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Let Us Bring You the Insight You Need. I need to limit risk. I need to improve quality. I need access to information. I need to make informed decisions.

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Presentation on theme: "Let Us Bring You the Insight You Need. I need to limit risk. I need to improve quality. I need access to information. I need to make informed decisions."— Presentation transcript:

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2 Let Us Bring You the Insight You Need. I need to limit risk. I need to improve quality. I need access to information. I need to make informed decisions. I need to be able to make a difference.

3 Get Insight Insight Health Solutions’ suite of products are designed specifically for healthcare managers to address and solve quality improvement issues they are faced with everyday. The Insight tools are easy to use and extremely flexible to allow healthcare managers to collect, aggregate, analyze and report data with minimum effort.

4 Overview of the Need for Insight  Increased regulatory requirements:  The Joint Commission’s Ongoing Professional Practice Evaluation (OPPE)  American College of Radiology (ACR) accreditation  American Recovery and Reinvestment Act (ARRA):  Health Information Technology for Economic and Clinical Health (HITECH),  Electronic Health Record Incentive Program  “Meaningful Use” reporting  Government and private insurers linking payments to quality:  Higher payments for demonstrated quality outcomes  Withholding payment for errors

5 Overview of the Need for Insight  Emphasis on patient safety and quality improvement:  Need for an overall quality improvement program across the organization  Rising malpractice insurance:  Need for focused peer review system to address specialty & subspecialty qualifications  Economic pressures to reduce cost and increase productivity:  Need for automated systems and processes

6 Because the First Step is Good Insight. Our Products RiskInsight ™ Incident Reporting and Follow-up QualityInsight ™ Performance Improvement and Monitoring RadiologyInsight ™ Radiology Peer Review and Overread

7 Data collection, aggregation, analysis & reporting Current Situation

8 Information Output Hospital Board Senior Management Department Heads Regulators & Govt & ACR Medical Exec Committee PI/QI/Safety Teams Community Individual Providers RiskInsight ™ QualityInsight ™ Main HIS System Data Sources Lab Credentialing Pharmacy Electronic Medical Record RadiologyInsight ™ More Efficient And More Effective Admin. Committees

9 Risk Management Use RiskInsight TM for:  Anonymous or identifiable reporting of incidents and near misses  Review and follow up process  Recording of issues, recommendations, actions and outcomes  Root cause analysis  Reporting and trending risk event data

10 RiskInsight TM Indicator Monitoring Strategic Planning Event Reporting Data Repository

11 Performance Improvement Use QualityInsight TM for:  Ongoing and Focused Professional Practice Evaluation, OPPE and FPPE  Meaningful Use reporting  Concurrent/retrospective medical records abstraction  Enterprise-wide indicator tracking and monitoring  Project indicators to measure improvement  Case and peer review process  Provider reappointment process  Joint Commission and CMS reporting

12 Provider Reappointment & OPPE Strategic Planning Indicator Monitoring Peer Review Record Abstraction Data Repository QualityInsight TM Core Measure Reporting

13 Find Insight Among the Chaos.

14 Ongoing Professional Practice Evaluation (OPPE)  Goal: To meet the Joint Commission requirements and to provide meaningful feedback to medical staff.  To perform OPPE, hospitals need a profile for each physician at regular intervals.  Profiles can be by physician, by department, or by specialty.  OPPE to address six competencies:  Patient Care  Medical/Clinical Knowledge  Practice-based Learning and Improvement  Interpersonal and Communication Skills  Professionalism  System-based Practice

15 ReappointmentInsight TM ReappointmentInsight TM aggregates data from several sources for the purpose of providing a practice profile for activities during a selected timeframe. Process/ Outcomes Case Reviews Surveys/ Evaluations Event Reports To ensure accuracy of data and to present a meaningful sample of practice activities, it will be necessary to improve and expand the databases from which data is drawn.

16 Provider Profile Report

17 Radiology Peer Review Use RadiologyInsight TM :  As an automated peer review system to improve the efficiency of the diagnostic imaging quality overread process required by the ACR  As a statistically valid tool that enables randomly selected, qualified subspecialty review  For streamlining the process and procedures that impact radiologist workflow  For enhancing regulatory compliance measures by integrating with QualityInsight’s reappointment process

18 Provider Reappointment & OPPE Strategic Planning Indicator Monitoring Peer Review Record Abstraction Event Reporting Data Repository InsightSuite™ Radiology Quality Overreads/Peer Review Core Measure Reporting

19 Contact Us: 866-743-9481 Info@insighthealthsolutions.com Visit Us: www.insighthealthsolutions.com


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