Healthcare Trends & Implications – Part 1 of 2 | Healthcare Trends & Implications – Part 2 of 2
In a two-part series, Impact Advisors looks at the ten key trends shaping a rapidly evolving health delivery landscape – and the implications of each trend for provider organizations. “Part 1” covers disruption, alternative settings of care, the patient experience, M&A, and financial pressures. “Part 2” covers interoperability, cyber-attacks, IT regulations, innovation, and emerging technologies.
POSTED NOV 2018
Implementation Considerations for Operational Change Management
As organizations transition to an Electronic Health Record (EHR), changes to clinical and operational workflows can be challenging. When defining the scope of an EHR implementation, an organization must consider clinical and patient safety benefits, regulatory requirements and impact on the revenue cycle, among other things. This white paper examines some of the more significant changes, the challenges they present, and strategies to socialize these changes prior to implementation.
POSTED AUG 2018
Optimizing the General Ledger
Typically, the General Ledger is treated like the ‘ugly stepchild’ of Revenue Cycle optimization, often neglected until the last minute. Impact Advisors describes a new, proven approach, involving a different timeline and a different team.
POSTED AUG 2018
Ensuring Effective Physician Engagement: Five Tips for an EHR Implementation
Physician involvement and preparedness are among the strongest factors influencing the overall success or failure of an Electronic Health Record (EHR) implementation. Without robust physician engagement and adoption, hospital leadership cannot fully realize the value of their substantial investment in the new enterprise clinical system.
POSTED MAY 2017
Choosing High Value Optimization Projects: The IMPACT Clinical Performance Assessment
In early 2014, HIMSS released its HIMSS Leadership Survey results, in which CIOs reported that their primary focus was on meeting meaningful use and completing ICD-10 conversions, with a smaller emphasis on expanding population health and health information exchange (HIE) capabilities. Just 19% of CIOs at that time responded that their health systems had a significant focus on EHR optimization. A similar survey conducted in early 2017 showed that EMR optimization had moved to the top of the CIO priority list for capital investment over the next three years.
POSTED MAY 2017
The MACRA Final Rule: Key Takeaways on MIPS and Advanced APMs
On October 14, 2016, CMS published a highly anticipated Final Rule that makes significant changes to the way ambulatory clinicians will be reimbursed by Medicare. The Final Rule implements two major provisions that were established by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), the Merit-Based Incentive Payment System, or MIPS and Alternative Payment Models (APMs). This primer shares a summary of and the key takeaways on those provisions.
POSTED DEC 2016
Realizing Clinical Benefits from EHR Investments
While most health systems have now implemented an electronic health record (EHR), a large percentage of organizations have failed to realize the expected benefits from EHR implementation. A late 2015 CHIME survey of health system CIOs indicated that 60 percent of health systems surveyed had not realized positive benefits from their EHR implementation and 70 percent have made realizing expected benefits from the EHR a top strategic priority for this year.
POSTED SEP 2016
Cutover Plan: The Missing Link to a Successful Go-Live
Healthcare organizations today are spending months if not years planning for software projects. The project plan will always include build timelines, training, command center and staff support, as well as steps for optimization. This primer outlines how a well-designed, reviewed, and constantly adapted Cutover Plan will lead to a successful go-live and end-user satisfaction.
POSTED JUN 2016
The MACRA Proposed Rule on MIPS and APMs: Summary and Key Takeaways
On April 27, 2016, CMS published a highly anticipated Proposed Rule that makes significant changes to the way ambulatory clinicians will be reimbursed by Medicare. Under the rule, payment “adjustments” to a provider’s Medicare reimbursement would begin in 2019, but those bonuses and penalties would be based on performance in 2017. The proposed rule addresses two major provisions that were established by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA): The Merit-Based Incentive Payment System, or MIPS, and incentives for clinicians to participate in Alternative Payment Models (APMs).
The primer, The MACRA Proposed Rule on MIPS and APMs: Summary and Key Takeaways, is focused on key findings and takeaways from those provisions.
POSTED MAY 2016
Transforming Clinical Care: Why Optimization of Clinical Systems Can’t Wait
In January 2015, the Department of Health and Human Services (HHS) announced new goals for value-based payment. By the end of 2018 they expect 50% of Medicare payments to be tied to alternative payment models, and 90% of Medicare fee-for-service payments to be tied to quality. The announcement of these new goals signaled HHS’s desire to rapidly accelerate value-based payment, and they encouraged private payers to follow suit by meeting or exceeding HHS goals. This white paper explores what preparations organizations need to begin now in order to succeed in the new paradigm.
POSTED MAY 2016
Components of a Comprehensive Legacy Data Management Strategy: Challenges and Strategic Considerations
Prior to go-live of a new enterprise EHR, there are many important decisions that need to be made about legacy data. Which data will be electronically converted directly into the new EHR? Which data will need to be manually abstracted into the system? How will the organization address archiving historical data from the legacy EHR to meet state and federal requirements? To minimize the disruption caused by an EHR replacement and ensure the transition does not jeopardize patient safety, Legacy Data Management strategies ideally need to encompass three distinct areas: Electronic Data Conversion, Manual Data Abstraction, and Legacy Data Archiving.
POSTED MAY 2016
Healthcare Information Security Adoption Model (HISAM)
CLICK HERE to download the HISAM self-evaluation tool
Information security is a major concern for all healthcare organizations. The myriad of government and industry regulations make it hard to know where you stand in terms of information security and what improvements are needed to protect your organization against threats. Impact Advisors’ Healthcare Information Security Adoption Model (HISAM) is a tool that enables healthcare organizations to quickly measure current security posture, set goals and budgets for improvement, and track progress over time. A comprehensive assessment tool, the HISAM describes seven levels of security preparedness across three categories: Awareness, Technical and Behavioral.