By Robert Rowley MD – Utilization Management (UM) is ubiquitous in healthcare. It is a system of authorizations for procedures and some referrals, for the determination of medical necessity vs. elective, cosmetic or experimental procedures, for determining bed-day allowances in hospitals, and for establishing preferred drug formularies.
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By Mark Grenga – As technology remains at the forefront of prominent healthcare trends, growing mHealth Solutions and global telemedicine markets have reified the predictions of many who previously envisioned the healthcare industry’s tech driven evolution.
By Mike Miranda – The healthcare system is taking full advantage of Business Intelligence tools, such as Data Discovery Software. This newer generation of BI tools is dramatically empowering healthcare facilities around the world to aggressively forge ahead with ultra-enhanced efficiency and performance at macro and micro-levels, alike.
CMS proposed to revise the discharge planning requirements that hospitals, including long-term care hospitals and inpatient rehabilitation facilities, critical access hospitals, and home health agencies, must meet in order to participate in the Medicare and Medicaid programs.
By Lisa Gouin – As if EHR implementation, Meaningful Use and PQRS aren’t enough, now you want me to do Patient Centered Medical Home and a complete practice transformation…just one more thing to do, PCMH! This phrase, uttered by many providers, managers, administrators and staff, was most likely your response as well.
By Nancy Pratt – We are currently at a crossroads in the healthcare industry. Executives are working overtime to try to figure out how to connect and integrate data to best support clinical practice and patient care management. With health systems concerned about balancing both needs, they now need to figure out how to leverage data to get the best value out of their investment.
By Sarianne Gruber – The aging population in the US brings with it special concerns that will inevitably change the focus of many healthcare providers and organizations. Press Ganey, a leader in patient experience measurement, released last month its newest research on Patient Experience in the Very Elderly: An Emerging Strategic Focus.
By Sarianne Gruber – The PerfectServe survey, A Study of the Role of Communications in Population Health Management, quantifies and qualifies the challenges that medical and healthcare professionals face trying to communicate with each other given the multitude of hi-tech options.
The application period is now open for a new Request for Proposals from MeHI, the Massachusetts eHealth Institute at MassTech, to increase the effective use of Electronic Health Records (EHRs) in the Long-Term and Post-Acute Care (LTPAC) sector.