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From the editor

Dear Healthcare Intelligence Network Client,

HIN Content Editor Cheryl Miller

Parents of young children who managed their familyís healthcare by using integrated personal health records (PHRs) were more likely to get their children the nationally recommended number of preventive care visits, according to a Kaiser Permanente study. PHRs allow patients to view parts of their medical record, including immunizations and after-visit instructions, and to manage appointments, refill prescriptions, check lab results, and securely communicate with their healthcare providers. The online tool is particularly valuable for busy parents who might forget when to bring their children in for well-child visits or immunizations, especially when they are healthy.

Diabetics can be better managed by healthcare providers who use EHRs to manage them, says Kathy Brieger, RD, CDE, chief operations officer pf Hudson River Healthcare. The reporting system provides data on patients, letting providers know who may have missed appointments for hemoglobin A1C or who could benefit from self management programs or care coordination. More in our featured book excerpt this week.

Online management plays heavily into a survey of small business owners looking at insurance options for their employees. According to researchers from the Commonwealth Fund, more than half of survey respondents who currently provide their employees with health benefits are willing to offer a choice of health plans while paying a fixed cost, as long as the employee pays extra for a more expensive plan. When asked what would make health insurance management easier, more than half said being able to compare plans, costs, benefits, physicians in the network, and other features online would be welcome.

Self management is the key to a new initiative aimed at helping hospitals across the state understand their practice patterns compared with their peers, better manage costs and improve outcomes for patients. The Michigan Value Collaborative (MVC), launched by BCBS of Michigan, Blue Care Network, and the University of Michigan Health System, will provide hospitals with timely feedback about utilization and payment, comparing hospitals on cost and variation based on claims data from Blue Cross Blue Shield of Michigan. Participating hospitals will not only receive information about their comparative costs during hospital admissions and their comparison to the statewide average, but also for care delivered before and after hospitalization.

And lastly, our new online survey for you to manage: please tell us how you have weathered the storms of 2013 — from an early surge in Medicare accountable care collaborations to the recent rocky introduction of ACA-mandated health insurance exchanges during a government shutdown — and are preparing for 2014 by completing HIN's ninth annual survey on Healthcare Trends by November 18th . You'll receive a free executive summary of the compiled results, and your responses will be kept strictly confidential. One respondent will win a training DVD of the "2014 Healthcare Trends and Forecasts" webinar recorded on October 30, 2013.

Your colleague in the business of healthcare,
Cheryl Miller
Editor, Healthcare Business Weekly Update

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

HIN Associate Editor Jessica Fornarotto
Associate Editor:
Jessica Fornarotto, jfornarotto@hin.com

Publisher:
Melanie Matthews, mmatthews@hin.com

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October 21, 2013
Vol. XV, No. 39

Sponsored by:
Aligning Value-Based Reimbursement with Physician Practice Transformation


This week's industry news:

  1. Children More Likely to Get Preventive Care When Parents Use Online Health Tools
  2. 2013 Healthcare Benchmarks: Telehealth & Telemedicine
  3. Small Business Owners Value Choice of Plans for Employees
  4. 46 Healthcare Metrics to Boost Profitability: Charting 2013 Trends
  5. Healthcare Business White Paper: Home Visits in 2013
  6. Michigan Value Cooperative Targets Hospital Costs, Outcomes
  7. New Chart: What's the ROI from Health Coaching?
  8. Hospital Discharge Improvement Guide
  9. Prescription Drug Use Among Medicare Patients Highly Inconsistent
  10. Pharmacists and Medication Adherence
  11. 2 Standards of Care for Managing a Diabetic Population
  12. 33 Metrics for Care Transition Management
  13. HINfographic: Healthcare Strategic Planning for 2014
  14. Healthcare Trends & Forecasts in 2014: 7 Payor Strategies That Will Reshape Primary Care
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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This week's industry news

1.) Children More Likely to Get Preventive Care When Parents Use Online Health Tools

Parents of young children who used integrated personal health records (PHRs) were more likely to get their children the nationally recommended number of preventive care visits, according to a Kaiser Permanente study published in The Journal of Pediatrics.

Get the full story.

>>Return to this week's industry news


2.) 2013 Healthcare Benchmarks: Telehealth & Telemedicine

2013 Healthcare Benchmarks: Telehealth & Telemedicine This resource provides actionable new information from more than 125 healthcare organizations on their utilization of telehealth & telemedicine. This 60-page report, now in its third year, documents trends and metrics on current and planned telehealth and telemedicine initiatives and includes a year-over-year comparison of telehealth trends from 2009 to present.

Learn more about this resource.

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3.) Small Business Owners Value Choice of Plans for Employees

More than half of small business owners who currently provide their employees with health benefits are willing to offer a choice of health plans while paying a fixed cost, as long as the employee pays extra for a more expensive plan, according to a new study from The Commonwealth Fund.

Get the full story.

>>Return to this week's industry news


4.) 46 Healthcare Metrics to Boost Profitability: Charting 2013 Trends

46 Healthcare Metrics to Boost Profitability: Charting 2013 Trends This resource delivers charts and tables on 46 actionable metrics, enhanced by commentary and interviews with industry thought leaders from Aetna, Buck Consultants, HealthFitness, the IHIís STAAR hospital readmissions initiative, Strategic Health Group, Horizon Blue Cross Blue Shield of NJ, and others.

Learn more about this resource.

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5.) Healthcare Business White Paper: Home Visits in 2013 — House Calls Foster Medication Adherence, Patient Satisfaction

Home Visits in 2013 As a result of home visit programs, patient satisfaction increased for 87 percent of organizations and medication adherence has increased for 81 percent, according to new metrics from the Healthcare Intelligence Network. Almost 80 percent of respondents to HINís Home Visits e-survey conducted in August 2013 visit some percentage of their patients or health plan members in their homes. Download this HINtelligence report for more data on home visits as reported by 155 healthcare companies, including home visit program components, results and ROI, specific responses from hospital/health systems, and successful home visit work flows, processes and tools as told by respondents in their own words.

Download this complimentary white paper.

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6.) Michigan Value Cooperative Targets Hospital Costs, Outcomes

A new initiative aimed at helping hospitals across the state understand their practice patterns compared with their peers, better manage costs and improve outcomes for patients has been launched by Blue Cross Blue Shield of Michigan, Blue Care Network, and the University of Michigan Health System.

Get the full story.

>>Return to this week's industry news


7.) New Chart: What's the ROI from Health Coaching?

New Chart: What's the ROI from Health Coaching? Health coaching and the tools and technologies supporting it are critical elements of a population health management approach. Telephonically, face-to-face and increasingly powered by mHealth, health coaches are instrumental in reducing health risk across the care continuum, often working within new care delivery models such as the patient-centered medical home and the accountable care organization. We wanted to see what ROI was generated by health coaching programs.

Click here to view the chart.

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8.) Hospital Discharge Improvement Guide: How to Close Six Key Care Gaps and Reduce Readmissions

Hospital Discharge Improvement Guide This resource delivers dozens of tactics to tighten the six major gaps in the hospital discharge process: education, test management, follow-up and discharge, communication, physician accountability and health literacy.


Learn more about this resource.

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9.) Prescription Drug Use Among Medicare Patients Highly Inconsistent

Prescription drug use of both effective and risky drugs among Medicare patients varies throughout the United States, showing that location plays an important role in the quality and cost of medical care patients receive, according to a new report from the Dartmouth Atlas Project.

Get the full story.

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10.) Pharmacists and Medication Adherence: Brief Interventions, Motivational Interviewing and Telepharmacy

Pharmacists and Medication Adherence This resource describes a number of interventions in which pharmacists help to guide patients and health plan members to higher levels of medication adherence — programs that take place in the pharmacy, in the physician practice, or virtually, and answers more than 30 questions on the role of the pharmacist in reducing non-adherence.

Learn more about this resource.

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11.) 2 Standards of Care for Managing a Diabetic Population

Utilizing EHRs and closely identifying and managing patients who have missed appointments for hemoglobin A1C are two standards of care employed by Hudson River HealthCare (HRHC), a network of 16 FQHCs that use a patient-centered team of healthcare professionals to manage its diabetic population, says Kathy Brieger, RD, CDE, HRHCís chief operations officer.

Get the full story.

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12.) 33 Metrics for Care Transition Management

33 Metrics for Care Transition Management This resource provides a graphic compendium of performance benchmarks in key areas impacting care transitions — from key tasks performed at hospital discharge to the prevalence of home visits in programs to improve medication adherence.


Learn more about this resource.

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13.) HINfographic: Healthcare Strategic Planning for 2014

Sustained growth in emerging reimbursement models, including accountable care, bundled payments and shared savings will continue to have an impact on innovation within the healthcare industry in 2014 as providers and payors struggle to find more ways to reduce costs within their systems and better manage the care they provide. Hospital readmissions dropped by nearly 70,000 in 2012, and this trend is expected to accelerate through 2014, according to a new HINfographic from the Healthcare Intelligence Network.

Read this blog post.

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14.) Healthcare Trends & Forecasts in 2014: 7 Payor Strategies That Will Reshape Primary Care

Catherine Sreckovich From partnering with non-traditional providers like retail clinics to targeting larger physician practices to achieve savings and boost health outcomes, watch for health plans to continue to reshape primary care delivery over the coming year, predicts Catherine Sreckovich, managing director, healthcare, Navigant. Ms. Sreckovich outlines seven ways in which payors will influence primary care, advocates for big data for both payors and providers, and comments on the longevity of the bundled or episodic payment trend in this HealthSounds interview.

Listen to this podcast.

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