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From the editor

Dear Healthcare Intelligence Network Client,

HIN Managing Editor Patricia Donovan

While CMS may have shelved plans for its own Medicare medical home pilot, it will join forces with the Health Resources and Services Administration (HRSA) to develop a new demo of the patient-centered model for Medicare beneficiaries. The new demo, scheduled to launch in January 2011, will evaluate whether federallly qualified health centers (FQHCs) that deliver advanced primary care improve access and quality, promote appropriate use of services and reduce healthcare costs. CMS will solicit applications starting in spring 2010 for the three-year demo, which was announced late last week by President Obama along with $600 million in Recovery Act funds to construct, renovate and wire FQHCs in more than 30 states. FQHC funding details are provided in a featured story this week, as are tips for expanding the medical home with community collaborations from healthcare consultant Liz Reardon.

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

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December 14, 2009
Vol. XI, No. 47

Sponsored by:
Risk Adjustment in the Medical Home — Building an Effective Reimbursement Strategy

This week's industry news:

  1. Expanding the Medical Home with Community Connections
  2. Model Medical Homes
  3. Public Hospitals Join Patient Safety Initiative
  4. Medication Reconciliation Strategies
  5. Healthcare Business White Paper: Healthcare Trends for 2010
  6. 95 Percent of World’s Population Not Protected from Secondhand Smoke
  7. Measuring Change
  8. Almost One-Third of U.S. Adults Are Caregivers
  9. Discharge Planning Primer
  10. $600 Million in Recovery Act Funds to Construct, Renovate and Wire FQHCs
  11. 2010 Healthcare Benchmarks Yearbook
  12. HealthSounds Podcast: Engaging Patient and Family Pays Off in Quality Improvement
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.) Expanding the Medical Home with Community Connections

Liz Reardon, a healthcare consultant, president of Reardon Consulting and a member of the National Council for Community Behavioral Healthcare’s Integration Consulting Team, discusses the reasons why connecting with the community would be essential in establishing a medical home.

If asked to give a single piece of advice to organizations contemplating establishing a medical home for their members, Liz Reardon advises that they “connect with community resources rather than trying to duplicate them in the practice.”

Get the full story.

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2.) Model Medical Homes: Benchmarks and Case Studies in Patient-Centered Care

Model Medical Homes This resource is a landmark publication that documents the healthcare industry's adoption of the patient-centered medical home model of care. This exclusive 65-page report analyzes the responses of more than 220 healthcare organizations to HIN's 2009 Industry Survey on the Patient-Centered Medical Home Model and contains case studies on medical home adoption by Geisinger Health Plan, MetCare, Reardon Consulting, the HealthQuilt Quality Health Record and Hagen Wall Consulting.

Learn more about this resource.

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3.) Public Hospitals Join Patient Safety Initiative

Kaiser Permanente, together with the National Patient Safety Foundation (NPSF) and the National Association of Public Hospitals and Health Systems (NAPH), announced the “Patient Safety Initiative at America’s Public Hospitals.” This two-year program is designed to enhance patient safety programs at public hospitals to ensure safe, high-quality care for vulnerable and low-income populations that depend on publicly supported healthcare institutions for medical care.

Get the full story.

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4.) Medication Reconciliation Strategies to Reduce Hospital Adverse Drug Events

Medication Reconciliation Strategies In this special report, two experts describe their hospital's emphasis on quality and perfect care processes and provide the inside details on their medication management programs, which have a goal of eliminating adverse drug events.

Learn more about this resource.

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5.) Healthcare Business White Paper: Healthcare Trends for 2010 — Reform, Revenue & Resources Top of Mind

As 2009 draws to a close, which products and services served healthcare companies best this year? What were the greatest operational challenges they faced in 2009?

Looking ahead, are healthcare organizations more or less optimistic about the 12 months to come? Which aspect of healthcare reform will have the greatest impact on their business, and will there be a new healthcare bill by the new year? This executive summary of responses from 100 healthcare organizations to HIN's November 2009 Healthcare Trends for 2010 e-survey identifies reform priorities, top-of-mind concerns for the year ahead and best and worst business decisions in 2009.

Download this complimentary white paper.

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6.) 95 Percent of World’s Population Not Protected from Secondhand Smoke

Only 5 percent of the world’s population is covered by policies that protect people from secondhand tobacco smoke, according to a World Health Organization (WHO) report. “The WHO Report on the Global Tobacco Epidemic, 2009: Implementing Smoke-free Environments” found that the proportion of the world’s population covered by comprehensive smoke-free air laws increased from 3.1 percent in 2007 to 5.4 percent in 2008.

Get the full story.

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7.) Measuring Change: Evaluating Health and Wellness Coaching Performance, Outcomes and ROI

Measuring Change In this resource, two health coaching thought leaders present their coaching ROI models and examine the impact of health and wellness coaching on behaviors and the bottom line. They also share anecdotal research that ties coaches' personal attributes to optimal outcomes — information that can influence health and wellness coach hiring strategies.

Learn more about this resource.

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8.) Almost One-Third of U.S. Adults Are Caregivers

Caregiving is still mostly a woman's job and many women are putting their career and financial futures on hold as they juggle part-time caregiving and full-time job requirements. This is the reality reported in Caregiving in the U.S. 2009, the most comprehensive examination to date of caregiving in America. The sweeping study of the legions of people caring for adults, the elderly and children with special needs reveals that 29 percent of the U.S. adult population, or 65.7 million people, are caregivers, including 31 percent of all households.

Get the full story.

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9.) Discharge Planning Primer: Community Collaborations to Decrease Hospital Readmissions Risk

Discharge Planning Primer Coordinated planning of a patient's care following a hospital or nursing home stay can greatly affect health outcomes, likelihood of readmission and/or ER visits, as well as cost to patients, providers and insurers. A discharge management plan that integrates community resources and programs can further ease the transition from hospital to home and improve continuity of care. In this resource, two industry experts describe the coordinated approaches central to their hospital discharge processes and the impact their programs have had on patients' outcomes and satisfaction, hospital readmission rates and healthcare costs.

Learn more about this resource.

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10.) $600 Million in Recovery Act Funds to Construct, Renovate and Wire FQHCs

Nearly $600 million in American Recovery and Reinvestment Act (Recovery Act) awards are available to support major construction and renovation projects at 85 community health centers nationwide and help networks of health centers adopt EHRs and other health IT (HIT) systems. The president also announced a new demonstration initiative to support the delivery of advanced primary care to Medicare beneficiaries through community health centers.

Get the full story.

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11.) 2010 Healthcare Benchmarks Yearbook: Metrics, Measurements and Innovations

2010 Healthcare Benchmarks Yearbook This is a comprehensive collection of benchmarks in key areas of healthcare activity and growth — from the adoption of the patient-centered medical home (PCMH) to reduction of hospital readmissions to the use of health coaching, patient outreach, financial incentives and telehealth to foster behavior change and reverse healthcare spend. Compiled in 2009 from responses to the Healthcare Intelligence Network monthly e-survey series on key healthcare trends, this 200-page resource delivers more than 200,000 data points from 1,370 responding healthcare organizations in an easy-to-use binder format.

Learn more about this resource.

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12.) HealthSounds Podcast: Engaging Patient and Family Pays Off in Quality Improvement

Engagement of Patient and Family at a Clinical Level Social and demographic factors such as chaos in the home or functional status can complicate care coordination for patients as much as clinical factors, explains Jeff Schiff, M.D., M.B.A., medical director of Minnesota Health Care Programs for the Minnesota Department of Human Services. He identifies two key social/demographic factors getting close attention in Minnesota's new primary care reimbursement model and explains how the engagement of patient and family at the clinical level is paying off in improved patient safety, satisfaction and health outcomes.

Listen to this podcast.

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