Lantana Group Blog

Courtney Panaia-Rodi,
PMP, Director of PMO and
Meenaxi Gosai, Information Analyst

Trends, Comments, & Opinions

2019 Interoperability Standards Advisory (ISA)

Lantana has engaged in standards development and deployment for over ten years and supported the development of over 70 specifications. We were pleased to take the opportunity to respond and contribute comments on the 2019 Interoperability Standards Advisory (ISA) issued by the Office of the National Coordinator for Health Information Technology’s (ONC). Our key recommendations…

Read More

Transitioning from CDA to FHIR

FHIR, HL7’s latest standard, supports the document paradigm without document restrictions. FHIR includes a RESTful API out of the box, as well as alternate syntaxes (i.e., XML and JSON). The industry will need transition strategies for those invested heavily in CDA while new implementers move directly to FHIR.

Read More

Reduce Provider Burden by Rethinking the eCQM Development Process

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…

Read More

Has the Clock Run Out on Electronic Claims Attachments?

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.

Read More

Electronic Attachments Tell a Comprehensive Health Story

  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…

Read More

What is AUR and Why Do We Care?

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.

Read More

Why Payers Should Play with FHIR

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.

Read More

Why Payers Should Play with FHIR – Part 2

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.…

Read More

What 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 More

Does Risk-Adjustment for Sociodemographic Status (SDS) Have an Impact on Hospital Performance?

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.

Read More

Comments on Standards for Claims Attachments

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…

Read More

2017 Interoperability Standards Advisory

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…

Read More

Consolidated 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 More

Certification Frequency and Requirements

  Earlier this quarter, ONC and CMS requested information on program requirements for certification frequency for reporting quality measures. Lantana Consulting Group supports eMeasure development and has a sharp interest in the success of quality measure reporting programs as a transformative agent for healthcare. Our feedback centered on certification frequency, minimum requirements, and testing recommendations…

Read More

Quality C-CDAs can lead to Quality Reporting

As standards developers and data analysts, we rely on finding patterns in our day to day work. We apply our patented “pattern recognition algorithm” (note: not a real patent) to identify the questions our clients ask most often. “How can we leverage our healthcare data to perform quality reporting?” Closely followed by, “and can we use C-CDA to import that data into our analytics environment?” Although we’d prefer a simple “yes”, the solution is rarely simple.

Read More

Draft 2016 Interoperability Standards Advisory: Lantana Response

Everyone understands today that standards for data, communication, and terminology are the lynch pins of health information exchange across clinical care. But who is doing something about it? Earlier this quarter, the Office of the National Coordinator (ONC) published a draft seeking feedback in three major areas: Vocabulary, Code Set, and Terminology Content and Structure…

Read More

MIPS

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 More