Chris Fierer

MCG Health #interoperability experts, Rajesh Godavarthi and Daniel Cawood, have written a new article on the scope and key elements of the Centers for Medicare & Medicaid Services' Interoperability and Prior Authorization Final Rule (CMS-0057-F). This includes (1) an analysis of the implementation/impact of prior auth APIs, (2) a practical guide for #automation processes, and (3) recommended timelines for payers to prepare for the adoption of the new technologies. Read more: https://bit.ly/4e48f8n

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Many health systems are evaluating AI vendors for RCM. How can they make decisions with confidence? In this new article for Healthcare IT Today, the Fathom team lays out a practical approach to procuring AI in RCM. We outline 6 key criteria for making an informed decision, summarized in plain language here: ✅ Automation rate: the proportion of work that gets fully handled by technology, in simple terms. It's the biggest driver of ROI – see the article for math illustrating this in the context of coding. ✅ Accuracy: the quality of output from the technology. Define accuracy and a baseline in advance for apples-to-apples comparisons. ✅ Compatibility and integration: the degree of fit with existing systems. Close integration with EHRs and other core technologies reduces implementation risk. ✅ Configurability and adaptability: the level of customization available. High configurability – such as incorporating new guidelines quickly – sustains peak performance for your unique needs. ✅ Scalability: the breadth of specialties or departments covered. Broader coverage sets the stage for growth and avoids a proliferation of point solutions. ✅ Vendor support: the quality and behaviors of the support team. A top-notch team simply enhances your entire experience and outcomes. Read the full article – with examples of all of these criteria applied to autonomous coding – here: https://lnkd.in/esdUqc7u How have these criteria shown up in recent vendor evaluations you've made? #MedicalCoding #MedicalBilling #RevenueCycleManagement #ArtificialIntelligence #Healthcare

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If AI/Automation feels like a stretch, start with some interoperability. It's the intro to technical maturity. A strong analytics infrastructure will take your organization much further in reducing administrative overhead and also position you better to layer AI on top of already clean information pipelines. https://lnkd.in/gNai5S5H

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The Quality Collaborative is excited to present an upcoming webinar:   Advanced FHIR Webinar: Integrating Automation and AI for Enhanced Provider Support in Value-Based Health Care   As we set out to improve the healthcare system for patients and providers, the role of modern data standards like FHIR becomes increasingly crucial. In our Advanced FHIR webinar, we delve deeper into the capabilities of FHIR Resources and their pivotal role in enhancing interoperability, modernizing data sharing, and elevating patient care. Join us as we continue to explore innovative solutions that drive meaningful improvements in healthcare through:   -Streamlining Healthcare: The Role of Automated Quality Measurement -Enhancing Patient Outcomes with the Development of Sensitive, Specific Measures for Value-Based Health Care -Easing the Load: How Clinical Decision Support Tools Help Healthcare Providers -Transforming Patient Care with Augmented or Artificial Intelligence https://lnkd.in/e2-WW5sg

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💡 Navigating FHIR Integration: Are you facing challenges with #FHIR app development? From diverse EHR system requirements to implementation bias, this blog breaks down these barriers. Learn how Drummond’s certification can guide you through compliance and integration workflows. https://loom.ly/BJnaJww Book your free strategy session! https://loom.ly/rpVVBUE #IsItDrummondCertified

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How Is Technology Shifting the Healthcare Payer Landscape? Nearly 14 years since the Affordable Care Act was signed into law, payers have been on a mission to improve their relationship with members. To do so, it’s crucial that payers improve member engagement, which requires them to focus on the user experience to make plans easier to navigate. This new whitepaper published in partnership with MedCity News (sponsored by 10Pearls, Softheon, Curative and Solera Health) is an extension of the Payer Insights program at HLTH, showcasing technologies relevant to payers and highlighting health equity needs and AI development trends in healthcare. Read now ➡️ https://ow.ly/SlUI50RtZE1 #HLTH #HealthInnovation #HealthTech

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Payer Insights at HLTH last fall was filled with valuable information on member engagement and improved user experience. We dove deep into what this means for the industry moving forward, with a focus on technologies relevant to payers. 🔎 Read the report: https://bit.ly/3QroSRi #HLTH #Healthcare #HealthInsurance

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 New Digital Health Talks Podcast Episode Alert! Advancing Digital Health Integration: Insights into EHR Interoperability and Industry Practices In this insightful episode, we sit down with Dr. Benjamin Rosner, a renowned digital health researcher and hospital physician, to discuss the findings of a groundbreaking national survey on the experiences of digital health companies integrating their tools with Electronic Health Records (EHRs). Key Takeaways: 🔥Understand the motivations and design behind the research conducted by Dr. Rosner and his team 🔥Explore the implications of the survey results for the digital health industry 🔥Identify the challenges faced by digital health companies in adopting standard APIs, including high fees, difficulty accessing EHR testing environments, and the continued use of proprietary APIs 🔥Discover strategies to overcome these barriers and facilitate seamless communication between digital health tools and EHR systems Featured Guests: Wes Barker, Branch Chief Office of the National Coordinator for Health Information Technology (ONC), U.S. Department of Health and Human Services (HHS) Ben Rosner, MD, PhD, Assoc. Professor, University of California, San Francisco - Digital Health Researcher and Hospital Physician, Founding CMIO HealthLoop, CMS Adviser, NODE.Health Network of Digital Evidence Megan Antonelli, Chief Executive Officer, HealthIMPACT Don't miss this opportunity to gain valuable insights into the current state of EHR interoperability and its impact on the digital health landscape. Listen and subscribe:  https://lnkd.in/gWZ9zyQf #DigitalHealth #EHRInteroperability #HealthIT #Podcast #DigitalHealthTalks #DigiHealthTalks #FedHIT

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Information Systems Research (ISR) has recently published a new article to the Articles in Advance page:   Article Title "How Hospitals Differentiate Health Information Technology Portfolios for Clinical Care Efficiency: Insights from the HITECH Act"   Authors Jessica Pye (deceased), Arizona State University Arun Rai, Georgia State University John Qi Dong, National Technological University, Singapore   Problem definition We examine how hospitals differentiate their HIT portfolios in response to cost inefficiencies in clinical care processes and HIT policy uncertainty.   Relevance Adapting HIT portfolios to address cost-based shortfalls and policy uncertainty is crucial in shaping service delivery and impacting care costs, making it a key concern for policymakers and hospital decision-makers. Theoretical foundations We combine behavioral theory and institutional theory to explain how hospitals differentiate their HIT portfolios through idiosyncratic learning in response to cost-based performance shortfalls and shifting isomorphic pressures from changes in HIT policy uncertainty.   Methodology We constructed a panel dataset of 11,316 hospital-year observations from 3,319 U.S. hospitals over 2007–2014 to investigate how hospitals’ HIT search differentiation is influenced by cost-based performance shortfalls and policy uncertainty during the phases of the HITECH Act, from conceptualization to enactment to enforcement.   Results Our research provides a key insight: Moderate policy uncertainty, particularly during the HITECH Act's phases, significantly shapes hospitals' search for novel HIT solutions to address performance shortfalls. Hospitals enhance their search differentiation when uncertainty decreases from conceptualization to enactment but reduce it as uncertainty diminishes from enactment to enforcement.   Contributions Our findings surface the utility of combining the behavioral theory of the firm with institutional theory to explain the interdependence among a hospital’s cost-based performance shortfalls, HIT policy uncertainty, and HIT search differentiation. They show how hospital managers and policymakers can reorient their strategies to leverage the interdependencies among these elements, thereby encouraging the pursuit of innovative HIT systems over widespread imitation, to effectively address cost-based performance shortfalls in hospitals.   Short quote Unlocking Healthcare Innovation: hospitals excel in deploying new technologies through peer benchmarking and navigating moderate regulatory uncertainty. Dive into our research to see the transformative impact of this benchmarking strategy combined with moderate policy uncertainty!"   #HealthcareInnovation #HITECHAct #PolicyImpact   Keywords search differentiation, health information technology, performance shortfalls, policy uncertainty, behavioral theory of the firm, institutional theory   Link to article: https://lnkd.in/djh84uad

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Meeting ONC's HTI-1 requirements can feel like playing Bingo for the EHRs: G10, B10, and the latest B11. Dive into Wayne Singer's latest blog to gain a perspective on Decision Support Intervention (DSI), its impact on healthcare, and how it aligns with ONC's B11 criterion requirements. https://lnkd.in/gEyQrK7X #HealthcareInnovation #EHR #ONC #HTI-1 #DSI #B11

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Another great commentary on the importance of not just having information, but good information. This article leans more towards clinical data, but the same logic applies to numerous other aspects of hospital operations, including maximizing savings on equipment lifecycle costs. Are you using good information? Please fill us in on ways your health organization benefits from the use of reliable data and good information! https://lnkd.in/gVkwvWnJ

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Most product trios don’t have a lot of experience with driving outcomes. They grew up in a world where they were told what to build. Or they were asked to generate outputs, with little thought for what impact those outputs had. So, when we shift from an output mindset to an outcome mindset, we have to relearn how to do our jobs. Learn more in my book: https://buff.ly/3xdNqqN #prodmgmt #ux #engineering

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Most product trios don’t have a lot of experience with driving outcomes. They grew up in a world where they were told what to build. Or they were asked to generate outputs, with little thought for what impact those outputs had. So, when we shift from an output mindset to an outcome mindset, we have to relearn how to do our jobs. Learn more in my book: https://buff.ly/3xdNqqN #prodmgmt #ux #engineering

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Looking for a podcast to listen to during your weekend travels? Check out "Tell Me Where It Hurts" with Jay Anders, MD, where he speaks with A. John Blair, III, MD, of MedAllies, Kat McDavitt of Innsena, Joy Rios of HIT Like a Girl Pod and more. Among topics covered: comparing #AI in #healthcare to a toaster.

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Tune into this eHealthIMPACT Digital Health Talks episode: "Advancing Digital Health Integration: Insights into EHR Interoperability and Industry Practices." 🎙️ https://lnkd.in/euPvP4Ag Dr. Ben Rosner, MD, PhD explores the crucial findings from a national survey on digital health companies' efforts to integrate with EHRs. Discover the challenges, opportunities, and strategic solutions for enhancing interoperability in healthcare. Don't miss these vital insights that could reshape the future of digital health! #DigitalHealth #EHR #Interoperability #HealthIT #DigiHealthTalks #Podcast #Healthcare #HealthIMPACT

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