Jackie Brown (Berkey), MHA, PMP®

Do you know or are you one of the Healthcare Financial Management Association (HFMA) members who earned a certification in Q2 to validate expertise and demonstrate commitment to the profession? Some 2,115 individuals were honored in Q2 with HFMA certifications, with 101 people earning multiple certifications. Check out the story to see a list of all honorees.

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Key Strategic Insights = A Successful OP CDI Program The challenge of value-based care starts with a collaborative approach, when launching an Outpatient Clinical Documentation Integrity (OP CDI) program. Here are some key strategic insights to success: 1. Engage with Population Health Understand Pain Points: Begin by understanding the specific challenges faced. This fosters collaboration. Tailored Questions: Use customized questions to facilitate productive discussions and ensure alignment with needs. 2. Effective Software Implementation Manage Patient (Pt.) Volumes: Implement software solutions to efficiently handle pt. volumes. OP CDI Calculator: Utilize a calculator to determine Full-Time Equivalent (FTE) needs. Data Analytics and Reporting: Emphasize the importance of continuous improvement via data analytics. 3. Workflow Creation Establish Robust Workflows: Create strong workflows before integrating reviewers. 4. Collaboration & Communication Promote Strong Collaboration: Encourage robust communication between key stakeholders. Leverage Software: Use technology to reduce physician burnout & streamline communication. 5. Patient-Centered Approach Address social determinants of health (SDOH) & ensure accurate documentation of conditions and care plans. Patient Outcomes: Keep patient care at the center of all doc. & workflow processes. 6. Regulatory Compliance Adhere to Guidelines: Follow regulatory requirements such as CMS guidelines on Hierarchical Condition Categories (HCC) coding to avoid penalties and enhance credibility. 7. Measurable Outcomes Set Clear Goals: Aim for measurable outcomes like improved HCC recapture rates, enhanced RAF scores, better HEDIS measures, and addressing SDOH needs. 8. Stakeholder Engagement Involve All Stakeholders: Ensure that executives, clinicians, and other relevant parties are involved in planning and implementation process. Success Stories Recently, I helped several CDI directors validate their cases for OP CDI programs within Accountable Care Organizations (ACOs). By engaging with population health leadership, we identified key issues such as RAF gaps and HEDIS measures, and tailored processes to address them. For instance, a CDI director I guided successfully identified HCC and HEDIS recapture as their biggest pain points. With strategic solutions in place, they are now ready to implement the project for the 2025 budget yr., aiming to improve their HCC recapture rate by 20%, leveraging data analytics for outcomes and improvement needs. Benefits of Implementing These Strategies Align Risk Stratification: Properly align risk stratification with chronic conditions and healthcare needs. Quality Measures: Improve quality measures and address SDOH. Collaborative Team: Ensure success with a collaborative team supported by technology. Overall, these strategic actions will enhance patient care and operational efficiency. #Healthcare #Leadership #CDI #PatientCare #ValueBasedCare #HealthcareInnovation

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When hospital leadership is unstable, Interim Leadership has time and time again been a useful solution. In this KBA blog, we're sharing three real-life challenges and three real solutions for how Interim Leadership can support your organization.

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How are you investing in your ASC? Strategic investments are crucial for healthcare leaders to stay ahead of trends. Here’s what Becker's reports these ASCs are investing in during 2024.

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We recognize that the #pursuitofexcellence in healthcare encompasses the collective efforts of the entire organization. We also recognize that institutions pursue excellence not just for the accolade, but for the profound impact it has on their entire organization- including the staff AND the patients. We are passionate about our mission and helping you with yours! https://lnkd.in/dsPvtzYT Check out our most recent article for more information on how we are helping health care institutions transform through Relationship Based Case® and Magnet® Recognition.

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