Group Practices
Group Practices Feature Story
With new revenue integrity technologies, health plans and payers are more effectively controlling costs and identifying fraud.
Just like their healthcare provider colleagues, health plans and payers have a fiduciary responsibility to spend hard earned premium dollars both fairly and wisely. A vigorous approach to maintaining revenue integrity is, of course, good business. But it’s also supposed to benefit patients and healthcare professionals. Given that annual healthcare expenditures are approaching
$2 trillion, the stakes are enormous and, from the perspective of the individual, these high costs leave absolutely no room for inaccuracy. When undetected, most errors and fraud count against someone’s annual deductible or lifetime limit on benefits. Dollars squandered today can mean financial risk tomorrow.
A healthcare system implements an automated patient outreach solution, increasing proactive appointment scheduling.
Today’s focus on quality of care has a far-reaching impact on medical practices throughout the country. Driven by a commitment to improving patient health and by emerging payer incentives, physicians are exploring clinical and operational strategies to increase the number of patient visits for screenings and preventive care. Medical Associates Health Center (MAHC) consists of 90 providers at 12 locations throughout southeastern Wisconsin, and was among many practices challenged with finding effective methods for prompting patients to schedule recommended services.
A Georgia medical center introduces lean processes to streamline workflow.
At Meadows Regional Medical Center (MRMC) in Vidalia, Ga., it is my goal as CEO to have our employees think about our business holistically rather than just focus on doing their jobs in silos. In so doing, I believe we can increase patient satisfaction, reduce costs and decrease the opportunity for errors.
Second generation CDS goes beyond the basics to become intuitive.
On a busy Friday night, a patient presented with shortness of breath in the emergency department (ED) at Boston's Brigham and Women's Hospital, where I serve as attending physician. After examining her, I immediately considered that she might have had a pulmonary embolus. I entered an order for a CT scan with intravenous contrast dye into the patient's electronic health record (EHR), but received a notice from the clinical decision support (CDS) system that the patient also suffered from renal failure and might experience kidney damage as a result of the intravenous dye.
A new PM system improves practice performance with time-saving functionality and robust appointment scheduling features.
Sooner or later, medical groups that still rely on aging practice management (PM) systems that run on older technology platforms have to face up to the necessity of investing in a new system based on current technology. Systems that may have provided adequate performance when first installed years ago are just not up to the intensifying data management demands of a modern group practice today. Poor IT performance hinders the efficiency of essential business operations, and inefficiencies constrain practice growth and threaten profitability.
A thriving hospital streamlines its care management department with a Web-based ASP solution and benefits from shorter length-of-stays.
Effective case management is the cornerstone of promoting quality care and achieving cost-effective outcomes at every hospital. The collaborative nature of case management, from admission through discharge and beyond, affects the health of both the patient and the hospital. At Good Samaritan Hospital (GSH), we have a long-standing history of providing quality healthcare and services to the communities of northeast Baltimore. As one of Maryland's fastest-growing hospitals, we cannot afford to fall behind in our caseload, utilization, quality and discharge management processes.
Maximizing technology implementations in healthcare through value management.
Let's say your 500-bed hospital is generating $500 million in revenue. If your organization is like others, margins are hovering between 2 and 5 percent for a revenue surplus of $10-25 million. Can your CPOE project add 1 percent or $5 million to the bottom line? Can you afford to spend $10 million without a specific and direct path to achieving that value?
Live decision support-enabled EMR reduces obstetric medical professional liability with best-practice protocol.
Malpractice can affect healthcare executives so profoundly that merely uttering the word around them can be like running through 14th century Europe shrieking, "The plague is here!" However, regardless of how distasteful the word may be, the sobering realities of medical professional liability can be proactively managed and effectively mitigated. MedStar Health, a $2.9 billion, multi-hospital, integrated healthcare delivery system based in Columbia, Md., found that an electronic medical record (EMR) solution offering live decision support would aid in lowering that liability risk factor and was the solution they were looking for.
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