Getting Creative with Data to Improve Outcomes
How can the industry help providers use quality data to identify social determinants of health affecting their patients to optimize preventive care and get ahead of health issues their patients may experience rather than waiting for those issues to surface?
New Licensure Compact Could Boost SDOH, Behavioral Health Outreach
The U.S. Department of Health and Human Services’ Health Resources and Services Administration (HRSA) is issuing four grants worth a collective $2.5 million through the License Portability Grant Program (LPGP) to create a multi-state social worker licensure compact. Through the compact, license social workers will be able to practice in member states without the need to apply for a license in each state.
The 600 Pathways Yale New Haven Health Takes to Improved Care Delivery
Decreasing variation has been a central goal of quality improvement since W. Edwards Deming pioneered the concept in the Toyota Production System in the 1970s. In care delivery, research has shown the consequences of inappropriate variation include underusing needed services, overusing unwarranted services, higher costs, and worse clinical outcomes.
Improved Care Coordination with AI and Automation
Providers will increasingly look to AI and automation to drive operational efficiencies, improve care coordination and patient flow, relieve workers’ stress, enable staff to work at the top of their licenses, and enhance patient engagement.
ABQAURP News June 2024
Here’s the June 2024 newsletter from ABQAURP.
Adopting AI the Right Way in Healthcare
Much of the power of AI analysis depends on data integrity, but the industry has already seen that patient-matching errors alone threaten the accuracy of AI outputs. In fact, 57% of healthcare leaders surveyed believe patient-matching errors will reach a crisis level in the next five to 10 years.
How Providence Reduced Sepsis Deaths 3 Years in a Row
The health system has more than doubled use of a standardized order set for sepsis patients. The primary elements are blood work and tests used to diagnose sepsis, administration of antibiotics, intravenous fluid resuscitation, and management of hypotension. Providence now uses the order set for 76% of patients presenting with sepsis and hopes to raise that rate to 80%.
CMS Pushes Organizations to Improve Star Ratings and Quality of Care
Medicare Advantage plans often face a range of challenges in maintaining and improving their Star Ratings—everything from member churn to aging membership to increased competition. But moving from a 3.5-star to a 4-star rating can result in an average additional $400 per member per year.
IU Health has Reduced Healthcare-Associated Infections by Nearly 50%
Healthcare-associated infections are a key element of patient safety, which is a top concern for CMOs. Health system and hospital CMOs can learn from IU Health’s success in reducing healthcare-associated infections.
Health Plans Have an Engagement Problem, but Care Providers Can Help
Care collaboration can make all the difference in how, where, and whether a member receives care. By leveraging the doctor-patient relationship, health plans have the opportunity to reach the members in a way that positively impacts their health and potentially their costs.