The Universal Challenge in Keeping Clinical Member Data Accurate

Denise Fournier Application Support Specialist How often have you heard of data mix-ups between two similarly named members in a software system, or when finding a member in your system, the…


A Recipe for Healthcare Success: Workflow Automation, Business Rules, and Artificial Intelligence

Pat Stricker, RN, MEd Senior Vice President Technology today makes the healthcare industry entirely different that it was when I started my nursing career. There were no computers to track and…


Strategies for Setting Personal and Performance Goals That Are Achievable

Pat Stricker, RN, MEd Senior Vice President We are all familiar with setting goals. It is something we do daily helping our patients/clients set their healthcare goals and something we do on an…


2019 Healthcare Technology and Medical Innovation Predictions

Pat Stricker, RN, MEd Senior Vice President It’s that time of year again – time to look at the healthcare trends and predictions for 2019.  It’s always interesting to look at what the…


Transition of Care Programs and the Use of Health Information Technology

Pat Stricker, RN, MEd Senior Vice President Last month’s newsletter article, Reducing Adverse Events in Post-discharge Transitions of Care Programs, explained the frequency and significance of…


Utilization Management in Healthcare: What’s Old is New Again

Deborah Keller, RN, BSN, CMCN, CPHQ Chief Operating Officer My first recollection of hearing the term “utilization management” was in the 1980s.  I was a Licensed Practical Nurse working the…


Reducing Adverse Events in Post-discharge Transitions of Care Programs

Pat Stricker, RN, MEd Senior Vice President Adverse events have been tracked for years, but mostly as they relate to issues that occur during a hospitalization, or during drug or clinical…


Case Management Week: Moving Patients to Wellness

Pat Stricker, RN, MEd Senior Vice President Since Case Management Week is celebrated the 2nd week of October and this newsletter is released the 3rd week of the month, it seems that I always…


Artificial Intelligence (AI): Moving Towards the “Bionic Man” (or Woman)

Pat Stricker, RN, MEd Senior Vice President In 1950, the medical knowledge doubled every 50 years. By 2020 it will double every 73 days. Based on this, and the fact that other technological…


Embedded Case Management Program Strategies to Advance the Triple Aim and Promote Value-Based Care (Part 2)

Pat Stricker, RN, MEd Senior Vice President The use of embedded case managers (ECMs) at the point of care continues to grow each year as the healthcare industry recognizes that they are…