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From the editor

Dear Healthcare Intelligence Network Client,

HIN Content Editor Cheryl Miller

Our recently completed study of telehealth and telemedicine identified an uptick in the last three years in videoconferencing for clinical uses like real-time remote diagnostics.

New data from UC Davis Children's Hospital bears this out: researchers there found that telemedicine consultations with pediatric critical-care physicians significantly improve the quality of care for seriously ill and injured children treated in remote rural EDs. Overall, researchers found that cases involving a telemedicine consultation received significantly higher quality-of-care scores than did those involving a telephone consultation or no consultation.

More ideas to replicate come from a report by the Florida Hospital Association (FHA). At the end of a five-year initiative involving more than 160 Florida hospitals, readmissions dropped 15 percent, surgical complications were reduced by 14.5 percent and millions of dollars in costs were saved.

The hospitals' hands-on work focused on improvements to hospital culture, care transitions and communication, The FHA said.

A communications gap of sorts has been identified by athena health. Its fourth annual Physician Sentiment Index™ (PSI) exposed a general sense of unfamiliarity with the accountable care model among three-quarters of physicians; even more unsettling is the finding that one-quarter of doctors said they "don't know" if they participate in a pay-for-performance program.

With more than 400 public and private ACOs under construction, a great way to get up to speed on ACO trends is to take our third annual Accountable Care Organizations survey and receive an executive summary of the results.

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 Fornarotto
Associate Editor:
Jessica Fornarotto, jfornarotto@hin.com

Publisher:
Melanie Matthews, mmatthews@hin.com

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August 19, 2013
Vol. XV, No. 31

Sponsored by:
Medicare Pioneer ACO Year One — Lessons from a Top-Performer


This week's industry news:

  1. Telemedicine Consultations Significantly Improve Pediatric Care in Rural Emergency Rooms
  2. Telehealth Networks for Hospital Services
  3. Survey Shows 75 Percent of Independent Physicians Unacquainted with Accountable Care
  4. Essential Guide to Accountable Care Organizations
  5. Healthcare Business White Paper: Telehealth in 2013
  6. Florida’s Hospitals Five-Year Results: Reduced Readmissions, Cost
  7. New Chart: Top 5 Areas Improved from mHealth
  8. Transforming Health Care Leadership
  9. Study Shows Public Funding for Behavioral Health Treatment Critical in Tough Times
  10. Using a Brief Intervention to Motivate Clients to Get Help
  11. Finding the Right Clinicians for Physician-Hospital Organizations (PHOs)
  12. Essential Guide to Physician-Hospital Organizations
  13. HINfographic: Telehealth in Population Health Management
  14. Performance Quality Measurement and Reporting for Accountable Care
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.) Telemedicine Consultations Significantly Improve Pediatric Care in Rural Emergency Rooms

Telemedicine consultations with pediatric critical-care medicine physicians significantly improve the quality of care for seriously ill and injured children treated in remote rural emergency rooms (ERs), where pediatricians and pediatric specialists are scarce, according to a study by researchers at UC Davis Children’s Hospital.

Get the full story.

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2.) Telehealth Networks for Hospital Services: New Methodologies

Telehealth Networks for Hospital Services: New Methodologies This resource focuses on and describes different networks that link hospitals and their services to patients outside their territory. This reference work not only focuses on the technology that is integral to the function of a telehealth network, but also its users, and the collaboration that is necessary to be successful.


Learn more about this resource.

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3.) Survey Shows 75 Percent of Independent Physicians Unacquainted with Accountable Care

Results from Athena Health's fourth annual Physician Sentiment Index™ (PSI) exposed a general sense of unfamiliarity with the accountable care model among physicians. Nearly 75 percent of physicians surveyed have either only "heard of" or are "somewhat familiar with" an accountable care organization (ACO), and 26 percent of physicians responded that they "don't know" if they are participating in any pay-for-performance (PFP) programs.

Get the full story.

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4.) Essential Guide to Accountable Care Organizations: Challenges, Risks and Opportunities of the ACO Model

Essential Guide to Accountable Care Organizations This resource delivers a detailed analysis of CMS’s Medicare ACO Shared Savings Program as well the short- and long-term financial opportunities afforded by ACOs and an inside look at two existing ACOs and the lessons learned from their development and launch.



Learn more about this resource.

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5.) Healthcare Business White Paper: Telehealth in 2013 — Videoconferencing, Virtual Visits and Smartphones Power Population Health Management

Telehealth in 2013 Healthcare is leaning on videoconferencing more than ever to monitor discharged patients, conduct remote consultations and facilitate communication, according to responses to 2013 Telehealth Survey by the Healthcare Intelligence Network. Respondents reported an increase in the use of videoconferencing — from 41 percent in 2010 to 59 percent in 2013. Download this HINtelligence report for more telehealth trends for 2013 as reported by 129 healthcare companies in HIN's third annual Telehealth Survey. Included in the report are the greatest barriers or challenges to telehealth implementation, top funding to support telehealth efforts, telehealth use in clinical applications, and much more.

Download this complimentary white paper.

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6.) Florida’s Hospitals Five-Year Results: Reduced Readmissions, Cost

Statewide quality initiatives have resulted in significant improvement in participating hospitals across Florida over the past five years, according to a new report by the Florida Hospital Association (FHA). Among the results from the first five years of the quality initiative is a significant decrease in readmissions and surgical complications, as well as savings of millions of dollars in costs.

Get the full story.

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7.) New Chart: Top 5 Areas Improved from mHealth

New Chart: Top 5 Areas Improved from mHealth The use of mobile health (mHealth) technologies to monitor populations is revolutionizing the exchange and consumption of healthcare data. We wanted to see the areas where healthcare companies have seen the greatest improvements from mHealth.

Click here to view the chart.

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8.) Transforming Health Care Leadership: A Systems Guide to Improve Patient Care, Decrease Costs, and Improve Population Health

Transforming Health Care Leadership This resource provides necessary tools for healthcare leaders to build a learning organization that can make the Triple Aim a reality — better patient care, at lower per-capita cost, while learning to improve population health.



Learn more about this resource.

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9.) Study Shows Public Funding for Behavioral Health Treatment Critical in Tough Times

A new report from the Substance Abuse and Mental Health Services Administration (SAMHSA) shows the importance of public funding for mental health services and substance abuse during difficult economic times, when it helps those who might otherwise be unable to afford the help they need.

Get the full story.

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10.) Using a Brief Intervention to Motivate Clients to Get Help: A How-to-Manual for Professionals

Using a Brief Intervention to Motivate Clients to Get Help This resource, and CD-ROM with reproducible client handouts, feature everything professionals need to motivate and increase treatment-seeking among clients.



Learn more about this resource.

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11.) Finding the Right Clinicians for Physician-Hospital Organizations (PHOs)

Finding the right physicians is a crucial first step in ensuring a successful PHO, and depends on a number of factors, including the size of the population you want to serve, explains Travis Ansel, MBA, manager of strategic services, and Greg Mertz, MBA, FACMPE, director of consulting operations, for the Healthcare Strategy Group.

Get the full story.

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12.) Essential Guide to Physician-Hospital Organizations: 7 Key Elements for PHO Success

Essential Guide to Physician-Hospital Organizations This resource describes the seven critical areas of PHO development, from defining the PHO mission to creating a data environment conducive to registry use, analytics and active patient management.



Learn more about this resource.

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13.) HINfographic: Telehealth in Population Health Management

Healthcare is hanging up land lines — a decrease in use from 80 percent in 2010 to 53 percent in 2013 — and plugging into videoconferencing, virtual visits and smartphones to fortify care management and expand reach to remote and vulnerable populations, according to a recent HIN survey. This HINfographic details future telehealth programs, the top five telehealth targets, the technology and devices most utilized by telehealth, how organizations plan to take advantage of telehealth provisions in the ACA, and more.

Read this blog post.

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14.) Performance Quality Measurement and Reporting for Accountable Care

John C. Lincoln When tracked within its electronic medical record, key interventions like transitional care coaching and an expanded Patient Health Questionnaire not only improve the care provided to John C. Lincoln ACO’s population but provide a clearer picture of the accountable care organization’s performance, note Karen Furbush, business consultant, and Heather Jelonek, chief operating officer of the John C. Lincoln Network ACO.

Additionally, the ACO’s Physician Advisory Network, made up of its leading physicians, tracks patterns and trends within the ACO and helps the care team to adhere to best practices in evidence-based medicine. Monthly webinars with the physician advisory network and its EMR specialists provide opportunities for evaluation and training in these best practices.

Listen to this podcast.

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