Vik Nagjee

Top rural health IT challenges for healthcare organizations With constrained budgets, hospitals are tackling rural health IT hurdles through cloud-based EHRs, workforce training, grants and free cybersecurity resources. Your rural health organization could be benefitted from cost-effective or no-cost health-it applications using OpenEMR and CapMinds duo. If you want saas platform for your clinic, try with world's most cost-effective #ehr, Vozo #ruralhealth #ehr #telehealth #rcm #rpm

14

1 Comment

70% of hospitals participate in healthcare interoperability. Healthcare #interoperability is growing across hospitals, but gaps remain, especially in data exchange with long-term care and behavioral health providers. CapMinds offered health information exchange(#hie) and health interoperability (#fhir, #hl7, #mirthconnect) to its various clients across the specilaity including #behavioralhealth #mentalhealth

12

1 Comment

This is a must-read article on the future of #EMRs. I feel like disruption is long overdue and an exciting future is on the horizon for healthcare. Here are a few excerpts: "Health care has long been Big Technology’s great white whale. Apple, Amazon and Google parent Alphabet Inc. — all #innovators that have been unquestionably dominant in their respective main businesses — have each spent billions trying to disrupt the industry, only to scale back their ambitions when faced with the complexity and power of the established US medical system." While Oracle’s long-term vision for modernizing #HealthInformationTechnology is compelling, and has the potential to positively affect patient care, the company has faced significant setbacks — much like its technology peers. Oracle has ribbed Epic for being too expensive and running on a database it calls archaic and insecure. Epic, in particular, likes to brag about retention. One of the most popular presentation slides at the company is blank and titled “Customers Which Have Switched From Epic to Cerner,” “Since Oracle’s acquisition of Cerner Corporation, it’s been heads down to create this vision... But this year, you will see that the end state is closer than many might think.” What are your thoughts?? #revenuecyclemanagement

20

7 Comments

Keep our rurals open but if you really want to help get the foreign equity owned GPO that sets the pricing for our hospitals BANNED from our state. Economies of scale are used by Vizient against Oklahoma rural hospitals. If you have 13 tiers, hidden tiers, and tier maxes…that’s not a contract, that a free for all nightmare of a scam we all fell for. Their awful written tiered agreements force our rurals to pay more for the exact same items that our large hospitals pay less for. Example box of gloves a large hospital system in the state will pay 6-8 bucks for a box of 250 exam gloves. That same box for a rural EMT? 24 bucks. There is no price transparency and you are forcing patients who live in rural areas to pay more because of the lack of infrastructure by the corporations serving them to effectively and economically get goods and services to these hospitals. And distributors who whine about the cost of delivering to rural hospitals all while posting BILLIONS in profit every quarter are the first on my 💩 list. Let’s keep our rurals open but let’s make them more profitable so that they can continue to add much needed services and gainfully employ more community members.

6

1 Comment

🔧 61% of healthcare leaders say enabling self-service through data analytics platforms is critical to their teams' productivity.  Arcadia’s CEO Michael Meucci discusses how AI is becoming the new form of self-service, empowering clinicians and staff. See the full study we conducted with HIMSS Market Insights: https://bit.ly/3TQfcS8 #AIinHealthcare #generativeai #dataanalytics

13

Join @GE HealthCare and @Frost & Sullivan on May 2 to see how the cloud is redefining the management, storage, and use of imaging data, and why healthcare organizations are shifting to the cloud. “What’s with the shift to cloud-based imaging?”, features Daniel Ruppar, Consulting Director, Healthcare & Life Sciences Frost and Sullivan. We'll discuss how to think about enterprise imaging from a patient perspective and steps to creating the right strategy for moving your imaging to the cloud.

1

The Oracle Clinical Digital Assistant can dramatically reduce administrative note taking and tasks. Read how this #GenAI-powered solution can reduce burnout, improve the patient experience, and bring joy back to healthcare practitioners. https://lnkd.in/ee8ascEM

164

2 Comments

Here’s your recap of last week’s health IT news 🗞️ 👇 🤖 AI Clinician Assistant • Oracle Health announced the release of its AI-powered clinical digital assistant, which integrates “clinical automation, conversation-based note generation, and proposed clinical follow ups” directly within the EHR. • NextGen Healthcare released a version of their Ambient Assist designed for small practices, which includes Spanish support and specialty-specific workflows.    • Community Health Network has begun a multiyear Microsoft implementation including Nuance Communications Dragon Medical One and DAX Copilot. 🧑‍💻 Virtual and At-Home Care • Hackensack Meridian Health partnered with Medically Home to implement their hospital at home program. • Cleveland Clinic is integrating Masimo’s wearables in a new partnership focused on hospital-based RPM. • eVisit acquired UPMC Enterprises' inpatient teleconsult technology and an investment from UPMC’s innovation and investments arm as part of their $45M Series B funding. • PatchRx released an API-based tool allowing providers to sync data directly into their existing care platforms. 📊 Data & Analytics • Atropos Health added two new partners and a data scoring system to allow users to select the most appropriate datasets for their queries. • Xealth launched a metrics tool that allows customers to measure and track patient engagement with their digital health programs. 📋 Patient Administration • Fabric acquired MeMD from Walmart. 🔄 RCM • Inovalon joined MEDITECH’s interoperable product marketplace. • RevSpring released an update that integrates a lockbox solution for check processing within its existing payment platform. • Solventum Revenue Integrity (fka 3M Health Care) released its new AI CDI software powered by Sift Healthcare, Solventum Revenue Integrity System, which uses machine learning to predict denials before they happen. 🍎 VBC Data & Analytics • Arcadia acquired CareJourney leveraging their cost, quality, and benchmark data to enhance Arcadia’s data, analytics, and workflow tools. • Adventist Health selected The Garage In's population health management platform to support its VBC operation. 🧠 Food For Thought •  Coalition for Health AI (CHAI) released its draft standards guide for public comment. https://lnkd.in/eMUXGfvz • We really appreciated Daniel Yang, MD’s post about a recent article on the emergence of a new leadership role: the Chief Health AI Officer (CHAIO) https://lnkd.in/ejZxnJCj --- Reminder: you can sign up for the Elion Briefing to get the latest healthcare tech news delivered to your inbox each week 📬 👉 https://lnkd.in/e2UJ3ckP

36

Deep dive on Interoperability as it relates to Providers / Payers from us at INFUSE Health. Would appreciate your perspective as well and how this topic continues to resonate with your key audience segments from a GTM standpoint.

27

1 Comment

Looking forward to moderating today's panel discussion on "AI in Screening and Detection" at the 2nd Annual Lung Cancer Equity Summit sponsored by SCHEQ. #lungcancer, #healthequity #SDOH #healthtechnology #healthtech

22

1 Comment

#HealthcareIT leaders plan to spend 42% more on #ApplicationModernization this year to address #TechnicalDebt and reach their #DigitalTransformation goals. Learn the steps you can take to ensure a successful application modernization process. https://dy.si/uqksF32

9

1 Comment

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

5

Oracle Health announced plans to launch a next-generation EHR platform in 2025, incorporating advanced cloud and AI capabilities. This new EHR will feature Oracle's clinical AI agent, voice-activated navigation, and Health Data Intelligence, which integrates patient data from over 300 sources to enhance clinical workflows and improve patient outcomes. The platform aims to replace traditional EHRs, which often dictate rigid workflows, with a more dynamic system that allows for personalized care plans. Oracle Health emphasizes that the new EHR is a complete reinvention rather than an upgrade of the previous Cerner system. Additionally, Oracle plans to become a Qualified Health Information Network to facilitate standardized data sharing across the healthcare ecosystem. Executives at Oracle also unveiled new cloud applications to improve patient management and streamline front-office operations, reinforcing the company's commitment to enhancing healthcare accessibility and data utility while addressing interoperability challenges in the industry.

1

💡 Did you know? Post-acute care operators with low hospitalization rates save health plans tens of thousands of dollars—with the average cost of a single inpatient hospitalization ranging from $15K to $20K. Under the Affordable Care Act (ACA), these savings are required to be reinvested in care improvements or gain-shared with providers. That means if you’re helping reduce hospitalizations, you could be eligible for a share of those dollars. [Read more about these ACA provisions here: https://lnkd.in/geHxR7nc - Is your ACO or Special Needs Plan sharing the savings you’ve worked hard to create? - Do you know how much potential revenue is being left on the table? 📞 Our team at PointClickCare is here to help you find out! Schedule a review with your Customer Success Manager to uncover your potential gain-sharing opportunities. And if you’re not using PointClickCare today—don’t worry, we’re still here to help. You can contact me or my team directly to explore how to maximize your value-based care potential. 💬 Let’s start the conversation. The savings you’ve created should be working for you. #PostAcuteCare #ValueBasedCare #HealthcareSavings #VBC #HospitalizationRates #GainSharing #AffordableCareAct #ACOs #SpecialNeedsPlans #CareCollaboration #PopulationHealth #HealthIT #PatientOutcomes #CareOptimization #HealthPlans #CareDelivery #MedicaidSavings #ReimbursementModels #SeniorCare

51

3 Comments

Oracle Health’s new Autonomous Shield initiative can help health systems migrate to a comprehensive EHR and cloud infrastructure that can reduce cyber risk. Read how the automation and security of #OCI can help boost performance. https://lnkd.in/d7Zn9quD

24

3 Comments

This is an interesting article because EHR companies, like Epic and Oracle's Cerner, have made siloing data a major part of their business model. Overall, I like EPIC’s ability to review records from other EPIC shops. It also has a nod to interoperability with its “Care Everywhere“ feature. However, this is often a disorganized and outdated collection of information. Using it requires a ninja level of both tech expertise and medical knowledge possessed mainly by younger physicians and chief residents. I am a fan (and advisor) of companies like Zus Health focused on user-friendly, comprehensive, and up-to-date interoperable health care data tools.

57

25 Comments

Join me at #HLTH2024 https://lnkd.in/e8wqvWBY to learn about what Microsoft is delivering in healthcare for data and AI teams and for clinicians.

42

It's been 8 months since CMS announced its final rule on prior authorization (PA) and interoperability. As we come closer the implementation deadlines, it's crucial to assess our readiness and understand the broader implications. The CMS rule on PA requires some key things: 1️⃣ Faster PA decisions (72 hours urgent, 7 days standard) start in 2026 2️⃣ FHIR-based Prior Authorization API implementation 3️⃣ Expanded Patient Access API and new Provider Access API from 2027 4️⃣ Affects Medicare Advantage, Medicaid, CHIP, and certain QHP issuers 🔗 The FHIR APIs Required by 2027: Enhanced Patient Access API: Now includes prior authorization data Provider Access API: Allows providers to access patient data from payers Payer-to-Payer API: Facilitates data exchange when patients switch payers Prior Authorization API: Streamlines the prior auth process 🔍 What's Missing? 1️⃣ FHIR Standard Adoption: Payers must use FHIR standard queries, but EHR changes aren't mandated. 2️⃣ EHR Integration Gap: The rule doesn't require direct EHR interrogation for PA requests, which could have eliminated most administrative friction. 3️⃣ Digital Endpoint Challenge: Payers need to discover digital endpoints for each entity, but there's no centralized database yet. 4️⃣ Medication-related PA inclusion 5️⃣ Other revenue cycle FHIR standards: While the rule addresses PA, it doesn't tackle the myriad other reasons for claim denials (e.g., coding errors, eligibility issues, medical necessity disputes). 🔍 Where are we now? - Many organizations are in the planning or early implementation stages - CMS is exploring a National Directory of Healthcare Providers and Services, potentially including payer endpoints. (https://lnkd.in/ghf28bDF) - Prior Authorization support has been built in to some of the most common implementation guides for FHIR (https://lnkd.in/gKP4Qdzn) 🤔 Critical questions at this stage: 1. How far along is your organization in preparing for these changes? 2. What unexpected challenges have you encountered in the implementation process? 3. How are you balancing these PA improvements with other revenue cycle optimization efforts? Let's share experiences and best practices. What insights can you offer to peers navigating this transition? #HealthcareIT #PriorAuthorization #Interoperability #RCM #RevenueCycle #CMS https://lnkd.in/gHB_i9Gu https://lnkd.in/gjegKF4g

3

2 Comments