Tracy Flood, MD, PhD

Just released! Our #SDOH and #HealthEquity Workgroup has published "Recommendations for Determinant Capture," suggested guidelines for standardizing how domain risk is captured in #EHRs. "Absence of clear guidelines for risk assessment and standardized representation of risks in EHRs hinders effective data exchange to inform interactions at the point of care," writes the Workgroup. Click here to download: https://ow.ly/WTaj50RpvuC

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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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A new #EBHC scoping review explores how health service and delivery systems in high-income countries define and operationalise #HealthEquity. 👉 https://ow.ly/ZxaY50ShGWU

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Our team - including Eileen Poe-Yamagata, Peter Mueser, and Paris Nearchou - is excited to share interim findings of a large-scale RCT impact study of the Iowa RCM/RESEA program. Interim findings of this study, funded by Iowa Workforce Development, include: UI claimants assigned to the RCM/RESEA group completed an average of 2.4 counseling sessions during their UI claims. Additionally, 82% of RCM/RESEA group claimants received individualized counseling services, compared to only 13% of claimants in the control group. The program reduced UI duration by 0.63 weeks, resulting in $204 UI benefit savings per participant. These effects occurred in a historically strong labor market, during which most Iowa UI claimants were eligible for up to 16 weeks of benefits. To our knowledge, these preliminary findings provide the first robust evidence about the efficacy of requiring UI claimants in the U.S. to participate in counseling activities throughout their UI spells. Alongside findings from other RCT studies of RESEA programs nationwide, these results expand the U.S. Department of Labor's evidence base on the effectiveness of mandating job counseling activities for UI claimants in a strong labor market.

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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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Gaps in the #communication of critical patient information in a #healthcare system present a huge threat to the quality and safety of #patients. Join us for the Michigan Health & Hospital Association Keystone Center PSO Safe Table on June 12th in Okemos, MI. I-PASS Co-founder and Chief, Division of General Pediatrics at Boston Children’s Hospital Christopher Landrigan, MD, MPH, Vice President of Clinical Strategy and Transformation Theresa Murray, MSN, RN, and Strategic Advisor Robert Hanscom will share insights on implementing structured communication models with a focus on patient #handoffs. Attendees will leave the event with a better understanding of: 1️⃣ The prevalence of variation in healthcare 2️⃣ How communication lapses are a primary or contributing factor in patient harm events 3️⃣ How structured handoff programs can simultaneously bolster HRO efforts and reduce the potential for harmful events to reach the patient Don’t miss your chance to engage in thought-provoking discussions with likeminded hospital leaders. Register today: https://lnkd.in/es4e8xit

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According to a recent Healthcare Dive report, over 20 million Medicaid beneficiaries have been disenrolled since redetermination began in early 2023--and a quarter of adults report still being uninsured. Even more concerning, children account for a large percentage of beneficiaries who have been disenrolled, often due to procedural issues, process misunderstandings, and system errors. This has caused doubt and frustration in populations and patients who have lost access to important care. If you are a payer in this space, how are you working to build back trust and enrollment in your community? What technologies and tools are you using to support these efforts?

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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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The NIH has admitted to funding the gain-of-function research that resulted in: - a pandemic being declared; - (if official figures are to believed) millions of innocent lives being lost worldwide; and - the worldwide deployment of novel GMO products leading to adverse events that we still don't understand. Will those responsible for this decision in NIH now stand trial for crimes against humanity? And will the NIH now compensate: - world governments for the money they spent on pandemic measures; - business owners worldwide who lost their businesses during lockdown; - the relatives who lost loved ones to the virus; - the relatives who lost loved ones to the vax; - those who are vaccine injured; - the children whose education has been irreparably harmed by lockdown; - those whose mental health has been irreparably harmed by lockdown; - etc.? I feel they should. What do you think?

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🚀 Excited to be tagged in Dylan Reid(Moskowitz) announcement about the FY24 LEAP in Health IT! This initiative marks a significant leap towards integrating #AI and #BehavioralHealth in our healthcare systems, aligning perfectly with the urgent need for innovative health IT solutions. The focus on enhancing health care data quality for AI applications and accelerating health IT in behavioral health settings is not just timely but critical. These efforts by the ONC to push for scalable, interoperable health IT solutions could dramatically improve care coordination and patient outcomes. 💡 I'm particularly intrigued by the emphasis on developing lightweight IT solutions for behavioral health—a sector that has long awaited such forward-thinking integration. It's an area ripe for impactful innovations that could reshape patient care dynamics. Hats off to the teams at HHS and ONC for driving this change. Looking forward to the transformative projects that will emerge from this initiative. 🔗 For more details on the funding opportunity and how to apply, check out the full announcement here: HHS LEAP in Health IT Announcement https://www.hhs.gov/news #HealthcareInnovation #DigitalHealth #HHS

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The Marketplace Affordability Project Report (MAP-Report) is out! CHLPI Director of Health Care Access Elizabeth Kaplan participated in the Working Group that helped create the report! Here are some key findings: 1. #ACA reforms expanded coverage, especially for marginalized communities. Now we can build on that success by making sure enrollees can afford premiums and needed care. 2. Expensive cost-sharing can make it hard to afford services that prevent and manage chronic conditions. This disproportionately impacts marginalized communities and should be a priority for policymakers looking to build on the success of the ACA. 3. High deductibles can cause financial burdens for marketplace enrollees without large emergency savings, meaning that unanticipated medical expenses limit wealth building in marginalized communities. 4. Enhanced #PremiumTaxCredits have made more generous plans accessible to low-income enrollees, addressing barriers to care. Policymakers should make them permanent. Policymakers can build on the success of the ACA by supporting consumer assistance programs. Doing so is crucial for improving healthcare access and empowering individuals to make informed and cost-effective decisions. Thank you to everyone who worked to get this report out! Check out the Center on Budget and Policy Priorities blog on the report here: https://lnkd.in/eADkvzze #MAPReport Read the report here: https://lnkd.in/e-pgAzmd

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Here are 5️⃣ critical evaluation points to include in your next Maternal Health Equity solution RFP to ensure you select the right partner for your organization: 1. Integrates seamlessly with existing systems, EHRs, and workflows 🔄 2. Captures actionable Social Determinants of Health (SDOH) information 📊 3. Augments staff through patient navigation support to Community-Based Organizations (CBOs) to support food insecurity, transportation needs, and more 🤝 4. Addresses “whole person” health needs 🌟 5. Promotes high patient or member engagement rates with relevant education to empower their health 💪 Download our full Maternal Health Equity RFP template and let's improve maternal health outcomes, reduce complications, and build a healthier community together! 💜 Download now: https://lnkd.in/eUx5_38G #MaternalHealthEquity #HealthcareInnovation #RFPTemplate

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The Health Resources and Services Administration (HRSAgov), HHS released new guidance about changes to the 2024 Uniform Data System (UDS) report. Under this new requirement FQHCs will now be required to report on the number of patients screened for their family planning needs. The new reporting requirement applies to patients seen after Jan. 1, 2024. When patients are screened for their reproductive health needs, it can prompt important conversations that may otherwise go undressed. This is an important step forward to ensure that contraceptive care is basic healthcare. We applaud HRSA for this important update! https://hubs.ly/Q02tp8Pp0

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And why? With the EPIC vs Particle Health debate, the business-side of the situation is just being pushed even more towards the front. TEFCA participation is voluntary. Regional HIE participation is voluntary. Even Care Everywhere is voluntary for EPIC-using systems. You know what is mandatory? Patient access. Why are we depending on competing businesses to make it work? The patient has the most at stake and has the most interest in information flowing and getting the best outcome. Give them the power to participate. The framework is already there. IYKYK, but that's what we do at Primary Record and that's why we do it.

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