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Lumetra’s staff of professionals, including physicians, nurses, scientists, analysts, epidemiologists, biostatisticians, health information specialists, quality improvement specialists, and social marketers, provide invaluable expertise to our customers in the following areas:
Clinical Redesign: Replacing the brief visit physician office practice model with a new vision of office practice that reduces costs, improves quality, and enhances service. The cornerstones of this system are a patient’s continuous access to care, proactive care, and patient’s engagement in self-management.
Computerized Physician Office Entry (CPOE): Electronic prescribing systems that intercept errors when they most commonly occur, at the time medications and/or physician orders are written.
Continuing Medical Education: A specific form of continuing education, which helps those in the healthcare field maintain competence and learn about new and developing areas. Continuing education content is developed, reviewed, and delivered by faculty who are experts in their individual clinical areas. Lumetra is accredited by the Institute for Medical Quality/California Medical Association (IMQ/CMA) to provide continuing medical education for physicians. Lumetra takes responsibility for the content, quality, and scientific integrity of this CME activity.
Cultural Competence: Removing cultural barriers between providers and patients through the use of appropriate language, correct interpretation of information, social marketing, organizational assessment, and sensitive methods of delivery that meet individual needs. The customization of information for specific populations can decrease disparities in care.
Data Analysis/Analytics: Addressing issues related to healthcare quality, reliability, and integrity through data analysis, including validation and reconciliation, analytic data, file creation, simple statistics and trend analyses, complex statistics – including predictive modeling and risk adjustment – plus the development of statistical procedures, research design, data management and programming, performing data analysis, and developing and implementing data protection plans.
Electronic Health Records (EHR): The use of information technology in physician practices in order to provide easier access to patient information and clinical/reference data for diagnostic purposes, to decrease the likelihood of medical errors, to improve patient-clinician communications, and to assist in chronic care management, such as diabetes, coronary heart disease, heart failure, and hypertension.
E-Prescribing (eRx): Refers to the use of computing devices to enter, modify, review, and output or communicate drug prescriptions and medication regimens for patients. Adverse drug events (ADEs) are among the most common and preventable errors in medicine. E-Prescribing systems can help reduce the incidence of such errors in both inpatient and outpatient settings.
Evaluation/Outcomes Research: The use of rigorous scientific methodology to obtain valid and reliable results utilizing extensive statistical analysis that incorporates multiple strategies, including qualitative and quantitative techniques. Research is neutral and unbiased, using proven methodologies as well as culturally and linguistically appropriate instruments.
Health Information Technology: A vital step in transforming healthcare to meet the needs of the 21st century. Research suggests that technologies such as electronic health records (EHRs), computerized physician order entry (CPOE), and medication bar codes reduce errors, assist in decision making, and improve healthcare quality overall.
Hospital Reporting: A summation of a particular hospital’s standing with respect to a set of quality measurements that enables it to evaluate and identify current performance as it relates to best practices of other organizations.
Independent Medical Review: The determination of the medical necessity and appropriateness of healthcare services being provided or proposed to an individual. These reviews mostly focus on substance abuse, mental health, experimental/investigational procedures, length of stay for inpatient care and workers’ compensation cases, quality of care issues.
Leadership Improvement: Assisting governing bodies in healthcare organizations to carry out their leadership responsibilities more effectively and map steps an executive team can take to move their skills and practices to newer heights of awareness and achievement.
Meaningful Use/EMR: The criteria to be approved from the American Recovery and Reinvestment Act (ARRA) of 2009 to describe electronic medical records system capabilities required of providers so they are able to qualify for Medicaid and Medicare incentive payments, as a result of the adoption of EHR (electronic health records) technologies. This criterion includes (1.) improved quality, safety, and efficiency while reducing healthcare disparities; (2.) the engagement of patients and their families; (3.) improved care coordination; (4.) improved population and public health; and (5.) the ensuring of adequate privacy and security protections for personal health information.
Patient Outreach: Specialized communication targeting patients through the use of multifaceted interventions and paid media; timely, easy-to-understand, and clearly written printed healthcare information; sequential personalized mailings, telephone calls, and Internet tactics – all designed to change behavior.
Patient Safety: A healthcare discipline emphasizing the collection, aggregation, analysis, and prevention of medical errors that often lead to adverse healthcare events.
Provider Outreach: Specialized communication to healthcare providers (hospitals, physician offices, nursing homes, home health agencies, and others) utilizing key messages designed to impact their behavior through the use of social marketing techniques and strategies.
Quality Management: Quality initiative prioritization by means of Six Sigma, IHI Model for Improvement, or other quality improvement processes, medical staff collaboration, quality intervention coaching, quality management and case management program excellence, and training on effective Root Cause Analysis (RCA) and Failure Mode and Effects Analysis (FMEA).
Quality Measures: Benchmarking and reporting services to use in monitoring performance and outcomes, tracking incentive program metrics, and identifying successes and gaps in quality and safety improvement efforts.
RAC Readiness & Response: Refers to the Recovery Audit Contractor (RAC) that identifies overpayments for recovery to the Medicare Trust Fund and underpayments to providers. Lumetra assists hospitals and other providers in preparing a team-readiness response plan, anticipating areas that will be impacted by the RAC requests for records, denial decisions, and appeals.
Telemedicine: The use of technologies, such as high definition video-conferencing and telepresence, that permit remote treatment of patients. Telemedicine (or telehealth) is a practice tool that can reduce unscheduled homecare visits, decrease acute care hospitalization, and increase self-management by patients.
