Earlier this year, the Office of the National Coordinator (ONC) released the 2015 Interoperability Standards Advisory which was “meant to provide the industry with a single, public list of the standards and implementation specifications that can best be used to achieve a specific clinical health information interoperability purpose.”¹ The ONC solicited comments on the advisory “to prompt dialogue, debate, and consensus among industry stakeholders.”¹ As is evident by the recent discussion in our blogs around the importance of interoperability, the 3M Healthcare Data Dictionary Team at 3M HIS drafted a response to the 2015 Advisory that we provided to the ONC this week. Our response has a few underlying themes: Continue reading
Donna: Hola! How was your trip to Spain?
Sue: My trip was great! I really enjoyed sharing ICD-10 experiences with our customers there.
Donna: When are they transitioning to ICD-10? Continue reading
Posted in ICD-10
Tagged CIE10, ICD-10, SGR
We all know the phrase “First do no harm,” a philosophy that is a driving force in health care. In other words, if we do not do anything to improve the health of our patients during their stay, at least let’s not allow anything bad to happen to them on our watch. Continue reading
Reading the title, you are probably wondering how the two go together. In relation to big data, both terms produce some of the largest challenges we experience with the efficacy of data within the realm of healthcare big data analytics. These pains, explained later, can be addressed early in building useful, large datasets. Understanding them may be the key difference in managing a successful “big” dataset versus another collection of useless binary. Continue reading
I’m sitting on a plane today, traveling through the air as a result of some very bright people that enabled this mode of transportation. I’m doing so safely, thanks to strict airport security practices. Many years ago, when more stringent airport security screening was established, I would listen to fellow travelers complain about the invasion of privacy, the maybe not-so-random searches and the added expense tacked on to everything. And the lines in security, oh the lines! However, as a frequent traveler I’m forever thankful for the process we flyers have to go through to ensure the safest passage possible. Continue reading
It’s been nearly a century since Dr. Ernest Codman championed an “end results system” to track and measure hospital outcomes to determine the effectiveness of treatment and improve patients’ lives. Within the last decade, outcome measurement has gained momentum as the health care industry seeks to improve quality of care/patient outcomes and reduce health spending through initiatives such as pay-for-performance or value-based purchasing. Continue reading
A 62-year old male who was diagnosed with pancreatic cancer two weeks ago, was admitted to the hospital with malaise, fever, and an elevated WBC of 15.21 k/uL. The patient was diagnosed with sepsis. Blood cultures were positive for carbapenem-resistant Enterobacteriaceae (CRE). Infectious Diseases was consulted. A review of the patient’s history revealed that the patient had undergone an ERCP with biopsy of the pancreas approximately two weeks ago at which time a diagnosis of cancer of the head of the pancreas was made. It was eventually determined that the patient had been contaminated with the CRE organism from the duodenoscope used during the ERCP. The patient was discharged to an extended care facility with a PICC line for ongoing IV antibiotic therapy. Assign diagnosis codes for this inpatient encounter and sequence appropriately. Continue reading
Success in population health management rests in part on being able to identify high cost/high utilization population segments and provide interventions that help achieve better outcomes.
With enough of a claims history (typically at least seven months), we can go from a simple “Who has diabetes?” to a much more nuanced understanding of total illness burden with a much better prediction of future medical resource utilization. Continue reading
Have you ever driven a car without power-steering? It’s quite a workout. We used to all drive without power-steering and for “entertainment” you had to spend ten minutes twisting a small dial back-and-forth trying to get a radio station to come in clearly, only to drive under a bridge and completely lose it. Now we’re on the verge of self-driving cars and I can stream an entire album saved in the cloud into my car just about anywhere and anytime I want. No more fine-tuning that pesky radio dial. Continue reading
For the past two years, I have been fortunate to attend the HIMSS Annual Conference & Exhibition in both New Orleans and Orlando. HIMSS puts on a massive event for about 38,000 people, so it’s definitely a great place to learn and network around the newest technologies, trends, and solutions in healthcare information technology. HIMSS15 kicks off in Chicago on April 12, and although I am unable to attend this year, I’ve been thinking about the conversations and ideas I hope will be generated by the organizers, presenters and attendees. Continue reading