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From the editor

Dear Healthcare Intelligence Network Client,

HIN Managing Editor Patricia Donovan

A new Kaiser Permanente study has identified four ways that doctors can provide better preventive care. The study evaluated Kaiser Permanente's Web-based tool that extracts data from an electronic medical record (EMR), but three of the four strategies can actually be performed without an EMR. Read more about these tech-free ways to improve prevention efforts in the HIN blog.

Even for the chronically ill, six key case management strategies from Sutter Health profiled in this week's issue can improve care coordination. The strategies are rooted in an anticipatory rather than a reactive approach.

Anticipating how your organization will succeed in the new year? Take our sixth annual Healthcare Trends e-survey by October 31 and receive a free summary of the results.

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 18, 2010
Vol. XII, No. 38

Sponsored by:
Healthcare Trends in 2011 — A Strategic Industry Forecast

This week's industry news:

  1. How Will Reform Affect 15 Million Uninsured Young Adults?
  2. Healthcare Trends in 2011
  3. 6 Case Management Strategies for Care Coordination
  4. Guide to Patient-Centered Case Management
  5. Healthcare Business White Paper: 2010 Benchmarks in Health Coaching
  6. SAMHSA Funds Follow-up Services to Prevent Suicide
  7. New Chart: Co-Located Case Managers
  8. Depression Management Benchmarks
  9. Does End-of-Life Heart Failure Care Differ Between the U.S. and Canada?
  10. Reducing Readmissions for Heart Failure Patients
  11. HHS Helping States to Improve Coverage for Children with Pre-existing Conditions
  12. Lessons in ACO Development
  13. HealthSounds Podcast: Embedded Case Managers in the ED
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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Healthcare Trends for 2011

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This week's industry news

1.) How Will Reform Affect 15 Million Uninsured Young Adults?

Young adults continue to represent one of the largest groups of Americans without health insurance, with nearly 15 million people aged 19-29 uninsured in 2009 — an increase of more than 1 million over 2008, according to a Commonwealth Fund report. However, the Affordable Care Act (ACA) is poised to make a significant difference for this population, as up to 12.1 million could gain subsidized insurance once all of the law’s provisions go into effect in 2014.

Get the full story.

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2.) Healthcare Trends in 2011: A Strategic Industry Forecast

Healthcare Trends in 2011 Now in its seventh year of providing healthcare executives with a look ahead to help shape strategic plans, this year's 60-minute webinar event will cover how healthcare organizations can prepare for the health reform changes required in 2011; the short and long-term reform ramifications for the coming year; what healthcare opportunities exist; the critical healthcare industry developments to monitor; and much more.

Learn more about this resource.

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3.) 6 Case Management Strategies for Care Coordination

Case managers use a variety of strategies to expand the care coordination continuum, explains Jan Van Der Mei, RN, MS, ACM, continuum case management director at Sutter Health Sacramento Sierra Region.

Get the full story.

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4.) Guide to Patient-Centered Case Management

Guide to Patient-Centered Case Management This 110-page guide presents best practices in identifying, stratifying and monitoring individuals for case management and documents the returns generated by targeted case management interventions in place at Geisinger Health System and other organizations. The Q&A chapter answers more than 50 questions on patient-centered case management.

Learn more about this resource.

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5.) Healthcare Business White Paper: 2010 Benchmarks in Health Coaching

This white paper captures the ways in which 161 organizations are implementing health coaching in 2010 — including the top three areas targeted by health coaching — as well as the financial and clinical outcomes that result from this health improvement strategy. These benchmarks are based on organizations' responses to the Healthcare Intelligence Network August 2010 e-survey on health coaching.

Download this complimentary white paper.

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6.) SAMHSA Funds Follow-up Services to Prevent Suicide

SAMHSA is awarding up to $1.1 million for the National Suicide Prevention Lifeline Crisis Center Follow-Up program to promote systematic follow-up assistance to suicidal persons who call or are otherwise seeking help from the National Suicide Prevention Lifeline.

Get the full story.

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7.) New Chart: Co-Located Case Managers

Co-Located Case Managers

The medical home care team provides patient-centered, coordinated and high-quality care for its members and a growing number of healthcare companies include case managers in their medical home staff. We wanted to see how many organizations have embedded a case manager in their physician practice.

Click here to view the chart.

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8.) Depression Management Benchmarks: Trends in Integration of Behavioral and Physical Health

Depression Management Benchmarks This resource provides actionable information from 260 organizations on their progress in targeting depression in disease management plus lessons learned from early adopters of an integrated approach to mental and physical health.

Learn more about this resource.

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9.) Does End-of-Life Heart Failure Care Differ Between the U.S. and Canada?

A new analysis of trends in end-of-life care for heart failure patients reveals shifts in how care is provided, surprising use of diagnostic tests and procedures, and striking comparisons with Canada’s universal healthcare system, according to researchers at the Duke Clinical Research Institute.

Get the full story.

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10.) Reducing Readmissions for Heart Failure Patients: A Multidisciplinary Approach for the Medicare Population

Reducing Readmissions for Heart Failure Patients Learn how Hackensack University Medical Center is reducing readmissions of heart failure patients through a program of continuous care, patient education and self-management.

Learn more about this resource.

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11.) HHS Helping States to Improve Coverage for Children with Pre-existing Conditions

HHS will be working with states to ensure that insurance companies keep their promise to “make pre-existing conditions exclusions a thing of the past” for children. This effort comes after insurance companies reneged on their commitment to provide coverage options for children with pre-existing conditions and refused to sell child-only insurance policies.

Get the full story.

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12.) Lessons in ACO Development

The Colorado Accountable Care Collaborative The Accountable Care Collaborative is part of the Medicaid reform effort in Colorado in which 60,000 Medicaid lives will receive health services through an accountable care organization (ACO) that will coordinate care. The ACO is reimbursed by a per member per month payment and incentives that are aligned to improve health status and reduce avoidable healthcare costs. During this webinar, the deputy Medicaid director at the Colorado Department of Health Care Policy and Financing described the ACO development process in Colorado.

Learn more about this resource.

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13.) HealthSounds Podcast: Embedded Case Managers in the Emergency Department

Toni Cesta Organizations should advocate for a case manager in the emergency room, says Toni Cesta, senior vice president of operational efficiency and capacity management at Lutheran Medical Center. Making the business case for an ED-embedded case manager, Cesta shares key targets for case management intervention in the ED and describes how the ER case manager is positioned to improve patients' transitions in care.

Listen to this podcast.

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