HIN logo
From the editor

Dear Healthcare Intelligence Network Client,

HIN Content Editor Cheryl Miller

It's back to school time, and the healthcare industry is undergoing its fair share of transitions.

NCQA is launching a new accreditation program for ACOs this fall. The organization worked with consumer advocates, purchasers and other healthcare and managed care experts to develop seven standards by which it will evaluate ACOs. Early bird adopters of the accreditation effort can get reduced rates on survey fees, online education tools and promotion. Order the NCQA ACO standards.

The one-year report card on Cigna's ACO approach with Medical Clinic of North Texas (MCNT) is in; and both healthcare systems are reporting excellent grades in four key areas: reducing avoidable emergency room visits, following evidence-based medicine, lowering medical costs and better controlling diabetes. Since the accountable care program began, MCNT has received the highest level of recognition from NCQA for meeting national quality standards for physician group medical homes. Cigna helped by sharing patient-specific data that identifies individuals who could benefit most from additional outreach and follow-up care. You can read more in this issue.

Medical students, rather than teachers, are getting apples this year: Apple iPads. Many universities, including Yale Medical School, profiled here, are downloading curriculum onto the tablets in an effort to be more "green," save money, and protect patient confidentiality. Computer security has been a particular concern for the Yale School of Medicine, and the iPad is compliant with security and privacy laws and does not carry the same risk of information loss that a laptop might, Yale officials say.

And finally, a lesson that can't be taught enough: smoking just a few cigarettes can kill. A new report from the CDC shows that smokers are smoking less: the percentage of daily smokers who smoke nine or fewer cigarettes per day rose to nearly 22 percent in 2010, up from an estimated 16 percent in 2005. But smokers need not be heavy or long-term smokers to be affected with a smoking-related disease, or suffer a heart attack or asthma attack, CDC officials say. And states with the toughest anti-smoking campaigns have the fewest smokers. Which just goes to show that even the most resistant students can be taught to change their ways.

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

>>Return to top

HIN podcasts
HIN blog
HIN videos
New HIN products

Contact HIN:
www.hin.com
(888) 446-3530
(732) 449-4468
Fax: (732) 449-4463
Email: info@hin.com

This week's featured download: Embedded Case Managers in 2011 — Co-Location Catches On Across Healthcare Continuum

Embedded Case Managers in 2011 — Co-Location Catches On Across Healthcare Continuum

Featured download










For advertising and sponsorship opportunities in the Healthcare Business Weekly Update, please e-mail sales@hin.com or call 888-446-3530

>>Return to top

September 12, 2011
Vol. XIII, No. 33

Sponsored by:
The Role of Embedded Case Managers in Clinical Transformation

This week's industry news:

  1. Cigna and MCNT's Accountable Care Initiative Improves Quality, Lowers Costs After One Year
  2. Hospital Discharge Improvement Guide
  3. Smokers are Smoking Less: CDC Study
  4. 2011 Benchmarks in Tobacco Cessation and Prevention
  5. Healthcare Business White Paper: Improving Patient Care with Identity and Access Management
  6. 4 Key Motivations for Participating in CMS’s ACE Demo
  7. New Chart: Top 5 Benefit-Based Health & Wellness Incentives
  8. Case Study in Bundled Payments
  9. 7 Domains of New NCQA ACO Accreditation Program
  10. Essential Guide to Accountable Care Organizations
  11. iPads Help Medical Students Go Paperless While Preserving Clinical Confidentiality
  12. Telemedicine Technologies
  13. 5 Steps to Reduce 30-Day Readmissions for Heart Attack, Heart Failure and Pneumonia
  14. HealthSounds Podcast: CDPHP's Business Case for Embedded Case Managers
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.

Missed the last issue? Read it here.

Join our Online Communities:

Twitter Facebook LinkedIn YouTube


Take our monthly e-survey:
Medication Adherence in 2011

You'll be emailed a synopsis of the survey results.


This week's industry news

1.) Cigna and MCNT's Accountable Care Initiative Improves Quality, Lowers Costs After One Year

Cigna is reporting four key improvements in quality and healthcare costs since collaborating with Medical Clinic of North Texas (MCNT) on an accountable care initiative a year ago.

Get the full story.

>>Return to this week's industry news


2.) Hospital Discharge Improvement Guide: How to Close Six Key Care Gaps and Reduce Readmissions

Hospital This guide delivers dozens of tactics to tighten the six major gaps in the hospital discharge process: education, test management, follow-up and discharge, communication, physician accountability and health literacy.

Learn more about this resource.

>>Return to this week's industry news


3.) Smokers are Smoking Less: CDC Study

While fewer American adults are smoking cigarettes, and those that do smoke are smoking less, even occasional smoking can cause harm, says a new Vital Signs report from the CDC.

Get the full story.

>>Return to this week's industry news


4.) 2011 Benchmarks in Tobacco Cessation and Prevention

2011 Benchmarks in Tobacco Cessation and Prevention This 25-page special report takes a comprehensive look at efforts by the healthcare industry to short-circuit smoking and related behaviors, based on recent market research by the Healthcare Intelligence Network. HIN's market research found that smoking cessation is one of the top five disease management efforts for which financial and benefit-based incentives are offered, and yet cigarette smoking continues to be the leading cause of preventable morbidity and mortality in the United States.

Learn more about this resource.

>>Return to this week's industry news


5.) Healthcare Business White Paper: Improving Patient Care with Identity and Access Management

After evaluating proposals from several leading vendors, Blue Cross and Blue Shield of Kansas City selected RSA ClearTrust® web access management software as the central component of its identity and access management strategy. The RSA Security solution provides administrators with fine-grained capabilities for managing users’ access to mission-critical applications and sensitive information, based on an individual’s role and unique user profile.

Download this complimentary white paper.

>>Return to this week's industry news


6.) 4 Key Motivations for Participating in CMS’s ACE Demo

There were four main reasons Baptist Health System participated in CMS’s Acute Care Episode (ACE) demonstration pilot, explains Michael Zucker, FACHE, senior vice president and chief development officer for Baptist Health System.

Get the full story.

>>Return to this week's industry news


7.) New Chart: Top 5 Benefit-Based Health & Wellness Incentives

Top 5 Benefit-Based Health & Wellness Incentives Healthcare companies have grown increasingly creative in their use of economic and benefits-based incentives to drive engagement and participation in health and wellness programs. We wanted to see which benefit-based health and wellness incentives are offered most frequently by healthcare organizations for program participation.

Click here to view the chart.

>>Return to this week's industry news


8.) Case Study in Bundled Payments: The Baptist Health System Experience

Case Study in Bundled Payments For organizations considering participation in the 2011 CMS Bundled Payments initiative, this resource is essential reading before filing letters of intent by CMS's September or November 2011 deadlines. This 24-page report documents the care payment experience of Baptist Health System in the CMS ACE demonstration pilot. Data from the ACE demonstration helped to lay the groundwork for the CMS Bundled Payments initiative announced in August 2011.

Learn more about this resource.

>>Return to this week's industry news


9.) 7 Domains of New NCQA ACO Accreditation Program

The NCQA will launch an Accountable Care Organization (ACO) accreditation program this fall. The NCQA worked with consumer advocates, purchasers and other healthcare and managed care experts to develop seven standards by which it will evaluate ACOs.

Get the full story.

>>Return to this week's industry news


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

Essential Guide to Accountable Care Organizations This guide answers key questions surrounding ACOs so that hospitals, PHOs, IPAs and other physician organizations, networks or group practices can weigh the merits now of creating an ACO and complete the necessary groundwork before CMS's ACO operation date of January 2012. It 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.

>>Return to this week's industry news


11.) iPads Help Medical Students Go Paperless While Preserving Clinical Confidentiality

It's not the teachers getting an apple this coming school year, but the students.

Yale School of Medicine is giving each of its students an Apple iPad 2 this school year for use in the classroom and clinical training.

Get the full story.

>>Return to this week's industry news


12.) Telemedicine Technologies: Information Technologies in Medicine and Telehealth

Telemedicine Technologies In this guide, the authors discuss consumer healthcare technology, which is becoming more popular as reduction in manufacturing cost of electronics products makes healthcare products more affordable to the general public. In addition, the book explores topics such as communication networks and services, patient monitoring, information processing, system deployment, data security and privacy, information technology in alternative medicine, multimedia and health informatics, and caring for the community.

Learn more about this resource.

>>Return to this week's industry news


13.) 5 Steps to Reduce 30-Day Readmissions for Heart Attack, Heart Failure and Pneumonia

How to reduce rehospitalizations for the "big 3" to improve core measure ratings? "Hit them hard and hit them big time," says Dr. Steve Berkowitz, president at SMB Health Consulting and former chief medical officer for the central and west Texas division of HCA at St. David's HealthCare.

Read this blog post.

>>Return to this week's industry news


14.) HealthSounds Podcast: CDPHP's Business Case for Embedded Case Managers

>Lisa Sasko and Charlene Schlude Embedded case managers are the latest step in CDPHP's clinical transformation, which began in 2008 with a transition to the patient-centered medical home model and continued with the introduction of new payment models in 2009 and 2010. Lisa Sasko, CDPHP director of clinical transformation, and Charlene Schlude, the organization's director of case management, describes the embedded case manager's role in a new era of healthcare, targeted patients and disease states and some of the operational and cultural issues surrounding the co-location of case managers in physician practices.

Listen to this podcast.

>>Return to this week's industry news


Thank you for your readership! Please urge your colleagues to subscribe by forwarding this email or visiting http://www.hin.com/freenews2.html or by calling (888) 446-3530 or visiting the HIN Web site.

While we encourage you to forward this email to your colleagues, these articles may not be redistributed in any other publication, reproduced for publication in any form, distributed on an intranet or network or by e-mail distribution or distributed for commercial purposes without the expressed written permission of the Healthcare Intelligence Network.


Copyright 1997-2011 Healthcare Intelligence Network. All rights reserved.
Healthcare Intelligence Network
Gateway to Healthcare Business Information on the Internet
800 State Highway 71, Suite 2, Sea Girt, N.J. 08750