Lumetra Healthcare Solutions

Pat Daniel, BSN, CPHQ, Vice President of Government Services for Lumetra Healthcare Solutions, understands challenges facing government administrators who contract for our services.  “Generally, they are seeking sustainable changes with better patient outcomes that are provided in a cost-effective manner,” she stated.  “By providing professional and cost effective solutions, we’re able to identify and correct inefficiencies in care processes, while improving outcomes and patient safety.”

Lumetra Healthcare Solutions has extensive experience handling confidential records, which meets government requirements regarding security and privacy. Most government agencies now utilize electronic records, which also play to our organization’s strengths. “Moreover,” Ms. Daniel added, “our experience of 25 years in assisting customers in improving healthcare efficiency and effectiveness enables them to implement lasting changes throughout the continuum of care.”

Combining our expertise in clinical excellence and analytics also provides government clients with important reporting and performance monitoring capabilities.

Value proposition

• Twenty-five years experience with government contracts at all levels
• Panel of 250+ experienced physician reviewers representing all American Board of Medical Specialties
• Familiarity with State and Federal regulatory requirements, including sensitivity to confidentiality and security associated with clinical records and the ability to evaluate potential conflicts of interest

Case example

In 2007, the California Department of Consumer Affairs/Medical Board of California (MBC) contracted with our organization to provide a Comprehensive Study of the Physician and Surgeon Peer Review Process. Our primary goal was to provide the MBC with statistically valid data and rigorous and thorough analysis of the peer review process. We understood the complex nature of this project based on our independent experience working with the peer review community. The study was conducted in 2007 and 2008. A report was issued in 2009 that recommended a separate, independent peer review organization.

Designations

CMAS Approved Contractor

Lumetra Healthcare Solutions is pre-qualified through the California Multiple Award Schedules (CMAS) program to provide evaluation, training, and other pertinent program management activities to state and local governments in California.

GSA Contract Holder

Lumetra Healthcare Solutions has been qualified by the U.S. General Services Administration (GSA) for mission-oriented business-integrated service (MOBIS) projects. We provide in-depth healthcare consulting services for U.S. government agencies and departments who purchase from the GSA Schedule.

Independent Review Organization

Lumetra Healthcare Solutions is fully accredited as an Independent Review Organization (IRO) by URAC. Core standards, the foundation of URAC accreditation, address several key organizational functions including organizational structure, staff qualifications, training and management, oversight of delegated activities, quality management, and consumer protection. The URAC and IRO standards assure that organizations that perform this service are free from conflicts of interest, establish qualifications for physician reviewers, address medical necessity, and ensure reasonable time periods review and appeals processes.

MSA for Business Management Consulting Services

Lumetra Healthcare Solutions is listed on the State of California’s Master Services Agreement (MSA) for Business Management Consulting Services to provide state and local governments in California with organizational development consulting services, including support for the following: team development, conflict management, customer service, process improvement, and training services.

For more information regarding our healthcare solutions for government clients, contact the following:

Patricia Daniel, BSN, CPHQ

Vice President
(415) 677-2108
pdaniel@lumetrasolutions.com