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Health Management Technology News
  June 24, 2014
In this issue:
 
 HMT exclusive: The 10 commandments for engaging and aligning physicians

 New health chief revamps HealthCare.gov

 Intel-GE Care Innovations and OSF HealthCare Integrate research programs

 Google Ventures’ Bill Maris on moving medicine out of the dark ages

 $800,000 HIPAA settlement in medical records dumping case

 Legislation introduced to ease readmission penalties on some hospitals

What you need to know about ICD-10
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Seven Strategies to Improve Patient Satisfaction
Hospital reimbursements are now influenced, in part, by patient satisfaction scores. Read about seven areas to target in your hospital for happier, more satisfied patients.

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HMT exclusive: The 10 commandments for engaging and aligning physicians

What do the following numbers have in common? 30%, $2.4 trillion, 12 minutes, and 1.8 million The answer is physicians.

According to the Dartmouth Atlas Study, at least 30% of resources spent on healthcare have no impact on patient care.

About 80% of the annual US healthcare spend, roughly $2.4 trillion, is allocated based on decisions made by physicians.

The national average for the amount of time the typical physician is able to spend with a patient is 12 minutes.

Of 1.8 million scientific academic articles published annually, half of the articles are only ever read by the author and the journal editor.

Given the above, it is clear that getting and keeping physicians’ attention is not only critical, but it’s also very hard. And influencing their decisions is even harder. Regardless, aligning physicians to make decisions that reduce variation and achieve the “Triple Aim” of delivering high quality, cost-effective care that meets patients’ expectations is a challenge every hospital or health system is faced with.

Read the full exclusive article from Health Management Technology here  

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New health chief revamps HealthCare.gov

Moving to prevent more insurance chaos this fall, the nation's new health care chief on Friday revamped the management of HealthCare.gov.

Health and Human Services Secretary Sylvia Burwell appointed a new high-level operations manager to closely supervise the online portal to coverage under President Barack Obama's health care law.

She also announced that she's hiring a CEO and a technology leader to specifically handle all aspects of the health law's coverage expansion. The CEO would be able to take concerns directly to Burwell.

The changes will "further instill ongoing accountability for reaching milestones, measuring results and delivering results for the American people," Burwell said in a statement.

"This is a good move that should have occurred two years ago," said Robert Laszewski, an industry consultant often critical of Obama's overhaul.

Read the full article from Yahoo News here  

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Intel-GE Care Innovations and OSF HealthCare Integrate research programs

Intel-GE Care Innovations announced a partnership with Illinois-based OSF HealthCare to use Jump Trading Simulation & Education Center (Jump) to generate new insights and evidence-based care plans obtained by the connection of patient data from the home with data collected in clinical settings. Initially, the research will focus on at-risk populations that have an opportunity for improvement through better patient management in the home environment. Care Innovations will work with Jump’s innovation center to define and study different approaches that leverage data from the home to improve outcomes and cost effectiveness in caring for specific populations.

Care Innovations collects frequent and diverse information from a wide array of sensors and data sources on consumers outside of the clinical setting. The collaboration with OSF will focus on integrating activities of daily living (ADLs) data, such as how often someone gets out of bed in the middle of the night or if someone regularly takes his/her medications, with biometric, clinical data, such as weight, blood pressure, and blood sugar levels, and outcomes data from electronic medical records (EMRs). Care Innovations and OSF intend to bring together these disconnected sources to provide patients, family caregivers, and clinicians a more complete and accurate picture of a patient’s health and daily life, as well as effective intervention and care plans. As part of this program Care Innovations will leverage advanced technology solutions to collect, aggregate, and analyze the data.

“Today, most clinicians have a limited or inaccurate view of the daily lives of their patients, which inhibits the advancement of effective, cost-efficient care. Seamless integration of data from the home with research and everyday medical care will help clinicians and other healthcare providers design and implement population health programs that work,” said Sean Slovenski, chief executive officer at Intel-GE Care Innovations.

Read the full press release here  

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Google Ventures’ Bill Maris on moving medicine out of the dark ages

Google Ventures made health startups a sizable part of its portfolio from the earliest days, even as other investors avoided the space in recent years.

Venture capital funding for the life sciences sector dropped by $5 billion from 2008 to 2012 and was basically flat last year, according to market reports. But the search giant’s venture arm, established in 2009, has steadily plugged money into companies throughout the space, including: 23andMe, Adimab, DNA Nexus, Doctor on Demand, Foundation Medicine, Flatiron Health, iPierian, One Medical Group, Predilytics, Rani Therapeutics, SynapDx and Transcriptic.

Some of the bets have started to pay off. Foundation Medicine raised $100 million in an initial public offering in 2013. Earlier this year, Bristol-Myers Squibb bought portfolio company iPierian in a deal that could be worth up to $725 million.

The focus on the space at least in part reflects the background of Google Ventures’ Managing Partner Bill Maris. He studied neuroscience at Middlebury College and neurobiology at Duke University. In his early career, he was the health care portfolio manager at Swedish investment firm Investor AB.

Read the full article from recode.net here  

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$800,000 HIPAA settlement in medical records dumping case

Parkview Health System, Inc. has agreed to settle potential violations of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy Rule with the U.S. Department of Health and Human Services Office for Civil Rights (OCR). Parkview will pay $800,000 and adopt a corrective action plan to address deficiencies in its HIPAA compliance program. Parkview is a nonprofit health care system that provides community-based health care services to individuals in northeast Indiana and northwest Ohio.

OCR opened an investigation after receiving a complaint from a retiring physician alleging that Parkview had violated the HIPAA Privacy Rule. In September 2008, Parkview took custody of medical records pertaining to approximately 5,000 to 8,000 patients while assisting the retiring physician to transition her patients to new providers, and while considering the possibility of purchasing some of the physician’s practice. On June 4, 2009, Parkview employees, with notice that the physician was not at home, left 71 cardboard boxes of these medical records unattended and accessible to unauthorized persons on the driveway of the physician’s home, within 20 feet of the public road and a short distance away from a heavily trafficked public shopping venue.

As a covered entity under the HIPAA Privacy Rule, Parkview must appropriately and reasonably safeguard all protected health information in its possession, from the time it is acquired through its disposition.

“All too often we receive complaints of records being discarded or transferred in a manner that puts patient information at risk,” said Christina Heide, acting deputy director of health information privacy at OCR. “It is imperative that HIPAA covered entities and their business associates protect patient information during its transfer and disposal.”

Read the full press release from HHS here  

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Legislation introduced to ease readmission penalties on some hospitals

Bipartisan legislation has been introduced that would require Medicare to consider hospital patients' financial status when deciding whether to punish a hospital for too many readmissions, according to a Kaiser Health News report.

The legislation was introduced to address lawmakers' concern and healthcare organizations' complaint that hospitals serving large numbers of low-income patients are more likely to be penalized under the readmission reduction program, as Medicare currently does not allow regulators to take socio-economic status into account.

The readmission reduction program, which was established by the Patient Protection and Affordable Care Act, took effect in fiscal year 2013. During the first year, CMS cut Medicare reimbursement by up to 1 percent for 2,213 hospitals with high readmission rates for heart attack, heart failure and pneumonia. The second round of penalties started Oct. 1, 2013, and CMS cut reimbursement for 2,225 hospitals in 49 states by up to 2 percent.

According to the reduction program, a readmission occurs when a Medicare patient is readmitted to the same or another acute-care hospital within 30 days of discharge, with certain exceptions such as transfers to another hospital and planned readmissions for chemotherapy, rehabilitation or other treatment. CMS penalizes hospitals for readmissions exceeding a hospital's expected readmission rate, which is the national mean readmission rate risk-adjusted for demographic characteristics and the severity of illness for a particular provider's patients.

Read the full article from Becker’s Hospital Review here  

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June 2014  HMT digital book

White Papers

What you need to know about ICD-10

Seven Strategies to Improve Patient Satisfaction

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Industry News

Secretary Burwell announces steps to bolster management and accountability

AMA outlines ways to address physician shortages

AMA adopts telemedicine policy to improve access to care for patients

CMS: Opportunity to apply for Navigator grants

AMA adopts policy to define team-based medical healthcare


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