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From the editor

Dear Healthcare Intelligence Network Client,

HIN Content Editor Cheryl Miller

Forget Hunger Games; healthcare reform was the main draw this past week as the Supreme Court presided over three days’ worth of hearings on the Affordable Care Act. According to news reports, two of the top issues addressed by the justices were whether the rest of the law could stand if the individual mandate requirement that most Americans get insurance or face a penalty was struck down; and the validity of expanding the state-federal Medicaid healthcare program for the poor. The judges will release their final rulings in June.

One thing many people could have used last week was a new vocabulary and glossary report just published by Thomson Reuters. Confused about what a mandate is, or the difference between EHR and EMR, or ED and ER? The report will clear it up for you, and even provide informational statistics and charts on key healthcare issues like state by state insurance status and annual fraud, and waste and abuse costs.

Interest was so high in CMS’ Health Care Innovation Challenge initiative that the agency announced it will need several additional weeks to process the applications and announce winners. CMS received approximately 3,000 applications, representing tens of thousands of clinicians, information technology entrepreneurs, medical suppliers, health centers, hospitals, community-based organizations and individual citizens from every corner of the nation. CMS first announced the challenge in December; it plans to award up to $1 billion in grants to applicants with the most compelling new ideas to deliver better health, improved care and lower costs to people enrolled in Medicare, Medicaid and CHIP, particularly those with the highest health care needs.

In another innovation challenge, hearts were thumping when HHS announced the winners of its contest seeking innovative technology applications to help solve tough health IT problems. The first place winners created THUMPr, an app whose simple, user-friendly interface enables users to create personal heart health profiles.

And lastly, a sad statistic: CDC announced that 1 in 88 children have been diagnosed with autism by the time they are eight, and costs for this disease have tripled to $126 billion in the United States since 2006. The majority of those costs aren’t spent on healthcare, but on educational and care issues, but it’s a disorder that keeps on increasing, and could use our undivided attention.

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

Publisher:
Melanie Matthews, mmatthews@hin.com

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April 2, 2012
Vol. XIV, No. 12

Sponsored by:
Leveraging Case Management Tools and Technology to Improve Outcomes

This week's industry news:

  1. Online Data Tracking Tool Evaluates Care Transitions
  2. Improving Transitions of Care Between Hospital and SNF
  3. Aetna Launches Automated Bundled Payments Model for Knee Replacement Surgery
  4. Medical Home Reimbursement ABCs
  5. Healthcare Business White Paper: Reducing Avoidable ER Visits 2012
  6. Heart Health Profile App Among Winners of HHS Challenge
  7. New Chart: Top Challenges in Adopting a Patient-Centered Medical Home
  8. 2011 Performance Benchmarks in Telehealth & Telemedicine
  9. How Physician and Patient Portals Increase Efficiency, Reduce Hospitalizations
  10. Care Transitions Toolkit
  11. New Vocabulary of Healthcare Reform Buzzwords and Acronyms
  12. 46 Healthcare Metrics to Boost Profitability
  13. Demographics Drive 5 Dietary Patterns in U.S. Adults
  14. HealthSounds Podcast: Diabetes Management in the Medical Home
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This week's industry news

1.) Online Data Tracking Tool Evaluates Care Transitions

A new Web-based tool to measure and advance care quality efforts is being offered by the National Transitions of Care Coalition (NTOCC).

Get the full story.

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2.) Improving Transitions of Care Between Hospital and SNF: A Collaboration Supporting the Accountable Care Vision

Improving Transitions of Care Between Hospital and SNF During this webinar, Carolyn Holder, manager of transitional care for Summa Health System and Michael Demagall, administrator, Bath Manor & Windsong Care Center, share such successful strategies as creating a win-win for SNFs and hospitals to reduce readmission rates; addressing the key hospital-to-SNF transition challenges; and developing a QI process that monitors transitions on an ongoing basis to identify weaknesses in the care transition process, and more.

Learn more about this resource.

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3.) Aetna Launches Automated Bundled Payments Model for Knee Replacement Surgery

Aetna, McKesson Health Solutions and Hoag Orthopedic Institute of California have launched an automated implementation of the Integrated Healthcare Association’s (IHA) bundled payment model.

Get the full story.

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4.) Medical Home Reimbursement ABCs: Funding Care Delivery through ACOs, Bundled Payments and Concrete Contracts

Medical Home Reimbursement ABCs This valuable resource provides a primer on emerging reimbursement models that are getting payors' and providers' attention while delivering cost savings. This 50-page report profiles three healthcare organizations that are redefining healthcare reimbursement with their pilots of new payment models and contracting strategies.

Learn more about this resource.

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5.) Healthcare Business White Paper: Reducing Avoidable ER Visits 2012

With consensus widespread that much of emergency room use is avoidable and preventable, this white paper details how 134 healthcare organizations are working to staunch the flow and expense of avoidable emergency department use and point low-acuity patients in the direction of appropriate care.

Download this complimentary white paper.

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6.) Heart Health Profile App Among Winners of HHS Challenge

THUMPr, a web-based application whose simple, user-friendly interface enables users to create personal heart health profiles, has taken first place in HHS’s Investing in Innovation (i2) challenge.

Get the full story.

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7.) New Chart: Top Challenges in Adopting a Patient-Centered Medical Home

Top Challenges in Adopting a Patient-Centered Medical Home The patient-centered medical home (PCMH) model of care is heavily supported in the Affordable Care Act, a favored model of integrated care delivery and a cornerstone of accountable care. We wanted to see the challenges healthcare organizations faced in adopting the medical home model of care.

Click here to view the chart.

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8.) 2011 Performance Benchmarks in Telehealth & Telemedicine

2011 Performance Benchmarks in Telehealth & Telemedicine This 60-page report is packed with actionable new information from 111 healthcare organizations on their utilization of telehealth & telemedicine. It documents trends and metrics on current and planned telehealth and telemedicine initiatives and includes a year-over-year comparison of telehealth trends from 2009 to 2010.

Learn more about this resource.

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9.) How Physician and Patient Portals Increase Efficiency, Reduce Hospitalizations

Patient and physician portals and EMRs are some of the tools HealthCare Partners Medical Group of California has used to significantly reduce hospitalization rates for its patients, which include Medicare Advantage members, commercially insured individuals and dual eligibles, explains Dr. Stuart Levine, MD, MHA, corporate medical director.

Get the full story.

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10.) Care Transitions Toolkit

Care Transitions Toolkit This resource examines current and emerging trends in care transition management, providing actionable data and case studies from industry thought leaders on key elements of their care transition programs.



Learn more about this resource.

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11.) New Vocabulary of Healthcare Reform Buzzwords and Acronyms

A new paper from Thomson Reuters seeks to demystify the often confusing acronyms and buzz words of the healthcare industry.

Get the full story.

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12.) 46 Healthcare Metrics to Boost Profitability: Charting 2012 Trends

46 Healthcare Metrics to Boost Profitability This 70-page graphic compendium of performance benchmarks in key areas of healthcare activity and growth makes it easy for the healthcare C-suite to stay current, distilling the latest trends into a series of easy-to-digest charts and tables.


Learn more about this resource.

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13.) Demographics Drive 5 Dietary Patterns in U.S. Adults

You truly are what you eat, confirms new research presented at an American Heart Association (AHA) scientific meeting. Researchers identified five eating patterns for U.S. adults that are strongly influenced by age, race, region, gender, income and education.

Read this blog post.

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14.) HealthSounds Podcast: Diabetes Management in the Medical Home — A Diabetes Collaborative Takes Team-Based Approach

Kathy Brieger Hudson River HealthCare (HRHC) takes a team approach to disease management in the 3,400 adult patients with diabetes it serves, explains Kathy Brieger, RD, CDE, HRHC's chief operations officer. Ms. Brieger describes the multiple levels of care available to patients served by the HRHC Diabetes Collaborative, a four-point strategy for weight management that targets the most challenging aspect of managing diabetes, and HRHC's upcoming trial of telepsychiatry at selected FQHCs.

Listen to this podcast.

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