Dear Healthcare Intelligence Network Client,

The patient-centered medical home (PCMH) model has permeated healthcare's collective consciousness. There's good news and bad news on this front, according to two new studies. The assignment of medical homes by a major Pennsylvania health system has significantly reduced hospital admissions and costs in its population. On the other hand, a second study indicates that even large physician practices — where most medical homes will reside — lack the essential tools to remodel themselves into PCMHs. Read and comment about both studies in the HIN blog.

More than likely, the PCMH, global economy and other factors have impacted your organization in 2008. Join the more than 70 healthcare organizations that have already responded to our fourth annual healthcare trends and forecasts e-survey. Tell us about 2008's challenges and successes by September 30 and you'll get a free e-summary of the compiled results — an essential planning tool for the year ahead that will be in your hands in October.

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 X, No. 24
September 15, 2008

Sponsored by: Reimbursement Models for Medical Homes: From Pilot to Practice

During Reimbursement Models for Medical Homes: From Pilot to Practice, a 90-minute webinar on September 24, 2008, two industry experts with an expertise in medical homes will examine case studies of reimbursement strategies for medical home programs.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3831


Table of Contents
  1. New NCQA Web Site Details N.Y. Health Plansí Performance on Physician Quality Measurement
  2. 2008 Physician Quality Reporting Guide: Essentials of Data Collection, Work Flow Optimization and Physician Engagement for Practices
  3. Hospitals in CAD Get With The GuidelinesSM Follow Heart Attack Treatment Guidelines Better than Others
  4. From Quality to Excellence: Using Comparative Data to Improve Health Care Performance
  5. Featured Healthcare Business White Paper: 25 Ways Healthcare Economizes on Energy Costs
  6. Cognitive Behavioral Therapy Effective for Treating Trauma Symptoms in Children and Teens
  7. Clinical Case Formulations: Matching the Integrative Treatment Plan to the Client
  8. CMS Funds Patient-Centered Discharge Planning Models, Home-based Long-Term Care Alternatives
  9. Discharge Planning Primer: Community Collaborations to Decrease Hospital Readmissions Risk
  10. HHS Provides Prescription DME Assistance for Uninsured Louisiana Victims of Hurricane Gustav
  11. Emergency Care Management
  12. Monthly e-Survey: Healthcare Trends in 2009


1. New NCQA Web Site Details N.Y. Health Plansí Performance on Physician Quality Measurement

A new Web site launched by the National Committee for Quality Assurance (NCQA) provides details on the extent to which health plans in New York measure and report on physician performance. The plans were assessed by NCQA — designated as a ratings examiner under the agreement — using standards adapted from the organizationís Physician and Hospital Quality program.

To read this story in its entirety, go to:
http://www.hin.com/sw/Hindustry_MC091508.html



2. 2008 Physician Quality Reporting Guide: Essentials of Data Collection, Work Flow Optimization and Physician Engagement for Practices

This special report introduces the 2008 PQRI changes and offers strategies and templates to optimize practice work flow and turn PQRI participation into profit.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3770



3. Hospitals in CAD Get With The GuidelinesSM Follow Heart Attack Treatment Guidelines Better than Others

Hospitals participating in the American Heart Associationís Get With The GuidelinesSM-Coronary Artery Disease (GWTG-CAD), demonstrated better adherence to guidelines in four individual measures: aspirin use at discharge, beta-blocker use at discharge, ACE inhibitor use at discharge and tobacco cessation counseling at discharge. Adherence to the overall hospital comparison composite score was 4.7 percent higher in GWTG hospitals compared to non-GWTG hospitals. Adherence to the GWTG-CAD composite score was 6.5 percent higher in GWTG hospitals compared to non-GWTG hospitals.

To read this story in its entirety, go to:
http://www.hin.com/sw/hospital_HSmanagement091508.html



4. From Quality to Excellence: Using Comparative Data to Improve Health Care Performance

In this book you'll learn how to incorporate comparative measurement data into your organization's quality and patient safety improvement strategies. You'll also discover how to select credible data sources to determine if your performance measures up to that reported by other organizations.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3385



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 Business White Paper: 25 Ways Healthcare Economizes on Energy Costs

Faced with volatile fuel costs, the healthcare industry is turning up the heat on energy conservation. In response to a July 2008 non-scientific online survey by the Healthcare Intelligence Network, nearly 100 healthcare organizations shared their ideas for reducing the impact of an unstable energy environment on profits, patients, members and employees. Download this white paper to learn 25 ways healthcare organizations are economizing on energy costs, from telecommuting to service reductions.

To download this complimentary white paper, please visit:
http://www.hin.com/library/register25ways.html



6. Cognitive Behavioral Therapy Effective for Treating Trauma Symptoms in Children and Teens

Individual and group cognitive behavioral therapy is effective in reducing depressive disorders, anxiety, post traumatic stress disorder or other trauma symptoms in children and teenagers, according to an extensive review of dozens of studies conducted by the Task Force on Community Preventive Services, an independent group of scientists partially funded by the federal government. However, many clinicians are using other types of therapy, such as art, play or drug therapy, which are not proven to be effective.

To read this story in its entirety, go to:
http://www.hin.com/sw/behavioral_health091508.html



7. Clinical Case Formulations: Matching the Integrative Treatment Plan to the Client

This unique resource provides a systematic method to integrate ideas, skills, and techniques from different theoretical approaches, empirical research, and clinical experience to create a case formulation that is tailor-made for the client.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3467



8. CMS Funds Patient-Centered Discharge Planning Models, Home-based Long-Term Care Alternatives

Seven states recently received a share of over $8 million in federal grants to increase awareness of home- and community-based long-term care options for people leaving hospitals who otherwise may enter a traditional nursing home. Over $7 million of the awards will be used to develop person-centered hospital discharge planning models.

To read this story in its entirety, go to:
http://www.hin.com/sw/long_term_care091508.html


There are other free email newsletters available from HIN!

Healthcare Quality Improvement Briefings is a free weekly email newsletter that gives you news about new quality improvement programs, links to sample sites posting healthcare report cards and reviews of new information resources on quality improvement at hospitals and health plans.

HIPAA Heads Up is a free weekly email newsletter that will keep you informed on HIPAA strategies, implementation, resources and the latest news articles available at The HIPAA Desktop — access to online news articles on HIPAA, links to some of the web's top HIPAA resources and a list of "best-selling" resources that healthcare executives are using in their efforts to comply with the HIPAA regulations.

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



9. Discharge Planning Primer: Community Collaborations to Decrease Hospital Readmissions Risk

In this special report, two industry experts describe the coordinated approaches central to their hospital discharge processes and the impact their programs have had on patients' outcomes and satisfaction, hospital readmission rates and healthcare costs.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3785



10. HHS Provides Prescription DME Assistance for Uninsured Louisiana Victims of Hurricane Gustav

HHS Secretary Mike Leavitt recently announced $1 million in individual assistance for Louisiana victims of Hurricane Gustav, through a new Emergency Prescription Assistance Program (EPAP) administrated by CMS. The program, which has begun providing benefits, is an efficient way for pharmacies to process claims for prescription medications and certain durable medical equipment items for individuals who do not have any form of health insurance coverage and who are from the Louisiana disaster area declared by the President.

To read this story in its entirety, go to:
http://www.hin.com/sw/healthLaw_regulation091508.html



11. Emergency Care Management

Emergency Care Management is an 86-page toolbox of guidelines, benefit interpretations, policies and procedures for the effective management of appropriate and medically necessary emergency and urgent care services. This product includes strategies for after-hours, emergency care, plus review criteria guidelines to develop an effective after-hours and emergency care program that will provide quality-driven care and meet most coverage determinations.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3588



12. Monthly e-Survey: Healthcare Trends in 2009

A faltering economy, a presidential election and a number of other factors promise to drive changes in the healthcare industry. Want to know how other healthcare organizations are preparing for what the healthcare industry will face in 2009? Complete HIN's Survey of the Month on Healthcare Trends in 2009 by September 30 and youíll get a free executive summary of the compiled results. Your responses will be kept strictly confidential. In exchange for your time and participation, you will also receive a $25 discount off the complete "Healthcare Trends & Forecasts in 2009" report when it is published in November 2008.

To take the survey and receive your free executive summary of the results, please visit:
http://www.surveymonkey.com/s.aspx?sm=_2fBKYh4mL_2bffSaoEBo0GgFg_3d_3d


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