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From the editor

Dear Healthcare Intelligence Network Client,

HIN Managing Editor Patricia Donovan

The healthcare industry used to write off home visits as too costly and resource-intensive, but now they're getting a second look. This week's issue looks at an innovative home visit pilot for Medicaid and dually eligible patients that reduced unplanned hospital admission days by 71 percent in three months.

As programs such as these catch on, the job description of the contemporary healthcare case manager is much more likely to include home visits in 2011 than it did in 2010. These findings and more are included in a just-published downloadable white paper, 2011 Benchmarks in Healthcare Case Management.

To stay abreast of the changing role of the healthcare case manager, we invite you to visit the Case Management Connections information portal for the latest case management news, blog posts, Tweets, white papers, podcasts and more.

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

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

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

Publisher:
Melanie Matthews, mmatthews@hin.com

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March 21, 2011
Vol. XIII, No. 11

Sponsored by:
Improving Transitions of Care Between Hospital and SNF: A Collaboration Supporting the Accountable Care Vision

This week's industry news:

  1. Assessing Effectiveness of a Home Visit Program
  2. Home Visit Handbook
  3. Patient Satisfaction, Education Increase When Hospitals Offer Interactive IT
  4. 2010 Healthcare Benchmarks: Patient Education and Outreach
  5. Healthcare Business White Paper: 2011 Benchmarks in Healthcare Case Management
  6. Increased Mandatory Screenings Identify More Kids with Emotional/Behavioral Issues
  7. New Chart: Penalties for HRA Refusals
  8. Health Coaching in Primary Care
  9. Adverse Reactions to Medications Account for Over 1.1 Million ED Visits Annually by Elderly
  10. Healthcare Case Management: Responsibilities, Results & ROI
  11. ACA Prevention Benefits Increasing Access, Lowering Costs for Medicare Patients
  12. Medicare Part D: A Comprehensive Analysis of CMS Rules
  13. HealthSounds Podcast: Reducing Avoidable Emergency Room Visits
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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This week's industry news

1.) Assessing Effectiveness of a Home Visit Program

Pam Aldridge, manager of care management at Durham Regional Hospital, explains how her organization measures the effectiveness of its outpatient care program.

Get the full story.

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2.) Home Visit Handbook — Structure, Assessments and Protocols for Medically Complex Patients

Home Visit Handbook This resource outlines an innovative home visit pilot for Medicaid and dually eligible patients that reduced unplanned hospital admission days by 71 percent in three months and provides key performance benchmarks on home visit activity in the healthcare industry.

Learn more about this resource.

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3.) Patient Satisfaction, Education Increase When Hospitals Offer Interactive IT

Hospitals using interactive technology to communicate with patients increased patient satisfaction scores by approximately 10 percent and increased satisfaction with hospital educational materials and courses by as much as 42 percent, according to a Beryl Institute white paper.

Get the full story.

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4.) 2010 Healthcare Benchmarks: Patient Education and Outreach

2010 Healthcare Benchmarks: Patient Education and Outreach This resource provides actionable information from 134 healthcare organizations on their efforts to educate patients and put them on the road to self-management. This 24-page resource documents trends and metrics on patient education programs that are taking shape in the primary care office, the ER, at hospital discharge and in the patient’s home.

Learn more about this resource.

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5.) Healthcare Business White Paper: 2011 Benchmarks in Healthcare Case Management

Not only are more organizations utilizing healthcare case managers, but the practice of embedding case managers at the point of care is becoming de rigueur, according to the second annual Healthcare Case Management e-survey conducted by the Healthcare Intelligence Network. This white paper documents the details of contemporary case management and the evolving responsibilities of today’s case manager from the 201 healthcare organizations that responded to HIN's January 2011 survey.

Download this complimentary white paper.

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6.) Increased Mandatory Screenings Identify More Kids with Emotional/Behavioral Issues

Massachusetts’ Children’s Behavioral Health Initiative, a new court-ordered mental health screening and intervention program, has led to more children being identified as behaviorally and emotionally at risk, according to a study published in an issue of Archives of Pediatrics and Adolescent Medicine.

Get the full story.

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7.) New Chart: Penalties for HRA Refusals

Penalties for HRA Refusals Aggregate data from health risk assessments (HRAs) provide a snapshot of population health status that guides healthcare payors, purchasers and providers in the design of health improvement or DM initiatives. We wanted to find out how many healthcare organizations penalize individuals who do not take an HRA.


Click here to view the chart.

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8.) Health Coaching in Primary Care: Persuading Physicians to Prescribe Behavior Change and Self-Efficacy

Health Coaching in Primary Care In this report, three health coaching thought leaders detail their models for incorporating health coaching into the primary care paradigm. While acknowledging existing demands on busy physicians, they recommend that PCPs school themselves in health promotion and make coaching a team effort to foster behavior change in members and patients.

Learn more about this resource.

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9.) Adverse Reactions to Medications Account for Over 1.1 Million ED Visits Annually by Elderly

Adults aged 50 and older comprise 51.5 percent of all ED visits each year related to adverse reactions to medications, according to a SAMHSA study. The report says 61.5 percent were made by people aged 65 or older and 60.9 percent involved women.

Get the full story.

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10.) 2011 Benchmarks in Healthcare Case Management: Responsibilities, Results & ROI

2011 Benchmarks in Healthcare Case Management 2011 Benchmarks in Healthcare Case Management: Responsibilities, Results & ROI, the all-new follow-up to the best-selling 2010 edition, provides actionable information from 201 healthcare organizations on the prominence, placement and responsibilities of case managers as well as case management-driven results in healthcare utilization, cost and compliance. This resource contains comparative 2010-over-2011 data on key activities, including the latest ways case managers communicate with the individuals whose care they manage; new metrics on case manager case load; and much more.

Learn more about this resource.

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11.) ACA Prevention Benefits Increasing Access, Lowering Costs for Medicare Patients

In less than two months, more than 150,000 seniors and others with Medicare have received an annual wellness visit. This is a preventive benefit now covered by Medicare free of charge when obtained by a participating healthcare professional because of the Affordable Care Act (ACA), along with many other recommended preventive services, according to an HHS report.

Get the full story.

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12.) Medicare Part D: A Comprehensive Analysis of CMS Rules

Medicare Part D: A Comprehensive Analysis of CMS Rules The complexity and confusion surrounding Medicare's drug benefit have never been greater. This resource distills from thousands of pages of government regulations and guidance the major rules, guidelines and deadlines you need to comprehend this confusing program. With nine detailed chapters on sponsors, eligibility and enrollment, formularies, CMS enforcement and much more, this valuable analytical tool provides answers to questions such as: how does CMS guidance affect marketing, how does enrollment of Medicare/Medicaid dual eligibles affect Part D plans, and more.

Learn more about this resource.

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13.) HealthSounds Podcast: Reducing Avoidable Emergency Room Visits — Approaches to Redirect Patients to Cost-Effective Care Settings

Dr. Barsam Kasravi Three key factors influence consumers' use of the hospital emergency room today, according to Dr. Barsam Kasravi, managing medical director for state-sponsored programs for WellPoint. In this podcast, Dr. Kasravi discusses how WellPoint is trying to close critical care gaps and encourage its members to utilize healthcare services more effectively.

Listen to this podcast.

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