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From the editor

Dear Healthcare Intelligence Network Client,

HIN Content Editor Cheryl Miller

Looking for advice on a lawn mower, vitamin supplement, or primary care physician?

Then pick up a copy of Consumer Reports, because itís now in the healthcare business. The consumer-friendly publisher of product ratings and reviews has released its first ever patient evaluation report of primary care practices. Developed jointly with the Massachusetts Health Quality Report, the report provides patient evaluations of nearly 500 practices in the Massachusetts area, including 329 adult practices and 158 pediatric practices on such topics as physician communication skills and accessibility. Patients also weigh in on whether they would recommend their physician to others.

We donít need Consumer Reports, or any publication, for that matter, to weigh in on the dangers of smoking. But thereís now new information on how costly it is to smoke prior to undergoing surgery. A report from the Journal of the American College of Surgeons shows that smoking increases post-operative complications and drives up healthcare costs. Research shows that approximately 30 percent of patients undergoing elective general surgery procedures smoke, increasing inpatient costs by as much as 4 percent. The good news: quitting four to six weeks prior to a procedure can improve post-operative outcomes and decrease complications in patients. More details in this issue.

CMS is taking steps to reverse an alarming trend: the use of antipsychotic drugs on patients with dementia in nursing homes. Data shows that in 2010 more than 17 percent of nursing home patients had daily doses exceeding recommended levels. Beginning next month CMS, along with industry and advocacy partners, will launch a multi-tiered approach to the problem, including a training series for nursing homes and the publication of data on nursing home antipsychotic drug use.

And lastly, for six years weíve tracked the growth of continuous coordinated patient care at the heart of the patient-centered medical home (PCMH), which has been shown to lower costs while improving healthcare outcomes. The PCMH lays the foundation for the delivery of accountable care. Once again, we invite you to describe your organization's progress and outcomes in the PCMH model by June 15, 2012 and you'll receive a free e-summary of the results from this sixth annual review of the medical home model. All responses will be kept confidential. Thanks for participating!

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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June 4, 2012
Vol. XIV, No. 20

Sponsored by:
Identifying, Engaging and Breaking Down Patient Barriers To Reduce Avoidable ED Use

This week's industry news:

  1. Consumer Reports Publishes First Patient Experience Ratings of Primary Care Practices
  2. 2011 Benchmarks in Patient Satisfaction Strategies
  3. Partnership to Improve Dementia Care Hopes to Curb Antipsychotics Use in Nursing Homes
  4. Advanced Illness Care Coordination
  5. Healthcare Business White Paper: The ICD-10 Compliance Challenge
  6. 10 Ways to Strengthen Health Coaching-Physician Collaborations
  7. New Chart: What's the Greatest Challenge of Diabetes Management in a Population?
  8. Health Coaching in Primary Care
  9. Historically Low Growth in Healthcare Spending Predicted for 2013: PWC Study
  10. Benchmarks in Health & Wellness Incentives, 2011 Edition
  11. Smoking Fuels Hospital Costs for Smokers
  12. Three Pillars of Health Coaching
  13. Rollout of Florida Blue Medical Home Exercise in Quality, Innovation
  14. HealthSounds Podcast: Recruiting, Training and Case Load Management Strategies for Embedded Case Managers
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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This week's industry news

1.) Consumer Reports Publishes First Patient Experience Ratings of Primary Care Practices

Consumer Reports (CR) and Massachusetts Health Quality Partners (MHQP) have jointly released the results of patient experience ratings of selected primary care physician groups in the Massachusetts area.

Get the full story.

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2.) 2011 Benchmarks in Patient Satisfaction Strategies: Improving the Healthcare Consumer Experience

2011 Benchmarks in Patient Satisfaction Strategies This 60-page analysis, based on the responses of 146 organizations to the Healthcare Intelligence Network May 2011 survey on Improving Patient Satisfaction and the Patient Experience, presents the all-new data in more than 45 easy-to-follow graphs and tables. This research also drills down to provide sector-specific efforts in patient satisfaction improvement from hospitals and other healthcare providers.

Learn more about this resource.

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3.) Partnership to Improve Dementia Care Hopes to Curb Antipsychotics Use in Nursing Homes

A training series for nursing homes and the publication of data on nursing home antipsychotic drug use beginning in July are two key aspects of the Partnership to Improve Dementia Care, a CMS-led partnership with providers, caregivers and patients to ensure appropriate care and use of antipsychotic medications in nursing homes.

Get the full story.

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4.) Advanced Illness Care Coordination: A Case Study on Aetna's Compassionate Care Program

Advanced Illness Care Coordination Aetna Medicare's senior medical director will share the key features of the insurer's Compassionate Care Program, a case management program for patients with advanced illness, along with the impact the program has had on healthcare utilization and quality outcomes.

Learn more about this resource.

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5.) Healthcare Business White Paper: The ICD-10 Compliance Challenge — Automating Trading Partner and Affiliate Readiness

With deadlines for compliance fast approaching, ICD-10 program managers must manage a myriad of tasks spanning the business. A significant component of ensuring compliance involves assessing the readiness of affiliates to transact with the new ICD-10 codes. This white paper presents strategies for bringing automation to reduce cost and minimize risk in ICD-10 compliance.

Download this complimentary white paper.

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6.) 10 Ways to Strengthen Health Coaching-Physician Collaborations

There's a "confluence of influences bringing health coaching to the forefront" of healthcare delivery, observes Richard Botelho, MD, professor of family medicine at the University of Rochester Medical Center.

Get the full story.

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7.) New Chart: What's the Greatest Challenge of Diabetes Management in a Population?

Greatest Challenge of Diabetes Management in a Population? The total cost of diagnosed diabetes in the United States in 2007 amounted to $174 billion, estimates the American Association of Diabetes. Adults with diabetes are more at risk for strokes and heart disease than those without diabetes. We wanted to see what the greatest challenge is in a population to manage diabetes.

Click here to view the chart.

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8.) Health Coaching in Primary Care: Persuading Physicians to Prescribe Behavior Change and Self-Efficacy

Health Coaching in Primary Care Three health coaching thought leaders detail their models for incorporating health coaching into the primary care paradigm. While acknowledging existing demands on busy physicians, they recommend that primary care physicians school themselves in health promotion and make coaching a team effort to foster behavior change in health plan members and patients.

Learn more about this resource.

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9.) Historically Low Growth in Healthcare Spending Predicted for 2013: PWC Study

A sluggish economy, cost containment measures by the healthcare industry and employers, and decreased use of services by consumers are behind historically low healthcare spend figures for 2013, according to the Health Research Institute (HRI) of PwC US.

Get the full story.

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10.) Benchmarks in Health & Wellness Incentives, 2011 Edition: Data to Drive Health Promotion, Compliance and ROI

Benchmarks in Health & Wellness Incentives, 2011 Edition This 60-page resource provides actionable information from 156 healthcare organizations on the use of incentives to promote health behavior change. This essential resource has been compiled from an analysis of responses to HIN's third annual survey on the use of health & wellness incentives, administered in March 2011.

Learn more about this resource.

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11.) Smoking Fuels Hospital Costs for Smokers

Cigarette smoking contributes to significantly higher hospital costs for smokers undergoing elective general surgery, according to a study published in the Journal of the American College of Surgeons.

Get the full story.

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12.) Three Pillars of Health Coaching: Patient Activation, Motivational Interviewing and Positive Psychology

Three Pillars of Health Coaching This valuable guide provides the fundamentals of three essential tools that health coaches can use to measure and monitor activation levels, elicit behavior change, move clients along the path to self-management and have a positive impact on health outcomes and utilization.

Learn more about this resource.

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13.) Rollout of Florida Blue Medical Home Exercise in Quality, Innovation

Donít rely on technology, and donít expect busy doctors to take on added administrative tasks. Those are just two lessons that have shaped Florida Blueís programs to improve the quality of primary care over the last eight years.

Read this blog post.

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14.) HealthSounds Podcast: Recruiting, Training and Case Load Management Strategies for Embedded Case Managers

Irene Zolotorofe When looking for new hires for its embedded case management program, Bon Secours Health System looks for critical thinking skills and previous roles that are transferable, such as work with chronic disease patients, explains Irene Zolotorofe, administrative director of clinical operations at Bon Secours. Zolotorofe also describes the importance of matching personalities when placing a case manager in a physician practice, how to build a trusting relationship between an embedded case manager and the physician and Bon Secour's embedded case manager training process.

Listen to this podcast.

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