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ClinOps I.M.P.A.C.T. Posts - May 1, 2017

Keeping Leaders Informed of Operational Trends and Practices that I.M.P.A.C.T. and Contribute to Value-Based Healthcare.

I.M.P.A.C.T. = Infrastructure . Member Experience . People & Performance . Affordability . Community . Transformation & Safety


In this summary, read about the Trends and Practices in algorithms for precision health, value-based contracts, next evolution of customer experience, Wayfinding App, mental healthcare access, patient portals, reluctant patients, member experience with contact center, effective leaders, shaping culture, IPPS proposed rule, value-based payment programs, healthcare waste, award-winning community health approaches, end-of-life care, opioid challenges, MACRA, costs and cancer treatments, and more…





At Stanford, algorithms and data fuel precision health:

Building on the key tenets of precision medicine, Stanford Medical School believes algorithms will transform healthcare into an industry that is more predictive than reactive. In fact, the school is so invested in the promise of data analytics and artificial intelligence, it launched a new department 18 months ago that focuses specifically on biomedical data, Lloyd Minor, M.D., dean of the Stanford University School of Medicine, told the Wall Street Journal, adding that there is a “huge demand for data scientists” in the healthcare industry.” Click here


Insurers use data to drive value-based contracts, identify gaps in care:

“Payers are using data analytics to control costs and drive population health. Health plans are taking a broad approach to health data, using a massive repository of digital records to drive value-based contracts, predict patient conditions and improve population health.” Click here



Member Experience and Engagement


CVS Pharmacy unveils the ‘next evolution of the customer experience’:

CVS Pharmacy continues to make a concerted effort to transform its stores, with the goal of fostering a better customer experience. CVS unveiled a new store design to enhance the retail customer experience with a new assortment of healthier food, health-focused products and expanded beauty selections, paired with informational signage throughout the store to help customers discover new offerings. According to CVS, combined with its innovative digital programs, these changes represent the “next evolution of the customer experience at CVS Pharmacy.”” Click Here


Hospital Wayfinding App Improves Patient Experience at Mercy:

“Mercy Health launched “Right this Way,” an in-hospital wayfinding app that will improve the patient experience by making it easier to navigate the campus. Mercy Health - Cincinnati is aiming to improve the patient experience by rolling out an in-hospital wayfinding app for Apple and Android devices, making it easier for visitors to find everything from their physician to their parking spot.” Click Here


Mental Healthcare Access Shrinks as Patient Demand Grows:

“Nearly eight million US adults have a mental health condition, but mental healthcare access is often limited, hindering patient quality of life. In an assessment of survey responses to the National Health Interview Survey between 2006 and 2014, NYU researchers found that the number of patients experiencing serious psychological distress (SPD) is growing.” Click Here


Patient Engagement Strategies for Post-Discharge Follow-Up Care: 

“Ensuring patients attend their post-discharge follow-up care is critical to driving health outcomes. Follow-up care after the discharge process is an important part of improving patient outcomes. In order to successfully guide patients through their recovery, providers must employ the same patient engagement strategies that have been proven effective for other aspects of clinical care.” Click Here


Patient Portal Benefits in Pediatric Care Must Fuel Parent Use: 

“The perceived effectiveness of patient portals in driving parent caregiver engagement in pediatrics is currently limited, presenting more opportunities for healthcare organizations to refine and streamline their patient portal adoption strategies. Patient portals are some of the most widely agreed upon patient engagement strategies, the Canadian research team said. Patient portals effectively connect patients with their own health information as well as to their providers via secure messaging. These benefits can extend to the pediatric patient population, although parent caregivers add some complications.” Click Here


Reluctant patients, Hispanic men pose a costly challenge to the health system: “Many Hispanic men don't seek medical care soon enough and as the Hispanic population grows, some healthcare professionals are sounding an alarm. For reasons both economic and cultural, Hispanic men are loath to interact with the health system. Women across all races are more likely to seek care than men. But the gender gap in the Hispanic community is especially troubling to healthcare providers. Studies show that Latino men are much less likely than Latinas to get treatment.” Click Here


White Paper - Transforming the member experience starting with your contact center:

“Experts suggest that payers focus on call center success to build trust with members and improve the customer experience. By resolving member issues quickly, reps have smarter, more personalized relationships with customers — and a more complete view of their needs. Fill out the form to learn more. Click Here



People and Leadership Insights


Why effective leaders must manage up, down, and sideways:

“Strong team leadership isn’t enough. New research shows the importance—for business impact and career success—of also mobilizing your boss and colleagues.” Click Here


A Little-known Asset That Can Shape Your Hospital's Culture:

“A health system’s past forms its present-day values and strategy. Every hospital and health system has a history. Each underwent significant developments that occurred at critical junctures extending back to the organization’s beginning. Taken together, these developments lead to an array of institutional distinctions including core capabilities and points of differentiation. It is also out of that history that the values that constitute organizational culture emerge. Yet many, perhaps most, health care organizations remain ahistorical — they ignore a strategic asset of considerable importance.” Click Here





CMS' 2018 IPPS proposed rule: 9 things to know:

“CMS released its 2018 Medicare Inpatient Prospective Payment System proposed rule on Friday, which increases payments to acute care hospitals next year.  

The rule also includes proposed rates for long-term care hospitals. Overall, the proposed rule would apply to about 3,330 acute care hospitals and 420 long-term care hospitals. Here are nine key takeaways from CMS' proposed IPPS rule.” Click Here


Patient Satisfaction and HCAHPS - What It Means for Providers:

“As the healthcare industry shifts toward patient-centered models, providers will need to fully understand patient satisfaction measures and how they affect their practices.” Click Here



Affordability and Value


3 traits of good value-based payment programs:

“In order for value-based payment models to live up to their hype, they must generate more consistent benefits than they have so far, argue Jessica Farmer and Michael Hochman, M.D., of the Keck School of Medicine. Writing in MedPage Today, the authors cited “lackluster” data backing up the benefits of value-based reimbursement plans to date as a need for policymakers to focus their efforts on identifying and developing the traits that make successful programs work.” Click Here


What We Pay for In Health Care:

"Experts agree that at least one-fourth of our spending on health care in the U.S. is “wasted.” As we pause to take a breath after Congress failed to approve an alternative to the Affordable Care Act, it’s a good time to reconsider what we really want to pay for in health care.” Click Here


As Drug Costs Soar, People Delay Or Skip Cancer Treatments:

“Cancer patient John Krahne has delayed taking a prescribed cancer drug because it was too expensive. John Krahne received alarming news from his doctor last December. His brain tumors were stable, but his lung tumors had grown noticeably larger. The doctor recommended a drug called Alecensa, which sells for more than $159,000 a year. Medicare would charge Krahne a $3,200 copay in December, then another $3,200 in January, as a new year of coverage kicked in.” Click Here


RAND study: MACRA could cause $250B drop in hospital Medicare revenue by 2030:

"Depending on the amount of risk physicians choose to take on under the Medicare Access and CHIP Reauthorization Act, hospitals' Medicare revenue could drop by $250 billion by 2030 or it could increase by $32 billion, according to a study published in Health Affairs." Click Here


 Dr. Peter Pronovost: This unnecessary regulation doesn't benefit patients and costs $500M each year:

“The federal government requires preoperative testing before cataract surgery, which costs the healthcare system $500 million annually — but has no positive effect on patient health." Click Here





The devastating impact on a poor community when a rural hospital closes its doors: “Hospital closures have become an epidemic in rural communities across the country. More than 75 rural hospitals have closed since 2010 and the most recent projections from the National Rural Health Association indicate that 673 additional facilities are vulnerable to closure. But when one hospital closes its doors, the ripple effects are felt throughout the entire community.” Click Here


Spectrum's Award-winning Community Health Approach:

“It was a tough day at Union High School for Kim [not her real name]. The freshman was coming down with some kind of bug, but didn’t say anything to her mom who, as usual, was racing to get Kim to school before she headed to work. A pediatrician’s appointment would have cost them both the whole day, with offices a long drive from their home in Grand Rapids, Mich. Kim struggled through her morning classes, feeling worse every hour. “Why don’t you go to the school clinic?” her friend asked.” Click Here



Transformation and Safety


5 ways the healthcare industry can improve end-of-life care:

“Kathleen Sebelius, former secretary of the Department of Health and Human Services said she has personally seen end-of-life care at both its best and worst, as have many of the strategy group’s other members. And that was much of what drove their year-long discussions on how to improve end-of-life care, the results are in its report.” Click Here


6 Ways Kentucky Is Aiming to End the Opioid Scourge in 2017:

"The Bluegrass State governor, speaking at the National Prescription Drug Abuse and Heroin Summit, implores health care pros to go all out to end the wave of addiction and death. Bevin’s state of Kentucky — and the Appalachian region — has been ravaged by drug abuse and death in recent years. The commonwealth ranked third on the list of states with the highest rate of overdose deaths, behind West Virginia and New Hampshire, with 29.9 fatalities per 100,000 residents. Kentucky saw a 21 percent increase in opioid overdose deaths, year over year, according to the CDC.” Click Here


As MACRA Implementation Proceeds, Changes Are Needed:

"The main problem with MACRA implementation at this point is that the legislation assumed a health care infrastructure—in terms of meaningful performance measures, access to relevant data, and viable APMs—that does not yet exist.

As implementation proceeds, substantial changes are necessary to achieve meaningful payment reform and avoid presenting physicians and other providers with an untenable choice...” Click Here


Fentanyl is Coming’ for Your Community, Warns Massachusetts Senator:

“If deaths reach same levels as in commonwealth, tens of thousands will die, says Markey. That beast has already visited Massachusetts and countless other states and the havoc it's wreaking likely will grow worse, Sen. Edward Markey (D-Mass.) said during the opening keynote Tuesday here at the National Prescription Drug Abuse and Heroin Summit.” Click Here








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