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From the editor

Dear Healthcare Intelligence Network Client,

HIN Managing Editor Patricia Donovan

CMS's shelving last week of its widely anticipated Medicare Medical Home Demonstration (MMHD) elicited a strong response from our community. Citing language in pending legislation that would repeal the MMHD and replace it with a similar pilot, CMS reiterated its support for multi-payor pilots like the 2010 Multi-Payor Advanced Primary Care Initiative (MAPCI) Practice Demonstration, described in our Sept. 21 issue. HHS equates the advanced primary care model with the medical home.

Many questions surround CMS's shift in focus, including the rationale for a new label for the medical home model when the current one is widely accepted and understood. When asked about CMS's decision during last week's Healthcare Trends in 2010: Marketplace and Health Reform Drivers webinar, healthcare consultant William DeMarco said that a focus on accountable care organizations (ACOs) — networks of primary care physicians, one or more hospitals and subspecialists that provide patient-centered care — will likely replace a lot of discussion of the medical home. "There must be 10 different varieties of medical homes," said DeMarco. "CMS is likely looking for a more stringent definition of the ACO. The original demo project did not include a discussion of bundled services, not only for providers but for hospitals and other services. That's something CMS needs to do in order to make it work."

Healthcare consultant and blogger Vince Kuraitis does a great job of analyzing the CMS announcement, the future of Medicare and the rise of the MAPCI in an October 29 post in the e-CareManagement blog.

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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November 2, 2009
Vol. XI, No. 41

Sponsored by:
Effective Case Management in the Medical Home

This week's industry news:

  1. Physician Expectations of EHR's Value Increase with Use
  2. Simple Steps to a Patient Registry
  3. 4 Ways to Improve Care Delivery in the Medical Home
  4. Low-Cost Low-Tech Medical Home Approaches
  5. Healthcare Business White Paper: 2009 Telehealth Benchmarks
  6. Antipsychotic Meds Cause Substantial Weight Gain in Children and Adolescents
  7. Depression Management Benchmarks
  8. Long-Term Care Costs Rise from 2008 to 2009
  9. Healthcare Trends and Forecasts in 2010
  10. HHS Expands Keystone Project to Fight Healthcare-Associated Infections
  11. Infection Control in Ambulatory Care
  12. HealthSounds Podcast: Medical Home Open House Highlights Part 2
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.) Physician Expectations of EHR's Value Increase with Use, Survey Finds

As medical practices nationwide focus on “meaningful use” of electronic health records (EHRs), an American Medical Group Association (AMGA) survey of AMGA member medical groups found that although few groups have yet to fully achieve all the benefits they anticipated when they began implementation, virtually all groups now have even higher expectations for the potential of health IT, as a result of their experience.

Get the full story.

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

Simple Steps to a Patient Registry This resource illustrates how even the solo practitioner can simply and inexpensively implement a population-based registry that provides actionable information on patient needs. From a set of index cards in a shoebox to a clinical information system auto-populated from an EMR, the patient registry guides the entire care team in the management of chronic illness and preventive care. Registries also have been shown to decrease per-member costs and reduce hospital admissions.

Learn more about this resource.

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3.) 4 Ways to Improve Care Delivery in the Medical Home

Michael Erikson, vice president of primary care services for Group Health Cooperative, shares four strategies that dramatically improved care delivery in Group Health’s successful medical home pilot.

Call management was a necessary underpinning of our patient-centered medical home (PCMH). Prior to the work on our medical home pilot program, our delivery system was only about 9 percent capable of taking a call from a patient into our primary care practices and resolving that in the first call. For those patients whose call could not be resolved, it often took hours to days to get their answer to a simple question.

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 Group Health Cooperative, Geisinger Health System, Henry Ford Health System and Community Care of North Carolina; 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: 2009 Telehealth Benchmarks — Wired for Access and Efficiency

How are healthcare organizations utilizing telehealth and telemedicine? How prevalent is remote monitoring, and which medical conditions are most often monitored? How has telehealth impacted levels of healthcare access, efficiency, cost and patient compliance? The Healthcare Intelligence Network set out to answer these questions and others during its 2009 Telehealth e-survey. This executive summary of responses from 134 healthcare organizations identifies emerging trends in the use of telehealth and telemedicine and offers a glimpse into a healthcare future where no patient is left behind because of a lack of access.

Download this complimentary white paper.

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6.) Antipsychotic Meds Cause Substantial Weight Gain in Children and Adolescents

It has been known for several years that antipsychotic medications can cause weight gain in adults and increase the risk for serious metabolic disorders. Scientists at The Zucker Hillside Hospital, a member of North Shore-Long Island Jewish Health System, and The Feinstein Institute for Medical Research, the research branch of the North Shore-Long Island Jewish Health System, studied children and adolescents between 4-19 years old, who have been prescribed antipsychotic medicines for the first time and examined the impact they had on weight gain and metabolic changes.

Get the full story.

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7.) Depression Management Benchmarks: Trends in Integration of Behavioral and Physical Health

Depression Management Benchmarks This resource provides actionable information from 260 organizations on their progress in targeting depression in disease management plus lessons learned from early adopters of an integrated approach to mental and physical health. As healthcare reform unfolds, organizations will benefit from a review of these industry metrics and measurements to evaluate and plan programs and compare performance and utilization data.

Learn more about this resource.

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8.) Long-Term Care Costs Rise from 2008 to 2009

Price rollbacks throughout the U.S. economy during the past year did not apply to long-term care service providers, according to the 2009 MetLife Market Survey of Nursing Home, Assisted Living, Adult Day Services, and Home Care Costs. Private room nursing home rates rose 3.3 percent to $219 per day or $79,935 per year, while assisted living also rose 3.3 percent on average to $3,131 per month. Home healthcare aides now cost an average of $21 per hour, a 5 percent increase; adult day services run $67 per day, a 4.7 percent increase.

Get the full story.

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9.) Healthcare Trends and Forecasts in 2010: Marketplace and Health Reform Drivers

Healthcare Trends 2010 During this webinar, industry experts examined how the healthcare industry fared in 2009 and what trends will drive the industry in 2010, looking at how the industry is transforming itself with value-based purchasing initiatives and the potential impacts of reform in the coming year.

Learn more about this resource.

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10.) HHS Expands Keystone Project to Fight Healthcare-Associated Infections

HHS awarded $17 million to fund projects to fight costly and dangerous healthcare-associated infections (HAIs). HAIs are one of the most common complications of hospital care. Nearly 2 million patients develop HAIs, which contribute to 99,000 deaths each year and $28 billion to $33 billion in healthcare costs.

Get the full story.

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11.) Infection Control in Ambulatory Care

Infection Control in Ambulatory Care This resource is a 137-page report of ‘best practice’ policies and procedures to meet OSHA, JCAHO, NCQA and other standards for accreditation and certification visits in a medical office or ambulatory care setting. Included in this resource are forms, an OSHA training program, OSHA standards, Web site links and references. The goals of the infection prevention and control program are to reduce the risks of transmission of infectious agents among and between patients and healthcare personnel and to reduce risks for infections developing in patients related to the use of devices and procedures required in their care. The goals are achieved through the processes of surveillance, ongoing analysis of data, prevention and control. (JCAHO)

Learn more about this resource.

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12.) HealthSounds Podcast: Medical Home Open House Highlights Part 2 — Physician Practice Innovations To Improve Care Delivery

Medical Home Open House Highlights Part 2 Medical home innovators Group Health Cooperative, Greenhouse Internists and Grand Valley Health Plan describe practice level transformations that improve care delivery and move them along the path to NCQA medical home recognition in Part 2 of Medical Home Open House Highlights.

Listen to this podcast.

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