Dear Healthcare Intelligence Network Client,

Today may be an average day, but see if your definition of "average" changes after reading this new data from the Substance Abuse and Mental Health Services Administration (SAMHSA), which found that on an average day in 2006:

Overall, SAMHSA finds fewer adolescents are using illicit drugs than in 2002, but misuse of prescription drugs among adolescents increased from 5.4 percent in 2002 to 6.4 percent in 2006, largely attributable to the increase in nonmedical use of pain relievers. In this week's news, read about a SAMHSA pilot to deliver point-of-sale substance abuse prevention information sheets to purchasers of highly abused prescription drugs, a first step in combating prescription drug misuse among teens and young adults.

To comment on this and other emerging trends in healthcare, please take the HIN e-survey on Healthcare Trends in 2008. Complete the survey by October 31 and receive a free e-summary of the 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 IX, No. 35
October 29, 2007

Sponsored by: AHAData.com

AHAData.com. Search, sort and download the latest American Hospital Association data online at AHAData.com. Create custom mailing lists or data sets based on your needs.


Table of Contents
  1. Why Medicaid Members Don’t Use Medical Homes
  2. The Medical Home: Pathway to Patient-Centric Primary Care
  3. Errors by Medical Residents Caused by Teamwork Breakdowns, Lack of Supervision
  4. 101 Tools for Improving Health Care Performance
  5. Worth Repeating: Healthcare Trends in 2008: Wellness Coaching an Investment in Prevention
  6. SAMHSA Abuse Prevention Program Targets Consumers of Highly Abused Prescription Drugs
  7. Managing Behavioral Healthcare, 3rd Edition
  8. CMS Project Finds Proper Care Reduces Most Serious Bed Sores In Nursing Homes
  9. Infection Control Manual for Long Term Care
  10. FDA Approves Ixempra for Advanced Breast Cancer Patients
  11. Understanding FDA Drug and Biologic Adverse Event Regulations, 2006 Edition
  12. What's New at HIN: The Latest Special Reports, White Papers and Podcasts


1. Why Medicaid Members Don’t Use Medical Homes

Anne Hernandez, director of operations of APS Healthcare, and Dr. George Rust, senior consultant for APS Healthcare and interim director of the National Center for Primary Care at Morehouse School of Medicine, discuss the principles of the medical home.

Why don’t members, particularly Medicaid members, utilize medical homes? Firstly, they are not assigned to a primary care physician (PCP). The definition of a medical home is not just a PCP, but rather someone they can have a relationship with.

To read this story in its entirety, go to:
http://www.hin.com/sw/Hindustry_MC102907.html



2. The Medical Home: Pathway to Patient-Centric Primary Care

This 40-page report addresses the value and challenges of medical homes from the viewpoints of organizations already trying to establish medical homes for their populations. Covered are funding and implementation hurdles, successful methods for identifying members and redesigning office practices to move toward an advanced medical home model.

For more information:
http://store.hin.com/product.asp?itemid=3719



3. Errors by Medical Residents Caused by Teamwork Breakdowns, Lack of Supervision

Many medical errors made by physicians-in-training stem from teamwork breakdowns, especially a lack of supervision by experienced staff, according to a new study funded by the Department of Health & Human Services' (HHS) Agency for Healthcare Research and Quality (AHRQ). In addition, a significant number of errors occurred during patient handoffs due to teamwork breakdowns involving medical residents, fellows and interns (first-year residents). The study, "Medical Errors Involving Trainees: A Study of Closed Malpractice Claims from 5 Insurers," appears in the October 22, 2007 issue of the Archives of Internal Medicine.

To read this story in its entirety, go to:
http://www.hin.com/sw/hospital_HSmanagement102907.html



4. 101 Tools for Improving Health Care Performance

101 Tools for Improving Health Care Performance is a toolbox of interventions that will help you accelerate positive change in your organization. The experienced authors provide the field-tested tools you need to handle a host of performance issues. Don't worry about how to face improvement challenges in your organization. Just grab your toolbox and go! This book has the interventions you need to be successful.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3384



Please Forward This Issue

If you haven’t 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. Worth Repeating: Healthcare Trends in 2008: Wellness Coaching an Investment in Prevention

In this excerpt from an October 10, 2007 webinar on Healthcare Trends and Forecasts in 2008, Elizabeth Opland, director of product development and deployment at Gordian Health Solutions, predicts the impact that health coaching will have on the wellness sector in the year ahead:

Wellness is an active, lifelong process of becoming aware of and making choices toward a more healthy and fulfilling life. Wellness is so much more than being physically healthy and avoiding disease. We see it as being based on strength rather than deficit.

Read the rest of this transcript excerpt:
http://www.hin.com/sw/worth_repeating102907.html



6. SAMHSA Abuse Prevention Program Targets Consumers of Highly Abused Prescription Drugs

A 26-week pilot program launched by the Substance Abuse and Mental Health Services Administration (SAMHSA) will provide point-of-sale substance abuse prevention information sheets to purchasers of highly abused prescription drugs, including hydrocodone, select sleep aids and oxycontin (generic and brand name). Highlighting the need for prescription drug abuse prevention, the sheets provide practical advice on properly storing medication and disposing of unused amounts. This program is specifically aimed at combating the growing abuse of prescription drugs among teens and young adults and will involve some 6,300 pharmacies nationwide.

To read this story in its entirety, go to:
http://www.hin.com/sw/behavioral_health102907.html



7. Managing Behavioral Healthcare, 3rd Edition

This 424-page manual provides behavioral health medical review policies, ‘benefit interpretations’ criteria, benchmarks and guidelines for inpatient, day hospital, residential and outpatient care. A practical model for a quality-based and cost-effective care management approach as well as coverage determinations. The manual also contains numerous policies, procedures, tools and forms vital to prepare for accreditation or certification surveys and strategies for quality-based efficient delivery of integrated behavioral health care. Also included are references and web site links. This manual is updated annually.

For more information, please visit:
http://store.hin.com/product.asp?itemid=2818



8. CMS Project Finds Proper Care Reduces Most Serious Bed Sores In Nursing Homes

A diligent and sustained focus on preventing serious bed sores in nursing home residents was remarkably effective, according to the results of a project sponsored by the Centers for Medicare & Medicaid Services (CMS) and published in the Journal of the American Geriatrics Society. The nationwide project stopped more than two-thirds of the residents’ serious bed sores – a dreaded complication of frailty and disability in old age – in the 35 nursing homes that reported data from the project, the paper reports.

To read this story in its entirety, go to:
http://www.hin.com/sw/long_term_care102907.html


There are other free email newsletters available from HIN!

Healthcare Daily Data Bytes put at your fingertips each day a "Data Byte" from the healthcare industry -- facts, figures, statistics and percentages on healthcare spending, costs, utilization and performance. You can also register for free access to Healthcare Daily Data Byte archives.

Health Management Career Center Update is a free bi-monthly email newsletter for healthcare management professionals seeking new career opportunities and healthcare organizations that are seeking to fill health management positions within their companies.

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



9. Infection Control Manual for Long Term Care

Taking into consideration JCAHO standards, federal regulations, and current standards of practice for infection control, this manual includes a detailed table of contents and numbered tabs for ease in finding specific policies. The manual format includes: The Infection Control Program; Surveillance of Infections; Infection Control Education; Isolation; Employee Health; Patient Care Policies; Departmental Policies; OSHA Exposure Control Plans for Bloodborne Pathogens and TB; Performance Improvement; Bioterrorism; and References.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3394



10. FDA Approves Ixempra for Advanced Breast Cancer Patients

Ixempra (ixabepilone), a new anti-cancer treatment, has been approved by the U.S. Food and Drug Administration (FDA) for use in patients with metastatic or locally advanced breast cancer who have not responded to certain other cancer drugs. The drug binds to cancer cell microtubules, which support and shape the cells as well as play a role in cell division. The FDA evaluated Ixempra under priority review, completing its assessment of the drug's safety and effectiveness in six months.

For more information, please visit:
http://www.hin.com/sw/healthLaw_regulation102907.html



11. Understanding FDA Drug and Biologic Adverse Event Regulations, 2006 Edition

Understanding FDA Drug and Biologic Adverse Event Regulations, 2006 Edition, a new book from FDAnews, is the best source for helping you and your staff make sense of often confusing reporting directives and protocols — and you’ll gain a greater sense of control over the adverse events reporting process.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3049



12. What's New at HIN: The Latest Special Reports, White Papers and Podcasts

Find out how your colleagues in healthcare use a multidisciplinary approach to reduce readmissions of heart failure patients, tap the hospital discharge process as a teachable moment, and measure return on investment in health coaching initiatives.

For a list of the latest white papers, reports and podcasts from the Healthcare Intelligence Network, please visit:
http://www.hin.com/sw/whatsnewathin102907.html


All contents of this message Copyright 2007