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From the editor

Dear Healthcare Intelligence Network Client,

HIN Content Editor Cheryl Miller

What does the phrase ‘improving population health’ really mean? And are ACOs truly designed to improve it?

Researchers from Weill Cornell recently tackled these questions in a thought provoking piece featured this week, questions that need to be addressed in order to formulate effective healthcare and social service policy.

At issue is the widespread use of the phrase population health tied to ACOs, and whether ACOs actually have the incentives or the tools to improve the health of the entire community in which they are located, or whether they are just responsible for improving medical care for their own population of patients.

You can find more on the discussion inside.

In another story about improving healthcare, notably the issues of access, quality and cost, the Robert Wood Johnson Foundation (RWJF) has launched a $3 million initiative with the AARP to implement the Institute of Medicine’s (IOM) evidence-based recommendations on the future of nursing. The foundation will provide states with the support they need to build a more highly educated, diverse nursing workforce that will improve health outcomes for patients, families and communities.

Another effort to decrease healthcare costs is presented in a study from Brigham and Women's Hospital and CVS Caremark, published in the American Journal of Medicine. Patients with coronary artery disease (CAD) who are medication adherent can save the healthcare system up to $868 per patient per year. Researchers found a consistent trend toward improvement in coronary artery-related events, mortality, readmissions, and costs among those patients who most adhered to their medication regimens.

In other more cost-related news, a collaborative of 333 hospitals intent on improving costs and care have saved $9.1 billion and 92,000 deaths since 2008 by replicating the performances of top performing hospitals, according to Premier Healthcare Alliance's QUEST™ collaborative.

If hospitals nationwide followed QUEST’s™ lead, they could save 950,000 lives and approximately $93 billion over the next five years, officials said. Detailed findings on the study can be found in this issue.

And don’t forget to take our new survey, Managing Care Transitions in 2013

Proper management of a transition in care — the process by which an individual's care moves from one health setting to another, such as from hospital or ER to home, or from SNF to hospital — has the potential to dramatically hasten that person's return to optimal health, as well as reduce the likelihood of a return ER visit or readmission. The quality of transitional care is also shaping up to be a critical factor in value-based reimbursement, as federal and private payors ask patients to rate the quality of the transitional care they receive.

Please share your organization's efforts to improve care transitions by completing HIN's third qualitative survey on this topic by Friday, April 12, and we’ll send you a free executive summary of the compiled results.

And as an added incentive, your completed survey also enters you into a drawing for a complimentary registration to our April 24th webinar, "Care Transition Management: Strategies for Effective Patient Handoffs," a $119 value!

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 25, 2013
Vol. XV, No. 11

Sponsored by:
Care Transition Management: Strategies for Effective Patient Handoffs


This week's industry news:

  1. Medication Adherence Can Improve Outcomes, Reduce Costs for Patients with Heart Disease
  2. Guide to Improving Medication Adherence
  3. U.S. Hospitals Sharing Data, Expertise Reduce Mortality, Costs
  4. Infection Prevention Manual for Long Term Care, 2012 Edition
  5. Healthcare Business White Paper: Health Coaching in 2013
  6. New Campaign Hopes to Transform Healthcare through Nursing
  7. New Chart: What are the Top Barriers to Reducing Readmission Rates?
  8. 46 Healthcare Metrics to Boost Profitability
  9. Are Accountable Care Organizations Improving Population Health?
  10. 2012 Healthcare Benchmarks: Accountable Care Organizations
  11. 5 Steps to Crafting a Care Coordination Network
  12. Avoiding the Readmissions Penalty Zone
  13. Infographic: Patient Data Flow in an ACO
  14. Care Coordination for Dual Eligibles
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:
Managing Transitions of Care in 2013

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

Interested in all open surveys? Review them here.


This week's industry news

1.) Medication Adherence Can Improve Outcomes, Reduce Costs for Patients with Heart Disease

Patients with coronary artery disease (CAD) who are medication adherent can save the healthcare system up to $868 per patient per year, according to a study from Brigham and Women’s Hospital and CVS Caremark, published in the American Journal of Medicine.

Get the full story.

>>Return to this week's industry news


2.) Guide to Improving Medication Adherence

Guide to Improving Medication Adherence This resource analyzes trends in improving medication adherence at more than 160 healthcare companies, and takes an in-depth look at pioneering efforts by Kaiser Permanente Colorado and CIGNA Pharmacy Management to improve medication compliance levels in their populations.

Learn more about this resource.

>>Return to this week's industry news


3.) U.S. Hospitals Sharing Data, Expertise Reduce Mortality, Costs

A collaborative of 333 hospitals intent on improving costs and care have saved $9.1 billion and 92,000 deaths since 2008 by replicating the performances of top performing hospitals, according to Premier Healthcare Alliance’s QUEST™ collaborative.

Get the full story.

>>Return to this week's industry news


4.) Infection Prevention Manual for Long Term Care, 2012 Edition

Infection Prevention Manual for Long Term Care, 2012 Edition This resource provides facilities with a comprehensive resource for policies and procedures reflecting the most current standards for infection prevention. The policies are written for compliance with OBRA regulations, OSHA regulations, CDC recommendations, Joint Commission standards for long-term care and current national standards of practice. The manual provides updated references throughout.

Learn more about this resource.

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5.) Healthcare Business White Paper: Health Coaching in 2013 — Weight, Chronic Disease Top Targets in Telephonic Field

Health Coaching in 2013 In its fourth Health Coaching e-survey conducted in January 2013, HIN captured the ways in which healthcare organizations implement health coaching as well as the financial and clinical outcomes that result from this health improvement strategy. HIN found that 75 percent of respondents have a health coaching program in place, a slight increase of 5 percent over 2010, the last year the survey was conducted. This HINtelligence Report provides data highlights on health coaching program components, the most successful tools and workflows in health coaching, results, reimbursement and ROI; and more.

Download this complimentary white paper.

>>Return to this week's industry news


6.) New Campaign Hopes to Transform Healthcare through Nursing

Designed to help transform healthcare through nursing, the Robert Wood Johnson Foundation (RWJF) has launched a $3 million initiative with the AARP to help states deal with the nation’s most pressing healthcare challenges, including access, quality and cost.

Get the full story.

>>Return to this week's industry news


7.) New Chart: What are the Top Barriers to Reducing Readmission Rates?

New Chart: What are the Top Barriers to Reducing Readmission Rates? In order to avoid being penalized by CMS, hospitals are now reexamining the hospital discharge to ensure the transition out of the hospital and the reception into the next site of care is a successful one. We wanted to see what the barriers are to reducing readmission rates.

Click here to view the chart.

>>Return to this week's industry news


8.) 46 Healthcare Metrics to Boost Profitability: Charting 2013 Trends

46 Healthcare Metrics to Boost Profitability This resource delivers charts and tables on 46 actionable metrics carefully curated from 2012 market research data by the Healthcare Intelligence Network, enhanced by commentary and interviews with industry thought leaders from Aetna, Buck Consultants, HealthFitness, the IHI’s STAAR hospital readmissions initiative, Strategic Health Group, Horizon Blue Cross Blue Shield of NJ, and other organizations at the cutting edge of healthcare delivery.

Learn more about this resource.

>>Return to this week's industry news


9.) Are Accountable Care Organizations Improving Population Health?

What does “Improving Population Health” really mean? And are ACOs truly designed to improve it? Those are the questions researchers from Weill Cornell recently tackled in the Journal of the American Medical Association (JAMA) — questions they say need to be answered in order to formulate effective healthcare and social service policy.

Get the full story.

>>Return to this week's industry news

10.) 2012 Healthcare Benchmarks: Accountable Care Organizations

2012 Healthcare Benchmarks: Accountable Care Organizations This resource documents the numerous ways in which accountable care is transforming healthcare delivery, population health management, reimbursement for care and, most importantly to this year’s survey respondents, the patient experience.



Learn more about this resource.

>>Return to this week's industry news


11.) 5 Steps to Crafting a Care Coordination Network

Unexplained transfers between the skilled nursing facility (SNF) and emergency room, and between diagnostic areas and nursing facilities, prompted Summa Health System to reevalute its transitional care services and develop a more finely tuned care coordination network, explains Carolyn Holder, MSN, RN, GCNS-BC, manager of transitional care for Summa Health System. Reducing unnecessary readmissions as a result of miscommunication was one of the goals of the program.

Get the full story.

>>Return to this week's industry news


12.) Avoiding the Readmissions Penalty Zone: Population Health Management for High-Risk Populations

Avoiding the Readmissions Penalty Zone This resource opens with cross-continuum tactics to lessen the financial impact of the CMS Readmission Penalty program from Amy Boutwell, MD, MPP, president of Collaborative Healthcare Strategies, who draws on her experience as co-founder of the IHI STAAR (State Action on Avoidable Rehospitalizations) Initiative.

Learn more about this resource.

>>Return to this week's industry news


13.) Infographic: Patient Data Flow in an ACO

As more health systems and hospitals fully modernize, utilizing electronic health records, health information exchanges, and other digitally captured patient data — the triple aim of accountable care — transitions from a remote ideal to a reality. Health IT capabilities continue to roll out across the United States, but at different levels of readiness and utilization. This original infographic from Healthcare IT Connect examines the flow of patient data in an accountable care model as it begins in a doctor-patient setting and moves across different settings with a variety of goals.

Read this blog post.

>>Return to this week's industry news


14.) Care Coordination for Dual Eligibles: A Results-Oriented Approach

Dr. Timothy Schwab SCAN Health Plan's Interdisciplinary Care Team for dual eligibles is a diverse multiprofessional group encompassing many geriatric specialists, explains Dr. Timothy Schwab, chief medical officer of SCAN Health Plan. Dr. Schwab describes some of the challenges of risk stratification in a dual eligible population, and details case management support for the percentage of dual eligibles that require support for disabilities.

Listen to this podcast.

>>Return to this week's industry news


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