In their new Forefront article, William J. Gordon, Zoe Hruban, Velda McGhee, Todd Couts, Purva Rawal, and Elizabeth Fowler from the Centers for Medicare & Medicaid Services Innovation Center and Brigham and Women's Hospital discuss how, given the role and importance of data to the work they do and to their model participants, they are advancing their data-sharing strategy with a primary goal of identifying additional data-sharing needs across CMS Innovation Center models that ensures proper security, risk management, and privacy obligations are employed in tandem with sharing goals. "The CMS Innovation Center has already taken significant steps to improve how we share data. For example, we continue to release CMS Innovation Center model data through the CMS Virtual Research Data Center—to date, more than 20 models have released data through this mechanism. Additionally, the CMS Innovation Center recently made bundled-payment data available to ACOs as part of our specialty strategy. These data, which includes claims data for services, supplies, and their associated payments grouped into episodes of care, provide ACOs with insights into care patterns and support ACOs looking to develop their own payment initiatives. Another example is our work sharing claims data with regional data aggregation entities in support of our Primary Care First (PCF) model to facilitate event-alerting notifications (such as admission, discharge, or transfer messages) to PCF practices for PCF-aligned beneficiaries." Read the full article here: https://bit.ly/4fTrYJ2
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June Edition A sample of some Immediate Jeopardies includes... A facility's QAPI committee did not thoroughly review all factors related to a resident's elopement F 689 L A facility experienced a nonfunctional call system resulting in significant consequences for residents F 919 L A facility failed to ensure proper medication management for a resident requiring warfarin and insulin. F 760 J The facility’s fire alarm system and fire panel were not properly maintained, resulting in non-operational magnetic door locks and flashing lights on exit doors. F 921 L Failure to provide timely laboratory services for resident with suspected UTI F 770 J Inadequate supervision during mealtime for resident with dysphagia leading to a chocking incident F 689 K Resident sustained a second-degree burn from spilled hot coffee F 689 L Inconsistent pressure ulcer management leading to worsening condition F 689 J Deficiency in water management program for legionella control F 880 L Financial mismanagement, resulting in unpaid bills to vendors and potential interruptions in essential services for residents. F 600 L Failure to address acute change in condition F 684 J Thank you Team Assisto !
🚨 The Centers for Medicare & Medicaid Services (CMS) has released its latest health deficiencies reports nationwide! Leveraging AI, we've simplified lengthy, complex CMS reports into digestible, actionable insights. Each state's report highlights recent Immediate Jeopardy citations and includes available corrective actions to bolster your compliance strategies. 🔎 Peek into Our Newsletter: Alabama: https://lnkd.in/g5dbfUZ9 Arizona: https://lnkd.in/gvVuc3ZH California: https://lnkd.in/gT3yUKeT Colorado: https://lnkd.in/gnpgJdmj Connecticut: https://lnkd.in/gc3smQyE Florida: https://lnkd.in/gfyUpbNK Georgia: https://lnkd.in/gNtCBMeu Iowa: https://lnkd.in/gXvSzbyf Illinois: https://lnkd.in/gAxSside Kansas: https://lnkd.in/g7JqJmFN Kentucky: https://lnkd.in/gvRSQ53Z Massachusetts: https://lnkd.in/gz2_sYUD Maryland: https://lnkd.in/gf5bxk-M Michigan: https://lnkd.in/gWbSsZhq Missouri: https://lnkd.in/gdg9Cez2 North Carolina: https://lnkd.in/geknBD3B North Dakota: https://lnkd.in/gu7Tei5s Nebraska: https://lnkd.in/gN93KuE3 New Jersey: https://lnkd.in/gmQr8BRF Nevada: https://lnkd.in/gaaZ5qvd New York: https://lnkd.in/g8qUWqgH Ohio: https://lnkd.in/gCNXTMVz Pennsylvania: https://lnkd.in/gZuFbZEd Rhode Island: https://lnkd.in/gdvuxgkB South Carolina: https://lnkd.in/gHarbtKz Tennessee: https://lnkd.in/gexQWw9k Texas: https://lnkd.in/gFKgdV8r Virginia: https://lnkd.in/gNjSQpXN Washington: https://lnkd.in/gTpMfYPw Wisconsin: https://lnkd.in/gieDdpw5 📣 Not seeing your state? No worries! Subscribe and gain full access to all state-specific insights. 👉 Subscribe here for our free monthly newsletter: https://lnkd.in/g5w9SFnG
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Another great edition by team Assisto ! Some areas for compliance review… Completion of baseline care plans for all residents within 48 hours of admission, and particularly for residents with serious health conditions. (F655) Documentation of meal provision for residents that are at risk and care planed for malnutrition. Implementation of nutritional interventions for residents experiencing weight loss. (F692) Physician notification and consultation for significant change in resident’s condition. (580) Inform residents of grievance filling process and appropriately post and display information for the grievance filling process. (F585) Adequate pain management. (F684) Proper assessment and monitoring of risks associated with bed rail usage. (F700) Maintaining an efficient and effective pest control program. (F925) Implementation of gradual dose reduction for psychotropic medications. (F758) Completion of neurological checks for residents that experienced a fall with head injuries. (F684) Maintain essential electrical and mechanical equipment on emergency generator power. (F908) 😊
🚨 The Centers for Medicare & Medicaid Services (CMS) has released its latest health deficiencies reports nationwide! Leveraging AI, we've simplified lengthy, complex CMS reports into digestible, actionable insights. Each state's report highlights recent Immediate Jeopardy citations and includes available corrective actions to bolster your compliance strategies. 🔎 Peek into Our Newsletter: Alabama: https://lnkd.in/g_5-8-WM Arizona: https://lnkd.in/gyrKEv85 California: https://lnkd.in/gcrRjnv3 Colorado: https://lnkd.in/gVr4jc9P Connecticut: https://lnkd.in/gyrv_Wyh Florida: https://lnkd.in/gizMRg7Y Georgia: https://lnkd.in/gkQjkYp4 Iowa: https://lnkd.in/gv2EqkjD Illinois: https://lnkd.in/gY9XAiYh Kansas: https://lnkd.in/gHVrxnzb Kentucky: https://lnkd.in/gaJQu-8x Massachusetts: https://lnkd.in/gx3CZTd9 Maryland: https://lnkd.in/gxdeYxJH Michigan: https://lnkd.in/gxze8Yb5 Missouri: https://lnkd.in/g-WBy6gC North Carolina: https://lnkd.in/gtjHP26R North Dakota: https://lnkd.in/gfBKf4NC Nebraska: https://lnkd.in/g86ytD5e New Jersey: https://lnkd.in/ghWZsHdG Nevada: https://lnkd.in/gRrAS8T9 New York: https://lnkd.in/gAKq3FJR Ohio: https://lnkd.in/gPB2Z2nM Pennsylvania: https://lnkd.in/gg4UzSCC Rhode Island: https://lnkd.in/ghsQpxJv South Carolina: https://lnkd.in/gnAb36bc Tennessee: https://lnkd.in/gp9T7khj Texas: https://lnkd.in/gnvVChhR Virginia: https://lnkd.in/griczNGq Washington: https://lnkd.in/gpNZPytX Wisconsin: https://lnkd.in/gXZQR-wQ 📣 Not seeing your state? No worries! Subscribe and gain full access to all state-specific insights. 👉 Subscribe here for our free monthly newsletter: https://lnkd.in/g5w9SFnG
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One of the #CMS Innovation Center’s goals is to test ways to better share data, with the aim of incorporating these lessons into other CMS programs, thereby improving the infrastructure of value-based programs. As the Centers for Medicare & Medicaid Services continues to enhance data-sharing capabilities, it's setting the stage for a more coordinated, patient-centered, and value-based health care system. It's a step in the right direction when it comes to data transparency that was endorsed by American Medical Association (#AMA), #AHIP and National Association of ACOs (#NAACOS). #vbc, #vbaforvbc, #vba , #valuebasedcare, #alternativepayments, #wholepersoncare, #contractbuilder, #valuebasedinfrastructure, #dataengineering, #datascience, #interoperability, #fhir , #hl7 , #edi , #unstructureddata Rahul Sharma, Lynn Carroll, Deepti Sharma ,CPC CMHP, Mohan Badkundri, Karthik Kanakaraj, Kimberly Shepard, Eric D. Young, John Layne, Carl King, Amol Bapat, MD, FACC, Michael Roach https://lnkd.in/eeDyHarD
Improving Participation In Value-Based Care—The CMS Innovation Center’s Data-Sharing Strategy Initiative | Health Affairs Forefront
healthaffairs.org
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Executive Director, Blue Spoon Consulting® / The Global Leader in Positioning Strategy at a System Level
If CMS is truly interested in the wellbeing of Medicare and Medicaid enrollees and accountability toward taxpayers, it should allow researchers inexpensive, convenient, and unrestricted access to deidentified data. Researchers from a broad diversified spectrum will compete to explore new knowledge and debate competing solutions, creating free and invaluable feedback to CMS. Such a vibrant and dynamic research ecosystem brings optimal societal outcomes. In ten weeks, CMS will close its data doors, indicating no intention to change course. It’s time for Congress to remind CMS loud and clear: You do not own the data. We the people do. via Ge Bai in Forbes ********** You could ask this who-owns-the-data question to pretty much any market or economic system whose "value" is pegged to insights mined from the data factory called 'we the people' -- the entire EHR market, a big chunk of the drug development market, the genetic testing market, the ancestry-tracing market, the content publishing market, the AI-will-save-humanity market.... From The Big Strategic Rotation published by Blue Spoon Consulting: "Missing from all the keynotes, investor presentations, VC pitches, podcasts and fireside chats at JP Morgan’s annual healthcare conference and Davos 2024 were strategic conversations around provenance (i.e., the origin of things), the changing nature of competition and the value of ‘data equity’ as an engine for growth and economic development. The uncomfortable conversation that’s arrived for industry and government is this: How to share the wealth created from all those new health products and markets developed from the data that comes through our engagement with search engines, social media platforms, content, loyalty points and an infinite and expanding galaxy of other digital transactions. It also includes the roughly 137 terabytes of data generated every day when the collective we -- consumers-as-patients; patients-as-consumers; HCPs-as-consumers; everybody-as-technologists -- interact with the entire health apparatus in its current form." Link in comments to #FreshPaint
Who Owns Medicare And Medicaid Data? We The People
forbes.com
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High-performing marketing executive with a passion for building, scaling and increasing YoY growth.
Ever wondered how data shapes patient care in skilled nursing facilities? Dive into our latest blog to see how CMS data, from claims to clinical assessments, plays a crucial role in enhancing healthcare quality. A must-read for anyone passionate about making a difference in patient outcomes. Check out the insights in Net Health's new blog
How do SNFs make sense of patient data for better care? With claims-based data, we track a patient's journey after leaving the #SNF. MDS-based data, on the other hand, gives us a detailed look at their clinical care while inside. Centers for Medicare & Medicaid Services shows us both sides to help SNFs enhance care quality. Tap the link below for Net Health's take on navigating these crucial data points for superior patient outcomes. #HealthcareData 🔴 🔗: https://lnkd.in/eg4kt5d4
Understanding Claims-Based and MDS-Based Data for SNFs - Net Health
https://www.nethealth.com
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Transforming patient care starts with understanding the data. Our new blog breaks down the complex world of SNF data, from claims-based insights to in-depth clinical assessments by CMS. It's an eye-opener for anyone looking to improve healthcare quality. #HealthcareInnovation
How do SNFs make sense of patient data for better care? With claims-based data, we track a patient's journey after leaving the #SNF. MDS-based data, on the other hand, gives us a detailed look at their clinical care while inside. Centers for Medicare & Medicaid Services shows us both sides to help SNFs enhance care quality. Tap the link below for Net Health's take on navigating these crucial data points for superior patient outcomes. #HealthcareData 🔴 🔗: https://lnkd.in/eg4kt5d4
Understanding Claims-Based and MDS-Based Data for SNFs - Net Health
https://www.nethealth.com
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Ever wondered how data shapes patient care in skilled nursing facilities? Dive into our latest blog to see how CMS data, from claims to clinical assessments, plays a crucial role in enhancing healthcare quality. A must-read for anyone passionate about making a difference in patient outcomes. Check out the insights in Net Health's new blog
How do SNFs make sense of patient data for better care? With claims-based data, we track a patient's journey after leaving the #SNF. MDS-based data, on the other hand, gives us a detailed look at their clinical care while inside. Centers for Medicare & Medicaid Services shows us both sides to help SNFs enhance care quality. Tap the link below for Net Health's take on navigating these crucial data points for superior patient outcomes. #HealthcareData 🔴 🔗: https://lnkd.in/eg4kt5d4
Understanding Claims-Based and MDS-Based Data for SNFs - Net Health
https://www.nethealth.com
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High-performing marketing executive with a passion for building, scaling and increasing YoY growth.
Ever wondered how data shapes patient care in skilled nursing facilities? Dive into our latest blog to see how CMS data, from claims to clinical assessments, plays a crucial role in enhancing healthcare quality. A must-read for anyone passionate about making a difference in patient outcomes. Check out the insights in Net Health's new blog
How do SNFs make sense of patient data for better care? With claims-based data, we track a patient's journey after leaving the #SNF. MDS-based data, on the other hand, gives us a detailed look at their clinical care while inside. Centers for Medicare & Medicaid Services shows us both sides to help SNFs enhance care quality. Tap the link below for Net Health's take on navigating these crucial data points for superior patient outcomes. #HealthcareData 🔴 🔗: https://lnkd.in/eg4kt5d4
Understanding Claims-Based and MDS-Based Data for SNFs - Net Health
https://www.nethealth.com
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How do SNFs make sense of patient data for better care? With claims-based data, we track a patient's journey after leaving the #SNF. MDS-based data, on the other hand, gives us a detailed look at their clinical care while inside. Centers for Medicare & Medicaid Services shows us both sides to help SNFs enhance care quality. Tap the link below for Net Health's take on navigating these crucial data points for superior patient outcomes. #HealthcareData 🔴 🔗: https://lnkd.in/eg4kt5d4
Understanding Claims-Based and MDS-Based Data for SNFs - Net Health
https://www.nethealth.com
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Yesterday, COGR submitted a letter in response to the Centers for Medicare & Medicaid Services (CMS) RFI on Research Data Request and Access Policy Changes. The current CMS system permits researchers to obtain physical data extracts of CMS Research Identifiable File data (“RIF Data”) for use on institutional systems that meet CMS-prescribed data security standards. CMS has proposed changes that would prohibit the release of physical data, and instead require researchers to solely access RIF Data via CMS’ Chronic Conditions Warehouse Virtual Research Data Center (CCW VRDC). This would harm important health-related research. COGR’s response highlights how the proposed changes would severely curtail researchers’ ability to link RIF Data with other data sets and use the wide variety of analytical tools that are available at their institutions. These changes would impede both on-going federally funded research and the development of new research projects that are vital to improving patient outcomes and lowering healthcare costs. COGR’s response also expresses strong concerns about proposed steep increases in fees that researchers will be required to pay to access the CCW VRDC. These increases will pose a substantial cost burden for all institutions and especially harm the ability of emerging research institutions and early-stage researchers to conduct research using CMS data. Bottom Line: COGR urges CMS to reconsider the proposed changes and instead permit continued access to physical data while working with the research community, as necessary, to explore alternate mechanisms to address data security concerns. COGR Letter: https://lnkd.in/eRu6Mu27 CMS Request for Information: https://lnkd.in/egPMCyQE
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