Monthly Archives: July 2015

Health Impact Assessments (HIAs) as Real Deal, Better Bottom Line Real Estate Development

“…the developer’s role within an HIA process as one of ensuring feasibility of recommendations, including the financials involved. ‘If there isn’t a connection between the HIA research and potential financial implications, that could be problematic…There needs to be a thoughtful blend between recommendations for health and sustainability and financial implications to the project.’” – ULI and HIAs


Lean Is Growth, Not Just Production Alone

Respected Lean sensei Pascal Dennis: “Too often we sub-optimize by focusing Lean (aka Toyota Business System) entirely on productivity & efficiency.

And you can’t grow unless the entire value stream is engaged.

The system comprises three ‘loops’, in fact: Design, Make, Sell.

As it happens, one of my favorite Toyota senseis, Shin-san, was a sales & marketing executive…

That’s what (the book by Pascal Dennis) The Remedy – Bringing Lean Out of the Factory, is all about.

A big challenge, but that’s why we have managers.

(As Shin-san use to say, “No problem, no need for managers!”)

Tip of the hat to Orrie, Art Byrne and the Wiremold leadership team, who saw all this a few decades ago!

So what’s this mean for Lean practitioners (2015+)?”

U.S. Federal Government (CMS) Clarifies Payment Criteria for Remote Chronic Disease Care

“CMS released a proposed outpatient payment rule for 2016 that clarifies the requirements health care providers must meet to be reimbursed for remote visits with patients with chronic illnesses, MobiHealthNews reports.


At the start of 2015, CMS began reimbursing Medicare providers under a new billing code, called Chronic Care Management, for care provided remotely and between visits. To use the billing code, CMS required:

  • Treated patients to have at least two chronic conditions;
  • The provider to create a comprehensive care plan for the patient; and
  • Remote care to account for at least 20 minutes of staff time per month.

Proposed Rule Details

The new proposed rule aims to clarify the use of the CCM billing code based on feedback and questions CMS has received (Dolan, MobiHealthNews, 7/2).

Among other things, the proposed rule would require hospitals to:

  • Have “established relationships” with the patient, meaning provided in-person care within the last 12 months; and
  • Provide “enhanced opportunities” for patient or caregiver to contact the provider (Tahir et al., “Morning eHealth,” Politico, 7/2).

CMS also clarified that only one hospital per patient could be reimbursed for these services each month (MobiHealthNews, 7/2).”

U.S. Federal Government CMS Clarifies Payment Criteria for Remote Chronic Disease Care