A Patient Safety Early Warning System:  

Getting the Complete Picture

WEBINAR 

Healthcare relies on credible data to understand where patient safety has vulnerabilities, and what to prioritize in terms of key improvement initiatives.  There are multiple data sets that have high value, but they are in silos and relegated to specific purposes. A central core of intel in which providers can combine multiple data sets to produce a "Patient Safety Early Warning System" has the potential of transforming how healthcare can better predict – and proactively prevent – medical errors and poor outcomes. Among these data sets is malpractice data which has remained isolated from most patient safety dashboards or early warning systems.

This presentation will highlight a methodology whereby the ‘signals’ from malpractice can pose critical questions, and then drive responsive actions. 

Additionally, we will explore how the integration of malpractice insights into a central core of intel has the potential of transforming how healthcare can better predict – and proactively prevent – medical errors and poor outcomes.

Speaker: Robert Hanscom, Vice President of Risk Management and Analytics 

The Accelerating Shift to Value Based Care

Webinar

The shift from volume to value is about to accelerate significantly due 4 major drivers, these include:

• The initiation of the Medicare Direct Contracting program;

• Relaxation of the Stark and Anti-KickBack laws;

• Increased provider demand for Value Based Care (VBC) contracts;

• Unprecedented access to provider performance and pricing data

On this webinar we will describe each of these drivers and discuss the impact they will have on providers, payers and patients over the next few years.

Key learnings will include:

• Details about the Direct Contracting program and recent updates to Stark laws;

• How COVID-19 and other factors are driving increased provider demand for VBC contracts;

• How provider performance data is being used to change networks;

• Scenarios for how the accelerated shift to value is shift could disrupt the healthcare landscape

Speaker: David P. Terry, MBA, Co-founder,Chief Executive Officer

Interoperability:

Going Beyond Compliance

A Consumer Centric Approach

Webinar

On May 1, 2020, the clock began ticking to implement the 21st Century Cures Act Interoperability and Patient Access Rule. Investment is pouring into healthcare as interoperability requirements are transformed. But many organizations will not be ready for this disruption. Failure to prepare could have severe consequences, not only from regulatory enforcement, but also in changing patient attitudes and expectations which will draw them to choose the most service-oriented options.

Now is the time to plan and take action.

In this presentation, Tammy Graves, Healthcare Principal at Point B, and Susan Yeazel, Healthcare Customer Director at Point B, will discuss how payers and providers can move beyond “checking the box”  to be compliant with this new regulation and accelerate their organizations customer experience consistent with the spirit of the regulation.

Join us to discuss:

• Why compliance is only table stakes
• Why you should leverage the regulation to accelerate your customer experience
• How to take specific next steps to move beyond expectations of the regulation

Speakers: 

Tammy Graves, Healthcare Principal        Susan Yeazel, Healthcare Customer                                                                     Director

Build or Buy-Acute Care at Home

WEBINAR

Exploring the strategic journey in bringing acute care into the homes of the patients/members/community you serve?

Join this session for an informative discussion on Acute Care at Home.  Discussion content will include the market trends and reimbursement tailwinds driving adoption of the model along with all of the essential elements needed to implement the virtual acute care model.

Interactively discuss the change management required for model adoption and the critical components required to scale the model to multiple use cases and populations.

• • How is the target patient population changing with Covid and new consumer preferences? What does the future hold?
  • What are the essential elements of the virtual acute care model?
  • How does the model have the potential to scale? Multiple use cases and populations served?
  • What is the economic outlook for virtual hospital models?
  • What are the reimbursement models from payers and CMS?
  • Is there a first-mover market advantage to offering inpatient-level acute care at home?

Speaker: Raphael Rakowski, Executive Chairman

Increasing Standardization in the Prior Authorization Process

WEBINAR

In its Fall 2020 proposed interoperability regulation, the Centers for Medicare & Medicaid Services (CMS) proposed to require several types of payers to develop and maintain a Documentation Requirement Lookup Service (DRLS) using a format called Fast Healthcare Interoperability Resources (FHIR). In addition, CMS proposed to require certain payers to accept prior authorization requests in FHIR format. A group of payer and IT vendor volunteers has formed an HL7 workgroup called the Uniform Elements for Prior Authorization. Chaired by Melanie Combs-Dyer, the Director of Innovation at Mettle Solutions, the workgroup meets weekly in an attempt to increase standardization across payers’ prior authorization elements.  Melanie Combs-Dyer, who spent 30 years working at CMS, will give a talk describing the DRLS vision and discussing the activities of the Uniform Elements for Prior Authorization workgroup. 

Key Learnings:

• A description of a Documentation Requirement Lookup Service (DRLS)
• Understanding how payer DRLS systems can help reduce provider burden
• Seeing how DRLS adoption could pave the way to more/better patient cost transparency
• Hearing about the activities of the Uniform Elements of Prior Authorization workgroup