Dr John Gachago

The Association of Healthcare Value Analysis Professionals (AHVAP) celebrates Elizabeth Eisenberg, MSN, RN, CVAHP from Scripps Health for commitment to excellence in the specialty of healthcare value analysis! Liz has signified this commitment by signing the official Association of Healthcare Value Analysis Professionals (AHVAP) healthcare value analysis pledge. To learn more about the Association of Healthcare Value Analysis Professionals (AHVAP) Commitment pledge: https://lnkd.in/gqEWPBue. #AHVAP #valuebasedcare #excellenceincare #valueanalysis

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On October 8th, U.S. News & World Report released its annual rankings of Children's Hospitals, called "Best Children's Hospitals". It is a 174-page report describing the methodology and data tables which I scanned through. Appendix C-10 has the data on Pediatric Pulmonology which I took a deep dive into. In the attached carousel, I have recreated two datasets that matter. If I were to shop around for a hospital for my care, what really matters to me is the outcome data for a particular condition I am seeking care for and not the reputation score. However what separates the top-ranked "Best Children's Hospitals" is their reputation scores, not the outcome scores for selected conditions as in asthma here. It's a different matter whether the outcome scores used in the rankings are good measures. We will discuss them in another post. What are your thoughts? Feel free to like, share, and comment. #healthcare #hospitals #physician

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A new #EBHC scoping review explores how health service and delivery systems in high-income countries define and operationalise #HealthEquity. 👉 https://ow.ly/ZxaY50ShGWU

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Reflecting on the implementation of structured, value-based care models: The foundation of effective clinical intervention is a deep understanding of the health system and its key stakeholders. These models must center on the individuals receiving care. Evidence-guided and value-focused care optimizes available resources within health systems, specialty programs, and health services, leading to qualitative and valuable care delivery. The result? Better resource utilization, improved outcomes, and enhanced individual health. This approach is essential for organizations that design true care pathways rather than virtue signaling or creating superficial content. Having been intimately involved in Value-Based Care design and implementation, I'm eager to partner with forward-thinking organizations to continue this vital work. The result - a healthcare system that truly serves its patients and stakeholders - is a goal worth pursuing. If you're passionate about transforming healthcare delivery, let's connect and explore how we can drive meaningful change together. #ValueBasedCare #HealthcareInnovation #ClinicalPathways #HealthcareTransformation #letstalk

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I get Dr. Yang's concern about large, wealthier health systems adopting AI sooner than smaller, poorer organizations, but this is actually a good thing...unless your time horizon is myopically short. Big organizations, with much larger budgets and sophisticated IT teams, can afford to take risks, make mistakes, and test out exciting (but still unproven) emerging tech while smaller organizations certainly can't (for the most part). So let the behemoths take all the risk, do the heavy lifting first, and then smaller organizations get to adopt truly proven solutions at lower risks/prices...once these have run the Kaiser, Mayo, Intermountain, etc., gauntlet. It's all part of the plan... #healthcare #startups #startup #ai #generativeai #digitalhealth #emergingtech Kaiser Permanente Cleveland Clinic Mayo Clinic Risant Health Intermountain Health https://lnkd.in/gckgQB_q

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Healthcare has a history of borrowing from the airline industry...Universal Protocol, anyone? We are doing it again...this time with CLEAR technologies. Patients at Wellstar Health System in Georgia will be able to fasttrack registration and sign in. We always talk about the future of healthtech- The Future is Now ✨ More and more hospitals will be adopting this technology, and perhaps telehealth companies in order to avoid the patient identity issue that some companies like Cerebral have been fines for in the past after having poor patient outcomes due to identity verification. How are you optimizing your workflows to speed up registration? #registration #airlinehospitals #healthcareinnovation #hospitalleaders Article in comments ⏬

Great commentary and details to be considered from post by Deborah Williams Too few probably understand what you've posted, the other major part of the problem. Commercial insured populations (employers & employees) pay the price for government policy failures that represent major hits on company bottom lines or lead to more individual bankruptcies today. #employeebenefits #employers #commerialinsurance #epcouncil.org

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Within the new #hti2 rule are some critical signals: 1. It is a joint effort between Office of the National Coordinator for Health Information Technology (ONC) and Centers for Disease Control and Prevention —and also heavily influenced by recent rules from Centers for Medicare & Medicaid Services 2. #mfa (multi-factor authentication) is called out as required in some use cases 3. #ai algorithms for #caremanagement will need to be more transparent. 4. It attempts to harmonize #tefca from the The Sequoia Project 4. It sets specific versions of USCDI, and #fhir. https://lnkd.in/edb7NpaZ

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It's wild to think in 2024 we're FIRST seeing the DOJ accuse telemedicine conglomerates of criminal drug distribution. How long have we known about these practices in brick and mortar care...? Answer: decades! Take it from someone who prescribed stimulants and other psychotropics to kids over the years - painstakingly measuring and documenting the need and impact - these appalling abuses by Done and Cerebral mean we need more calls for thoughtful pause when it comes to working with startups. Particularly about funding's role - my favorite topic! 🤑 How did we end up with venture capital and PE financing in healthcare that risk the safety of kids in the name of exorbitant returns? Not that all VC or PE dollars are bad, of course, but they're certainly key drivers who shouldn't be in that seat. Did we underestimate these funders as 'barbarians at the gate', much like the pharma reps of the 90's and early 2000's heyday? Have we not learned from Purdue Pharma's aggressive and deadly Oxoycontin marketing? Purdue pleaded guilty to criminal charges and paid $600 million in fines in 2007. Or TAP Pharmaceutical Products's Lupron kickback scheme for the prostate cancer drug? TAP also pleaded guilty to criminal charges and paid $875 million in fines in 2001. Or Pfizer marketing Neurontin, an anti-seizure drug, for off-label uses, such as treating pain and bipolar disorder, even though the drug was not approved for these purposes, and paying physicians kickbacks. In 2004, Pfizer pleaded guilty to criminal charges and paid $430 million in fines. Cerebral and Done's playbooks were practically the same thing, just with a modern mid-pandemic, low-regulatory scrutiny, digital-platform twist. Will appropriate regulation ever outpace American venture greed? Is it even possible to ensure patient safety AHEAD of tragedies driven by the intersection of innovation and venture funding? If you're keeping score, healthcare regulatory reactivity: 1 million. Healthcare ounces of smartly preventive policy: 3. Blech. 😖 When will we finally own that prevention in-house? #healthcare #overdoseprevention #suicideprevention

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Interesting perspective on #TechnologicalDebt in health care by Dave Lamar focused on the provider market, but we seem the same issues within state depts and payers. While good data governance practices are key, there must be a better way to solve this common - if not universal - challenge in health care, if only by offloading some of the administrative responsibilities that require the individual management and administration of no-value-add administrative functions. #healthdata

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Don't miss the latest post from Dr. Eric Lee as he joins Bill Russell on #TWH to discuss AltaMed Health Services' Health IT journey with Epic. Dr. Lee's conversation promises to be just as enlightening, shedding light on the innovative efforts and successes driven by our dedicated Clinical Informatics team and IT leaders. Their journey is a testament to the power of perseverance, creativity, and strong collaboration across our organization. Tune in to gain a deeper understanding of how we are leveraging technology to enhance healthcare delivery. #HealthIT #Epic #AltaMedHealthServices #ClinicalInformatics #InnovationInHealthcare

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Reducing clinician burnout starts with 𝗯𝗲𝘁𝘁𝗲𝗿 𝗘𝗛𝗥 𝗱𝗲𝘀𝗶𝗴𝗻. By 𝘴𝘵𝘳𝘦𝘢𝘮𝘭𝘪𝘯𝘪𝘯𝘨 𝘸𝘰𝘳𝘬𝘧𝘭𝘰𝘸𝘴, 𝘢𝘶𝘵𝘰𝘮𝘢𝘵𝘪𝘯𝘨 𝘳𝘦𝘱𝘦𝘵𝘪𝘵𝘪𝘷𝘦 𝘵𝘢𝘴𝘬𝘴, 𝘢𝘯𝘥 𝘪𝘯𝘵𝘦𝘨𝘳𝘢𝘵𝘪𝘯𝘨 𝘤𝘭𝘪𝘯𝘪𝘤𝘢𝘭 𝘥𝘦𝘤𝘪𝘴𝘪𝘰𝘯 𝘴𝘶𝘱𝘱𝘰𝘳𝘵 𝘵𝘰𝘰𝘭𝘴 that are helpful—not disruptive—we can make it easier for clinicians to focus on patient care. Simple improvements, like 𝘥𝘦𝘧𝘢𝘶𝘭𝘵𝘴 𝘣𝘢𝘴𝘦𝘥 𝘰𝘯 𝘱𝘢𝘵𝘪𝘦𝘯𝘵 𝘤𝘰𝘯𝘵𝘦𝘹𝘵 𝘢𝘯𝘥 𝘦𝘭𝘪𝘮𝘪𝘯𝘢𝘵𝘪𝘯𝘨 𝘶𝘯𝘯𝘦𝘤𝘦𝘴𝘴𝘢𝘳𝘺 𝘴𝘵𝘦𝘱𝘴 (“getting rid of stupid stuff”), can significantly reduce cognitive load and frustration. 𝘛𝘳𝘢𝘯𝘴𝘱𝘢𝘳𝘦𝘯𝘵, 𝘱𝘳𝘦𝘥𝘪𝘤𝘵𝘢𝘣𝘭𝘦 𝘪𝘯𝘵𝘦𝘳𝘧𝘢𝘤𝘦𝘴 further enhance trust, helping clinicians understand how their actions impact the system and why it matters. EHRs are not static tools; they must evolve with user feedback, clinical needs, and regulatory changes. A 𝗰𝗼𝗻𝘁𝗶𝗻𝘂𝗼𝘂𝘀 𝗶𝗺𝗽𝗿𝗼𝘃𝗲𝗺𝗲𝗻𝘁 𝗺𝗶𝗻𝗱𝘀𝗲𝘁—supported by regular usability testing and clinician input—ensures systems stay relevant and user-friendly. The ultimate goal? To create healthcare technology that works for humans, empowering clinicians and improving patient outcomes. What steps is your organization taking to improve EHR usability? #HumanCenteredDesign #EHRInnovation #HealthcareUsability

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Wearable tech and patient-generated health data (PGHD) are poised to revolutionize electronic health records (#EHRs), offering clinicians unprecedented real-time insights into patient health. By integrating data from wearables, such as heart rate variability and oxygen levels, EHRs can help identify early warning signs, track trends, and personalize care in ways traditional visits cannot. However, to maximize impact, we must address challenges like data overload, privacy concerns, and the need for smarter, action-oriented EHR dashboards. As healthcare executives and physician leaders, 𝘯𝘰𝘸 𝘪𝘴 𝘵𝘩𝘦 𝘵𝘪𝘮𝘦 𝘵𝘰 𝘱𝘳𝘦𝘱𝘢𝘳𝘦 𝘧𝘰𝘳 𝘵𝘩𝘪𝘴 𝘸𝘢𝘷𝘦 𝘰𝘧 𝘪𝘯𝘯𝘰𝘷𝘢𝘵𝘪𝘰𝘯. Proactive planning will ensure your organization stays ahead of the curve. 𝗔𝗰𝘁𝗶𝗼𝗻 𝗜𝘁𝗲𝗺𝘀 𝗳𝗼𝗿 𝗛𝗲𝗮𝗹𝘁𝗵𝗰𝗮𝗿𝗲 𝗘𝘅𝗲𝗰𝘂𝘁𝗶𝘃𝗲𝘀: 🩺 𝗖𝗵𝗮𝗺𝗽𝗶𝗼𝗻 𝗜𝗻𝘁𝗲𝗴𝗿𝗮𝘁𝗶𝗼𝗻: Prioritize EHR upgrades that can accommodate wearable data and provide clinicians with user-friendly dashboards. 🛡️ 𝗦𝘁𝗿𝗲𝗻𝗴𝘁𝗵𝗲𝗻 𝗦𝗲𝗰𝘂𝗿𝗶𝘁𝘆: Invest in robust data privacy measures to build and maintain patient trust. 🤖 𝗘𝗺𝗯𝗿𝗮𝗰𝗲 𝗔𝗜: Leverage advanced algorithms to filter and highlight actionable insights, minimizing clinician burnout. 🤝 𝗖𝗼𝗹𝗹𝗮𝗯𝗼𝗿𝗮𝘁𝗲 𝘄𝗶𝘁𝗵 𝗣𝗮𝘁𝗶𝗲𝗻𝘁𝘀: Develop policies that empower patients to control what data is shared, fostering trust and engagement.

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🚀 CMS Unveils Strategic Initiatives to Enhance Healthcare Services and Accessibility 🏥 The Centers for Medicare & Medicaid Services (CMS) has announced a groundbreaking series of initiatives aimed at improving healthcare quality and expanding access for beneficiaries. Key highlights include: 🌟 Nursing Home Staffing Campaign: Addressing staffing shortages to elevate care standards in long-term facilities. 🧠 Innovation in Behavioral Health Model: Selected states will focus on enhancing care for adults with mental health conditions and substance use disorders. 💰 Healthcare Spending Insights: The 2023 National Health Expenditures Report reveals a significant rise in healthcare spending, emphasizing the need for sustainable funding strategies. 🏡 Acute Hospital Care at Home Program: Demonstrating the feasibility of delivering inpatient-level care in home settings while maintaining quality and reducing costs. 🌍 Health Equity Conference 2025: A platform to discuss advancements in health equity, encouraging community involvement and research contributions. 💡 CMS is also focusing on maternal health, rural healthcare support, hospice quality improvement, and updated hospital price transparency requirements. These initiatives are set to create a more efficient, equitable, and resilient healthcare system that benefits all stakeholders. 👉 Click the link to learn more about these transformative efforts! #CMSInitiatives #General #HealthEquity #HealthcareInnovation #MedicareMedicaid #RegulatoryAgencies #MarketAccess #MarketAccessToday

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Today the Centers for Medicare & Medicaid Services (CMS) published the request for applications (RFA) for the ACO Primary Care Flex (PC Flex) Model, which will test #primarycare hybrid payments within MSSP beginning January 1, 2025. (https://lnkd.in/epgeV9ie) The application portal is open now (https://lnkd.in/erZPbmGq). To apply, ACOs must submit an MSSP application (as an initial, re-entering, or renewing/early renewing applicant) and a supplemental PC Flex application questionnaire. The MSSP application is open now through June 17 at 12:00pm (noon) ET. The PC Flex supplemental application must be submitted by August 1, 2024. CMS will host a model applications webinar on June 6 at 2-3:30pm ET. (https://lnkd.in/eVJJKrrP) Considerations for applying to PC Flex were discussed during NAACOS' MSSP 2025 Application Insights webinar yesterday, the slides and recording will be available on-demand shortly (https://lnkd.in/ejizaatZ). Stay tuned for additional NAACOS resources on the PC Flex model. Key model details: > The model will run January 1, 2025 – December 31, 2029. > Eligible participants are low revenue ACOs using prospective assignment that begin a new MSSP agreement starting Jan. 1, 2025; ACOs cannot simultaneously participate in Advance Investment Payments (AIP). > Participation is at the ACO level and all ACO participants and their primary care providers will be required to participate; fee reductions will be applied at the TIN/NPI level. > In addition to the MSSP application and PC Flex questionnaire, applicants must submit a spend plan, roster of non-physician practitioner data, and assurance of ability to repay; applicants may withdraw the PC Flex application at any time prior to signing the Participation Agreement (December 6 – 12, 2024), and may withdraw the PC Flex application without impacting the MSSP application. > Participants will be required to submit a health equity plan, collect and report health equity data, and secure a repayment mechanism (separate from MSSP repayment mechanism for 2-sided tracks). > ACOs will distribute the Prospective Primary Care Payment (PPCP) to their participant primary care providers, FQHCs and RHCs. CMS will require ACOs to publicly report information on the distribution of the PPCP. #valuebasedcare #accountablecare #healthcareinnovation

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#Nurses and #doctors are noticing firsthand that anemia is growing faster globally than we ever thought. They truly represent a new culture of first responders in this critical area of healthcare. We hope that medical colleges, #hospitals, and nursing associations will support awareness of the vital roles these healthcare professionals play in serving the public's needs. These healthcare providers, along with many companies, also represent the foundation of potential cures for anemia worldwide. Consider this: The smallest amount of air blown into a balloon will automatically increase its size and visibility. The relationship between healthcare providers and anemia needs to be seen on a much larger, broader scale—just like that balloon. This also enhances the dignity and respect they’ve always deserved. We can't afford to let this balloon deflate, as doing so would set us back significantly. Our work focuses on building bridges that bring healthcare providers closer to understanding the patient. We’ve created a meaningful insignia for doctors and nurses that fosters trust and understanding from the very first examination. This is a new concept for #anemia, and we anticipate new partnerships and ideas that will expedite awareness even further. Until then, we deeply appreciate all collective efforts—together, we will defeat public enemy number one: Anemia. UChicago Medicine Englewood Hospital Cleveland Clinic Mayo Clinic Geisinger Johns Hopkins Medicine Loma Linda University Health Hackensack Meridian Health Penn Medicine, University of Pennsylvania Health System Mount Sinai Health System NewYork-Presbyterian Hospital MedStar Washington Hospital Center American Society of Hematology American Nurses Association American Academy of Anesthesiologist Assistants UCLA Health Yale New Haven Health Jefferson Health NYC Health + Hospitals

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