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In Part 2 of our deep dive into the MDS process, Heart-to-Heart with HealthCap welcomes back MDS expert to unpack the most recent updates to the Minimum Data Set (MDS) as of October 1, 2023. Angie Szumlinski and Robin explore critical coding changes, penalties tied to incomplete assessments, challenges with Section GG, and how interdisciplinary teams can improve accuracy and resident outcomes. From quality measures to schizophrenia audits, this episode is packed with practical insights for senior living professionals navigating today's MDS landscape. Robin has also created a to support your learning!
CASS Care, một tổ chức phi lợi nhuận phục vụ cộng đồng đa văn hoá, có nhiều chương trình hỗ trợ thiết thực dành cho người cao niên, trong đó có cộng đồng người Việt. Một tin vui là mới đây Viện dưỡng lão do CASS điều hành tại Campsie đã đạt xếp hạng 5 sao trên hệ thống đánh giá của My Aged Care, dựa trên các khía cạnh như Tuân thủ quy định (Compliance); Chất lượng dịch vụ (Quality Measures); Trải nghiệm của cư dân (Residents' Experience); Nhân sự (Staffing). Cô Giang Phan đại diện cho tổ chức nầy cho biết về các dịch vụ, cũng như thủ tục để giúp đỡ cho các bác cao niên muốn hưởng dịch vụ.
In this episode of Heart-to-Heart with HealthCap, Angie Szumlinski is joined by MDS expert for Part 1 of our two-part deep dive into the MDS process. Robin shares how the MDS is used across care delivery, compliance, and reimbursement—and why coding accuracy and interdisciplinary collaboration are more critical than ever. Whether you're new to MDS or need a refresher, this episode offers foundational insights you won't want to miss. Robin has also created a f to support your learning!
In this episode, join moderator Brea Burmeister and experts Dr. Scott Weiner and Dr. Arjun Venkatesh as they explore how quality measures can transform opioid use disorder (OUD) care in emergency departments. Discover innovative metrics, quality improvement initiatives, and EHR data integration to optimize patient outcomes. Learn about overcoming barriers like stigma and resource shortages and get key recommendations from recent OUD treatment studies. Perfect for healthcare professionals and anyone interested in advancing OUD care.What You'll Learn:Challenges and opportunities of addressing the opioid epidemic in emergency medicineACEP's work on metrics and the development of quality improvement measuresKey quality initiatives to enhance OUD care and reduce harmThe barriers to adopting these initiatives and strategies to overcome themRecommendations based on recent studies in OUD treatment and medicationMODERATOR: Brea BurmeisterMember, CHIME Opioid Task ForceBio: With 23 years in healthcare, Brea specializes in managing relationships within Integrated Delivery Network (IDN) Health Systems, regional Group Practices, and Specialty Pharmacy accounts. She strengthens value-based care models by developing strategic plans, analyzing performance data, improving care coordination, and implementing process improvements. Brea's work enhances patient outcomes and experiences while reducing costs. Additionally, her volunteer work with the Opioid Task Force reflects her commitment to public health advocacy and community well-being.GUEST: Scott Weiner, MD, MPH, FAAEM, FACEP, FASAMEmergency and Addiction Medicine Physician, Brigham and Women's HospitalAssociate Professor, Harvard Medical SchoolCo-chair, Clinical Advisory subcommittee, CHIME Opioid Task ForceBio: Dr. Weiner is the McGraw Distinguished Chair in the Department of Emergency Medicine at Brigham and Women's Hospital and an Associate Professor of Emergency Medicine at Harvard Medical School. He is board-certified in emergency medicine and addiction medicine. He is an active researcher, working on multiple projects that focus on prevention and treatment of opioid use disorder.GUEST: Arjun Venkatesh, MD, MBA, MHSChair, Department of Emergency Medicine, Yale University School of MedicineChief, Emergency Medicine, Yale New Haven HospitalBio: Dr. Venkatesh is Chair and Chief of Emergency Medicine at the Yale University School of Medicine and Yale New Haven Hospital. He has received over $ 12 million in funding by the NIH, CMS, AHRQ, and CDC to develop measures and interventions that improve acute care outcomes and value. He has supported CMS's development of the Overall Hospital Quality Star Ratings, has led the development of quality measures for the Clinical Emergency Data Registry, and is PI of the Emergency Quality Network (E-QUAL). His work has produced over 200 publications and been implemented in numerous national quality and value programs. He is a graduate of Northwestern University School of Medicine, a proud graduate of the HAEMR Class of 2012 often referred to as the Greatest Class Ever, and completed the RWJF Clinical Scholars Program at Yale.Additional Resources:ACEP E-QUAL opioid initiativeCedr
In this episode:Meet Vlad KoganLearn about quality measures that isolate school effects from out-of-school effects.Understand some of the factors that impede school board accountability.Hear a bit about Vlad's forthcoming book
The Mohua Show is a weekly podcast about everything from business, technology to art and lifestyle, But done and spoken ईमानदारी सेConnect with UsMohua Chinappa: https://www.linkedin.com/in/mohua-chinappa/The Mohua Show: https://www.themohuashow.com/Connect with the GuestMahipal Singh: https://www.linkedin.com/in/mahipalsinghmehta/Follow UsYouTube: https://www.youtube.com/@TheMohuaShowInstagram: https://www.instagram.com/themohuashow/LinkedIn: https://www.linkedin.com/company/themohuashow/For any other queries EMAILhello@themohuashow.comEpisode Summary: Join the latest episode with Mahipal Singh, a visionary social entrepreneur and the founder of Revaa, a pioneering brand dedicated to menstrual health and hygiene. Mahipal's journey into this vital advocacy began during the COVID pandemic when he managed his daughter's first period and recognized the stark lack of access to hygienic menstrual products. His perspective is clear: menstrual health is not solely a women's issue but a societal one, necessitating open conversations and the dismantling of societal barriers surrounding menstruation. Mahipal invites everyone to become pad ambassadors, partaking in awareness drives to combat stigma and fostering a positive mindset to enhance overall well-being and confidence during menstruation.Chapters:00:00 - Introduction03:08 - Inspiration Behind Revaa05:48 - Unique Products by Revaa09:23 - Success Stories of Revaa14:20 - Challenging the Societal Myths21:10 - Lifestyle Changes Contributing to Healthier Menstrual Cycle25:38 - Safety & Quality Measures by Revaa29:30 - Team at Revaa Driving the Mission31:40 - Closing RemarksDisclaimerThe views expressed by our guests are their own. We do not endorse and are not responsible for any views expressed by our guests on our podcast and its associated platforms.TheMohuaShow #Podcast #PodcastEpisode#Revaa #RevaaMenstrualHealth #WikiPeriod #PeriodPositivity #MenstrualStigma #ReusableProducts #MenstrualHealthAwareness #PeriodEducation #EcoFriendlyPeriod #MenstrualHygiene #PeriodMyths #SustainableBrands #MahipalSingh Thanks for Listening!
At The Heart of Pediatric Care: A Conversation with Dr. Stephen Hirsch. M.D., FAAPIn this episode, the hosts interview Dr. Stephen Hirsch, a pediatrician with an independent practice Hirsch Pediatrics in Rockville, Maryland. The discussion covers the intricacies of running and maintaining a pediatric practice, the importance of attention to detail, the advantages of independent practice, and the significance of having a well-designed office environment. Dr. Hirsch shares his journey, vision, and passion for pediatric care, emphasizing the emphasis on patient experience, the role of telemedicine, the integration of mental health services, and the financial aspects of running a successful practice.00:00 Introduction and Guest Welcome00:53 Dr. Hirsch's Journey to Pediatrics01:35 Designing the Perfect Pediatric Office03:12 Recruiting and Retaining Staff06:12 Independent Practice vs. Hospital Systems08:42 Challenges in Practice Management09:37 Training and Mentoring New Physicians15:31 Importance of Patient Relationships20:54 Quality Measures and Vaccination Rates27:11 Impact of Sick Visits on Practice Revenue27:39 Balancing Sick Visits and Well Visits29:03 Patient Portal and Triage Strategies30:29 Embedding Mental Health Services33:18 Challenges of Mental Health Integration34:26 Running a Pediatric Practice: Analogies and Insights36:59 Managing Work-Life Balance in a Small Practice40:37 Telemedicine and Office Management45:50 Financial Realities and Pediatric Practice51:32 Concluding Thoughts and Future OutlookSupport the Show.
Welcome back to the Pear Healthcare Playbook! Every week, we'll be getting to know trailblazing healthcare leaders and diving into building a digital health business from 0 to 1. Today, we're thrilled to introduce Ron Vianu, the CEO and visionary behind Covera Health. Covera Health is a pioneering AI-enabled diagnostic technology company, specializing in radiology performance measurement and its consequential impact on healthcare. With a career spanning over three decades, Ron has been a driving force at the intersection of healthcare, technology, and insurance. Ron's entrepreneurial journey began over 30 years ago, founding his first health tech company while a senior at NYU. His first deep exposure to the field of Radiology was with Spreemo, a company he founded with his co-founder, an orthopedic surgeon, in 2010. Spreemo was a referral management platform in the occupational medicine space. Spreemo grew to over 200 employees across offices in New York City and Dallas and received significant investment from venture and PE investors. In this episode, we talk about Ron's work with Spreemo, how he started Covera Health, the partnership with Walmart, his thoughts on the future of AI in radiology, and advice he has for founders.
Dr. Lisa Vinci joins the Clinical Excellence Podcast to discuss the nuances of quality measures in primary care. Delve into the complexities of healthcare metrics and their impact on patient care, with insights on navigating between standardized measures and personalized medicine.
This week's episode of the #BuzzPodcast is all about the newly revised Quality Measure User's Manual. Clinicians, administrators, and operators, are you ready to navigate these crucial updates?Stay informed and tune in!
On today's episode, Madison sits down with Aparna Gupta, NHPCO's VP of Quality, and Sarah Simmons, NHPCO's Director of Quality, to discuss the future of quality measures to ensure the hospice and palliative care community is as equitable and accessible as possible. Have a question that you'd like to hear discussed on an upcoming episode? Email Madison at podcast@nhpco.org
In this episode we hear the second half of the conversation between CHESS' own Melissa Pollock and Advocate Health's Vice President of Population Health Midwest Megan Reyna as they discuss navigating the data and quality measures for success in Value-based care.So Megan thank you so much for coming back to the Move to Value podcast. I'm really excited to talk to you a little bit more about population health at Advocate and curious - we did talk last time about ACO REACH. I was just curious a little bit about provider buy-in. How did you message ACO REACH and the model to providers? What did that look like? How were you able to get providers on board with this new innovative model?Thanks for having me back, Melissa, happy to be here. Yes so everything that we do within population health in the Midwest really goes through a strong physician governance model and it is a true partnership with our physicians to participate in in in our value based care contracts. So ACO REACH as well, we really educated the practices who we thought would be good participants based on the data that we talked about last time to participate in ACO REACH would benefit from this program and we had conversations with them, really educated them on this program and the why and what the wraparound services would look like and then we continue to have conversations with them around what where we need to innovate within this model. The Medical Group as well because our Medical Group does participate in both Wisconsin and Illinois again in the areas of Milwaukee and then the South side of Chicago around what their needs are and really um what the practices, that entire care team, is needing umm in order to help patients manage their chronic diseases. And that's a conversation that we have with our practices and we continue to look at our data to say what are we seeing within the data to provide different services as we move forward. It will be a care model that continues to iterate um as we move along within this program to make sure that we're successful and patients are getting the needed care that they need.Did you find it difficult to get providers on board with downside risk or, I know you mentioned in the last podcast that you guys have been doing capitation for a long time, but I didn't know was there any pushback that you felt or any kind of hurdles you had to jump over in those conversations with some of the providers maybe some of the independent ones?So our aligned practices that are participating we did have um intentional conversations around capitation for this population. This is a population we were very intentional with what population we were participating in and this is a tough population that often is not going in to see the primary care provider. And so you know I think COVID also um brought a unique opportunity for our physician practices to think differently about capitation and what are benefits of capitation and so really looking at this population and providing an upfront payment to those practices, we are in total care um capitation for ACO REACH, um really provided them an opportunity to think differently. And I think our strong history with value-based care contracts and success that they've been able to see they were able to view it as a true partnership. And it wasn't a one and done we meet with these practices on a monthly basis and we are continuing to look at the finances and make sure that our model makes sense and that they're successful because if they're not successful within the model then the model isn't successful for us and so they really need to be able to provide the needed services and say something's working or not working um for the success of our entire project participation.So, you guys are really providing data to those providers on a monthly basis of performance I would guess and metrics, is that right?...
At the intersection of ICD-10-CM social determinants of health (SDoH) codes and the Centers for Medicare & Medicaid Services (CMS) Star Rating Quality Measures, one will find a wide array of socio-economic factors and competing issues, all of which carry the potential to profoundly affect healthcare outcomes and ratings.During the next live edition of Talk Ten Tuesdays, listeners will enjoy the benefits of learning new strategies to leverage these codes for enhanced quality scores and health equity – that's when former American Health Information Management Association (AHIMA) leader Angela Comfort will return to the weekly broadcast. During her presentation as our special guest, you'll come to realize the pivotal role these codes play in the CMS pursuit of ensuring balanced, patient-focused care. This essential episode will enlighten healthcare practitioners, policymakers, and administrators alike on utilizing data-centric methods for improved patient services.Talk Ten Tuesdays will also feature these outstanding segments and thought leaders:Coding Report: Laurie Johnson, senior healthcare consultant for Revenue Cycle Solutions, LLC, will report the latest coding news.SDoH Report: Juliet Ugarte Hopkins, MD, president of the American College of Physician Advisors, will substitute for Tiffany Ferguson, and will report on the news that's happening at the intersection of coding and the SDoH.News Desk: Timothy Powell, CPA, will anchor the Talk Ten Tuesdays News Desk.TalkBack: Erica Remer, MD, founder and president of Erica Remer, MD, Inc., and Talk Ten Tuesdays co-host, will report on a subject that has caught her attention during her popular segment.
In this Bell Works Talks, Pam Marcus will discuss the importance of assessing Adverse Childhood Experiences (ACEs) when predicting the risk for suicide. Ms. Marcus is an Advanced Practice Nurse Psychotherapist in Private Practice in Upper Marlboro, Maryland. She provides psychotherapy to individuals and families experiencing a variety of diagnoses, such as Anxiety Disorders, PTSD, Personality Disorders, Gender Dysphoria, Substance Use Disorder and Affect Disorders. Her area of interest is to prevent feelings or thoughts of suicidal by addressing the hopelessness and powerlessness often experienced by these individuals. Ms. Marcus is currently a Professor of Nursing at Prince George's Community College. She was the former Clinical Director for the Crisis Response System where she provided direct patient care as well as clinical supervision for the mobile crisis dispatch team; urgent care clinic; Intensive Family in Home Team; and telephone triage for crisis intervention. Ms. Marcus lectures and consults extensively on psychiatric nursing. She has authored many chapters in several Psychiatric Mental Health nursing textbooks. She has authored two Psychiatric/Mental Health nursing skills, Mosby/Elsevier Nursing Skills Online and is a content expert. Ms. Marcus presently serves on the Peer Review Committee for the periodical Journal of Addictions Nursing: A Journal for the Prevention and Management of Addictions. She has provided peer review on continuing education programs for American Psychiatric Nursing Association. Ms. Marcus provides content expert evaluations for InterQual by McKesson, Clinical Practice Guidelines. Ms. Marcus is currently participating in the American Psychiatric Association's initiative Quality Measures. Ms. Marcus was awarded the national honor of Excellence in Practice – Advanced Practice by American Psychiatric Nurses Association, November 2012. Resources: https://www.cdc.gov/violenceprevention/aces/index.html https://www.cdc.gov/brfss/ https://harvardcenter.wpenginepowered.com/wp-content/uploads/2018/08/ACEsInfographic_080218.pdf (ACEs graphic) National Center for Injury Prevention and Control, Division of Violence Prevention
Comprehensive medication management (CMM) provided by a clinical pharmacist can improve the quality of care and reduce health care costs through the optimization of medication use and a significant reduction in medication-related problems. Dr. Curtis Haas discusses the limitations of the current evidence and recommends structure, process, and outcome measures to ensure that the key elements of CMM that drive the observed benefits are implemented with fidelity to address the goals of the quadruple aim. Read the full text article at: https://accpjournals.onlinelibrary.wiley.com/doi/10.1002/jac5.1767.
Josh and Brian are joined by Lee Fleisher, MD, Chief Medical Officer at the Centers for Medicare & Medicaid Services (CMS) and Director of the Center for Clinical Standards and Quality. They discuss a recent publication, “Aligning Quality Measures at CMS” in the New England Journal of Medicine which Dr. Fleisher co-authored, and the art and science behind the selection of health care quality measures.
Josh and Brian are joined by Doug Jacobs, MD, MPH, Chief Transformation Officer in the Center for Medicare at the Centers for Medicare & Medicaid Services (CMS), and Michelle Schreiber, Deputy Director for the Centers for Clinical Standards and Quality at CMS, and Director of the Quality Measurement & Value-Based Incentives Group at CMS. In the first part of this quality-focused series, they discuss the work they are doing to align quality measures across CMS and improve the system to benefit both clinicians and patients.
Tune in for today's industry updates.
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Join Health Affairs Insider.There are currently an estimated 37.3 Americans living with diabetes, more than a 40 percent increase from a decade ago. Thus, it isn't surprising that efforts to measure and improve the quality of health care focuses a significant amount of attention on diabetes.Major health care quality datasets all include a number of measures related to the quality of diabetes care. Given the continuing growth in the burden of diabetes, it's appropriate to ask the question: What are we actually getting from measuring the quality of diabetes care as we do it today?Rozalina McCoy from Mayo Clinic joins A Health Podyssey today to discuss just that very topic.McCoy and coauthors published a paper in the July 2022 issue of Health Affairs examining diabetes quality measures in the US since the mid-1990s. They recommend some pretty significant changes in how we measure and report on the quality of diabetes care.McCoy's research was part of a six-paper cluster of research on type 2 diabetes, all of which were published in the July 2022 issue of Health Affairs.Order the July 2022 issue of Health Affairs for research on type 2 diabetes and more.Currently, more than 70 percent of our content is freely available - and we'd like to keep it that way. With your support, we can continue to keep our digital publication Forefront and podcasts free for everyone.Subscribe: RSS | Apple Podcasts | Spotify | Stitcher | Google Podcasts
Last week, roughly 5,000 liver community stakeholders gathered in London for the 2022 International Liver Congress (#ILC2022,) the first major hepatology Congress to be held in person since the start of the pandemic (smaller, but very valuable, meetings like NASH-TAG, LiverCONNECT and Paris NASH have taken place with an in-person component, but the International Liver Congress and The Liver Meeting have not). The first three days of the program focused on a range of issues, with specific emphasis on non-invasive tests (NITs) and their role at different stages in diagnosis and treatment. This conversation touches on two issues: how proper use and explanation of NITs can increase patient motivation and why adding NITs to quality measures can have such an effect on educating providers and increasing treatment.This conversation starts with Michelle Long and Louise Campbell discussing studies that demonstrated that patients receiving a FibroScan changed behaviors in ways that lasted at least six months, whether or not they learned they had liver fat. From here, Zobair Younossi discusses the importance of front-line, primary care screening with FIB-4 for all patients with diabetes. Zobair suggests that we consider making use of FIB-4 as a test for co-morbidities in diabetes a formal quality measure, in the same way that providers are required to check creatinine to assess possible kidney damage. Michelle and Roger Green added to Zobair's comment to discuss the specific benefits of adding an electronic health record-generated FIB-4 test as a standard assessment for diabetic patients. Zobair goes back to the point that we need primary care to serve as a front line for diabetes testing. In this context, he suggests the importance of FIB-4 and gives reasons he believes FibroScan will never become widely used in primary care. Louise Campbell disagreed, saying that having FibroScan in primary care would educate patients and drive better care. Jörn Schattenberg discusses some sessions where the consensus supported early FIB-4 use. Roger Green wraps up this conversation by talking about the importance of having formal quality measures around FIB-4 use in the US by telling a story from his own medical history.
Last week, roughly 5,000 liver community stakeholders gathered in London for the 2022 International Liver Congress (#ILC2022,) the first major hepatology Congress to be held in person since the start of the pandemic (smaller, but very valuable, meetings like NASH-TAG, LiverCONNECT and Paris NASH have taken place with an in-person component, but the International Liver Congress and The Liver Meeting have not). The first three days of the program focused on a range of issues, with specific emphasis on non-invasive tests (NITs) and their role at different stages in diagnosis and treatment. This conversation touches on the impact that NAFLD has on patient quality-of-life and the importance of integrating quality-of-life issues and metrics into everything from clinical trials to treatment protocols.This conversation starts with an observation from Jörn Schattenberg about the importance of looking more carefully at quality-of-life metrics, both in terms of patient treatment and clinical trial outcomes. MIchelle Long, making a closing comment, notes how much more collaborative researchers in the meeting are compared to years past. She then makes an announcement about a major, exciting change in her career, and then exits the conversation.Zobair Younossi identifies "fatigue" as the patient-reported outcome from NAFLD that links most closely to quality-of-life issues He points out that fatigued Fatty Liver patients produce lower quality-of-life scores and also exhibit higher levels of mortality. He goes on to note that fatigue is also linked to unemployment and underemployment, which means that it has clear economic costs. Roger Green asks whether payers will accept economic analysis on this and, as a result, pay for therapy. Zobair suggests that this will depend on whether advocates can make this issue part of the policy, which will drive individual payers' behavior in the US and shape government policy elsewhere. In response to a question from Roger, Louise Campbell comments that the policy environment in the UK is not very different from the US despite differences in how care is actually paid for. She goes on to identify one challenge in this issue, which is that quality-of-life scores decline as soon as a patient becomes aware of their disease, which has the potential to complicate employee analyses when the employee is not yet a patient. She also agrees with Zobair's earlier statement that he would prescribe a slightly more expensive medication if it improves quality-of-life. Zobair closes this conversation by returning to discuss the importance of fatigue and describing himself as "heartened" that fatigue is now measured in most (if not all) clinical trials.
Last week, roughly 5,000 liver community stakeholders gathered in London for the 2022 International Liver Congress (#ILC2022,) the first major hepatology Congress to be held in person since the start of the pandemic (smaller, but very valuable, meetings like NASH-TAG, LiverCONNECT and Paris NASH have taken place with an in-person component, but the International Liver Congress and The Liver Meeting have not). The first three days of the program focused on a range of issues, with specific emphasis on non-invasive tests (NITs) and their role at different stages in diagnosis and treatment. This conversation touches on two issues: the use of AI to better understand the meaning of liver volume and elements of morphology and, relatedly, how much more sophisticated a view we take of NAFLD and NASH than we did even five years ago.The issues around AI and liver morphology arise from Jörn Schattenberg's comment that consistent with Stephen Harrison's "KISS" (Keep It Simple, Stupid!) principle, researchers are starting to explore the meaning of changes in liver volume. Ultimately, Jörn notes, pairing these kinds of measures with AI-supported histopathology can yield tremendous benefits. Roger comments on a breakfast he attended that morning that suggested that AI and NITs each provide different, important information on individual liver health: NITs can address collagen burden but not structure, while AI can identify changes in structure but not link them to the impact on the patient. Zobair ends this part of the conversation by noting that companies are starting to use AI in these ways.The second part of this conversation stems from Roger's observation that we know far more about the disease than we did 3-4 years ago. He goes on to describe how the environment is more collaborative and open-minded than it might have been if, in fact, we saw drug approvals at that time. Zobair takes this observation to a different plane, noting that 5-10 years ago, "some very important experts" believed that we all understood the etiology of Fatty Liver disease, so why spend more time? He goes on, "we could not have been more wrong," observing that what we have learned about progression and regression in placebo arms suggests a far more complex disease than something that progresses linearly, or even constantly in one direction. He goes on to add that the multiple drug trial failures is that targeting drugs to a single solution based on animal models is likely to fail because this is a multiple mode of action disease. His third point: the "source" of the disease is visceral obesity and insulin resistance, which all viable solutions must address. This identifies two targets for treatment, while simultaneously demonstrating that therapy will be chronic, lifelong and with behavioral elements. The rest of the conversation addresses the challenges with shaping this kind of lifelong, multitarget therapy in the US today.
ResourcesLearn more about the Value Toolkit at diabeteseducator.org/valueRead the Value Toolkit Paper: https://doi.org/10.2337/cd21-0089
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Dr. Michael Weinstein of Capital Digestive Care talks to Dr. Costas Kefalas from Akron Digestive Disease Consultants about his work as the president of the GI Quality Improvement Consortium (GIQuIc), a benchmarking registry that tracks quality measures such as cecal intubation rates, withdrawal times and adenoma detection rates. Hear about the path Dr. Kefalas took to independent GI, his role in co-founding the Ohio Gastroenterology Society, and how drumming in an acoustic Greek band called Aegean Odyssey is his way to release stress. Join Dr. Weinstein and Dr. Kefalas as they discuss the importance of advocacy and coming together as independent GI practices to promote important issues to policymakers at the state and federal level. Produced by Andrew Sousa and Hayden Margolis for Steadfast Collaborative, LLC Original score by Hayden Margolis Gastro Broadcast, Episode 31
In this episode of the Patient Partner Innovation Community podcast, Desiree Bradley is joined by Jayanti Bandyopadhyay, Christine Holland, and Emma Bickel from Mathematica to discuss the importance of using patient lived experience in measures development.
In this episode of the Patient Partner Innovation Community podcast, Desiree Bradley is joined by Jayanti Bandyopadhyay, Christine Holland, and Emma Bickel from Mathematica to discuss the importance of using patient lived experience in measures development.
"We have to decide; if it's safe, how do we do it, and how do we do it right?" This piece provides a much needed overview of anesthesia in the USA, clinical innovation, best practice and enhanced recovery. How do we deliver on the value proposition safely and efficiently? What is the responsibility of practitioners to patients when measuring the impact of new products, medications and equipment? How do we mitigate cost, need and quality? Supported in part through an unrestricted educational grant from Acacia Pharma, Inc. To hear more from our guest go here: https://www.topmedtalk.com/topmedtalks-to-rick-dutton/ Presented by Desiree Chappell and Monty Mythen with Rick Dutton, Chief Quality Officer for US Anesthesia Partners (USAP), Texas.
PQS Senior Manager of Pharmacy Accounts, Nick Dorich, PharmD continues discussing the pharmacist's role in diabetes management with Dina M. Cuellar, MBA, Director, Clinical Performance Strategy at Walgreen Co. on the PQS Quality Corner Show. In this episode, the focus is on quality measures and how pharmacists can improve patient care for people with diabetes while supporting these measures.
In this episode, Ed interviews Chief Strategy Officer at Intelligent Medical Objects, Dale Sanders. They discuss the life journey Dale has taken to get where he is today and the changes that need to be made in public health quality measures.
Dr. Alex Rae Grant discusses the recent AAN update to the MS quality measurement set.
This week Shivhon Adkins, Founder of Medical Receptionist Network discusses Quality Measures and Organizational Culture. Visit us at www.medicalreceptionistnetwork.com today. Medical Receptionist Handbook to Success available now on Amazon! https://amzn.to/2IeFwy6 Don't forget to subscribe to the Medical Receptionist Network podcast! Need CPR Training? Visit https://www.ProTrainings.com for CPR, HIPAA, Ergonomics, Self Defense courses and more. Use discount code for savings: CPR-MRNCPR Need a new planner? Check out our Affiliate LOA, click the link to learn more https://manifestationplanner.com/free... Be a guest on the MRN Podcast, visit https://calendly.com/mrnetwork/30min to schedule or email info@medicalreeptionistnetwork.com Episode 18 References: Agency for Healthcare Research and Quality https://www.ahrq.gov/talkingquality/measures/types.html CMS.gov https://www.cms.gov/files/document/2020-mips-call-quality-measure-overview-fact-sheet.pdf Merit-Based Incentive Payment System (MIPS) https://www.aapmr.org/quality-practice/quality-reporting/merit-incentive-payment-system Advanced Alternative Payment Models (APMs) https://qpp.cms.gov/apms/advanced-apms
In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MT, AAPACN vice president of education and certification strategy talks about quality measures for skilled nursing facilities (SNFs) with Pat Newberry. Specifically, they address the differences between the SNF QRP and Five Star measures, and clarifications around claims-based quality measures.
In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MT, AAPACN vice president of education and certification strategy talks about quality measures for skilled nursing facilities (SNFs) with Pat Newberry. Specifically, they address the differences between the SNF QRP and Five Star measures, and clarifications around claims-based quality measures.
In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MT, AAPACN vice president of education and certification strategy talks about quality measures for skilled nursing facilities (SNFs) with Pat Newberry. Specifically, they address the differences between the SNF QRP and Five Star measures, and clarifications around claims-based quality measures.
Anne Pedersen, Director of Nursing at UPMC Hamot and Joanne Sorensen discuss how to engage patients in solutions.
Drs. Sheila Barnett and Victor Davila from ASA’s Committee on Performance and Outcomes Measurement talk to Dr. Adam Striker about new measures, including the new Intraoperative Hypotension Measure. Learn about the committee’s work, how measures are selected, why they’re important, and what’s so groundbreaking about the new IOH measurement. Recorded March 2021.
PQS Senior Manager of Pharmacy Accounts, Nick Dorich, PharmD asks Adam Bernstein, PharmD, BCPS Manager, Performance Measurement at Pharmacy Quality Solutions to explain the "Why?" of Opioid Use Quality Measures on this episode of the Quality Corner Show. Bernstein also talks about how Opioid-related measures are different from adherence measures due to the intent and the way they are calculated.
Listen to Health Affairs Editor-in-Chief Alan Weil interview David Nerenz from the Henry Ford Health System about social risk factors and their controversial inclusion as a measure of health care quality.
Dr. Stephen Flack joins Roxanna to discuss six value-based competencies needed to generate value and improve health.
In this eighth and final episode of the Deep Dive into MDS 3.0 Quality Measures podcast series, AAPACN curriculum development specialist, Jessie McGill, RN, RAC-MT, RAC-MTA, discusses two long-stay measures, Percent of Residents Who were Physically Restrained and Prevalence of Behavior Symptoms Affecting Others. Don't miss this great information!
In this eighth and final episode of the Deep Dive into MDS 3.0 Quality Measures podcast series, AAPACN curriculum development specialist, Jessie McGill, RN, RAC-MT, RAC-MTA, discusses two long-stay measures, Percent of Residents Who were Physically Restrained and Prevalence of Behavior Symptoms Affecting Others. Don't miss this great information!
As telehealth continues to expand, healthcare professionals must confront a repercussive question: how should healthcare organizations conduct quality measurement in telehealth? Sheri Winsper, senior vice president of quality measurement at the National Quality Forum (NQF), explains why quality measurement for telehealth is critical to patient-centered care and shares elements that healthcare organizations should consider in telehealth quality measurement.
In this podcast, Kim Hicks, vice president of business development with AAPACN talks with Michelle Karl, LVN, BSHA, MBA-HC, RAC-CT, RAC-CTA, clinical sales engineer with ABILITY Network, an AAPACN Diamond Partner and our 2021 Premier Conference Sponsor, about the freeze on the Skilled Nursing Facility Quality Reporting Program (SNF QRP) Quality Measures, what facilities need to do now to prepare for when the freeze ends and reporting and audits resume, how section GG will become even more important, and how processes have changed with some states now collecting PDPM payment codes on OBRA assessments. Don’t miss this podcast!
In this podcast, Kim Hicks, vice president of business development with AAPACN talks with Michelle Karl, LVN, BSHA, MBA-HC, RAC-CT, RAC-CTA, clinical sales engineer with ABILITY Network, an AAPACN Diamond Partner and our 2021 Premier Conference Sponsor, about the freeze on the Skilled Nursing Facility Quality Reporting Program (SNF QRP) Quality Measures, what facilities need to do now to prepare for when the freeze ends and reporting and audits resume, how section GG will become even more important, and how processes have changed with some states now collecting PDPM payment codes on OBRA assessments. Don't miss this podcast!
In this seventh episode of the Deep Dive into MDS 3.0 Quality Measures podcast series, AANAC curriculum development specialist, Jane Belt, MS, RN, QCP, RAC-MT, RAC-MTA, discusses three measures – two long-stay measures, Percent of Residents Who Lose Too Much Weight and Percent of Residents Who Have Depressive Symptoms, and a short-stay measure, Percentage of Short-Stay Residents Who Improved in Their Ability to Move Around.
In this seventh episode of the Deep Dive into MDS 3.0 Quality Measures podcast series, AANAC curriculum development specialist, Jane Belt, MS, RN, QCP, RAC-MT, RAC-MTA, discusses three measures – two long-stay measures, Percent of Residents Who Lose Too Much Weight and Percent of Residents Who Have Depressive Symptoms, and a short-stay measure, Percentage of Short-Stay Residents Who Improved in Their Ability to Move Around.
Deep Dive into MDS 3.0 Quality Measures Series: Episode 006 – UTI, Indwelling Catheter, and Lose Control of Bowel or Bladder
Boomer Living Tv - Podcast For Baby Boomers, Their Families & Professionals In Senior Living
Dr. Sandeep Pulim, MD is the Chief Medical Officer at Bluestream Health. He most recently served as the Chief Innovation Officer at Medici, and prior to joining the Medici team, Sandeep worked to enable cognitive technology at the point of care for HCPs and patients, to positively impact clinical learning and quality measures for healthcare organizations, pharma, and payers. Previously as co-founder of Health Recovery Solutions, he helped empower patients to better manage their health and improve quality of life using evidence-based interventions using remote patient monitoring.Topics Covered:Access to careSupporting caregivers with technologyChallenges with technologyStaying healthy at homeSandeep's Links:LinkedIn: https://www.linkedin.com/in/spulim/Twitter: https://twitter.com/SPulimHealth for America: https://www.healthforamerica.org/Blueprint health: https://www.blueprinthealth.org/
In this fifth episode of the Deep Dive into MDS 3.0 Quality Measures podcast series, AANAC curriculum development specialist, Jane Belt, MS, RN, QCP, RAC-MT, RAC-MTA, discusses two long-stay antianxiety/hypnotic medication MDS 3.0 Quality Measures—the Prevalence of Antianxiety/Hypnotic Use and the Percent of Residents Who Used an Antianxiety or Hypnotic Medication.
In this podcast, AANAC curriculum development specialist, Jessie McGill, RN, RAC-MT, RAC-MTA, will discuss two antipsychotic medication-related measures, the short-stay measure—Percent of Residents Who Newly Received an Antipsychotic Medication, and the long-stay measure—Percent of Residents Who Received an Antipsychotic Medication. McGill will discuss the rationale, what is the numerator, denominator, the exclusions, covariates as well as a possible action plan for greater success.
Deep Dive into MDS 3.0 Quality Measures Series: Episode 003 - Help for Daily Activities Increased and Ability to Move Worsened
During a major disruption to the healthcare system, gathering quality measurement data can prove challenging for payers and providers. Frank Micciche, vice president of public policy and external relations at the National Committee for Quality Assurance (NCQA), describes a system of digital quality measures that can make quality measurement data more accessible remotely in a crisis.
PQS Senior Manager of Pharmacy Accounts, Nick Dorich, PharmD interviews Pharmacy Quality Alliance (PQA) Vice President, Performance Measurement Lisa Hines, PharmD to find out how PQA develops quality measures. Hines also explains what are quality measures, who they are made for and why they are important.
Dr. Michael Seim joins Roxanna to discuss how to not only meet but exceed consumer expectations through reliability.
Deep Dive into MDS 3.0 Quality Measures: Episode 002 - Pressure Ulcers
Which quality measures will improve EMS? by EMS1 Podcasts
Deep Dive into MDS 3.0 Quality Measures Podcast Series: Episode 001 - Falls with Major Injury and Prevalence of Falls
Welcome to the Patient Partner Innovation Community Podcast. This podcast was created to inform patients, families and caregivers about important health transformation topics. On this week's episode, we speak with Lindsey Wisham again about The Person and Family Engagement Network(PFEN) and learning how to include your voice in quality measures development work. Contacting PFEN: PFEN Website https://031d022.netsolhost.com/pfe/ Victoria Danner PFE Coordinator Email: victoria.danner@rainmakerssolutions.com Phone: (706) 401-7932 ------------------------------------------------------------------ Recorded May 2020/Released May 2020.
Welcome to the Patient Partner Innovation Community Podcast. This podcast was created to inform patients, families and caregivers about important health transformation topics. On this week's episode, we speak with Lindsey Wisham again about The Person and Family Engagement Network(PFEN) and learning how to include your voice in quality measures development work. Contacting PFEN: PFEN Website https://031d022.netsolhost.com/pfe/ Victoria Danner PFE Coordinator Email: victoria.danner@rainmakerssolutions.com Phone: (706) 401-7932 ------------------------------------------------------------------ Recorded May 2020/Released May 2020. This is a Weathers One Media production with production/editing/engineering by Weathers One Media.
E14 with co-hosts LHP Managing Partner Daniel J. Marino and Principal Shaillee Chopra talking to Vince Keenan, CAE Chief Executive Officer of the Illinois Academy of Family Physicians, about a successful case study that focuses on how to get Pneumococcal Vaccine on the physician dashboard. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/
Due to the COVID-19 situation, governments across the world initiated lockdown and quarantines. The lockdowns have a severe impact on pharmaceutical manufacturing across the globe. Some of that include: Shortage of raw materials Personnel deficiency Export bans Severe financial damage All those obstacles lead to a unique manufacturing environment, which may lead to quality deficiencies. During their talk, Hitendrakumar Shah, the CEO of NADH+ GXP Compliance Services, shared with Yan Kugel his suggestions on how to avoid quality issues during manufacturing, throughout that particular time. You can watch the podcast in a video format on www.qualistery.com
In this episode of Value-Based Care Insights, Daniel J. Marino and Shaillee J. Chopra talk to Vince Keenan, CAE Chief Executive Officer of the Illinois Academy of Family Physicians, about a successful case study that focuses on how to get Pneumococcal Vaccine on the physician dashboard. Learn more at www.luminahp.com. --- Send in a voice message: https://anchor.fm/lumina-health-partners/message
Dr. Anthony Aquilina joins Roxanna to discuss how WellSpan plans on leading their region with value.
The Australian Securities and Investment Commission (ASIC) has developed a unique report on measures of audit quality in addition to its audit inspection findings. ASIC’s Doug Niven sits down with CPA Australia and explains the measures ASIC has identified and how he expects them to stimulate discussion and evolve over time as data becomes available.
Pharmacy Quality Solutions Director, Quality Programs, Jesse McCullough, PharmD and Nick Dorich, PharmD, Director, Pharmacy Relations discuss immunizations and quality measures during National Influenza Vaccination Week.
Join Pharmacy Quality Solutions Director, Quality Programs, Jesse McCullough, PharmD and Nick Dorich, PharmD, Director, Pharmacy Relations for episode two of a podcast series Quality Corner that explains "How are Quality Measures Developed and Maintained?" In this episode PQS discusses an overview of the Pharmacy Quality Alliance (PQA) and the National Committee for Quality Assurance (NCQA), and where quality measures are utilized. There is also talk about the opportunity for pharmacy in using quality measures.
In this health care podcast, I speak with John Gorman, who is a government-sponsored health programs guru. He’s also the founder of a newly minted organization called Nightingale that (spoiler alert) we discuss toward the end of our conversation. I just want to interject right here that I, for one—but I’m sure John would agree—do not believe that Medicare Advantage (MA) is, as is, perfectly terrific and devoid of problems. There are, of course, well-known issues with coding, the whole exaggerated diagnoses for higher reimbursements thing … then there’s the whole potentially wasteful quotas payments and the restrictive networks of doctors cited issues. We don’t get into these during our conversation, focusing instead on comparing MA to FFS (fee-for-service) Medicare. From there, we get into advice for independent physicians in rural hospitals and then we wind up at price gouging by nonprofit hospitals. John’s points are insightful as always, and I guarantee he will give you a lot to think about. You can learn more and connect with John on LinkedIn. John Gorman is the founder and former executive chairman at Gorman Health Group (GHG). For 22 years he led the development of the industry’s leading consulting practice and several entrepreneurial ventures in government health programs. John’s work focuses on Medicare Advantage, Medicaid, and Accountable Care Act strategy, governance, and social determinants of health. John considers himself a defender and fixer of health insurance coverage, especially Medicare, Medicaid, and subsidized individuals served by health plans. He has strong opinions and relies on evidence and sound policy. Prior to founding GHG in 1996, he was appointed by President Clinton as the first assistant to the director of the Health Care Financing Administration’s (now Centers for Medicare and Medicaid Services) Office of Managed Care. After leaving GHG in July 2018, John founded and currently serves as the CEO and chairman of Nightingale Partners, an organization dedicated to helping payers and providers make an impact on social influences that prevent patients from achieving healthy, happy lives. Nightingale Partners is a qualified Opportunity Zone investment firm focused on social determinants of health. John continues to speak regularly at about two dozen industry conferences across the country each year and is regularly quoted in the trade press and national media. He serves on the board of directors of Henry Ford Health System’s Health Alliance Plan in his birthplace of Detroit and serves as a senior adviser on Medicare Advantage and Medicaid to Premier Inc., the hospital purchasing cooperative. John serves on the editorial advisory boards of several industry publications, including Bloomberg Government. 01:37 The quality measures being used to assess value. 04:00 “Half of the rating is attributable to the member experience.” 04:29 Are the ways that FFS and Medicare Advantage value-based care measures are weighted legitimate? 07:59 Insurance carrier profitability. 08:33 Medicare for all to Medicare Advantage for all—how John sees this morphing into the future. 11:07 Is insurance profitability at the expense of the rest of the country? 13:47 “A more rigorous antitrust approach to hospital mergers would certainly help.” 15:10 “Get bigger and get more sophisticated in … the value you bring to the table.” 16:49 “There’s always strength in numbers.” 20:35 EP202 with Frazer Buntin.23:28 “If you’re not adapting, you’re dying in this environment if you’re a hospital.” 24:37 John’s advice to rural hospitals. 27:44 EP219 with Arshad Rahim. 28:27 What Nightingale is and what they do. You can learn more and connect with John on LinkedIn. Check out our newest #healthcarepodcast with @JohnGorman18. #healthcare #podcast #digitalhealth #medicare #qualitymeasures #medicareadvantage #pricegouging The #quality #measures being used to assess value with @JohnGorman18. #healthcare #healthcarepodcast #podcast #digitalhealth #medicare #qualitymeasures #medicareadvantage #pricegouging “Half of the rating is attributable to the member experience.” @JohnGorman18 discusses. #healthcare #healthcarepodcast #podcast #digitalhealth #medicare #qualitymeasures #medicareadvantage #pricegouging Are the ways that #FFS and #MedicareAdvantage #valuebasedcare measures are weighted legitimate? @JohnGorman18 discusses. #healthcare #healthcarepodcast #podcast #digitalhealth #medicare #qualitymeasures #medicareadvantage #pricegouging #Insurancecarrierprofitability. @JohnGorman18 discusses. #healthcare #healthcarepodcast #podcast #digitalhealth #medicare #qualitymeasures #medicareadvantage #pricegouging How will #medicareforall morph into #medicareadvantage for all? @JohnGorman18 discusses. #healthcare #healthcarepodcast #podcast #digitalhealth #medicare #qualitymeasures #medicareadvantage #pricegouging Is #insuranceprofitability at the expense of the rest of the country? @JohnGorman18 discusses. #healthcare #healthcarepodcast #podcast #digitalhealth #medicare #qualitymeasures #medicareadvantage #pricegouging “A more rigorous antitrust approach to hospital mergers would certainly help.” @JohnGorman18 discusses. #healthcare #healthcarepodcast #podcast #digitalhealth #medicare #qualitymeasures #medicareadvantage #pricegouging “Get bigger and get more sophisticated in … the value you bring to the table.” @JohnGorman18 discusses. #healthcare #healthcarepodcast #podcast #digitalhealth #medicare #qualitymeasures #medicareadvantage #pricegouging “There’s always strength in numbers.” @JohnGorman18 discusses. #healthcare #healthcarepodcast #podcast #digitalhealth #medicare #qualitymeasures #medicareadvantage #pricegouging “If you’re not adapting, you’re dying in this environment if you’re a hospital.” @JohnGorman18 discusses. #healthcare #healthcarepodcast #podcast #digitalhealth #medicare #qualitymeasures #medicareadvantage #pricegouging What Nightingale is and what they do? @JohnGorman18 discusses. #healthcare #healthcarepodcast #podcast #digitalhealth #medicare #qualitymeasures #medicareadvantage #pricegouging
written post at https://healthy-skeptic.com/2019/10/11/gao-report-on-medicares-quality-measures/
Electronic Clinical Quality Measures (eCQMs) are tools to help track quality in health care. Lanette Hesse, Health IT Project Specialist, explains eCQMs.
Julie and Mike respond to provider questions about the ACO’s quality measures, Elizabeth Eisenhardt discusses engaging residents in quality improvement and Doug Sawyer reflects on his role as volunteer cardiologist at the Greater Portland Health community center. Have a suggestion for BACON? Email us at mailto:bacon@mmc.org.
This podcast is part of the pre-work for Insterstitial #2. Titled "An Intro to Quality Measures & Public Reporting". By Patricia Seymour, MS MD, FAAFP, FHM. Associate Professor FMCH - Division of Hospital Medicine. University of Massachusetts Medical School.
In 2017 NCQA hosted its first Digital Quality Summit, a unique (and niche) conference that focused on issues of implementing digital quality measures. Participants at that first summit comprised a handful of interested health IT wonks and others deep in the weeds of the subject. But to our surprise, the 2018 audience was a larger, more diverse gathering of tech gurus, health care professionals and policy experts—and tickets sold out. On July 16–18, we’ll be in Boston, Massachusetts, for the 2019 Digital Quality Summit, which has become the premiere health IT conference of the year. We spoke with Dr. Michael Barr, Executive Vice President with the Quality Measures and Research Group at NCQA, to get his thoughts and ideas about this year’s participants. “This is a community. A place for people interested in quality, digital measures, standards, new [coding] languages… anyone who wants to talk about and, more important, to work on these issues.” Not Your Average Health Care Conference If you’ve ever been to any kind of convention or conference, you might be expecting a few speakers. Perhaps some breakout sessions to hear more speakers. That’s not the Digital Quality Summit! Participants can pursue the tracks that interest them. They’ll be presented with real-world issues that are relevant in the digital health space, and will engage in robust discussion and problem-solving to develop working measures and other solutions. In other words, this conference leaves “ordinary” in the dust. Ben Hamlin, Lead Researcher for Digital Measures and Health IT at NCQA, describes the summit’s benefits to participants who aren’t (necessarily) data scientists or policy experts. “It’s important for anyone who wants to understand data quality from any angle and any aspect. I think is important, because [quality] is one of those things that’s holding back instant operation measures and how we access the quality data we want to use.” Be part of this year’s experience. We expect tickets to sell out before this event. Check out our podcast and register today for the 2019 Digital Quality Summit!
Today we’re discussing a paper published in the January 2017 issue of Birth titled: How do pregnant women use quality measures when choosing their obstetric provider? by Rebecca A. Gourevitch MS, Ateev Mehrotra MD, MPH, Grace Galvin MPH, Melinda Karp MBA, Avery Plough BA, Neel T. Shah MD, MPP. The researchers utilized an online forum for pregnant women, Ovia Pregnancy to survey women about how and why they chose their obstetric provider. Interestingly, they found that most women did not utilize quality measures such as c-section rate or obstetric infection rates when choosing a provider. These fascinating findings were widely covered in the media and led to a great discussion. Please have a listen! Please tweet us your thoughts @RoSpodcast, or drop us a line at contact@rospod.org. And, let us know what manuscripts you think we should look at in journal clubs and who we should have on to talk about their work. We look forward to hearing from you, and thanks for listening!
On this 3rd episode of the JAAOS Unplugged podcast series, host Andy Jensen, MD, summarizes research articles from the March 15, 2019 issue of JAAOS including: Predictive Modeling for Geriatric Hip Fracture Patients: Early Surgery and Delirium Have the Largest Influence on Length of Stay, Quality Measures in Total Hip and Total Knee Arthroplasty, and Revision Metacarpophalangeal Arthroplasty: A Longitudinal Study of 128 Cases. Following the article summaries, Dr. Jensen interviews Josef Eichinger, MD to discuss his review article Scapular Notching in Reverse Total Shoulder Arthroplasty. Follow this link to download these and other articles from the March 15th, 2019 issue of JAAOS: https://journals.lww.com/jaaos/toc/2019/03150 The JAAOS Unplugged podcast series is brought to you by the Journal of the American Academy of Orthopaedic Surgeons and the AAOS Resident Assembly.
Dr. Cynthia Barnard discusses the most common hospital related injuries, what patients can do to ensure a safe hospital stay, and what patients should do after they've been discharged to continue their recovery and avoid readmissions.
Listening In (With Permission): Conversations About Today's Pressing Health Care Topics
Suzanne Delbanco checks in with David Schleifer, Ph.D.,Vice President and Director of Research at Public Agenda, a nonpartisan, nonprofit research and public engagement organization that works to strengthen democracy and expand opportunity in America by fostering thoughtful public opinion, meaningful public participation and responsive public institutions. They discuss the perspectives of Americans who have experienced either type 2 diabetes, maternity care or joint replacement on what makes for good quality health care, based on research funded by the Robert Wood Johnson Foundation: www.publicagenda.org/pages/qualities-that-matter. David also gives a preview of future research designed to shed light on whether or not New Yorkers think that state policy should play a larger role in improving transparency and accountability in health care quality.
Pediatric Bioethics Grand Rounds October 24, 2018 Nneka O. Sederstrom, PhD, MPH, MA, FCCP, FCCM Director, Clinical Ethics Department Children's Hospitals and Clinics of Minnesota
This episode is made possible by our sponsors, Loyal, Influence Health, & Binary Fountain. Traditionally, marketing and quality departments operate separately within a hospital. However, much like other areas in a health system (patient experience, IT, clinical care), we are starting to see marketing departments play an active role is quality initiatives. In this episode, hosts Reed Smith and Chris Boyer discuss how certain quality measures play an important role in healthcare consumerism and share ways in which marketing can successfully promote quality to various stakeholders. From the Joint Commission certification through the Magnet Journey, digital marketing is playing an active role in support quality efforts. This episode also features an expert interview with David Thomsen of 3rd Gate Consulting in which he shares his experience in using social media as a quality input to the Baldridge Award. Mentions from the Show What are Quality Measures - https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityMeasures/index.html The role of quality in hospitals - https://www.ahrq.gov/professionals/quality-patient-safety/talkingquality/create/hospitals/examples.html AHA Pricing Transparency Toolkit - http://www.ahacommunityconnections.org/content/14transparencytoolkit.pdf Evolution of Social Media in Balrdridge - https://www.linkedin.com/pulse/20140828132202-13988078-malcolm-baldrige-quality-award-how-social-media-is-evolving/ Joint Commission “How to Find Reliable Online Health Information” - https://www.jointcommission.org/assets/1/18/patient_101.pdf Texas Health Quality page - https://www.texashealth.org/Pages/Quality-and-Patient-Safety.aspx Dave Thomsen LinkedIn - https://www.linkedin.com/in/david-thomsen-a86a3812/ Third Gate Consulting - http://thirdgateconsulting.com/ Find us Online Touchpoint podcast Twitter: https://twitter.com/touchpointpcast Reed Smith Twitter: http://www.twitter.com/reedsmith Chris Boyer Twitter: http://www.twitter.com/chrisboyer Chris Boyer website: http://www.christopherboyer.com/ Social Health Institute: http://www.socialhealthinstitute.com/
On this episode, Rick Moore, CIO at NCQA, joins us for a discussion about what's next for digital quality measurement. Rick likes to call this Digital Quality Measures 2.0 and you can see it coming to life in NCQA's eMeasure Certification (eMC) program. The program aims to take burden away from health plans and auditors by establishing a process for generating standard supplemental data for HEDIS measures. This will enable software vendors, providers, HIEs and others to more effectively and efficiently provide needed clinical data without all the manual chart pulls (you can see the certified vendors here). Additionally, the eMeasure test process is now approved as the only alternative to the Project Cypress toolset in the ONC Health IT Certification Program. Rick sees great opportunity ahead for a few reasons: The community is more engaged (vendors, providers, payers) The government has backed off (a bit) on mandating specifically how things will be done There are more options available to providers These factors, coupled with the rise of promising new specifications like Clinical Quality Language (CQL) and FHIR, might put us in a position to move away from performance-based measures of providers and towards holistic, patient-centered measures; away from manual data entry and toward clinical data that is automatically collected as a by-product of the physician workflow. At the same time, he is realistic and offers several cautions: We can't wait for CQL and FHIR. Let's move forward with what we've got now and upgrade along the way. We can't just toss out process measures and go strictly outcomes measures. We need both. We can't mandate interoperabillity as the basis for all measures right away We address these issues and so much more, including: What is the National Committee for Quality Assurance or NCQA? (0:55) What's NCQA's role in monitoring quality in healthcare? (2:08) What's the difference between process measures and outcomes measures? What about Patient Reported Outcomes Measures (PROMs) vs. institutionally focused outcomes measures? (4:35) How does NCQA decide what's worth measuring especially when you consider the high levels of administrative burden and burnout on the physicians? (10:00) The unintended consequences of value-based payment (13:00) What if we decided that from this point forward we would only have measures that could be collected digitally? (15:30) Structured vs. unstructured data (20:00) Manually entered and properly coded vs. automatically captured data points (23:45) What if we decided that from this point forward we won't collect measures unless we have interoperabillity? Would we get interoperabillity more quickly? (25:30) Why aren't we using all the digital info that is already available? Think manual chart pulls instead of data extracts or queries against Health Information Exchanges (HIE)? 27:30 Do you agree with the following statement? Some health systems will make the investment needed to satisfy quality measure requirements without a major burden on providers and that will give them a competitive advantage because doctors will choose to work there (33:00) What is the Electronic Measure Certification (eMC) program? (39:00) Does the eMC program serve as a vehicle for HIEs and other community aggregators to get in the HEDIS measurement flow by providing standard supplemental data to the health plans? (49:00) What advice would you give doctors who want to have more of a say in the quality measure specifications going forward? (51:25) Where can listeners learn more about you, NCQA and the eMC program? (51:25) There's a lot here. I hope you enjoy it! ~ Don Lee Mentioned on the podcast Re-imagining Quality Measurement by Shahid Shah (presented at The Digital Quality Summit) The Digital Quality Summit | Held November 1-2, 2017, Washington, DC HL7 and NCQA partnered to host the Digital Quality Summit - gathering the best and brightest in health care and technology to demonstrate methods for eliminating measurement burdens and bridging the digital gap. Health Impact Mid West | Held November 16, 2017, Chicago, IL The 5th Annual HealthIMPACT Mdiwest, developed in partnership with NODE Health where the brightest minds in clinical health technology move beyond the digital medicine hype and forge a path from innovation to implementation to digital transformation using evidence as our guide. About Rick Moore, PhD As NCQA's Chief Information Officer, Rick Moore is responsible for the vision and strategic direction of the Information Services, Information Technology and Information Products. He also works closely with NCQA's stakeholder partners and represents NCQA on leading several national health information technology initiatives and panels including the Office of National Coordinator Standards and Interoperability Workgroup, and the Health Information Management and Systems Society (HIMSS) Quality and Patient Safety Committee. Prior to joining NCQA in 2008, he was the Director of Health Informatics at the National Association of Children's Hospitals where he led the development of information services and products for over 200 member hospitals. He has also served the Office of the Secretary of Health Affairs at the Department of Defense where he led the development of Electronic Health Record (EHR) systems and was awarded the Information Technology Officer of the Year of the Joint Medical Information Systems Office in 2004. From 2001 to 2003, he was competitively selected by the U.S. Air Force Medical Service to attend the University of Alabama at Birmingham where he studied Health Informatics. In 2002, he was selected as a recipient of the HIMSS Foundation Richard P. Covert National Scholarship Award. Previously, he has served as the Director of Medical Readiness at Langley Hospital and was recognized as the Medical Readiness Officer of the Year for the command. He has also served as the Director of Managed Care for Moody Community Hospital and was selected in 1996 as the Air Force Medical Service's Managed Care/Patient Administrator of the Year.He holds a Doctorate degree in Health Related Sciences from Virginia Commonwealth University, a graduate degree in Health Informatics from the University of Alabama at Birmingham, as well as a graduate degree in Management from Troy State University, and a Bachelor Degree in Industrial Technology from Southern Illinois University. He is a certified health care executive and Fellow in the American College of Healthcare Executives (FACHE), a Fellow of the Health Information Management and Systems Society (FHIMSS), a certified Professional in Health Information and Management Systems (CPHIMS), a Certified Information Security Manager (CISM), and a certified Project Management Professional (PMP) Email: moore@ncqa.org Blog: http://blog.ncqa.org/author/rick-moore/ About NCQA NCQA is a private, nonprofit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care organizations. It also recognizes clinicians and practices in key areas of performance. NCQA's Healthcare Effectiveness Data and Information Set (HEDIS®) is the most widely used performance measurement tool in health care. NCQA's Web site (ncqa.org) contains information to help consumers, employers and others make more informed health care choices. Twitter: @NCQA Weekly Updates If you like what we're doing here, then please consider signing up for our weekly newsletter. You'll get one email from me each week detailing: New podcast episodes and blog posts. Content or ideas that I've found valuable in the past week. Insider info about the show like stats, upcoming episodes and future plans that I won't put anywhere else. Plain text and straight from the heart :) No SPAM or fancy graphics and you can unsubscribe with a single click anytime. The #HCBiz Show! is produced by Glide Health IT, LLC in partnership with Netspective Media. Music by StudioEtar
It's rare you read an article about health tech and not see the word "interoperability" at some point, probably more than once. If that were a drinking game, we'd all be really drunk by now. Today I speak with Don Lee, a fellow podcast host about how Health Information Exchanges, otherwise known as HIEs, can assist us in the short term to get our data integration act together. This is a little bit of a reality check— blockchain and more elegant solutions might be coming, but today, right now, we need to meet quality measures. And you can't meet quality measures without having a handle on the trips to the ER, eye exams, and specialist visits that are transpiring outside the four walls of any given provider office. Don is an accomplished Health IT expert with a 20-year track record of driving value with technology. Don began his career as custom software developer and eventually built and lead a team of more than 30 engineers. Later, he was the subject matter expert, product manager and head of sales and marketing for a digital health startup that launched a SaaS-platform focused on administrative simplification in healthcare. Today, Don is President of Glide Health IT, LLC, a consulting firm that helps forward-looking organizations align their Health IT and business strategies. The firm specializes in business and product development with a focus on data aggregation, interop, analytics and quality measurement. Don is also the founder, co-host and Executive Producer of The #HCBiz Show!, a podcast dedicated to unraveling the Business of Healthcare. 00:00 Don talks the meaning of Interoperability. 01:30 The problem with interoperability. 02:00 The data sharing risk. 02:25 The change in the interoperability conversation because of Quality Measures. 04:15 The elusive concept of interoperability. 05:50 The best path forward - HIEs. 08:25 “One of the biggest hurdles of Healthcare Interoperability is there is so many people working on Healthcare Interoperability.” 09:15 “We got to be smarter about what we choose to compete on.” 10:10 The issues with the expectations of the digitization of healthcare. 12:50 Currently successful and well-covered HIE groups. 14:00 HIPAA & formatting health data. 18:15 The problem with provider data and the need for a good directory. 20:00 Why it's important that Health Systems know who is in each of their Health Plans. 24:25 What's being done to try and fix provider lists for Health Plans. 28:00 You can learn more by going to glidehealthit.com or don.lee@glidehealthit.com or by going to thehcbiz.com to listen to Don's podcast.
On this, the 100th episode of the NP Dude podcast I try to give some background the new Merit-based Incentive Payment system and my predictions as to what this will mean down the line. Have a listen, share the show and don’t forget to keep giving ratings on Facebook and iTunes! As always, you can […] The post Episode 100 – What the Heck is MIPS and Why You Should Care! first appeared on The NP Dude.
On this episode, we talk with John D'Amore. John is Founder, President and Chief Strategy Officer at Diameter Health and has been working on Quality Measures in healthcare since the early 2000s. Yup, pre-EMR quality measures! John takes us on a fascinating journey from paper based quality measurement (see RHQDAPU... at least we've streamlined our acronyms!) to the dawn of electronic measurement. via the Electronic Medical Record (EMR). He explains why the single-EMR approach made sense in the hospital, but how the industry was hurt when it decided to apply that approach in the ambulatory setting. Finally, John describes the future state where quality measures are calculated from a longitudinal patient record that encompasses all the care a patient has received. This, of course, calls for a trusted central authority to do the aggregation, data remediation and reporting. Perhaps, an HIE? It's a complex story and John delivers it well. We dig through all that and so much more, including: What are Quality Measures and why do we need them? (1:23) John D'Amore's background and the founding of Diameter Health (5:30) What has been the historic approach to quality measurement in healthcare? (8:00) Should we limit quality measures in the short-term to only those that can be understood by patients? (13:00) How do we pick the measures? What do we care about? (17:30) What might a quality program look-like in a "digital-native" world? (21:10) How can we move from a retrospective, tell me what happened world, to one where clinicians and administrators get the data when there's still time to impact outcomes? (25:48) We talk about the difference between clinical and claims data, and explore why the clinical data is not flowing. (30:30) John gives an example of an HIE that's achieved great success in Quality Reporting (Indian Health Information Exchange) and we explore why they've been successful (33:00) Will providers start to realize that a robust HIE can help them improve quality scores and potentially increase revenue? (36:15) Why is Data Quality such a linchpin issue when it comes to quality measures? (38:15) How does data fidelity, or fitness for purpose, differ when looking at a single chart vs. longitudinal data sources form many systems? (42:50) John and Shahid are both speaking at the Digital Quality Summit. We discuss their talks and goals for the event. (45:45) We'll be continuing the Quality Measurement series over the next month or two. I hope you enjoy the setup episode as much as I did! ~ Don Lee
Dr. Thomas Lee is a professor at Harvard Medical School and chief medical officer at Press Ganey. Stephen Morrissey, the interviewer, is the Managing Editor of the Journal. A.C. Groff, C.H. Colla, and T.H. Lee. Days Spent at Home - A Patient-Centered Goal and Outcome. N Engl J Med 2016;375:1610-2.
In this episode, Maria Miranda, Director of Reimbursement Services at BESLER Consulting reviews how quality measures are used in the Medicare Comprehensive Care for Joint Replacement (CJR) bundled payment program. Learn how to listen to The Hospital Finance Podcast on your mobile device. Michael Passanante: Hi, this is Mike Passanante and welcome back to the Hospital Finance Podcast. Today, we’re joined by Read More
Dr. Paul Ginsburg is a professor of the practice of health policy and management at the University of Southern California Sol Price School of Public Policy. Stephen Morrissey, the interviewer, is the Managing Editor of the Journal. P.B. Ginsburg and A.M. Rivlin. Challenges for Medicare at 50. N Engl J Med 2015;373:1993-5.
Dr. Richard Dutton of the ASA's Quality Institute will be speaking at the upcoming SAM meeting in Seattle, Washington. I spoke to Richard about the goals of the airway management quality reporting effort
In this episode of Epilepsy.com's Hallway Conversations, Dr. Joseph Sirven, Professor of Neurology at Mayo Clinic Arizona and Editor-in-Chief of Epilepsy.com, interviews Nathan Fountain, MD, Chair of the Epilepsy Foundation's Professional Advisory Board, and Paul Van Ness, MD, Director of UT Southwestern Medical Center's Epilepsy Program. They will be discussing epilepsy quality measures. Dr. Fountain and Dr. Van Ness are the co-chairs of the American Academy of Neurology's Epilepsy Quality Measures Committee. This interview is part of the Epilepsy Foundation's partnership with the American Epilepsy Society.
Article discussion from January 1, 2012
Journal of the American Academy of Child and Adolescent Psychiatry
JAACAP August 2011: In this podcast, Contributing Editor Dr. Carol Rockhill interviews Dr. Bonnie Zima on the new initiatives that are designed to evaluate and endorse standards for child outcomes and health quality measurements. This is the first article in the Journal's new series Translations.
Journal of the American Academy of Child and Adolescent Psychiatry
JAACAP August 2011: In this podcast, Contributing Editor Dr. Carol Rockhill interviews Dr. Bonnie Zima on the new initiatives that are designed to evaluate and endorse standards for child outcomes and health quality measurements. This is the first article in the Journal's new series Translations.
In this week's episode of Epilepsy.com's Hallway Conversations, Dr. Joseph Sirven, Professor of Neurology at Mayo Clinic Arizona and Editor-in-Chief of Epilepsy.com/Professionals, interviews Nathan Fountain, MD from the University of Virginia. Dr. Fountain will speak about his role as co-chair of the American Academy of Neurology taskforce for developing epilepsy quality measures. There are 8 new proposed quality measures that are now open for public comment. This is a live taping with no questions to be answered live.
Guest: Emmet Keeffe, MD Host: Jay Goldstein, MD What do recent measures recommend to primary care physicians and gastroenterologists who care for patients with hepatitis C? Dr. Emmet Keeffe, professor of medicine emeritus at Stanford University Medical Center, joins host Dr. Jay Goldstein to outline the 10 measures for diagnosing and treating patients with hepatitis C.
Guest: Emmet Keeffe, MD Host: Jay Goldstein, MD What do recent measures recommend to primary care physicians and gastroenterologists who care for patients with hepatitis C? Dr. Emmet Keeffe, professor of medicine emeritus at Stanford University Medical Center, joins host Dr. Jay Goldstein to outline the 10 measures for diagnosing and treating patients with hepatitis C.
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