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From the editor

Dear Healthcare Intelligence Network Client,

HIN Content Editor Cheryl Miller

No one could argue that nurses do more than their fair share of work. But now a new study is documenting that work environments that are beneficial for nurses are also beneficial for hospitals in terms of readmissions rates.

Researchers at the University of Pennsylvania School of Nursing found that Medicare patients treated in hospitals with a good work environment for nurses had up to 10 percent lower odds of readmission than those treated in hospitals with a poor work environment.

Researchers suggest that improving nursesí work environment and reducing their workloads are organization-wide reforms that could result in fewer readmissions. All hospitalized patients are exposed to bedside nursing throughout their stay and combining targeted transitional care, the coordination of healthcare during the transition from hospital to home, with high-quality inpatient nursing care will produce more positive outcomes for all patients, and help reduce overall healthcare costs. Preventable hospital readmissions cost the United States more than $15 billion annually, and Medicare is now penalizing hospitals with excessive rates of readmissions.

This study parallels another recent news story documenting nurses/case managersí role in reducing readmissions by dispensing phone calls within 48 hours of discharge to high risk patients. The study, from Cigna, followed nearly 4,000 high-risk gastrointestinal, heart and lower respiratory patients and found that prioritized, telephonic outreach by health plan case managers after hospital discharge reduced future readmissions by 22 percent. This subject is currently a hot topic on our new LinkedIn forum, CaseTalk a Forum for Care Coordinators. You can join in the discussion group here.

How to find the right nurse/case manager? Robert Fortini, vice president and chief clinical officer of Bon Secours Health System, tells us that they should posess both creativity and critical thinking skills, in our story excerpted from our new book, "Profiting from Population Health Management: Applying Analytics in Accountable Care." Bon Secoursí nurse navigator program was so successful that they were planning on doubling their budget for them within 18 months.

And in other news, the increased use of EMRs and other related tools have failed to fulfill the financial promise of HIT, according to a new RAND Corporation analysis. One of the major reasons is that systems deployed are neither interconnected nor easy to use. Some changes to reverse this are documented in our story.

And donít forget to take our new survey on Medication Adherence.

Your colleague in the business of healthcare,
Cheryl Miller
Editor, Healthcare Business Weekly Update

Please send comments, questions and replies to cmiller@hin.com.

HIN Associate Editor Jessica Fornarotto
Associate Editor:
Jessica Fornarotto, jfornarotto@hin.com

Publisher:
Melanie Matthews, mmatthews@hin.com

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January 14, 2013
Vol. XV, No. 2

Sponsored by:
Physician Hospital Organizations — Developing a Collaborative Structure for Shared Savings Agreements


This week's industry news:

  1. 3 Changes in Healthcare That Could Fulfill Promise of HIT
  2. Healthcare Trends & Forecasts in 2013
  3. Creativity, Critical Thinking Skills Key to Effective Nurse Navigators
  4. Profiting from Population Health Management
  5. Healthcare Business White Paper: Population Health Management in 2012
  6. 10 Approaches to Slow Spending Growth by $2 Trillion Over 10 Years
  7. New Chart: Reductions in Avoidable ER Visits
  8. Guide to Physician Performance-Based Reimbursement
  9. Lower Readmissions for Hospitals with Good Nursing Work Environment
  10. 2012 Healthcare Benchmarks: Reducing Hospital Readmissions
  11. HHS Announces First HIPAA Breach Settlement Involving Less Than 500 Patients
  12. HIPAA Compliance Manual
  13. Infographic: 10 Myths of Healthcare Reform
  14. Care Coordination for Dual Eligibles
Please pass this along to any of your colleagues or, better yet, have them sign up to receive their own copy and learn about our other news services.

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Improving Medication Adherence in 2013

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Interested in all open surveys? Review them here.


This week's industry news

1.) 3 Changes in Healthcare That Could Fulfill Promise of HIT

The increased use of EMRs and related tools have failed to fulfill the financial promise of HIT, according to a new RAND Corporation analysis.

Get the full story.

>>Return to this week's industry news


2.) Healthcare Trends & Forecasts in 2013: Performance Expectations for the Healthcare Industry

Healthcare Trends & Forecasts in 2013 This resource provides healthcare executives with a look ahead to help shape strategic plans. This yearís resource covers how the economic environment is continuing to impact the healthcare industry, in terms of the unemployment rate, the uninsured and underinsured, access to credit and soft volume for healthcare services, and much more.

Learn more about this resource.

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3.) Creativity, Critical Thinking Skills Key to Effective Nurse Navigators

Finding nurse navigators capable of both creative and critical thinking are two crucial skills for this role, explains Robert Fortini, vice president and chief clinical officer of Bon Secours Health System, and can be inherent, taught.

Get the full story.

>>Return to this week's industry news


4.) Profiting from Population Health Management: Applying Analytics in Accountable Care

Futurescan 2013 This resource provides both a primer in population health management (PHM), identifying the challenges and opportunities of a robust PHM program, and an advanced case study in the use of analytics in PHM.



Learn more about this resource.

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5.) Healthcare Business White Paper: Population Health Management in 2012 — Case Managers, Health Coaches Support Shifting Focus

Population Health Management in 2012 New market research from the Healthcare Intelligence Network has determined that the key to population health management (PHM) is the focus on the whole population, with 83 percent of respondents to HIN's Population Health Management Survey citing the use of a population approach versus disease management (75 percent). Download this HINtelligence report to learn more about PHM and the programs being offered by 102 healthcare companies, including who's part of the PHM team, program components and delivery, and more.

Download this complimentary white paper.

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6.) 10 Approaches to Slow Spending Growth by $2 Trillion Over 10 Years

A set of 10 approaches that could accelerate healthcare delivery could also slow health spending growth by $2 trillion from 2014 to 2023, according to a report from The Commonwealth Fund Commission on a High Performance Health System.

Get the full story.

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7.) New Chart: Reductions in Avoidable ER Visits

New Chart: Reductions in Avoidable ER Visits In today's value-based healthcare sphere, there are many motivators to reduce avoidable ER visits: quality improvement, core measure metrics, reimbursement and incentives, cost trend, accreditation and recognition of ACOs and PCMHs, to name a few. We wanted to see by what percentage healthcare organizations have reduced avoidable ER visits.

Click here to view the chart.

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8.) Guide to Physician Performance-Based Reimbursement: Payoffs from Incentives, Data Sharing and Clinical Integration

Guide to Physician Performance-Based Reimbursement This resource explores newly minted reimbursement formulas at two health plans and two independent practice associations (IPAs), providing payor and provider perspectives on the formula development process; clinical, quality and efficiency measures in use; physician incentive payments and program outcomes.

Learn more about this resource.

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9.) Lower Readmissions for Hospitals with Good Nursing Work Environment

According to a new study from the University of Pennsylvania School of Nursing, Medicare patients treated in hospitals with a good work environment for nurses had up to 10 percent lower odds of readmission than those treated in hospitals with a poor work environment.

Get the full story.

>>Return to this week's industry news

10.) 2012 Healthcare Benchmarks: Reducing Hospital Readmissions

2012 Healthcare Benchmarks: Reducing Hospital Readmissions This resource identifies the key strategies, challenges, target populations and health conditions of 119 healthcare organizations to reduce avoidable rehospitalizations.



Learn more about this resource.

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11.) HHS Announces First HIPAA Breach Settlement Involving Less Than 500 Patients

The Hospice of North Idaho (HONI) has agreed to pay the HHS $50,000 to settle potential violations of the HIPAA Act of 1996 Security Rule, in what is the first settlement involving a breach of unsecured electronic protected health information (ePHI) affecting fewer than 500 individuals.

Get the full story.

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12.) HIPAA Compliance Manual

HIPAA Compliance Manual This resource contains the policy and procedure documentation required by the HIPAA privacy and security rules and HITECH. It also includes state laws and regulations that interface with HIPAA and state identity theft laws.


Learn more about this resource.

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13.) Infographic: 10 Myths of Healthcare Reform

Healthcare is complex: its issues are complicated and solutions in some cases are not clear. In this thought-provoking infograph from Deloitte, Dr. Paul Keckley, executive director for the Deloitte Center for Health Solutions, examines ten myths about healthcare reform.

Read this blog post.

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14.) Care Coordination for Dual Eligibles: A Results-Oriented Approach

Care Coordination for Dual Eligibles: A Results-Oriented Approach SCAN Health Plan's Interdisciplinary Care Team for dual eligibles is a diverse multiprofessional group encompassing many geriatric specialists, explains Dr. Timothy Schwab, chief medical officer of SCAN Health Plan. Dr. Schwab describes some of the challenges of risk stratification in a dual eligible population, and details case management support for the percentage of dual eligibles that require support for disabilities.

Listen to this podcast.

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