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Category: QM

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NLP: Unlocking the potential of unstructured text in healthcare

Hospitals and health systems are sitting on a wealth of patient information that has potential to transform care delivery. Yet analytics infrastructures designed to fuel performance improvement have traditionally overlooked much of that data because it resides in health IT systems as unstructured free text. The industry has made notable inroads with structured patient data […]

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Release of 2017 ISA is Good News for Interoperability

The Office of the National Coordinator for Health Information Technology (ONC) recently released the 2017 Interoperability Standards Advisory (ISA), an update to the 2016 version that holds great promise for advancing health information exchange. National Coordinator Vindell Washington hailed the release as “a key step toward achieving the goals” outlined in the Shared Nationwide Interoperability Roadmapand Interoperability Pledge announced earlier […]

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The Impacts of the 21st Century Cures Act

The 21st Century Cures Act was signed into law just last month.  This broad law reduces the bureaucracy for drug approval, provides billions of dollars to the NIH for research, and provides funding to state governments to deal with the opioid epidemic.  But along with these touted benefits, this law includes significant impacts for healthcare IT. […]

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Meaningful Analytics: Improving Data Integration and Quality by Leveraging the HIE Webinar Recap

Healthcare organizations must achieve mastery of high-quality data and analytics to thrive within value-based care models. Today’s IT professionals are challenged to design systems that improve data exchange with industry stakeholders as well as acquire more complete and accurate patient information for quality measures reporting. Without a strategy in place that addresses each of these […]

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CMS Audits Raise the Bar on Patient Communication

Two converging trends are moving patient communication strategies front and center for today’s payers: Consumers are demanding greater control of their healthcare decisions; and regulatory movements are requiring better patient experiences. The equation is simple. When consumers understand both the clinical and financial side of care delivery, they are equipped to make better decisions, ultimately […]

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New MACRA Measures Sharpen Focus on Semantic Interoperability

Healthcare’s interoperability quest continues to mature, moving the industry closer to semantic interoperability—the highest level of information exchange as defined by the Health Information and Management Systems Society (HIMSS). ONC’s recent identification of two metrics to support specific indicators of “widespread interoperability” demonstrate this movement. Responding to directives laid out by The Medicare Access and […]

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The Role of Healthcare Data Governance in Big Data Analytics

On Friday last week, the online news publication HealthITAnalytics.com published a feature story about the importance of data governance, “The Role of Healthcare Data Governance in Big Data Analytics.” The author, Jennifer Bresnick, does an excellent job of explaining what data governance is, how it differs from information governance, and why healthcare IT professionals need to take a […]

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Hierarchical Condition Categories Part 1: What’s all the Buzz About?

There is quite a bit of discussion around Hierarchical Condition Categories (HCCs) these days. And for good reason: as the risk adjustment model used since 2004 to determine reimbursement for various Medicare plans, the HCC framework is progressively being applied to numerous healthcare reform initiatives. In this two-part series, we break down the basics of […]

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Are you Dealing With Lackluster Data Analytics?

A recent HealthITAnalytics.com article, “Quality Metrics, Data Analytics are Top Value-Based Care Fears,” highlighted some of the problems that health systems and ACOs are having with data management and analytics. Author Jennifer Bresnick wrote, “…providers confess that the big data analytics competencies required to make the most of value-based reimbursements may be too much for […]

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Webinar Recap: Code Groups – The Building Blocks for Your Analytic Initiatives

Code groups and analytics initiatives—the two go hand-in-hand. Healthcare organizations are increasingly realizing that effective management of code groups (also known as value sets) is imperative for aligning with healthcare’s Triple Aim and positioning within the value based landscape. The necessity of this function within a healthcare organization’s greater terminology management strategy was recently underscored […]

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