Skip to main content


Showing posts from April, 2023

How COVID-19 has Affected Trends in Sepsis and Pneumonia

As healthcare professionals continue to navigate the COVID-19 pandemic, it's important to understand how it has impacted healthcare trends. “Trends in Sepsis and Pneumonia During COVID-19: Lessons From BPCIA,” a recent research article published in The American Journal of Managed Care, explores how COVID-19 has impacted sepsis and pneumonia care and costs. Coauthored by Alyssa Dahl, DataGen’s senior director of advanced analytics, and John Kalamaras, DataGen’s director of business intelligence analytics, along with experts from the Association of American Medical Colleges, the article explores the changes in cost and utilization for sepsis and pneumonia in non-COVID-19 episodes before and during the pandemic, and during the pandemic for patients with and without COVID-19. The analysis used claims data from eight teaching hospitals participating in sepsis and pneumonia episodes in the Bundled Payments for Care Improvement Advanced model. BPCIA is a Medicare value-based care bundle

SPARCS reporting: 100% accuracy is within your reach

Fulfilling the state’s requirements to report patient data to the Statewide Planning and Research Cooperative System can be a complex, confusing task. A single department’s data volume, let alone an entire facility’s, can be overwhelming. Many ambulatory surgery centers don’t even know that SPARCS reporting requirements apply to them. The New York State Department of Health requires hospitals and ASCs to submit clinical, billing, admission, discharge and transfer data to SPARCS. The state uses your patient data to track and report on community trends and set more accurate reimbursement rates. But what do you get other than a repeating cycle of submission error alerts on claims that have already been paid? SPARCS coordinators face many challenges:  new state requirements; inconsistent file upload formats;  updated coding every quarter; and error-free submission requirements. DataGen can help you meet these challenges with our UDS (UIS Data System™) software, SPARCS expertise and analyti

Illuminate your CMS Medicare quality program with an analytics-first strategy

Healthcare providers face difficult choices that can pit their number one priority ─ care quality ─ against the need to reduce costs and increase efficiency. Healthcare providers can achieve all of these goals using data analytics. An analytics-first strategy enables hospitals, health systems and state hospital associations to make data-informed decisions, not best guesses. This proactive approach can illuminate trends and provide real-time insights that are often hidden or seen too late to change outcomes. Data from your Medicare quality programs tell a compelling story, 24 hours a day, 365 days a year. DataGen uses Medicare impact modeling, expert analysis and visualizations to reveal data-informed narratives about your performance on three CMS programs: Value-Based Purchasing (VBP); Readmission Reduction Program (RRP); and Hospital-Acquired Conditions (HAC) Reduction Program. Do you know your organization’s stories? The biggest and best tool in your healthcare management toolkit: Da