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Clinical Research Lean Six Sigma Case Study

Lean Six Sigma is a data-driven methodology used to solve problems in areas that do not meet business objectives and customer needs. Since its introduction, Lean Six Sigma has evolved to require not only that defects are reduced but also that the correct problem is improved. Oncology Solutions recently worked with a cancer center clinical research team and utilized a…

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The Role of the Oncology Patient Navigator Webinar

Oncology Solutions is pleased to collaborate on a series of quarterly navigation and survivorship webinars with The Academy of Oncology Nurse & Patient Navigators (AONN+). This first webinar in the series, “The Role of the Oncology Patient Navigator,” includes the following topics: Definition, History, Goals, & Models of Navigation CoC Chapter 3: Continuum of Care Institute of Medicine Conceptual Framework…

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Prospective Payment System–Exempt Cancer Hospitals White Paper

In an effort to reduce the rapidly escalating costs of providing healthcare in the U.S., Congress implemented the new inpatient PPS in the mid-1980s. This system reduced the amount of Medicare reimbursement that hospitals would receive and incentivized facilities to become more efficient by decreasing their costs for inpatient care. Certain specialty hospitals that met a number of requirements were exempted…

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2017 Fee Schedule Reimbursement Analysis

In November 2016, the Centers for Medicare & Medicaid Service (CMS) released the 2017 final Medicare Physician Fee Schedule (MPFS) and Hospital Outpatient Prospective Payment System (HOPPS). As a yearly exercise, Oncology Solutions analyzes the fee schedules with a focus on radiation therapy and medical oncology to identify reimbursement changes that may affect cancer care providers. With more than 60%…

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Key Components of Patient Experience in the Oncology Setting

What is patient experience? Patient experience is defined as the “the sum of all interactions, shaped by an organization’s culture, that influence patient perceptions across the continuum of care.”1 More than cleanliness, quiet at night, or transitions in care, surveys show that patient experience is mainly affected by communication. In fact, over 50 percent of the Hospital Consumer Assessment of Healthcare Providers…

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Implementing Disease-Specific Clinical Performance Groups

Disease-Specific Clinical Performance Groups High-quality, patient-centered cancer care is highly dependent upon coordination of multiple specialties, including surgery, radiation oncology, medical oncology, pathology, radiology, and other ancillary staff. Equally important is the timely and consistent exchange of clinical information among the care team. Multidisciplinary care teams or Disease-Specific Clinical Performance Groups (CPGs) create a structure for cancer care providers to…

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What You Need to Know About Value-Based Payment in Oncology

In April 2015, Congress passed the Medicare Access and CHIP Reauthorization Act (MACRA). The law most famously repealed the Sustainable Growth Rate (SGR), ending the annual showdown over payment cuts to Medicare providers. MACRA also included ambitious reforms to the payment model with the introduction of two models to drive value-based payment to physicians: the Merit-Based Incentive Payment System (MIPS) and advanced…

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