Dear Healthcare Intelligence Network Client,

$50 million. 20 grants. 20 states. These numbers represent CMS' commitment this year and next to reducing use of hospital ER rooms by Medicaid beneficiaries for non-emergent reasons, one of this week's featured stories. The grants will fund alternative healthcare settings for individuals with non-emergent medical needs, particularly in rural and underserved areas and for those programs that work closely with community hospitals.

News from New York and Oregon last week indicates that ER visits by their uninsured residents are on the rise and costing hospitals money. Neither state is on the CMS grantee list.

Nine of the 20 states granted CMS funds for this purpose say they'll create primary care medical homes for their Medicaid beneficiaries. Other common threads include the opening of new community health centers, extended hours at existing clinics, educating beneficiaries about new services and wiring facilities for e-health data exchange to reduce unnecessary ER use in this population. We'll be tracking their efforts and sharing them with you. For more specifics on ER redirection approaches planned by some grantees, visit the HIN blog.

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 X, No. 5
April 21, 2008

Sponsored by: Driving Improvements in Health Coaching Outcomes Through Physician Collaboration and Coordination

During Driving Improvements in Health Coaching Outcomes Through Physician Collaboration and Coordination, a 90-minute webinar on May 15, 2008, three health coaching experts will provide the inside details on how to maximize the physician-patient relationship in health coaching programs to improve results.

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Table of Contents
  1. California Health Plans Pay $65 Million in PFP, Add Diabetes, Efficiency Measurements
  2. 2008 Physician Quality Reporting Guide: Essentials of Data Collection, Work Flow Optimization and Physician Engagement for Practices
  3. Medicaid Grants Target Primary Care Access and Unnecessary ER Visits in 20 States
  4. Emergency Exits: Reducing Emergency Room Utilization by Retooling Care-Seeking and Care Access Options
  5. Featured Healthcare Business White Paper: Compliance. Protection. Recovery. A Layered Approach to Computer Security for Healthcare Organizations
  6. Online Video Program Trains Clinicians to Help Alcoholic Patients
  7. Alcohol Abuse and Dependency
  8. National Hospice Study Reveals Gaps in Service, Healthcare Disparities
  9. hospice letter
  10. U.S. Visits Southeast Asia to Advance Product Safety and Pandemic Influenza Preparedness Efforts
  11. Pandemic Influenza: Preparedness in the Healthcare Facility
  12. Worth Repeating: Melding Medical Literature with Claims Data to Create Physician Care Alerts
  13. Case Studies in Best Practices in Healthcare Consumer Empowerment


1. California Health Plans Pay $65 Million in PFP, Add Diabetes, Efficiency Measurements

Pay-for-performance (PFP) bonus payouts from health plans to California physician groups totaled $65 million in 2007, according to the Integrated Healthcare Association (IHA). The payments were distributed during the third and fourth quarters of 2007 based upon the 2006 performance of physician groups serving HMO members.

To read this story in its entirety, go to:
http://www.hin.com/sw/Hindustry_MC042108.html



2. 2008 Physician Quality Reporting Guide: Essentials of Data Collection, Work Flow Optimization and Physician Engagement for Practices

From the perspectives of the physician, administrator and coder, three thought leaders in the quality and measures reporting arenas describe how to streamline data collection, overcome barriers to staff and physician participation and monetize the measures to increase physician practice revenue streams while enhancing patient care.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3770



3. Medicaid Grants Target Primary Care Access and Unnecessary ER Visits in 20 States

Centers for Medicare & Medicaid Services (CMS) has announced grants of $50 million to 20 states to help improve access to primary medical care so that Medicaid beneficiaries could avoid improper use of costly hospital emergency rooms.

To read this story in its entirety, go to:
http://www.hin.com/sw/hospital_HSmanagement042108.html



4. Emergency Exits: Reducing Emergency Room Utilization by Retooling Care-Seeking and Care Access Options

In this 35-page special report, three physicians share the specifics of their health plans' ER diversion initiatives that have roots in patient self-care education, physician office adaptability and hospital-health plan partnerships. Their reframed approaches to emergency room utilization and primary care have netted them significant reductions in both ER visits and hospital admissions.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3757



Please Forward This Issue

If you haven’t already done so, please forward this issue to one or two of your business associates. Thanks so much.

To subscribe, please visit:
http://www.hin.com



5. Featured Healthcare Business White Paper: Compliance. Protection. Recovery. A Layered Approach to Computer Security for Healthcare Organizations

The widespread adoption of EHR and laptop computers makes data protection an increasing concern. This paper outlines a multilayered approach to computer security — complementing encryption with the ability to track laptops off the network, recover missing laptops, and remotely delete sensitive data — to ensure the highest standard of protection.

To download this complimentary white paper, please visit:
http://www.hin.com/library/registerlfl.html



6. Online Video Program Trains Clinicians to Help Alcoholic Patients

A new interactive video training program from the National Institute on Alcohol Abuse and Alcoholism (NIAAA), part of the National Institutes of Health (NIH), demonstrates quick and effective strategies for screening patients for heavy drinking and helping them to cut down or quit.

To read this story in its entirety, go to:
http://www.hin.com/sw/behavioral_health042108.html



7. Alcohol Abuse and Dependency

This publication is a clinical guideline for the diagnosis, evaluation and management of the person who is addicted or dependent on the use of alcohol. It covers diagnostic criteria, risk factors, screening for alcoholism, treatment settings, criteria for inpatient care and length of stay goals, as well as drug management of withdrawal symptoms when necessary. Adolescent and geriatric alcohol dependency issues are reviewed.

For more information, please visit:
http://store.hin.com/product.asp?itemid=2916



8. National Hospice Study Reveals Gaps in Service, Healthcare Disparities

More than a third of Americans now die under the care of a hospice service, a huge increase from just a decade ago and a major advance in end-of-life care. But a new University of Michigan study reveals major gaps in the availability of hospice care across the country — gaps that the researchers attribute directly to the way hospice care is currently funded in America.

To read this story in its entirety, go to:
http://www.hin.com/sw/long_term_care042108.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. hospice letter

Each month, you'll get the latest management intelligence regarding financing strategies, marketing success stories, solutions to staffing and management challenges, funding opportunities and legislative alerts, and updates about federal agencies, such as the Office of Inspector General and CMS.

For more information, please visit:
http://store.hin.com/product.asp?itemid=2860



10. U.S. Visits Southeast Asia to Advance Product Safety and Pandemic Influenza Preparedness Efforts

U.S. Department of Health & Human Services (HHS) Secretary Mike Leavitt is visiting Indonesia, Singapore and Vietnam to help improve the safety of imports, and to review cooperative efforts to reduce the spread of disease, including HIV/AIDS and highly pathogenic avian influenza.

For more information, please visit:
http://www.hin.com/sw/healthLaw_regulation042108.html



11. Pandemic Influenza: Preparedness in the Healthcare Facility

This program focuses on preparedness in the event of an influenza pandemic. It gives an overview of the definition of a pandemic as well as how the influenza virus mutates to become a pandemic virus. It also goes over some of the recommended preparedness measures so healthcare staff will be ready to assist wherever possible.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3662



12. Worth Repeating: Melding Medical Literature with Claims Data to Create Physician Care Alerts

In this excerpt from a March 13, 2008 audio conference, Dr. Stephen Rosenberg, senior vice president of outcomes research with ActiveHealth Management, explains the genesis of “care considerations” his organization sends to physicians.

To finish reading this transcript excerpt, please visit:
http://www.hin.com/sw/worth_repeating042108.html



13. Case Studies in Best Practices in Healthcare Consumer Empowerment

During this 60-minute webinar, available on CD-ROM or as an on-demand presentation, an expert panel of speakers described how their respective organizations are empowering consumers, ranging from treatment decision support to increasing the use of evidence-based services.

For more information on this audio conference and to listen to pre-conference comments, please visit:
http://store.hin.com/product.asp?itemid=3775


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