Thought Leadership

5 Barriers to Telemedicine Adoption and How to Overcome Them

Author: Jon Melling, Partner Telemedicine is one of the most notable advancements making waves in the digital transformation of healthcare. Telemedicine poses wins for healthcare organizations seeking to improve patient access while controlling costs, as well as healthcare consumers looking for more convenient ways to engage with providers. With 71 percent of providers reporting the […]

Pivot Point Consulting’s Key Takeaways from PDS CONNECT

Pivot Point Consulting’s Advisory Services VP, Laura Kreofsky, returned to Madison, Wisconsin last week for PDS CONNECT 2018, a conference that has been keeping technology professionals connected with peers, big ideas and the latest technologies for the past 20 years. Laura’s Three Key Takeaways from the conference:   Healthcare must learn from industries who relentlessly […]

Pivot Point Consulting’s 5 Key Takeaways from SHSMD Connections

Pivot Point Consulting’s Advisory Services leadership team headed to Seattle last week for SHSMD Connections.  It was a great opportunity to learn and share our thinking on the role of healthcare strategy and market development given today’s rapidly evolving environment. Sessions focused on the healthcare experience with many questions around the integration of CRM. Pivot […]

6 Key Takeaways from Becker’s 2018 Health IT + Revenue Cycle Conference

  Pivot Point Consulting’s Advisory Services leadership team summarizes their key takeaways from Becker’s recent Hospital Review Health IT + Revenue Cycle Conference.  In true Becker’s fashion, presenters shared stories of their successes and their challenges.  The vibe in the sessions and on the floor was one of wary excitement as organizations try to think […]

Healthcare Consolidation and the IT Impact: Interview with Sr. Director Zack Tisch on Healthcare Now Radio

InterviewsNow host Roberta Mullin spoke with Pivot Point’s own Zack Tisch, Sr. Director, Strategic Implementation, on the topic of healthcare consolidation and the IT impact. In the interview, Zack discusses three crucial questions for organizations facing consolidation: What are the biggest IT challenges as a result of M&A and consolidation changes? How are healthcare organizations […]

2019 is about Efficiency, Opportunity and Execution – Start Planning Now

Gretchen Rubin once said, “The days are long but the years are short.” Time goes by faster than one expects, which is why Pivot Point Consulting’s Advisory Services team is already thinking beyond 2018 —about the challenges and opportunities healthcare leaders should have in their sights. Below, three Pivot Point executives share their thoughts on […]

Leveraging Telemedicine – Pivot Point Consulting’s Jon Melling Presents at North Carolina HFMA Summer Conference

Telemedicine adoption and application is rapidly advancing. At the North Carolina HFMA Summer Conference last week, Pivot Point Consulting’s Jon Melling spoke to attendees about changes and updates coming to telemedicine, and how healthcare organizations can best prepare to take advantage of them. In his presentation, Jon cited data showing the growth and impact of […]

Making the Case for Patient-Generated EHR Data

Author: John Hargreaves, Consultant The proliferation of wearable and mobile health devices from Fitbit, Apple Health, Google Fit, Nokia Health/Withings and others is bringing patient-generated data into the digital health fold. Health-savvy patients amassing this information are increasingly looking for ways to share the data with their providers. Epic is one Electronic Health Record (EHR) vendor […]

4 Areas to Consider During the Transition to Value-Based Care

Author: Jon Melling, FHIMSS, Partner The initial installment in this two-part blog series highlighted three healthcare cost management areas that providers can focus on to maximize savings while delivering quality care. This second installment delves into the technologies and revenue cycle processes healthcare organizations can use to further support efforts to bring greater value to healthcare. […]

8 Tips for Successful Health IT System Selection

Author: Peyman Zand, Partner Healthcare organizations should exercise a high level of rigor when selecting new technologies or systems. Due diligence to identify the best-fit health IT solution ensures resources are well spent, and mitigates user dissatisfaction, the risk of costly un-planned replacements and lost time down the road. Here are eight steps stakeholders can […]

4 Key Considerations for Analysts When Implementing an EHR

Author: Brock Millican, Epic Consultant Implementing a new EHR system requires a great deal of collaboration between clinical and technical teams. Analyzing the legacy system and operational workflows, then successfully recreating—or better yet, improving—this experience in a new EHR takes finesse. The foundation of every successful EHR and other large-scale implementation is a team of analysts […]

Getting the Most Out of Your EHR

No matter how much your organization has invested in an EHR, there will always be opportunities to improve its performance—especially when considering the ways individuals interact with and are impacted by it. If you are interested in learning how to ensure your implementation goes well or to better leverage your current EHR, check out four […]

Three Areas Providers Should Focus on to Maximize Savings and Deliver Quality Care

Author: Jon Melling, FHIMSS As patient financial responsibility climbs and value-based payment models take root, revenue streams are becoming less predictable for healthcare organizations. In the transition from volume to value, expense reduction is the primary lever providers have to counter financial uncertainty. In their 2017 Annual Health Care CEO Study, Health Care Advisory Board researchers […]

CIOs Share Their Challenges and Strategies in the Shift from Fee-for-Service to Value-Based Care

In a recent online focus group conducted with College of Healthcare Information Management (CHIME) CIO members, Pivot Point Consulting gleaned front-line feedback on healthcare organizations’ progress in the segue from fee-for-service (FFS) to value-based care (VBC). CIOs from across the continuum of care—including health system, health information exchange, medical group, and post-acute care settings—offered candid […]

6 Key Takeaways from HIMSS18

HIMSS18 is in the rearview mirror, but the annual conference packed 43,000 attendees and considerable opportunities for exploring new trends and information technologies to take back to the office. Below, our Advisory Services leadership team shared a few key takeaways from the week. Laura Kreofsky | VP Advisory Services Time to Flip the Footprint? The […]

MedPAC Proposal Not Likely to Impact MIPS

Author: Andrews Dean, Consultant This March roughly 418,000 clinicians are expected to report clinical quality metrics under the Merit-based Incentive Payment System (MIPS) for the first time. Yet, just last month the Medicare Payment Advisory Commission voted 14-2 in favor of recommending the quality reporting track be axed and replaced with a new voluntary program. […]

2018 Themes from CHIME17

Author: Peyman Zand, Partner Pivot Point Consulting, a Vaco Company was proud to be a sponsor of the CHIME17 Fall CIO Forum, which attracted more than 600 CIOs from a variety of organizations across the globe. The topics discussed ranged from interoperability to telemedicine and digital transformation, but a few key themes emerged that will […]

8 Best Practices for Building Better Relationships During EHR Implementation and Training

Author: Jeffrey Garvin, Cadence Principal Trainer New software implementations can be a high-stress scenario in the hectic and sometimes change-averse world of healthcare. End users are under pressure to adapt to new resources while continuing to tend to the high-stakes business of patient care. Instilling confidence in users’ ability to make thorough and efficient use of […]

Quality Reporting: What Your Healthcare Organization Needs to Know About Measure Selection and EHR Configuration

Author: Andrews Dean, Consultant Participation in pay-for-performance plans like MACRA’s Quality Payment Program (QPP) poses new challenges for resource-strapped healthcare organizations. Many provider sites lack the time and technical expertise needed to retool their EHR implementation to document new metrics under value-based reimbursement models like the Merit-based Incentive Payment System (MIPS). Nonetheless, that is precisely what […]

EHR Training: How to Help Users End Frustration, Overcome Fear and Engage

Author: Anne-Louise Sterry, Training Consultant During EHR implementations, trainers are frequently the first to introduce end-users to the new technology. Users often come to EHR training frustrated about the change and nervous about acclimating to a new system. Adding to the pressure they feel, EHR training may only entail a one-time training class that delivers […]

2018 QPP Rule Expected to Bring Added MIPS Regulatory Reprieve

Author: Andrews Dean, CPHIMS, CPHI, CHDA, CPPM, CPC, MACRA and MIPS Consultant With Alternative Payment Model reporting tracks still undergoing growing pains, many physicians are expected to participate in the Merit-based Incentive Payment System for the MIPS integrates three outpatient payment programs—the Physician Quality Reporting System, Meaningful Use, and the Value-based Payment Modifier—with an assessment of Improvement […]

Reporting’s Rising Role in Healthcare Success

Author: Charleen Harden, Report Analyst Today’s healthcare market is saturated with hospitals, health systems, and physician practices tackling EHR optimization, cost analytics, and other data-related projects. The industry has made great strides to establish a digital, real-time record of patient care. As that clinical, operational, and financial data piles up, one of the industry’s latest challenges […]

Overcoming Resistance: Managing the Human Side of Change in Health IT

  Author: Ann Richardson, Communications & Change Management Consultant Healthcare has seen its fair share of transformation over the past two decades. The waves of change reshaping the industry include new coding sets, evolving value-based payment models and countless technology implementations, just to name a few. As healthcare pivots from tech laggard to technical innovator, those […]

Executive Spotlight: Zack Tisch, Consulting Services Executive

Pivot Point’s new lead Consulting Services Executive, Zack Tisch, knows first-hand how difficult it can be for healthcare organizations to reap the full value of their EHR implementation. He began his healthcare IT career working for Epic Systems Corporation after completing his undergraduate studies at Duke University. In the 12 years since, Zack has overseen […]

Partner Spotlight: Geoff Roten, Healthcare IT Strategy Advisor

New Pivot Point Consulting Partner Geoff Roten provides consulting expertise in a variety of areas related to healthcare IT planning, strategy and transformation. He brings 25 years of experience working in for-profit and not-for-profit health institutions, government agencies and technology companies to his new position. Geoff’s work history includes leadership roles as chief information officer […]

Going Rogue: Bringing Provider-Side Experience to the World of EHR Training

Author: Chris Cooley, Epic Program and Training Director Much has been written about the disconnect that exists between healthcare providers and the health IT resources they use. Although clinicians represent a significant portion of the end-users that HIT products are designed for, many report feeling removed from the health IT review and selection process. This spells […]

Consultants as Business Partners: Cost Consciousness and the Bigger Picture

Author:  Christopher J. Wentland, Consultant In the first two installments of our “Consultants as Business Partners” blog series, we touched on various aspects of building partnerships with clients in our roles as health IT consultants. From sending the right message in initial encounters to identifying internal allies once you are part of the team, interpersonal […]

The Transition to Value-Based Payment

Healthcare organizations across the nation are preparing to transition from volume-based to value-based payment. This is a fundamental change, and the path to achieving value-based care will look different for every healthcare system. “It is up to each organization to write its own value-based playbook by gleaning knowledge from its historical performance data,” Pivot Point […]

Healthcare Informatics Highlights Staffing Trends in Pivot Point Consulting’s 2017 Healthcare IT Market Report

With health IT initiatives ramping up as providers prepare for the shift to value-based care, the search for health IT talent is heating up. Healthcare organizations eager to streamline EHR and HIT workflows are seeking the best and the brightest to help guide their efforts. So how can providers be competitive when recruiting HIT expertise? […]

What Are the Trends You’re Seeing in Your Health IT Market Trends Report?

As the healthcare IT industry has expanded over the last few years, some intriguing trends have come to light. John Lynn from Healthcare Scene asked Pivot Point’s Ben Weber specifically about ‘optimism’ and ‘innovation’—two words that indicate a positive outlook for health IT professionals. Ben took some time to explain why in the interview below. […]

Consultants as Business Partners: Sending the Right Message

Author: Christopher J. Wentland In the complex world of health IT, consultants play a pivotal role as allies and business partners for healthcare organizations. As providers work to weave enabling technologies into the fabric of care delivery, collaborating with the right HIT subject matter experts could make or break progress. Ever-growing onus is on healthcare […]

A Conversation About the Quality Payment Program and Value-Based Care

Roberta Mullin of HealthcareNOW Radio made her rounds at the HIMSS17 exhibition hall, interviewing thought leaders on the hot topics of this year’s conference. One of those interviews was conducted with Pivot Point’s own Jon Melling, Partner, Strategic and Advisory Services. In this podcast, Jon provides insight on the movement from fee-for-service to value-based care. […]

Protecting PHI: Managing HIPAA Risk with Outside Consultants

  Author: Jon Melling, FHIMSS The rising complexity of healthcare, particularly as it relates to providers’ growing technical needs, is increasingly prompting healthcare organizations to seek the help of outside consultants. In engagements with healthcare entities, thought IT consultants try to minimize interaction with patient data, they often have access to protected health information (PHI). […]

Consultants as Business Partners

Author: Christopher J. Wentland Consultant engagements have proliferated amid the rising tide of IT complexity in healthcare. For many providers struggling to simultaneously keep pace with the demands of patient care, an evolving technical infrastructure and new quality-based payment programs, consultant partnerships offer a proverbial life raft in a sea of competing priorities. As consultants, […]

Thanksgiving Greetings

May this Thanksgiving holiday give you many reasons to be thankful. Looking back, we are incredibly grateful for the accomplishments our team has achieved this year, including being ranked in the top ten of Modern Healthcare’s Best Places to Work in Healthcare and being named one of Consulting Magazine’s Fastest Growing Firms for a second […]

Healthcare Compliance

Author: Peyman Zand, Partner, Strategic Services Executive – CFCHE Developing a comprehensive compliance program is no longer optional for healthcare providers. Successful Compliance programs provide protections for provider entities, and patients alike. There is no single “best compliance” program. Providers with limited resources must still develop and maintain an active compliance program. Larger organizations may have […]

5 Steps to a Lean Company

Author: Peyman Zand, Partner, Strategic Services Executive – CFCHE Before we dive into a discussion on transforming your healthcare organization via Lean methodology, let’s first examine what exactly “Lean” means. Lean is the set of tools and techniques used to enhance customer value while minimizing excess from the organization. A “Lean Company” is one that has […]

Partnering Up for the Journey to Value-Based Reimbursement

Author: Jon Melling, Partner Amid MACRA, value-based care, bundled payments and alternative payment models, healthcare CFOs are receiving a consistent, powerful message. Your iceberg is melting! The quantity to quality transformation is forcing dramatic change for traditional revenue cycle processes, cost accounting approaches and payer contracting strategies. All must evolve to meet new value-based demands. […]

Using Epic to Maximize Your Population Health Management Initiatives

Over the past few years, population health management has become a key buzz term in healthcare and is rapidly gaining importance in a healthcare organization’s upcoming fiscal year initiatives. Whether it’s through Accountable Care Organization (ACO) or Patient Centered Medical Home (PCMH) models, population health management centers around identifying key patient populations and using the […]

Deriving the Best Value of Self-Service Kiosks in Healthcare

Author: Eric Croteau, Sr. Epic Consultant From banking to shopping to airports, self-service kiosks are a way of life for consumers. Today’s air passengers have eagerly embraced interactive kiosks to speed up the boarding pass process and avoid long lines at the airport.  Self-service kiosks are becoming increasingly familiar fixtures in hospital, health system and physician […]

Lessons Learned from EHR Integration of Medical Devices

Author: Kathy Inkley, Epic Project Manager Human lives depend on how well a healthcare organization manages its EHR integration of medical devices. As the assigned project manager spearheading numerous large health system enterprise-wise medical device integration programs for over a decade, I’ve learned an essential lesson about EHR integration of medical devices. Data captured from thousands […]

Ransomware Best Practices: Beating Cybercriminals at their Own Game

  Author: Frank Siepmann, Senior Cybersecurity Advisor An international study reports nearly 40 percent of businesses experienced a ransomware attack in the last year. A recent U.S. government interagency report indicates that, on average, nearly 4,000 daily ransomware attacks have occurred since early 2016, representing a 300 percent increase over the 1,000 daily ransomware attacks […]

Advisory Spotlight: Frank Siepmann, Cybersecurity Advisor

Frank Siepmann, Senior Cybersecurity Advisor, provides strategic consulting support in the areas of planning, implementing and leading enterprise-wide cybersecurity programs. He has more than 20 years of progressive experience in the cybersecurity industry holding senior leadership positions at Fortune 100 companies. In 2013, Auerbach Publications published his book titled “Managing Risk and Security in Outsourcing […]

Device Integration with Epic: Two Critical Elements that Might Surprise You

Author: Kathy Inkley, Epic Project Manager As a Pivot Point consultant, my current role is project manager for Honor Health for the Device Integration Program with the organization’s Epic system. I’ve been involved with Device Integration for nine years, and it’s been one of the most rewarding challenges of my life. Vital sign data from […]

Jon Melling’s Interview about Future of Revenue Cycle Management

At the HIMSS 2016 Conference in Las Vegas, John Lynn, Founder and CEO of, interviewed Jon Melling about the future of revenue cycle management, and specifically how technology will impact business processes. This blog is part one of their time together. John Lynn – Your expertise is in technology, and applying it to improve […]

Lesson Plans: Classroom v. eLearning

Author: Chris Cooley, Training Advisor Ah, the great debate: classroom vs. online. We have seen a huge movement toward computer-based training in every industry thanks to its cost effectiveness and ease of delivery and tracking. Despite those benefits, however, we still need to ask if it’s the best way to train, and how much, or even, […]

PenTest Magazine features Pivot Point Consulting’s Frank Siepmann

Penetration Testing in Cloud Environments – A Systematic Approach – PenTest Magazine Frank Siepmann, consultant at Pivot Point Consulting, was recently featured in PenTest Magazine on the use of cloud environments in todays’ organizations and how it has become systematic, creating new challenges for pen-testers. In addition to the infrastructure hosting the application in scope, there is […]

Jon Melling in Becker’s Hospital CFO on Chargemasters, Population Health and Value-Based Billing

Value-based reimbursement is driving significant change in revenue cycle processes, procedures, workflows, and technology. Pivot Point’s Jon Melling pieces together important first steps for hospital finance executives in his recent interview with Becker’s Hospital CFO. Read his complete predictions for value-based billing.  Link to Article.  

Better Project Management Makes a Better Hiring Manager

Project management is an essential element in almost any job environment – engineering, IT, media, etc. – but none more so than hiring management. With today’s hiring managers expected to review an increasing amount of candidates, prospect for new business clients and manage contract negotiations for hires, better project management translates to a stronger output […]

Analytics Driven Population Health, The Time Is Now

The United States is experiencing significant shifts in the way healthcare is accessed and delivered. These changes are disrupting traditional approaches to collecting, analyzing and using health data. Ensuring quality health and care provision for an entire community is no easy task, and it is clear that reliance on electronic medical records (EMRs) that are […]

Strategies for Insurers (and Members) to Win in the Fixed Market

With the new federal and state exchanges now active, there is an unprecedented opportunity for insurance plans to gain market share.  Segments of the population that have never traditionally had insurance, as well as those already in individual and family plans, are migrating to the new nationally standardized plans.   In April 2014, 7.1 million […]

Should Clinicians be Software Developers?

Wait… am I a software developer now? When healthcare organizations decide to implement an electronic medical record (EMR), I am unsure if leadership truly understands that they are adopting a vastly different core competency than patient care, which is Software Development.  Software Development Life Cycle, or SDLC, is a framework that employs several different models used […]

EHR Optimization – Finding a Balance (Featuring Dr. Dwight Eichelberger)

“The work of the organization is providing health care, not populating an EHR. It is imperative that IT staff understand the clinical scenarios they are supporting – not to simply re-create, or “pave the cowpath,” but rather to understand the end game – what clinicians are actually trying to accomplish.”   –Dr. Dwight Eichelberger, MD, Medical Director […]

Using Epic to Maximize Your Population Health Management Initiatives

Over the past few years, Population Health Management has become a key buzz term in healthcare and is rapidly gaining importance in a health care organization’s upcoming fiscal year initiatives.  Whether it’s through Accountable Care Organization (ACO) or Patient Centered Medical Home (PCMH) models, population health management centers around identifying key patient populations and using […]

Smartphone Apps and the Healthcare Setting

The smartphone is very prevalent today in healthcare. Why? Because clinicians, especially physicians, are much more comfortable with their smartphones than computers. Smartphones are obviously mobile and portable in nature, and they are much more accessible than the computers that are in their offices or homes. Business Insider author, John Heggestuen, reported in December 2013 […]

OpenNotes Initiative: How Transparency is Leading to Consumerism in Healthcare

Having worked in healthcare for over 25 years, I am not only very aware of healthcare developments but am most supportive when they improve patient care and awareness. I have a strong belief that our technology in the healthcare and information technology fields should serve the patient as well as the healthcare providers.  One development […]

ICD-10 Deadline – Update

Although, the suspense will continue because the vote on H.R.4302 still needs to be sent to the Senate by March 31, 2014. H.R.4302 is, “To amend the Social Security Act to extend Medicare payments to physicians and other provisions of the Medicare and Medicaid programs, and for other purposes.” Section 212 of H.R.4302 includes language […]

Consultants: Are You Doing a Disservice to Your Client Partner by Saying “Yes” to Everything?

As a consultant and a leader who expects perfection of myself, as well as wants everyone around me to be happy, I tend to say “Yes!” or “Sure thing!” or “No problem!” to every request for my time and input.  I also tend to suggest new ideas and creative solutions that aren’t asked of me, because […]

How to Be Sure Your Definition of “ICD-10 Compliant” Lines Up with Your IT Vendors’

In the healthcare industry, we’re quickly approaching the homestretch for making our Information Technology compliant with ICD-10 standards.  One of the most important questions to ask yourself is: “Are we on the same page as our IT vendor(s) in terms of the definition of “ICD-10 Compliant?” Compliance doesn’t always equate to usability within your organization, […]

Fraud and Abuse Risks with Electronic Health Records (EHRs)

The Office of Inspector General (OIG) for the United States of America released a report on January 8, 2014 detailing findings from their study to determine if the Center for Medicare and Medicaid Services’ (CMS) contractors have adopted mechanisms to identify and address certain EHR vulnerabilities. The EHR vulnerabilities, at the heart of the study, […]