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From the editor

Dear Healthcare Intelligence Network Client,

HIN Content Editor Cheryl Miller

Women are finally getting the respect they deserve.

According to a new report from the George Washington University School of Public Health and Health Services (SPHHS), women’s issues are key to the health of the nation and should be a major consideration when policymakers design and set up new insurance exchanges. And states need to maintain transparency so women can know up front what their coverage includes, including enrollment processes, scope of benefits, out of pocket charges and exemptions, so they can best provide for themselves and their families.

Transparency is also key to HHS’s aggessive list of health information technology (HIT) goals for 2013. Among them: at least 50 percent of physician offices will be using EHRs, and a majority will use electronic exchange among providers, ensuring that patients' health information will be accessible wherever they access care. These goals are considered crucial to reducing healthcare costs and improving care quality, HHS officials say.

Increased access is behind a new primary care medical home (PCMH) certification from the Joint Commission. Designed for hospitals and critical access hospitals that have ambulatory care services that include primary care services offered by clinicians, the certification is considered beneficial to patients because it provides them increased access to the clinician and interdisciplinary team, and care from other clinicians and facilities is tracked and coordinated and regulated by evidence-based treatment protocols.

And increased virtual access is welcome to the majority of consumers, says a new Cisco Customer Experience Report recently released at the Healthcare Information and Management Systems Society (HIMSS) Conference.

Consumers and healthcare decision-makers across the globe were surveyed on sharing personal health data, participating in in-person medical consultation versus remote care and using technology to make recommendations on personal health. Results showed that the majority of Americans favored the increase of technology and remote care.

Three-quarters of consumers find access to care more important than face-to-face contact with their clinician, and are comfortable with the use of technology for medical interaction. The bottom line: consumers will overlook cost, convenience and travel, in order to be treated at a perceived leading healthcare provider to gain access to trusted care and expertise.

And don’t forget to take our new online survey on care transitions in 2013. Describe how your organization strategizes care transitions and you'll receive a free executive summary of survey results once it is 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 Fornarotto
Associate Editor:
Jessica Fornarotto, jfornarotto@hin.com

Publisher:
Melanie Matthews, mmatthews@hin.com

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March 11, 2013
Vol. XV, No. 9

Sponsored by:
Moving Forward with Payment Bundling


This week's industry news:

  1. Joint Commission Offers Primary Care Medical Home Certification to Hospitals
  2. 2012 Healthcare Benchmarks: The Patient-Centered Medical Home
  3. Women’s Health Must be Priority for States’ Health Exchanges
  4. Health Insurance Exchanges
  5. Healthcare Business White Paper: Health & Wellness Incentives in 2012
  6. Determining PHM’s Value and ROI
  7. New Chart: Pharmacist Incentives for Improving Medication Adherence
  8. Guide to Population Health Management
  9. HHS Expects Half of Physicians to Have EHRs by Year’s End
  10. 2012 Benchmarks in Patient Registry Use for Accountable Care
  11. Majority of Consumers Open to Virtual Doctor Visits, More mHealth Reminders: Study
  12. Health IT in Care Management to Improve Health and Effect Behavior Change
  13. Infographic: Download a Health App and Call Me in the Morning
  14. The Role of Case Managers in Emerging Care Delivery Models
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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Managing Transitions of Care in 2013

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This week's industry news

1.) Joint Commission Offers Primary Care Medical Home Certification to Hospitals

Accredited hospitals and critical access hospitals can now obtain primary care medical home (PCMH) certification from the Joint Commission.

Get the full story.

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2.) 2012 Healthcare Benchmarks: The Patient-Centered Medical Home

2012 Healthcare Benchmarks: The Patient-Centered Medical Home This resource analyzes the responses of 95 healthcare organizations to HIN’s sixth annual industry survey on the PCMH, administered in May 2012. It delivers the latest metrics and measures on current and planned PCMH initiatives, providing actionable data on PCMH effectiveness, targeted populations and conditions, medical home team members, health IT in use, reimbursement, ROI and much, much more.

Learn more about this resource.

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3.) Women’s Health Must be Priority for States’ Health Exchanges

Women’s issues are key to the health of the nation and should be a major consideration when policymakers design and set up new insurance exchanges, according to a report co-authored by policy experts at the George Washington University School of Public Health and Health Services (SPHHS).

Get the full story.

>>Return to this week's industry news


4.) Health Insurance Exchanges: Preparing for the Brave New Marketplace Ahead

Health Insurance Exchanges: Preparing for the Brave New Marketplace Ahead This resource provides articles about the hurdles state lawmakers and stakeholders are facing in developing models and establishing exchanges, the impact of exchanges on various stakeholders, benefit design strategies, and much more.


Learn more about this resource.

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5.) Healthcare Business White Paper: Health & Wellness Incentives in 2012 — Rewarding Risk Assessment, Lifestyle Changes

Health & Wellness Incentives in 2012 New market research from the Healthcare Intelligence Network has determined that the completion of a health risk assessment (HRA) remains the most heavily incented health improvement activity for the fourth consecutive year, say two-thirds of respondents to HIN's annual Health & Wellness Incentives Survey. This HINtelligence Report provides data highlights on health and wellness incentive program components, results, and ROI; as well as the most successful strategies for health and wellness incentives use.

Download this complimentary white paper.

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6.) Determining PHM’s Value and ROI

“Good health is good for business,” says Patricia Curran, Patricia Curran, principal in Buck Consultants’ National Clinical Practice. But there still needs to be monitoring strategies to gauge the value and ROI of population health management on its participating members, she adds. Some strategies include member satisfaction surveys, healthcare cost trend reports, and reports on increased use of preventive services.

Get the full story.

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7.) New Chart: Pharmacist Incentives for Improving Medication Adherence

New Chart: Pharmacist Incentives for Improving Medication Adherence The cost of medication non-adherence is great: in 2009, the New England Healthcare Institute (NEHI) blamed medication non-adherence for $290 billion in 'otherwise avoidable medical spending' in the United States alone each year. Last year, the NEHI reported that a significant portion of hospital readmissions of Medicare patients — a metric closely examined by CMS and private payors — is caused by medication-related adverse events. We wanted to see for which tasks pharmacists are reimbursed or incented for in medication adherence (MA) programs.

Click here to view the chart.

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8.) Guide to Population Health Management

Guide to Population Health Management This resource lays the groundwork for a PHM program, providing a comprehensive set of 2012 PHM benchmarks from 102 companies as well as strategic advice from early adopters of a PHM approach. It also offers a primer in PHM, an advanced case study in the use of analytics in PHM, and an examination of PHM tools at work in the ACO.

Learn more about this resource.

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9.) HHS Expects Half of Physicians to Have EHRs by Year’s End

Health information technology (HIT) and the secure exchange of information across providers are crucial to reducing healthcare costs and improving care quality, according to the HHS. In order to facilitate this, HHS has set a list of five aggressive goals for 2013.

Get the full story.

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10.) 2012 Benchmarks in Patient Registry Use for Accountable Care

2012 Benchmarks in Patient Registry Use for Accountable Care This resource provides actionable data from more than 100 healthcare companies on their current and planned use of registries and the impact of registry use on healthcare quality, efficiency and cost. Registries are straightforward tools for creating realistic views of clinical practices, patient outcomes, provider performance, safety and comparative effectiveness.

Learn more about this resource.

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11.) Majority of Consumers Open to Virtual Doctor Visits, More mHealth Reminders: Study

The majority of consumers today welcome virtual doctor visits, according to the results in the Cisco Customer Experience Report recently released at the Healthcare Information and Management Systems Society (HIMSS) Conference.

Get the full story.

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12.) Health IT in Care Management to Improve Health and Effect Behavior Change

Health IT in Care Management to Improve Health and Effect Behavior Change This resource describes the enrollment and engagement of patients in telemedicine programs in a variety of care settings. The most sophisticated technology in the world will not engage patients and members in health improvement if they are not convinced of the value of the program to their health, the commitment of their providers to the process and the credibility of the entire care team.

Learn more about this resource.

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13.) Infographic: Download a Health App and Call Me in the Morning

Physicians have strong feelings about mobile apps tied to EHRs, according to a January 2013 online survey by eClinicalWorks. Results from the survey, taken by 2,291 healthcare respondents and including 649 physicians, show providers want their patient engaged and see clear benefits in health outcomes with this connection.

Read this blog post.

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14.) The Role of Case Managers in Emerging Care Delivery Models

Teresa Treiger With ACA reforms underway, the case manager is fast becoming a major player in the patient-centric, quality over volume healthcare mindset, taking on more standardized, collaborative approaches to care coordination and its changing delivery systems. But as crucial as case managers are to the evolving healthcare landscape, they also need to realize that they are, in many ways, the new kids on the block. Embedded case managers in particular need to understand that how they relate to their professional partners is one of the most important keys to their success, explains Teresa Treiger, president of Ascent Care Management. Here she shares her views on this and other aspects of the industry, including the opportunities for home-based care and how case managers can maximize the use of technology to manage patient care plans.

Listen to this podcast.

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