AHIP, the Blue Cross Blue Shield Association and four other health care provider organizations are working to streamline prior authorizations to improve access to timely and affordable care while reducing administrative burdens. The groups agreed to reduce the number of providers subject to prior authorization rules, improve communication, and regularly review services and medications that require prior authorization.
The internet of things has great potential, but companies cannot forget in their security preparations that IoT is also part of the physical world, writes Larry Karisny of ProjectSafety.org. The limited security options available for smaller devices have led the industry to look at new ways to achieve "deep security," he writes.
Hospitals that want to move to a cloud model can begin by creating that culture, because "most IT departments are not thinking cloud-first," said David Chou, CIO at Children's Mercy Hospital in Kansas City, Mo. Children's Mercy has more than 600 apps, most of which are in the cloud, and it moved its EHR to a hosted model.
The Society for Vascular Ultrasound and other organizations are collaborating on a vascular ultrasound registry to help standardize vascular information related to treatment. The registry, which will supplement existing registries, will include actual patients' ultrasound images to facilitate future machine learning and analysis.
Medical residents who received education and an electronic progress note template that included best practice guidelines wrote shorter, higher-quality clinical notes and completed them more quickly, a study in the Journal of Hospital Medicine found. The template had an inpatient checklist for patient concerns, quality measures and discharge planning, and it encouraged residents to enter only relevant information and limit the use of efficiency tools such as copying-forward and autofill.
Analyzing EHR data can show the prevalence of low-value medical testing and identify the causes of unnecessary tests, according to a study in the American Journal of Managed Care based on 13 measures identified by the Choosing Wisely campaign. Researchers said EHR data combined with manual chart review and administrative claims can help find low-value testing overuse and identify risk factors.
An AARP report on new technology and devices to help caregivers tracked results of three studies involving a smartphone-based care coordination platform, a personal emergency response system and home care aide hiring tools. The hiring services and PERS got good reviews from caregivers, but most said the care coordination platform did not meet their needs.
Two studies in the American Journal of Managed Care suggest that health care providers use mobile health linked to smartphones to increase engagement of minority populations. Researchers said that while minorities have lower access to health care resources, those who use patient portals or personal health records are gaining access through a mobile phone instead of a tablet or personal computer.
CMS Administrator Seema Verma said the agency will make health IT innovation and regulatory relief related to documentation a priority this year. As part of the Patients Over Paperwork initiative, Verma said the agency will seek to modernize Medicare and Medicaid through innovative health IT.
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MNsure, Minnesota's health insurance exchange, enrolled over 116,000 people in private plans this year, a record attained with a two-week shorter sign-up period. MNsure CEO Allison O'Toole credited the achievement to the flexibility Minnesota and other states have in operating exchanges.
The brick walls are not there to keep us out. The brick walls are there to give us a chance to show how badly we want something. Because the brick walls are there to stop the people who don't want it badly enough.