Dear Healthcare Intelligence Network Client,

The world was horrified last week after watching a surveillance video of the death of a female psychiatric patient in a New York hospital's ER waiting room. The treatment depicted in this hour-long viral video raises a host of disturbing concerns about quality of care, safety, security and confidentiality at Brooklyn's Kings County Hospital, which last week pledged to check on waiting patients every 15 minutes and attempt to shorten its median waiting time to around 10 hours, among other promised reforms.

The latter goal is more than twice the average national waiting time of four hours and five minutes reported in Press Ganey's 2008 ED Pulse Report. In a survey of 1,524,726 patients treated at 1,656 EDs nationwide between January 1 and December 31, 2007, New York EDs ranked 43rd in average wait times, with an average wait time of 282 minutes. (First was South Dakota at 165 minutes; last was Utah at 385 minutes.)

Long waits in the ED are not uncommon for people with psychiatric illnesses due to the practice of "boarding" — holding admitted patients in the ED instead of moving them to an inpatient bed. According to a survey of ED directors by the American College of Emergency Physicians, psychiatric patients (including children) admitted to the hospital from the ED can wait 24 hours or longer for an inpatient bed, principally because of a lack of psychiatric beds. Almost 80 percent of the 328 ED directors who responded to the survey said their hospital boards psychiatric patients in the ED. Thirty percent said their hospitals board psychiatric patients between eight and 24 hours, and more than one-quarter said that their hospitals board children with psychiatric illnesses for that long.

Eighty-five percent of these doctors said that wait times for all emergency patients would improve if there were better psychiatric services available. More than 80 percent agreed that regional dedicated emergency psychiatric facilities nationwide would work better than the current system for dealing with psychiatric emergency patients.

Your colleague in the business of healthcare,
Patricia Donovan
Editor, Healthcare Business Weekly Update

Please pass this along to any of your colleagues or, better yet, have them sign up to receive their own copy at http://www.hin.com/freenews2.html where you can also learn about our other news services.


Healthcare Business Weekly Update
Volume X, No. 15
July 7, 2008

Sponsored by: Emergency Department Diversion Through Behavioral Health Linkages

During Emergency Department Diversion Through Behavioral Health Linkages, a 90-minute webinar on July 30th, you’ll hear from two healthcare organizations who have implemented programs to divert ED visits related to behavioral health issues to appropriate venues of care.

For more information, please visit: http://store.hin.com/product.asp?itemid=3825


Table of Contents
  1. Positive Psychology in Health Coaching: Helping Individuals Climb “Mt. Lasting Change”
  2. Promising Outcomes: The Impact of Positive Psychology on Health and Wellness Coaching
  3. N.Y. Hospital Responds to Woman’s Death in ED Captured on Surveillance Video
  4. To Do No Harm: Ensuring Patient Safety in Health Care Organizations
  5. Featured Healthcare Business White Paper: PHRs for Healthcare Consumers
  6. Forty Percent of Underage Drinkers Received Alcohol from Adults Over 21 Nationwide
  7. Alcohol/Substance Abuse & Dependency-Clinical Guideline, 2nd Edition
  8. CMS Proposes PQRI Changes for 2009
  9. 2008 Physician Quality Reporting Guide: Essentials of Data Collection, Work Flow Optimization and Physician Engagement for Practices
  10. Substantial Progress Made on Import Safety of Food, Feed, Drugs and Medical Devices
  11. Understanding FDA Drug and Biologic Adverse Event Regulations
  12. What's New at HIN: The Latest Special Reports, White Papers and Podcasts


1. Positive Psychology in Health Coaching: Helping Individuals Climb “Mt. Lasting Change”

Margaret Moore, founder and CEO of Wellcoaches Corporation, describes how psychology plays a role in a coaching experience.

Coaching psychology is defined as the relational vehicle for positive psychology. It’s a growth-promoting partnership where coaches help clients to master well-being — health, happiness and prosperity.

To read this story in its entirety, go to:
http://www.hin.com/sw/Hindustry_MC070708.html



2. Promising Outcomes: The Impact of Positive Psychology on Health and Wellness Coaching

This special report explores evidence-based theories and coaching models, research linking physical and mental health, and critical coaching skills and outcomes that help bring about lasting behavior change.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3740



3. N.Y. Hospital Responds to Woman’s Death in ED Captured on Surveillance Video

The New York City Health and Hospitals Corporation has issued a response to the death of Esmin Green, 49, at the Kings County Hospital Center Psychiatric Emergency Department. Green, who was brought to the hospital suffering from agitation and psychosis, was found unresponsive on the floor after lying there for an hour without receiving aid from the staff. A surveillance tape of the incident was released and uploaded to the Internet.

"We are shocked and distressed by this situation. It is clear that some of our employees failed to act based on our compassionate standards of care..."

To read the rest of this response, go to:
http://www.hin.com/sw/hospital_HSmanagement070708.html



4. To Do No Harm: Ensuring Patient Safety in Health Care Organizations

With this important resource, healthcare leaders from the board room to the point-of-care can learn how to apply the science of safe and best practices from industry to healthcare by changing leadership practices, models of service delivery, and methods of communication.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3225



Please Forward This Issue

If you haven’t already done so, please forward this issue to one or two of your business associates. Thanks so much.

To subscribe, please visit:
http://www.hin.com



5. Featured Healthcare Business White Paper: PHRs for Healthcare Consumers

PHRs are attracting notice as valuable healthcare self-management tools. Whether paper-based or electronic, PHRs are helping individuals manage their conditions, diseases and overall health. A number of organizations — including WebMD,® Microsoft® and Google® — are trying their hand at PHRs. In April 2008, more than 200 health plans, hospitals and health systems, healthcare providers, employers and healthcare IT vendors told the Healthcare Intelligence Network (HIN) how they use PHRs to benefit their populations.

To download this complimentary white paper, please visit:
http://www.hin.com/library/registerhphr.html



6. Forty Percent of Underage Drinkers Received Alcohol from Adults Over 21 Nationwide

More than 40 percent of the nation’s estimated 10.8 million underage current drinkers (persons aged 12 to 20 who drank in the past 30 days) were provided free alcohol by adults 21 or older, according to a nationwide report by the Substance Abuse and Mental Health Services Administration. The study also indicates that one in 16 underage drinkers (6.4 percent or 650,000) was given alcoholic beverages by their parents in the past month.

To read this story in its entirety, go to:
http://www.hin.com/sw/behavioral_health070708.html



7. Alcohol/Substance Abuse & Dependency-Clinical Guideline, 2nd Edition

This is an 89-page clinical guideline for screening, evaluation and management of alcohol and substance abuse disorders with extensive references and resources.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3604



8. CMS Proposes PQRI Changes for 2009

CMS is proposing additional improvements to the Physician Quality Reporting Initiative (PQRI), which allows eligible professionals to report quality measures relating to their clinical practice.

To read this story in its entirety, go to:
http://www.hin.com/sw/long_term_care070708.html


There are other free email newsletters available from HIN!

HealthCoach Huddle, a monthly e-newsletter, brings you the most up-to-date news on health coaching, from coaching strategies to interviews and quotables from the industry's leading health coaches.

Medical Home Monitor tracks the construction of medical homes around the country and their impact on healthcare access, quality, utilization and cost. As providers and payors reframe care delivery, this monthly e-newsletter will cover the pilots, practice transformations, tools and technology that will guide healthcare organizations toward clinical excellence.

To sign up for our free email newsletters, please visit
http://www.hin.com/freenews2.html



9. 2008 Physician Quality Reporting Guide: Essentials of Data Collection, Work Flow Optimization and Physician Engagement for Practices

This special report introduces the 2008 PQRI changes and offers strategies and templates to optimize practice work flow and turn PQRI participation into profit.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3770



10. Substantial Progress Made on Import Safety of Food, Feed, Drugs and Medical Devices

Significant improvement has been made since last year to enhance the safety of a wide variety of food, feed, drugs and medical devices traded between the United States and China, according to a new report released by the Interagency Working Group on Import Safety. Entitled the “Import Safety – Action Plan Update,” the report outlines steps taken by the federal government, private sector and international partners to bolster import safety.

To read this story in its entirety, go to:
http://www.hin.com/sw/healthLaw_regulation070708.html



11. Understanding FDA Drug and Biologic Adverse Event Regulations

This report makes sense of often confusing reporting directives and protocols — and readers will gain a greater sense of control over the adverse events reporting process.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3049



12. What's New at HIN: The Latest Special Reports, White Papers and Podcasts

In this month's new offerings from HIN, you will discover a new special report that details how Web 2.0 tools are helping healthcare organizations to gain the attention of prospective patients. A new white paper provides information on how changes to PQRI documentation will affect the staffs of EDs. New podcasts are also available on consumer-driven health plans (CDHPs). These podcasts discuss how one organization's CDHPs are drawing a younger population, the increase in employers offering CDHPs and why education is relevant for a consumer-driven program.

To view a complete list of new HIN products, please visit:
http://www.hin.com/sw/whatsnewathin070708.html



Contact HIN:

Editor: Patricia Donovan, pdonovan@hin.com
Associate Editor: Jessica Papay, jpapay@hin.com
Sales & Marketing Coordinator: Deirdre McGuinness, dmcguinness@hin.com
Publisher: Melanie Matthews, mmatthews@hin.com

For more information on the products and services available through
the Healthcare Intelligence Network, contact us at (888) HIN-3530
(446-3530), (732) 528-HIN8, (528-4468), fax (732) 292-3073 or email
us at info@hin.com

While we encourage you to forward this email to your
colleagues, these articles may not be redistributed in any other publication,
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