModel #HealthcareInnovation #PrimaryCare #AccountableCare #Medicare #HealthEquity #SustainableHealthcare #ValueBasedCare #VBC #RiskAdjustment #PPCP #SharedSavings #CMS https://lnkd.in/gmiKZsHM

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Problem-solving in the workplace enhances productivity, fosters collaboration, and reduces clinician burden. Here are 5 ways to reduce clinician burden: https://hubs.la/Q02Jp2Yp0 #HealthcareInnovation #ClinicianWellbeing #EffectiveCommunication

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Woebot = your behavioral health copilot. ✅ Provides 24/7 evidence-based mental health support for your population ✅ Acts as an automated support multiplier for clinicians ✅ Integrates into the EMR + existing pathways to drive high engagement ✅ Aims to increase equitable access + improve patient experience ✅ In-the-moment population-level data captures #mentalhealth #digitalhealth #mentalhealthtools

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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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KLAS Recently released a study collecting survey data from 500,000 clinicians regarding EHR satisfaction. Here are the top 6 learnings for EHR satisfaction. 1. Continued relevance of the 3 pillars. The three pillars are that end users need to be trained, they need to have a supportive organization, and they need to be able to personalize their system. 2. Educate beyond the basics. Educate more than what each user "button" does. It’s important to show clinicians how the EHR can support them in their efforts to better provide care. Additionally, it is important to make the education you share as specialty specific as possible. 3. Clinicians must have a voice. Clinicians need the ability to request optimizations, and any changes from that point need to be well communicated. If communication isn’t in place, your clinicians aren’t going to trust the organization to deliver a good experience in the EHR. 4. Address individual pain points. Personalization has expanded in scope, meaning it’s less about how an individual personalization (like a single note template) is going to make an impact and more about finding the solution to a clinician’s specific pain point. 5. Having a strong technical foundation means that your technology functions properly and as promised. If your clinicians don’t feel like your EHR system is reliable or responding quickly enough, your satisfaction just will not improve. 6. Find out how your EHR is contributing to provider burnout. While the EHR is a contributor to burnout, it is not the only contributor. It is a multifactorial problem with varying solutions depending on the individual situation. But there are some key things that stand out in the EHR as clear indicators that someone is burning out. One indicator is that the user is inefficient with their EHR and spending more than five hours a week charting, or they feel like they’re spending too much time in the EHR.

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GUEST EDITOR SPOTLIGHT!!! Check out the article by Erica Olenski ✨ to learn how a trauma-informed approach can reshape healthcare delivery and improve patient outcomes. (Link in comments) #HealthDataManagement #TraumaInformedCare #PatientExperience #CompassionateCare #HealthcareTransformation

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New Blog Out Understanding HIPAA: A Guide for Healthcare Professionals https://lnkd.in/e_vyj3s6

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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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In the newest episode of #TheCereCorePodcast, CereCore’s Principal Consultant of #RevenueCycle explains why evaluating change readiness is important to innovation. Tune in for more. #WeAreCereCore

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Less than 20% of providers are integrating measurement-based care in their practice. Yet for an aging patient population, measurement-based care is critical. Why? 🔍 Challenges in Self-Reporting: Self-reports are often inconsistent and fail to provide sufficient evidence for creating robust, tailored care plans. 📊 Data-Driven Care: Objective data leads to more precise and effective treatment plans, improving patient outcomes. A major factor is the lack of effective cognitive assessment tools. The MoCA, MMSE, and Mini-Cog are limited in their abilities to detect early stages of decline—when detection is most crucial. More sensitive testing tools equip healthcare providers to detect cognitive decline earlier and monitor changes in brain health longitudinally. Read more on MBC in dementia care: https://hubs.li/Q02H074q0 #MeasurementBasedCare #DementiaCare #CognitiveTesting #DigitalHealth

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Many of you have already seen this news about the RPM market... So, what’s the solution? For RPM to thrive, purchasers need to rethink their RFP process. Here’s how: 1. Prioritize Patient Education Ensure that RFPs ask providers to include comprehensive training for patients on how to use RPM devices. This is essential to close the service gap identified in the OIG report. 2. Support Setup & Onboarding Purchasers should require clear, documented plans for device setup support. Patients need help getting connected, and this must be part of the service offering from the start. 3. Implement Data Transmission Redundancies Data transmission failures were a key issue in the report. Purchasers should insist on robust, redundant data transmission plans in their RFPs, ensuring that patients' health data consistently reaches healthcare providers. RPM is at a crossroads—but with better sourcing and stricter requirements in place, the market can continue to grow responsibly and sustainably. How will your organization adapt? https://lnkd.in/gkV9W6B3 #RemoteMonitoring #HealthcareRFP 

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For a few years now, CareCentra has worked to unify risk signals from patient behaviors to: 1) Identify rising risk among patients with chronic conditions like diabetes and heart disease by determining using markers from lifestyle behaviors, social determinants signals, patient reports, and device data. 2) Map each patient's unique motivation and ability (MoBe Map) to take small steps that cumulatively mitigate their risk, like medication adherence, sleep management, diet control, etc. We demonstrated the efficacy of this approach to deliver improvement in health outcomes through randomized clinical trials with the prestigious Intermountain Health, reduced hypertension and blood glucose levels among recalcitrant patients in Baylor Scott & White Health and have since begun scaling the AI at Castell to prevent pre-term births and reduce expensive NICU days among high-risk pregnancies. CareCentra believes healthcare's future lies in patient-centered, connected care using algorithms, personal device data, and precision nudging for risk management. We partnered with the VETERAN'S HEALTH SERVICES to launch an intelligent, first of a kind platform to connect the point of need - a Veteran stumbling along his care pathway - to the appropriate point of care within the VA only when needed. At all other times, the AI helps the Veteran take the next-best health action, keeping them in control of their own health. This has the potential to transform both access and delivery of care for millions of Veterans as the program gathers real world evidence of impact and success. I want to express my sincere gratitude to remarkable leaders including Ryan Vega MD, Kristopher "Kit" Teague, Cole Zanetti, Angela Gant Curtis, Priya Joshi who made this lauch a reality.

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EHR optimization can make or break your ability to deliver effective care, and a solid assessment is the foundation of that journey. Yet too often, behavioral health organizations rush this critical first step, aiming to implement changes without fully understanding their needs. https://lnkd.in/gPJ2cede As highlighted in this second part of our six-part webinar series on EHR Optimization, a thorough assessment ensures your optimization efforts address real challenges rather than assumptions. This isn’t just about saving time—it’s about improving patient care, reducing staff burnout, and making the most of every therapeutic interaction. Imagine your clinicians spending an extra hour daily on documentation. Across a year, that time adds up to hundreds of hours lost to admin tasks instead of client care. By conducting a thoughtful, step-by-step assessment, you can build a case for EHR improvements that resonates with both clinical and administrative teams. Here are some assessment essentials: * Define clear objectives based on pain points * Measure current performance as a baseline * Gather user insights to capture frontline experiences * Analyze thoroughly to find root causes * Prioritize actions to balance quick wins with strategic goals * Build a roadmap to align your team on next steps Learn to Love Your EHR: Register for the remaining webinar episodes here: https://lnkd.in/gXdU6Y3D At Xpio Health, we guide behavioral health organizations through EHR transformations that truly matter. Ready to turn your EHR system into a robust asset for your organization? Visit XpioHealth.com/contact to learn how we can help. Where could your organization benefit most from an EHR assessment? #PeopleFirst #XpioHealth #BehavioralHealth #EHROptimization #HealthIT

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Ai can be a source of apprehension for many, but Demi Minter, Behavioral Health Clinical Director at MyCHN sheds light on how overcoming these fears can help to bridge the gap in healthcare accessibility and offer practical solutions. In a digitally-driven world, reaching individuals where they are, through their devices, is crucial, says Demi. AI has the power to screen for depression and anxiety, teach essential coping skills, connect people with the right services, meet their needs, and enable more effective follow-ups. Do you see a use for Ai in healthcare? 🤔 #HealthCare #Healthtech #PatientCare #MentalHealth #Ai

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