The Clinical View Blog

Observation or Inpatient Status?

Observation or Inpatient Status?

A Closer Look at the Importance of Status Determinations Determining the appropriate status level for patients (Observation or Inpatient) at a hospital’s points of entry is critical. Correct status determination can increase patient satisfaction by avoiding...

Clinical Intelligence (CI) Presented with an Honorary Award

Clinical Intelligence (CI) Presented with an Honorary Award

On January 20, 2018, Clinical Intelligence (CI) was presented with an honorary award from one of its valued client-partners, Community Integrated Management Services, LLC (CIMS). CIMS is an independent practice association that is owned by fourteen SC Community Health...

Access Actionable Data For Clinical Performance Insights

Driving Performance with Effective Data Management Many organizations are paralyzed by the abundance of data. Leaders know that evidence based clinical performance improvement can drive sustainable quality and financial outcomes. But to get there, data must be...

CMS Announcement: Short Stay Review Resume

After a brief pause for the Beneficiary and Family Centered Care (BFCC) Quality Improvement Organizations (QIOs), BFCC-QIOs will resume patient status reviews of short stays in acute care inpatient hospitals. Effective September 12, 2016, BFCC-QIOs will be performing...

A Major Paradigm Shift Is Underway

At the recent HFMA Annual National Institute conference in Las Vegas, we learned more about the MAJOR PARADIGM shift underway, currently being driven by CMS. In June of 2016, CMS released the MACRA/MIPS draft rule, which is based on a proposed Quality Payment Program...

Build Vs. Buy: The Business Intelligence Debate in Healthcare

The “Build vs. Buy” debate has circulated in virtually every board room since the dawn of the first off-the-shelf software. Traditional Information System departments are typically filled with these discussions, and most recently, the topics include business...

The Paradigm Shift To MCOs: Are You Ready?

According to C. Kenneth Johnson, CEO of The ARMS Group, the transformation in healthcare is going to create a 25% growth in provider-owned managed care organizations (MCOs). But in order to seize this opportunity and succeed, providers will need to get the most out of...

The Relationship Between Payments and CMI

Hospital executives focus on the Case Mix Index (CMI) as they review their clinical and financial data each month. CMI is a relative value assigned to each Diagnostic Related Group (DRG), and determines the allocation of resources for patient care.  An increasing CMI...

Linking Analytics, Insights and Outcomes to Find Your Margin

 Join Us At HFMA ANI June 26th – 28th, 2016! This year at ANI, Clinical Intelligence CEO, Laurie Jaccard, will be presenting with Nancy Rongo, Vice President & Chief Quality Officer of United Health Services, Bonnie Barndt-Maglio, PhD, RN, Managing Director of...

How Adopting a Single LOS Standard Impacts Efficiency

When I arrived at a 150-bed hospital as their new Chief Financial Officer, one of the key performance metrics that I immediately became concerned with was the inpatient length of stay (LOS). Our average LOS ranged from one to three days longer than what payors...