QPID Health and our parent company eviCore healthcare are proud to join forces with HIMSS by sponsoring this first-time forum on prior authorization. As part of our commitment to enabling better outcomes and to evidence-based care, eviCore has been in the forefront of modernizing prior authorization with advanced clinical analytics technology. And we are promoting transparency by regularly publishing educational resources for providers including our evidence-based guidelines.
Be part of the conversation and join us for breakfast!
RESOLVING PRIOR AUTHORIZATION PAIN POINTS – A CRITICAL CROSS-STAKEHOLDER CONVERSATION
February 21, 2017 — 07:00AM EST – 08:00AM EST
Join eviCore healthcare, HIMSS, AHIP, AMA and HATA in this lively panel discussion on prior authorization.
QPID Health and its parent company eviCore healthcare will showcase its radiology decision support solution at RSNA 2016. eviCore streamlines the entire order and approval process by moving authorization into the same workflow as decision support and automating submissions for pre-approval. Results have been extraordinary. For example, at a renowned healthcare network in the Midwest, first pass approval rates increased from 40% to 70% in the first month of implementation and doubled to 90% in 7 months, a boon to user adoption. Further, unnecessary advanced imaging utilization has fallen by 14% since implementation, cutting costs and ensuring patients get appropriate tests. By contrast, most CDS tools simply insert another “checkbox” into the process with little impact on cost or quality.
See us at RSNA 2016 in Hall A Booth #3272. If you are not attending RSNA, contact firstname.lastname@example.org to schedule a demonstration.
At HIMSS16 earlier this month, CMS Acting Administrator Andy Slavitt cited EHR usability and burdensome data entry requirements as big hurdles in the move to paying doctors for value not volume. Clinicians are reluctantly spending a large chunk of their time checking boxes and documenting information that is used solely for quality reporting.
We knew things were bad, and now we know just how bad.
Health Affairs has published concrete evidence of the cost of quality reporting in a new study, in which they found that in the aggregate US physician practices in four common specialties spend more than $15.4 Billion annually to report on quality measures.
Researchers surveyed 394 leaders from four specialties – cardiology, orthopedics, primary care and general internists – and then asked how much time clinicians spent on tasks associated with collecting and reporting on quality and safety data, as well as their views on the validity of the measures.
They found that:
On average, these practices spend 785 hours of clinician time (medical assistant, nurse, doctor) or $22,049 per physician, per year
Of the practices surveyed, 81% reported that they spent more effort dealing with external quality measures than three years ago.
Only 27% said the current measures are moderately or very representative of the quality of care.
There is a ray of hope. Consolidation of measures across many programs is under way, reducing redundancy. Tools such as our Quality Reporting solution based on natural language processing and clinical reasoning represent an opportunity to greatly streamline these processes and re-focus clinician time on patient care.
In case you missed it, we announced our expanded enterprise agreement with Partners Healthcare earlier this month. Under the agreement, QPID solutions will be rolled out to all 10 Partners’ hospitals and associated physician organizations. (We started our journey as an in-house informatics program at Massachusetts General Hospital 10 years ago, so Partners has always been an important part of our genetic makeup.)
We were pleased that our local newspaper The Boston Globe took notice of the announcement. Senior staff writer Nidhi Subbaraman interviewed our CEO Mike Doyle and wrote a great piece discussing the news.
In the days following the announcement, our website virtually lit up with visitors, with hundreds of people stopping by to read the details after seeing the Globe article and press release.
Why was this news so significant? We think it signals that the EHR, and even the comprehensive Epic system that Partners is implementing, can’t do it all by itself. EHRs are not the Holy Grail of healthcare. They are better considered a chassis on which we can build great applications that can support the lives and work of clinicians, patients, and administrators. Mobile phone technology was life-changing — but our apps are what keep us glued to them.
We thought Subbaraman’s key takeaways are well put. She highlights QPID’s role in helping Partners to transition to a fully digital system and most importantly, as Mike Doyle put it, helping to uncover “clinical gems in the record that never see the light of day.”
“The QPID retrieval system will draw from digital data stored in a new $1.2 billion electronic health record system called Epic. The primary purpose of the Epic system will be to catalogue patient data, while QPID’s intelligent software will retrieve data from that virtual storage bin within microseconds to display a ‘concise snapshot’ of a patient as they are sitting with their doctor. The investment is part of a massive ongoing IT upgrade across Partners hospitals, to wean staff from paper notes to a digital database that will allow patient information to be viewed on computers or tablets.”