Dear Healthcare Intelligence Network Client,

Can spending money on health IT save healthcare organizations money in the long run? In today's economic climate, it's anybody's guess, but two stories this week offer some perspective. First, read about a new HHS AHRQ study demonstrating the cost-saving potential of e-prescribing — $845,000 per 100,000 patients per year and possibly more system-wide. Also, a CSC survey on hospital cost-cutting found that while most respondents have delayed or deferred future IT projects and halted existing IT expansions, a few hardy souls — about 15 percent — have accelerated IT efforts in the hopes that it will pay off in improved efficiency and quality of patient care.

Also last week, a new study from Harvard Medical School showed a trend toward lower paid malpractice claims for physicians who are active users of EHRs. Read more about these survey results in the HIN blog.

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. 37
December 15, 2008

Sponsored by: Medical Home Collaborations: How Hospitals Are Benefiting from Partnerships in Patient-Centric Primary Care

During Medical Home Collaborations: How Hospitals Are Benefiting from Partnerships in Patient-Centric Primary Care, a 45-minute webinar on December 17, 2008, you'll learn how Palmetto Health, a three-hospital system in South Carolina, has implemented a successful medical home model that ensures the goals of the medical home program are met, including reduced hospital admissions and improved quality of care and outcomes for the patients.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3868


Table of Contents
  1. 13 Barriers to Improving Medication Adherence
  2. Patient-Centered Models in Medication Adherence: Reducing Costs and Non-Compliance through Health Behavior Change
  3. Hospitals Find Current Recession Far Worse Than Last Downturn; ER Visits to Climb
  4. Emergency Room Redirection Handbook
  5. Featured Healthcare Business White Paper: How Medical Net Systems EncounterSuite Creates the Framework for the Patient-Centered Medical Home
  6. New Data Released on Drug-related Hospital ED Visits
  7. Emergency Room Triage of the Mental Health Patient: Pilot Projects in Reducing ED Diversion
  8. Indiana Hardest Hit by Healthcare Personnel Vacancies
  9. Health Care Provider Job Descriptions, 2nd Edition
  10. E-Prescribing Use Linked to Formulary Data Can Boost Drug Cost Savings
  11. Health Assessments for Reduced Risk and Real ROI: Innovations, Interventions and Incentives
  12. Featured Healthcare Podcast: From Passive to Partner — Integrative Health Coach Training Using Motivational Interviewing for Behavior Change
  13. Take the Monthly e-Survey: Tobacco Cessation and Prevention Programs


1. 13 Barriers to Improving Medication Adherence

Connie Commander, president of Commander’s Premier Consulting Corporation and immediate past president of the Case Management Society of America, discusses the barriers to medication compliance.

What is non-compliance and why does it occur? In the case management field, we prefer to use the term non-adherence. Non-compliance became associated with negative connotations, so we stepped away from it. The reasons for non-adherence are exactly what you’d think. Patients don’t know what to do or how to take the medication.

To read this story in its entirety, go to:
http://www.hin.com/sw/Hindustry_MC121508.html



2. Patient-Centered Models in Medication Adherence: Reducing Costs and Non-Compliance through Health Behavior Change

In this special report, experts examine common barriers to medication adherence and present the initiatives that have increased patient compliance with medication regimes for their organizations.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3863



3. Hospitals Find Current Recession Far Worse Than Last Downturn; ER Visits to Climb

Nearly nine in 10 hospital executives believe the current economic crisis will impact their facilities more heavily than the downturn of 2001 - 2002, according to a survey released by the Computer Sciences Corporation (CSC). The impact is already being felt; 55 percent of hospitals have seen cuts in revenue from Medicaid payments and many are beginning to prepare for increases in uncompensated care.

To read this story in its entirety, go to:
http://www.hin.com/sw/hospital_HSmanagement121508.html



4. Emergency Room Redirection Handbook

The Emergency Room Redirection Handbook is a comprehensive two-volume set that illustrates innovative strategies to reduce unnecessary ER visits.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3809



Please Forward This Issue

If you haven’t already done so, please forward this issue to one or two of your business associates. Thanks so much.

To subscribe, please visit:
http://www.hin.com



5. Featured Healthcare Business White Paper: How Medical Net Systems EncounterSuite Creates the Framework for the Patient-Centered Medical Home

The Patient-Centered Medical Home (PC-MH) is a concept for the ideal medical practice of the future. The American Academy of Family Practice’s TransforMed program has reported that the technology to create the PC-MH framework is not ready and is fragmented. New solutions must be identified. Medical Net Systems EncounterSuite, an online integrated Electronic Medical Record (EMR) and Personal Health Record (PHR), provides a unified turnkey software framework for the PC-MH. This is accomplished through its integrated PHR/EMR, point of care wellness and disease management guidelines and best practices application, and three tracking modules, patient registries, Inbox (order tracking), and Tracking the Patient at Home module.

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



6. New Data Released on Drug-related Hospital ED Visits

The latest Drug Abuse Warning Network (DAWN) report — drawn from a sample of hospital EDs across the nation — indicates that more than 1.7 million visits for treatment were associated with some form of substance misuse or abuse. The 2006 DAWN report, developed by the Substance Abuse and Mental Health Services Administration (SAMHSA), provides the latest estimates on how substance use affects this critical part of the nation’s healthcare system.

To read this story in its entirety, go to:
http://www.hin.com/sw/behavioral_health121508.html



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

In this special report, one industry expert explains how the community mental health center's system-wide daily conference call helps to balance work and patient flow, encourages creative problem-solving and dramatically reduces staff time spent on diversion of psychiatric ER patients to other facilities. A second expert describes a pilot program placing a psychiatric nurse in the ED, along with the impact of the program on hospital admits, discharges and resource allocation, and ED staff satisfaction and morale.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3849



8. Indiana Hardest Hit by Healthcare Personnel Vacancies

The American Health Care Association (AHCA) 2007 Nursing Position Vacancy and Turnover Study found that nearly 110,000 full-time equivalent (FTE) healthcare personnel were needed to fill vacant nursing positions in facilities nationwide, a shortage exacerbated by challenges in finding enough nurse educators to train a skilled workforce.

To read this story in its entirety, go to:
http://www.hin.com/sw/long_term_care121508.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. Health Care Provider Job Descriptions, 2nd Edition

This 130-page report includes medical directors, physician, nurse, nurse practitioner, nurse midwife, anesthetists, physician assistants, utilization management department staff and many other licensed and non-licensed health care job descriptions plus competency, performance improvement, audit or evaluation tools, counseling policy and employee handbook policies.

For more information, please visit:
http://store.hin.com/product.asp?itemid=2891



10. E-Prescribing Use Linked to Formulary Data Can Boost Drug Cost Savings

E-prescribing systems that allow doctors to select lower cost or generic medications can save $845,000 per 100,000 patients per year and possibly more system-wide, according to findings from a new study funded by HHS’ Agency for Healthcare Research and Quality (AHRQ).

To read this story in its entirety, go to:
http://www.hin.com/sw/healthLaw_regulation121508.html



11. Health Assessments for Reduced Risk and Real ROI: Innovations, Interventions and Incentives

In this special report, industry experts describe the rudiments of a well-executed HRA program — one that is science-based, accompanied by an assessment of participant motivation and followed by a broad spectrum of health promotion and wellness programs.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3844



12. Featured Healthcare Podcast: From Passive to Partner — Integrative Health Coach Training Using Motivational Interviewing for Behavior Change

Integrative medicine includes the best of conventional medicine but expands the definition and focus of health to the person's body, mind, spirituality and community, explains Ruth Wolever, Ph.D., clinical health psychologist and director of research at Duke Integrative Medicine. Central to Duke's integrative health coaching program is mindfulness training and the "Wheel of Health" — a key to defining health and assessing the individual's readiness to change. Encouraging health coaches to implement their own personalized health plans allows them to "walk the talk" and empathize with the client's position.

To listen to this podcast in its entirety, please visit:
http://www.hin.com/podcasts/podcast.htm#75



13. Take the Monthly e-Survey: Tobacco Cessation and Prevention Programs

A Centers for Disease Control and Prevention (CDC) report released last month found that from 2000 to 2004, at least 443,000 people in the U.S. died prematurely each year as a result of smoking and exposure to secondhand smoke, an increase from 438,000 deaths annually for 1997-2001. This report also found that smoking costs the nation $193 billion per year in healthcare expenditures and productivity losses, up from a previous estimate of $167 billion.

Take HIN's e-survey on tobacco cessation and prevention efforts by December 31 and receive a summary of the compiled results following the survey.

To take the survey and receive your free executive summary of the results, please visit:
http://www.surveymonkey.com/s.aspx?sm=nLYKV_2fjmJj1utDyRLKr_2bIA_3d_3d


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
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