Dear Healthcare Intelligence Network Client,

Last week Medicare stopped paying hospitals for 10 different "never events" — a set of reasonably avoidable medical errors with which you are no doubt familiar. Hospitals have had several years to prepare for this quality-based reimbursement shift, which is reverberating in the Medicaid and private payor spheres. Physicians are being held to similar standards, albeit voluntarily; witness CMS' PQRI and the proliferation of PFP plans among state and private insurers.

Inherent in any successful healthcare quality improvement initiative is a shift from a culture of blame to a culture of safety, such as the one promoted at McLeod Regional Medical Center. By following eight steps to a culture of safety, McLeod engaged and empowered its providers to simplify its medication delivery system and reduce adverse drug events by 90 percent.

Speaking of cultural shifts, the stigma associated with mental illness has diminished somewhat in recent decades. But depression still affects over 20 million Americans and billions of dollars are spent on treatment, medication and other therapies. Tell us how your organization addresses depression in your population by October 31 and get a FREE executive summary of the compiled results.

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. 27
October 6, 2008

Sponsored by: Managing Comorbidities in Disease Management

During Managing Comorbidities in Disease Management, a 90-minute webinar on October 29, 2008, two industry experts will examine disease management programs that improve health and reduce healthcare costs for those patients with comorbid conditions.

For more information, please visit: http://store.hin.com/product.asp?itemid=3837


Table of Contents
  1. Tools and Techniques for Engaging the Chronic Pain Patient
  2. Relieving the Costs and Consequences of Chronic Pain: A Best Practice Multimodal Approach
  3. Reducing ER Visits with New Life Support Rules
  4. For Emergency Use Only: Curbing Unnecessary Emergency Room Use Through Education, Accountability and Physician Engagement
  5. Featured Healthcare Business White Paper: The Moment of Force: Four New Ways to Favorably Leverage Healthcare Costs
  6. Poll Reveals Public Attitudes on Substance Abuse, Treatment and Recovery Prospects
  7. The Addiction Treatment Planner, 3rd Edition
  8. Medicaid Beneficiaries to Direct Personal Care
  9. Managed Medicare and Medicaid Factbook: 2008
  10. Letter Carriers May Deliver Antibiotics in Case of Anthrax Emergency
  11. Bioterrorism Preparedness: Medicine — Public Health — Policy
  12. Monthly e-Survey: Depression and Disease Management 2008


1. Tools and Techniques for Engaging the Chronic Pain Patient

Marilee Donovan, Ph.D., R.N., regional pain management coordinator for Kaiser Permanente Northwest, discusses the tools and techniques that Kaiser Permanente Northwest have implemented to help improve the communication and concepts involved in treating a chronic pain patient.

Tools and techniques can be used to make it easier to do the right thing. We use best practices, and theyíre available online in our EMRs. To the extent possible, the medical record is linked to the Best Practice Resource and reflects what the physician is doing with the patient during that particular visit. We also do everything possible to improve communications and be safe and accurate.

To read this story in its entirety, go to:
http://www.hin.com/sw/Hindustry_MC100608.html



2. Relieving the Costs and Consequences of Chronic Pain: A Best Practice Multimodal Approach

In this 35-page report, two industry experts describe patient-centric pain management tactics that engage the patient as an active partner and employ creative and alternative therapies and interventions.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3834



3. Reducing ER Visits with New Life Support Rules

A new study in the Journal of the American Medical Association shows that a single standard guideline could help EMS and ER teams determine which cardiac arrest victims might benefit from a trip to the hospital, while at the same time reducing futile efforts on patients who have no chance of surviving a cardiac arrest.

To read this story in its entirety, go to:
http://www.hin.com/sw/hospital_HSmanagement100608.html



4. For Emergency Use Only: Curbing Unnecessary Emergency Room Use Through Education, Accountability and Physician Engagement

This special report provides a blueprint for health plans, hospitals and providers desiring to address and reduce unnecessary ED utilization in their populations.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3566



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: The Moment of Force: Four New Ways to Favorably Leverage Healthcare Costs

By resting your financial lever on one of four new healthcare cost-saving fulcrums, you can reduce the burden of employee healthcare costs more easily and effectively than by brute force. In fact, the solution is less about muscle than it is about manipulating simple techniques to maximize employee health. Learn more about these cost-saving strategies in this white paper.

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



6. Poll Reveals Public Attitudes on Substance Abuse, Treatment and Recovery Prospects

Nearly half of American adults report knowing someone in recovery from the use or abuse of alcohol or drugs, according to survey results by the Substance Abuse and Mental Health Services Administration (SAMHSA). A large majority of Americans believe that people in recovery from substance addictions can live productive lives and contribute to their community, the report also said.

To read this story in its entirety, go to:
http://www.hin.com/sw/behavioral_health100608.html



7. The Addiction Treatment Planner, 3rd Edition

The Addiction Treatment Planner, Third Edition provides all the elements necessary to quickly and easily develop formal treatment plans that satisfy the demands of HMOs, managed care companies, third-party payors, and state and federal review agencies.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3623



8. Medicaid Beneficiaries to Direct Personal Care

Effective November 3, more Medicaid beneficiaries can direct their own personal assistance services, including personal care services, instead of having those services directed by an agency. The CMS rule guides states who wish to allow Medicaid beneficiaries who need help with the activities of daily living to hire, direct, train or fire their own personal care workers. Beneficiaries could even hire qualified family members who may already be familiar with the individualís needs to perform personal assistance (not medical) services.

To read this story in its entirety, go to:
http://www.hin.com/sw/long_term_care100608.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. Managed Medicare and Medicaid Factbook: 2008

The Managed Medicare and Medicaid Factbook: 2008 has current and historical statistics so you can easily make plan-by-plan or state-by-state comparisons to suit your analytical needs. The data you get can help you accurately forecast trends to develop profitable bids in the future, proactively minimize the blow caused by Medicare Advantage (MA) program cuts, and sustain growth and expand enrollment in MA prescription drug (MA-PD) plans and stand-alone Prescription Drug Plans (PDPs).

For more information, please visit:
http://store.hin.com/product.asp?itemid=2815



10. Letter Carriers May Deliver Antibiotics in Case of Anthrax Emergency

Selected United States Postal Service letter carriers may carry antibiotics to protect themselves and those in their community during an outdoor anthrax attack, the HHS has announced. According to HHS, this is one strategy to encourage the nation to be prepared to respond effectively in the event of an anthrax emergency.

To read this story in its entirety, go to:
http://www.hin.com/sw/healthLaw_regulation100608.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. Monthly e-Survey: Depression and Disease Management 2008

Depression affects over 20 million Americans and billions of dollars are spent on treatment, medication and other therapies. Most cases of depression are still unrecognized or treated inappropriately, which leads to immeasurable costs in employee absenteeism, lost productivity and spiraling healthcare costs.

To take the survey and receive your free executive summary of the results, please visit:
http://www.surveymonkey.com/s.aspx?sm=P0G_2f1vSSJL9kOunBCY00Tg_3d_3d


Contact HIN:

Editor: Patricia Donovan, pdonovan@hin.com;
Associate Editor: Jessica Papay, jpapay@hin.com;
Sales & Marketing Coordinator: Deirdre McGuinness, dmcguinness@hin.com;
Publisher: Melanie Matthews, mmatthews@hin.com

For more information on the products and services available through
the Healthcare Intelligence Network, contact us at (888) HIN-3530
(446-3530), (732) 528-HIN8, (528-4468), fax (732) 292-3073 or email
us at info@hin.com

While we encourage you to forward this email to your
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