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From the editor

Dear Healthcare Intelligence Network Client,

HIN Content Editor Cheryl Miller

Nearly one in five older adults who have common operations will end up in the ER within a month of their hospital stay, finds a new study from the University of Michigan Medical School.

There is also wide variation among hospitals, with some having four times the rate of post-surgery emergency care for their patients than others, suggesting that hospitals should be graded based on their performance on this measure.

But researchers agree that further study is needed before post-surgical ED visits join such measures as hospital readmissions and infections in assessing the quality of hospital care, researchers note. More inside.

Experts and the public disagree on whether Medicare spending should be reduced in order to lower the federal budget deficit, according to a special report in the New England Journal of Medicine. In fact, a majority of the public says they will vote against candidates who favor the reductions.

Americans feel that Medicare recipients have prepaid or are paying for the cost of their healthcare, and that the benefits they do receive are the same or less than what they paid during their working lives. But experts maintain, among other issues, that one of the most important reasons for rising Medicare costs is unnecessary care provided to patients.

There is widespread agreement that the use of EHRs in clinical settings can decrease ER visits and hospitalizations for patients with diabetes, according to researchers from Kaiser Permanente (KP).

Following the implementation of HealthConnect®, the organizationís comprehensive EHR system, KP researchers found that diabetic patients visited the ER 29 fewer times per 1,000 patients and were hospitalized 13 fewer times per 1,000 patients annually after the implementation.

Do you input EHR data for health risk assessments? Sophisticated analytics behind today's health risk assessments or health risk appraisals (HRAs) provide employers, payors and providers an aggregate view of population health and the raw material for the development of prevention and lifestyle change programs. Tell us how your organization uses HRAs to improve population health by October 15, 2013 and get a FREE executive summary of the compiled 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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Telehealth in 2013 — Videoconferencing, Virtual Visits and Smartphones Power Population Health Management

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September 16, 2013
Vol. XV, No. 34

Marcus Evans Health Care Executives Summit Sponsored by:

marcus evans Healthcare Executives Summit

The National Healthcare CXO event is an invitation-only event held for approximately 90 attendees and is closed to the public. Delegates include CEOs, CAOs and COOs. The topics include: thoughts on the transformation of our healthcare system, cultivating a healthy hospital-physician relationship, quality measurement, techniques and redesigning the care process for improved results, patient satisfaction and experience programs to boost engagement and communication, and reducing costs by investing in outpatient care.

Click here to visit the conference Web site.


This week's industry news:

  1. 1 in 5 Older Adults End Up in ER after Surgery
  2. 2012 Healthcare Benchmarks: Reducing Avoidable ER Visits
  3. Experts and Public Disagree on Need to Cut Medicare Spending
  4. Population Health Management for Dual Eligibles
  5. Healthcare Business White Paper: PCMHs in 2012
  6. EHRs Linked to Improved Care for Patients with Diabetes
  7. New Table: Characteristics of a Bon Secours Nurse Navigator Case Load
  8. Managing Population Health with Integrated Registries and Effective Patient Touchpoints
  9. Statewide Medical Home Pilot Reduces ED Visits
  10. New Models in the Patient-Centered Medical Home
  11. 4 Reasons Why Home Visits Are Effective
  12. Home Visit Handbook
  13. Infographic: America, Land of the Obese
  14. Medicare Pioneer ACO Year One: Lessons from a Top-Performer
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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Health Risk Assessments in 2013

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Interested in all open surveys? Review them here.


This week's industry news

1.) 1 in 5 Older Adults End Up in ER after Surgery

Nearly one in five older adults who have common operations will end up in the ER within a month of their hospital stay, finds a new study from the University of Michigan Medical School, with funding from the National Institutes of Health.

Get the full story.

>>Return to this week's industry news


2.) 2012 Healthcare Benchmarks: Reducing Avoidable ER Visits

2012 Healthcare Benchmarks: Reducing Avoidable ER Visits This resource delivers actionable information from 134 healthcare organizations on their efforts to reduce inappropriate ED visits, and presents year-over-year trends and suggests how to engage the primary care physician, urgent care centers and patient education tools in these efforts.


Learn more about this resource.

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3.) Experts and Public Disagree on Need to Cut Medicare Spending

While many experts feel future Medicare spending should be reduced in order to lower the federal budget deficit, only one third of Americans agree, according to a special report in the New England Journal of Medicine.

Get the full story.

>>Return to this week's industry news


4.) Population Health Management for Dual Eligibles: Blueprint for Care Coordination

Population Health Management for Dual Eligibles This resource details SCANís unique care management model for duals, which focuses on prevention and early intervention, particularly in the area of medication management.



Learn more about this resource.

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5.) Healthcare Business White Paper: PCMHs in 2012 — Patient Satisfaction Rises with PCMH Adoption

PCMHs in 2012 The continuous coordinated patient care at the heart of the patient-centered medical home (PCMH) has been shown to lower costs while improving healthcare outcomes. And now, according to the sixth annual HINtelligence Report, the rise in medical home starts over the last six years can also be linked to a steady climb in patient satisfaction. This HINtelligence Report provides data highlights on medical home adoption, staffing, technologies, reimbursement and ROI, as well as a look back at medical home metrics from 2006 to present.

Download this complimentary white paper.

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6.) EHRs Linked to Improved Care for Patients with Diabetes

The use of EHRs in clinical settings led to a decrease in ER visits and hospitalizations for patients with diabetes, according to a study published in the Journal of the American Medical Association (JAMA).

Get the full story.

>>Return to this week's industry news


7.) New Table: Characteristics of a Bon Secours Nurse Navigator Case Load

New Table: Characteristics of a Bon Secours Nurse Navigator Case Load Using custom builds in its EPIC® EHR, Bon Secours Health System has developed sophisticated reporting, patient registries and a predictive model to identify high-risk patients. Their RN case managers, also known as nurse navigators, use tools like registries inside the EPIC platform. We wanted to identify the workflow for a nurse navigator.

Click here to view the table.

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8.) Managing Population Health with Integrated Registries and Effective Patient Touchpoints

Managing Population Health with Integrated Registries and Effective Patient Touchpoints This webinar presents Jim Bellows, PhD, senior director of evaluation and analytics at Kaiser Permanente, who shares his organizationís approach to population care and population health management.


Learn more about this resource.

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9.) Statewide Medical Home Pilot Reduces ED Visits

A patient-centered medical home pilot program in Rhode Island significantly improved medical home recognition scores in ambulatory ED visits, according to an article published in JAMA Internal Medicine.

Get the full story.

>>Return to this week's industry news

10.) New Models in the Patient-Centered Medical Home: Incentives, Infrastructure and IT to Support Accountable Care

New Models in the Patient-Centered Medical Home This resource offers snapshots of thriving medical home initiatives and their particular area of focus.





Learn more about this resource.

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11.) 4 Reasons Why Home Visits Are Effective

Engaging patientsí families and other support systems in the home are one benefit of home visits, explains Jessica Simo, program manager with Durham Community Health Network for the Duke Division of Community Health, enabling healthcare providers to see the patient in their natural environment.

Get the full story.

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12.) Home Visit Handbook: Structure, Assessments and Protocols for Medically Complex Patients

Home Visit Handbook This resource outlines an innovative home visit pilot for Medicaid and dually eligible patients that reduced unplanned hospital admission days by 71 percent in three months and provides key performance benchmarks on home visit activity in the healthcare industry.


Learn more about this resource.

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13.) Infographic: America, Land of the Obese

Obesity is officially an epidemic, and it costs the healthcare system approximately $90 billion per year, according to the surgeon general. In the United States, one in three adults and one in six children are considered obese, according to a new infographic presented by PhentermineWars.com. This infographic also identifies factors and risks, health concerns and deaths associated with obesity, current obesity rates, the top 10 obese states and more.

Read this blog post.

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14.) Medicare Pioneer ACO Year One: Lessons from a Top-Performer

Colin LeClair Lauded for its care coordination service, Monarch had to overcome a few challenges when retrofitting the Naylor Transition of Care (TOC) model for the ACO — among them insufficient patient access, patient skepticism and resource limitations. By focusing on readmissions reductions and four disease management conditions — ESRD, COPD, CHF and diabetes — and creating a care coordination team that included the newly created care navigator, case managers, and pharmacist, the organization has improved patient compliance, reduced negative drug interactions and hospital days and improved patients access to community services.

Listen to this podcast.

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