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Dear Healthcare Intelligence Network Client,

Unintended consequences. According to Wikipedia, the free online encyclopedia and everyone's new favorite news source, these are "situations where an action results in an outcome that is not (or not only) what is intended." In discussing the unintended consequences of public reporting and pay for performance (PFP) in healthcare this week, Dr. Dale Bratzler said incentives that stimulate and accelerate quality improvement often result in direct or indirect harm to patients. If attention shifts to incentive-based conditions, he warned, some providers might turn away high-risk patients or treat payment-based rather than life-threatening cases first. This week, we report on Cardinal Health's new reporting method for PFP that relies on clinical rather than administrative data, a step toward enriching reported data and reporting transparency.

More unintended consequences: Relying on public data to track Medicaid clients that may not keep pace with this transient population means some clients miss out on much-needed care. So sometimes unorthodox resources -- like delivery records from a pizza service -- can be the key to locating elusive clients. This worked for one health plan that surmised (correctly) that transient clients often order takeout meals. To share your strategies and find out how your colleagues track down and engage hard-to-reach clients, take this month's online survey at
http://www.surveymonkey.com/s.aspx?sm=x_2fL2LZq0773NH6utbyu1Fg_3d_3d.
Respond by September 30 and we'll email you a free summary of the results so you can get these types of innovative strategies for tracking down hard-to-reach members and 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 VIX, No. 28
September 10, 2007

Sponsored by: Building Patient Care Continuity with Prepared Practice Teams

Already a leader in high quality healthcare, HealthPartners Medical Group wanted another model of care that would improve outcomes even further. Enter prepared practice teams. During this 45-minute audio conference, Beth Waterman, HealthPartners vice president of primary care and clinic operations, will describe how practice teams are critical to her organization's effort to build patient care continuity.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3732


Table of Contents
  1. Cardinal Health Introduces New Reporting Method for Pay-For-Performance
  2. Ensuring the Benefits of Public Reporting and Pay-for-Performance Programs Outweigh the Unintended Consequences
  3. Care Plan-Personal Health Record Merge Results in Member-Accessible Records
  4. Electronic Health Records: A Practical Guide for Professionals and Organizations
  5. Featured Healthcare Blog: Hospitals, Health Plans React to Unnecessary Visits to Emergency Department
  6. Illicit Drug Use Down, Prescription Drug Misuse Up Among Adolescents in U.S.
  7. Major Depression and Bipolar Disorder-Evaluation and Management Guideline
  8. Country Short on Long-term Care Nurses
  9. Managing Transitions to Care for the Frail Elderly
  10. Massachusetts Medical Society Opposes Regulations for "Limited-Service Clinics"
  11. The Medical Home: Pathway to Patient-Centric Primary Care
  12. Monthly e-Survey: Identifying and Communicating with Hard-to-Reach Clients


1. Cardinal Health Introduces New Reporting Method for Pay-For-Performance

A more accurate method to report quality of care by hospitals and/or healthcare providers has been developed by Cardinal Health. The new methodology is based on clinical data rather than administrative data, according to Cardinal Health. Cardinal Health said its study across six major diseases showed that using clinical data more accurately accounts for the severity of an illness and leads to more clinically valid quality measurements than traditional methods.

To read this story in its entirety, go to:
http://www.hin.com/sw/Hindustry_MC091007.html



2. Ensuring the Benefits of Public Reporting and Pay-for-Performance Programs Outweigh the Unintended Consequences

During this 45-minute roundtable audio conference on CD-ROM, we examined some of the unintended consequences from pay-for-performance programs and how healthcare organizations can circumvent these problems. Industry expert Dr. Dale Bratzler, QIOSC medical director, Oklahoma Foundation for Medical Quality Inc., provided a brief overview of the potential unintended consequences of public reporting that could lead to patient harm in both direct and indirect ways.

For more information on, please visit:
http://store.hin.com/product.asp?itemid=3729



3. Care Plan-Personal Health Record Merge Results in Member-Accessible Records

With the help of disease management service ParadigmHealth, BlueCross BlueShield of South Carolina will electronically integrate personal health records with medical care plans. These records will be available to members and their healthcare professionals by the end of the year and can be accessed in real time.

To read this story in its entirety, go to:
http://www.hin.com/sw/hospital_HSmanagement091007.html



4. Electronic Health Records: A Practical Guide for Professionals and Organizations

Revised and updated to include the latest trends and applications in electronic health records (EHRs), the third edition of Margret K. Amatayakul’s Electronic Health Records: A Practical Guide for Professionals and Organizations offers step-by-step guidelines for developing and implementing EHR strategies for healthcare organizations.

For more information on, please visit:
http://store.hin.com/product.asp?itemid=3629



TALK TO THE HIN COMMUNITY: Share your reaction to a story or a strategy that's working at your organization. Send an email to editor@hin.com or post a comment to the HIN blog at:
http://blog.hin.com/

5. Featured Healthcare Blog Post: Hospitals, Health Plans React to Unnecessary Visits to Emergency Department

In a July 2007 survey, almost 85 percent of responding healthcare organizations say that unnecessary visits to their emergency rooms are an issue, and more than half are addressing this trend in their emergency department management efforts...

To continue reading this blog post, please visit:
http://blog.hin.com/?p=132



6. Illicit Drug Use Down, Prescription Drug Misuse Up Among Adolescents in U.S.

According to the U.S. Substance Abuse and Mental Health Services Administration (SAMHSA), fewer adolescents are using illicit drugs than in 2002. However, the study shows an increasing rate in the misuse of prescription drugs among this age cohort.

To read this story in its entirety, go to:
http://www.hin.com/sw/behavioral_health091007.html



7. Major Depression and Bipolar Disorder-Evaluation and Management Guideline

Major Depression and Bipolar Disorder-Evaluation and Management Guideline is 109 pages of clinical guidelines for the evaluation and management of these two common disorders with extensive references and resources. It is updated annually.

For more information on, please visit:
http://store.hin.com/product.asp?itemid=3596



8. Country Short on Long-term Care Nurses

Currently, there is shortage of nurses across the nation, and the elderly population in assisted living and nursing homes is being hit hard. A recent study by the New Jersey Collaborating Center for Nursing finds that the shortage is due to the state’s aging population, nursing "burnout" and the inability of the state's nursing schools to recruit and provide adequate training to the number of nurses needed to fill the growing demand.

To read this story in its entirety, go to:
http://www.hin.com/sw/long_term_care091007.html


There are other free email newsletters available from HIN!

Health Management Career Center Update is a free bi-monthly email newsletter for healthcare management professionals seeking new career opportunities and healthcare organizations that are seeking to fill health management positions within their companies.

Healthcare Buyer's Connection is a bi-monthly email newsletter for buyers and sellers of healthcare products and services. It highlights news on trends in healthcare purchasing and marketing and recommends reading for keeping up-to-date on e-commerce.

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



9. Managing Transitions to Care for the Frail Elderly

During Managing Transitions to Care for the Frail Elderly, a 90-minute audio conference on CD-ROM, industry experts John Charde, vice president of strategic development for Enhanced Care Initiatives Inc., and Laurie Russell, senior director of health solutions for XLHealth, describe how their organizations service the healthcare needs of the medically complex frail elderly.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3668



10. Massachusetts Medical Society Opposes Regulations for "Limited-Service Clinics"

The Massachusetts Medical Society (MMS) objected to proposed regulations for limited services clinics in recent testimony before the Department of Public Health (DPH). According to MMS, the proposed standards "need significant revisions and clarifications to ensure that the issuance of a clinic license of any variety will be warranted and will benefit the public."

For more information, please visit:
http://www.hin.com/sw/healthLaw_regulation091007.html



11. The Medical Home: Pathway to Patient-Centric Primary Care

This 40-page special report addresses the value and challenges of medical homes from the viewpoints of organizations already trying to establish medical homes for their populations. Covered are funding and implementation hurdles, successful methods for identifying members and redesigning office practices to move toward an advanced medical home model.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3719



12. Monthly e-Survey: Identifying and Communicating with Hard-to-Reach Clients

Oftentimes those who need healthcare services the most are the ones who are difficult to locate and to engage. A recent New York Times article quoted a study that found that despite a decade of marketing efforts by governments and private foundations, nearly 30 percent of children who are eligible for the Children’s Health Insurance Program have yet to enroll. The pediatric uninsured is just one segment in a long list of what is called the medically underserved. This month's survey will examine the types of programs developed by healthcare organizations to identify and engage the medically underserved.

To take the survey and receive your free executive summary of the results, please visit:
http://www.surveymonkey.com/s.aspx?sm=x_2fL2LZq0773NH6utbyu1Fg_3d_3d


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All contents of this message Copyright 2007