Training, Education, and Health Care
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Training, Education, and Health Care
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How to Conduct a Lightning Fast Needs Assessment Clients Will Love

How to Conduct a Lightning Fast Needs Assessment Clients Will Love | Training, Education, and Health Care | Scoop.it

Sardek Love asks, notes that he hears "the same complaint from training and consulting professionals time and time again. It comes in a variety of versions:
'We want to conduct a needs assessment, but our clients don’t give us the time or resources.'
'Clients just want us to train.'

'We delivered the training like they asked, and then the client complained that the problem still exists.'
He explains that asking seven questions will enable internal consultants to rapidly assess any situation to ensure that they address the right problem.

Greg Younger's insight:
A pretty nice, succinct shortcut.
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What To Do When Your Course Has Too Much Content (E-Learning Heroes)

What To Do When Your Course Has Too Much Content (E-Learning Heroes) | Training, Education, and Health Care | Scoop.it
Sometimes creating an e-learning course is like packing for a trip: it’s easy to keep adding, adding, adding … until your e-learning “suitcase” is bursting at the seams. And guess what? Most lear...
Greg Younger's insight:

Great article from Trina Rimmer. Key quote:

"It’s tempting to lose sight of the goal and think of courses as content containers rather than change catalysts."

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Challenges Ahead for Portals

Challenges Ahead for Portals | Training, Education, and Health Care | Scoop.it
With the rush to implement electronic health record systems and meet meaningful use requirements, there have been mixed results in getting patients to use patient portals.
Greg Younger's insight:

I'd rather say, "With the rush to implement electronic health record systems and meet meaningful use requirements, there have been mixed results in offering a patient portal that is useful and usable for patients!"

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Terri Rice's curator insight, December 19, 2015 12:42 AM

I couldn't agree more. Patient Portals seem to be more confusing than useful. There is no reason to make it this cloak-n-dagger style. I understand it's HIPPA controlled, and that is a whole 'nother kettle of dying fish.... I spent 20+years in healthcare and misplacing paper charts was less headache to rectify than this protected health info chaos now.

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ICD-10 Code for ICD-10-related injuries

ICD-10 Code for ICD-10-related injuries | Training, Education, and Health Care | Scoop.it
RT @MarkGraban: Not far from the truth? #EMR #ICD10 http://t.co/WRJ3uvhi99
Greg Younger's insight:

...and sequela...

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Nurse Smartphone Ownership, App Use Eclipses that of Docs

Nurse Smartphone Ownership, App Use Eclipses that of Docs | Training, Education, and Health Care | Scoop.it
According to a new survey, 95 percent of nurses own a smartphone and 88 percent of them use smartphone apps in their daily work to improve patient care--a higher percentage than physicians.
Greg Younger's insight:

Key Quote:
“Nurses reported using their smartphones for fast access to patient care information across a wide range of daily nursing tactics, from receiving patient photos of a rash to setting a timer for meds administration...”

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ICD-10’s Role in Furthering Population Health: Why Intensive Education and Training will Promote Better Care Decisions

ICD-10’s Role in Furthering Population Health: Why Intensive Education and Training will Promote Better Care Decisions | Training, Education, and Health Care | Scoop.it

While clinicians and staff may be wincing at the amount of new information they must be ready to put into practice by Oct. 1, 2015, ICD-10’s benefits to providers are undeniable. In particular, ICD-10 can further population health initiatives, the main focus of Meaningful Use Stage 3, in four key ways.

Greg Younger's insight:

Four Key Ways ICD-10 benefits population health initiatives:
1)  They ensure that patients with chronic conditions receive the best care, according to the latest research and protocols. 
2)  They help identify patients at risk for chronic conditions. 
3)  They facilitate outreach and knowledge-sharing with other providers.  
4)  They result in the reporting of data regarding population health and effectiveness of treatments. 

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Many EDs might be unprepared for ICD-10

Many EDs might be unprepared for ICD-10 | Training, Education, and Health Care | Scoop.it
Nearly one-fourth of the ICD-9 codes commonly used by EDs have complex mappings to ICD-10 code sets, which could negatively affect clinical workflow and finances at hospital EDs, according to a new study.
Greg Younger's insight:

Key Quote:
"...independent physician groups that staff EDs and perform their own billing are more likely to be overwhelmed by the amount of analysis and challenges the ICD-10 conversion poses."

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HDM May Feature: The Portal Outlook is Cloudy

HDM May Feature: The Portal Outlook is Cloudy | Training, Education, and Health Care | Scoop.it
Patient portals, as the acknowledged leading patient engagement tool, so far have been disappointing in satisfying the needs of both patients and providers.
Greg Younger's insight:

Key Quote:
"It's not enough to have portal technology available; the right people must strongly support its use by patients... providers--particularly physicians--must have a thorough understanding of the patient portal... Of respondents who said they didn't use patient portals, 35 percent did not know a portal was available, and 31 percent said their physician had never spoken to them about portals."

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Health Information Exchanges Show Little Evidence of Benefits

Health Information Exchanges Show Little Evidence of Benefits | Training, Education, and Health Care | Scoop.it
Though health information exchanges are supposed to improve the speed, quality, safety and cost of patient care, there is little evidence of these benefits in existing HIE studies.
Greg Younger's insight:

Key quotes:

"Overall, the paper found that 'little generalizable evidence currently exists regarding benefits attributable to HIE.' To be clear, the paper doesn’t say there are no benefits from the use of HIEs. 'It’s simply premature to say if we have or have not gotten our money’s worth out of HIE...' ...another study released last year found that the majority of hospitals still do not engage in the electronic exchange of health information..."

 

By definition, how could HIEs show benefits if most hospitals aren't engaging in exchanging information? Repeat the study in a year. And in two years.

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Doc-to-Doc: Fear of the Unknown

Doc-to-Doc: Fear of the Unknown | Training, Education, and Health Care | Scoop.it

We’re getting closer to the probable implementation date for ICD-10, and we all know about the fear of the unknown that’s so prevalent in the healthcare industry.

Greg Younger's insight:

Key Quote:

"What is important for physicians to know is that the better you describe what’s wrong with your patient, the better everyone else can treat your patient and take care of your patient’s needs. The better we can explain in the medical record that we know what’s wrong with the patient, what caused it, and what effect it is having on the patient’s other diseases or other organs, the better the patient will understand what’s happening, the better the family will understand what’s happening, and the better the insurance companies will understand what‘s happening...The worst that can happen when the doctor takes a few seconds to think along these 'complexity' lines is that we have a better concept of a more holistic way to treat the patient."

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Get the most bang for your CDI buck

Get the most bang for your CDI buck | Training, Education, and Health Care | Scoop.it
CDI expert Morgan Haines shares the strategies top-performing CDI programs use to reevaluate and improve their documentation efforts to sustain the gains they have made.
Greg Younger's insight:

Haines says "The one common pain point we see time and time again is the physician engagement and leadership piece." Her top three strategies:
1. Find the "right lever" to motivate, engage, and enfranchise physicians regarding documentation improvement.
2. Assist physicians in real time using CDI support, templates and technology embedded in their EMR.
3. Push and share data. Let physicians see when they’re performing better than or not as well as their peers.

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Get patients to use your portal

Get patients to use your portal | Training, Education, and Health Care | Scoop.it
To design a successful portal, first understand what your portal should accomplish, what features it must have, and what missteps that will turn patients off.
Greg Younger's insight:

Key Quote:

"Unfortunately, patient portals don't follow the theory of "build it and they will come." To increase portal utilization by patients, you'll need to appoint a "portal leader" to guide your strategy, turn physicians into portal advocates, incorporate features that maximize patient convenience, and think about how to leverage every patient contact to promote portal use."

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Survey Shows Providers Making Little ICD-10 Progress

Survey Shows Providers Making Little ICD-10 Progress | Training, Education, and Health Care | Scoop.it

Though vendors and health plans continue to make progress despite the one-year delay in the ICD-10 compliance deadline, providers are making little progress in preparing for the code switchover, according to results of a new survey from the Workgroup for Electronic Data Interchange.

Greg Younger's insight:

Key Quote:

“The lack of progress by providers, in particular smaller ones, remains a cause for concern as we move toward the compliance deadline.”

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Storytelling: The Secret to Software Training That Doesn’t Suck! - ThinkingKap

Storytelling: The Secret to Software Training That Doesn’t Suck! - ThinkingKap | Training, Education, and Health Care | Scoop.it
Let’s get this out of the way up front; most software training sucks. No wait…it REALLY SUCKS! Having spent a significant part of my training career at various software companies, I certainly saw more than my share of software training … Continue reading →
Greg Younger's insight:
Loved this article; it really captured - and elegantly presented - principles I've applied in software training I've developed but never articulated so nicely.
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Confused? Here's why that might be a good thing

Confused? Here's why that might be a good thing | Training, Education, and Health Care | Scoop.it

Under the right circumstances, confusion seems to have an upside: It may help us learn...

Greg Younger's insight:

Makes sense from a "Zen Mind, Beginner's Mind" POV too.

 

Key Quote:

Lombrozo says researchers are not sure how confusion relates to learning, but notes there are two leading theories:

- That confusion is not beneficial on its own but is "a marker that an important cognitive process has taken place," such as noticing inconsistencies; and

- That confusion is a beneficial process that "motivates the learner to reconcile an inconsistency or remedy some deficit."

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Can ICD-10 be This Smooth or Has Reality Not Struck? | HDM Top Stories

Can ICD-10 be This Smooth or Has Reality Not Struck? | HDM Top Stories | Training, Education, and Health Care | Scoop.it
The initial transition to ICD-10 has gone surprisingly well, although providers seem to be taking additional time submitting claims to make sure they re right. Industry experts wonder if this trend will stick.
Greg Younger's insight:

Key Quote: 
"Overall, the industry appears to have cleared a huge first hurdle, but how well it handles remittance advices will be the next challenge. While early remittance looks good with no spike in payment denials and reasonable reimbursements, the industry may not know before Thanksgiving how remittance trends will continue."

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ICD-10 Nebraska Medicine - YouTube

The U.S. is finally ready to begin using ICD-10 after 35+ years of ICD-9. 

Greg Younger's insight:

The 1970s are OVER. Wake up and smell the new millennium!

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AMA and CMS announce vigorous cooperation in ICD-10 transition

AMA and CMS announce vigorous cooperation in ICD-10 transition | Training, Education, and Health Care | Scoop.it
This ICD-10 transition is going to happen. The Centers for Medicare and Medicaid Services (CMS) and American Medical Association (AMA) confirmed it Monday by announcing a joint effort to help physicians have a smooth ICD-10 transition.
Greg Younger's insight:

Important things to know:
The AMA is very happy to with the CMS promises. 
The Coalition for ICD-10 applauds it too. 

The era of undeniability is to last 12 months  

The CMS guidance is pretty good at explaining this does not give physicians the opportunity to use ICD-9 codes or incorrect ICD-10 codes.

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How AMA's new president plans to 'restore the joy' of being a doctor

How AMA's new president plans to 'restore the joy' of being a doctor | Training, Education, and Health Care | Scoop.it

Steven Stack, the newly inaugurated president of the American Medical Association (AMA)—and its youngest in 160 years—says in an interview with MedPage Today that he intends to "restore the joy" in medicine by focusing on physician satisfaction during his tenure.

Greg Younger's insight:

Key Quote:
Stack says he will work to 'transform the medical school experience as profoundly as it was done over 100 years ago' by developing completely new content and creating a new education model... [and] work to improve satisfaction among physicians, in part by working with stakeholders to dismantle red tape and develop innovative solutions to industry problems—such as the burden of electronic health record (EHR) implementation. '[EHRs] have such incredible promise but have inserted such incredible frustration into physician lives and diminished their efficiency.'"

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House Bill Seeks 18-month Transition Period for ICD-10

House Bill Seeks 18-month Transition Period for ICD-10 | Training, Education, and Health Care | Scoop.it
Rep. Diane Black (R-Tenn.) has introduced legislation requiring Medicare to conduct a comprehensive, end-to-end ICD-10 testing process to assess whether the Medicare fee-for-service claims processing system is fully functioning using the new code set.
Greg Younger's insight:

Key Quote:
"AHIMA opposes Black’s bill arguing that an 18-month transition period for ICD-10 should not serve as a reason for providers to delay properly learning to use the new code set and generating accurate codes supported by high-quality clinical documentation, nor to reduce the effectiveness of audits in curtailing fraud and abuse."

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Epic, other EHR vendors waive fees for record sharing

Epic, other EHR vendors waive fees for record sharing | Training, Education, and Health Care | Scoop.it
Several EHR vendors have announced steps to reduce the cost of information sharing between competing systems and promote interoperability.
Greg Younger's insight:

They seem to be reacting to this:

"Earlier this month, the Office of the National Coordinator for Health IT released a report accusing some EHR vendors of engaging in business practices designed to block interoperability..."

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GAO Report: CMS On Track to Transition to Next Health Code Phase

GAO Report: CMS On Track to Transition to Next Health Code Phase | Training, Education, and Health Care | Scoop.it

WASHINGTON - Today, Senate Finance Committee Chairman Orrin Hatch (R-Utah) and Ranking Member Ron Wyden (D-Ore.) said a new Government Accountability Office report gives them confidence that the Centers for Medicare and Medicaid Services CMS is adequately preparing to implement ICD-10 on October 1, 2015.

Greg Younger's insight:

Key Quote:

“As demonstrated by this report, the provider outreach and responsiveness to stakeholder concerns from CMS have kept the agency on track to upgrade to the next level of healthcare coding. While additional testing will be needed to ensure its success, the transition to the new system will streamline the management of healthcare records and improve patient care. I will continue to keep a close eye on this issue but see no reason for any delay past the October deadline.” (Orrin Hatch)

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It's 'stupidity' to install health IT without re-engineering workflow

It's 'stupidity' to install health IT without re-engineering workflow | Training, Education, and Health Care | Scoop.it
Dr. Glenn Steele Jr., president and CEO of Geisinger Health System, discusses how his organization is dealing with Medicaid and exchange-plan growth, his concerns about implementation of pay-for-performance and health IT, and his legacy at Geisinger.
Greg Younger's insight:

Dr Steele quote:

"This is an issue of stupidity. If people believe that you can put IT in, continue working the same way you did before IT, and not get inefficiency, we are talking double-digit IQs here. ...If you put IT in, whether it's hospital-based or ambulatory, you have to look at the entire workflow and use the IT implementation as an excuse for re-engineering your workflow from beginning to end. If you don't do that, it's going to create havoc..."

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ICD-10: Dodged a Bullet – This Time

ICD-10: Dodged a Bullet – This Time | Training, Education, and Health Care | Scoop.it

The House Appropriations Committee posted the $1.1 trillion spending bill Tuesday night. According to AHIMA there is no language tucked into the bill that would delay the implementation of ICD-10.

 

 

Greg Younger's insight:

I'm not ashamed to date myself: this is starting to remind me of Chevy Chase reporting every week on SNL that "Generalissimo Francisco Franco is STILL DEAD."

 

So... I'm happy to report that ICD-10 is still not declared not happening.

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EHRs: The 'single-most important piece of evidence' in malpractice suits?

EHRs: The 'single-most important piece of evidence' in malpractice suits? | Training, Education, and Health Care | Scoop.it
Using electronic health record systems incorrectly can cause major liability problems for health care providers, according to defense attorneys familiar with the issues, Judy Greenwald writes for Modern Healthcare.
Greg Younger's insight:

What are the ICD-10 implications? More specific documentation = a better shield for physicians? Does "telling the complete patient story" always paint the physician's decisions and actions in a better light?

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