Sanjay Doddamani

Check out the press release to learn more.

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The Association of Healthcare Value Analysis Professionals (AHVAP) is excited to invite dynamic and insightful speakers to share their expertise at the 2025 AHVAP Annual Conference and Industry Partner Expo, which will be hosted next October in beautiful Grapevine, Texas at the Gaylord Texan Resort. This premier event, dedicated to advancing the field of healthcare value analysis, will bring together professionals, thought leaders, and industry innovators to explore the latest trends, challenges, and best practices in value analysis. With an expected attendance of 500+ professionals from across North America, this is the industry's premier professional gathering for the healthcare value analysis specialty. We are excited to officially open our call for speakers, which will close at midnight ET on December 31, 2024.    We are seeking speakers who are passionate about transforming healthcare through value-driven strategies, improving patient outcomes, and fostering cross-functional collaboration. Whether you are a seasoned value analysis professional, clinician, supply chain expert, or industry partner, this is your opportunity to contribute to the conversation and inspire a community of like-minded professionals.   The 2025 conference theme, focuses on Catalysts for a Resilient Future: Driving Healthcare Value Through Strategic Innovation, and we welcome proposals that align with this vision. This theme focuses on the pivotal role of value analysis professionals, healthcare professionals, and industry partners in shaping the strategic and resilient future of healthcare through leading practices and enterprise initiatives. It showcases how proactive decision-making, industry partnerships, and innovative solutions contribute to optimized patient outcomes, continuous quality improvement, and effective fiscal responsibility in a dynamic healthcare environment. Join us in shaping the future of healthcare value analysis by sharing your unique insights, case studies, and innovative solutions with an engaged audience of professionals dedicated to creating impactful change.   Please note that all submissions are limited to two (2) speakers. Selected speakers will receive complimentary full conference registration, but are responsible for other costs for conference attendance. Sessions may be selected for thirty (30) or sixty (60) minute blocks based on scheduling needs for the event.    To submit your presentation for consideration: https://lnkd.in/e7tTjzed. #AHVAP2025 #AHVAP #valuebasedcare #valueanalysis #professionaldevelopment #valueanalysis

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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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Walmart closing 51 Health Centers over “Lack of Profitability!” Walmart Health Virtual Care (telemedicine) offerings will also end. Article by Daniella Alessandra Genovese Fox Business Network April 30, 2024 MY TAKE: · What does ‘lack of Profitability” really MEAN? o Is it meant that this service line is losing money – financially upside down? o Or does it mean that the line is not producing the “EXCESS PROFITS” that were envisioned - and that corporate leaders and shareholders demand?   ·    Healthcare delivery is NOT a simple business model, though increasingly we see corporate entities entering this arena, often envisioning large profits or - in the case of private equity - valuable ASSETS whose value can be accelerated over short periods - or at least sold off as value-added components.   ·    It has been said that the LURE of ‘excess profit’ invariably leads to GREED, and that in healthcare - greed invariable leads to worsening conditions within healthcare workplaces and worsening outcomes for patients! American Medical Association American Hospital Association American College of Emergency Physicians U.S. Senate Committee on Health, Education, Labor, & Pensions Tennessee Medical Association Jesse Pines Chadd Kraus Lara Vanyo Rita Manfredi TENNESSEE COLLEGE OF EMERGENCY PHYSICIANS Timothy Wilson Ryan Stanton Gabe Kelen, Deidre McPhillips Mollie Pillman Alison Haddock, MD, FACEP Susan Morse mor Chelsea Torres Amy Feldman Jesse Ehrenfeld MD MPH Mel Cortez Larry Bucshon, M.D. Peter Stavros Fox article link - https://lnkd.in/gynsbScT

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Shifting the financial model alone is not sufficient for the transition - the care delivery, workforce, and many other pieces of the ecosystem with which PCPs interact also need to adjust accordingly. Funding to allow for the startup costs of transformation must be made available. A comprehensive analysis from The Commonwealth Fund: To encourage participation, practitioners say upfront payments, investment in the primary care workforce, and less emphasis on simplistic quality measures are needed, as well as more support for practices to provide accessible, comprehensive care. #primarycare #integratedcare #teambasedcare #healthcare #healthcareonlinkedin

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🤷‍♀️ Patient Attribution 💡 Managing complex patient attribution requires a combination of advanced data analytics, clear rules, continuous monitoring, and active engagement with both providers and patients. Do you know how and where patient are assigned? Have a great Friday! #valuebasedcare #healthcare #leadership

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It seems that the government is serious about finally realizing the vision of true health data interoperability. The attached Point-of-Care Partners blog post describes the recently released HTI-2 Proposed Rule which is another step in the fruition of that vision. Point-of-Care Partners can help your healthcare organization stay ahead of the waves of regulatory activity around interoperability. Let me know if you are interested in learning how.

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Healthcare Access Across the U.S.: Texas Among the Worst as Disparities Widen Forbes Advisor’s recent analysis reveals stark disparities in healthcare access across the U.S., highlighting how factors like insurance coverage, availability of primary care providers, and hospital resources vary widely by state. States in the West, such as Utah, Nevada, and Arizona, scored among the worst, with limited numbers of hospital beds and physicians contributing to poor accessibility. In contrast, states like Massachusetts and Connecticut offer far better healthcare access, boasting low uninsured rates and high numbers of primary care providers. Texas ranks as the third-worst state, facing high uninsured rates and limited healthcare infrastructure in many areas. For Texans, healthcare access often depends on proximity to larger cities, as rural and suburban areas can lack sufficient medical resources, leaving many without timely or affordable care. Comments from our CEO James (Jim) Rodriguez, FACHE: “Here we go again! Texas is ranked the 3rd worst state for access to healthcare! Unbelievable! The survey was done using 14 metrics to compare all 50 states including things such as hospital beds per 1000, lack of health insurance (our worst metric) and others. I’m calling on the Texas Legislature to do something this coming session to reduce the number of uninsured in Texas. How can we hold our head high as Texans when we have this many uninsured? Its time to start using all those excess funds we hear about and yes, even the Rainy Day Funds if we have to because it rains on the uninsured every day!” To read the full article by Deanna Cuadra, visit the link below. https://lnkd.in/dQfMgG7q   #healthcare #health #healthcoverage #insurance #uninsured #premiumassistance #subsidy #texas

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Sharing key takeaways on the CMS Hospital Inpatient Quality Reporting program for FY2025. - Seven new measures are added (which are welcome, with the caveat of let's see how they work out) -> Patient Safety Structural Measure beginning CY 2025 with payment determination in FY 2027 -> Age Friendly Hospital CY 2025/FY 2027 -> Catheter-Associated Urinary Tract Infection Standardized Infection Ratio Stratified for Oncology Locations (CAUTI- Onc) CY 2026/FY 2028 -> Central Line-Associated Bloodstream Infection Standardized Infection Ratio Stratified for Oncology Locations (CLABSI-Onc) CY 2026/FY 2028 -> Hospital Harm – Falls with Injury (eCQM) CY 2026/FY 2028 -> Hospital Harm – Postoperative Respiratory Failure (eCQM) CY 2026/FY 2028 -> Thirty-day Risk-Standardized Death Rate Among Surgical Inpatients with Complications July 1, 2023–June 30, 2025/ FY 2027 - Five existing measures are removed (which is a breath of fresh air) - the unpopular PSI-04, and measures related to 30-day episode payments for acute myocardial infarction, pneumonia, total hip/ knee arthroplasty, heart failure - Two existing measures are modified (Global malnutrition composite score expanded from seniors over 65 to anyone older than 18 - this is very positive; and Refined HCAHPS measure - will post details on this next week.)

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How can we leverage Patient Experiences to Drive Health and Care Outcomes? What is "Authentic" Value-Based Care? In our recent Health Data Management article, Rachel Biblow and I discuss transforming health and care delivery by prioritizing “authentic” value, which emphasizes patient experiences and health outcomes (in relationship to financial results). This approach requires healthcare providers to focus on what matters most to patients. Read the full article: https://lnkd.in/e7fQihgw Initial Steps to Drive Authentic Value: 🌟 Adopt a human-centered culture by prioritizing individual health needs and goals >> Partner with individuals across the health and care continuum to support progress toward achieving goals. Operationalize experiences that enable better outcomes. 🌟 Develop an integrated data strategy and utilization plan >> Implement tools to capture patient perspectives on health status and healthcare experiences, ensuring that care aligns with patient needs. Integrate data for continuous improvement through collection, analysis, and intentional change to transform experience and health outcomes. 🌟 Leverage technology innovations >> Adopt relevant digital tools, including, AI for personalized care, improved communication, and operational efficiency. Determine pragmatic applications of technology that enable outcomes that matter to patients. By focusing on these elements, health and care organizations can earn trust, strengthen partnerships, enhance health outcomes, and achieve a more sustainable system. ************ SIGN-UP: Free monthly digest:  “Transforming Health and Care Experiences with Research and Actionable-Insights" https://lnkd.in/eWG5XSEd ************ ATTEND: Patient Experience Symposium, Boston, Sept 16-18, 2024 https://lnkd.in/eNKSpJ8G ************ PUBLISH: in the Special Collection on "Exploring the Relationship between Patient Experience, Health Outcomes, and Value-based Care" https://lnkd.in/ew4gEgz7 (A Collaboration between Journal of Patient Experience and International Consortium for Health Outcomes Measurement (ICHOM) ************ #PatientExperience #PatientReportedOutcomes #PatientEngagement #HealthCareExperience #ClinicianEngagement #PREMs #PROMs #VBC #VBHC #ValueBasedHealthCare #ValueBasedCare

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How long physicians have been in practice can signal burnout risk AI can significantly reduce the administrative burden on physicians by automating routine documentation tasks, providing decision support through predictive analytics, and streamlining clinical note creation and inbox message responses. This allows physicians to focus more on patient care. Ochsner Health also uses augmented intelligence (AI)—often called artificial intelligence—to help. Through a pilot program across its 46-hospital system, Ochsner Health uses generative AI listening tools to help reduce the administrative burden on physicians.In the program, physicians use ambient AI to listen while they converse more freely with patients during encounters and help produce clinical notes in the EHR for the physician to review, approve and sign. AI can also provide help for physicians responding to inbox messages. https://lnkd.in/eECJnFeq #unitedseniorassociation #USA #eldercare #FDA #seniorliving #ADA #AI #NIH #patientcare #compliance #hospitals #OIG #healthcare #HHSOIG #digitalhealth #HSS #CMS #assistedliving #nursinghomes #seniorcare #medicare #seniorcitizen #homehealthcare #caregiver #dementia #inhomecare #seniorhealth #kloekorby #alzheimers #mentalhealth

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I’ve been given advice that the fastest way to monetize HER Heard without charging the end user (woman) is trackers and selling data. Instead, I’d like to build something more trustworthy. I don’t want to be in a headline like this. If you are not paying, then you are the product (you/your data are being sold). There are newer ways to deindentify data or even to aggregate things women search for that can be of interest to various stakeholders. In theory that could be okay to sell, but in a post-Roe world with laws encouraging bounty hunting, I am vetting the choices ahead. I am all for moving fast, without breaking things.

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Inpatient CDI and coding are complex, especially when multiple teams struggle to capture all the appropriate DRGs, CCs, and MCCs. But there’s a better way. With VISION Clinical Validation Technology™, you can simplify your CDI process and significantly improve your hospital’s financial performance—by up to 10X. Hospitals that implement VISION achieve a final denial rate of less than 1%* with our proven, AI-data-driven technology that ensures accurate documentation, validates DRGs, and minimizes denials. Discover how VISION is transforming hospital CDI programs nationwide https://hubs.li/Q02PMjfr0 *with our comprehensive program #CorroHealth #CDIWeek2024 #ACDIS #CDI #Healthcare

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The renal care industry faces numerous challenges that impact patient care, safety, and outcomes. Key issues include: 1. Value-Based Care Challenges: While intended to improve quality and reduce costs, value-based care models can inadvertently prioritize financial metrics over individualized patient needs, potentially compromising care quality. 2. Supply Chain Vulnerabilities: Dependence on major suppliers like Baxter exposes the industry to risks such as product shortages and recalls, which can disrupt patient treatment schedules and compromise safety. 3. Market Concentration: Dominance by a few organizations, including Donate Life America, Fresenius, and DaVita, can limit competition, potentially stifling innovation and leading to standardized care that may not address individual patient needs. 4. Organ Procurement Accountability: Insufficient oversight of Organ Procurement Organizations (OPOs) can result in inefficiencies and missed opportunities for transplants, adversely affecting patient outcomes. 5. Influence of Venture Capital: The entry of venture capital into renal care may prioritize profit over patient-centered care, potentially leading to cost-cutting measures that affect treatment quality. 6. Underinvestment in Preventive Education: A focus on treatment over prevention results in limited resources for education and awareness campaigns, which are crucial for early detection and management of kidney disease. 7. Healthcare Inequities: Disparities in access to renal care services disproportionately affect marginalized communities, leading to unequal health outcomes. 8. Regulatory Challenges: Complex and evolving regulations can create administrative burdens for providers, potentially diverting focus from patient care. 9. Technological Integration Issues: Slow adoption of electronic health records and telemedicine in renal care can hinder coordinated care efforts and limit patient engagement. 10. Workforce Shortages: A lack of specialized healthcare professionals in nephrology can lead to increased workloads, burnout, and potentially compromised patient care. Addressing these challenges requires a multifaceted approach, including policy reforms, increased investment in preventive care, and a commitment to equity and patient-centered practices. Tim Fitzpatrick

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AI is good and growing fast but we are still in the developmental stages. Companies need to be careful with the claims they make. Texas Strikes Settlement with Dallas AI Firm Over Misleading Healthcare Tech Claims 📢 Issue: The State of Texas, through its Attorney General, filed a petition for the approval and entry of an Assurance of Voluntary Compliance (AVC) with Pieces Technologies, Inc. The key issue involves whether Pieces Technologies, Inc. engaged in deceptive practices under the Texas Deceptive Trade Practices - Consumer Protection Act (DTPA) by making false or misleading representations about the accuracy of its artificial intelligence (AI) products used in healthcare. 📢 Rule: The Texas Deceptive Trade Practices Act (DTPA) prohibits false, misleading, or deceptive practices in the advertising and sale of goods or services (Tex. Bus. & Com. Code §§ 17.41-.63). Specifically, Section 17.47 allows the Consumer Protection Division of the Attorney General’s office to investigate and take action on violations. 📢 Application: Allegations by the State of Texas: Pieces Technologies developed and marketed AI products intended to assist healthcare providers in treating patients. It claimed its products had very low error rates (referred to as "hallucination rates") in creating outputs like clinical notes. The state alleged these claims were false or misleading, violating the DTPA, since the AI could produce incorrect or misleading outputs. Response by Pieces Technologies: The company denied any wrongdoing or liability, stating that its claims about the AI’s accuracy were accurate and did not violate any laws. Assurance of Voluntary Compliance: To settle the matter without prolonged litigation, Pieces Technologies agreed to a series of actions, including: Providing clear and conspicuous disclosures in all marketing materials regarding the accuracy and metrics of its AI products. Prohibiting misleading or unsubstantiated representations about the accuracy or testing of its AI products. Ensuring transparency with customers about the potential risks and limitations of its products. Complying with the AVC terms for five years and implementing internal processes to monitor compliance. 📢 Conclusion: Pieces Technologies agreed to settle the matter by entering into the AVC, which does not constitute an admission of liability. The company agreed to specific practices and disclosures to comply with Texas law, as outlined in the AVC, and the court’s approval was sought for the AVC. --------------- Sanjay Juneja, M.D. Douglas Flora, MD, LSSBB, FACCC Nixon Gwilt Law Sean Weiss Ronald Chapman II, Esq. LLM Michael Crocker Rebecca E. Gwilt David Penberthy, MD MBA FACCC VMG Health ECG Management Consultants Etyon HLTH Inc. Aashish Shah ------ https://lnkd.in/enduqyDe.

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Going live this afternoon with Murali Gandhirajan at the Dallas-Fort Worth Hospital Council (DFWHC) on how organizations are accelerating clinical research. We'll be covering OHDSI OMOP, i2b2, PCORnet, TREs, GenAI, and more. This is open to all levels of folks interested in the processes or deep in the weeds of research. Bring your questions! #clinicalresearch #academicmedicalcenters Snowflake #snowflake #datacloud #aidatacloud #genAI #healthdata #research

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Compliant Query Practice... How many CDI professionals are beyond listening to the beaten-down topic of compliant queries? This topic has been discussed to the 10th degree with so many podcasts, articles, and webinars on compliant queries. I would like to see ACDIS offer more relevant CDI topics such as best practices of documentation, proactive preemptive denials avoidance documentation, engagement of physicians by creating a vision that inspires physicians and CDI alike to name just a few. How about CDI transformation-getting off the current reactive repetitive reactionary task-based CDI processes. #deadhorse, #beatenintotheground, #movingintherightdirection, #bestpracticesofdocumentation, #queriesenoughisenough https://lnkd.in/enQPXyWm

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