The Chartis Forum On the Vanguard of Thought

Eyes Wide Open: Does Your EHR Implementation Program Address the Critical Risks to the Enterprise? For most health systems, the decision to implement an electronic health record (EHR) represents one of their largest capital expenditures, likely second only to investments in acute care facilities. It also commonly signifies one of the most prominent single annual expense line items for a typical provider. Implementing an EHR can bring significant benefits but involves high risk. Delays are costly, and the initial investment is at risk if adoption does not occur. Further, potential disruptions include physician dissatisfaction, revenue cycle leakage and revenue degradation, and long-term capacity and throughput challenges. These disruptions can have long-ranging implications on organizational performance.

Despite the enormous scale of this investment, once the decision has been made to proceed with implementation, many organizations fail to develop the necessary oversight and review processes to ensure a successful EHR Implementation.

John Muir cuts $5 million from IT budget with benchmarking It’s a story healthcare has heard before: Hospital installs expensive electronic health records software, must rein in spending to avoid hefty losses. For California’s John Muir Health, that meant a comprehensive review of their information technology expenses that ended up saving them big on total IT costs. Pass enlisted consultancy The Chartis Group to help with that work.

Accelerating Clinical Improvement: Engaging Resident Teams at the Front Lines of Care It is widely acknowledged that sustained clinical improvement depends on committed leadership and the active participation of front-line caregivers. Front-line engagement, however, is very challenging to create and maintain, particularly in prolonged performance improvement (PI) initiatives. The rigors of daily care delivery limit front-line physician bandwidth, and the misconception that administration’s goals counter the clinician’s, often creates disinterest.

Case Study: University of Alabama-Birmingham High-Impact Ambulatory Operations A highly reliable and efficient ambulatory operations model is a critical dimension of transforming care to increase quality, reduce costs and improve patient and provider experience in today’s healthcare environment. Leading provider organizations are developing capabilities to support a seamless, system-wide approach to interacting and communicating with patients beyond an episode or appointment; providing timely and convenient access to services and information across the continuum; and helping patients navigate to the right services for their care needs and preferences.

CMS’ New Quality Measures: Is Your Organization Ready? With the introduction of universal quality measures, the Centers for Medicare & Medicaid Services (CMS) has paved the way for a true quality revolution. The new metric sets, introduced in February, are an important step toward consistency in measuring, evaluating and comparing quality and health outcomes—critical functions in an increasingly value-based environment. The stakes will be high for provider organizations, clinicians and patients as the measures are used to assess and publicize performance, and determine financial rewards and penalties based on quality outcomes (MACRA’s Physician Payment program promises an 18% year four differential in physician payments, with funds flowing from low performers to high performers).

The Power of Physician Leadership in ACO Success While debate continues over the relative merits of different ACO organizational structures, our experience confirms that physician engagement and leadership is fundamental to ACO success regardless of the ownership model. As performance expectations, cost pressure and financial risk continue to escalate in an increasingly uncertain environment, engaging physicians as accountable “owner operators” of a clinical enterprise must become a strategic priority for all ACOs.

Want that tech investment to pay off? Make IT the underpinning of your enterprise strategy IT must be built into business strategy and development planning to fully realize its potential to enhance the broader organization, experts say.

Tips for managing legacy employees during big EHR implementations Houston Methodist replaced best-of-breed clinical applications with an integrated EHR. The successful transition involved managing not just technology but, equally as important, employees across multiple teams. Here’s a look at lessons learned.

On the Frontline

Making the Paradigm Shift from Siloed Population Health Management to an Enterprise-Wide Approach

Case Study: Mayo Model of Community Care

Health systems across the United States have started their journeys toward population health management and the future of accountable care. Models of population health management include patient-centered medical homes and private sector accountable care organizations (ACOs). Other models include public sector efforts, such as Physician Group Practice Transition Demonstrations, Medicare Health Care Quality Demonstration Programs, Beacon Communities, Medicare Shared Savings Program, and Pioneer ACOs. As a result, health care organizations often have pockets of population health initiatives that lack an enterprise-wide strategy. The next steps are to build on these efforts, leverage the learnings from these experiences, and incorporate the initiatives into an overarching framework and a road map for the future.

"Mayo Clinic’s vision was a patient-centered, integrated care delivery model based on aligned incentives…"

The Chartis Group Earns High Marks in 2017 Best in KLAS: Software & Services Report

Only firm to rank among the top five for both "Overall Healthcare Management Consulting" and "Overall IT Services"

iVantage Research Identifies Top Performing Critical Access and Rural & Community Hospitals

New research reveals impact of legislative policies on rural communities already struggling with disadvantages and disparities

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