Dear Healthcare Intelligence Network Client,

Not surprisingly, when we tallied the results of our fifth annual healthcare trends survey, most of 169 responding healthcare organizations told us that the nation's faltering economy had the greatest impact on operations in 2008. We see evidence of this daily: Just last week, the N.J. Department of Health and Senior Services awarded $44 million in healthcare stabilization fund grants to six financially distressed hospitals in our home state to help them maintain healthcare access in communities where services are threatened. N.J. Governor Jon S. Corzine said the grants would "provide temporary funding to hospitals that are the healthcare safety nets of their communities."

Healthcare organizations everywhere are looking for ways to increase revenues and reverse healthcare trend. One example is Connecticut's attempt to reduce the costs of institutional care by transitioning 700 nursing home residents back to community living, a featured story this week.

Our survey respondents provided some other ideas, which culminated in a list of the 53 most successful healthcare programs in 2008. Get this list and a summary of survey results in a free white paper, Healthcare Trends in 2009: Economy Threat to Care Delivery.

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. 36
December 8, 2008

Sponsored by: Physician Engagement: Creating Trust and Alignment Between Management and Physicians

During Physician Engagement: Creating Trust and Alignment Between Management and Physicians, a 90-minute webinar on December 10, 2008, two industry experts will provide a thorough understanding of physician engagement strategies.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3852


Table of Contents
  1. Fee-For-Service Healthcare Payment System Not Effective
  2. Medical Home Reimbursement Models: Funding Patient-Centered Care with Multi-Stakeholder Collaborations
  3. Word of Mouth and Physician Referrals Still Drive Healthcare Provider Choice
  4. Toward Transparency in Healthcare: Competing for Quality and Consumers
  5. Featured Healthcare Business White Paper: Fixing What Hurts: What's Working in Pain Management
  6. Psychiatric Disorders Common Among College-Age Individuals
  7. Promising Outcomes: The Impact of Positive Psychology on Health and Wellness Coaching
  8. New Initiative Helps Nursing Home Residents Come Home
  9. Coordinating Care Transitions for the Elderly and Dually Eligible: Fostering Self-Management and Reducing Readmissions
  10. CMS Medicare Never Event Non-Payment Could Extend to Other Providers
  11. Medication Reconciliation Strategies to Reduce Hospital Adverse Drug Events
  12. Featured Healthcare Podcast: Physician Engagement: Creating Trust and Alignment Between Management and Physicians


1. Fee-For-Service Healthcare Payment System Not Effective

Leaders in healthcare and healthcare policy feel strongly that the way we pay for healthcare in the U.S. must be fundamentally reformed, according to a survey by the Commonwealth Fund. Commonwealth reports that more than two-thirds (69 percent) of respondents expressed strong dissatisfaction with the current system, which is generally based on fee-for-service payment, saying the current system is not effective in encouraging high quality and efficient care.

To read this story in its entirety, go to:
http://www.hin.com/sw/Hindustry_MC120808.html



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

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.

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



3. Word of Mouth and Physician Referrals Still Drive Healthcare Provider Choice

Despite myriad initiatives to encourage people to use healthcare price and quality information, most Americans still rely on word-of-mouth and physician recommendations to choose health providers, according to a national study released by the Center for Studying Health System Change (HSC) and funded by the California HealthCare Foundation.

To read this story in its entirety, go to:
http://www.hin.com/sw/hospital_HSmanagement120808.html



4. Toward Transparency in Healthcare: Competing for Quality and Consumers

In this special report a panel of experts discuss the challenges of incorporating public reporting as part of an integrated strategy, collaborating with providers, and developing objective metrics and reliable data. This report includes details on furthering the transparency agenda with healthcare report cards, responding to data validity and reliability issues, building a quality-based specialty provider network and much more.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3694



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: Fixing What Hurts: What's Working in Pain Management

To relieve the physical and fiscal suffering associated with chronic pain, many healthcare organizations have implemented pain management programs. To discover how these programs work and who is using them, the Healthcare Intelligence Network conducted a non-scientific online survey in April 2008. In response, 186 organizations, including hospitals, nursing homes and health plans, shared their experiences with pain management programs.

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



6. Psychiatric Disorders Common Among College-Age Individuals

Psychiatric disorders appear to be common among 18- to 24-year-olds, with overall rates similar among those attending or not attending college, according to a report in the December issue of Archives of General Psychiatry, one of the JAMA/Archives journals.

To read this story in its entirety, go to:
http://www.hin.com/sw/behavioral_health120808.html



7. Promising Outcomes: The Impact of Positive Psychology on Health and Wellness Coaching

This special report explores evidence-based theories and coaching models, research linking physical and mental health, and critical coaching skills and outcomes that help bring about lasting behavior change.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3740



8. New Initiative Helps Nursing Home Residents Come Home

Connecticutís Governor M. Jodi Rell has announced that applications are now available for a new program aimed at helping people leave nursing home care and return to community living.

To read this story in its entirety, go to:
http://www.hin.com/sw/long_term_care120808.html


There are other free email newsletters available from HIN!

Healthcare Quality Improvement Briefings is a free weekly email newsletter that gives you news about new quality improvement programs, links to sample sites posting healthcare report cards and reviews of new information resources on quality improvement at hospitals and health plans.

HIPAA Heads Up is a free weekly email newsletter that will keep you informed on HIPAA strategies, implementation, resources and the latest news articles available at The HIPAA Desktop ó access to online news articles on HIPAA, links to some of the web's top HIPAA resources and a list of "best-selling" resources that healthcare executives are using in their efforts to comply with the HIPAA regulations.

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



9. Coordinating Care Transitions for the Elderly and Dually Eligible: Fostering Self-Management and Reducing Readmissions

Throughout this 65-page report, 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. CMS Medicare Never Event Non-Payment Could Extend to Other Providers

CMS has proposed three national coverage determinations (NCDs) to establish uniform national policies that will prevent Medicare from paying for certain serious, preventable errors in medical care. The errors, called Never Events, being focused on by Medicare through the NCDs, are identified in the National Quality Forum's (NQF's) list of Serious Reportable Events.

To read this story in its entirety, go to:
http://www.hin.com/sw/healthLaw_regulation120808.html



11. Medication Reconciliation Strategies to Reduce Hospital Adverse Drug Events

In this special report, two industry experts describe their hospitalís emphasis on quality and perfect care processes, as well as provide the inside details on the hospitalís medication management program, which has a goal of eliminating adverse drug events.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3765



12. Featured Healthcare Podcast: Physician Engagement: Creating Trust and Alignment Between Management and Physicians

To Dr. Todd Rowland, director of medical informatics at Bloomington Hospital and executive director of HealthLINC, the definition of an "engaged physician" includes working with others to find solutions to the problems of the healthcare industry at large. A self-described engaged physician, Dr. Rowland gives advice on how to become an engaged physician, discusses the impact of technology on physician engagement and shares how his organization has changed as a result.

To listen to this podcast in its entirety, please visit:
http://www.hin.com/podcasts/podcast.htm#74


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

While we encourage you to forward this email to your
colleagues, these articles may not be redistributed in any other publication,
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