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From the editor

Dear Healthcare Intelligence Network Client,

HIN Content Editor Cheryl Miller

CMS and the Office of the National Coordinator for Health IT have just announced proposed regulations for Stage 2 Meaningful Use and Medicare and Medicaid EHR Incentive Programs.

Incorporating recommendations from the Health IT Policy Committee, they stress the need for hospitals and physicians to improve quality and efficiency through HIT. The rules focus on increasing the electronic capturing of health information in a structured format, and increasing the exchange of clinically relevant information between providers of care at so-called "care transitions."

At this time of writing, some of the new Stage 2 recommendations will include the following: the percentage of orders entered via computerized physician order entry (CPOE) will rise from 30 percent to 60 percent and include medications, labs and radiology; E-prescribing in the emergency department will increase from 40 percent to 60 percent; and recording objectives, such as problem lists, vitals and smoking status will increase from 50 percent to 80 percent.

The proposed Stage 2 regulations will keep some Stage 1 criteria unchanged, revise others, and include new requirements. Once published in the Federal Register, there will be a 60 day comment period; these regulations are expected to be released this summer.

In related news, the use of HIT by hospitals and physicians has more than doubled in the last two years and CMS reports that nearly 2,000 hospitals and more than 41,000 doctors have received $3.1 billion in incentive payments for ensuring meaningful use of health IT, particularly certified EHRs. EHR incentive payments can total as much as $44,000 under the Medicare EHR Incentive Program and $63,750 under the Medicaid EHR Incentive Program.

Want to know the secrets to launching a successful ACO pilot program? Thomson Reuters has published a report showing four key metrics that can predict success; the first metric is the number of attributed members. The others are detailed in this issue.

And unfortunately, there is no secret formula to reducing avoidable hospitalizations; according to a new study from Delta Health Technologies, which was based on data from more than 1,000 homecare agencies across the U.S., while most agencies are taking steps to reduce avoidable hospitalizations, with patient care a strong concern, there was no one magic formula for success in this area. But there were a number of findings on successful hospitalization reduction strategies.

And don't forget to participate in our latest e-survey: our third annual Healthcare Case Management survey. Participants receive a free, downloadable executive summary of the results once compiled.

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 Papay
Associate Editor:
Jessica Papay, jpapay@hin.com

Publisher:
Melanie Matthews, mmatthews@hin.com

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February 27, 2012
Vol. XIV, No. 7

Sponsored by:
Telephonic Case Management: Protocols for Behavioral Healthcare Patients

This week's industry news:

  1. Doctors, Hospitals' Use of HIT Doubled in Last Two Years
  2. Aligning Physician Incentives for Shared Risk and Reward Across the Healthcare Continuum
  3. 4 Key Metrics for Accountable Care Organization Success
  4. Blueprint for ACO Success
  5. Healthcare Business White Paper: 2011 Benchmarks in Accountable Care Organizations
  6. 5 Findings to Reduce Avoidable Hospitalizations: Study
  7. New Chart: What's the ROI from Patient Satisfaction Programs?
  8. 2012 Benchmarks in Reducing Avoidable ER Visits
  9. U.S. Healthcare Costs Up 5.28 Percent in 2011
  10. Healthcare Trends & Forecasts in 2012
  11. 6 Challenges of Medical Home Transformation
  12. Guide to Physician Engagement
  13. Motivational Interviewing Helps Patients to Say ‘Yes’ to Behavior Change
  14. HealthSounds Podcast: Reducing Avoidable ER Use by Behavioral Healthcare Patients with Telephonic Case Management
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.

Missed the last issue? Read it here.

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Take our monthly e-survey:
Third Annual Case Management Benchmark Survey

You'll be emailed a synopsis of the survey results.

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This week's industry news

1.) Doctors, Hospitals' Use of HIT Doubled in Last Two Years

The number of hospitals using health information technology (HIT) has more than doubled in the last two years, from 16 to 35 percent between 2009 and 2011, according to a new survey conducted by the American Hospital Association and reported by the HHS Office of the National Coordinator for Health IT.

Get the full story.

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2.) Aligning Physician Incentives for Shared Risk and Reward Across the Healthcare Continuum

Aligning Physician Incentives for Shared Risk and Reward Across the Healthcare Continuum During this 45-minute webinar, Babette Apland, senior vice president of health and care management for HealthPartners, shares how HealthPartners aligned physician incentives and shared savings with pay-for-performance programs and a total cost of care initiative.


Learn more about this resource.

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3.) 4 Key Metrics for Accountable Care Organization Success

Just four critical metrics can determine whether an accountable care organization (ACO) pilot program is a success or failure, says a new white paper published by Thomson Reuters.

Get the full story.

>>Return to this week's industry news


4.) Blueprint for ACO Success: Clinical, Quality and Compliance Considerations for an Accountable Care Organization

Blueprint for ACO Success This 40-page resource will prepare healthcare organizations considering an ACO for clinical and regulatory success. It details Advocate Physician Partners' clinical integration (CI) program, and the Queens County Medical Society ACO launch.


Learn more about this resource.

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5.) Healthcare Business White Paper: 2011 Benchmarks in Accountable Care Organizations

A significant segment of the healthcare industry is reframing its care delivery structure as an accountable care organization (ACO) or will do so in the near future, according to new market research by the Healthcare Intelligence Network. This white paper summarizes awareness of and readiness for ACOs at 228 healthcare organizations, based on their responses to a February 2011 ACO Readiness Assessment. This research was conducted before CMS released its proposed rule governing ACOs.

Download this complimentary white paper.

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6.) 5 Findings to Reduce Avoidable Hospitalizations: Study

Avoidable hospitalizations is the number one patient-related concern facing the healthcare industry today, says a new study from Delta Health Technologies.

Get the full story.

>>Return to this week's industry news


7.) New Chart: What's the ROI from Patient Satisfaction Programs?

Patient Satisfaction Program ROI Patient satisfaction with the healthcare experience is influencing quality ratings and value-based reimbursement levels for hospitals, physicians and other providers. We wanted to see what ROI is generated by programs to improve patient satisfaction.

Click here to view the chart.

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8.) 2012 Benchmarks in Reducing Avoidable ER Visits

2012 Benchmarks in Reducing Avoidable ER Visits This 50-page report delivers actionable information from 134 healthcare organizations on their efforts to reduce inappropriate ED visits. Now in its second year, it's designed to meet business and planning needs of hospitals, health plans, physician practices and others by providing critical benchmarks that show how the industry is working to reduce avoidable hospital emergency department visits.

Learn more about this resource.

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9.) U.S. Healthcare Costs Up 5.28 Percent in 2011

U.S. healthcare costs went up in the last month of the year ending December 2011 across the board, according to the S&P Healthcare Economic Composite Index.

Get the full story.

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10.) Healthcare Trends & Forecasts in 2012: Performance Expectations for the Healthcare Industry

Healthcare Trends & Forecasts in 2012 In HIN's eighth annual healthcare industry forecast, a planning tool eagerly anticipated by healthcare executives, Steven T. Valentine, president of The Camden Group, returns to parse the industry landscape for the year ahead and propose how healthcare organizations can best position themselves not only for a profitable 2012 but for Medicare eventualities in the years to come.

Learn more about this resource.

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11.) 6 Challenges of Medical Home Transformation

Providing team-based care, improving patient access and encouraging self-management support were some of the steps taken in transforming to a medical home, explains Dr. Paul Kaye, medical director at Taconic IPA.

Get the full story.

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12.) Guide to Physician Engagement

Guide to Physician Engagement This special report deconstructs the physician culture and suggests tactics for converting reluctant physicians into champions for healthcare improvement. A Q&A chapter answers more than 40 questions on the engagement of physicians.


Learn more about this resource.

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13.) Motivational Interviewing Helps Patients to Say ‘Yes’ to Behavior Change

Nurse case managers, health coaches and even pharmacists are employing motivational interviewing to engage patients and health plan members in disease management programs.

Read this blog post.

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14.) HealthSounds Podcast: Reducing Avoidable ER Use by Behavioral Healthcare Patients with Telephonic Case Management

Jay Hale Though adult mental health patients, substance abusers and children and adolescents may face different behavioral health issues, there's a common reason behind their frequent hospital and ER visits, explains Jay Hale, LPC, CEAP, director of quality improvement and clinical operations at Carolina Behavioral Health Alliance. Hale's organization uses a set of telephonic case management protocols to reduce avoidable inpatient and ER use by these populations. He describes some of the barriers telephonic case managers might face during member outreach, red flags that indicate a physician visit is warranted, and the role of primary care providers in the member's care continuum.

Listen to this podcast.

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