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Category Archives: CMS

Data & Analytics in HealthCare

Posted on July 26, 2016 | Categories: Big Data, Claims, Clinical Trials, CMS, Data Analytics, Data Mining, Data Scientist, Database | Posted by: admin

Data & Analytics in HealthCare

 

Data & Analytics Adoption Model in HealthCare for Access, Cost, Quality (ACQ)

  • Three stages of data management via EDW – 1) data collection 2) data sharing / access and 3) data analytics
  • Bulk of Data Collection are done via electronic health records (EMR/EHR) and health information exchanges (HIE/HIX)
  • Data & Analytics is playing a big role in Health System Quality improvement and cost reduction efforts
  • Healthcare Analytics Adoption Model borrows & leverage recommendations from HIMSS EMR Model, Health & Human Services (HHS), Food & Drugs Administration (FDA rules for Clinical Trials) and Center for Medicare & Medicaid (CMS)
  • The Adoption Model may include – evaluating the industry’s adoption of analytics, roadmap for measure progress toward analytics adoption and evaluating vendor products for improving the quality of care while lowering costs and enhancing clinician and patient satisfaction

 

8 Stages of the Data & Analytics Adoption Model

  • Adoption Stage 1 – Enterprise Data Warehouse (EDW) using Physical or Virtual Servers
  • Adoption Stage 2 – Registration & Billing System including Patient Registries via Personal Portal
  • Adoption Stage 3 – Electronic Health Record &Electronic Prescription System (EMR & eRX) for clinical observations and lab results
  • Adoption Stage 4 – Management & Internal Reporting Tool / Dashboard
  • Adoption Stage 5 – Statutory& External Reporting Tool / Dashboard i.e. Meaningful Use Reporting
  • Adoption Stage 6 – Fraud & Abuse reduction using Claims Data
  • Adoption Stage 7 – Population Health Management (PHM) & Care Management Analytics
  • Adoption Stage 8 – Predictive Analytics (PA) leveraging PHM, CM, UM Data for Preventive Care to Cost Curve and Patient Care / Patient Satisfaction

 

Top use cases for data and analytics for Health IT organization

  • Adoption Analytics – Clinical Workflows & Applications
  • Claims Analytics – Fraud & Abuse
  • Cost Analytics – Planning & Control
  • Customer insight Analytics – Customer Care
  • Discovery/search Analytics – Clinical Trials
  • Meaningful Use Analytics – Positive Outcome
  • Operations Analytics – Customer Service
  • Predictive Analytics – Bend the Cost Curve
  • Risk and Compliance Analytics – PHI & HIPAA

 

How much data and analytics contribute to Health organization’s decision?

  • Differentiate
  • See the future
  • Drive revenue growth or Bend the Cost Curve
  • Clinical Workflows & Software Applications
  • Customer Care
  • Fraud & Abuse
  • Guide future strategy
  • PHI & HIPAA Compliance
  • Planning & Control
  • Product research and development
  • Product research and development – Clinical Trials for Drugs discovery & approval for medical equipment by FDA
  • Sales/Marketing

 

Challenges in Health organization in adopting data and analytics strategy

  • Budget & Priority
  • Information Explosion
  • Inoperability of Data
  • Managing Data Vs Analyzing Data
  • PHI / HIPAA Challenge
  • Quality of Data – Data duplication or Data Integrity
  • Varied Application System within Health System

 

Metrics or benefits /business outcomes for data and analytics in HealthCare

  • Cost Curve
  • Ethical intent
  • Go-to-Market for Drugs
  • Interoperability
  • Legal compliance for PHI (Privacy) & HIPAA
  • Population Health Management (PHM)
  • Transparency

 

Proof of Data & Analytics working for Health Organization

  • A code of ethics around data and analytics
  • C-level support
  • Claims Dashboard
  • HEDIS STAR Rating
  • Meaningful Use Metrics
  • Pain Management Dashboard
  • Prescription Dashboard for Controlled Substances
  • Tracking customer views
  • Transparency on what customer data is being used

 

 

 

 

Content Management (CMS) Project Managers by Techcusp

Posted on February 27, 2015 | Categories: Analytics, Careers with Techcusp!, CMS, Consulting, Hire Me Now!, Tech Cusp, TechCusp.com, Technical Writer, Technology Stacks, Uncategorized | Posted by: admin

Content Management (CMS) Project Managers by Techcusp

 

We are an IT Services & Software Development firm based out of Jersey City, NJ.  We have a ready bench of experienced CMS Project Managers . Reach out to us for our seasoned & domain rich consultants and experts for your short-term or long term projects .

 

 

Roles and Responsibilities 

  • Developing and maintaining full-scale project plans and associated communications documents
  • Responsible for leading and delivering projects on time and on budget
  • Manage all aspects of project execution from project approval to project end
  • Creates and executes project work plans and revises as appropriate to meet changing needs and requirements
  • Deliver business value by balancing resources, scope, and time
  • Contribute to planning during initiation
  • Manage to the project budget throughout project life cycle
  • Proactively manages changes in project scope and budget, manage project change, control process, identify potential risks and issues, and devise contingency plans
  • Resolve issues in a timely fashion
  • Accountable for accurately estimating the resources and participants needed to achieve project goals
  • Identify appropriate resources needs in a cost efficient manner, and assign individual responsibilities
  • Facilitate team and client meetings effectively
  • Holds regular status meetings with project team
  • Communicate difficult/sensitive information tactfully
  • Ensure all project objectives are clearly documented, approved and delivered to meet customer needs
  • Build, develop, and nurture business relationships vital to the success of the project
  • Set and continually manage project expectations with team members and other stakeholder
  • Report project status and issues to business partners and management

 

Why Us (@Techcusp) ?

  •  American Firm
  • Attractive Pricing
  • Cutting-edge Technology Consultant
  • Deep Domain Knowledge
  • Onshore/Offshore Delivery for scale & quality

 

Contact – Careers with Techcusp.com  or

 

Shreyo Sadhu

Manager Sales – Consulting & Technology Services

Shreyo @Techcusp.com

Phone: +1 646.644.3049 / 201.258.4704 / 201.589.5962

www.TechCusp.com

Insurance IT | HealthCare IT | Banking IT | Staffing

 

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Phone: +1 201.258.4704
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