Digitization of Care Plans Boosts Clinical Decision Making

Post on July 30, 2019 in Clinical Transformation, Digital Innovation & Analytics, and Insights

As technology continues to change how we practice medicine, hospitals and health systems should consider digitizing care plans to support providers in clinical decision making that is evidence-based and avoids unnecessary variation. Too often, providers rely on memory to create orders sets or develop pathways. This approach can lead to overutilization of tests or treatments ...Read More

Clinical Transformation

Post on June 25, 2019 in Clinical Transformation, and Events

Join us as Lumina’s Managing Principal Douglas Ardoin, MD, MBA, Managing Principal Lynda Mischel, and Principal John Malone explore how to achieve clinical transformation. Learn more and register here.

Reducing Clinical Variation to Drive Success in Value-Based Care, Part 2

Post on June 19, 2019 in Clinical Transformation, and Insights

Previously, we examined the issue of clinical variation reduction in terms of the stakes for value-based care. We also discussed two vital strategies for reducing clinical variation: physician engagement and implementation of risk-based analytics. Below, we describe two more key aspects of initiatives to reduce clinical variation. Deployment of Physician Scorecards Physicians, like most people, ...Read More

Top 7 Healthcare Trends Include a Focus on Risk, Development of Physician Leaders

Post on April 8, 2019 in Clinical Transformation, Digital Innovation & Analytics, Insights, Lumina Leadership Institute, and Value-Based Strategy

Nearly every aspect of the healthcare world is changing―constantly, unpredictably, and quickly. As stakeholders navigate their various paths, knowing what to expect can help with decision making about compliance, risk, cost, and more. We have identified 7 areas that healthcare leaders must navigate to stay ahead of change and remain agile, effective, and profitable. 1. ...Read More

Why Clinically Integrated Networks are Essential on the Journey to Value-Based Care

Post on January 24, 2019 in Clinical Transformation, Insights, and Value-Based Strategy

The implementation and use of clinically integrated networks (CIN) continues to be an essential strategy in the journey to value-based care. The healthcare delivery system continues to become more and more complex, with new technologies, ongoing changes in the competitive landscape with mergers, acquisitions, and partnerships, and challenging payer contracts that are heading to real ...Read More

The Benefits of Pursuing a Clinical Integration Strategy

Post on January 23, 2019 in Clinical Transformation, and Insights

Clinical integration emerged as a healthcare-delivery strategy in the late 1990s, when the Federal Trade Commission and the Department of Justice put forth guidelines to ensure that healthcare systems, hospitals, and physicians that were affiliated in larger structures could do so in ways that would serve the public interest and not be anti-competitive. The primary ...Read More

Securing Tertiary and Quaternary Service Lines: The Case for Community Care Integration

Post on January 17, 2019 in Clinical Transformation, and Insights

Financial challenges again rank No. 1 on the list of hospital CEOs’ top concerns, according to the American College of Healthcare Executives’ annual survey of top issues confronting hospitals. In addition, Moody’s recently confirmed its negative outlook for nonprofit hospitals, citing weak volume, reimbursement constriction, and increased numbers of Medicare patients. Financial issues are especially ...Read More

Why ACO Compliance Is a Crucial Element of Achieving Success in 2019

Post on January 8, 2019 in Clinical Transformation, and Insights

With recent changes to the Medicare Shared Savings Program (MSSP), all accountable care organizations (ACOs) need to pay closer attention to their compliance obligations and be prepared to make changes quickly. Each time the Centers for Medicare and Medicaid Services (CMS) updates its MSSP rules, as it did in 2016, it frequently follows these changes ...Read More

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