Dear Healthcare Intelligence Network Client,

In a featured story this week, HHS is making $18.9 million available to health centers to adopt EHRs and other HIT innovations, including e-prescribing, health information exchanges, data warehouses and interoperability with outside partners such as state immunization registries and hospitals. Providers not ready for an EHR might consider using a population-based registry as a start. In a recent HIN e-survey, more than half of 159 responding healthcare organizations told us they use registries to improve quality and efficiency of care and boost prevention efforts. UnitedHealthcare Senior Vice President of Clinical Innovations Dawn Bazarko, who spoke with us recently about UnitedHealthcare's medical home initiative, said that an EHR is not required at this time for the most basic medical home. However, she added, "We also believe that the presence of a high-functioning well-utilized registry is very critical and oftentimes is not a component of an EHR, so we reinforce our practice sites to first start with a good population-based registry."

Details on how survey respondents are using paper, spreadsheet and electronic registries to better the health status of their populations are available in a complimentary white paper, Patient Registries: The Track to Better Quality Healthcare.

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. 29
October 20, 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. Innovative Inputs and Outputs of HRA Functionalities
  2. Highlights from AISís Pharmacy Benefit Survey Results
  3. Death Rate 70 Percent Lower at Nationís Top-Rated Hospitals
  4. From Quality to Excellence: Using Comparative Data to Improve Health Care Performance
  5. Featured Healthcare Business White Paper: Telehealth Improves Access to Clinicians for Every American
  6. SAMHSA Awards Almost $16 Million to Prevent and Reduce Alcohol Use among Youth
  7. Alcohol Abuse and Dependency
  8. Caregivers May Suffer From Compassion Fatigue
  9. hospice letter
  10. HRSA Awards Expand Use of Health IT at Health Centers
  11. Simple Steps to a Patient Registry: Ticket to Care Coordination, Quality Reporting and Pay for Performance
  12. Featured Healthcare Podcast: Healthcare Trends and Forecasts in 2009


1. Innovative Inputs and Outputs of HRA Functionalities

Wes Alles, Ph.D., director of the Stanford University Prevention Research Center and Yann Meunier, M.D., health improvement manager of the Stanford School of Medicine Health Improvement Program, discuss emerging data inputs and outputs for HRAs, as well as developments in HRA functionality.

Having an HRA without any connectivity to other care management programs has very limited value. The vast majority of data within HRAs is self-reported. That includes family history, past medical history, current conditions, medications, biometrics, lifestyle issues such as diet, activity level, alcohol and tobacco use, substances, stress and readiness to change. However, administrative data is also beginning to populate the fields of the HRA.

To read this story in its entirety, go to:
http://www.hin.com/sw/Hindustry_MC102008.html



2. Highlights from AISís Pharmacy Benefit Survey Results

Download a free copy of Highlights from AISís Pharmacy Benefit Survey Results. This special report contains data and analyses from AISís 2000-2007 Survey Results: Pharmacy Benefit Trends & Data Costs, Benefit Design, Utilization, PBM Market Share, including PBM, PBA and specialty pharmacy growth trends, drug spend, marketshare and more. Go to http://www.aishealth.com/Products/freereports_HIN.html to access your report today.



3. Death Rate 70 Percent Lower at Nationís Top-Rated Hospitals

Patients have on average a 70 percent lower chance of dying at the nationís top-rated hospitals compared with the lowest-rated hospitals across 17 procedures and conditions analyzed in HealthGradesí eleventh annual HealthGrades Hospital Quality in America Study. The HealthGrades study of patient outcomes at the nationís approximately 5,000 hospitals is the most comprehensive annual study of its kind, analyzing more than 41 million Medicare hospitalization records from 2005 to 2007.

To read this story in its entirety, go to:
http://www.hin.com/sw/hospital_HSmanagement102008.html



4. From Quality to Excellence: Using Comparative Data to Improve Health Care Performance

In this book you'll learn how to incorporate comparative measurement data into your organization's quality and patient safety improvement strategies. You'll also discover how to select credible data sources to determine if your performance measures up to that reported by other organizations.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3385



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: Telehealth Improves Access to Clinicians for Every American

A newly released white paper entitled ďTelephone Connectivity Supports Medical Home Model and Removes Barriers to Care,Ē authored by Kenneth P. Moritsugu, M.D., M.P.H., F.A.C.P.M., articulates the value of telehealth — namely the utilization of the telephone to provide physician or consumer-directed cross coverage 24/7 — as an emerging and effective application in tackling specific issues related to episodic care as well as chronic care management for diseases such as diabetes, cancer, and cardiac disease.

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



6. SAMHSA Awards Almost $16 Million to Prevent and Reduce Alcohol Use among Youth

SAMHSA has awarded 79 grants totaling almost $16 million over four years for the Sober Truth on Preventing Underage Drinking (STOP) Act grant program. The purpose of this program is to prevent and reduce alcohol use among youth in communities throughout the United States.

To read this story in its entirety, go to:
http://www.hin.com/sw/behavioral_health102008.html



7. Alcohol Abuse and Dependency

This publication is a clinical guideline for the diagnosis, evaluation and management of the person who is addicted to or dependent on the use of alcohol. It covers diagnostic criteria, risk factors, screening for alcoholism, treatment settings, criteria for inpatient care and length of stay goals, as well as drug management of withdrawal symptoms when necessary. Adolescent and geriatric alcohol dependency issues are reviewed.

For more information, please visit:
http://store.hin.com/product.asp?itemid=2916



8. Caregivers May Suffer From Compassion Fatigue

Compassion fatigue is a syndrome seen in people who care for others with severe needs, such as hospice and elderly health professionals, social workers, police officers and clergy, among many others, said Dr. Terry V. Eagan, a practicing psychiatrist for the past 16 years and medical director of Moonview Sanctuary in Santa Monica, Calif. The caregiver may feel depressed and irritable, resistant to offers of services, negative about their work and less willing to work in teams. One may not know that they are suffering from the syndrome, it may be masked as depression or they may not even notice the symptoms.

To read this story in its entirety, go to:
http://www.hin.com/sw/long_term_care102008.html


There are other free email newsletters available from HIN!

HealthCoach Huddle, a monthly e-newsletter, brings you the most up-to-date news on health coaching, from coaching strategies to interviews and quotables from the industry's leading health coaches.

Medical Home Monitor tracks the construction of medical homes around the country and their impact on healthcare access, quality, utilization and cost. As providers and payors reframe care delivery, this monthly e-newsletter will cover the pilots, practice transformations, tools and technology that will guide healthcare organizations toward clinical excellence.

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


9. hospice letter

An essential tool for hospice managers, hospice letter stays on top of the most current challenges facing hospice executives, including legislative scrutiny, the short average length of stay, Medicare and Medicaid reform, discussions about physician-assisted suicide, managed care and integration.

For more information, please visit:
http://store.hin.com/product.asp?itemid=2860



10. HRSA Awards Expand Use of Health IT at Health Centers

HRSA Administrator Elizabeth M. Duke has awarded almost $18.9 million in grants to health center-controlled networks and large multi-site health centers to adopt and implement EHRs and other Health IT (HIT) innovations. EHRs are widely considered to be essential in improving the safety and quality of healthcare delivery and cutting waste and duplication of care. Twelve grants totaling more than $14.3 million will support the implementation of EHRs.

To read this story in its entirety, go to:
http://www.hin.com/sw/healthLaw_regulation102008.html



11. Simple Steps to a Patient Registry: Ticket to Care Coordination, Quality Reporting and Pay for Performance

In this special report, physician practices, health plans and quality organizations describe how they use patient registries to improve care coordination and compliance with preventive care, respond to ever-expanding external demands for data and prepare for the eventual transformation to a medical home.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3828



12. Featured Healthcare Podcast: Healthcare Trends and Forecasts in 2009

The growing trend toward integrated care delivery systems can help the U.S. healthcare system refocus on its primary goals — providing coordinated care and returning patients to their optimal health status, explains Perry Hanson, partner with Wipfli, a national accounting and business consulting firm that provides consulting, tax and audit advice for the healthcare industry. Integrated care delivery can also help the U.S. reverse its current last-place rankings in quality, access and efficiency among the global health community, he adds. Citing the success of the medical home model of care in Minnesota, Hanson calls the patient-centered model a "beacon of hope" for a beleaguered healthcare industry.

To listen to this podcast in its entirety, please visit:
http://www.hin.com/podcasts/podcast.htm#70


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
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