Dear Healthcare Intelligence Network Client,

We have been talking about the obesity epidemic for so long that perhaps "obesity inertia" has set in. Nearly every day a new survey documents another health risk faced by the obese — from osteoarthritis of the knee in the elderly to pelvic disorders in women — yet the recent F as in Fat: How Obesity Policies Are Failing in America, 2008 report from the Trust for Americaís Health and the Robert Wood Johnson Foundation indicates little progress at the state level:

Adult obesity rates rose in 37 states this year, for the second consecutive year in 24 states and for a third consecutive year in 19 states. No state saw a decrease. Though many promising policies have emerged to promote physical activity and good nutrition in communities, the report concludes that they are not being adopted or implemented at levels needed to turn around this health crisis.

On a more positive note, more than half of the 287 healthcare organizations that took our recent survey on obesity management and prevention efforts have initiatives afoot, with another 25 percent readying new programs for the coming year. This week's featured white paper, Obesity and Weight Management: Weighing in on the Growing Epidemic, highlights these initiatives, including the latest reimbursement trends for obesity-related care.

Obesity is a well-documented comorbidity — almost 80 percent of obese adults also have diabetes, dyslipidemia, coronary-artery disease, hypertension, gallbladder disease or osteoarthritis. But when the bulk of the office visit is directed at managing chronic illness, depression in this population may be overlooked. Depression management programs can help bridge this care gap. Five days remain for you to join the more than 180 healthcare organizations that have taken our October e-survey on depression DM programs. Complete the survey and you will receive an e-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. 30
October 27, 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. Components of a Successful Health Fair
  2. Highlights from AISís Pharmacy Benefit Survey Results
  3. Hospitalsí Ability to Qualify for Financial Incentives Influenced by Patientís Illness, Age and Ethnicity
  4. Engaging Physicians in Pay for Performance: Promoting Partnerships That Align Data, Dollars, Care & Quality
  5. Featured Healthcare Business White Paper: Obesity & Weight Management: Weighing in on the Growing Epidemic
  6. FDA Clears Neurostar® TMS Therapy for Depression Treatment
  7. Emergency Room Triage of the Mental Health Patient: Pilot Projects in ED Diversion
  8. Prolonging Withdrawal of Life Support in ICU Affects Family Satisfaction with Care
  9. Emergency Care Management
  10. $24 Million Available to Decrease Nurse Shortage
  11. Health Grants Funding Alert
  12. Featured Healthcare Podcast: Managing Comorbidities in Disease Management


1. Components of a Successful Health Fair

Heidi Laubach, a consultant with AON Consulting, maps out essential components in the creation of a health fair.

Think about both the short- and long-term objectives of the health fair. In addition to the organizationís objectives, consider employee behaviors you want to influence. While a short-term goal may be to increase employee participation in a health risk assessment (HRA) that can be used for activities related to disease management, a long-term goal may be to motivate employees to adopt healthy behaviors and make lifestyle changes.

To read this story in its entirety, go to:
http://www.hin.com/sw/Hindustry_MC102708.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. Hospitalsí Ability to Qualify for Financial Incentives Influenced by Patientís Illness, Age and Ethnicity

A Journal of the American Medical Association (JAMA) article suggests that hospitals' ability to qualify for financial incentives is influenced by their patients' age, race/ethnicity and the severity of their illnesses. This study used data reported by the American Heart Association's Get With the Guidelines-Coronary Artery Disease (CAD) program between Jan. 2000 and March 2008. Researchers evaluated the treatment of 148,472 heart attack patients from 449 hospitals, using the composite adherence score based on eight process performance measures.

To read this story in its entirety, go to:
http://www.hin.com/sw/hospital_HSmanagement102708.html



4. Engaging Physicians in Pay for Performance: Promoting Partnerships That Align Data, Dollars, Care & Quality

In this special report, two industry leaders chronicle the development of mutually beneficial provider-plan partnerships in PFP. They identify practice workflow issues that can derail physician participation in PFP and provide inside details on how they have engaged physicians in PFP programs and sustained motivation for continued participation.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3836



TALK TO THE HIN COMMUNITY: Share your reaction to a story or a strategy that's working at your organization. Send an email to editor@hin.com or post a comment to the HIN blog at:
http://blog.hin.com/

5. Featured Healthcare Business White Paper: Obesity & Weight Management: Weighing in on the Growing Epidemic

Increasingly, healthcare organizations are creating initiatives aimed at the 67 million obese and 85 million overweight Americans. In an August 2008 e-survey, nearly 300 healthcare professionals told the Healthcare Intelligence Network (HIN) how they are managing — and working to prevent — this growing problem.

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



6. FDA Clears Neurostar® TMS Therapy for Depression Treatment

The U.S. Food and Drug Administration (FDA) has cleared Neuronetics, Inc.ís NeuroStar TMS (Transcranial Magnetic Stimulation) Therapy system for the treatment of depression. NeuroStar TMS Therapy® is specifically indicated for the treatment of major depressive disorder in adult patients who have failed to achieve satisfactory improvement from one prior antidepressant medication at or above the minimal effective dose and duration in the current episode.

To read this story in its entirety, go to:
http://www.hin.com/sw/behavioral_health102708.html



7. Emergency Room Triage of the Mental Health Patient: Pilot Projects in ED Diversion

In this special report, one industry expert explains how the community mental health center's system-wide daily conference call helps to balance work and patient flow, encourages creative problem-solving and dramatically reduces staff time spent on diversion of psychiatric ER patients to other facilities. A second expert describes a pilot program placing a psychiatric nurse in the ED, along with the impact of the program on hospital admits, discharges and resource allocation, and ED staff satisfaction and morale.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3849



8. Prolonging Withdrawal of Life Support in ICU Affects Family Satisfaction with Care

Clinicians in the intensive care unit (ICU) often care for patients who are on several life support measures at once. When such a patient is dying and the decision is reached to withdraw life support, these clinicians may remove the life support measures one at a time over a period of days, rather than withdrawing all at once. According to a paper published in the American Journal of Respiratory and Critical Care Medicine, this practice, referred to as sequential withdrawal, may be relatively common, and may have a varying impact on the familyís satisfaction with ICU care.

To read this story in its entirety, go to:
http://www.hin.com/sw/long_term_care102708.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. Emergency Care Management

Emergency Care Management is an 86-page toolbox of guidelines, benefit interpretations, policies and procedures for the effective management of appropriate and medically necessary emergency and urgent care services. This product includes strategies for after-hours, emergency care, plus review criteria guidelines to develop an effective after-hours and emergency care program that will provide quality-driven care and meet most coverage determinations.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3588



10. $24 Million Available to Decrease Nurse Shortage

The Health Resources and Services Administration (HRSA) called for applications for a total of $24 million to increase nurse education, practice and retention. Deadline for submissions is Nov. 3 and an estimated 71 awards of $250,000 each will be awarded. Organizations applying for a grant must focus in on one of nine priority areas to be eligible for an award.

To read this story in its entirety, go to:
http://www.hin.com/sw/healthLaw_regulation102708.html



11. Health Grants Funding Alert

Health Grants Funding Alert identifies opportunities for federal, corporate and foundation support of healthcare. Readers receive news about funding opportunities for the year ahead, new foundation program interests, priorities, and other healthcare funding trends such as, up-to-date information on the grant programs, details on trends in funding, news of changing foundation health priorities and funding interests, and much more.

For more information, please visit:
http://store.hin.com/product.asp?itemid=2613



12. Featured Healthcare Podcast: Managing Comorbidities in Disease Management

Differentiating between the patient-centered model of care and the comorbidity-focused Guided Care Model, Dr. Chad Boult, professor of public health, medicine & nursing and director of the Lipitz Center for Integrated Health Care, Johns Hopkins Bloomberg School of Public Health, describes nurses' response to the Guided Care Model. He also offers an advance look at the training, information and Web-based support that his organization will deliver in 2009 to selected medical practices hoping to transform themselves into medical homes and enhance care for Medicare beneficiaries with multiple chronic conditions.

To listen to this podcast in its entirety, please visit:
http://www.hin.com/podcasts/podcast.htm#71


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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