HealthCare Resolution Services, Inc.’s Post

Check out the article about the Quality Clinical Language (CQL) standard to learn more about its architecture and the role of #CQL in supporting healthcare professionals with essential clinical knowledge.

CQL Architecture explained. I get this question often what CQL is for and how it works. This is the great article to start from.

Navigating the compliance landscape in healthcare can be challenging, but it's crucial for enhancing patient care and achieving interoperability. Our comprehensive guide explores the synergy between ADT alerts, FHIR, and key regulatory frameworks like the CMS Rule, Cures Act, and TEFCA. Discover how your healthcare facility can not only comply with these mandates but also leverage them to improve care transitions and patient outcomes. Join us in leading the charge towards a seamlessly connected healthcare future. #HealthcareCompliance #FHIR #TEFCA #ADTAlerts #IntelligenceClinicalInformationExchange Aigilx Health Sivakumar Krishnamurthy Srividhya Sampath Dominic Louis https://lnkd.in/gEhh5aW3

Recently, Dr. Steve Kim participated in National Association of Healthcare Access Management (NAHAM)'s 2023 Prior Authorization Roundtable, an event bringing together payers, industry partners, and patient access professionals together to discuss prior authorizations and barriers to progress in the healthcare space. The 2023 Prior Authorization Survey is now available to all – highlighting insights into the current state of #PriorAuthorizations. Notably, 60% of respondents think that patient care is delayed as a result of current prior auth policies. Additionally, 81% of respondents think that documentation required to obtain prior authorization has increased in the past 2-3 years, increasing the administrative burden of the prior auth process. Find the full survey and documented solutions here: https://hubs.la/Q02cFd6S0

Healio CME conducted a comprehensive survey to understand healthcare providers' (HCPs) habits, requirements, and preferences regarding #ContinuingMedicalEducation (CME). Read our July newsletter for a snapshot of the survey results and a chance to download a copy of our whitepaper detailing all of the survey findings. ➡ https://lnkd.in/ev7JmFES #cme #medicaleducation

ONC HTI-2 Proposed Rule: A Leap Forward in Healthcare Interoperability By Kim Boyd - This game-changing proposal aims to significantly advance interoperability and improve information sharing among patients, providers, payers, and #publichealth authorities. Let's dive into the key aspects of this transformative rule. Point-of-Care Partners #interoperability https://lnkd.in/e-twwzd9

Was requested by some to repost the The New York Times piece with the YouTube link so people could access. ——- In the complex landscape of healthcare, the intersection between patient care and administrative processes often presents significant challenges. My recent discussion with The New York Times shed light on a critical aspect of this intersection: the prior authorization process. This mechanism, intended to regulate healthcare costs and ensure appropriate treatment, frequently acts as a bottleneck, delaying necessary medical interventions and placing additional stress on patients and healthcare providers alike. The reality is that while prior authorization aims to serve as a checkpoint for cost control and care appropriateness, it can inadvertently prioritize paperwork over patient well-being. These delays can lead to exacerbated health conditions, increased hospitalization rates, and a higher overall cost to the healthcare system—outcomes that are the antithesis of the process's original goals. As a physician, I witness the direct impact of these delays on my patients. The time spent navigating these administrative hurdles is time taken away from patient care. It's imperative that we advocate for a reevaluation of the prior authorization process, focusing on strategies that streamline administrative procedures without compromising the quality of care. We must champion reforms that prioritize the health and well-being of patients. This includes advocating for transparency in the criteria used for authorizations, expediting approvals for routine and non-controversial treatments, and ensuring that healthcare professionals are at the forefront of decision-making processes regarding patient care. The path forward should be a collaborative effort among healthcare providers, insurers, and policymakers to devise a system that upholds the principles of timely, effective, and patient-centered care. Let's come together to advocate for a healthcare system that values patients over paperwork, ensuring that every individual has access to the care they need when they need it. #HealthcareReform #PatientCare #PriorAuthorization #MedicalEthics #HealthPolicy #FixTheSystem #FixThePriorAuth --- https://lnkd.in/e8ZKhnd9

Understanding the HHS rule on information blocking is crucial for healthcare providers to ensure compliance and for patients to understand their rights concerning electronic health information. The practice of 'information blocking' is more than just a technical issue. It can include electronic barriers, excessive fees, and restrictive policies, all of which can prevent the necessary flow of electronic health information (EHI), potentially impacting patient care. If you ever find that EHI's exchange, access, or use is being deliberately obstructed, please remember that certain exceptions are outlined by law. The Fivebase mission is simple: To help our clients optimize their organization through technology.

Paul Mango, former HHS Deputy Chief of Staff for Policy, delves into the healthcare industry highlights of the first quarter of 2024. He shares his observations and advises Healthcare insurers on significant shifts in the Healthcare value chain, challenges, and promising opportunities. Click to read this insightful piece. #CXMatters #HealthcareStrategy #HealthcareTransformation #HealthcareTrends #WhitePaper

And what will the impact of this action be, #HHS? "The ONC released the HTI-2 proposed rule that implements provisions of the 21st Century Cures Act and introduces new standards and updates to enhance healthcare interoperability and data sharing. The rule also aims to support technical requirements included in the CMS' Interoperability and Prior Authorization final rule released in January that aims to shift payers to electronic prior authorization." #HTI2 #PublicHealth #Interoperability #DataSharing Evelyn Gallego, MBA, MPH, CPHIMS Priya Bathija AHIMA RISE