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028 – How to Analyze the Health IT Market | Dexter Braff | The Braff Group – Part 1

To be understood, seek first to understand. It applies in life, and it applies when you're trying to gain traction with an innovative product, solution, or workflow in the Health IT market. Why? Because there are too many draws on your customers' attention. If you want them to take the time to understand you, then you'd better position yourself where they already are, or will soon be looking. In short, get to know your market. On this episode, we're talking with Dexter Braff, President of...

Duration: 00:52:24

027 - Health Benefits as a Strategic Opportunity | Chris Skisak | HBCH

Read this on the web Have you ever wondered why your employer buys your health insurance for you? They don't get involved in car insurance, home owners, etc. Why healthcare? To understand that, you have to go all the way back to World War II. When the federal government froze wages during WWII, employers needed a way to compete for employees. As it turned out, benefits weren't included in this freeze and became a great way to attract talent. And then, as often happens, inertia took over...

Duration: 00:48:20

026 – Community Governed Healthcare That Works | Jim Rickards MD, MBA

People like to say things like "If you've seen one healthcare system, then you've seen one healthcare system" or "every community is different". That may be true on some level, but these are really just excuses to keep doing things the same old way. In fact, most communities are exactly the same when it comes to the most important issues facing the U.S. healthcare system. If you pick any random community across the country and examine their healthcare delivery system, you'll find...

Duration: 01:02:10

QM02 – Digital Quality Measures 2.0 | Rick Moore | NCQA

On this episode, Rick Moore, CIO at NCQA, joins us for a discussion about what's next for digital quality measurement. Rick likes to call this Digital Quality Measures 2.0 and you can see it coming to life in NCQA's eMeasure Certification (eMC) program. The program aims to take burden away from health plans and auditors by establishing a process for generating standard supplemental data for HEDIS measures. This will enable software vendors, providers, HIEs and others to more effectively...

Duration: 00:58:03

024 – How to Listen Your Way to the Future of Healthcare | Dr. Chesley Richards | CDC

They say that civilization advances by extending the number of important things we can do without thinking about them. To me, that's the promise of technology and it's particularly true when it comes to artificial intelligence and machine learning. Still, not everyone sees it that way. Some worry that they'll be replaced. Others take offense to the fact that they're seen as replaceable. But just like the rise of ATMs led to an INCREASE in the number of bank tellers, we'll see AI drive...

Duration: 00:59:57

QM01 - Quality Measures: Past, Present and Future | John D'Amore - Diameter Health

On this episode, we talk with John D'Amore. John is Founder, President and Chief Strategy Officer at Diameter Health and has been working on Quality Measures in healthcare since the early 2000s. Yup, pre-EMR quality measures! John takes us on a fascinating journey from paper based quality measurement (see RHQDAPU... at least we've streamlined our acronyms!) to the dawn of electronic measurement. via the Electronic Medical Record (EMR). He explains why the single-EMR approach made sense in...

Duration: 00:55:49

022 - Quality Talks 2017 | Andy Reynolds | NCQA

Quality... What does that mean in healthcare? How can it be measured? Is it the same for everyone? Who gets to decide? These are just a few of the incredibly difficult questions that the healthcare industry is grappling with as we enter the age of value-based care. The decisions we make about quality in the coming years will have significant and lasting impact on the future of our industry. This is a conversation that's very much worth having. On this episode, we bring you another...

Duration: 00:34:50

021 - Building a Health IT Leadership Team | Drew Ramsey | Valor Partners

The healthcare industry has lots of problems, lots of money and is in a constant state of change. With those characteristics, it's no wonder startups are throwing their hats in the ring in increasing numbers. The theory is that they'll take some technology or process that's just killin' it in every other sector, apply it in healthcare and profit. The reality they find is quite different. Even with a great product, the notoriously long sales cycles, counter-intuitive financial incentives...

Duration: 00:45:48

020 - Take it to the Cloud: A Look at Hybrid Data Storage in Healthcare | Laz Vekiarides | ClearSky Data

The entire healthcare industry went digital in a very short time. We've barely got our arms around the mountains of data created every day in our transactional systems (i.e. EMR, Scheduling, RCM, etc.). Now the genomic, patient-generated and device-generated data is starting to flow. Take all that, mix it up with some HIPAA, a few parts ransomware, an uncompromising need for on demand data and reliability, the almost-dogmatic refusal to ever let go of a single piece of information, and the...

Duration: 00:46:46

019 – HITS Conference Preview w/ Dr. Christine Green and Dr. Kelly Reynolds

The most important thing we do on The #HCBiz Show! is confront reality. We don't complain about how things are, or how they ought to be. We know that's a dead-end. Instead, we examine our current situation and identify our obstacles. Then we come up with practical ideas for how to work through, under, around, or with those obstacles. That's the only reasonable approach for an innovator. Dealing with obstacles to Infection Control The Healthcare Infection Transmission Systems (HITS)...

Duration: 00:35:05

PD08 - The Patient Perspective on Provider Directories – Tam Ma – Health Access California

Healthcare is the most intermediated business in the history of the world. There's always someone, and usually several someones, in between the clinician and the patient. Similarly, while most of us working on the business of healthcare will enthusiastically agree that we do this for the patients, we spend very little time talking about them. Of course, I'm not referring to the "front-lines" of healthcare delivery (i.e. doctors, nurses, etc.) or even their immediate support team at the...

Duration: 00:40:28

PD07 - Going Deep on Provider Directory - Dave Marotz - Surescripts

How do you eat an elephant? One bite at a time. That may be the best advice I can give the healthcare industry at this point. On this episode, we talk with Dave Marotz, Director of Directory Services at Surescripts to break down the Provider Directory concept into its component parts... "capability style". We go deep on the technical and architectural hurdles that need to be overcome to progress Provider Directory. You'll learn about: Dave is a technical wizard when it comes to...

Duration: 01:04:11

PD06 - How to Tap Existing Processes for Provider Data | Martin Dunn | Gaine Healthcare

This week's guest is Martin Dunn, CEO of Gaine Healthcare. Martin frames up the current state of provider data and directory issues quite well with this quote: "It doesn't matter how much you regulate the docs, It doesn't matter how much you've threatened the docs. It doesn't matter how much you incent the docs to pull this information together for you. If you ask questions that are difficult to answer, difficult to understand, impossible to keep up with because the doctors and the...

Duration: 00:53:33

PD05 – Approaching Provider Directory as a Data Quality Problem | Andrew Kobylinski | BetterDoctor

Friedrich Nietzsche argued that there are no facts, only interpretations. It seems that this idea holds true for provider data too. Today's guest is Andrew Kobylinski, Head of Product at BetterDoctor. Andrew tells us that the provider directory issue is first and foremost a data quality issue. At the heart of data quality, he says, is metadata that explains where the information came from, what it means, when it was updated, and more. This metadata is the interpretation and without it,...

Duration: 00:51:45

014 - Accelerating Digital Health for Social Good | Christian Seale | Startupbootcamp Miami

Life can be hard for entrepreneur's in healthcare. Sure, we've seen an increase in Digital Health investment over the past few years, but it remains exceedingly difficult for new companies to prove their value, align with complex reimbursement models and get that first customer. That's where Digital Health Accelerators like Startupbootcamp Miami come in. They're in the business of aligning startups with specific customer needs, and in doing so, can help founders make big leaps in a short...

Duration: 00:46:54

PD04 - Are We Asking Providers the Wrong Questions? | Ron Urwongse | CAQH

On this episode, the fourth in our ongoing Provider Directory Series, we continue to unravel the "why" behind provider directory inaccuracies. One major theme that's emerged is that we have a context gap between health plans and providers. That is, even when we're asking the right people at the right time, we might be asking the wrong questions. Our guest, Ron Urwongse, a Senior Product Manager at CAQH, explains how adding a level of specificity to our questions can yield dramatically...

Duration: 00:40:59

PD03 - Provider Data: What is Known and What is Assumed? | Mark Martin - Availity

There are two kinds of Provider Data Explicit provider data comes directly from the providers, their groups or even their IT systems (i.e. EMR, RCM, etc). Since this data is coming from the source, it's assumed to be up-to-date and accurate. However, as we learned in episode 11 (PD-02) there are subtleties and complexities to consider. For example, there are scenarios where it's best to go straight to the provider and others where you must talk to the group instead. You see, there are...

Duration: 01:01:06

PD02 - A Provider-side Approach to Provider Directories plus SB-137 | Bill Barcellona (CAPG)

The national provider directory discussion is clearly focused on the patients and health plans. It focuses on the patients because they're the consumer of this information and without it, they can't make educated decisions when buying health insurance. The conversation focuses on health plans because they're the ones being held accountable for making the information available to consumers. To effectively address this issue, we also need to take a good hard look at things from the...

Duration: 00:45:36

PD01 - Provider Directories: How Hard Can This Really Be? | Don Lee and Shahid Shah

In 2016 we saw new provider directory regulations from CMS and several states, including the particularly "toothy" SB-137 in California. The new rules are intended to hold health plans accountable for any inaccurate and/or incomplete information in their provider directories. The national conversation is focused intently on the consumer side. That is, bad information makes it difficult for patients to make educated decisions when they select plans and can lead to access issues down the...

Duration: 00:45:08

IPAC-08 The Patient Hot Zone | Darrel Hicks

Darrel Hicks is internationally recognized as one of the subject matter experts in infection prevention and control as it relates to cleaning. He has written and published numerous articles in professional and healthcare related journals as part of his commitment to providing a cleaner, safer and healthier indoor environment. Darrel has a specific interest in soft surfaces and what he calls "The Patient Hot Zone". That is the hospital bed and the 36" around it. There are high-touch...

Duration: 00:31:15

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