CMS AI Health Outcomes Challenge

May 30 2019
34
0

The Solution for the AI Challenge must be a catalyst for a new theoretical framework. Risk stratification alone will not afford options for actions that will achieve the desired outcomes. Health Care in 3 Dimensions provides the framework to apply theory to practical problems such as reduction in unplanned admissions. This approach will resonate with family physicians and can be tailored to them as the target audience for AI.

How Can Broad Based Population Data be Useful?

May 17 2019
29
0

The push for new ways to use big data is impacting Medicare and Medicaid plans. Artificial Intelligence is poised to enter the health care arena, and CMS has proposed the AI Health Outcomes Challenge as a contest to incentivize big data specialists to engage the Healthcare Commons. The idea is that tools such as machine learning and Bayesian neural networks can identify actionable structures in data to assist the CMS Innovation Center in testing innovative payment and service delivery models. Part of the contest is to make broad based data available from the Medicare Claims Dataset. The idea of making more CMS data available to the provider community is gaining currency.

A pathway for burnout: From physician engagement to Emancipation or Estrangement

Aug 13 2018
99
0

All discussions of payment reform require an alert and attentive provider community. Physician burnout is clearly an impediment to this attention. It is estimated that 50% of physicians either have, or are at risk for burnout. The manifestations are protean and apparent to families of the providers and coworkers in the workplace. Not only do the effects impair patient management, but the willingness and enthusiasm to participate in health care reform to guide the engagement pathway from estrangement to emancipation. The Innovation Initiative and the Tenncare Episode of Care model, illustrate a successful program that is an ideal vehicle to accomplish this and show the way to more comprehensive models that will emancipate physicians.

Critical Realist Interpretation of Holism/Reductionism

Jul 02 2018
69
0

At the heart of the critical realist interpretation of cost containment is to understand the difference in two patient centered approaches to data analytics. The reductionist approach is structured, and the holistic approach is agnostic to how the data is accumulated, or in realist terms the latter approach is open and unstructured. Putting the patient back together again requires a free form method where there is no reason not to draw conclusions from patient centered data because of concerns about statistical significance at the population level. Being unstructured the patient level data can create populations that reflect the holistic approach, in a bottom up method. This is an inversion of the top down approach in the reductionist method that characterizes patients as averages of the predetermined population.

Episode of Care Tenncare, Revisited

Apr 16 2018
4
0

TennCare has released participant commentary on its Technical Advisory Groups. If you are unfamiliar with TennCare’s Episode of Care Program I’d encourage to view TennCare’s Introduction to TennCare Technical Advisory Groups and read my January blog Episode of Care Tenncare which discusses its success and potential to be a model for other Medicaid programs just as it has been for Tennessee’s CMS Innovative Initiative.

Time of Many Languages

Feb 11 2018
8
0

I consider the present phase of health care the time of Babylon, the time of many languages; the next the enlightenment where the healthcare communities look outside of their comfortable boundaries to understand context. The next is the phase of modernity where the high dimensions inherent to HCn3D are presented to all players in simple understandable ways.

Episode of Care Tenncare

Jan 22 2018
73
0

As a local State program, Tenncare under the leadership of The Medical Director Dr. Vaughn Frigon, with the assistance of the McKinsey consulting team, has demonstrated exemplary success and is a model for other Medicaid programs. The secret of their success has been careful physician engagement in episode details, due to given the design of the State of Tennessee's program, and transparency of information. Given the success of the episodes program, the question arises of what can be done next?

Pyramid of Value

Dec 18 2017
63
0

An important game changing article that puts Value in a new light is in the NEJM Dec 21, 2017 issue by Green and Loscalzo. The title is "Putting the Patient Back Together - Social Medicine, Network Medicine, and the Limits of Reductionism". Many widely known and emergent tools are explained that can bear on the current understanding of Value in the healthcare context. Most importantly this article shows how holistic patient centered approaches are not only cool, but doable and can be effective in achieving a broad range of goals on behalf of patients and populations.

Archive

2022 Aug  55  1
2019 Sep  152  1
2019 Jul  25  1
2019 May  63  2
2018 Aug  99  1
2018 Jul  69  1
2018 Apr  4  1
2018 Feb  38  2
2018 Jan  73  1
2017 Dec  63  1
2017 Nov  33  1
2017 Oct  50  1

Healthcare in 3 Dimensions is a system to optimize and assess the delivery of healthcare using counterfactual analysis of care paths, managing costs without sacrificing the individuality of the patient.

RECENT NEWS

13
Dec 2021
HCn3D Topology Whitepaper

Health care cost control requires transformation of health care delivery and financing.


Read more …
09
Jul 2019
CMS CHALLENGE Submittal 3

In June the Team submitted their application to the CMS AI Health Outcomes Challenge.


Read more …
30
May 2019
CMS AI Health Outcomes Challenge
Dr. Ripley reflects on HCn3D’s participation in the CMS AI Health Outcomes Challenge.
Read more …
22
Jan 2019
Pyramid of Value INTERACTIVE!
HCn3D releases new interactive presentation for the Pyramid of Value
Read more …

Contact Us

Address: 397 Wallace Rd. #216
Nashville TN 37211

Phone: 615.347.8363

Email: rcripley@ripleyandassociates.com