Dear Healthcare Intelligence Network Client,

When conducted appropriately, home visits can turn up valuable information about a patient's health state. Nora Baratto, case management manager of St. Peter’s Hospital’s CHOICES Program in Albany, recently shared a particularly poignant example of their worth. An elderly man visited her hospital's ER at the same time each night complaining of chest pain. After conducting an in-home assessment — a key service provided by the CHOICES program — she learned that this ER frequent flyer was a Holocaust survivor, a factor in his becoming extremely anxious each evening. He was afraid of dying and afraid that nobody would find him in the apartment because he was alone, so he went to the ER. Once anxiety was identified as the primary problem, CHOICES contacted the man's physician, who prescribed him an anti-anxiety medication. He was also assigned a counselor and a nighttime aide. Thanks to the collaboration brokered by this program, the hospital readmissions stopped.

With the time and cost demands on healthcare providers, home visits may seem like a premium service. But when something in a patient's story raises a flag, sometimes you just have to see for yourself.

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. 52
March 17, 2007

Sponsored by: 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.

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Table of Contents
  1. New Patient Safety Proposed Regulation Aims To Improve Healthcare Quality
  2. Quality Institutes: How to Create a Successful Infrastructure to Improve Clinical Quality and Patient Safety
  3. Boston Medical Center Implements e-Prescribing Solution
  4. ePrescribing: How Regulatory, Social, Economic and Technological Factors Are Now Driving the Adoption of eRx
  5. Featured Healthcare Blog: MRSA Detection and Prevention News
  6. Wide Variations Among States in Substance Use, Mental Health Patterns
  7. Promising Outcomes: The Impact of Positive Psychology on Health and Wellness Coaching
  8. Robotic Dog Makes Nursing Home Residents Less Lonely
  9. Elderly Health Services Letter
  10. United States and Mexico Renew Agreement on Cooperation In Health
  11. Cultural Diversity in Healthcare: Addressing Differences to Overcome Barriers
  12. Monthly e-Survey: Pain Management in Healthcare and the Workplace


1. New Patient Safety Proposed Regulation Aims To Improve Healthcare Quality

A proposed regulation to improve the quality and safety of healthcare for all Americans by fostering the establishment of patient safety organizations (PSOs) was introduced by the U.S. Department of Health and Human Services (HHS). PSOs are private entities recognized by the secretary to collect and analyze patient safety events reported by healthcare providers. They are new and separate from all currently existing entities that are addressing healthcare quality.

To read this story in its entirety, go to:
http://www.hin.com/sw/Hindustry_MC031708.html



2. Quality Institutes: How to Create a Successful Infrastructure to Improve Clinical Quality and Patient Safety

By listening to this audio conference on CD-ROM, you will discover how physicians on the medical staff of a community hospital are using an innovative organizational model to drive clinical performance improvement.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3276



3. Boston Medical Center Implements e-Prescribing Solution

Kryptiq, the leading provider of next generation healthcare connectivity solutions, has announced that Boston Medical Center (BMC) has selected Kryptiq’s eScriptMessenger(TM) (eSM) as its enterprise ePrescribing solution. This implementation will enable BMC prescribers to securely send prescriptions from within GE’s Centricity EMR directly to retail pharmacy computers using the secure Pharmacy Health Information Exchange operated by SureScripts. This solution will improve patient safety and service while also assisting BMC to comply with upcoming federal prescribing mandates.

To read this story in its entirety, go to:
http://www.hin.com/sw/hospital_HSmanagement031708.html



4. ePrescribing: How Regulatory, Social, Economic and Technological Factors Are Now Driving the Adoption of eRx

In this report you'll learn the factors driving the adoption of ePrescribing, including the growth of PDA usage, the demand, patient safety and avoidance of medication errors, and the impact of eRx on the managed care and pharmaceutical industries.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3007



TALK TO THE HIN COMMUNITY: Share your reaction to a story or a strategy that's working at your organization. Send an email to editor@hin.com or post a comment to the HIN blog at:
http://blog.hin.com/

5. Featured Healthcare Blog Post: MRSA Detection and Prevention News

Posted March 5, 2008 -- We recently surveyed healthcare organizations on their reactions to MRSA outbreaks. We invite you to comment here on your strategies, as well as review two new advances this week in the detection and prevention of Methicillin-resistant Staphylococcus aureus (MRSA):

In The New York Times, Andrew Pollack spotlights a California company that has developed a rapid genetic test to detect MRSA...

To continue reading this blog post, please visit:
http://blog.hin.com/?p=277



6. Wide Variations Among States in Substance Use, Mental Health Patterns

A new report analyzing substance use and mental health patterns in each state reveals wide variations among the states in problems like illicit drug use and underage drinking, but that no state was immune from these problems. For example, past month use of alcohol among persons aged 12 to 20 (underage use of alcohol) ranged from a low of 21.5 percent in Utah to a high of 38.3 percent in Vermont.

To read this story in its entirety, go to:
http://www.hin.com/sw/behavioral_health031708.html



7. Promising Outcomes: The Impact of Positive Psychology on Health and Wellness Coaching

This special report explores evidence-based theories and coaching models, research linking physical and mental health, and critical coaching skills and outcomes that help bring about lasting behavior change.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3740



8. Robotic Dog Makes Nursing Home Residents Less Lonely

A sophisticated robotic dog could be a good companion for a dog-loving grandmother who can't care for a living pet, a new Saint Louis University study suggests. The researchers compared how residents of three nursing homes interacted with Sparky, a living, medium-sized gentle mutt, and Aibo, a doggie robot once manufactured by Sony that looks like a three-dimensional cartoon.

To read this story in its entirety, go to:
http://www.hin.com/sw/long_term_care031708.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. Elderly Health Services Letter

An essential tool for senior services professionals, Elderly Health Services Letter stays on top of the most current challenges facing senior services professionals, including financing and funding senior services, marketing, positioning senior services for managed care, getting administrative support, forging partnerships to participate in the continuum of care, developing new programs and services, advancing health promotion and wellness initiatives, and measuring outcomes and performance.

For more information, please visit:
http://store.hin.com/product.asp?itemid=2618



10. United States and Mexico Renew Agreement on Cooperation In Health

HHS Secretary Mike Leavitt and the Secretary of Health of the United Mexican States, Dr. José Ángel Córdova, signed a memorandum of understanding (MOU) strengthening cross-border cooperation to address public-health, medical and scientific issues. They also plan to work together on common health problems. The two countries have a long history of collaboration in public health; the signed document updates a MOU that began in 1996, and which the two nations last revised in 2001.

For more information, please visit:
http://www.hin.com/sw/healthLaw_regulation031708.html



11. Cultural Diversity in Healthcare: Addressing Differences to Overcome Barriers

This audio conference on CD-ROM covers how healthcare organizations are working with culturally diverse populations to improve their access to care and the quality of care they receive.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3092



12. Monthly e-Survey: Pain Management in Healthcare and the Workplace

Pain can have severe psychological and physiologic consequences that contribute to patient discomfort, longer recovery periods and hospital stays, and compromised outcomes. Pain also consumes greater healthcare resources. Additionally, a 2003 survey published in the Journal of the American Medical Association found that headaches, backaches, arthritis and other types of musculoskeletal pain cost American workers an average of 4.6 hours of productive time each week, at an estimated cost of $61.2 billion in lost hours.

To take the survey and receive your free executive summary of the results, please visit:
http://www.surveymonkey.com/s.aspx?sm=x2S9wQczhJSn39vWVPagZQ_3d_3d


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