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From the editor

Dear Healthcare Intelligence Network Client,

HIN Content Editor Cheryl Miller

One third of medical homes will join an ACO in the next 12 months. And more than half of those interviewed by the Healthcare Intelligence Network for our fifth annual survey on patient-centered medical homes said they had already established a medical home for their population. These trends and more in this issue.

About $216 million nationally is spent each year managing drug shortages in the hospital setting, with three drugs in particular affecting over 80 percent of health systems, says a new study released by the American Society of Health-System Pharmacists (ASHP). The problem is not only increasing hospital costs but harming patient care: nearly a third of the 353 pharmacy directors surveyed said they had to pull clinical staff to manage the crisis.

More than $300 billion each year is spent on care for dual-eligibles, the 9 million Americans currently receiving both Medicare and Medicaid benefits. HHS hopes to lower these costs — and improve care — with three new initiatives: financial models to better align finances between the agencies; a quality care program for nursing home residents, and a resource center program.

Telemedicine continues to serve the underserved. A new remote monitoring pilot project from the University of Utah seeks to help the chronically ill who are unable to reach traditional care facilities easily on a regular basis. The project will feature a centralized care coordinator, four clinics monitoring 15 to 20 patients each and two locations using kiosks to monitor another 30 patients each.

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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July 18, 2011
Vol. XIII, No. 26

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

This week's industry news:

  1. One-Third of Medical Homes Will Join an ACO, According to HIN Market Research
  2. Blueprint for ACO Success
  3. New Telemedicine Project Targeting Remote and Underserved Chronically Ill
  4. 2010 Performance Benchmarks in Health Risk Assessment Use
  5. Healthcare Business White Paper: 2010 Telehealth Benchmarks
  6. Drug Shortages Harming Patients, Increasing Hospital Costs
  7. New Chart: Top 5 Diagnoses Impacted by Case Management
  8. Improving Medication Adherence Benchmarks
  9. HHS Launching 3 Initiatives to Improve Care, Lower Costs for Dual-Eligibles
  10. 27 Interventions to Reduce Avoidable ER Use
  11. The Nurse’s Contribution to Discharge Planning
  12. Case Management Answer Book
  13. HealthSounds Podcast: Improving Transitions of Care Between Hospital and SNF
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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This week's industry news

1.) One-Third of Medical Homes Will Join an ACO, According to HIN Market Research

Just five years ago, patient-centered medical homes (PCMH) were a vaguely familiar concept that many healthcare organizations erroneously associated with remote monitoring of patients, in-home care or a physical structure.

Get the full story.

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2.) Blueprint for ACO Success: Clinical, Quality and Compliance Considerations for an Accountable Care Organization

Blueprint for ACO Success This 40-page resource will prepare healthcare organizations considering an ACO for clinical and regulatory success. Areas covered include anticipating the mandates of the CMS Shared Savings program; achieving and maintaining compliance with state and federal regulations governing healthcare while positioning for possible changes; developing a multi-disciplinary compliance approach; and creating policies and procedures for ongoing compliance monitoring.

Learn more about this resource.

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3.) New Telemedicine Project Targeting Remote and Underserved Chronically Ill

The University of Utah is spearheading a new pilot project aimed at connecting remote and underserved residents dealing with chronic conditions to needed healthcare services and providers through telemedicine.

Get the full story.

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4.) 2010 Performance Benchmarks in Health Risk Assessment Use

2010 Performance Benchmarks in Health Risk Assessment Use This 60-page resource provides metrics and measures on current and planned HRA initiatives as well as lessons learned and results from successful health assessment programs. This exclusive report analyzes the responses of 116 healthcare organizations to HIN's June 2010 Industry Survey on Health Risk Assessments, presenting the data in 60 easy-to-follow graphs and tables.

Learn more about this resource.

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5.) Healthcare Business White Paper: 2010 Telehealth Benchmarks

This white paper captures the nuts and bolts of telehealth services offered by 111 healthcare organizations who responded to HIN's September 2010 Telehealth and Telemedicine survey, including top technologies, targeted populations and prevalence of remote monitoring.

Download this complimentary white paper.

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6.) Drug Shortages Harming Patients, Increasing Hospital Costs

Increasing drug shortages are impacting patient care and increasing costs to the nation’s health system, according to a new study released by the American Society of Health-System Pharmacists (ASHP).

Get the full story.

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7.) New Chart: Top 5 Diagnoses Impacted by Case Management

5 Diagnoses Impacted by Case Management Post-reform redesign of clinical care delivery and supporting reimbursement models reflects the healthcare case manager's dual roles as care coordinator and utilization manager for high-risk, high-cost patients. We wanted to see which diagnoses are most impacted by case management.

Click here to view the chart.

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8.) Improving Medication Adherence Benchmarks Through Community Pharmacist Interventions

Improving Medication Adherence Benchmarks A patient-centered approach to pharmacy visits combined with motivational interviewing by community pharmacists is improving medication adherence rates for members of Highmark Blue Cross Blue Shield. The pilot program, a collaborative between Highmark, the University of Pittsburgh School of Pharmacy, and Rite Aid pharmacies, is training pharmacists to use motivational interviewing techniques with patients at risk of medication non-adherence. During this 45-minute webinar, an industry expert from the University of Pittsburgh School of Medicine described how patients are identified for this intervention and the tools and strategies that pharmacists are using to improve adherence benchmark levels.

Learn more about this resource.

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9.) HHS Launching 3 Initiatives to Improve Care, Lower Costs for Dual-Eligibles

The HHS is launching three initiatives aimed at improving coordinated care and lowering costs for dual-eligibles. Approximately 9 million Americans are dual-eligibles, receiving both Medicare and Medicaid benefits, and a longstanding barrier to coordinating care for both enrollees has been the financial misalignment between agencies, agency officials say.

Get the full story.

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10.) 27 Interventions to Reduce Avoidable ER Use

27 Interventions to Reduce Avoidable ER Use This 45-page resource details provider and patient-focused interventions that target the high numbers of avoidable visits, high and ultra-high utilizers and the sub-populations noted for frequent ER use. Five interventions target these sub-populations: asthma patients, those recently discharged from the hospital, non-network patients, nursing home and assisted living residents and dual-eligibles (Medicare and Medicaid).

Learn more about this resource.

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11.) The Nurse’s Contribution to Discharge Planning

Johns Hopkins’ nurses play an essential role in the discharge planning process, explains Chad Boult, MD, MPH, MBA, professor of public health, medicine & nursing and director of the Lipitz Center for Integrated Health Care, Johns Hopkins Bloomberg School of Public Health.

Get the full story.

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12.) Case Management Answer Book: FAQs on Patient-Centered Care

Case Management Answer Book To provide essential background on emerging case manager trends, the Healthcare Intelligence Network has assembled responses to the most frequently raised questions regarding case management in a single comprehensive resource. In this 30-page resource, industry thought leaders provide answers to more than 50 questions on the practicalities of case management, from required skill sets for newly hired case managers to engaging non-compliant patients to supporting a case manager embedded in a hospital emergency room.

Learn more about this resource.

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13.) HealthSounds Podcast: Improving Transitions of Care Between Hospital and SNF — A Collaboration Supporting the Accountable Care Vision

>Improving Transitions of Care Between Hospital and SNF Working with a network of 40 skilled nursing facilities to hone the hospital-to-SNF transfer of care has accomplished two goals for Summa Health System: readmissions and lengths of stay for patients released to SNFs have been reduced, and the experience has made hospitals and SNFs more accountable for both the quality and cost of care they provide. Carolyn Holder, manager of transitional care for Summa Health System, describes what had to happen before this critical care transition could improve and why physicians had to rethink their approach to hospital-to-SNF transfers.

Listen to this podcast.

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