A Guide to Population Health – Part 1: Technology

Since healthcare has moved to value-based reimbursement and downside risk, provider and payer organizations have named population health management (PHM) a top priority. Benefits of true PHM include, delivering high-quality care while reducing costs and preventing unnecessary admissions for defined patient groups. Such groups may be based on contracts, chronic conditions, event types, or any other commonality. Executing PHM is only possible with complete visibility. Visibility into what’s going on outside the exam room is such a high priority that, “Ninety-three percent of healthcare providers believe population health will have a significant impact on their organization within the next two …

Gaining Patient Buy-in for Chronic Care Management

Medicare patients who have two or more chronic conditions account for 93% of total Medicare spending. These patients are found to have higher rates of hospitalizations, pharmacy utilization, and specialist utilization, which increases costs for all stakeholders. Basics of CCMChronic care management (CCM) is a separately billed, non-face-to-face CMS covered service that is designed to be delivered through the primary care setting. To participate in the Medicare program, the patient must have two or more chronic conditions (conditions lasting more than 12 months or until the death of the patient). Physicians are given financial incentives from CMS to talk with …

What it Takes to Make a Sustainable HIE

By definition, health information exchanges (HIEs) allow clinicians and patients to have secure access to patient data across disparate healthcare systems. HIEs still have various obstacles, one being that most state HIEs were formed with grants and those funding streams have started to run their course. We have also seen the HIE vendor market shift from a ‘one throat to choke’ model to a ‘best of breed approach,’ with many HIEs now on their second vendor. In addition, vendors are consolidating in the market with payers or other data warehouse offerings. The moral of the story is that with the …

Machine Learning vs. Deep Learning

Lightbeam is positioned to expand your ability to deliver care in an efficient way using artificial intelligence (AI) insights. In my most recent blog post, I shared what AI is and the use cases for it within the population health management realm. Many companies are beginning to integrate machine learning and deep learning into their offerings and I want to better explain the technology, so you can differentiate product offerings. We live in a data-driven analytic world where providers are trying to figure out the most efficient ways to solve problems and improve care. Artificial intelligence tries to solve problems …

New and Continuing Healthcare Trends of 2018

As 2017 came to a close and 2018 began, several healthcare trends carried over into the new year. 2017 was a year of many changes and tremendous growth within the healthcare industry. Based on some surveys and my own observations I have summarized the continuing and new healthcare trends we should expect to see in the remainder of 2018.   Artificial Intelligence and Machine Learning Artificial Intelligence was a very hot topic in 2017 and we should expect to hear even more about it as machine learning is continuously explored. AI is an exceptionally broad topic, and many people are …

Delivering Artificial Intelligence Insights to Healthcare Organizations

The big buzzwords right now in healthcare information technology are artificial intelligence (AI), machine learning, and deep learning. Because there is so much noise, I would like to start off by defining what AI is not. AI is not a doctor. AI is not simply a set of rules. Rather, true AI for healthcare is a model based on clinical standards that aids clinicians and health organizations across the spectrum to deliver one thing: quality care to the patient. Lightbeam recently published a press release announcing the integration of AI, machine learning, and deep learning functionality into our population health …

How Advisory Services Helps Value-Based Care Organizations Reach Their Goals

In this post I will walk through what we, as an Advisory Services team, do to help each client reach their value-based goals. Most health organizations do not have time to learn the ins and outs of population health initiatives on their own, let alone implement a strategic plan with all the required moving parts to achieve physician buy in along with healthcare team alignment. Once coming on board with Lightbeam, we help clients develop a strategy based on their current contracts, capabilities, and data quality, to produce tangible results. To ensure client success, we assign a dedicated advisor to …

Why Data Quality Makes or Breaks Population Health Efforts

When it comes to Population Health Management, the purpose of data aggregation and normalization is to blend data from different sources together to create a universal destination that aids providers and medical groups in their clinical and financial decision-making. To get patient data represented properly, it’s crucial the data extraction process from source system to the Data Warehouse is as smooth and efficient as possible. However, when source systems lack data governance, there can be major roadblocks that hinder accurate analytics and factual reports. Complications arise with the following scenarios: Entering custom codes into data capture systems Customizing source systems …

Why ADT feeds matter and how providers can use them to deliver better care

Lightbeam’s population health management (PHM) platform includes HL7 ADT messages and feeds which transmit critical patient demographic information to help providers stay on top of daily hospital utilizations and see which patients were admitted or discharged from a facility within 24 hours of the event. Why is this information so important? First, it enables providers to know who, out of their patient rosters, has been in hospital care over the past day, week, and even month, and ensure they receive the proper post-discharge care. By using these ADT feeds, care management teams can reach out to these patients via phone …

Advisory Services – Going Beyond Population Health Management Solutions

Physicians and healthcare teams entered their respective professions to practice medicine and provide care to those in need, not to be mired in administrative processes. We at Lightbeam Health Solutions understand those challenges and have designed a new Advisory Services team to help our clients better manage their patients by helping them easily identify where the greatest needs are and deploying the right solutions at the right time, helping them meet their current goals. Ultimately, this gives them the time to return to what they love to do – improving patient outcomes and providing the best care to increase the …