Remove Clinical Practice Remove Hospitals Remove Quality Assurance
article thumbnail

AI-Powered Pop Health and SDOH – The Good, The Bad and The Best Practices

HIT Consultant

Code is written by humans who have unconscious biases, and those biases can creep into the algorithms of AI when Quality Assurance functions are not properly sensitized to detect them. Bias remains a big concern in AI development and use.

article thumbnail

HEDIS® Public Comment is Open

NCQA

We see a way for a new and better measure can address an existing quality concept. Inpatient Utilization—General Hospital/Acute Care. HEDIS measures do not constitute clinical practice guidelines and should not be used to determine insurance or coverage. Antidepressant Medication Management.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Home-Based Care Software: Why Partnerships are Key to Success

HIT Consultant

Understanding Needs Beyond Features and Functions Imagine developing software for a hospital without ever stepping foot inside one. Integrating clinical experience into product development can offer deeper insights into the impact the software has on patient care workflows and identify areas for improvement specific to clinical practices.

article thumbnail

HEDIS® Public Comment Period Is Now Open

NCQA

HEDIS measures do not constitute clinical practice guidelines and should not be used to determine insurance or coverage. NCQA proposes transitioning this measure to be reported using only the Electronic Clinical Data Systems (ECDS) reporting method. An important part of developing and updating HEDIS is hearing from the public.

article thumbnail

HEDIS® Public Comment Period Is Now Open

NCQA

HEDIS measures do not constitute clinical practice guidelines, and should not be used to determine insurance or coverage. Proposed Changes to Existing Measures Acute Hospital Utilization : Assesses the risk-adjusted ratio of observed-to-expected acute inpatient and observation stay discharges for members 18 years of age and older.

article thumbnail

Sustainability and Value: State Palliative Care Reimbursement Strategies

NASHP

Reach out to state professional and hospital associations. After a hospitalization, a palliative care team worked with Matt to address his physical symptoms and side effects from medications, and helped him manage his stress and anxiety. Encourage or support opportunities for professional education and peer learning.