Sumit Nagpal

Now that our HIT industry has spent nearly 40 years figuring out how to effectively pass data between sites, settings, and institutions of care (and while that journey isn't completely over, we're well on our way), we can finally turn and look farther down the road and consider what's next. In my view, advancing process consistency, agility, and change is that horizon. The BPM community is focused on that challenge, and having recently transitioned into HL7 as HL7 BPM, is squarely trying to take this on. With today's press release, HL7 is truly open-for-business in this space. Thanks to the OMG for nurturing this work along and for HL7 for having made our next home for this effort. So much to do! https://lnkd.in/dAF96g3n

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AccendoWave - A Pain #Data Company More recently, the federal government has begun using the QIS program and QRS parameters to advance health equity. Federal rules now require all marketplace insurers to adopt a strategy for reducing health disparities and to stratify certain clinical data by race and ethnicity. While state-based marketplaces (SBMs) have authority to supplement these federal minimum QIS and QRS standards with state-specific quality rules, most have hewed closely to the federal default approach. California and Washington are notable exceptions. Each has implemented a customized QIS program and robust data collection standards to identify and reduce racial and ethnic health disparities. Time to Focus on - #Pain not being Believed. A Root Cause Health Equity Problem. A Top 4 Global Health Equity Solution and Top 15 Global Remote Monitoring Company, AccendoWave, benchmarks objective brain wave pain data (specialty, gender, age) and has nine #pain databases: Emergency Department, Maternal Health, Oncology, MSK, Medical Surgical, ICU, #Women, Adults, #Seniors to eliminate bias, improve outcomes and reduce health care costs. If desired, AccendoWave can also create customized pain databases for partners that can be accessed on the Datavant platform.

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Robin Goldsmith thanks so much for having Sameer Berry, MD, MBA on your show to talk about Oshi Health and our innovative care for #digestivehealth conditions. Such a great conversation around the challenges in #gastroenterology and how new care models like ours address them in ways that are a win for all stakeholders. #valuebasedcare #accountablecare #wholepersoncare

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💡Part 2 of Steve Gravely and Gravely Group's ongoing #HTI2ProposedRule series delving into the Proposed Rule for Health Data, Technology, and Interoperability: Patient Engagement, Information Sharing, and Public Health Interoperability. _______________________________________________________________ See Part 1 here: https://lnkd.in/esuG2yVV vi. New exception- #ProtectingCareAccess. This new exception is specific to EHI related to “reproductive health” as defined under #HIPAA. The exception would protect practices to withhold EHI about reproductive health services based on the Actor’s good faith belief that sharing the EHI could expose the patient to legal risk. This exception is specifically targeting situations in which a woman obtains reproductive health services in a state where such services are legal but their information is requested by someone else. In order to assert this exception, an Actor must demonstrate its good faith belief that the practice is no broader than necessary to protect the patient from legal risk. In addition to this threshold requirement, the Actor must show that the practice satisfies either the patient protection condition or the access to care condition: 1. Patient protection condition requires that EHI being withheld shows that patient obtained reproductive health services or inquired about them or EHI has specific demographic information that implicates reproductive health.   2. Access to care condition are practices that actor takes to limit exposure of providers to legal liability. vii. New exception- #RequestorPreferences. ONC notes that sometimes, a requestor of EHI will state specific preferences that limit the EHI it wants. This could be a date range, a specific type of care or anything else. ONC states that a requestor often does not want all of the EHI that an Actor has in its system. 🎙️Steve Gravely says, "Apparently, ONC has heard concerns that honoring these limitations could be an information blocking violation. I am skeptical, since information blocking is about fulfilling a request and if the requestor limits the scope of the request, I do not see how complying with this could be information blocking. Creating a new exception seems way over the top and makes me wonder if something else is going on." viii. #TEFCAMannerException - ONC is seeking input in HTI-2 about the new TEFCA Manner Exception that it created in HTI-1. Specifically, ONC wants feedback about the “carve-out” related to FHIR APIs. The TEFCA Manner Exception, as adopted in HTI-1, did not apply if the request for EHI was made using the standards adopted in 45 CFR 170.215 which include the FHIR API standards. ONC is seeking comments on whether specifically referring to the standards at 45 CFR 170.215 is too limited. Stay tuned for more insights!

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Speaking today at the World Congress on Population Health and Remote Pt Monitoring in Chicago: How can #VirtualCareTeams from KeyCare help "office-ologists" better monitor and manage patients using a tech-empowered, team-based approach that coordinates care across our connected Epic instances. Learn how we can increase #Access while improving #Quality and #CuttingCosts. #ExpandAccessUnlockValue #RPM #PopHealth #Chicago

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HIMSSCast: How to get more value from your EHR system - Healthcare IT news #HIMSSCast: How to Get More Value from Your EHR System In a recent HIMSSCast episode, experts discussed strategies to maximize the value of your EHR system. Here are some key takeaways: #Implementing Best Practices: - Start by implementing best practices in EHR system usage to optimize workflows and improve patient care. - Ensure proper training for all staff members to maximize efficiency and reduce errors. #Data Analytics and Reporting: - Utilize data analytics tools within your EHR system to extract valuable insights and improve decision-making. - Generate customized reports to track key performance indicators and monitor outcomes. #Interoperability and Integration: - Focus on interoperability to seamlessly exchange data with other systems and providers. - Integrate your ai.mediformatica.com #ehrs #healthcare #provider #hospital #management #strategic #accountablecare #accountablecareorganizations #caresettings #forprofit #governance #government #digitalhealth #healthit #healthtech #healthcaretechnology @MediFormatica (https://buff.ly/4b2Xf9l)

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AHRQ’s new Digital Healthcare Equity Framework: A Practical Guide for Implementation further enriches AHRQ’s aim to advance #HealthEquity via digital healthcare technologies and solutions. In the last 10 years, AHRQ has invested more than $89 million across 153 research projects focused on reducing healthcare disparities. Last November, AHRQ experts presented a research and action agenda for health services research to advance equity in care. https://bit.ly/447R3KD

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AHRQ’s new Digital Healthcare Equity Framework: A Practical Guide for Implementation further enriches AHRQ’s aim to advance #HealthEquity via digital healthcare technologies and solutions. In the last 10 years, AHRQ has invested more than $89 million across 153 research projects focused on reducing healthcare disparities. Last November, AHRQ experts presented a research and action agenda for health services research to advance equity in care. https://bit.ly/447R3KD

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AHRQ’s new Digital Healthcare Equity Framework: A Practical Guide for Implementation further enriches AHRQ’s aim to advance #HealthEquity via digital healthcare technologies and solutions. In the last 10 years, AHRQ has invested more than $89 million across 153 research projects focused on reducing healthcare disparities. Last November, AHRQ experts presented a research and action agenda for health services research to advance equity in care. https://bit.ly/447R3KD

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AHRQ’s new Digital Healthcare Equity Framework: A Practical Guide for Implementation further enriches AHRQ’s aim to advance #HealthEquity via digital healthcare technologies and solutions. In the last 10 years, AHRQ has invested more than $89 million across 153 research projects focused on reducing healthcare disparities. Last November, AHRQ experts presented a research and action agenda for health services research to advance equity in care. https://bit.ly/447R3KD

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AHRQ’s new Digital Healthcare Equity Framework: A Practical Guide for Implementation further enriches AHRQ’s aim to advance #HealthEquity via digital healthcare technologies and solutions. In the last 10 years, AHRQ has invested more than $89 million across 153 research projects focused on reducing healthcare disparities. Last November, AHRQ experts presented a research and action agenda for health services research to advance equity in care. https://bit.ly/447R3KD

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Walmart is selling its #telehealth business to Fabric 💸 Fabric is a #healthtech startup that unifies virtual and in-person care across intake, triage, routing, and treatment while automating workflows for staff. They raised a $60M round earlier this year funded by General Catalyst, Thrive Capital, GV (Google Ventures), and Salesforce Ventures. They also made two other acquisitions, Zipnosis (asynchronous #virtualcare) and GYANT (conversational AI assistant used for #digitalfrontdoor) within the past 18 months. 📈 This acquisition will get Fabric access to the 30,000 employers and 5 million members that Walmart served, expand provider network, add virtual behavioral health, and build on their employer’s and payer’s solutions. #digitalhealth M&A activity continue to be trending this year as we’re seeing more synergies come together when companies join forces and the challenging funding environment. I’m curious to see how Fabric will be able to merge these new acquisitions into their current workflow to improve care management. Any thoughts from you❓

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#ATANexus is off to a great start. Honored to join Helen Hughes in an important conversation about mastering the execution of inpatient virtual care. When it comes to measuring the Return on Innovation, the call to action is clear: 1. Identify, and align, on the problem your program is solving. 2. Quantify data in the current state-you need to measure what your program achieves. 3. Look for partners who are ‘in it’ with you.

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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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Philhealth Partners with SwiftClaims to Revolutionize Healthcare Reimbursements Through AI Technology In a groundbreaking initiative to transform healthcare services, Philhealth has announced its collaboration with the local AI firm, SwiftClaims, to introduce a revolutionary real-time reimbursement system for healthcare claims. This collaboration aims to drastically reduce processing times, claim denials, and combat fraudulent claims, marking a significant advancement in healthcare technology. Until now, healthcare providers and patients have faced extensive delays in the reimbursement process, sometimes extending up to two years. However, with SwiftClaims' innovative AI technology, this will soon be a thing of the past. The new system is designed to reduce the typical 30-day processing period dramatically, with an aim to handle claims almost instantaneously. Key improvements from this partnership include: - Real-Time Processing: Claims will be processed in real-time, allowing for immediate reimbursements. - Reduction in Claim Rejections: Advanced AI algorithms will help reduce claim rejections by 99%, ensuring most claims are processed smoothly and efficiently. - Fraud Detection and Prevention: The AI system is equipped with capabilities to identify and prevent fraudulent claims, enhancing the integrity of healthcare transactions. - Cost Reduction: With enhanced efficiency and reduced fraud, the overall cost of healthcare will decrease, making services more affordable for patients. SwiftClaims Advisor commented, “Our AI-driven platform is not just a technological upgrade; it’s a transformative tool for improving patient care by reducing administrative burdens and financial stress for both healthcare providers and recipients.” Philhealth's adoption of this advanced AI technology from SwiftClaims underscores a pivotal shift towards applied AI, reflecting a broader global trend towards harnessing AI to enhance the quality of life. As AI continues to mature, its applications across various sectors promise to bring about significant improvements in efficiency and effectiveness. This initiative is expected to set a new standard in healthcare administration, underscoring Philhealth’s commitment to leveraging cutting-edge technology to better serve its constituents. About Philhealth Philhealth is dedicated to providing accessible and affordable healthcare services to all Filipinos, ensuring comprehensive health coverage and innovative solutions to healthcare challenges. About SwiftClaims SwiftClaims is a leading AI firm specializing in real-time data processing and analytics solutions aimed at enhancing efficiency and accuracy in various industries, including healthcare.

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Smart move by Allegheny Health Network - and likely one that others will follow. #GenerativeAI systems are so powerful and effective in conveying information that not only will businesses and organizations of all types fill follow. And as developing #ChatGPT-style systems become easier, its likely we will each have our own personal #AI. #aiinnovation https://lnkd.in/eaqAZCFT

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This is fascinating. Clearly clinicians won’t be able to review the tsunami of data that could flow in. This is why nurses and doctors must have AI and data analytics literacy as new clinical decision support tools are developed to analyze this data.

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