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The #HCBiz Show!

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The #HCBiz Show!

Don Lee and Shahid Shah

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A practical podcast on the business of healthcare w/ hosts Don Lee and Shahid Shah. The premise behind #HCBiz is that we can't "just innovate". Sure, you may have a great idea, an all-star team and execute flawlessly, but if you don't understand the complex dynamics of the healthcare business you'll never get traction. We'll identify the issues that impede change, explain why they exist and find ways to work with them, through them, or around them. In short, we'll help you create space for i ...
 
TN HIMSS brings a fresh perspective on Health IT challenges of the day and how innovation and best practices can improve healthcare. We touch on a variety of topics from diversity to true information technology solutions that power the healthcare engine with a range of provocative guests and thought leaders.
 
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show series
 
Don and Shahid discuss NCQA's Health Innovation Summit (November 2022) and FHIR Dev Days (June 2022). They explore these events as examples of how to interpret what you hear at conferences, in industry media, and even on podcasts like this. The discussion covers a lot of ground including: What is NCQA? What is HEDIS? What does it mean to move from …
 
In our latest episode of the eCW Podcast, hear from our own Sharmeelee Tasto how clinical and technical teams collaborated in person and online in unscripted testing of eClinicalWorks V12 before its release to customers. The hackathon, as it’s referred to, was a recommendation from the Patient Safety Board to increase clinician involvement in the p…
 
On this episode, we talk with Ray Dogum, MS, MBA about the state of blockchain and web3 technology in healthcare. Ray is the producer and host of the Health Unchained podcast where he discusses blockchain developments in healthcare with industry experts. There was quite a hype cycle around blockchain in healthcare that has died, but there is still …
 
Some people tell doctors that anything more than a cup of coffee is a conflict of interest. What about executives? Is it ok to take them out to lunch? What about a trip to the Super Bowl? Is there a line? Where is it? On this episode, Don and Shahid discuss a recent LinkedIn discussion where a healthcare executive called shenanigans on himself and …
 
One of the lesser-known aspects of the eClinicalWorks EHR, Rules Engine Alerts contain enormous power to improve care by holding providers accountable for attending to care issues as they arise. Jose Rocha of Performance Medical Management explains how a practice can use alerts to help ensure that providers and staff deal with care issues on the sp…
 
eCW Podcast host Adam Siladi and Dr. Dhrumil Shah, a physician and Chief Medical Information Officer at Compass Medical, a 150-provider, multispecialty group in East Bridgewater, Massachusetts, discuss how a team-based approach can help reduce the risks of provider burnout while helping today’s busy medical practices achieve the goals of value-base…
 
Because two-thirds of their patients lack insurance and are self-pay, HealthWorks for Northern Virginia can’t rely upon insurance payer data to obtain the patient records they need. But as Jesse Burke explains, using healow Insights PRISMA enables HealthWorks to get the data they need at the point of care, because PRISMA gathers information from al…
 
For the last two years, Prima CARE, a medical practice with more than a dozen locations in Southeastern Massachusetts, has been using healow Insights to improve patient care. A secure, bidirectional interface allows practices to exchange patient information from any available internal or external network or hospital in the area or across the nation…
 
Monica Salopek of Acadiana Health & Wellness in Lafayette, Louisiana, said that providers are the driving force behind successful implementation of Chronic Care Management (CCM) programs. Her practice launched the CCM program to focus on patients who need more one-on-one attention. They have succeeded with it thanks to the initiative and strong com…
 
There's no business case for doing the right thing in healthcare. Fortunately, being patient-first is the right thing to do and can be good for business too. Today we talk with Brian Sanderson, national healthcare management leader at Crowe LLP and author of the new book, The Patient-First Revolution. In it, Brian provides a blueprint for hospitals…
 
It's easy to experiment with new tech and produce products that look and sound innovative. It's much harder to tie your innovation efforts to strategic objectives with measurable outcomes and then scale the solution across your organization. The former leads to "death by pilot". The latter makes a difference in people's lives. We need a more discip…
 
On this episode, Don Lee and Shahid Shah celebrate 200 episodes of The #HCBiz Show! We discuss what we've done over the past 6 years and tell you where we're headed next. In a nutshell, we're going to work to codify what we've learned about innovation in healthcare over the past 200 episodes and in our decades of deploying digital health solutions.…
 
There’s no shortage of development when it comes to AI and ML in healthcare. The technology is already powerful and continues to advance. The challenge, as always, is getting things into the clinical workflow. And doing so at scale. Nuance has a plan to help innovators and health delivery organizations find alignment and get the right tools integra…
 
It is now widely accepted that socioeconomic issues like food, housing, transportation, and more, directly drive health outcomes in the U.S. These issues hinder access to quality healthcare, and create obstacles to education and stable employment. In the former context, they are often referred to as the Social Determinants of Health. In the latter …
 
In this edition of the eCW Podcast, we explore how Sun Life Family Health Center, a federally qualified Health Center in Casa Grande, Arizona, has made effective use of the payer data they obtain through healow Insights. The service has been a key to obtaining the data and insight they need to close gaps in care, derive greater value from annual Me…
 
There are many areas where customer service is lacking in healthcare, but few are more egregious than the medical records request process. It’s frustratingly slow, needlessly opaque, and contributes to patient safety issues and staff burnout. And it’s making most of our health systems look bad. Today’s guest is not just calling for a better custome…
 
New price transparency rules from the Centers for Medicare & Medicaid Services required hospitals and hospital-owned organizations to post machine-readable files in plain language that will allow patients to generate estimates for what they will pay for a given medical service. By using the healow Price Transparency tool, medical organizations can …
 
Is your practice still billing patients with paper statements, incurring the costs of printing and postage, putting up with errors, and waiting weeks or even months to get paid? There is a better solution! healow Payment Services lets patients make copayments or settle balances at any point during the cycle of care. Payments can be made through you…
 
Last year we learned how Nayya was using data to help employees pick the best health plan. Founder and CTO, Akash Magoon told us that they were “restacking the financial odds in favor of American Families.” We loved that mission, and apparently, the market did too. Nayya has grown tremendously since we spoke and recently raised $55M in Series C fin…
 
It's natural to reach for advanced analytics, machine learning, and other potentially transformational technologies in healthcare. That’s especially true in oncology where speed to diagnosis and speed to care are critical. However, there are fundamental data needs that must be mastered if we are going to be successful. Today we talk with C.K. Wang,…
 
The latest eClinicalWorks Behavioral Health module offers Bridge Community Health Clinic, an FQHC in Wausau, Wisconsin, the tools they need to deliver quality care. Dr. Dakota Kaiser, Clinical Director of Behavioral Health, cites phased treatment plans, the Data, Assessment, and Plan tool, integrated timer, in-place editing, and new options to prot…
 
MedTech and Life Sciences commercialization expert, John Giantsidis of CyberActa, assesses the current regulatory environment around Medical Devices, the Internet of Medical Things (IoMT), and wearables. John shares best practices on how to gain regulatory approval and how to make compliance part of your company’s culture. Plus, he provides actiona…
 
There is a lot of attention being paid to the patient experience, and rightly so. However, we haven’t paid enough attention to our clinicians and caregivers and what they need to guide our patients thru that experience. Providers struggle to keep up with the increased touchpoints and questions without the proper tools. That increases stress and dee…
 
Digitization means taking paper charts and putting them into EHRs. Digital transformation means leveraging the digital asset to do something we never could before. Applying AI/ML in healthcare will be one of the primary ways we carry out that digital transformation. Today we discuss all of this with Prashant Natarajan, VP of Strategy and Products a…
 
Most health systems don’t understand their own referral networks or patient flows. From an overall fiscal standpoint, they may know who their best and worst physicians are but there’s little clarity on what’s happening in the middle. Where are patients going for procedures? Who is sending them there? And what’s the financial impact to the health sy…
 
In response to the COVID-19 pandemic, Pioneer Physicians Network, a 70-provider organization in the Greater Akron, Ohio area decided to “right size” their practice. They used Revenue Cycle Management services from eClinicalWorks to shift burdensome work off their staff, allowing them to maximize the effectiveness of existing personnel and resources…
 
We've been training medical personnel in the same way for decades, Virtual Reality (VR) and Augmented Reality (AR) are poised to change that. We talk with Dr. Ryan Ribeira, founder and CEO of SimX, about the opportunity to modernize and expand our approach to medical training. We discuss how that is already happening at many of the major medical in…
 
The recent dust-up over Direct Contracting and its ultimate rebranding as the ACO REACH model may have led some to believe that our path forward is unclear. That couldn't be further from the truth. On this episode, we talk with François de Brantes, Senior Vice President of Episodes of Care at Signify Health, about where we are on the pathway to esc…
 
Healthcare orgs share large amounts of PHI with 3rd party vendors. They share it for analytics, rev cycle management, call center services, and more. It's a necessary part of the business. But you know what isn't necessary? Sharing everything! There is a very disrespected requirement in HIPAA called minimum necessary. It means exactly what it says.…
 
It's difficult for Digital Health startups to find alignment between their innovations and the complex business realities of healthcare. That is why this show exists. We discuss it in nearly every episode. Today's guest has a novel approach to solving that alignment problem. Alex Yarijanian and the team at CareNodes have decided to build their idea…
 
Virtual-First thinking and telehealth adoption exploded during the pandemic. Since necessity was the driver there is some expectation that demand and use will scale back as the pandemic wanes. Yet today's guest tells us that is not what's happening in the field. We spoke with Karsten Russell-Wood at ViVE 2022, and he's seeing the opposite . Not onl…
 
There's a difference between being "just another vendor", and being a true partner to your customers. Ed Marx has thrived on both sides of this equation, first as a health system executive and now as the Chief Digital Officer at Tech Mahindra / The HCI Group. We sat down with Ed at ViVE 2022 to hear what he has learned about good vendor/health syst…
 
AvoMD is a no-code platform that allows users to create clinical decision support apps that integrate directly into their workflows. We caught up with Dr. Yair Saperstein, co-founder, and CEO to learn a bit about their platform and approach. Plus, we dig into the keys to gaining attention as an early-stage startup, being a good partner from the sal…
 
Our population is aging. According to the Urban Institute: “The number of Americans ages 65 and older will more than double over the next 40 years, reaching 80 million in 2040. The number of adults ages 85 and older, the group most often needing help with basic personal care, will nearly quadruple between 2000 and 2040.” And the aging population co…
 
Whether you’re an administrator, clinician, or executive, if you’ve built a career in the healthcare industry then you have skills, knowledge, and connections that most digital health startups lack. On this episode, we talk with Dr. Alan Pitt, a physician, entrepreneur, and investor, about how to put your hard-earned healthcare industry expertise t…
 
In this edition of the eClinicalWorks Podcast, Farah Saeed, a member of the Interoperability Team at eClinicalWorks discusses the importance of practices received ADT (admission, discharge, and transfer) notifications from hospitals for patients under their care. By enabling Direct messaging and using the eClinicalWorks Transition of Care Notificat…
 
We tend to talk mostly with software startups about commercialization and sales. What do things look like for a startup selling a physical product? And a physical product that’s very relevant during the pandemic at that? That’s exactly what Jason Kang and the team at Kinnos are doing right now. Kinnos’ product, Highlight®, colors bleach, and bleach…
 
Have you ever had an idea that you just had to make real? No matter what it took… no matter what obstacles were in your way… no matter how many times people told you no… you just couldn’t stop until it existed? Well, this is one of those stories. It begins with an idea in 1988 and leads to the first-ever autonomous AI to be approved by the FDA for …
 
Tennessee is a powerful leader in the healthcare space, because the depth of strong organizations extends beyond Nashville into nearly every part of the state. In this episode, Tennessee HIMSS President Elect Brad Morrow casts his vision for the organization, explaining how bringing healthcare leaders together can spark new innovation and problem s…
 
We talk about ML and AI quite a bit on this show. Our angle is always to avoid the hype and help you find the practical applications that you can put to work right now. Today’s episode is a great extension of this ongoing conversation. We talk with Dr. Taha Kass-Hout, Chief Medical Officer and Director, Machine Learning at Amazon Web Services about…
 
The No Surprises Act intends to prevent patients from getting burned with huge, unexpected bills for medical services. It is a needed law – medical bills are the #1 cause of bankruptcy in the U.S. And it’s certainly noble in its intentions. However, the healthcare machine works in unexpected and unintuitive ways. It has a way of moving surprises wh…
 
The Centers for Medicare & Medicaid Services (CMS) released the 2022 Medicare Physician Fee Schedule and Quality Payment Program final rule on November 2, and there are big changes to physician payments. In particular, the Medicare conversion factor, which forms the basis for payments to clinicians, will be lowered by 3.7%. There’s nuance in calcul…
 
We planned to discuss quality measures but shifted to address a very important piece of listener feedback after the preview and Episode 1. The comments came from a doctor in the audience and I know there are many more doctors and healthcare administrators who feel the same way. The feedback, in short, is that we’ve been hearing about the move to va…
 
In this edition of the eClinicalWorks Podcast, host Brian Saal and eClinicalWorks's own Deb Wade discuss how the Prescription Drug Monitoring Program (PDMP) software in eClinicalWorks helps providers run drug checks and safely prescribe opioids and other controlled substances to their patients. They explore how eClinicalWorks works with prescriptio…
 
There’s a lot of unknowns as we head into 2022, but one thing is certain: Health Equity will be a major focus for CMS and CMMI. Gail Zahtz, CEO of PropHealth, tells us that “value-based payment models have failed to deliver on the promise of health equity” and that is a major reason why CMMI paused so many models earlier this year. When the next it…
 
What is going on with Value-based payment models in healthcare? We’ve been talking about it for years and despite all the chatter and investment, uptake has been slow. Now, the CMS Innovation Center (CMMI) has put many of its models on hold including the Direct Contracting Geo model that we covered earlier this year. Does this mean we are moving aw…
 
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