Sunday, August 30, 2009
* patient eligibility
* lab results
* immunization history
* exchange of medical record information
Since medication history is based on pharmacy claims data, clinical data exchange will be possible starting this fall when medical record information exchange is offered as a service by MN HIE.
Monday, August 24, 2009
- Proactive management of chronic diseases
- Use for preventive services and screenings such as Pap smears, mammograms, colon cancer screening etc. for general patient population
- Increased compliance with recommended services
- Improved patient care
- Document performance as part of p4p activities
- Start small, pick a chronic condition that you want to improve
- Involve your practice staff. Get their buy-in and agreement before operationalizing the plan
Friday, August 21, 2009
There are those who suspect the power of health IT to significantly improve cost and quality of care. Quite likely they may also consider funneling multi-billion stimulus funding to HIT a colossal waste. Here is evidence that proves otherwise and might even force such detractors to rethink their opinion.
Results of a 5-year Medicare Physician Group Practice Demonstration study involving 10 large MD practices were published that attributed improved quality of care for patients with chronic diseases to use of HIT. This Medicare Physician Group Practice Demonstration study is also mentioned as the "first" P4P project to work directly with physician practices. Here are some impressive figures from this study.
* Geisenger improved care on all 32 categories that include continuing programs for diabetes and coronary artery disease, adult preventative care, and hypertension
* UM Family Practice group claims $2.9M in Medicare savings surpassing the CMS target
How did they get this done?
* Provided clinical decision support through alerts/reminders within the EHR
* Start small and then expand the program - First year focus on Diabetes. Congestive heart failure and coronary artery disease were included in second year. Hypertension in year three.
* Commitment of physicians and administrators within the practices
Reducing costs while improving care -- who says it can't be done!! Studies such as the one cited above have far-reaching consequences considering chronic diseases account for ~60% of the deaths worldwide and half of them can be prevented!