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Access All of CMS’ Sessions at HIMSS15

Visit the CMS eHealth Events page to access all of CMS’ HIMSS15 program sessions. An overview of each individual session can be found below.

Sunday, April 12

  • Opening Keynote: CMS on Federal Quality Reporting (Session QU1): Dr. Kate Goodrich, Director of the Quality Measurement and Health Assessment Group, outlines 2015 clinical quality measurement and reporting requirements and how they align with quality performance and public reporting through CMS quality programs.

Monday, April 13

  • CMS EHR Incentive Programs Overview (Session 10): CMS provides an update on EHR Incentive Programs participation and gives an overview of the Modifications to Meaningful Use in 2015-2017 proposed rule.
  • CMS Meaningful Use Stage 3 Requirements (Session 40): CMS presents an outline of the proposed Stage 3 requirements.

Tuesday, April 14

  • Keynote: The Intersection of Quality and Innovation at CMS (Session 67): Dr. Patrick Conway, Chief Medical Officer, outlines how CMS envisions health IT as a key component of health care transformation.
  • CMS Quality Strategy (Session 86): Dr. Kate Goodrich presents the overall quality strategy for CMS, and explains how it will be used to achieve the agency’s vision.
  • CMS Quality Reporting Update (Session 116): CMS discusses 2015 CQM reporting requirements and provides an overview of the PQRS, IQR, HVBP, and VBM quality reporting programs.

Wednesday, April 15

  • CMS Future Directions in Quality Measurement (Session 131):Panelists discuss current challenges and the future of quality measurement and quality measure development.
  • CMS Meaningful Use Stage 3 and ONC 2015 Edition Certification Criteria Changes (Session 160): CMS and ONC provide an overview of the Stage 3 and 2015 Edition Health IT Certification Criteria proposed rules.
  • Improving Health Care Delivery through Collaboration with Lean Tools (Session 176): Industry experts outline how Lean tools have led to cost savings, increased collaboration, and provide high quality products.
May 18, 2015 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

HIMSS Formally Submits Comments on ONC on Nationwide Interoperability Roadmap

In an April 3rd letter to the Office of the National Coordinator (ONC), HIMSS submitted its final comments in response to ONC’s Connecting Health Care for the Nation: A Shared Nationwide Interoperability Roadmap.

In an April 3 letter to the Office of the National Coordinator (ONC), HIMSS submitted its final comments in response to ONC’s Connecting Health Care for the Nation: A Shared Nationwide Interoperability Roadmap.

HIMSS overall supports ONC’s tenets of the Interoperability Roadmap for an interoperable health IT infrastructure.  The Interoperability Roadmap lays out a plan that builds on what HIMSS has already invested in: standards that enable the foundation for interoperability today, and processes to test and certify that health IT systems implement those standards consistently and according to constrained implementation guidance.  In its comments, HIMSS is recommending ONC focus on six key ideas:

  • The plan put forth by ONC to advance interoperability requires well-coordinated governance processes that include involvement from federal partners, the private sector, payers, and the patient community, with robust incentives for each domain to buy-in to the process
  • Many of the timelines put forth in the Interoperability Roadmap for the three, six, and ten-year timeframes for critical actions are too aggressive and need to be reevaluated, with the exception of the privacy and security provisions
  • HIMSS applauds ONC for its person-centric vision in the Interoperability Roadmap that enables interoperability and empowers patients to demand that their providers and relevant health IT systems be interoperable
  • HIMSS does not support the idea that individual consent should be required for use and disclosure of information if individual consent is not required under applicable law
  •   Regarding security, HIMSS observes that healthcare, as a critical US infrastructure, needs support at many levels to keep data secure and to be positioned to address cyber threats
  •   HIMSS is committed to being a thought leader on interoperability and spurring the community and stakeholder groups forward

HIMSS is committed to continuing our role as a thought leader on advancing the principles described in our public comments and stands ready to work with ONC, federal partners, and all stakeholders to realize an achievable vision for interoperability and health information exchange.

HIMSS’ final comments are available here.

April 3, 2015 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

St. Patrick’s Day ICD-10 Codes

Wendy Aiken, Product Manager at ADP AdvancedMD, sent me a few ICD-10 codes that might come in handy during your St. Patrick’s Day shenanigans.

I25.810 Coronary Artery Bypass
Graft Corned beef and cabbage are staples at any St. Patrick’s Day celebration. But if eating too much red meat requires a different kind of CABG, use this code.

L25.2 Unspecified Contact Dermatitis
Due to Dyes Green beer, green clothes, green…well, everything. If someone’s skin is sensitive to the color of the holiday, this code could end up in his or her electronic health records.

H53.50 Unspecified Color Vision Deficiencies
Legend has it that leprechauns hide their gold at the end of the colorful rainbow. Color blindness may make finding the treasure difficult.

D50.8 Hypochromic Anemia
No doubt you may get sick of seeing all the green this St. Patrick’s Day. However, if a patient exhibits a greenish discoloration of skin, he or she may have the real “green sickness”—Hypochromic Anemia.

R44.1 Visual Hallucinations
Leprechauns are a fanciful legend for children. But if you see little green men running around, your doc may use this ICD-10 code.

F40.11 Social Phobia, Generalized
The Irish celebrate St. Paddy’s Day by gathering for large parties and parades. Not everyone loves the chaos of large groups, however. This ICD-10 code is perfect for anyone missing out on festivities due to their fear of crowds.

B27 Infectious mononucleosis
With so many shirts and pins reading “Kiss Me, I’m Irish”, there is bound to be some smooching going on. Irish or not, not all St. Patrick Day partiers will be lucky enough to avoid the “kissing disease.”

I42.6 Alcoholic cardiomyopathy
Drinking green beers year after year may put a hamper on the St. Paddy’s Days in the future. This code is used for what’s been called “beer-drinker’s heart.”

Y92.22 Religious Institution as Place of Occurrence
Some celebrants may observe the religious day of Saint Patrick in a more traditional way. This code may get some use if a trip to the cathedral results in injury.

March 17, 2015 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

Next Generation Accountable Care Organization (ACO) Model Fact Sheet

Overview

Medicare Accountable Care Organizations (ACOs) provide coordinated, high-quality care and better value to Medicare beneficiaries.  Building on experience from the Pioneer ACO Model and the Medicare Shared Savings Program (MSSP), the Next Generation ACO Model offers a new opportunity in accountable care—one that sets predictable financial targets, enables greater levels of financial risk so that providers have more opportunities to coordinate beneficiaries’ care, and maintains the highest of quality standards consistent with other Medicare programs and models.  This is in accordance with the Department of Health and Human Services’ “Better, Smarter, Healthier” approach to improving our nation’s health care and setting clear, measurable goals and a timeline to move the Medicare program — and the health care system at large — toward paying providers based on the quality rather than the quantity of care they provide to patients.  CMS is adding the Next Generation ACO Model to its existing portfolio of ACO models:

  • Medicare Shared Savings Program (Shared Savings Program)
  • Pioneer ACO Model
  • Advance Payment ACO Model
  • ACO Investment Model
  • Comprehensive End Stage Renal Disease (ESRD) Care Initiative

This document includes background information on ACOs, a summary of the Next Generation ACO Model, information on eligibility and the application process for the model, and general information on the CMS Innovation Center.

Medicare ACO Background

Medicare ACOs are comprised of groups of doctors, hospitals, and other health care providers and suppliers who come together voluntarily to provide coordinated, high-quality care at lower costs to their Original Medicare patients. ACOs are patient-centered organizations where the patient and providers are true partners in care decisions.  Participating patients will see no change in their Original Medicare benefits and will keep their freedom to see any Medicare provider.  Provider participation in ACOs is also voluntary.  When an ACO succeeds in both delivering high-quality care and spending health care dollars more wisely, it will share in the savings it achieves for the Medicare program.

The goal of care coordination is to ensure that patients, especially those with chronic conditions, get the right care at the right time while avoiding medical errors and unnecessary duplication of services.  Any patient who has multiple doctors has experienced the frustration of fragmented and disconnected care: lost or unavailable medical charts; duplicated medical procedures and tests; difficulty scheduling appointments; or having to share the same information repeatedly with different doctors.  ACOs are designed to lift this burden from patients, while improving the partnership between patients and doctors in making health care decisions.  Medicare beneficiaries will have better control over their health care, and providers will have better information about their patients’ medical history and better relationships with patients’ other providers.  For providers, ACOs hold the promise of realigning the practice of medicine with the ideals of the profession—keeping the focus on patient health and the most appropriate care.

Medicare beneficiaries whose doctors participate in an ACO will still have freedom of choice among providers and can still choose to see providers outside of the ACO.  Patients choosing to receive care from providers participating in ACOs also will, as in Original Medicare, have access to information about how well their doctors, hospitals, or other caregivers are meeting quality standards.

Summary of the Next Generation ACO Model

The Next Generation ACO Model is an initiative developed by the Center for Medicare & Medicaid Innovation Center (CMS Innovation Center) for ACOs that are experienced in coordinating care for populations of patients.  It will allow these provider groups to assume higher levels of financial risk and reward than are available under the current Pioneer Model and Shared Savings Program (MSSP).  The goal of the Model is to test whether strong financial incentives for ACOs can improve health outcomes and lower expenditures for Original Medicare fee-for-service (FFS) beneficiaries. Core principles of the Model are:

  • Protecting Medicare FFS beneficiaries’ freedom to seek the services and providers of their choice;
  • Engaging beneficiaries in their care through benefit enhancements that directly improve the patient experience and reward seeking care from ACOs;
  • Creating a financial model with long-term sustainability;
  • Utilizing a prospectively-set benchmark that: (1) rewards quality; (2) rewards both improvement and attainment of efficiency; and (3) ultimately transitions away from an ACO’s recent expenditures when setting  and updating the benchmark;
  • Mitigating fluctuations in aligned beneficiary populations and respecting beneficiary preferences by supplementing a prospective claims-based alignment process with a voluntary process;
  • Smoothing ACO cash flow and supporting investment in care improvement capabilities through alternative payment mechanisms.

The Next Generation ACO Model includes strong patient protections to ensure that patients have access to and receive high-quality care.  Like other Medicare ACO initiatives, this Model will be evaluated on its ability to deliver better care for individuals, better health for populations, and lower growth in expenditures.  In addition, CMS will publicly report the performance of the Next Generation ACOs on quality metrics, including patient experience ratings, on its website.

The CMS Innovation Center

The CMS Innovation Center was created by the Affordable Care Act to test innovative payment and service delivery models to reduce program expenditures while preserving or enhancing the quality of care for CMS beneficiaries.

Working in concert with the Shared Savings Program, the CMS Innovation Center is testing a number of ACO models and has sponsored learning activities that help providers form ACOs and improve their results.  More information on all of these initiatives is available on the CMS Innovation Center website at http://innovation.cms.gov.

Eligibility/Selection

CMS expects approximately 15 to 20 ACOs to participate in the Next Generation ACO Model with representation from a variety of provider organization types and geographic regions.  The Model will consist of three initial performance years and two optional one-year extensions.  Specific eligibility criteria are outlined in the Request for Applications found at the Next Generation ACO Model web page.

Application Process

For round one consideration, interested organizations must submit a Letter of Intent (LOI) no later than 11:59 p.m. EDT May 1, 2015.  Round one applications will be made available in March, 2015 and must be submitted electronically no later than 11:59 p.m. EDT June 1, 2015.  Round two Letters of Intent and applications will be made available in March, 2016.  The round two Letter of Intent must be submitted electronically no later than 11:59 p.m. EDT May 1, 2016, and the application no later than 11:59 EDT p.m. June 1, 2016.

To file an LOI and complete the online application, interested organizations may access the instructions at the Next Generation ACO Model web page.

CMS staff will review applications for the applicant organization’s ability to meet criteria identified in the solicitation.

Additional Resources

More information about the Next Generation ACO Model, including the Request for Applications, is available on the CMS Innovation Center website at the Next Generation ACO Model web page.  Any questions about the Model can be directed toNextGenerationACOModel@cms.hhs.gov.

March 10, 2015 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

Self Encrypting Drive Infographic

If you’re not encrypting your hard drives in healthcare, you’re just asking for a HIPAA penalty. If you want to learn more about the importance of encryption in general, check out this infographic:

Self Encrypting Drive Infographic

December 15, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

Ambir Scanning’s Total Cost of Ownership Infographic

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Full Disclosure: Ambir is an advertiser on the Healthcare Scene network of blogs.

November 13, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

The State of Hand Hygiene Compliance Infographic

DebMed recently announced the results of the Hospital Hand Hygiene report. They also put out this infographic which summarizes some of the findings:
The State of Hand Hygiene Compliance Infographic

October 20, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

Hand Hygiene Infographic from DebMed

The hand hygiene tracking company, DebMed, just released this hand hygiene infographic. It’s great to see technology being implemented to solve all sorts of healthcare problems.

Hand Hygiene Infographic

July 3, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

The Shift from Fee for Service to Outcomes-Driven Care Means Huge Opportunities

Sadly there’s no video of a presentation that Shahid Shah recently did, but the slide deck embedded in this post is well worth a look. I believe it was the keynote presentation at the VAR Healthcare event. The presentation is chock full of insights into what’s happening in healthcare and healthcare IT.

May 19, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

Obamacare and Nursing Quality Infographic

Everyone knows I love infographics. API Healthcare put one out with a bunch of data from a nurse staffing survey that they did with Harris Poll. In the poll they wanted to understand the perceived impact of healthcare reform on the quality of patient care provided at hospitals. I think you’ll enjoy.

API Healthcare Harris Survey Nursing Quality Infographic

April 25, 2014 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.