Quality Management: Empowering Payers, Health Systems and Providers to Achieve Optimal Clinical OutcomesApril 7, 2014
Organizations need a strategic and tactical approach to quality management if they are to achieve remarkably improved clinical outcomes. Successful quality management grows from fostering greater collaboration between payers and providers, engaging physicians and patients in healthy behavior change and driving optimization of quality measures within value-based care models. Lumeris offers five quality management lessons for payers, health systems and physician practices seeking to deliver high-quality, value-based care and achieve better clinical outcomes.
After failing dramatically in the late 1990s, Physician Practice Management companies (PPMs) are back, and with a strong value proposition. L.E.K. Consulting lays out the key strategies for PPM success in the current environment and asserts that the arrival of the next generation PPMs will provide many opportunities across the healthcare value chain; in this new chapter, everyone from payers to private equity investors can position themselves to benefit.
New hospital culture calls for high performers who have the skills and confidence to work well in diverse environment, manage complex technologies and medical equipment, as well as deliver high-impact patient care. One of the best ways a hospital can prepare new nurses is by offering an advanced onboarding process that is anchored by a nurse preceptorship program.
A successfully preceptorship program offers a supportive environment and three very significant fringe benefits?
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Many healthcare organizations believed that the electronic medical record (EMR) was the only technology needed to meet the objectives of accountable care. It became clear that while the EMR provides important information for population health management, additional technology is required. Population health management applications have emerged that provide integrated patient-level data (e.g., claims and clinical) from multiple sources that can be used at the point of care to improve decision making.
Get a free NDNQI® report on how to decrease hospital falls. Get Insight you can use to reduce falls in your hospital. You'll learn key statistics about falls, patient populations at risk, get details about a case study of Craig Hospital in Colorado that improved its falls data to near zero and benefit from specific tactics derived from studying five top-performing hospitals. Details of the six-year analysis methodology are also included.
In October 2013, S&P Dow Jones Indices (S&P DJI) launched the S&P Healthcare Claims Indices (the indices). This new index series is designed to provide an independent, timely measure of the changes in healthcare expenditures and utilization for individuals enrolled in commercial health insurance plans in the United States.
S&P DJI developed these new indices in conjunction with healthcare professionals at Health Index Advisors (HIA), a joint venture between the premier actuarial and consulting firms Aon Inc. and Milliman Inc. S&P DJI combined its knowledge and experience in developing leading indices with HIA's experience in the healthcare market to develop the first index series of its kind, based on actual healthcare claims data. These indices seek to increase transparency in the healthcare market and enable the analysis and tracking of changes in healthcare expenditures.
According to data from the National Commission on Certification of Physician Assistants, today more than 35,000 certified physician assistants (PAs) work in hospital settings. The PA workforce is growing quickly to help manage the expanding number of insured patients entering the health care system under the Affordable Care Act. Every week these PAs work approximately 1.5 million hours and see 2.5 million patients. Read about the roles and responsibilities these certified PAs fill in emergency departments, surgical subspecialties and hospital medicine.