HIN logo
From the editor

Dear Healthcare Intelligence Network Client,

HIN Managing Editor Patricia Donovan

ER wait times: is there an app for that? If not, there soon will be. A group of nine Texas hospitals is using digital tools, including a planned iPhone app, to update average ER wait times. The hope is that patients with non-life-threatening conditions will review the average waits at local ERs and decide which ER to use.

It's a great idea, but one that could be taken a step further. Why not link to a health advice line so patients could determine the most appropriate venue for care, which may be the ER but could also be an urgent care center or next-day physician visit? Nurse advice lines such as the one operated by Optima Health are helping to reduce avoidable ER use and rehospitalizations, according to Patricia Curtis, Optima's director of operations, clinical care services, while boosting patient and physician satisfaction scores. Stay tuned. We'll have an interview with Ms. Curtis in next week's issue, or follow us on Twitter to access the interview as soon as it is available.

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

>>Return to top

HIN podcasts
HIN blog
HIN videos
New HIN products

Contact HIN:
www.hin.com
(888) 446-3530
(732) 449-4468
Fax: (732) 449-4463
Email: info@hin.com

This week's featured download: 2010 Benchmarks in Reducing Avoidable ER Visits

2010 Benchmarks in Reducing Avoidable ER Visits

Featured download










For advertising and sponsorship opportunities in the Healthcare Business Weekly Update, please e-mail sales@hin.com or call 888-446-3530

>>Return to top

November 29, 2010
Vol. XII, No. 44

Sponsored by:
How To Create an ACO Framework Through Clinical Integration with Independent Physicians

This week's industry news:

  1. Paying for Care Coordination in a Healthcare Home
  2. MORE Medical Home Reimbursement Models
  3. HCA North Texas Hospitals Use Digital Tools to Update ER Wait Times
  4. Maximizing the Nurse Advice Line
  5. Healthcare Business White Paper: Medical Tourism
  6. SAMHSA Awards $14.4 Million to Support People in Substance Abuse Addiction Recovery
  7. New Chart: Staffing to Curb Avoidable ER Use
  8. Three Pillars of Health Coaching
  9. New Standards Lower Medicare Improper Payment Rates for 2010
  10. Minimum Medical Loss Ratios
  11. Community Health Centers Get Boost from Affordable Care Act
  12. 2010 Medical Home Performance Benchmarks
  13. HealthSounds Podcast: Creating an ACO by Clinical Integration
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.

Missed the last issue? Read it here.

Join our Community: Twitter Facebook LinkeIn


Take the monthly e-survey:
Tobacco Cessation and Prevention Programs

You'll be emailed a synopsis of the survey results.


This week's industry news

1.) Paying for Care Coordination in a Healthcare Home

Jeff Schiff, M.D., M.B.A., medical director of Minnesota Health Care Programs for the Minnesota Department of Human Services, discusses payment mechanisms for care coordination.

Get the full story.

>>Return to this week's industry news


2.) MORE Medical Home Reimbursement Models: ROI from Risk Adjustment, Shared Savings and Multi-Payor Partnerships

MORE Medical Home Reimbursement Models The newest strategies for generating revenue from the patient-centered medical home (PCMH) are documented in this 45-page resource. Learn how the identification of high-risk patients, meaningful distribution of healthcare data and collaborations with like-minded organizations are increasing medical home profitability for three healthcare organizations.

Learn more about this resource.

>>Return to this week's industry news


3.) HCA North Texas Hospitals Use Digital Tools to Update ER Wait Times

Nine HCA North Texas hospitals are using modern technology to announce average ER wait times, while also lessening the burden on its ER physicians and patients.

Get the full story.

>>Return to this week's industry news


4.) Maximizing the Nurse Advice Line To Ensure Appropriate Healthcare Utilization

Maximizing the Nurse Advice Line During this webinar, the director of operations, clinical care services at Optima Health will share how Optimaís nurse advice line has evolved from a call center that supported a staff model HMO to a critical component of the organizationís effort to improve the efficiency of healthcare utilization.

Learn more about this resource.

>>Return to this week's industry news


5.) Healthcare Business White Paper: Medical Tourism — Implications for Participants in the U.S. Health Care System

Medical tourism presents opportunities and threats for health plans, employers, pharmaceutical and device companies, providers, payors and patients. Those who understand the emerging market will be well-positioned to take the initiative and to benefit as the field evolves. The purpose of this white paper is to lay out the issues that U.S. players should begin addressing now and to provide the context in which to evaluate them.

Download this complimentary white paper.

>>Return to this week's industry news


6.) SAMHSA Awards $14.4 Million to Support People in Substance Abuse Addiction Recovery

SAMHSA has awarded up to $14.4 million in new grants to help people in substance abuse treatment programs. The new grants are designed to bring together community resources such as housing, employment programs, transportation and treatment services, and create recovery-oriented systems that support people working to attain and sustain recovery.

Get the full story.

>>Return to this week's industry news


7.) New Chart: Staffing to Curb Avoidable ER Use

Staffing to Curb Avoidable ER Use

As consumers and payors take on greater responsibility for the efficiency of the healthcare system, healthcare organizations are targeting avoidable emergency room use. We wanted to see the staffing models in use to reduce avoidable ER use.

Click here to view the chart.

>>Return to this week's industry news


8.) Three Pillars of Health Coaching: Patient Activation, Motivational Interviewing and Positive Psychology

Three Pillars of Health Coaching This resource provides the fundamentals of three essential tools — Patient Activation Measure™, motivational interviewing and positive psychology — that health coaches can use to elicit behavior change, move clients along the path to self-management and have a positive impact on health outcomes and utilization.

Learn more about this resource.

>>Return to this week's industry news


9.) New Standards Lower Medicare Improper Payment Rates for 2010

The 2010 error rate for Medicare claims declined in 2010 and is on track for a 50 percent reduction by 2012, according to CMS. The error rate for Medicare Advantage also declined and a new component measure was developed and reported for the Part D program.

Get the full story.

>>Return to this week's industry news


10.) Minimum Medical Loss Ratios: How Health Plans Should Prepare for the January Compliance Requirements

Minimum Medical Loss Ratios Beginning in January, health insurers must spend at least 85 percent of premiums on medical costs in group coverage plans, and at least 80 percent in individual plans...known as the medical loss ratio. During this webinar, industry experts provided an in-depth analysis of what health plans must do now to comply with the January deadline for minimum medical loss ratios and how this might impact health plans operationally and financially.

Learn more about this resource.

>>Return to this week's industry news


11.) Community Health Centers Get Boost from Affordable Care Act

The HHS has awarded nearly $8 million for existing Community Health Center Cooperative Agreements, which will provide additional training and technical assistance on a national, regional and state basis to community-based organizations that support community health centers.

Get the full story.

>>Return to this week's industry news


12.) 2010 Medical Home Performance Benchmarks: Adoption, Utilization and Results

2010 Medical Home Performance Benchmarks This exclusive 65-page report is the Healthcare Intelligence Network's second annual analysis of awareness, adoption, tools, technologies, challenges, benefits and outcomes of the patient-centered medical home (PCMH) model of care. It analyzes the responses of 156 healthcare organizations to HIN's fourth annual Industry Survey on the PCMH Model, administered in March 2010. It updates metrics and measures on current and planned PCMH initiatives — including the emerging trend of the embedded case manager — as well as lessons learned and results from living PCMHs.

Learn more about this resource.

>>Return to this week's industry news


13.) HealthSounds Podcast: Creating an ACO by Clinical Integration

Creating an ACO by Clinical Integration Thinking about creating an accountable care organization? The clinical integration of healthcare providers can be the first step, facilitating the coordination of services required for shared accountability and reward. Dr. Mark Shields, senior medical director with Advocate Physician Partners, describes the logistics of training 3,400 providers on clinical integration, the importance of the physician peer group in this effort, and the business case for the devotion of three of Advocate's 41 performance measures to smoking cessation and prevention.

Listen to this podcast.

>>Return to this week's industry news


Thank you for your readership! Please urge your colleagues to subscribe by forwarding this email or visiting http://www.hin.com/freenews2.html or by calling (888) 446-3530 or visiting the HIN Web site.

While we encourage you to forward this email to your colleagues, these articles may not be redistributed in any other publication, reproduced for publication in any form, distributed on an intranet or network or by e-mail distribution or distributed for commercial purposes without the expressed written permission of the Healthcare Intelligence Network.


Copyright 1997-2010 Healthcare Intelligence Network. All rights reserved.
Healthcare Intelligence Network
Gateway to Healthcare Business Information on the Internet
800 State Highway 71, Suite 2, Sea Girt, N.J. 08750