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From the editor

Dear Healthcare Intelligence Network Client,

HIN Content Editor Cheryl Miller

It’s the end of the school year, but not just students are getting graded on their performance.

According to a new study from the non-profit Leapfrog Group, more than 2600 U.S. hospitals received grades on their patient safety performances, or how many errors, accidents, and infections patients acquired while in their care. Studies show that one in four Medicare patients leave a hospital with a potentially fatal issue they didn’t have prior to hospitalization, and more than 180,000 Americans die every year from hospital accidents, errors, and infections. This study, free to all, is intended as a public service. There were some anticipated results, including A’s for well-known hospitals including the Mayo Clinic, and some surprises, including A’s for hospitals not as well-known or well-located. Details inside.

Primary care physicians that provide enhanced services for their Medicare patients also get high marks this week. In its continued efforts to bolster the primary care workforce, CMS has launched a new initiative that compensates PCPs that provide extended quality care to their patients. The Comprehensive Primary Care program rewards physician groups that offer enhanced hours and accessibility, and use EHRs among other services. Approximately 75 primary care practices will be selected to participate in the initiative in each designated market. Interested PCPs have until July 20th to submit applications.

And Kaiser Permanente gets an A for providing us with a new medical term: video ethnography, or the anthropological use of videos to study specific human (patient) cultures. Designed as part of their quality improvement program, the process involves videotaping patients and caregivers as they are being interviewed, and observing how they interact with each other in a clinic, hospital or at home. The tool is proving particularly effective with vulnerable populations such as frail elders, patients nearing the end of life, and those with multiple chronic conditions, because it enables caregivers to "see nuances that otherwise might be missed, and discrepancies between what people say, what they do, and what they may think," according to a lead researcher.

And finally, don’t forget to chart your own progress in the patient-centered medical home model. Two years post-healthcare reform, we’re taking our sixth annual look at adoption and support of the PCMH. Describe your organization's progress and outcomes in this area by June 15th and we will reward you with a free e-summary of the results. And remember, there are no wrong answers!

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 11, 2012
Vol. XIV, No. 21

Sponsored by:
Advanced Illness Care Coordination: A Case Study on Aetna's Compassionate Care Program

This week's industry news:

  1. Video Ethnography Reduces Hospital Readmission Rates for Elderly Heart Patients
  2. 2012 Benchmarks in Reducing Avoidable ER Visits
  3. CMS Seeks Physician Practices for Comprehensive Primary Care Program
  4. Case Studies in Comprehensive Primary Care
  5. Healthcare Business White Paper: The Patient-Centered Medical Home in 2011
  6. Over 2600 U.S. Hospitals Graded on Patient Safety
  7. New Chart: Health Activities Most Responsive to Incentives
  8. Infection Prevention Manual for Long Term Care, 2012 Edition
  9. 7 Ways to Improve Access and Continuity of Care for Patients with Diabetes
  10. Case Studies in Diabetes Management
  11. Study Examines 6 Models to Improve Care, Reduce High Cost for Medicare Beneficiaries with Multiple Health Issues
  12. The Patient-Centered Medical Home — Lessons from a Statewide Rollout
  13. Disney To Curb Sugar, Salt in Parks, Products
  14. HealthSounds Podcast: Leveraging Case Management Tools and Technology to Improve Outcomes
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-Centered Medical Homes in 2012

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This week's industry news

1.) Video Ethnography Reduces Hospital Readmission Rates for Elderly Heart Patients

Videotaping vulnerable patients and their caregivers in their care settings and analyzing their interactions helped to reduce those patients' readmission rates by nearly 5 percent, reports Kaiser Permanente in a new paper published in Health Affairs.

Get the full story.

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2.) 2012 Benchmarks in Reducing Avoidable ER Visits

2012 Benchmarks in Reducing Avoidable ER Visits This 50-page report delivers actionable information from 134 healthcare organizations on their efforts to reduce inappropriate ED visits. It is designed to meet business and planning needs of hospitals, health plans, physician practices and others by providing critical benchmarks that show how the industry is working to reduce avoidable hospital emergency department visits.

Learn more about this resource.

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3.) CMS Seeks Physician Practices for Comprehensive Primary Care Program

A new initiative from CMS will compensate PCPs that strive to provide enhanced primary care for Medicare patients.

Get the full story.

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4.) Case Studies in Comprehensive Primary Care: Guidance from Group Health Cooperative and Geisinger Health System

Case Studies in Comprehensive Primary Care This 50-page report takes a look at the successful patient-centered approaches by two industry innovators, sharing key strategies and lessons learned from program implementation.



Learn more about this resource.

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5.) Healthcare Business White Paper: The Patient-Centered Medical Home in 2011 — One-Third Will Join Accountable Care Organization

From its fifth annual patient-centered medical home (PCMH) e-survey administered in March 2011, the Healthcare Intelligence Network gained insight from 115 organizations into the populations that would benefit from this model of care, components of a medical home, PCMH interest in the accountable care organization (ACO) model and the effects of the PCMH on utilization and cost.

Download this complimentary white paper.

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6.) Over 2600 U.S. Hospitals Graded on Patient Safety

More than 2,600 U.S. hospitals received an A, B, C, D or F Hospital Safety Score based on their patient safety, according to the Leapfrog Group, an independent national nonprofit run by employers and other large purchasers of health benefits.

Get the full story.

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7.) New Chart: Health Activities Most Responsive to Incentives

Health Activities Most Responsive to Incentives Healthcare companies have grown increasingly creative in their use of economic and benefits-based incentives to drive engagement and participation in health and wellness programs. We wanted to see the health and wellness activities most responsive to incentives.

Click here to view the chart.

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8.) Infection Prevention Manual for Long Term Care, 2012 Edition

Infection Prevention Manual for Long Term Care An effective infection prevention (IP) program is critical for quality care and safety in the long-term care facility. This all new edition provides facilities with a comprehensive resource for policies and procedures reflecting the most current standards for infection prevention.

Learn more about this resource.

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9.) 7 Ways to Improve Access and Continuity of Care for Patients with Diabetes

Providing a medical line to patients that allows for translation is a key component of Hudson River HealthCare’s enhanced access and continuity of care standard, says its CEO Kathy Brieger.

Get the full story.

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10.) Case Studies in Diabetes Management: Outcomes from Medical Home, Education and Behavior Change Approaches

Case Studies in Diabetes Management This 65-page special report takes an in-depth look at three patient-centered programs for diabetes management that are improving clinical outcomes and bending the cost curve for program participants.



Learn more about this resource.

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11.) Study Examines 6 Models to Improve Care, Reduce High Cost for Medicare Beneficiaries with Multiple Health Issues

How to cut Medicare costs while improving healthcare for older adults suffering from chronic health conditions is the target of a new study from John Hopkins published in the journal Health Affairs.

Get the full story.

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12.) The Patient-Centered Medical Home: Lessons from a Statewide Rollout

The Patient-Centered Medical Home: Lessons from a Statewide Rollout In this 45-minute webinar, learn how a primary care focused pay-for-performance program at Florida Blue was transitioned this year into a statewide patient-centered medical home initiative.


Learn more about this resource.

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13.) Disney To Curb Sugar, Salt in Parks, Products

What, no more super-sized popcorns and unlimited soda refills at Magic Kingdom?

Maybe not, according to a statement just released by Disney. By 2015, the company will no longer advertise or promote a wide range of fast foods, sugared cereal, candy, drinks and other products considered unacceptable.

Read this blog post.

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14.) HealthSounds Podcast: Leveraging Case Management Tools and Technology to Improve Outcomes

Karen Black With more than 100 case managers working in seven regional offices, Arkansas Blue Cross Blue Shield (BCBS) embraces any tools that can elevate care delivery and efficiency and reduce paperwork. Karen Black, RN, HIPAAP, HIA, Arkansas BCBS quality improvement coordinator, describes how an early interest in computers helped to drive development of two Web-based tools supporting Arkansas BCBS case managers today, the potential for these tools to support other areas of the company, and how one tool from the centralized portal is helping to standardize transitions of care for Arkansas BCBS members.

Listen to this podcast.

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