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From the editor

Dear Healthcare Intelligence Network Client,

HIN Managing Editor Patricia Donovan

Accountable care organizations sanctioned by Medicare's Shared Savings Program will launch in one year. Around the country, payors and providers are framing their own versions of ACOs. This week, we examine the challenges of building Colorado's ACO for Medicaid beneficiaries, which is designed to address health and cost containment goals. Expected to launch this month, this medical home-ACO hybrid should provide both a focal point of care or medical home for all clients and unprecedented levels of data and analytics.

According to research published in the May 2010 edition of Health Affairs, a hallmark of a successful medical home is a dedicated, trained non-physician care manager to coordinate patient care. Our own 2010 market research on case management found that 12 percent of healthcare organizations co-locate case managers in a primary care practice.

This week we launch our second annual survey on healthcare case management, which we expect will provide more valuable data on case management tasks, benefits and ROI. We invite you to take the survey by January 31 so you can receive a summary of the data once it is compiled.

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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January 10, 2011
Vol. XIII, No. 2

Sponsored by:
Physician-Owned ACOs: Overcoming the Legal and Regulatory Compliance Challenges

This week's industry news:

  1. 3 Challenges of ACO Design
  2. Essential Guide to Accountable Care Organizations
  3. GI Infection On Rise Among Hospitalized Children
  4. Low-Cost Low-Tech Medical Home Approaches to Reducing Readmissions
  5. Healthcare Business White Paper: Handheld Healthcare
  6. ED Visits for Underage Drinking Nearly Triple on New Year’s Day
  7. New Chart: Tech Tools Used in Medical Homes
  8. Health Coach Collection
  9. Landmark Legislation Lays Foundation for National Alzheimer Strategy
  10. Home Visit Handbook
  11. Final HIT Certification Rule Clarifies Accreditation Process
  12. Healthcare Online 2010
  13. HealthSounds Podcast: Healthcare Performance Update
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.) 3 Challenges of ACO Design

Laurel Karabatsos, deputy director of Colorado’s Medicaid program, describes the challenges her organization faced in designing an accountable care organization (ACO).

Get the full story.

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2.) Essential Guide to Accountable Care Organizations: Challenges, Risks and Opportunities of the ACO Model

Essential Guide to Accountable Care Organizations This resource answers key questions surrounding ACOs so that hospitals, PHOs, IPAs and other physician organizations, networks or group practices can weigh the merits now of creating an ACO and complete the necessary groundwork before CMS's ACO operation date of January 2012.

Learn more about this resource.

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3.) GI Infection On Rise Among Hospitalized Children

Researchers at Cincinnati Children’s Hospital Medical Center have documented an increasing national trend of Clostridium difficile infections, a treatable but serious gastrointestinal disease, in hospitalized children.

Get the full story.

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4.) Low-Cost Low-Tech Medical Home Approaches to Reducing Readmissions

Low-Cost Low-Tech Medical Home This resource presents case studies from four healthcare organizations whose use of low-cost, low-tech tools in their medical homes is already reducing hospitalizations by up to 36 percent and improving care for Medicare beneficiaries in general and for patients with heart failure and diabetes in particular.

Learn more about this resource.

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5.) Healthcare Business White Paper: Handheld Healthcare — Mobile Medical Technology

One of medicine’s most powerful tools is handheld devices or personal digital assistants (PDA). This new technology is helping to save lives, improve care and lower costs. Healthcare practitioners are increasingly mobile yet inundated with critical medical data, reports and research. Amid this flow of important medical information, doctors are forced to make time critical decisions at the point of care, without the information they require.

Download this complimentary white paper.

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6.) ED Visits for Underage Drinking Nearly Triple on New Year’s Day

Hospital emergency department (ED) visits for underage drinking on New Year's Day far surpass other national holiday levels, says SAMHSA.

Get the full story.

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7.) New Chart: Tech Tools Used in Medical Homes

Tech Tools Used in Medical Homes

The medical home care team provides patient-centered, coordinated and high-quality care for its members. We wanted to see which health technologies are being utilized in medical homes.

Click here to view the chart.

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8.) Health Coach Collection

Health Coach Collection This seven-volume set provides an in-depth look at health coaching — from program design to training of coaches to coaching models, strategies and techniques, ROI and the IT infrastructure needed to support an effective health coaching program.

Learn more about this resource.

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9.) Landmark Legislation Lays Foundation for National Alzheimer Strategy

The National Alzheimer’s Project Act (NAPA) signed into law by President Obama creates for the first time a coordinated national strategy to confront one of America’s most feared and costly diseases, a disease that will only plague more baby boomers as they age.

Get the full story.

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10.) Home Visit Handbook: Structure, Assessments and Protocols for Medically Complex Patients

Home Visit Handbook This resource outlines an innovative home visit pilot for Medicaid and dually eligible patients that reduced unplanned hospital admission days by 71 percent in three months for the pilot population and provides key performance benchmarks on home visit activity in the healthcare industry.

Learn more about this resource.

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11.) Final HIT Certification Rule Clarifies Accreditation Process

The Office of the National Coordinator for Health Information Technology (ONC) issued a final rule to establish the permanent certification program for health information technology (HIT). The permanent certification program provides new features that will enhance the certification of HIT.

Get the full story.

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12.) Healthcare Online 2010

Healthcare Online 2010 The Internet allows consumers to research their health conditions and diseases, shop online for healthcare providers, engage in virtual consultations with their physician and become informed about treatment options so they can participate in decision-making about their care. This resource assesses these consumer activities and their impact on the healthcare system.

Learn more about this resource.

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13.) HealthSounds Podcast: Healthcare Performance Update — Healthcare Trends for 2011

Healthcare Performance Update Was 2010 a better year for healthcare than 2009, and what were the best and worst business ideas in healthcare over the last 12 months? In this month's healthcare performance benchmarks podcast, Healthcare Intelligence Network's Melanie Matthews reviews the top healthcare trends and concerns for 2011 derived from HIN's October 2010 survey results

Listen to this podcast.

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