Dear Healthcare Intelligence Network Client,

One quarter of all nursing home residents aged 65 and older have diabetes, according to a report from the Institute for the Future of Aging Services. However, providers, payors and patients can take heart from two separate pilot programs for patients with diabetes. In the first disease-specific application of the medical home model in North Carolina, case managers provided extra support to patients between doctors' appointments. The result? Fewer unnecessary hospitalizations, ER visits doctors' appointments and vastly improved communications between providers and patients...at a reported savings of $231 million for North Carolina taxpayers.

And in our home state, a one-year data-sharing collaboration between the largest insurer in New Jersey and an 800-physician network greatly improved compliance for the key HbA1C blood test from 43 percent to 91 percent for diabetes patients in the pilot. This application of the medical home model is a blueprint for other chronic illnesses. Read more here.

In the first week since we launched this month's e-survey on pain management initatives, nearly 100 healthcare organizations have responded. Even if you don't yet have a program in this area, you may still take the survey and receive a free e-summary of the results.

Your colleague in the business of healthcare,
Patricia Donovan
Editor, Healthcare Business Weekly Update

Please pass this along to any of your colleagues or, better yet, have them sign up to receive their own copy at http://www.hin.com/freenews2.html where you can also learn about our other news services.


Healthcare Business Weekly Update
Volume IX, No. 51
March 10, 2008

Sponsored by: Case Studies in Best Practices in Healthcare Consumer Empowerment

During Case Studies in Best Practices in Healthcare Consumer Empowerment, a 60-minute webinar on March 13, 2008, an expert panel of speakers will provide the inside details on how their respective organizations are empowering consumers, ranging from treatment decision support to increasing the use of evidence-based services. For more information, please visit http://store.hin.com/product.asp?itemid=3772


Table of Contents
  1. Shifting Workplace Wellness to Employee-Centric Programs
  2. Employee Health Promotion Strategies: Effecting Change through a Culture of Health
  3. Hospital System Announces Advances in Patient Safety and Healthcare Quality
  4. Medication Reconciliation Strategies to Reduce Hospital Adverse Drug Events
  5. Featured White Papers: Best Practices in e-Healthcare
  6. College Students Are Abusing Prescription Medications and Other Drugs
  7. Drugs, the Brain, and Behavior: The Pharmacology of Abuse and Dependence
  8. One in Four Nursing Home Patients Has Diabetes
  9. Building a Diabetes Medical Home: The Impact on Practice Work Flow, Patient Outcomes and Healthcare Costs
  10. Highmark Study Shows ROI For Employee Wellness Program
  11. Measuring Change: Evaluating Health and Wellness Coaching Performance, Outcomes and ROI
  12. What's New at HIN: The Latest Special Reports, White Papers and Podcasts


1. Shifting Workplace Wellness to Employee-Centric Programs

Gregg Lehman, Ph.D., president and CEO of HealthFitness outlines the first steps in creating a culture of health.

Most companies have experienced the loss of employees due to a chronic sickness or death and are facing the outcomes of such events, for instance an increase in absenteeism. It is possible even that such companies are confused over how to prevent this type of situation. However, by observing healthy trends in the healthcare industry and keeping employers focused on quality for both the company and the sick, a loss in productivity will be a thing of the past.

To read this story in its entirety, go to:
http://www.hin.com/sw/Hindustry_MC031008.html



2. Employee Health Promotion Strategies: Effecting Change through a Culture of Health

In this report, HealthFitness President and CEO Gregg Lehman details the process and challenges of creating a corporate culture of health and the payoffs in improved worker health and safety that can result. To describe how one company overcame a "benefit entitlement mentality," Lehman is joined by Eastman Chemical Company's David Sensibaugh, who chronicles the development of a culture of health at Eastman Chemical Company and how this attitudinal shift has impacted the health and welfare of Eastman Chemical's 3,000 shift workers.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3777



3. Hospital System Announces Advances in Patient Safety and Healthcare Quality

From the time a medication leaves the warehouse loading dock to when it reaches the patientís bedside, ProMedica Health System is putting safeguards in place to enhance patient safety and outcomes. The Ohio-based 10-hospital network recently signed a contract with McKesson for a sweeping array of clinical solutions, pharmacy automation and medication distribution services. The systems will enhance patient safety and help improve operational efficiencies and reduce healthcare costs.

To read this story in its entirety, go to:
http://www.hin.com/sw/hospital_HSmanagement031008.html



4. Medication Reconciliation Strategies to Reduce Hospital Adverse Drug Events

In this special report, you will discover how McLeod Regional Medical Center developed a medication management program, which has a goal of eliminating adverse drug events.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3765



Please Forward This Issue

If you havenít already done so, please forward this issue to one or two of your business associates. Thanks so much.

To subscribe, please visit:
http://www.hin.com



5. Featured White Papers: Best Practices in e-Healthcare

Winning HSA Customers Online: Customer Experience Benchmarks And Best Practices: Sept. 2007

According to a recent Wall Street Journal article, only 19 percent of employees who were able to choose their healthcare plan chose a consumer-directed plan. Those already enrolled in such a plan often report low satisfaction and confusion about how the plan works. Companies offering these plans can do a better job at communicating what HSAs and HDHPs are, how they work, and why the consumer should be enrolled in one. The Web offers the potential for companies to provide this information and get consumers started easily and quickly.

To download this complimentary white paper, please visit:
http://www.hin.com/library/registerwhs.html

Online Healthcare: Benchmarks for Assessing Effectiveness, Trust, Outcomes and Perceptions of Cost: Sept. 2007

According to a recent Wall Street Journal article, only 19% of employees who were able to choose their healthcare plan chose a consumer-directed plan. Those already enrolled in such a plan often report low satisfaction and confusion about how the plan works. Companies offering these plans can do a better job at communicating what HSAs and HDHPs are, how they work, and why the consumer should be enrolled in one. The Web offers the potential for companies to provide this information and get consumers started easily and quickly.

To download this complimentary white paper, please visit:
http://www.hin.com/library/registerohb.html



6. College Students Are Abusing Prescription Medications and Other Drugs

College students who take frequently abused medications without a prescription appear to have a higher risk for other types of drug abuse than those who use such therapies for medical reasons, a University of Michigan researcher has concluded.

To read this story in its entirety, go to:
http://www.hin.com/sw/behavioral_health031008.html



7. Drugs, the Brain, and Behavior: The Pharmacology of Abuse and Dependence

Drugs, the Brain, and Behavior: The Pharmacology of Abuse and Dependence explores the brain and see what happens when drugs affect its functions. Filled with an array of useful definitions and amazing historic discoveries about the nervous system, this book will bring you up to speed on the brain/behavior relationship, basic neuroanatomy, neurophysiology, and the mechanistic actions of mood-altering drugs, including alcohol, marijuana, anxiolytics, antidepressants, antipsychotics, cocaine, and opiates.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3295



8. One in Four Nursing Home Patients Has Diabetes

One in four U.S. nursing home residents aged 65 and older has diabetes, according to a new report from the Institute for the Future of Aging Services (IFAS). This report also examined the association between diabetes and ethnicity, activities of daily living, source of admission, payment sources, length of stay (LOS), pressure ulcers, emergency department visits, and medication usage.

To read this story in its entirety, go to:
http://www.hin.com/sw/long_term_care031008.html


There are other free email newsletters available from HIN!

Healthcare Daily Data Bytes put at your fingertips each day a "Data Byte" from the healthcare industry -- facts, figures, statistics and percentages on healthcare spending, costs, utilization and performance. You can also register for free access to Healthcare Daily Data Byte archives.

HealthSounds Podcasts delivers a free weekly audio interview with a healthcare innovator to your e-mailbox. Listen to thought leaders answer key questions about the most pressing issues and trends in healthcare --- impact of retail clinics, implications of Web 2.0 for healthcare, medical home models, and much more.

To sign up for our free email newsletters, please visit
http://www.hin.com/freenews2.html



9. Building a Diabetes Medical Home: The Impact on Practice Work Flow, Patient Outcomes and Healthcare Costs

During Building a Diabetes Medical Home: The Impact on Practice Work Flow, Patient Outcomes and Healthcare Costs, a 90-minute webinar on March 19, 2008, an expert panel of speakers will provide the inside details on how they have implemented the medical home model to improve outcomes for diabetes care.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3769



10. Highmark Study Shows ROI For Employee Wellness Program

Employers can save $1.65 in healthcare expenses for every dollar spent on a comprehensive employee wellness program, according to a study by Highmark Inc. Highmark conducted the study of its own corporate wellness program, which saved $1.3 million during a four-year period. Researchers used an analytical approach that examined the healthcare costs reflected in the medical claims of employees who participated in wellness programs, as well as nonparticipants with comparable health risks.

For more information, please visit:
http://www.hin.com/sw/healthLaw_regulation031008.html



11. Measuring Change: Evaluating Health and Wellness Coaching Performance, Outcomes and ROI

In this special report, two health coaching thought leaders present their coaching ROI models and examine the impact of health and wellness coaching on behaviors and the bottom line. They also share anecdotal research that ties coaches' personal attributes to optimal outcomes — information that can influence health and wellness coach hiring strategies.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3767



12. What's New at HIN: The Latest Special Reports, White Papers and Podcasts

In one of the special reports you will discover the 2008 PQRI changes and how to enhance data collection, among other helpful tips in the area of physician quality reporting. Another special report details ways to engage your employees in healthy lifestyles. Along with the topic of a healthy lifestyle, the latest white paper outlines steps that healthcare organizations are taking to reduce MRSA cases. In the podcasts, discover how a medical home model can improve outcomes for diabetes and learn about the increasing trend of retail clinics.

To view a complete list of new HIN products, please visit:
http://www.hin.com/sw/whatsnewathin031008.html


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