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From the editor

Dear Healthcare Intelligence Network Client,

HIN Managing Editor Patricia Donovan

Do you have what it takes to be a pioneer?

CMS is seeking up to 30 vanguard healthcare companies for its Pioneer ACO program set to launch this summer ahead of the January 2012 Medicare Shared Savings Program. Only those practiced in care coordination and willing to accept financial accountability and performance incentives need apply. This week's issue contains more details as well as a link to the application, which must be submitted by July 18.

For the rest of the industry, healthcare consultant Greg Mertz spells out a few prerequisites for creating an ACO.

Patient satisfaction is among the many metrics by which patient-centered delivery systems such as the ACO and medical home will be judged and compensated. We invite you to take our Patient Experience and Satisfaction survey and share how your organization is reshaping the healthcare experience for your population. You'll be e-mailed a summary of the responses.

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 Editors:
Jessica Papay, jpapay@hin.com

Cheryl Miller,
cmiller@hin.com

Publisher:
Melanie Matthews, mmatthews@hin.com

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This week's featured download: 2010 Benchmarks in Medication Adherence Programs

2010 Benchmarks in Medication Adherence Programs

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For advertising and sponsorship opportunities in the Healthcare Business Weekly Update, please e-mail sales@hin.com or call 888-446-3530

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May 23, 2011
Vol. XIII, No. 20

Sponsored by:
Improving Medication Adherence Benchmarks Through Community Pharmacist Interventions

This week's industry news:

  1. CMS Recruiting Experienced Providers for Pioneer ACOs
  2. Blueprint for ACO Success
  3. Home Telemonitoring for Heart Failure Patients Reduces Hospital Readmissions, Costs
  4. 2011 Benchmarks in Reducing Hospital Readmissions
  5. Healthcare Business White Paper: Role Based Access Governance and HIPAA Compliance
  6. How to Form an Accountable Care Organization
  7. New Chart: Primary Contacts for Medication Adherence
  8. Roadmap to the ACO Rule
  9. $17 Million in SAMHSA Funds to Improve Behavioral Health Coordination Through Health IT
  10. The Next Generation of Health Coaching
  11. Telemedicine in ICU Improves Outcomes, Shortens Lengths of Stay
  12. 2011 Performance Benchmarks in Telehealth & Telemedicine
  13. HealthSounds Podcast: The Pharmacist's Role in Improving Medication Adherence
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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Patient Experience & Satisfaction

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


This week's industry news

1.) CMS Recruiting Experienced Providers for Pioneer ACOs

CMS is recruiting providers adept at coordinating care for a new accountable care organization model that will be available this summer — the Pioneer ACO Model — which is designed for advanced organizations ready to participate in shared savings.

Get the full story.

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2.) Blueprint for ACO Success: Clinical, Quality and Compliance Considerations for an Accountable Care Organization

Blueprint for ACO Success This essential 40-page resource will help healthcare organizations considering an ACO to construct a strong clinical foundation while meeting state and federal legal, regulatory and compliance requirements for ACOs.

Learn more about this resource.

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3.) Home Telemonitoring for Heart Failure Patients Reduces Hospital Readmissions, Costs

The use of telemonitoring scales in the Essentia Heart Health Failure Program has sharply reduced readmission rates for heart failure patients.

Get the full story.

>>Return to this week's industry news


4.) 2011 Benchmarks in Reducing Hospital Readmissions

2011 Benchmarks in Reducing Hospital Readmissions An all-new follow-up to the best-selling 2010 edition, this edition is packed with new metrics on current and planned programs to reduce readmissions, presented in more than 40 easy-to-follow graphs and tables. This 45-page resource quantifies efforts by 90 healthcare organizations to reduce avoidable readmissions in their most vulnerable and high-utilization populations.

Learn more about this resource.

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5.) Healthcare Business White Paper: Role Based Access Governance and HIPAA Compliance — A Pragmatic Approach

The Health Information Technology for Economic and Clinical Health Act (HITECH) imposes more stringent regulatory and security requirements to the privacy rules of HIPAA. Compliance with the letter of the guideline can be difficult for organizations without strong access governance processes and policies. This paper focuses on a set of best practices for implementing an access governance framework and the specific access controls requirements for HIPAA/HITECH.

Download this complimentary white paper.

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6.) How to Form an Accountable Care Organization

Collaboration and culture change are prerequisites for an accountable care organization (ACO), according to Greg Mertz, senior project director with the Healthcare Strategy Group.

Get the full story.

>>Return to this week's industry news


7.) New Chart: Primary Contacts for Medication Adherence

Primary Contacts for Medication Adherence Medication adherence programs can improve patient care and lower healthcare costs by more effectively managing chronic medication utilization. We wanted to see who has primary contact with patients to improve medication adherence.



Click here to view the chart.

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8.) Roadmap to the ACO Rule: 25 Key Considerations from CMS's Proposal for Accountable Care Organizations

Roadmap to the ACO Rule Embedded within the 400-plus pages of the CMS' proposed rule for its Medicare Shared Savings Program are a few dozen key considerations for healthcare organizations evaluating the accountable care organization (ACO) opportunity. This new resource extracts 25 common sense factors to consider while weighing participation in an ACO — whether as a healthcare provider or private payor. While this resource has been developed and timed to assist organizations in assessing the proposal and submitting comments by CMS's June 6 deadline, it is also a useful primer on the ACO integrated health delivery model that should be shared with staff and decision-makers.

Learn more about this resource.

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9.) $17 Million in SAMHSA Funds to Improve Behavioral Health Coordination Through Health IT

SAMHSA is accepting applications for $16.8 million to enhance behavioral healthcare coordination through the use of health IT in targeted areas of need.

Get the full story.

>>Return to this week's industry news


10.) The Next Generation of Health Coaching: Multi-Platform Models for Sustained Behavior Change

The Next Generation of Health Coaching In this 43-page resource, health coaching veterans set the stage for Health Coaching 3.0 and describe the skills, technology and training that will be required to equip health coaches for this eventuality. To optimize program success and ROI, health coaching will need to be powered by multi-channel outreach — land lines, Web, email, cell phones and even PDAs — and reinforced by tightly interwoven communication and incentive programs.

Learn more about this resource.

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11.) Telemedicine in ICU Improves Outcomes, Shortens Lengths of Stay

Intensive care units (ICUs) that implement a telemedicine intervention with electronic monitoring of critically ill patients by healthcare professionals located remotely have better outcomes, says a study conducted by clinical researchers at the University of Massachusetts Medical School.

Get the full story.

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12.) 2011 Performance Benchmarks in Telehealth & Telemedicine

2011 Performance Benchmarks in Telehealth & Telemedicine An all-new follow-up to the best-selling 2010 version, 2011 Performance Benchmarks in Telehealth & Telemedicine is packed with actionable new information from 111 healthcare organizations on their utilization of telehealth & telemedicine. This 60-page resource 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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13.) HealthSounds Podcast: The Pharmacist's Role in Improving Medication Adherence

Dr. Janice Pringle Training community pharmacists in the art of motivational interviewing can boost medication adherence levels in the patients who visit them, according to Janice Pringle, Ph.D, director of the program evaluation research unit at the University of Pittsburgh School of Medicine. In a unique intervention, the university is collaborating with Highmark Blue Cross Blue Shield and Rite-Aid pharmacies to deploy the training to 120 participating pharmacies to reduce medication non-adherence, a problem associated with an estimated $290 billion in avoidable medical spending every year, according to a recent New England Healthcare Institute estimate.

Dr Pringle describes the three primary reasons for medication non-adherence driving the intervention, the benefits of training the pharmacists in motivational interviewing and the pharmacy's role in the project.

Listen to this podcast.

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