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From the editor

Dear Healthcare Intelligence Network Client,

HIN Content Editor Cheryl Miller

Stroke costs are predicted to more than double by 2030, and the number of people having strokes by then may increase by 20 percent, according to the American Heart Association/American Stroke Association. The aging U.S. population is the main reason for the increases, with almost four percent, or one in 25 American adults, predicted to have stroke in 2030, or an additional 3.4 million people. Annual costs due to lost productivity could rise from $33.65 billion to $56.54 billion, and costs to treat stroke may increase from $71.55 billion in 2010 to $183.13 billion. What steps need to be taken? See our story for details.

Using germ-killing soap and ointment on all intensive-care unit (ICU) patients can reduce bloodstream infections by nearly half and significantly reduce the presence of methicillin-resistant Staphylococcus aureus (MRSA) in ICUs, according to a multi-disciplinary team study published in the New England Journal of Medicine.

The study, REDUCE MRSA trial evaluated the effectiveness of three MRSA prevention practices: routine care, providing germ-killing soap and ointment only to patients with MRSA, and providing germ-killing soap and ointment to all ICU patients.

In addition to being effective at stopping the spread of MRSA in ICUs, the study found the use of germ-killing soap and ointment on all ICU patients was also effective for preventing infections caused by germs other than MRSA.

Young children who missed more than half of recommended well-child visits had up to twice the risk of hospitalization compared to children who attended most of their visits according to a study published in the American Journal of Managed Care.

Children with chronic conditions like asthma and heart disease were even more likely to be hospitalized when they missed visits, according to the study, which included more than 20,000 children enrolled at Group Health Cooperative. And children with chronic conditions who missed more than half of the recommended well-child visits had more than three times the risk of being hospitalized compared to children with chronic conditions who attended most of their visits.

In other prevention-related news, HHS issued final rules on employment-based wellness programs, supporting workplace health promotion and prevention as a means to reduce the burden of chronic illness, improve health, and limit growth of healthcare costs, according to the HHS.

And lastly, more than 10 million Americans directly benefited from a telemedicine service during the past year, likely double the number from just three years ago, according to American Telemedicine Association estimates. Telehealth's broad reach encompasses telemedicine — the use of telecommunications technology to deliver clinical diagnosis, services and patient consultations — as well as the exploding field of mobile health. Tell us how you're utilizing telehealth in HIN's third comprehensive e-survey on Telehealth. Respond by June 30, 2013 and receive a free executive summary of the compiled results. Your responses will be kept strictly confidential.

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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June 3, 2013
Vol. XV, No. 20

Sponsored by:
Health Coaching’s Value in Accountable Care and Medical Homes


This week's industry news:

  1. Simple Tactic Slashes MRSA Infections in Sickest Hospital Patients by Nearly Half
  2. Hospital Discharge Improvement Guide
  3. Final Rules Support Employers’ Outcomes-Based Wellness Programs
  4. Measuring Change: Evaluating Health and Wellness Coaching Performance, Outcomes and ROI
  5. Healthcare Business White Paper: Health Coaching in 2013
  6. Young Children Who Miss Well-Child Visits More Likely to be Hospitalized
  7. New Chart: Who Coordinates Care Transitions?
  8. 46 Healthcare Metrics to Boost Profitability
  9. Stroke Costs to More Than Double by 2030
  10. Population Health Management for Dual Eligibles
  11. Pros and Cons of Payment Bundling
  12. Blueprint for Bundled Payments
  13. HINfographic on Medication Adherence: Getting America to Take Its Medicine
  14. A Strategic, Best Practice Approach to Improve CMS Star Quality Ratings
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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Telehealth in 2013

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This week's industry news

1.) Simple Tactic Slashes MRSA Infections in Sickest Hospital Patients by Nearly Half

Using germ-killing soap and ointment on all ICU patients can reduce bloodstream infections by nearly half and significantly reduce the presence of methicillin-resistant Staphylococcus aureus (MRSA) in ICUs, according to a multi-disciplinary team study published in the New England Journal of Medicine.

Get the full story.

>>Return to this week's industry news


2.) Hospital Discharge Improvement Guide: How to Close Six Key Care Gaps and Reduce Readmissions

Hospital Discharge Improvement Guide This resource delivers dozens of tactics to tighten the six major gaps in the hospital discharge process: education, test management, follow-up and discharge, communication, physician accountability, health literacy, and much more.



Learn more about this resource.

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3.) Final Rules Support Employers’ Outcomes-Based Wellness Programs

HHS issued final rules on employment-based wellness programs, supporting workplace health promotion and prevention as a means to reduce the burden of chronic illness, improve health, and limit growth of healthcare costs, according to the HHS.

Get the full story.

>>Return to this week's industry news


4.) Measuring Change: Evaluating Health and Wellness Coaching Performance, Outcomes and ROI

Measuring Change: Evaluating Health and Wellness Coaching Performance, Outcomes and ROI This resource presents two industry leaders’ coaching ROI models and the impact of health and wellness coaching on behaviors and the bottom line. They also share anecdotal research that ties coaches’ personal attributes to optimal outcomes — information that can influence health and wellness coach hiring strategies.

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.

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6.) Young Children Who Miss Well-Child Visits More Likely to be Hospitalized

Young children who missed more than half of recommended well-child visits had up to twice the risk of hospitalization compared to children who attended most of their visits according to a study published in the American Journal of Managed Care.

Get the full story.

>>Return to this week's industry news


7.) New Chart: Who Coordinates Care Transitions?

New Chart: Who Coordinates Care Transitions? Proper management of transitions in care — the handover of an individual's care from one health setting to another — has the potential to dramatically hasten that person's return to health, as well as reduce the likelihood of a return ER visit or rehospitalization. We wanted to see which healthcare professionals coordinate care transitions.

Click here to view the chart.

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

46 Healthcare Metrics to Boost Profitability: Charting 2013 Trends This resource delivers charts and tables on 46 actionable metrics carefully curated from 2012 market research data by the Healthcare Intelligence Network.




Learn more about this resource.

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9.) Stroke Costs to More Than Double by 2030

Stroke costs are predicted to more than double by 2030, and the number of people having strokes by then may increase by 20 percent, according to the American Heart Association/American Stroke Association.

Get the full story.

>>Return to this week's industry news

10.) Population Health Management for Dual Eligibles: Blueprint for Care Coordination

Population Health Management for Dual Eligibles This resource details SCAN Health Care’s unique care management model for duals, which focuses on prevention and early intervention, particularly in the area of medication management.



Learn more about this resource.

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11.) Pros and Cons of Payment Bundling

Providers and payors looking to adapt to bundled payment methodologies need to understand what they’re doing before taking the risk, explains Jay Sultan, associate vice president and product manager for value-based reimbursement at Trizetto. First step: understanding where it comes from and why it’s a good idea.

Get the full story.

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12.) Blueprint for Bundled Payments: Strategies for Payors and Providers

Blueprint for Bundled Payments: Strategies for Payors and Providers This resource provides perspectives on payment bundling, including definitions of key elements, advice for payors and providers, and examples of the payment model at work in one organization.



Learn more about this resource.

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13.) HINfographic on Medication Adherence: Getting America to Take Its Medicine

This HINfographic on Medication Adherence illustrates a wealth of data on current programs, including the most likely targets of medication adherence (MA) programs, the most common barriers to medication compliance, the most influential tools, and the conditions that respond most favorably to efforts to improve MA.

Read this blog post.

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14.) A Strategic, Best Practice Approach to Improve CMS Star Quality Ratings

Joe Johnson Low scores on patient outcomes measures within the CMS Star Quality ratings program — metrics CMS weights most heavily in its assignment of stars — can typically be traced to poor provider and member engagement, notes Joseph Johnson, vice president of L.E.K. Consulting. Johnson suggests ways to enlist support from these two stakeholder groups, and describes how MA plans should prepare for the possible display in 2014 of CAHPS care coordination ratings along with with its star scores (though the care coordination ratings will not be factored into star ratings).

Listen to this podcast.

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