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From the editor

Dear Healthcare Intelligence Network Client,

HIN Managing Editor Patricia Donovan

In a featured story this week, a new HHS report describes how Columbia Basin Health Association's (CBHA) use of health IT is improving care for its 25,000 patients. Using its EHR to more closely track key screenings in patients with diabetes over a five-month period in 2008, CBHA more than doubled the number of patients with diabetes who received foot and eye exams.

A quick look at our just-completed e-survey on the use of telehealth indicates that more than half of respondents use telehealth for clinical and non-clinical purposes. Like CBHA, key candidates for respondents' telehealth efforts are patients with chronic illness, with remote monitoring in use by half of survey respondents. To get an executive summary of the completed results of the Telehealth in 2009 survey — including the top use for telehealth, telecommunications technologies in use, top funding sources and key metrics impacted by the use of telehealth, email me at pdonovan@hin.com.

Your colleague in the business of healthcare,
Patricia Donovan
Editor, Healthcare Business Weekly Update

Please send comments, questions and replies to pdonovan@hin.com.

HIN Associate Editor Jessica Papay
Associate Editor:
Jessica Papay, jpapay@hin.com

Publisher:
Melanie Matthews, mmatthews@hin.com

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October 5, 2009
Vol. XI, No. 37

Sponsored by:
Adopting and Implementing Evidence-Based Guidelines in the Medical Home

This week's industry news:

  1. Do Office Visits Allow Time to Effect Behavior Change?
  2. Health Coaching Playbook Vol. II
  3. UCLA Hospital Relocation Provides Insights for Disaster Planning
  4. Emergency Exits
  5. Healthcare Business White Paper: Health Coaching in 2009
  6. $10.5 Million in Funding Creates Center to Study OCD
  7. Anxiety, Phobias and Panic Disorders Clinical Guidelines
  8. Difficulties with Daily Activities Associated with Dementia
  9. Alzheimer's Disease
  10. Health IT Strengthens Care in Rural Communities
  11. Health IT in Care Management
  12. HealthSounds Podcast: Reducing Uncompensated Care Costs for the Chronically Ill
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.

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This week's industry news

1.) Do Office Visits Allow Time to Effect Behavior Change?

Kristin S. Vickers Douglas, Ph.D., L.P., clinical health psychologist and medical director of Mayo Clinicís EmbodyHealth program, discusses whether an office visit delivers enough time to effect behavior change in a patient.

Question: Does the brief duration of the typical physician-patient encounter allow enough time for a physician to effect behavior change?

Response: Powerful things can happen in seconds. Think about practicing motivation enhancement, relationship-building and patient-centered care, and embedding that in everything that we do, even if itís taking vital signs.

Get the full story.

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2.) Health Coaching Playbook Vol. II: All-Star Tips on Patient Engagement, Activation and Behavior Change

Health Coaching Playbook Vol. II Picking up where Volume I leaves off, this resource delivers suggestions and tactics from veteran health coaches, clinicians, psychologists and researchers to move individuals toward healthier lifestyles and behavior change that can significantly suppress an organization's medical cost trend. With a special focus on coaching individuals with chronic illnesses, this resource answers specific queries about essential coaching tools — stages of change, motivational interviewing, integrative health coaching, patient activation, positive psychology and many others, with responses from leading online and telephonic coaching at the Mayo Clinic, Gordian Health Solutions, Health Management Corporation, Corphealth, PricewaterhouseCoopers and others.

Learn more about this resource.

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3.) Study of UCLA Hospital Relocation Provides Insights for Disaster Planning

By restricting elective surgeries, limiting incoming transfers and enhancing the efficiency of the discharge process, Ronald Reagan UCLA Medical Center was able to reduce capacity before its relocation without interrupting emergency or trauma services, according to a report in the September issue of Archives of Surgery, one of the JAMA/Archives journals. Similar principles could help hospitals absorb patients in the aftermath of a disaster, the report's UCLA authors say.

Get the full story.

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4.) Emergency Exits: Reducing Emergency Room Utilization by Retooling Care-Seeking and Care Access Options

Emergency Exits In this 35-page report, three physicians share the specifics of their health plans' ER diversion initiatives that have roots in patient self-care education, physician office adaptability and hospital-health plan partnerships. Their reframed approaches to ER utilization and primary care have netted them significant reductions in both ER visits and hospital admissions. This report also contains a wealth of tactics from the more than 220 healthcare organizations that responded to HIN's e-survey on dealing with unnecessary ER visitors.

Learn more about this resource.

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5.) Healthcare Business White Paper: Health Coaching in 2009 — Banking on Behavior Change

How do healthcare organizations use health coaching, and on which key behaviors do coaching interventions focus? By which modalities do they administer and monitor health coaching in their populations and how do they measure its effectiveness? The Healthcare Intelligence Network set out to answer these questions and others during its annual Health Coaching e-survey. This executive summary of responses from 212 healthcare organizations identifies emerging trends in the field of health coaching and its effect on healthcare utilization and spend.

Download this complimentary white paper.

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6.) $10.5 Million in Funding Creates Center to Study OCD

A new research center exploring the science underlying a potential new treatment for obsessive-compulsive disorder (OCD) has been established at the University of Rochester Medical Center, thanks to a $10.5 million award from the National Institute of Mental Health. The prestigious Silvio O. Conte Center will link more than 50 researchers who will focus on how deep brain stimulation (DBS) affects people with OCD.

Get the full story.

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7.) Anxiety, Phobias and Panic Disorders Clinical Guidelines

Anxiety, Phobias and Panic Disorders This 83-page report is for the evaluation and management of common anxiety disorders and panic disorder. Plus, separate guidelines for post-traumatic stress disorder (PTSD) and obsessive-compulsive disorder (OCD). Extensive references and resources follow each of the three guidelines.

Learn more about this resource.

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8.) Difficulties with Daily Activities Associated with Progression to Dementia

Among individuals with mild cognitive impairment, often considered a transitional state between normal cognitive function and Alzheimerís dementia, those who have more difficulties performing activities of daily living appear more likely to progress quickly to dementia, according to a report in the September issue of Archives of Neurology, one of the JAMA/Archives journals.

Get the full story.

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9.) Alzheimer's Disease — The Evaluation and Management of Dementia

Alzheimer's Disease This 70-page report details diagnosis, non-pharmaceutical and pharmaceutical management of this common cluster of disabling disorders. It also includes references, Web links and other resources. This product is updated annually.

Learn more about this resource.

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10.) Health IT Strengthens Care in Rural Communities

Health IT can improve healthcare quality and delivery for individuals in rural areas, according to a new report from HHS. The report examines how the Columbia Basin Health Association (CBHA) in Othello, Wash., uses health IT to improve healthcare quality and patient safety as well as promote care coordination and continuity.

Get the full story.

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11.) Health IT in Care Management to Improve Health and Effect Behavior Change

Health IT in Care Management This resource describes the enrollment and engagement of patients in telemedicine programs in a variety of care settings.

Learn more about this resource.

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12.) HealthSounds Podcast: Reducing Uncompensated Care Costs for the Chronically Ill Through a Medical Home Approach — A Health System Case Study

Reducing Uncompensated Care Costs Increasingly, uninsured patients are seeking chronic care via the ER, where they are stabilized, possibly admitted and eventually discharged. However, this cycle is not conducive to managing chronic diseases, and, in the end, will result in high costs and poor quality of care for these individuals, says Dr. Ricardo Guggenheim, vice president of care management services at McKesson Health Solutions. Dr. Guggenheim discusses what areas stand to see improvements as a result of managed uncompensated care, why it is essential to invest in managing uninsured care costs and future plans for McKesson's Care Advisor program.

Listen to this podcast.

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