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Health Tech Hatch Serves as User Testing Platform and Crowdfunding Resource for Healthfinder.gov Mobile App Challenge

The healthfinder.gov Mobile App Challenge will debut Hatch’s testing capability, which allows developers the opportunity to interact with end users to improve usability. healthfinder.gov is a reliable prevention and wellness website that provides information about preventive services covered under the Patient Protection and Affordable Care Act (ACA).

Company’s Testing Capability Allows Developers to Work with End Users to Improve Usability of Application and Site for Consumers

Larkspur, Calif. (December 17, 2012) – Health Tech Hatch (Hatch), a crowdfunding and development resource for entrepreneurs creating innovative health and wellness products and companies, today announced it will operate as the user testing platform for the healthfinder.gov Mobile App Challenge. Hatch’s platform already supports health care innovators by providing crowdfunding, clinical and usability testing, and rating of concepts and prototypes, along with mentoring and marketing support to help entrepreneurs succeed in growing their businesses. The healthfinder.gov Mobile App Challenge will debut Hatch’s testing capability, which allows developers the opportunity to interact with end users to improve usability. healthfinder.gov is a reliable prevention and wellness website that provides information about preventive services covered under the Patient Protection and Affordable Care Act (ACA).

The US Department of Health and Human Services Office of Disease Prevention and Health Promotion, with the Robert Wood Johnson Foundation as an advisor, challenges teams of developers and health professionals and health consumers to co-design a mobile app that will be used by the public to access customized decision support for preventive services and wellness information from healthfinder.gov. The ideal application (“app”) will help make healthfinder.gov content customizable and easy to use, reaching users where they are. Developers can register and complete entry requirements at the Health 2.0 Developer Challenge site.

healthfinder.gov’s Quick Guide to Healthy Living is a credible, science-based, and easy-to-use information resource presented in plain language. The Guide informs educates, and motivates users to incorporate healthy behaviors into their lives and take small steps towards improving their health.  healthfinder.gov also provides decision support for preventive services covered by the health care reform law (Affordable Care Act) through the myhealthfinder tool.

The mobile app should include Quick Guide to Healthy Living topics and information about preventive services covered under the Affordable Care Act. The app could include tools to help users integrate myhealthfinder, real-time communication tools to stay in touch with peers, community health services/locators; news, analyses and blogs from outside sources; social media and online networking communities; and/or any open source tools as appropriate.

“Supporting innovations that will actually be used by people to improve health is a shared mission among Hatch, HHS and Health 2.0, and is the inspiration behind Hatch’s testing platform,” says Patricia Salber, CEO of Health Tech Hatch. “We are proud to be a part of the first phase of the challenge, in which developers will submit working mobile app prototypes, along with documentation and evidence of public feedback via Health Tech Hatch. Developers are permitted to crowdfund their projects, although it is not required.”

Hatch’s platform combines crowdfunding with the power of social media to raise funds not only from family and friends but from anyone who may be interested in the project. A computer or mobile device, and an interest in supporting health care innovation, are all that are needed to get involved.

Submissions for phase one of the challenge, accepted until January 25, 2013, will be reviewed based on several criteria including usability and design; health literacy principles; connection to clinical preventive services and wellness information; evidence of co-design with end user, innovation in design, functionality and accuracy, and healthfinder.gov branding.

About Health Tech Hatch

Health Tech Hatch (Hatch)is an online and mobile resource dedicated to launching early-stage innovations in health care and putting them into the hands of patients, physicians, wellness professionals and consumers. HATCH provides a platform for crowdfunding–a groundbreaking method of raising start-up funds for a new business or product–and expert advice for health tech entrepreneurs (both in the for-profit and not-for-profit worlds) who have brilliant ideas ready to hatch. Learn more at www.healthtechhatch.com.

December 31, 2012 I Written By

Philips and Vidyo Collaborate for Enterprise-Wide Deployment of Next-Generation Telehealth Services

System Optimization Will Enhance Care and Streamline Workflow

Andover, Mass., and Hackensack, N.J. – Royal Philips Electronics (NYSE: PHG,  AEX: PHI) and Vidyo are collaborating to offer health system providers an approach for extending telehealth solutions across the enterprise to improve patient care and clinician workflow while also reducing costs. Enterprise-wide deployment of these next-generation telehealth services will require scalable and flexible advanced video technology to adapt to the full range of clinical workstations and mobile devices such as smartphones, tablets and laptops.

Philips enterprise telehealth solutions will incorporate remote physiologic monitoring, advanced clinical decision support, and Vidyo’s Adaptive Video Layering Technology™, into a powerful clinical platform for communications and collaboration. This interoperable platform, based on the proven eICU® program, will aggregate clinical informatics solutions designed to improve the quality of patient care, and key performance indicators such as patient mortality, length of stay, hospital-acquired infections, and hospital readmissions across health system enterprises.

“We are excited to collaborate with Vidyo to leverage its cutting-edge telepresence technologies to enhance the flexibility and scalability of our telehealth solutions,” said Mike Mancuso, senior vice president & general manager, Enterprise Patient Informatics Solutions and Patient Monitoring Systems, for Philips Healthcare. “Philips is committed to working with industry leaders to better address healthcare needs by expanding telehealth services beyond the ICU, as well as externally to remote clinics, physician offices, and into the home.”

Vidyo’s unique Adaptive Video Layering Technology dynamically optimizes the video for each endpoint.  By continuously monitoring the performance of the underlying network and capabilities of endpoint devices, video streams are adapted in real-time to optimize communications.   The Vidyo Application Programming Interface (API) supports greater customization and integration of telehealth solutions into clinical work flows.  Additionally, solutions can be deployed on both private and public networks, using standard off-the-shelf hardware — allowing for simple, cost-effective implementation and maintenance.

“The collaboration between Philips and Vidyo is not only a boon to our respective companies, but to the telehealth industry, in general,” said Dr. Amnon Gavish, Vidyo’s Senior VP of Vertical Solutions. “Telehealth has now come of age, driven by global demand and, in the U.S., empowered by new laws and legislation like the Patient Protection and Affordable Care Act (PPACA). There is an ever-increasing need for easier access to affordable, high-quality telehealth which the Philips-Vidyo platform will uniquely satisfy. Healthcare providers and patients alike will benefit from this solution’s extremely natural interaction experience, enabled by the very low latency of Vidyo’s technology. This high-quality experience enhances the remote physician – patient interaction, promoting a higher level of patient trust.”

About Royal Philips Electronics

Royal Philips Electronics of the Netherlands (NYSE: PHG, AEX: PHI) is a diversified health and well-being company, focused on improving people’s lives through timely innovations. As a world leader in healthcare, lifestyle and lighting, Philips integrates technologies and design into people-centric solutions, based on fundamental customer insights and the brand promise of “sense and simplicity.” Headquartered in the Netherlands, Philips employs approximately 122,000 employees with sales and services in more than 100 countries worldwide. With sales of EUR 22.6 billion in 2011, the company is a market leader in cardiac care, acute care and home healthcare, energy efficient lighting solutions and new lighting applications, as well as lifestyle products for personal well-being and pleasure with strong leadership positions in male shaving and grooming, portable entertainment and oral healthcare. News from Philips is located at www.philips.com/newscenter.

About Vidyo, Inc.

Vidyo, Inc., pioneered Personal Telepresence enabling natural, HD multi-point videoconferences on tablets and smart phones, PCs and Macs, room systems, gateways that interoperate with H.323 and SIP endpoints, telepresence solutions and affordable cloud-based broadcast solutions.  Vidyo for Healthcare™ eliminates the access, performance and cost issues of traditional systems that require expensive MCU equipment and dedicated QoS.  With its amazing quality, unmatched accessibility and market-shifting cost-efficiency, Vidyo for Healthcare (see video) provides hospitals, specialized medical centers and physician clinics with low latency telepresence-quality video conferencing from any mobile, desktop or room-based endpoint over the Internet, WiFi and 4G networks.  Vidyo delivers end-to-end encryption, provides HIPAA-compliant security, and easily integrates into existing healthcare environments with support for a variety of medical devices and interoperability with existing conferencing infrastructure. Learn more at www.vidyo.com, on the Blog or follow @vidyo on Twitter.

The VIDYO logo is a registered trademark of Vidyo, Inc.  VIDYO and the trademarks of the VIDYO family of products are trademarks of Vidyo, Inc.  eICU is a registered trademark  of Philips.  All other trademarks referenced herein are the property of their respective owners.

May 8, 2012 I Written By

Anoto Survey Finds Healthcare Industry Buried in Paperwork; Problem Predicted to Increase with Implementation of National Healthcare Reform

More than 75% of respondents predict paperwork either to increase or not improve, with healthcare reform; despite implementation of electronic health records, 80% of healthcare organizations still rely on paper records

WESTBOROUGH, MA  — March 20, 2012 —Anoto, the world leader in digital pen and paper technology, today announced the results of a survey focusing on the state of paperwork in the healthcare industry. Survey results confirm that despite the growing numbers of organizations implementing electronic health records (EHR) systems, many are not decreasing their reliance on paper-based processes.  For example, well over half of the respondents say that paper is still a primary source for tracking information within their organizations’ daily activities, citing reasons such as:

  • Paper is too embedded in the culture;
  • Technology adoption is too expensive; and
  • Switching to an electronic system requires too much training and would disrupt care delivery.

Additionally, survey respondents predict that the paperwork burden will increase with the implementation of the Patient Protection and Affordable Care Act (PPACA).

Some of the other key findings from the survey include:

Paperwork is King:

  • 63% of respondents said they spend anywhere from 25% to more than 75% of their time at work drafting or processing paperwork.
  • A significant majority – almost 80% – are still using paper records, despite either having or currently implementing an EHR system.
  • 78% of respondents believe the Patient Protection and Affordable Care Act (PPACA) will either increase the amount of paperwork they will have to deal with or it will, at best, stay the same.

EHR Technology Improves Patient Care:

  • As healthcare continues to move towards EHR adoption, there is consensus that ultimately this technology will benefit the industry, patients and the quality of patient care in the long-term. Almost 90% of survey respondents with an active EHR system believe an EHR system improves patient care.

Interest in Digitizing Paper-Based Processes is High:

  • Respondents were asked (on a scale of 1-10 with 10 being the highest), if they would be interested in using a solution that would allow them to digitize information instantly while still using the paper forms they have always used. Nearly 50% of respondents rated their interest as an 8 or higher.

“The survey results are clear: healthcare remains a paper-driven industry and will likely stay that way for the foreseeable future,” said Pietro Parravicini, senior vice president area manager Americas for Anoto.

About the Survey

Anoto conducted an online survey, with responses from professionals at healthcare organizations of various sizes. The survey, conducted in January 2012, included responses from physicians, nurses, executive/administrative, IT professionals and CIOs from hospitals (including emergency rooms), ambulatory care facilities, home healthcare organizations, and long-term care facilities. Questions focused on the circumstances where paper is being used and methods currently being employed to get information digitized and into EHR systems.

About Anoto Group

Anoto Group is the world leader in digital pen and paper technology enabling fast and reliable conversion of handwritten text into digital format. Anoto operates through a global partner network that focuses on user-friendly forms solutions for efficient capture, transmission and storage of data within different business segments, e.g. healthcare, bank and finance, transport and logistics and education. The Anoto Group has around 80 employees, offices in Lund (head office), Boston and Tokyo. The Anoto share is listed on NASDAQ OMX Nordic small cap list under the ticker ANOT. For more information visit: http://www.anoto.com/healthcare.

March 20, 2012 I Written By

CAQH CORE Operating Rules Adopted By HHS For Patient Eligibility And Health Claim Status Transactions

Rules to Ensure Electronic Data Transactions are More Predictable and Consistent

 WASHINGTON, DC – December 21, 2011 – CAQH® announced that the Department of Health and Human Services (HHS) adopted the use of many of the CAQH Committee on Operating Rules for Information Exchange® (CORE®) operating rules regarding eligibility for a health plan and healthcare claim status transactions.  All HIPAA covered entities will be required to comply with these operating rules, which will make electronic healthcare transactions more predictable and consistent, by January 1, 2013 as part of the Patient Protection and Affordable Care Act (ACA).

“We are pleased that HHS has recognized the valuable role of operating rules in achieving administrative simplification,” said Robin Thomashauer, Executive Director of CAQH.  “With the adoption of the CAQH CORE Phase I and Phase II operating rules related to eligibility and claim status transactions, the industry is taking an important step forward as we move to the next level of electronic solutions.”

CAQH CORE is a national industry multi-stakeholder initiative that is working to streamline electronic healthcare administrative data exchange and improve health plan-provider interoperability.  CAQH CORE rules build on existing standards, such as those in the Health Insurance Portability and Accountability Act rules, to make electronic data transactions more predictable and consistent, regardless of the technology.

“The CORE participants are committed to leveraging their experience to assist in the successful implementation of the final operating rules, so health plans, providers, hospitals, vendors and other organizations can exchange more efficient and predictable patient-eligibility and claims-verification information,” said Thomashauer.

To date, nearly 60 leading national healthcare organizations are voluntarily certified as exchanging electronic administrative data in accordance with CORE Phase I and/or Phase II rules.

CAQH CORE is applying and hopes to continue to serve in the role as author of ACA mandated operating rules given its commitment to improving the efficiency of healthcare transactions.

About CORE

CAQH Committee on Operating Rules for Information Exchange (CORE) is a multi-stakeholder industry collaboration developing operating rules that streamline administrative transactions. Over the past six years, CORE participation has grown to more than 130 organizations that represent approximately 75 percent of the commercially insured lives plus Medicare and Medicaid beneficiaries. CORE has a proven track record of operating rules adoption through voluntary certification and stakeholder return on investment.  CAQH CORE was recommended by the National Committee on Vital and Health Statistics (NCVHS), a federal advisory committee to the HHS Secretary (NCVHS), to draft the EFT/ERA operating rules mandated by the ACA, and has testified to NCVHS on other ACA mandates for operating rules.  To learn more about CAQH CORE, visit www.caqh.org/benefits.php.

About CAQH

CAQH serves as a catalyst for industry collaboration on initiatives that simplify healthcare administration for health plans and providers, resulting in a better care experience for patients and caregivers. CAQH solutions help promote quality interactions between plans, providers and other stakeholders; reduce costs and frustrations associated with healthcare administration; facilitate administrative healthcare information exchange; and encourage administrative and clinical data integration. Visit www.caqh.org for more information.

December 29, 2011 I Written By

CAQH Receives WEDI Leadership in Technology Award

WASHINGTON, DC – October 25, 2011 – CAQH was recognized today by the Workgroup for Electronic Data Interchange (WEDI) for its leadership in initiatives that have led to the advancement of electronic delivery of information and eCommerce technology in healthcare.

The WEDI Leadership in Technology Award honors achievements that contribute significantly to the progression of the WEDI mission and was accepted by Robin Thomashauer, Executive Director of CAQH, during the WEDI Fall Conference held in Baltimore. The National Committee on Vital and Health Statistics (NCVHS) was also presented with the award.

“CAQH has a long history of being a catalyst for building and facilitating healthcare industry initiatives that encourage electronic administrative solutions, helping to reduce costs and streamline processes for providers,” Thomashauer said. “It is an honor for CAQH to be recognized for these efforts by the WEDI Board and membership.”

WEDI is a broad-based healthcare industry coalition that brings together a consortium of leaders within the healthcare industry to identify practical strategies for reducing administrative costs in healthcare through the implementation of EDI. The mission of the organization is to provide leadership and guidance to healthcare stakeholders on how to use and leverage collective industry knowledge, expertise and information resources to improve the quality, affordability and availability of healthcare.

Award winners were selected by the WEDI Board of Directors, based on recommendations from a cross-discipline jury drawn from the WEDI membership.

For over a decade, CAQH efforts have focused on simplifying healthcare administration through the adoption of electronic solutions.  The CAQH Universal Provider Datasource® (UPD®) streamlines provider data collection for credentialing and other purposes for over 965,000 providers and more than 600 organizations in the U.S. The CAQH Committee on Operating Rules for Information Exchange® (CORE®) is a multi-stakeholder collaboration that develops operating rules to streamline administrative transactions.

Many of the CAQH CORE Phase I and II operating rules were recently included by the Department of Health and Human Services (HHS) in the interim final rule (CMS-0032-IFC) under Section 1104 of the Patient Protection and Affordable Care Act (ACA), which requires health plans to comply with operating rules for eligibility and claim status transactions by January 1, 2013.  

CAQH CORE Presentation at the WEDI Fall Conference

Gwendolyn Lohse, Deputy Director and CORE Managing Director, CAQH, is scheduled to serve as a panelist during the session: ACA Operating Rules Regulatory Implementation Status and the Pathway to Achieving ROI, at the WEDI conference on Thursday, October 27 at 9:30 am.  The panel will discuss the current and future status of operating rules, as well as how the industry can prepare to adopt operating rules to achieve a positive return on investment.

About CAQH
CAQH, a nonprofit alliance of health plans and associations, is a catalyst for industry collaboration that simplifies healthcare administration. CAQH solutions, including UPD and CORE, reduce costs and frustrations associated with healthcare administration, facilitate healthcare information exchange, and encourage administrative and clinical data integration. Visit www.caqh.org for more information.

October 31, 2011 I Written By

NCPDP and CAQH CORE Partner on Harmonizing Operating Rules and Standards Across Healthcare

CAQH and The National Council for Prescription Drug Programs (NCPDP) today announced a partnership agreement to collaborate on activities related to harmonizing electronic data interchange standards and operating rules across the healthcare industry.  Both organizations are foundational to the healthcare information exchange process and share a mutual commitment to industry collaboration and consensus building processes that focus on actionable change.  This partnership will help to break down healthcare information technology barriers and improve the cost and quality of care for the patient.

SCOTTSDALE, AZ and WASHINGTON, DC - June 15, 2011 – The National Council for Prescription Drug Programs (NCPDP) and CAQH CORE® (Committee on Operating Rules for Information Exchange®) today announced a partnership agreement to collaborate on activities related to harmonizing electronic data interchange standards and operating rules across the healthcare industry.

NCPDP and CAQH CORE began exploring the potential partnership in late 2010 when the National Committee on Vital and Health Statistics (NCVHS) recommended NCPDP be formally named as an operating rules entity for retail pharmacy-related eligibility transactions and CAQH CORE serve as the authoring entity for operating rules for non-retail pharmacy-related eligibility and claim status transactions.  The NCVHS recommendations were made to the Department of Health and Human Services in response to the Patient Protection and Affordable Care Act administrative simplification requirements which mandate national operating rules.  Recent recommendations by NCVHS for CAQH CORE to develop operating rules for electronic funds transfer (EFT) and electronic remittance advice (ERA) have furthered the collaborative efforts between CAQH CORE and NCPDP.

NCPDP President, Lee Ann Stember, stated, “Through standards development and harmonization, we will continue to break down healthcare information technology barriers and improve the cost and quality of care for the patient. We are pleased to collaborate with CAQH CORE on orchestrating operating rules and standards to improve the coordination and delivery of healthcare.”

“CAQH CORE and NCPDP share a mutual commitment to industry collaboration and consensus building processes that focuses on actionable change,” said Gwendolyn Lohse, deputy director and CORE managing director, CAQH.  “Aligning our intersecting efforts will help advance widespread industry adoption of effective and productive healthcare exchanges.”

Both organizations are foundational to the healthcare information exchange process: NCPDP, the ANSI-accredited standards development organization for pharmacy, has led the automation of pharmacy through standards development for over 30 years; and CORE, a multi-stakeholder initiative created by CAQH, develops and maintains operating rules to make administrative information available at the point of medical care.

About CAQH® and CORE®

A CAQH initiative, the Committee on Operating Rules for Information Exchange, CORE, has convened more than 120 healthcare industry stakeholders as participants in developing operating rules. A range of entities participate in CORE, including providers, hospitals, associations and states. Participating health plans cover more than 150 million lives, or approximately 75 percent of the commercially insured, plus Medicare and state-based Medicaid membership. Over 50 organizations are CORE-certified and driving adoption of the CORE operating rules.  More information is available at www.caqh.org/benefits.php.

CAQH serves as a catalyst for industry collaboration on initiatives that simplify healthcare administration for health plans and providers, resulting in a better care experience for patients and caregivers. CAQH solutions help promote quality interactions between plans, providers and other stakeholders; reduce costs and frustrations associated with healthcare administration; facilitate administrative healthcare information exchange; and encourage administrative and clinical data integration. Visit www.caqh.org for more information.

About NCPDP

Founded in 1977, NCPDP is a not-for-profit, ANSI-accredited, Standards Development Organization with over 1,600 members representing virtually every sector of the pharmacy services industry. Our diverse membership provides leadership and healthcare business solutions through education and standards, created using the consensus building process. NCPDP has been named in federal legislation, including HIPAA, MMA, and HITECH. NCPDP members have created standards such as the Telecommunication Standard and Batch Standard, the SCRIPT Standard for e-Prescribing, the Manufacturers Rebate Standard and more to improve communication within the pharmacy industry. Our data services include the NCPDP Provider Identification Number, a unique identifier of over 75,000 pharmacies, and HCIdea, “The Prescriber Identity Solution.” NCPDP’s RxReconnTM is a legislative tracking product for real-time monitoring of pharmacy-related state and national legislative and regulatory activity. For more information about NCPDP Standards, Data Services, Products, Educational Programs and Work Group meetings, go online at www.ncpdp.org or call (480) 477-1000.

June 21, 2011 I Written By

CAQH CORE Launches Transition Committee to Recommend Plan for Multi-Stakeholder Governance

CAQH announced that a Transition Committee has been launched to make recommendations regarding multi-stakeholder governance of the Committee on Operating Rules for Information Exchange® (CORE®). The Committee is charged to develop a three-year governance plan that outlines structure and revenue models for CORE.  The CORE Transition Committee members represent various stakeholder groups and includes senior-level executives top healthcare organizations.

Change to Drive Expanded Participation and Support Shift to Mandated Environment for Operating Rules Development

Washington, DC (April 26, 2011) − CAQH® today announced that a Transition Committee has been launched to make recommendations regarding multi-stakeholder governance of the Committee on Operating Rules for Information Exchange® (CORE®).  The Transition Committee was formed as part of a 2010 commitment made by the CAQH board to increase industry participation in operating rules development and adoption.  The Committee is charged to develop a three-year governance plan that outlines structure and revenue models for CORE.  It is anticipated that the Committee will complete its work and implement its recommendations by the fourth quarter of 2011.

Since 2005, the goal of CAQH CORE has been to improve provider access to administrative information before or at the time of service, using the electronic system of the provider’s choice for any patient or health plan. CORE participants have finalized two sets of operating rules that are streamlining administrative exchanges.  These rules have been voluntarily adopted by a wide range of leading industry organizations.  An independent study shows that becoming certified for adopting the CORE rules results in documented return on investment.

“The current CORE governance model and multi-stakeholder collaboration is guiding the voluntary operating rule-writing process today.  However, to support the changing environment in which operating rules are mandatory, the Committee will make recommendations to broaden multi-stakeholder governance and engagement,” said Linda Fishman, Senior Vice President for Public Policy at the American Hospital Association and a member of the Transition Committee. “This change is critical to the CORE goal of aligning clinical and administrative simplification objectives.  Most important though, is that broadening the perspectives at the table will help ensure that the operating rules reduce administrative costs for all and improve the workability of administrative processes for everyone. And the greater the standardization of processing, the easier it will be to achieve interoperability, especially as we move into an era of ever-increasing accountability.”

While outlining governance and revenue models, the Committee will preserve the CORE integrated approach to rule-writing, certification, outreach and education.  Additionally, the Committee will reinforce the CORE commitment to support the operating rules mandate of the Administrative Simplification requirements outlined in Section 1104 of the Patient Protection and Affordable Care Act (ACA).  In doing so, the Committee will propose ideas for enhancing the current CORE multi-stakeholder approach to increase participation by states, physicians, hospitals and other healthcare providers.

The CORE Transition Committee members represent various stakeholder groups and include senior-level executives from the following organizations:

–       Allscripts

–       America’s Health Insurance Plans (AHIP)

–       American Hospital Association (AHA)

–       American Medical Association (AMA)

–       Blue Cross and Blue Shield of North Carolina

–       GE Healthcare

–       J.P. Morgan

–       Medical Group Management Association (MGMA)

–       Minnesota Department of Health

–       Montefiore Medical Center

–       National Governors Association (NGA)

–       UnitedHealthcare

–       WellPoint, Inc.

More details about representatives and the Committee, which is being facilitated by the CORE Chair, are available online at http://www.caqh.org/CORE_Transition_Committee.php.

About CORE

An initiative of CAQH, the Committee on Operating Rules for Information Exchange (CORE) is a multi-stakeholder industry collaboration developing operating rules that streamline administrative transactions.  Over the past six years, CORE participation has grown to more than 120 participating organizations that represent approximately 75% of the commercially insured lives plus Medicare and Medicaid beneficiaries. CORE has a proven track record of rules adoption through certification and stakeholder return on investment.  The CORE rules are improving provider access to patient benefits coverage and financial information at the point-of-care. Neither the CAQH Board nor CAQH staff has any veto or voting power related to the CORE rules.  To learn more about CORE, visit www.caqh.org/benefits.php.

About CAQH

CAQH serves as a catalyst for industry collaboration on initiatives that simplify healthcare administration for health plans and providers, resulting in a better care experience for patients and caregivers. CAQH solutions help promote quality interactions between plans, providers and other stakeholders; reduce costs and frustrations associated with healthcare administration; facilitate administrative healthcare information exchange; and encourage administrative and clinical data integration. Visit www.caqh.org for more information.

April 28, 2011 I Written By

Sandlot to Debut Quality Reporting and Measures Application at HIMSS11


Community Quality Reporting and Measures Delivered

To Physicians at the Point-of-Care

Fort Worth, TX, Feb. 22, 2011 – Sandlot, LLC, a healthcare solutions company founded by practicing physicians, will debut SandlotQRM®, a quality reporting and measures application at HIMSS11, the prestigious annual conference for the Healthcare Information and Management Systems Society in Orlando, Fla. (Feb. 20 – 24, 2011). SandlotQRM helps physicians integrate care delivery and “move the needle” on quality as they transform their clinical practice in the new era of accountable care.

With SandlotQRM, physicians will have the tools they need to improve quality outcomes before, during, and after the patient’s visit. Physicians and other clinicians can:

  • Prospectively track patients falling outside care guidelines
  • Deliver care recommendations based on the patient’s electronic, longitudinal community health record at the point of care
  • Retrospectively monitor performance through the lens of HEDIS, PQRI, EHR Meaningful Use, and other measures.

SandlotQRM is integrated with SandlotConnect®, a health information exchange (HIE) solution developed and supported by Sandlot, LLC. SandlotConnect is a unique point of care solution – a blending of HIE technology with quality management tools – enabling healthcare providers to integrate care delivery and achieve measurable improvement in quality outcomes. SandlotQRM can integrate with any source of patient clinical information, including: HIEs, claims systems, or electronic medical records.

Until now, physicians and healthcare organizations relied on fragmented retrospective reviews of patient data to manage care. SandlotQRM will help ensure that doctors exceed their quality objectives by presenting patient-measures that are important to their specialty. The web tool enables physicians to determine what patients are not meeting the measures of quality care and allows doctors to take immediate action, such as: scheduling a diagnostic test, a procedure, e-prescribing or ordering a laboratory test. This will enhance the physician’s ability to treat patients more successfully at the point-of-care and increase patient satisfaction rates.

Sandlot’s quality module will also serve as a vital benchmarking tool for physicians. Doctors can determine how successful they are in meeting their quality objectives compared to national targets and other physicians utilizing Sandlot’s HIE application, SandlotConnect. This will be beneficial for doctors in helping them develop alternative protocols to provide better overall treatment plans and cost effective care for their patients. The current Centers for Medicare & Medicaid Services (CMS) incentive program in place will create increased demand for SandlotQRM.  Payments are rewarded to those physicians who satisfactorily report their specified measures during a reporting period.

The emerging era of accountable care induces hospitals and health systems to reduce costs and improve long-term financial objectives by participating in an accountable care organization (ACO). Based on the Patient Protection and Affordable Care Act (PPACA), an ACO is described as collaborations that include groups of healthcare providers, hospitals, and others. SandlotQRM is the cornerstone of an ACO because of the prospective, point-of-care, and retrospective quality measurement reporting that will support a profitable and sustainable patient care organization.

From a health plan perspective, Sandlot’s quality module will help insurers meet their business objectives. Insurers can meet their Med-Loss Ratio (MLR) requirements by utilizing its sophisticated data analysis and population reporting capabilities so they can be defined as a medical cost. To assist health plans in reaching CMS Five-Star status, SandlotQRM also provides analytical data on HEDIS measures. NCQA publishes the top 20 private health plans, with similar lists for the top 10 Medicaid and Medicare plans each year. HEDIS scores are a significant factor in ranking each plan.

SandlotQRM, will be available for limited live demonstrations February 20-24th at HIMSS11. iPhone and iPad applications will be available for clinical use once SandlotQRM is generally available March, 2011.

About Sandlot LLC

Based in Fort Worth, TX, Sandlot, LLC is an innovative healthcare solutions company founded by practicing physicians who pursue ways to make better clinical decisions at the point-of-care and collectively share clinical information. Sandlot focuses on advancing healthcare by using technology, process and people working together. It is a wholly owned subsidiary of North Texas Specialty Physicians (NTSP). The company’s innovative HIE, SandlotConnect® launched in 2008, is based on Lawson Technology and is currently interoperable with many of the market’s leading EHR systems, including Allscripts, NextGen, and eClinicalWorks.   For more information, visit www.sandlotsolutions.com.

February 22, 2011 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 15 blogs containing almost 6000 articles with John having written over 3000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 13 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit.