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From the editor

Dear Healthcare Intelligence Network Client,

HIN Content Editor Cheryl Miller

It's just been announced that healthcare providers have an additional year to meet CMS's deadline for Stage 2 Meaningful Use for EHR incentives. Healthcare providers now have until 2014 to meet the criteria; the agency originally required Medicare providers who first demonstrated Stage 1 of meaningful use in 2011 to meet the Stage 2 criteria in 2013. Under the final rule, patients must get involved in using EHR technology in order for providers to get reimbursement funds.

CMS is also moving forward with its Comprehensive Primary Care initiative for Medicare beneficiaries. The agency has selected 500 primary care practices from seven regions throughout the country to participate in a four-year pilot program that rewards healthcare providers that improve their services for this population. Benefits of the program include better patient engagement, improved care for those with complex needs, and better access for patients.

Only 13 percent of hospitals recently surveyed by the Commonwealth Fund are participating in, or planning to participate in an ACO. While 73 percent of these hospitals report sharing clinical data among healthcare settings, and 70 percent are addressing care transitions, with processes in place to identify patients moving between care settings such as nursing homes and rehabilitation facilities, only 50 percent of these hospitals report having the financial strength to accept risk.

An alarming statistic: almost half of all physicians are suffering from at least one symptom of burnout, according to a recent Mayo Clinic study. Physicians in specialties at the front line of care, including emergency medicine, general internal medicine and family medicine, are at the greatest risk of burnout, and researchers cite long working hours, as major triggers for the burnout, leading to struggles with work-life integration, emotional exhaustion, and depersonalization.

If you're looking for tips on PCHM accreditation, look no further: NCQA and Merck have collaborated on a new educational video for primary care clinicians. The video details the formal evaluation program that results in a PCMH designation.

And don't forget to download our latest white paper on asthma management: nearly three fourths of respondents to our recent survey reported having an asthma management program in place, and the majority cited the PCP with primary responsibility for its utliization.

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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August 27, 2012
Vol. XIV, No. 32

Sponsored by:
Integrated Health Coaching — The Next Generation in Health Behavior Change Management


This week's industry news:

  1. Seeking Medical Home Recognition? New Video from NCQA, Merck Provides Tips
  2. The Medical Home Case Manager
  3. CMS Announces Participants in Primary Care Initiative Targeting Medicare Beneficiaries
  4. Aligning Physician Incentives for Shared Risk and Reward Across the Healthcare Continuum
  5. Healthcare Business White Paper: Asthma Management in 2012
  6. Most Hospitals Not Ready to Participate in ACOs: Survey
  7. New Chart: Top Functionalities of Patient Registries
  8. Essential Guide to Accountable Care Organizations
  9. Nearly 1 in 2 U.S. Physicians Suffer from Burnout: Study
  10. Guide to Physician Engagement
  11. 4 Rules for Using Registries to Identify Gaps in Care
  12. Population Health Management Tools for ACOs
  13. Infographic: Medical Home Paves Way for Patient Satisfaction
  14. Patient Engagement in the Patient-Centered Medical Home
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.) Seeking Medical Home Recognition? New Video from NCQA, Merck Provides Tips

Merck and NCQA have produced a new educational video for primary care practices seeking patient-centered medical home (PCMH) recognition.

Get the full story.

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2.) The Medical Home Case Manager: Profiting from Patient-Centered Care Coordination

The Medical Home Case Manager This resource provides an inside look at the selection, training, skill set, processes and benefits of the Geisinger Health Plan case managers embedded within the payor’s medical home practices.



Learn more about this resource.

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3.) CMS Announces Participants in Primary Care Initiative Targeting Medicare Beneficiaries

CMS has selected 500 primary care practices to participate in a four-year pilot program rewarding healthcare providers that better coordinate care for Medicare beneficiaries.

Get the full story.

>>Return to this week's industry news


4.) Aligning Physician Incentives for Shared Risk and Reward Across the Healthcare Continuum

Aligning Physician Incentives for Shared Risk and Reward Across the Healthcare Continuum During this webinar, Babette Apland, senior vice president of health and care management for HealthPartners, shared how HealthPartners aligned physician incentives and shared savings with pay-for-performance programs and a total cost of care initiative.


Learn more about this resource.

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5.) Healthcare Business White Paper: Asthma Management in 2012 — Action Plans, Coaching Help Patients To Breathe Easier

Asthma Management in 2012 New market research from the Healthcare Intelligence Network has determined that asthma action plans and health coaching are key components of an effective asthma management program. Download this HINtelligence report to learn how 71 healthcare companies are helping individuals with asthma to manage their disease more effectively, reducing the likelihood of ER visits and hospitalizations by this population.

Download this complimentary white paper.

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6.) Most Hospitals Not Ready to Participate in ACOs: Survey

Just 13 percent of nearly 1,700 hospitals nationwide are participating in, or planning to participate in, accountable care organizations (ACOs) in the next year, according to a new report from The Commonwealth Fund.

Get the full story.

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7.) New Chart: Top Functionalities of Patient Registries

Top Functionalities of Patient Registries In the new landscape of accountable and value-based healthcare, patient registries are a straightforward tool for creating realistic views of clinical practices, provider performance, safety and comparative effectiveness, and for supporting evidence-based medicine development and decision-making. We wanted to see which functionalities are most often included in patient registries.

Click here to view the chart.

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

Essential Guide to Accountable Care Organizations This resource answers key questions surrounding ACOs so that hospitals, PHOs, IPAs and other physician organizations, networks or group practices can weigh the merits of creating an ACO.



Learn more about this resource.

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9.) Nearly 1 in 2 U.S. Physicians Suffer from Burnout: Study

Almost half of all physicians are suffering from at least one symptom of burnout, according to a Mayo Clinic study published in the Archives of Internal Medicine.

Get the full story.

>>Return to this week's industry news

10.) Guide to Physician Engagement

Guide to Physician Engagement This resource deconstructs the physician culture and suggests tactics for converting reluctant physicians into champions for healthcare improvement. Q&A chapter answers more than 40 questions on the engagement of physicians.


Learn more about this resource.

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11.) 4 Rules for Using Registries to Identify Gaps in Care

Registries can be particularly useful in population health management, particularly when used for patients with diabetes, who necessitate separate categories, explains Gregory Spencer, MD, FACP, chief medical officer with Crystal Run Healthcare.

Get the full story.

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12.) Population Health Management Tools for ACOs: Technologies and Tactics to Support Accountable Care

Population Health Management Tools for ACOs This resource examines the building blocks of population health management that drive improvements in healthcare quality and efficiency in ACOs — while positioning healthcare organizations for core measure improvement and increased reimbursement.



Learn more about this resource.

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13.) Infographic: Medical Home Paves Way for Patient Satisfaction

Large doses of e-prescribing, electronic health records and patient portals, among other health IT tools, are powering higher levels of satisfaction within the patient-centered medical home (PCMH), according to a new infographic from the Healthcare Intelligence Network.

Read this blog post.

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14.) Patient Engagement in the Patient-Centered Medical Home: A Continuum Approach

Jay Driggers Although the healthcare industry is well-acquainted with the patient-centered medical home, the model is still quite new and novel to patients, notes, Jay Driggers, director of consumer engagement at Horizon Blue Cross Blue Shield of New Jersey. In this interview, Driggers describes what's at stake when moving from a reactive provider model to a proactive model.

Listen to this podcast.

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