Dear Healthcare Intelligence Network Client,

This week's Patient Centered Primary Care Collaborative summit on the medical home highlighted the healthcare industry's endorsement and clarification of this model as well as the need for reimbursement reforms to support it. In the meantime, physicians can avail themselves of assessment and implementation tools to help transform their practices into true medical homes. It shouldn't be long before there are metrics and measurements in place to separate true patient-centered practices from the wannabes. Read the summit highlights in this week's news as well as in the HIN blog.

However, until medical homes are available to all, there still will be a significant population of medically underserved. A new white paper that reports on strategies for connecting with hard-to-reach patients and clients may trigger some new outreach at your organization, as might this week's profile of a member-centered care management program.

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 VIX, No. 37
November 12, 2007

Sponsored by: Health Coaching ROI Metrics and Measurements

Health coaching programs need to demonstrate on a variety of levels the positive impact and return on investment their programs will have from a financial and clinical perspective. Structuring an effective ROI calculation is key to the ongoing success of health coaching initiatives. During this 90-minute webinar on November 15, 2007, an expert panel of speakers will describe the types of metrics that can and should be used when evaluating the effectiveness of both health coaching programs and individual health coaches.

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Table of Contents
  1. PCPCC Summit Frames Metrics for Medical Homes
  2. The Medical Home: Pathway to Patient-Centric Primary Care
  3. Defining Optimal Care for Heart Failure Patients
  4. Successful Management of Heart Failure Patients: Multidisciplinary Approach to Reducing Readmissions
  5. Featured Healthcare Business White Paper: Making Contact: How Healthcare Organizations Locate and Communicate with Hard-to-Reach Clients
  6. A Maternal Link to Alzheimer’s Disease
  7. Alzheimer's Disease-the evaluation and management of dementia
  8. Defining Member-Centered Care Coordination
  9. Coordinating Care Transitions for the Elderly and Dually Eligible: Fostering Self-Management and Reducing Readmissions
  10. New Food Protection Plan to Strengthen, Update Food Safety Efforts
  11. Navigating Good Clinical Practices, 2006 Edition
  12. Worth Repeating: Best Practices in Hospital Discharge to Reduce Preventable Readmissions
  13. Best Practices in Hospital Discharge to Reduce Preventable Readmissions


1. PCPCC Summit Frames Metrics for Medical Homes

Defining and qualifying a medical home are tricky tasks, but those were some of the challenges addressed at last week’s Patient-Centered Primary Care Collaborative (PCPCC) “Call-to-Action Summit” in Washington, D.C. Following a keynote address by Newt Gingrich, former Speaker of the House and chair of the Center for Healthcare Transformation, physician organizations, health plans and employers described their roles and concerns regarding a new model of healthcare delivery focused on the patient-centered medical home.

To read this story in its entirety, go to:
http://www.hin.com/sw/Hindustry_MC111207.html



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

"The Medical Home: Pathway to Patient-Centric Primary Care," addresses the value and challenges of medical homes from the viewpoints of organizations already trying to establish medical homes for their populations. Covered in this 40-page special report 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 and to listen to pre-conference comments:
http://store.hin.com/product.asp?itemid=3719



3. Defining Optimal Care for Heart Failure Patients

Michele Gilbert, education coordinator of the heart failure team and pulmonary hypertension program at Hackensack University Medical Center, describes her team’s approach to patients with systolic dysfunction: "We know there’s an association between the quality of care a [heart failure] patient receives in the hospital and how they do once they’re discharged."

To read this story in its entirety, go to:
http://www.hin.com/sw/hospital_HSmanagement111207.html



4. Successful Management of Heart Failure Patients: Multidisciplinary Approach to Reducing Readmissions

In this special report, the education coordinator and administrative manager of Hackensack University Medical Center's dedicated heart failure unit detail the team's multidisciplinary approach to effective heart failure management. The report chronicles the evolution and operation of the three-year-old unit and its foundation in continuous care and patient education and self-management.

For more information on, please visit:
http://store.hin.com/product.asp?itemid=3745



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. Featured Healthcare Business White Paper: Making Contact: How Healthcare Organizations Locate and Communicate with Hard-to-Reach Clients

Locating and initiating contact with members is a challenge that many organizations face when administering disease management (DM) programs to the medically underserved. HIN conducted a non-scientific online survey in September 2007 where 67 organizations ­ including hospitals, physician organizations and health plans ­ shared how they connect with hard-to-reach clients.

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



6. A Maternal Link to Alzheimer’s Disease

Having a mother with Alzheimer’s disease appears to be a greater risk for developing the disease than having a father who is afflicted, according to a study by New York University School of Medicine researchers published in Proceedings of the National Academy of Sciences. The study compared brain metabolisms in 49 cognitively normal people from 50 to 80 years old who have a father, a mother, or no relatives with Alzheimer’s disease.

To read this story in its entirety, go to:
http://www.hin.com/sw/behavioral_health111207.html



7. Alzheimer's Disease-the evaluation and management of dementia

This 70-page report details diagnosis, non-pharmaceutical and pharmaceutical management of this common cluster of disabling disorders. It also includes references and web links/other resources. This product is updated annually.

For more information on, please visit:
http://store.hin.com/product.asp?itemid=3597



8. Defining Member-Centered Care Coordination

Sarah Keenan, R.N., B.S.N., a clinical liaison for Medica Health Plans, describes her organization’s member-focused approach to care management: "When the member chooses a care system, that care system and the care coordinator are responsible for coordinating all the members’ services. Across the continuum, this is very member-focused. The role of the care coordinator is to coordinate the provision of health and long-term services to members among different health and social service professionals and across all settings of care. This sounds like a lot of terminology on a page, but when you are a care coordinator and you’re looking at that task, it can be daunting."

To read this story in its entirety, go to:
http://www.hin.com/sw/long_term_care111207.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
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9. Coordinating Care Transitions for the Elderly and Dually Eligible: Fostering Self-Management and Reducing Readmissions

When the elderly and dually eligible populations transition from one healthcare setting to another, they frequently encounter gaps in care that negatively impact their health, unnecessarily prolong hospital stays and specialty care, and unduly increase the burden on caregivers and family. Closing care transition gaps for these populations is the focus of this special report, in which four respected thought leaders share their unique approaches to care transition management that positively impact cost and engage the patient in their care decisions.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3685



10. New Food Protection Plan to Strengthen, Update Food Safety Efforts

A new Food Protection Plan, a comprehensive initiative by the Food and Drug Administration (FDA), incorporates three core elements — prevention, intervention and response — and intends to increase efforts in better protecting the nation's food supply. The plan, recently announced by the U.S. Department of Health and Human Services (HHS), proposes the use of science and a risk-based approach to ensure the safety of domestic and imported food products by using an integrated collaborative approach to meet demands of a global economy to protect American consumers.

For more information, please visit:
http://www.hin.com/sw/healthLaw_regulation111207.html



11. Navigating Good Clinical Practices, 2006 Edition

Prepared by FDAnews editors and researchers, Navigating Good Clinical Practices, 2006 Edition is your most comprehensive and authoritative source for current FDA rules, regulations and guidance on GCP and clinical trial management.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3051



12. Worth Repeating: Best Practices in Hospital Discharge to Reduce Preventable Readmissions

In this transcript excerpt from an October 23, 2007 audio conference, Nora Baratto, manager of the case management department at St. Peter’s Hospital’s “Choices” program, describes how the hospital discharge process can become a teachable moment that helps reduce hospital readmissions and inappropriate emergency department (ED) use:

“We developed the CHOICES program because back in the 1990s, we saw a great deal of inappropriate use of the ED to access care. There is still is a great deal of misinformation about where to access care. Many people think that the ED is still the primary place to access care.”

To finish reading this transcript excerpt, please visit:
http://www.hin.com/sw/worth_repeating111207.html



13. Best Practices in Hospital Discharge to Reduce Preventable Readmissions

During Best Practices in Hospital Discharge to Reduce Preventable Readmissions, a 90-minute webinar on CD-ROM, two industry experts described how their organizations have fine-tuned their hospital discharge processes and the impact these steps have had on patient outcomes and satisfaction and readmission rates.

For more information on this audio conference and to listen to pre-conference comments, please visit:
http://store.hin.com/product.asp?itemid=3739


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