Posts Tagged ‘EHR’
Predictable Reporting: 13 sites, 7 EHRs, 65 measures submitted to State Medicaid
A state HIE needed to find the most efficient path to meet quality reporting targets where each provider site had data that matched up differently against potential target measures. Lantana determined the shortest pathway to predictable, reliable reporting for each site. Our clinical analysts schematized the requirements across the set of potential measures, then assessed…
Read MoreImproving Hospital Quality and Accountability through Public Reporting
Collecting and analyzing quality of care and payment data is central to the shift from volume to value-based care. Reporting the results publicly is essential to the government’s mission to put the consumer at the center of this transformation. Lantana has provided key services at each stage of the data collection, analysis, and reporting process.…
Read MorePatient-Generated Health Data and EHR Integration
The PGHD Revolution With the rise in popularity of mobile health apps and wearable technology, the volume of patient-generated health data (PGHD) is rapidly outpacing providers’ ability to incorporate it into care. In fact, almost half of U.S. smart phone owners report using a mobile health tracking app. These new technologies create data that health…
Read MoreCDA in the Wild: Conclusion (Installment #8)
Clinical Documents were never meant to hold 10 pounds of coded data. CDA is a 5-pound bag, containing the actual words, either written directly by a clinician or spoken and transcribed, with the minimal coding necessary for the use case.
Read MoreWhat Eligible Clinicians Need to Know About Proposed Changes to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)
The Medicare Access and CHIP Reauthorization Act of 2015 changed the way Medicare rewards clinicians for providing quality care. CMS released a proposed rule in April 2016 to carry out key provisions of MACRA and implement two payment paths available to “eligible clinicians” (EC) as part of the proposed “Quality Payment Program”: (1) the Merit-Based Incentive Payment System and (2) the Alternative Payment Model Incentive. The proposed “Quality Payment Program” replaces the Sustainable Growth Rate (SGR) formula for paying eligible clinicians based on value and quality of care, which aligns with CMS’s goal to replace Fee-for-Service (FFS) volume-based payment with a value-based system.
Read MoreCDA in the Wild: Coded Data Issues (Installment #6)
This week, I have left the bush behind and retreated to the comfort of my office. I am attempting to decode the works of the famous biologist Brice Schneuer, who spent the later part of his career dedicated to Wild CDA research. Although he published many authoritative works on the species, Schneuer jealously…
Read MoreConsolidated CDA: Pursuing Continuous Improvement
Recently, I helped a team of HIT vendors implement an experiment to study the new HL7 Consolidated CDA (C-CDA) Care Plan Document template. This template includes constraints on a base standard, called HL7 Clinical Document Architecture (CDA), to meet the requirements for care plan information sharing. The CDA standard is a draft standard for…
Read MoreCDA in the Wild: Validation and Schematron (Installment #4)
It has been weeks since our last episode. Frankly, the sight of that genetically mutated Wild-CDA/North-American-XHTML hybrid left my team so repulsed that many could not continue. But after discussing the importance of this work, and a few crew changes, we are back in the field. And we are documenting something never seen…
Read MoreMIPS
Earlier this quarter, CMS came out with a rule that establishes a new methodology for MIPS eligible providers and encourages eligible professionals to participate in APMs. Lantana supports several stages in the value-based purchasing information lifecycle, and we have a sharp interest in the success of these programs as a transformative agent for healthcare. Our…
Read MoreCDA in the Wild: Validation – XML Schema (Installment #3)
During our last episode, we stumbled upon a wild CDA lying dead in the grass. Not wanting to pass up such an opportunity, we decided to dissect the beast to uncover the cause of death. The immediate cause turned out to be a malformed end tag that resulted in catastrophic system failure. Further…
Read MoreCDA in the Wild – Introduction
Shh…
…beyond the bushes ahead you will see the Wild CDA in its natural habitat…
Lantana Consulting Group presents the first installment of CDA in the Wild by Rick Geimer, a blog series that identifies top errors found in CDAs (and how to fix them).
Are Meaningful Use Stage 2 certified EHRs ready for interoperability? Findings from the SMART C-CDA Collaborative
Upgrades to electronic health record (EHR) systems scheduled to be introduced in the USA in 2014 will advance document interoperability between care providers. Specifically, the second stage of the federal incentive program for EHR adoption, known as Meaningful Use, requires use of the Consolidated Clinical Document Architecture (C-CDA) for document exchange. In an effort to…
Read MoreProposed Delays to 2014 Meaningful Use Timeline & and Changes to Certified Electronic Health Care Technology (CEHRT). How will you be affected?
Today, CMS announced proposed changes to Medicare and Medicaid electronic health record incentive program timeline for 2014 and revisions to the CEHRT definition. As a courtesy, Lantana put this summary together outlining the changes and how they may affect vendors and care providers. The full fact sheet can be found here. Why the change? CMS…
Read MoreSetting the Standard: EHR Quality Reporting Rises in Prominence Due to Meaningful Use
In this article, published in the January 2014 Journal of AHIMA, thought leaders from Lantana Consulting Group and HHS’s Centers for Medicaid & Medicare (CMS) discuss the industry mandate to measure the quality of care provided to patients. The ability to measure healthcare relies upon standard data and data formats for electronic health records (EHRs) under the…
Read MoreSMARTPlatforms.org: “C-CDA Endoscopy, or Improving Clinical Document Exchange” by David Kreda and Joshua Mandel
In 2014, the industry will see wide-scale production and exchange of Consolidated CDA documents among healthcare providers. Indeed, live production of C-CDAs is already underway for anyone using a Meaningful Use 2014 certified EHR. C-CDA documents fuel several aspects of meaningful use, including transitions of care and patient-facing download and transmission. SMART Platforms Project is…
Read MoreHL7 NLM Interoperability Survey
HL7 commissioned this survey under its EHR contract with the National Library of Medicine (NLM). The objective was to identify areas for leadership in standards and tool development that would accelerate adoption of exchange networks in the U.S.
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