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From the editor

Dear Healthcare Intelligence Network Client,

HIN Content Editor Cheryl Miller

Care planning, provider-patient communications and intra-office coordination are just some of the ways that EHRs can significantly improve care coordination for the chronically ill in a medical home, finds a new report from the eHealth Initiative. The report based its results on a 12-month project that tracked 119 patients with Type 2 diabetes and heart disease at two test sites. Notably, the EHR systems used at both sites had functions to support care coordination that were not utilized. This week’s issue provides the details.

Consumers worldwide are tightening their belts in response to the current tenous economic climate, according to a new Deloitte Center for Health Solutions' survey of more than 15,000 global healthcare consumers in 12 countries. In the United States alone, more than a third said they were using generic instead of brand name drugs to save money; one fourth of those surveyed in the U.S. admitted to skipping doctors’ visits entirely.

Eliminating claims payment errors could help to defray some portion of healthcare costs, says the AMA. According to the association's fourth annual National Health Insurer Report Card, commercial health insurers have an average claims-processing error rate of nearly 20 percent, an increase of two percent from last year. AMA estimates that eliminating health insurer claims payment errors would save $17 billion annually.

And finally, a significant segment of the healthcare industry is reframing its care delivery structure as an accountable care organization (ACO) or will do so in the near future. You can find out more in our new video, 2011 Benchmarks in Accountable Care Organizations: Healthcare ACO Readiness Assessment, featured in this issue.

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 27, 2011
Vol. XIII, No. 24

Sponsored by:
Healthcare Performance Improvement: Exceeding Core Measure Targets for Value-Based Reimbursement

This week's industry news:

  1. 8 Ways EHRs Improve Care Coordination for Chronically Ill Patients
  2. 2011 Performance Benchmarks in Telehealth & Telemedicine
  3. Anatomy of a Proactive Case Management Team
  4. Best Practices in Contemporary Case Management
  5. Healthcare Business White Paper: Medical Homes in 2011
  6. Global Economic Uncertainty Makes Affordable Healthcare a Challenge for Consumers
  7. New Chart: Time Required for Medical Home Conversion
  8. Medical Home Reimbursement ABCs
  9. Only 10 Percent of Heart Attack Patients Transferred In Time To Right Hospital
  10. 2010 Performance Benchmarks in Reducing Avoidable ER Visits
  11. Eliminating Claim Payment Errors Could Save $17 Billion Annually
  12. 2011 Healthcare Benchmarks Yearbook
  13. HealthSounds Video: 2011 Benchmarks in Accountable Care Organizations
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This week's industry news

1.) 8 Ways EHRs Improve Care Coordination for Chronically Ill Patients

Patients with Type 2 diabetes and heart disease can benefit when EHRs are used to coordinate their care in a medical home, finds a new report from the eHealth Initiative (eHI.)

Get the full story.

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2.) 2011 Performance Benchmarks in Telehealth & Telemedicine

Benchmarks in Telehealth & Telemedicine Packed with actionable new information from 111 healthcare organizations on their utilization of telehealth and telemedicine, this second annual analysis 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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3.) Anatomy of a Proactive Case Management Team

A need to expand led CareOregon to create new roles and responsibilities for its interdisciplinary case management team, such as a 'healthcare guide,’ explains Rebecca Ramsay, BSN, MPH, senior manager of care support and clinical programs at CareOregon.

Get the full story.

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4.) Best Practices in Contemporary Case Management

Best Practices in Contemporary Case Management This resource examines three separate case management initiatives as well as the impact of these programs on health outcomes, care delivery and resource utilization. It provides the details on case management programs being utilized at Sutter Health Sacramento Sierra Region, CareOregon and Lutheran Medical Center.

Learn more about this resource.

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5.) Healthcare Business White Paper: Medical Homes in 2011 — One-Third to Join an Accountable Care Organization

From its fifth annual 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.) Global Economic Uncertainty Makes Affordable Healthcare a Challenge for Consumers Worldwide, According to Deloitte Survey

Rising healthcare costs, coupled with global economic instability, has prompted consumers across the globe to delay care, alter household spending and worry about future healthcare costs, says the 4th annual Deloitte Center for Health Solutions' 2011 Survey of Health Care Consumers.

Get the full story.

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7.) New Chart: Time Required for Medical Home Conversion

Time Required for Medical Home Conversion The patient-centered medical home can deliver quality care at little or no added cost while improving patient and provider satisfaction. We wanted to see how long it takes for organizations to convert to the medical home model.


Click here to view the chart.

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8.) Medical Home Reimbursement ABCs: Funding Care Delivery through ACOs, Bundled Payments and Concrete Contracts

Medical Home Reimbursement ABCs This resource provides a primer on emerging reimbursement models that are getting payors' and providers' attention while delivering cost savings. This 50-page report profiles three healthcare organizations that are redefining healthcare reimbursement with their pilots of new payment models and contracting strategies.

Learn more about this resource.

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9.) Only 10 Percent of Heart Attack Patients Transferred In Time To Right Hospital

Only one in 10 patients who experience a major heart attack are transferred to another hospital to get necessary treatment within the recommended 30 minutes, according to research at the Duke Clinical Research Institute.

Get the full story.

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10.) 2010 Performance Benchmarks in Reducing Avoidable ER Visits

Benchmarks in Reducing Avoidable ER Visits How prevalent are programs to reduce avoidable ER use, and what kind of results do they net? Which populations and conditions are responsible for most preventable ER visits, and what are the most effective strategies for redirecting these patients to more cost-effective and appropriate healthcare settings? This resource addresses these concerns and others by providing actionable information from 90 healthcare organizations on their efforts to reduce inappropriate use of the ED. This 50-page resource documents trends and metrics from emergency departments across the country that are successfully managing ER utilization.

Learn more about this resource.

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11.) Eliminating Claim Payment Errors Could Save $17 Billion Annually, Says AMA

Claims-processing errors by health insurance companies increased since last year, accounting for billions of wasted dollars, according to the American Medical Association’s (AMA) fourth annual National Health Insurer Report Card.

Get the full story.

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12.) 2011 Healthcare Benchmarks Yearbook: Metrics, Measurements and Innovations

2011 Healthcare Benchmarks Yearbook This 480-page resource — HIN's second annual compilation of performance benchmarks in key areas of healthcare activity and growth — delivers more than 23,000 data points from 1,000 responding healthcare organizations in an easy-to-use binder format. It contains more than 400 graphs and tables documenting adoption, activity and ROI in nine key healthcare areas, frequently drilling down to the perspectives of hospitals, health plans and employers. Key areas include: medication adherence, telehealth and telemedicine, the patient-centered medical home, and more.

Learn more about this resource.

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13.) HealthSounds Video: 2011 Benchmarks in Accountable Care Organizations — Healthcare ACO Readiness Assessment

>2011 Benchmarks in Accountable Care Organizations A significant segment of the healthcare industry is reframing its care delivery structure as an accountable care organization (ACO) or will do so in the near future, according to new market research by the Healthcare Intelligence Network. This video summarizes awareness of and readiness for ACOs at 228 healthcare organizations, based on responses to a February 2011 ACO Readiness Assessment.

Watch the video.

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