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Transforming Clinical Practices Initiative: Moving to the Medical Neighborhood

by: Anne Nita

In the United States, the healthcare system is perceived to be the key driver of health and health outcomes and usually serves as the focal point of efforts to improve health. The Centers for Medicare and Medicaid Services’ Transforming Clinical Practices Initiative (TCPI) is designed to improve the healthcare delivery system through the transformation of networks of physician practices. However, transforming the healthcare delivery system...

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Reporting Physician Quality to Medicare as an Accountable Care Organization

by: Kristen Webb, M. Ed., Lean/Six Sigma Certified Green Belt

Even among healthcare professionals, reporting physician quality can often be a confusing subject. Different entities have different quality requirements, and even within a single organization, different programs require reporting for different measurements to satisfy payment goals. Of course, as federal standards are often used as a baseline for all other programs, the Center for Medicare/Medicaid Services (CMS) requirements are most frequently discussed and, just as...

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Is Your Changing Market Environment Putting Pressure on Your Process Effectiveness?

by: Laura Buchanan, RN, BSN, MBA

Are your processes stagnant? Has your external environment shifted on you, requiring a review? Or, are you in need of a mini-process improvement methodology to help refine some of your work processes?  In coaching physician practices on transformation activities, many practices are using a quick and easy process improvement strategy taught by the Institute for Healthcare Improvement (IHI). This methodology is called PDSA.  PDSA stands...

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Moving in: How a Change in Location Affects More Than Your Address

by: Matt Dolson

To many of my friends, I am known as ‘the friend with a truck’. Many of you may be grinning, as you know this means I am the personal mover of choice whenever a friend is moving somewhere new. Needless to say, I am experienced in helping people organize themselves in a new space and in enhancing their ability to acclimate. Most recently I worked...

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Weight of the World

by: Laura Buchanan, RN, BSN, MBA

With all of the changes and challenges in healthcare today there is the sense of having the weight of the world on one’s shoulders. Whether you’re a CEO, CNO, COO, CIO, Middle Manager or front line supervisor, your plates are full already and you’re being required to take on more responsibilities. You ask – where am I to find the time to do one more...

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Getting Started on the Road to Transforming Clinical Processes

by: Laura Buchanan, RN, BSN, MBA

All facets of clinical practice, whether primary care provider, specialist, hospital, or post-acute, are facing the need to transform clinical processes sooner than later to avoid dings to Medicare Reimbursement. The effectiveness of a clinical encounter is having a more significant impact on quality outcomes for the patient and reimbursement to the healthcare provider than ever before. For example, with an acute care hospital discharge,...

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Where’s the value?

by: Dustin Wuest

It would be hard to find two topics that were discussed more in 2016 than value-based healthcare and the rising cost of pharmaceuticals.  For many of us, these topics represent the two largest disruptions to a market that we have seen in our lifetime.  As a person that strongly believes in disruption, I saw it fitting to write about both of these in the same...

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The Connection Between Quality and Payment Reform- Why Should I Care?

by: Alan Taylor

There is a lot of information circulating through various channels these days about healthcare reform, Obamacare, quality improvement, and reducing the cost of care.  Unfortunately, most of those are filled with acronyms and are written in a way that can only be understood by people in the healthcare profession.  In order to help identify why consumers of healthcare should be interested in healthcare quality and...

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Managing Change at the Individual Level to Effect Organizational Change

by: Lane Newsom

Change is hard.  Try a simple experiment – move your trash can to the other side of your kitchen.  How frustrating is it when you toss a banana peel onto the floor where the can used to live?  From another angle, how much more frustrated would you be if someone else had moved the can and never told you? On a much larger scale, when...

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New Regulations Lead to Innovation in Behavioral Health

by: Kristin Bollinger, PMP, CSM

As a business consultant with InfoWorks, one of my favorites aspects of my job is watching the evolution of our engagement with clients over the course of several years. We have had the pleasure of working with a behavioral health company, nationally recognized as a pioneer in serving individuals with intellectual and developmental disabilities, behavioral health diagnoses, and complex physical and medical conditions. This client...

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