|By PR Newswire||
|August 19, 2014 08:07 AM EDT||
NEWTOWN, Conn., Aug. 19, 2014 /PRNewswire/ -- A new milestone toward health care payment and delivery reform has been reached with the release of more than 80 Evidence-informed Case Rate (ECR®) definitions from the non-profit Health Care Incentives Improvement Institute™, Inc. (HCI3). An ECR is an entire episode of care that includes all covered services across all providers that would typically treat a patient for a single illness or condition. ECRs can be used for multiple purposes including bundled and accountable care organization payment programs, reference-pricing initiatives, and provider cost and quality analysis.
Over 80 open source ECRs have been created to date, all of which are available for public use at no cost as part of HCI3's mission to improve the quality and affordability of care and to address the need for scientifically designed and validated episodes of care that have a multi-purpose use. By making the ECRs widely available, implementations of payment reform programs and cost and quality analysis initiatives have a comprehensive starting point from which to build.
"Our goal is to develop enough ECRs to cover 80% of costs of care by 2015," said Francois de Brantes, HCI3 executive director. "While we've seen momentum towards implementation of bundled payments, many stakeholders weren't aware that definitions of episodes of care are readily available. We're working to help expedite and simplify health care payment and quality efforts for providers, plans, employers and ultimately consumers."
HCI3's ECRs are unique in that they are the only definitions that distinguish typical and routine services from those associated with potentially avoidable complications which are any event that negatively impacts the patient and is controllable by the provider; can flag potentially avoidable services (identified as overused by the American Board of Internal Medicine Foundation's Choosing Wisely initiative and include core services for certain conditions based on evidence-based guidelines to identify gaps in care.
"Making this type of information public is a positive step in creating a three-dimensional picture of health care costs," said Robin Gelburd, president of FAIR Health, a national non-profit organization focused on bringing transparency to health care costs and health insurance information. "We look forward to exploring how ECRs can enrich the transparency tools we offer on our consumer website. The industry and research community can also combine ECRs and FAIR Health data to design innovative payment and reimbursement models to determine the frequency and costs of episodes of care to inform policymaking, best practices and public health initiatives."
Funding for initial development and testing of the ECRs came from charitable foundations including the Robert Wood Johnson Foundation, The Commonwealth Fund, the New York State Health Foundation, and the Colorado Health Foundation. These episodes were built with the help of physicians who are experts in their respective fields, often members of their specialty societies, who volunteered their time and assembled in Clinical Working Groups. The ECRs are run through different test databases and refined based on empirical evidence and feedback from the field to ensure validity and reliability. Many health plans and employer coalitions have and are continuing to use ECRs as the basis for their bundled payment programs.
Today, HCI3 independently funds the ECR creation process, accepting no financial support from medical societies, pharmaceutical companies or medical device vendors to ensure the ECR definitions are free of bias.
Clinical ECR Webinars
To assist providers with understanding ECR concepts and their creation, HCI3 is offering free monthly webinars, which will examine the makeup an ECR, or group of related ECRs and the development process. The first webinar will be held on September 23 at 7pm ET with Joel Brill, M.D., Medical Director of FAIR Health, as he reviews the use of ECRs in the context of gastroenterological episodes including colonoscopy, upper GI endoscopy (EGD), and gastro-esophageal reflux disease (GERD). Register for the webinar here. A list of upcoming webinars can be found on the HCI3 website here.
About Health Care Incentives Improvement Institute™, Inc.
The Health Care Incentives Improvement Institute, Inc. (HCI3) is a not-for-profit multi-stakeholder umbrella organization for Bridges to Excellence® and PROMETHEUS Payment®. The mission of the organization is to create significant improvements in the quality and affordability of health care by developing and implementing programs that recognize and reward physicians, hospitals and other health care providers that deliver safe, timely, effective, efficient, equitable and patient-centered care. HCI3 offers a comprehensive package of solutions to employers, health plans and coalitions to improve the flawed incentives that currently permeate the U.S. health care system.
SOURCE Health Care Incentives Improvement Institute (HCI3)
@DevOpsSummit has been named the ‘Top DevOps Influencer' by iTrend. iTrend processes millions of conversations, tweets, interactions, news articles, press releases, blog posts - and extract meaning form them and analyzes mobile and desktop software platforms used to communicate, various metadata (such as geo location), and automation tools. In overall placement, @DevOpsSummit ranked as the number one ‘DevOps Influencer' followed by @CloudExpo at third, and @MicroservicesE at 24th.
Oct. 21, 2016 04:30 PM EDT Reads: 3,779
24Notion is full-service global creative digital marketing, technology and lifestyle agency that combines strategic ideas with customized tactical execution. With a broad understand of the art of traditional marketing, new media, communications and social influence, 24Notion uniquely understands how to connect your brand strategy with the right consumer. 24Notion ranked #12 on Corporate Social Responsibility - Book of List.
Oct. 21, 2016 04:15 PM EDT Reads: 1,465
Established in 1998, Calsoft is a leading software product engineering Services Company specializing in Storage, Networking, Virtualization and Cloud business verticals. Calsoft provides End-to-End Product Development, Quality Assurance Sustenance, Solution Engineering and Professional Services expertise to assist customers in achieving their product development and business goals. The company's deep domain knowledge of Storage, Virtualization, Networking and Cloud verticals helps in delivering ...
Oct. 21, 2016 04:15 PM EDT Reads: 907
Most of us already know that adopting new cloud applications can boost a business’s productivity by enabling organizations to be more agile and ready to change course in our fast-moving and connected digital world. But the rapid adoption of cloud apps and services also brings with it profound security threats, including visibility and control challenges that aren’t present in traditional on-premises environments. At the same time, the cloud – because of its interconnected, flexible and adaptable...
Oct. 21, 2016 04:00 PM EDT Reads: 2,676
In his session at @DevOpsSummit at 19th Cloud Expo, Robert Doyle, lead architect at eCube Systems, will examine the issues and need for an agile infrastructure and show the advantages of capturing developer knowledge in an exportable file for migration into production. He will introduce the use of NXTmonitor, a next-generation DevOps tool that captures application environments, dependencies and start/stop procedures in a portable configuration file with an easy-to-use GUI. In addition to captu...
Oct. 21, 2016 04:00 PM EDT Reads: 1,459
SYS-CON Events announced today that SoftNet Solutions will exhibit at the 19th International Cloud Expo, which will take place on November 1–3, 2016, at the Santa Clara Convention Center in Santa Clara, CA. SoftNet Solutions specializes in Enterprise Solutions for Hadoop and Big Data. It offers customers the most open, robust, and value-conscious portfolio of solutions, services, and tools for the shortest route to success with Big Data. The unique differentiator is the ability to architect and...
Oct. 21, 2016 03:54 PM EDT Reads: 120
In past @ThingsExpo presentations, Joseph di Paolantonio has explored how various Internet of Things (IoT) and data management and analytics (DMA) solution spaces will come together as sensor analytics ecosystems. This year, in his session at @ThingsExpo, Joseph di Paolantonio from DataArchon, will be adding the numerous Transportation areas, from autonomous vehicles to “Uber for containers.” While IoT data in any one area of Transportation will have a huge impact in that area, combining senso...
Oct. 21, 2016 03:31 PM EDT Reads: 114
More and more brands have jumped on the IoT bandwagon. We have an excess of wearables – activity trackers, smartwatches, smart glasses and sneakers, and more that track seemingly endless datapoints. However, most consumers have no idea what “IoT” means. Creating more wearables that track data shouldn't be the aim of brands; delivering meaningful, tangible relevance to their users should be. We're in a period in which the IoT pendulum is still swinging. Initially, it swung toward "smart for smar...
Oct. 21, 2016 03:15 PM EDT Reads: 265
Cognitive Computing is becoming the foundation for a new generation of solutions that have the potential to transform business. Unlike traditional approaches to building solutions, a cognitive computing approach allows the data to help determine the way applications are designed. This contrasts with conventional software development that begins with defining logic based on the current way a business operates. In her session at 18th Cloud Expo, Judith S. Hurwitz, President and CEO of Hurwitz & ...
Oct. 21, 2016 03:00 PM EDT Reads: 4,354
@ThingsExpo has been named the Top 5 Most Influential M2M Brand by Onalytica in the ‘Machine to Machine: Top 100 Influencers and Brands.' Onalytica analyzed the online debate on M2M by looking at over 85,000 tweets to provide the most influential individuals and brands that drive the discussion. According to Onalytica the "analysis showed a very engaged community with a lot of interactive tweets. The M2M discussion seems to be more fragmented and driven by some of the major brands present in the...
Oct. 21, 2016 03:00 PM EDT Reads: 11,145
In the next five to ten years, millions, if not billions of things will become smarter. This smartness goes beyond connected things in our homes like the fridge, thermostat and fancy lighting, and into heavily regulated industries including aerospace, pharmaceutical/medical devices and energy. “Smartness” will embed itself within individual products that are part of our daily lives. We will engage with smart products - learning from them, informing them, and communicating with them. Smart produc...
Oct. 21, 2016 02:30 PM EDT Reads: 1,400
As ridesharing competitors and enhanced services increase, notable changes are occurring in the transportation model. Despite the cost-effective means and flexibility of ridesharing, both drivers and users will need to be aware of the connected environment and how it will impact the ridesharing experience. In his session at @ThingsExpo, Timothy Evavold, Executive Director Automotive at Covisint, will discuss key challenges and solutions to powering a ride sharing and/or multimodal model in the a...
Oct. 21, 2016 02:15 PM EDT Reads: 1,428
In his keynote at 19th Cloud Expo, Sheng Liang, co-founder and CEO of Rancher Labs, will discuss the technological advances and new business opportunities created by the rapid adoption of containers. With the success of Amazon Web Services (AWS) and various open source technologies used to build private clouds, cloud computing has become an essential component of IT strategy. However, users continue to face challenges in implementing clouds, as older technologies evolve and newer ones like Docke...
Oct. 21, 2016 02:15 PM EDT Reads: 2,196
SYS-CON Events announced today that Embotics, the cloud automation company, will exhibit at the 19th International Cloud Expo, which will take place on November 1–3, 2016, at the Santa Clara Convention Center in Santa Clara, CA. Embotics is the cloud automation company for IT organizations and service providers that need to improve provisioning or enable self-service capabilities. With a relentless focus on delivering a premier user experience and unmatched customer support, Embotics is the fas...
Oct. 21, 2016 02:00 PM EDT Reads: 633
Just over a week ago I received a long and loud sustained applause for a presentation I delivered at this year’s Cloud Expo in Santa Clara. I was extremely pleased with the turnout and had some very good conversations with many of the attendees. Over the next few days I had many more meaningful conversations and was not only happy with the results but also learned a few new things. Here is everything I learned in those three days distilled into three short points.
Oct. 21, 2016 02:00 PM EDT Reads: 6,778