In honor of U.S. Antibiotic Awareness Week (USAAW) and Lantana’s continued partnership with the Centers for Disease Control and Prevention (CDC), we provide an update on the nation’s primary system for tracking inpatient antibiotic use and resistance: The National Healthcare Safety Network (NHSN) Antimicrobial Use and Resistance (AUR) Module. USAAW is an annual week-long observance…

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HL7 Working Group Meetings (WGM) – #HL7WGM in my social media-oriented mind– are bustling, busy, eventful gatherings held three times a year that draw standards-minded people from around the world. I experienced my first HL7 WGM January in San Antonio, and from my short amount of time in the health IT (HIT) industry and little experience with standards in general, you could say I was overwhelmed but learned a ton.

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I’ve looked at the feds, I’ve looked at the vendors,I’ve tried to find the keyto 50 million burdens.         (with apologies to The Who) The electronic health record promised a transformation in the quality and accessibility of health information. It also promised relief from tedious paper-based documentation chores. The results, so far, are sobering. The transformative benefits…

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With the shift towards value-based care, payers still need access to clinical information for reimbursement decisions as well as for cost and quality metrics and standardizing enough of the clinical record to satisfy the anticipated attachments reg would be an excellent next step in that direction.

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  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…

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  Anticipated HHS regulations are expected to provide standards for electronic documents used as attachments to support reimbursement-related transactions. On February 5, I was joined by Mary Lynn Bushman, Sr. EDI Analyst at National Government Services, Inc., in presenting a HIMSS Health Story Project webinar on the attachment standards: their usage, the business case for…

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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.

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AUR is more than an airport code for a commune in southern France (Aurillac, if you are curious). AUR is an important facet of public health. Using the Antimicrobial Use and Resistance (AUR) reporting module, hospitals can report and analyze antimicrobial use and/or resistance data.

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This blog introduces participants working on clinical data exchange and value-based care to HL7’s Fast Healthcare Interoperability Resources (FHIR) standard and Connectathon, an event that tests FHIR’s interoperability mettle. Since Connectathon 1 in 2012, the buzz around FHIR has grown exponentially. Word on the street is HL7 has trouble finding hotel conference rooms large enough to fit all attendees! HL7 will host Connectathon 14 in January 2017 in San Antonio.

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This is Part 2 of the Why Payers Should Play With FHIR. To read part 1 click here. HL7 holds Connectathons on the Saturday and Sunday before the working group meeting. Plan to arrive the evening before to settle in. Attendees can register as observers or participants. Review the Connectathon 14 wiki page before arriving.…

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  I have been working with Robin Williams, RN, and Zabrina Gonzaga, RN, two of our clinical analysts, to update the value sets used by Camara, our clinical document editor. Our main goal is incorporating more realistic terms, so clinicians can create clinical documents using familiar terminology.   Months ago, when Lantana created the Camara…

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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.

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Ongoing research examines the impact of applying sociodemographic status (SDS) risk-adjustment to the Centers for Medicare & Medicaid Services (CMS) quality reporting programs. The main driver for investigation is a community assertion that SDS risk-adjustment is necessary to accurately gauge the quality of care given to patients of diverse backgrounds. Contrary to popular belief, recent research produced evidence that SDS risk-adjustment has little to no impact on hospital performance ratings.

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  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…

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Co-author: Kanwarpreet Sethi   Lantana Consulting Group commented on the testimony provided on February 16, 2016, to the National Committee on Vital and Health Statistics (NCVHS) Subcommittee on Standards, Hearing on HIPAA and ACA Administrative Simplification — Phase IV Operating Rules and Attachment Standard (Part 2). We agree with the many comments urging a low…

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Lantana Consulting Group submitted comments on March 18, 2016 in response to the Office of the National Coordinator’s (ONC) request for feedback on the 2017 Interoperability Standards Advisory (2016 Advisory). ONC’s consideration of public comments informs the development of the 2017 Advisory and prompts dialogue, debate, and consensus among industry stakeholders. Lantana’s response outlined suggestions…

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  “Conversation from the Sidelines” is a new series at Lantana’s blog. We’ll share experiences from conferences or events that gave us a different perspective on the industry.   First up, the HL7 January 2016 Working Group Meeting (WGM) in Orlando, FL. gave me an opportunity to fill-in for Crystal Kallem as an Interim Co-Chair…

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