Dear Healthcare Intelligence Network Client,

It's the dawn of a new administration...and with the campaign promise of the "Change We Need," the healthcare industry will be a major focus for President-elect Obama.

When we gathered the day after the election for our fifth annual Healthcare Trends and Forecasts conference, Dr. David Chin of PricewaterhouseCoopers' Health Research Institute reflected upon the historical election results and the fact that for the first time, the healthcare industry is no longer recession-proof.

"The fact that President Obama has been elected does not change the federal deficit. Obviously, everyone's focused on the economy as the number one issue, and there's going to be a lot of deficit spending associated with bolstering the financial system, which does not leave a lot of dollars available for healthcare.

"...With Obama coming into office, his approach is clearly to adopt more of the Massachusetts model....The net effect has been a real reduction in the uninsured. Massachusetts' uninsured has dropped from 10 percent to 5 percent with the advent of the Massachusetts Health Connector program, and the Obama plan has many similarities to that. But that does not mean there will be more monies, because ...they'll take money out of the disproportionate share payments...so there will be essentially a zero sum game in terms of net new reimbursement."

Fewer available healthcare dollars and a dip in consumer discretionary healthcare spending will certainly fuel wellness and retail healthcare efforts, two other 2009 industry trends discussed at length by Dr. Chin and co-presenter Perry Hanson, partner with Wipfli, a national accounting and business consulting firm. In case you missed last week's "look ahead at the industry," you can still benefit from their insight via an on-demand re-broadcast, CD or DVD. Register today at: http://store.hin.com/product.asp?itemid=3843.

Post-election, roughly two out of three healthcare organizations are generally feeling positive about the industry outlook, based on a non-scientific survey we're running. You can take the survey and also tell us how you're increasing profitability and recovering from lower net investment income levels in this ailing economy. We'll send you an e-summary of the compiled results in early December.

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. 32
November 10, 2008

Sponsored by: Health and Wellness Coaching in 2009

During Health and Wellness Coaching in 2009, a 90-minute webinar on November 12, 2008, two health and wellness coaching experts will examine how health coaching is evolving as an industry as the growth in health coaching continues. We will look at what trends will impact health and wellness coaching in 2009, including incentive and technology use, coaching theories and ROI developments.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3842


Table of Contents
  1. AMA Survey Highlights Need to Improve Medicare's PQRI
  2. 2008 Physician Quality Reporting Guide: Essentials of Data Collection, Work Flow Optimization and Physician Engagement for Practices
  3. CMS to Bolster Quality of Care in Hospital Outpatient Departments
  4. The State of the Hospital Industry — 2008 Edition
  5. Featured Healthcare Business White Paper: The State of Primary Care: A Primary Concern for U.S. Healthcare
  6. Foundation Unveils Mental Health Guide to Help Colleges with Distressed Students
  7. Designing, Implementing, and Managing Treatment Services for Individuals with Co-Occurring Mental Health and Substance Use Disorders: Blueprints for Action
  8. NY Funds 37 Projects to Improve Nursing Home Quality of Life
  9. Measuring Health Care: Using Quality Data for Operational, Financial, and Clinical Improvement
  10. Healthcare Providers and Unions Share Solutions for Healthcare Crisis
  11. Managing Comorbidities in Disease Management
  12. Featured Healthcare Podcast: Healthcare Trends and Forecasts in 2009


1. AMA Survey Highlights Need to Improve Medicare's PQRI

Key elements of Medicare's Physician Quality Reporting Initiative (PQRI) must be improved so that physicians can successfully participate and use the information to increase the quality of patient care, according to AMA’s new survey of physicians who participated in the PQRI during its first year of implementation.

To read this story in its entirety, go to:
http://www.hin.com/sw/Hindustry_MC111008.html



2. 2008 Physician Quality Reporting Guide: Essentials of Data Collection, Work Flow Optimization and Physician Engagement for Practices

This special report introduces the 2008 PQRI changes and offers strategies and templates to optimize practice work flow and turn PQRI participation into profit.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3770



3. CMS to Bolster Quality of Care in Hospital Outpatient Departments

CMS plans to strengthen the tie between the quality of care for Medicare beneficiaries in hospital outpatient departments (HOPDs) and the payments hospitals receive for those services. In a final rule establishing Medicare payment and policy changes for services in HOPDs and ambulatory surgical centers (ASCs) for 2009, CMS will implement a policy that will not pay hospitals for care related to illness or injuries acquired by the patient during a hospital outpatient encounter.

To read this story in its entirety, go to:
http://www.hin.com/sw/hospital_HSmanagement111008.html



4. The State of the Hospital Industry — 2008 Edition

This book reports data from 4 primary public data sets: PPS Minimum Data Set (Medicare Cost Reports), MedPAR (Medicare Inpatient Claims), Hospital Outpatient Prospective Payment System (Medicare Outpatient Claims) and Standard Analytical Outpatient File (Medicare Outpatient Claims). Additionally, this publication provides an insightful industry summary from a leading expert in hospital finance, as well as a review of how hospitals can measure the value their facilities provide to their communities.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3827



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: The State of Primary Care: A Primary Concern for U.S. Healthcare

Physician shortages. Reimbursement problems. New models of care. Healthcare IT. Quality initiatives. All of these issues contribute to the current crisis in primary care. As more doctors are overworked and dissatisfied with their professions and more medical students are choosing medical specialties over primary care, the field is no doubt facing hard times. And to make matters worse, there is no immediate relief in sight, as experts predict primary care in the United States will be faced with a physician shortage by 2015 if current conditions continue.

To download this complimentary white paper, please visit:
http://www.hin.com/library/registerpc08.html



6. Foundation Unveils Mental Health Guide to Help Colleges with Distressed Students

While colleges and universities must prepare for incidents of student violence, they should recognize that suicide and self-injurious behavior are “much larger public-health problems on campuses,” according to a manual released by the Jed Foundation, a nonprofit suicide-prevention group. “Student Mental Health and the Law” presents answers to more than two dozen questions about the legal and ethical issues colleges face when dealing with distressed students.

To read this story in its entirety, go to:
http://www.hin.com/sw/behavioral_health111008.html



7. Designing, Implementing, and Managing Treatment Services for Individuals with Co-Occurring Mental Health and Substance Use Disorders: Blueprints for Action

This book helps you to form strategies to address a co-occurring treatment program’s unique issues. It examines the historical basis of the dual treatment system to provide the philosophical tenets the program must follow and the essential qualities for an effective treatment program. This book also explores the issues in creating a new program or expanding an existing one, as well as the mechanics of day-to-day management.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3353



8. NY Funds 37 Projects to Improve Nursing Home Quality of Life

Thirty-seven long-term care providers will share in $1.5 million in grants to improve the quality of the nursing home experience, according to State Health Commissioner Richard F. Daines, M.D. The Long-Term Care Quality Improvement Initiative supports projects that demonstrate sustainable improvements that benefit nursing home residents.

To read this story in its entirety, go to:
http://www.hin.com/sw/long_term_care111008.html


There are other free email newsletters available from HIN!

HealthCoach Huddle, a monthly e-newsletter, brings you the most up-to-date news on health coaching, from coaching strategies to interviews and quotables from the industry's leading health coaches.

Medical Home Monitor tracks the construction of medical homes around the country and their impact on healthcare access, quality, utilization and cost. As providers and payors reframe care delivery, this monthly e-newsletter will cover the pilots, practice transformations, tools and technology that will guide healthcare organizations toward clinical excellence.

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



9. Measuring Health Care: Using Quality Data for Operational, Financial, and Clinical Improvement

This invaluable guide shows students and professionals how measurements and data can be used to balance quality services and financial viability and how measures can help to evaluate and improve organizational, clinical and financial processes.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3455



10. Healthcare Providers and Unions Share Solutions for Healthcare Crisis

The nation's largest joint labor-management healthcare coalition released a report on how they are tackling the most expensive problem in our nation's healthcare system: the escalating social, economic and individual costs of treating and managing chronic disease.

To read this story in its entirety, go to:
http://www.hin.com/sw/healthLaw_regulation111008.html



11. Managing Comorbidities in Disease Management

During Managing Comorbidities in Disease Management, a 90-minute webinar on November 24, 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



12. Featured Healthcare Podcast: Healthcare Trends and Forecasts in 2009

Financially stressed healthcare organizations seeking alternative revenue streams should study wasteful medical practice variations that consume an estimated 30 percent of every healthcare dollar, advises Dr. David Chin, a national partner in the Health Industries Advisory Practice of PricewaterhouseCoopers LLP and the managing partner of PwC’s Global Healthcare Research Institute. Focusing on emerging trends, Dr. Chin reflects on the growing multinational focus on wellness and prevention as a cost-saving measure and the impact that new models of primary care will have on related occupations.

To listen to this podcast in its entirety, please visit:
http://www.hin.com/podcasts/podcast.htm#70


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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