Dear Healthcare Intelligence Network Client,

This week, a recent survey of nurses cautions that hospitals will be shy 340,000 RNs by 2020 if management and employee orientations don't improve. Today's 70 percent turnover in nursing can't be good for continuity and quality of patient care -- or a hospital's quality ratings. When seeking to better patient outcomes and satisfaction, don't underestimate the power of a satisfied and motivated workforce. Case in point: Lenore Blank and Michele "Mickey" Gilbert -- two nurse practitioners at Hackensack University Medical Center (HUMC) who coordinate HUMC's award-winning heart failure team. A model in continuity of care and nurse empowerment, the team has earned a berth on the Pursuing Perfection healthcare quality initiative from the Institute of Healthcare Improvement. Read about the power of their initiative in this week's Worth Repeating.

If you're inspired to hear more, you can listen to Lenore's comments in an audio interview at http://www.hin.com/podcasts/podcast.htm#44

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. 29
September 17, 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, vice president of primary care and clinic operations at HealthPartners, will describe how practice teams drive 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. Defining Features and Functionality for a Health Coaching IT Platform
  2. Health Coaching IT Tools: Dashboard for Driving Coaching Sessions Toward Behavior Change
  3. Better Hospital Management Means Higher Retention Rates in RNs
  4. From Management to Leadership: Practical Strategies for Health Care Leaders, 2nd Edition
  5. Featured Healthcare Business White Paper: Dealing with Unnecessary ED Visits
  6. Race & Wealth Predictors of Mental & Medical Services Use
  7. Managing Behavioral Healthcare, 3rd edition
  8. Nursing Home Care: Separate but (Not) Equal
  9. Changing the U.S. Health Care System: Key Issues in Health Services Policy and Management, 3rd Edition
  10. FDA Approves Second-Generation Smallpox Vaccine
  11. Bioterrorism Preparedness: Medicine - Public Health - Policy
  12. Worth Repeating: Launching a Dedicated Heart Failure Unit
  13. Pursuing Perfect Care: Improving Chronic Care Outcomes by Treating the Whole Patient


1. Defining Features and Functionality for a Health Coaching IT Platform

Platform features [for health coaching] start to get into the systemís functionality and capabilities, says John Harris, the senior vice president of the health support division of Healthways. "The first platform feature is the ability to get enrollment data. This can be done through an eligibility file or other types of similar files. The purpose is to know who could potentially come into the system, and then have data on them residing in the system so youíre ready to move forward. Verification tools are helpful. Most clients are bad in terms of the data they provide regarding a personís eligibility. Outdated phone numbers and addresses are very common. A feature that does not allow the coach to get beyond that screen until that data has been validated can be helpful."

To read this story in its entirety, go to:
http://www.hin.com/sw/Hindustry_MC091707.html



2. Health Coaching IT Tools: Dashboard for Driving Coaching Sessions Toward Behavior Change

The best health IT platforms, say the experts, offer a system rich in features but are easy to navigate, freeing the coach to focus on coaching and strengthening the coach-client connection. In this special report, "Health Coaching IT Tools: Dashboard for Driving Coaching Sessions Toward Behavior Change," two innovators in health coaching detail the ideal roster of features and functionality for a health coaching IT platform -- from coaching support tools to tips on integrating with other systems.

For more information and to listen to pre-conference comments:
http://store.hin.com/product.asp?itemid=3733



3. Better Hospital Management Means Higher Retention Rates in RNs

According to a survey from New York University (NYU), better hospital management and orientation of new nurses can improve turnover rates, now as high as 70 percent. If this turnover continues, predictions for 2020 reveal a registered nurse shortage of 340,000.

To read this story in its entirety, go to:
http://www.hin.com/sw/hospital_HSmanagement091707.html



4. From Management to Leadership: Practical Strategies for Health Care Leaders, 2nd Edition

Jo Manion's 400-page guide to better management and leadership presents helpful insights with many examples for aspiring healthcare team members. It provides communication, coaching and motivational theories and tools that are comprehensive and yield better management results.

For more information on, please visit:
http://store.hin.com/product.asp?itemid=3222



Please Forward This Issue

If you havenít already done so, please forward this issue to one or two of your business associates. Thanks so much.

To subscribe, please visit:
http://www.hin.com



5. Featured Healthcare Business White Paper: Dealing with Unnecessary ED Visits

In an effort to curb non-emergent ED use, hospitals and health plans nationwide are developing strategies to reduce reliance on EDs for non-emergent care. HIN conducted a non-scientific online survey in July 2007 and found out how 220 organizations including hospitals, physician organizations, health plans and more respond to the issue of non-emergent ED use.

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



6. Race & Wealth Predictors of Mental & Medical Services Use

According to a study by Duke University, blacks and Asian-Americans are less likely than whites to take advantage of mental health or prescription drug benefits. Researchers analyzed insurance claims from more than 20,000 Duke University and Duke University Health Systems employees between the years of 2001 and 2004.

To read this story in its entirety, go to:
http://www.hin.com/sw/behavioral_health091707.html



7. Managing Behavioral Healthcare, 3rd edition

This 424-page manual provides behavioral health medical review policies, benefit interpretations criteria, benchmarks and guidelines for inpatient, day hospital, residential and outpatient care. A practical model for a quality-based and cost-effective care management approach as well as coverage determinations. The manual also contains numerous policies, procedures, tools and forms vital to prepare for accreditation or certification surveys and strategies for quality-based efficient delivery of integrated behavioral health care. Also included are references and Web site links. This manual is updated annually.

For more information on, please visit:
http://store.hin.com/product.asp?itemid=2818



8. Nursing Home Care: Separate but (Not) Equal

According to a new study from Temple University (TU), black Americans receive unequal nursing home care. The study analyzed 7,196 nursing homes in 147 metropolitan areas in the U.S. and found that 60 percent of blacks are placed in only 10 percent of the available nursing home facilities. These facilities are commonly ones that have been cited for quality problems and deficiencies that could cause immediate harm to the patients.

To read this story in its entirety, go to:
http://www.hin.com/sw/long_term_care091707.html


There are other free email newsletters available from HIN!

Healthcare Daily Data Bytes put at your fingertips each day a "Data Byte" from the healthcare industry -- facts, figures, statistics and percentages on healthcare spending, costs, utilization and performance. You can also register for free access to Healthcare Daily Data Byte archives. .

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.

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



9. Changing the U.S. Health Care System: Key Issues in Health Services Policy and Management, 3rd Edition

The third edition of Changing the U.S. Health Care System is a thoroughly revised and updated compendium of the most current thought on three key components of healthcare policy improving access, ensuring quality, and controlling costs. Written by a panel of healthcare policy experts, this third edition highlights the most recent research relevant to health policy and management issues. New chapters address topics such as the disparities in health and in healthcare, information systems, and performance in the area of nursing. Revisions to chapters from the previous edition emphasize the most recent developments in the field.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3567



10. FDA Approves Second-Generation Smallpox Vaccine

The U.S. Food and Drug Administration has licensed a new vaccine to protect against smallpox, a highly contagious disease with the potential to be used as a deadly bioterror weapon. The vaccine ACAM2000 is intended for the inoculation of people at high risk of exposure to smallpox and could be used to protect individuals and populations during a bioterrorist attack. It will be included in the Center for Disease Control and Prevention's (CDC) Strategic National Stockpile of medical supplies.

For more information, please visit:
http://www.hin.com/sw/healthLaw_regulation091707.html



11. Bioterrorism Preparedness: Medicine - Public Health - Policy

Meeting the acute need for a book determining the crucial elements of bioterrorism preparedness, this is a global perspective on the history and current concepts on bioterrorism, integrating the scientific, medicinal, public health and health policy strategies.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3325



12. Worth Repeating: Launching a Dedicated Heart Failure Unit

In this excerpt from an August 22, 2007 audio conference, Lenore Blank, administrative manager and Michele "Mickey" Gilbert, education coordinator of the heart failure team and pulmonary hypertension program at Hackensack University Medical Center (HUMC), describe their team's perfect care processes that provide care across the continuum for heart failure patients: "If you think about your heart failure patients in the hospital, more than half of them have diastolic dysfunction. It's actually more prevalent than systolic dysfunction, yet we have no guidelines for these patients to tell us what to do for them. We absolutely know that there's an association between the quality of care that the patient receives in the hospital and how they do once they're discharged..."

To read the rest of this transcript excerpt, please visit:
http://www.hin.com/sw/worth_repeating091707.html



13. Pursuing Perfect Care: Improving Chronic Care Outcomes by Treating the Whole Patient

While following evidence-based guidelines or performance measures can result in bonus payments under pay-for-performance programs and can yield improvements in quality of care, what can really drive improved outcomes and patient satisfaction rates is a focus on pursuing perfect care. During this 90-minute audio conference on August 22, 2007 on CD-ROM, we heard from organizations who are implementing perfect care processes in heart failure and medication management with details on how they've implemented their programs and the results they are achieving.

For more information on this audio conference and to listen to pre-conference comments, please visit:
http://store.hin.com/product.asp?itemid=3725


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