Medalogix applies analytics to care planning
Almost without taking a breath after the last product release, Medalogix has figured out another practical way to use the vast amounts of data the Nashville-based company has been collecting, mostly through its synergistic alliance with Homecare Homebase. We spoke with CEO Dan Hogan this week to get the inside details on the new product.
"SunLeaper," as it has been dubbed, represents a leap forward to applying Big Data to healthcare at home uses, he told us. "We needed to answer the question that continues to come up over and over, 'This is great information; now what do we do with it?' The need that rose to the top was a clinical application."
As Medicare contract auditors focus more and more on finding documented evidence of medical necessity, care planning is no longer simple, he reasons. "Individual care analytics are the wave of the future. When there are not enough human and financial resources available to visit every patient every day, you have to know what care plan is best for every individual patient. You can no longer thrive on 'one size fits all' care plans. You can no longer say, 'Oh, CHF; 10 visits.' If one patient absolutely needs 12 you bite the bullet and accept the cost of 12 visits. If another patient can get well and self-manage after 7 visits, you cannot give that patient 10 just because your standard CHF protocol calls for 10."
The role of SunLeaper will be to bring massive amounts of data to bear to enable a clinician to customize every care plan to each individual. "COPD may not be the same in Portland, Maine as it is in Portland, Oregon. We have pointed our clients to the top 10% of patients at risk of hospital readmission with our other products. Now, we can apply data analytics to show how to apply interventions, to whom and when, on what frequency and via what discipline and in what order. SunLeaper represents our expansion from predictive analytics to prescriptive analytics.
"This is a product that is anchored to value-based purchasing models. New clinical practices are required in the face of new payment systems. In early tests, we have compared our results to CMS models. Of the six they have published, we are more accurate on five of them. We are within 1.5% on the sixth but we are working on it."
Hogan is upbeat on the work CMS has done to build a platform of ordinal answers to a set of questions that provide value-added clinical tools. "OASIS is a data set that provides value-added clinical tools. It has enabled us to combine predictive analytics with operational analysis."
Today, SunLeaper is in the early stages of field testing with one of Medalogix' largest clients. "These tests will show us how we need to train future users to use the tool," Hogan explained. The product is set for general release during the second quarter of 2017. It will be available as a monthly subscription.
"What we have build for healthcare at home is much like what cities do in terms of formulating traffic plan," Hogan concluded. "They study data to know where to put traffic lights, how to adjust their timing for traffic pattern variables such as time of day and days of the week. It is always about the data."
He added that Medalogix is growing and recruiting data scientists.
Libman Education Announces ICD-10 Code Update Courses
BEDFORD, MASSACHUSETTS – August 17, 2016 – To help coders and facilities prepare for the first ICD-10 update since last year’s ICD-10 implementation, Libman Education has released ICD-10 Code Updates authored by nationally recognized ICD-10 expert Lynn Kuehn, MS, RHIA, CCS-P, FAHIMA.
The extensive upcoming ICD-10-CM changes include 1,943 new codes, 422 revised codes, and 305 deleted diagnosis codes -- as well as changes to CC and MCC. The upcoming ICD-10-PCS changes include 3,827 new codes, 491 revised titles, and 12 deleted codes -- as well as significant changes to Cardiovascular coding. The ICD-10 Code Updates courses provide an efficient process for coders to prepare for the update.
“It's update time and the updates are huge!,” said author, Lynn Kuehn. “The ICD-10-CM and ICD-10-PCS Code Update courses provide coders with the information they need to prepare for FY2017. The courses are interactive and contain audio and video clips of my explanations, along with activities and quizzes. The ICD-10-CM course even identifies the CCs and MCCs for the inpatient coders.”
About Libman Education
Libman Education Inc. provides training for the healthcare workforce. Libman Education offers self-paced online courses designed and developed by leading industry experts in Health Information Management (HIM) and Medical Record Coding. Courseware is designed for individuals as well as health care providers and institutions, public and private workforce development training programs, and professional and volunteer associations interested in preparing their employees and members for the challenges facing the HIM workforce.
©2016 by Rowan Consulting Associates, Inc., Colorado Springs, CO. All rights reserved. This article originally appeared in Tim Rowan's Home Care Technology Report. homecaretechreport.com One copy may be printed for personal use; further reproduction by permission only. firstname.lastname@example.org