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From the editor

Dear Healthcare Intelligence Network Client,

HIN Managing Editor Patricia Donovan With organizations scrambling to hold on to and account for every healthcare dollar, this week's stories highlight cost-saving aspects of several industry initiatives: low-cost strategies for triaging mental health patients in the ER; cost-effective ways for employers to help their workers receive treatment for substance abuse; and a payor-provider medical home collaboration that will likely bring down the cost of chronic care for the covered population. As we all prepare for more months of budget restrictions, layoffs and reduced revenues, we'll be bringing you more ideas to help your organization weather this economic crisis. Tell us what areas are particularly troubling for you and your organization at editor@hin.com and we'll do our best to provide news items to address these challenges.

Your colleague in the business of healthcare,
Patricia Donovan
Editor, Healthcare Business Weekly Update

Please send comments, questions and replies to pdonovan@hin.com.

Associate Editor:
Jessica Papay, jpapay@hin.com

Publisher:
Melanie Matthews, mmatthews@hin.com

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January 19, 2009
Vol. XI, No. 3

Sponsored by:
Improving Patient Collections in an Unhealthy Economy: Technologies and Processes to Speed Payments

This week's industry news:

  1. Aetna and Partners In Care Test the Medical Home
  2. Medical Home Reimbursement Models: Funding Patient-Centered Care with Multi-Stakeholder Collaborations
  3. Reducing Time and Dollars Spent on Psychiatric Cases in the ED
  4. Emergency Room Triage of the Mental Health Patient: Pilot Projects in Reducing ED Diversion
  5. Featured Healthcare Business White Paper: Healthcare Remedies for an Ailing Economy
  6. Cost-Effective Ways to Help Employees Needing Substance Abuse Treatment
  7. Employee Health Promotion Payoffs: Effecting Change through a Culture of Health
  8. Diabetes Epidemic Poses Challenges for Nursing Homes
  9. Financial and Clinical Returns from Diabetes Medical Homes
  10. New U.S. Flu Vaccine Manufacturing Facility to Boost Capacity by 25 Percent
  11. Pandemic Influenza: Preparedness and Response in the Healthcare Facility - Inservice program
  12. Featured HealthSounds Podcast: Emergency Room Utilization: Developing a Team Approach to Address Overcrowding Factors That Increase Wait Time
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.) Aetna and Partners In Care Test the Medical Home

Aetna and Partners in Care Corp. (PIC) have launched a pilot program to test the "Patient-Centered Medical Home" (PCMH) model, which emphasizes the role of the PCP in managing and coordinating patient care across a range of care providers, including specialists and hospitals.

Get the full story.

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

Medical Home Reimbursement Models Medical Home Reimbursement Models: Funding Patient-Centered Care with Multi-Stakeholder Collaborations presents three ongoing medical home pilots built on a variety of reimbursement models. This 39-page special report provides an opportunity to evaluate three PCMH financial models and benefit from the experiences of multi-stakeholder collaborations.

Learn more about this resource.

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3.) Reducing Time and Dollars Spent on Psychiatric Cases in the ED

Joe Eppling, assistant vice president of post acute and behavioral health services at East Jefferson General Hospital, discusses how placing a psychiatric nurse in their ED helped to reduce mental health “super users.”

We went back to the drawing board with the business development and decided to scrap the idea of building a separate facility for psychiatric emergencies. Instead, we looked at different possibilities. We knew that we wanted to keep the Psychiatric Emergency Program (PEP) concept in place. We ultimately decided to integrate a psychiatric nurse in the ED.

Get the full story.

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4.) Emergency Room Triage of the Mental Health Patient: Pilot Projects in Reducing ED Diversion

Emergency Room Triage of the Mental Health Patient This special report encourages creative problem-solving that dramatically reduces staff time and dollars spent on diversion of psychiatric ER patients to other facilities. Experts describe pilot programs placing a psychiatric nurse in the ED and scheduling a daily conference call that reduce hospital admits and discharges and improve resource allocation and ED staff satisfaction and morale.

Learn more about this resource.

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5.) Featured Healthcare Business White Paper: Healthcare Remedies for an Ailing Economy

Skyrocketing costs coupled with a sickly economy — with no remedy in sight — are forcing healthcare organizations to explore alternative revenue streams to boost bottom lines and recover from lower net investment income levels. In this white paper from the Healthcare Intelligence Network (HIN), 129 healthcare professionals shared their organization’s healthcare profitability ideas for the ailing economy and their predictions for the Obama presidency.

Download this complimentary white paper.

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6.) Cost-Effective Ways to Help Employees Needing Substance Abuse Treatment

Employers now have free access to a series of 14 two-page briefs outlining the benefits (including financial) of helping their employees receive treatment for substance abuse. The 14 briefs were developed by SAMHSA.

Get the full story.

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7.) Employee Health Promotion Payoffs: Effecting Change through a Culture of Health

Employee Health Promotion Strategies This special report describes the payoffs of creating a corporate culture of health and the improved worker health and safety that can result. Learn how one company overcame a "benefit entitlement mentality," and a second developed a culture of health that improved the health and welfare of the company's 3,000 shift workers. This case study of employee health promotion in a manufacturing setting addresses the specific challenges of fostering health when employees work 12-hour rotating shifts among several locations.

Learn more about this resource.

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8.) Diabetes Epidemic Poses Challenges for Nursing Homes

Long-term facilities, such as nursing homes, that care for aging Americans may not be ready for the additional challenges that come with treating patients with diabetes. Although as many as one in four nursing home residents has diabetes, not all are getting care that meets the American Diabetes Association's goals for community-dwelling adults, according to a recent study.

Get the full story.

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9.) Financial and Clinical Returns from Diabetes Medical Homes

Case Studies from Diabetes Medical Home Pilots Case Studies from Diabetes Medical Home Pilots: Key Processes, Tools, Metrics and Outcomes offers a detailed look at two physician-health plan partnerships in diabetes disease management — a care coordination pilot for New Jersey state employees with diabetes and a hands-on case manager-driven initiative for Medicaid beneficiaries with diabetes in North Carolina.

Learn more about this resource.

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10.) New U.S. Flu Vaccine Manufacturing Facility to Boost Capacity by 25 Percent

A new $487 million U.S. facility to manufacture cell-based vaccine for seasonal and pandemic flu is expected to increase the U.S. capacity to make pandemic influenza vaccine by at least 25 percent. Cell-based influenza vaccine can be made faster and in greater quantities than traditional vaccine.

Get the full story.

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11.) Pandemic Influenza: Preparedness and Response in the Healthcare Facility — Inservice program

Pandemic Influenza The intent of this new presentation is to educate healthcare staff on preparedness and emergency response in the event of an influenza pandemic. It gives an overview of the influenza virus, the causes of a pandemic, the WHO’s Influenza Pandemic Phases and the conditions which would exist at each phase.

Learn more about this resource.

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12.) Featured HealthSounds Podcast: Emergency Room Utilization: Developing a Team Approach to Address Overcrowding Factors That Increase Wait Time

Cindy Rentsch Delaying of healthcare for economic reasons is causing volatility in hospital emergency room volumes that is expected to intensify. To handle staffing, equipment and treatment challenges posed by these census variations, hospital EDs must rethink processes and protocols. At Edward Hospital in Naperville, Il., a "culture of certification" that includes cash bonuses for certification and peer support during exam preparation helps to raise the caliber of the ER staff and maintain patient satisfaction levels. Cindy Rentsch, Edward Hospital's clinical director of emergency services, describes the culture of certification that has raised the caliber of Edward's ER staff, a marketing campaign to divert mental health patients from the ER and protocols for treatment of pediatric ER patients.

Listen to this podcast.

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