Dear Healthcare Intelligence Network Client,

This week we focus on far-reaching blueprints for reform — for the healthcare industry in general and hospitals in particular.

We've been following the generally positive reception of Senator Max Baucus's healthcare reform proposal a little over a week ago. Its goal is to make affordable healthcare available to all adults and children, after which it becomes the individual's responsibility to have coverage. The Senate Finance Committee chairman's Call to Action envisions an industry with prevention "as a cornerstone of the healthcare system, rather than an afterthought," which translates into an investment in primary care access and delivery. In his 98-page policy paper, which received a thumbs-up from the AMA, Sen. Baucus calls current payments for primary care "undervalued, particularly compared to procedures and services furnished by specialists." He also devotes a fair amount of ink to the patient-centered medical home (PCMH) model, calling for additional PCMH testing and implementation and extending its designation to community health centers and rural health clinics, who can fulfill this role for underserved populations. Where medical home construction costs prove prohibitive, "community health teams that include nurses, nutritionists, and social and mental health workers" are capable replacements, he suggests, pointing to the success of this approach in North Carolina, which saved $231 million in healthcare costs in 2005 and 2006.

We learned about North Carolina's success earlier this year when we talked with a Community Care Plan of Eastern North Carolina case manager about their medical homes for patients with diabetes. Details are in the HIN blog.

Also this week, the Joint Commission issued its Healthcare at the Crossroads: Guiding Principles for the Development of the Hospital of the Future report. The five-pronged plan calls for improvements in five core areas: economic viability, health IT, patient-centered care, staffing and hospital design.

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. 34
November 24, 2008

Sponsored by: 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


Table of Contents
  1. Using a Three-tiered Payment Structure to Finance a Patient-Centered Medical Home Pilot
  2. Medical Home Reimbursement Models: Funding Patient-Centered Care with Multi-Stakeholder Collaborations
  3. Hospital of the Future Report Identifies Five Areas for Change
  4. Putting Patients First: Best Practices in Patient-Centered Care, 2nd Edition
  5. Featured Healthcare Business White Paper: Patient Registries: The Track to Better Quality Healthcare
  6. Grant Will Train Medical Residents to Spot Substance Abuse
  7. Consultation Skills for Mental Health Professionals
  8. Easter Seals: The Largest Provider of Adult Day Services In The Country
  9. Adult Day Services Letter
  10. Baucus's Healthcare Call to Action Proposes Healthcare for All, with Focus on Primary Care and Prevention
  11. Healthcare Trends & Forecasts in 2009: Performance Expectations for the Healthcare Industry
  12. Featured Healthcare Podcast: Managing Comorbidities in Disease Management


1. Using a Three-tiered Payment Structure to Finance a Patient-Centered Medical Home Pilot

Julie Schilz, co-chair of the Center for Multi-Stakeholder Demonstrations and IPIP manager for the Colorado Clinical Guidelines Collaborative, discusses the three-tiered payment method that finances her organizationís patient-centered medical home pilot.

We are planning to use the three-tiered payment structure. That includes the fee-for-service (FFS), the care management fee and a pay-for-performance (PFP) methodology.

To read this story in its entirety, go to:
http://www.hin.com/sw/Hindustry_MC112408.html



2. Medical Home Reimbursement Models: Funding Patient-Centered Care with Multi-Stakeholder Collaborations

This 35-page special report presents three ongoing medical home pilots built on a variety of reimbursement models. It also provides an opportunity to evaluate three PCMH financial models and benefit from the experiences of multi-stakeholder collaborations.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3864



3. Hospital of the Future Report Identifies Five Areas for Change

A new report from The Joint Commission offers guiding principles and actions for the hospital of the future to meet the daunting challenges of older and sicker patients, patient safety and quality of care, economics and the work force. As these challenges escalate, hospitals can lead the effort to meet these demands.

To read this story in its entirety, go to:
http://www.hin.com/sw/hospital_HSmanagement112408.html



4. Putting Patients First: Best Practices in Patient-Centered Care, 2nd Edition

The second edition of Putting Patients First: Best Practices in Patient-Centered Care showcases what Planetree facilities and the Planetree organization have learned about the commitments, conditions, practices, and policies that are needed to do more than give lip service to being — patient-centered.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3865



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: Patient Registries: The Track to Better Quality Healthcare

Patient registries are clinical information systems that physicians use to identify and track patients with a defined disease or condition. Besides creating realistic views of clinical practices, patient outcomes, safety and comparative effectiveness, patient registries support evidence development and decision-making and are associated with improved management of chronic illness.

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



6. Grant Will Train Medical Residents to Spot Substance Abuse

The University of Texas Health Science Center at San Antonio will receive $1.8 million over five years from the Substance Abuse & Mental Health Services Administration (SAMHSA), to help its medical residents recognize substance abuse problems as they develop and to intervene quickly and effectively.

To read this story in its entirety, go to:
http://www.hin.com/sw/behavioral_health112408.html



7. Consultation Skills for Mental Health Professionals

Consultation Skills for Mental Health Professionals provides a comprehensive source for working with a diverse clientele in a variety of settings, discussing both traditional mental health consultation models and the fast-growing field of organizational consulting.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3626



8. Easter Seals: The Largest Provider of Adult Day Services In The Country

Easter Seals is the largest provider of adult day services in the United States, according to Jed Johnson, assistant vice president of older adult services and Cathy Kehoe, program director for adult and senior services. The organization, which just crossed into a $1 billion budget, focuses on serving people with disabilities including those with autism, mentally or intellectually disabled children, veterans and older adults, among others.

To read this story in its entirety, go to:
http://www.hin.com/sw/long_term_care112408.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.

HealthSounds Podcasts delivers a free weekly audio interview with a healthcare innovator to your e-mailbox. Listen to thought leaders answer key questions about the most pressing issues and trends in healthcare — impact of retail clinics, implications of Web 2.0 for healthcare, medical home models and much more.

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


9. Adult Day Services Letter

Adult Day Services Letter gives you the latest management intelligence regarding financing, marketing and staffing adult day services programs, program planning, funding opportunities and legislative alerts.

For more information, please visit:
http://store.hin.com/product.asp?itemid=2616



10. Baucus's Healthcare Call to Action Proposes Healthcare for All, with Focus on Primary Care and Prevention

The healthcare reform Call to Action report introduced earlier this month by U.S. Senator Max Baucus (D-Mont.), chairman of the Senate Finance Committee, incorporates six elements in its proposal for providing healthcare coverage for all Americans.

To read this story in its entirety, go to:
http://www.hin.com/sw/healthLaw_regulation112408.html



11. Healthcare Trends & Forecasts in 2009: Performance Expectations for the Healthcare Industry

In Healthcare Trends & Forecasts in 2009: Performance Expectations for the Healthcare Industry, two key thought leaders reflect upon the volatile economic climate and historical election results to frame an industry outlook for the coming twelve months.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3866



12. Featured Healthcare Podcast: Managing Comorbidities in Disease Management

McKesson Health Solutions has found that a large portion of the chronically ill beneficiaries also suffer from depression and schizophrenia, says Jim Hardy, senior vice president of care management services. Increasingly, McKesson seeks nurses with a background in behavioral healthcare to provide disease and case management to this population, especially during hospitalizations and at discharge. He describes the challenges inherent in navigating the medical and mental health systems needed by these clients and suggests ways to bridge behavioral healthcare gaps.

To listen to this podcast in its entirety, please visit:
http://www.hin.com/podcasts/podcast.htm#71


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
us at info@hin.com

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