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From the editor

Dear Healthcare Intelligence Network Client,

HIN Managing Editor Patricia Donovan

While healthcare reform continues to be the biggest story of the year, this week's issue takes a look back at the most widely read stories of the last 12 months. These articles reflect the changing face of primary care, a greater reliance on health coaching across the healthcare continuum, more interest in performance measurement (for both hospitals and coaches), and in the case of our most widely read story of 2009, a ranking by hospital executives of the best and worst insurance companies.

If you haven't already read the results of our Healthcare Trends for 2010 white paper, download it here.

May your organization begin 2010 with some healthy business indicators.

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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This week's featured download: Health Coaching in 2009 — Banking on Behavior Change

Health Coaching in 2009 — Banking on Behavior Change

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For advertising and sponsorship opportunities in the Healthcare Business Weekly Update, contact our Sales & Marketing Coordinator: Deirdre McGuinness, dmcguinness@hin.com

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December 28, 2009
Vol. XI, No. 49

Sponsored by:
Medication Therapy Management in the Patient-Centered Medical Home

This week's industry news:

  1. Health Plans Propose Guaranteed Coverage For Preexisting Conditions
  2. 2010 Healthcare Benchmarks Yearbook
  3. Three Ways to Evaluate Health Coaching Performance
  4. Health Coaching Benchmarks
  5. Healthcare Business White Paper: Care Transitions Across Sites
  6. The Single Question That Can Identify Unhealthy Alcohol Use in Patients
  7. Health Coaching in Primary Care
  8. Transition Coaching Targets Adults at High Risk of Readmission
  9. Reducing Readmission Risk for the Elderly through Care Transition Coaching
  10. CMS Hospital Compare Site Posts 30-day Readmission Rates
  11. Retooling Care Transitions to Reduce Hospitalizations in Medicare Patients
  12. HealthSounds Podcast: Applying Evidence-Based Guidelines in the Medical Home
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.

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This week's industry news

1.) Health Plans Propose Guaranteed Coverage For Preexisting Conditions

The nationís health insurance plans have proposed to guarantee coverage for people with preexisting medical conditions in conjunction with an enforceable individual coverage mandate. Under the proposal, health plans participating in the individual health insurance market would be required to offer coverage to all applicants as part of a universal participation plan in which all individuals were required to maintain health insurance.

Get the full story.

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2.) 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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3.) Three Ways to Evaluate Health Coaching Performance

Three health coaching experts share their organizationís methods for evaluating a health coachís performance to ensure client satisfaction.

Hummingbird Coaching Services provides a monthly report card to every coach, which includes customer review. ďMuch of it is quality reviews of their interactions with clients, and whether they followed the coaching model versus perhaps dipping into the prescriptive side,Ē explains Sean Slovenski, Hummingbirdís president and CEO.

Get the full story.

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4.) Health Coaching Benchmarks: Operations and Performance Data for Optimal Program ROI and Participant Health Status

Health Coaching Benchmarks Whether you're planning to launch a new health coaching program in the coming year or expanding an existing initiative, the key to success is access to reliable data to help you evaluate your program and compare performance and utilization data. This exclusive 35-page report analyzes the responses of more than 230 of your peer organizations to HIN's 2008 survey on health and wellness coaching, presenting the data in easy-to-follow graphs and tables. This industry snapshot is enhanced by recommendations and advice from 15 leading experts in health coaching on the most common coaching concerns — from coaching caseloads to call center staffing to coaching intervention frequency and duration.

Learn more about this resource.

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5.) Healthcare Business White Paper: Care Transitions Across Sites — Closing Gaps in Healthcare Settings

When transitioning patients from one healthcare setting to another, itís not uncommon to encounter gaps in care that have the potential to negatively impact their health. To remedy this problem and reduce associated costs, organizations are taking steps to better plan for a patientís care transitions and close these gaps in care. These simple strategies can have a significant effect on health outcomes, likelihood of readmission and ER visits, cost to patients, providers and insurers and the burden on caregivers and family members. This white paper from the Healthcare Intelligence Network (HIN) is based on an e-survey in which respondents were asked to share their organizationís experiences with care transitions.

Download this complimentary white paper.

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6.) The Single Question That Can Identify Unhealthy Alcohol Use in Patients

Researchers at Boston Medical Center (BMC) have found that a single-screening question recommended by the National Institute of Alcohol Abuse and Alcoholism (NIAAA) accurately identifies unhealthy alcohol use in primary care patients. This research supports the use of the brief screen in the primary care setting.

Get the full story.

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7.) Health Coaching in Primary Care: Persuading Physicians to Prescribe Behavior Change and Self-Efficacy

Health Coaching in Primary Care In this special report, three health coaching thought leaders detail their models for incorporating health coaching into the primary care paradigm. While acknowledging existing demands on busy physicians, they recommend that PCPs school themselves in health promotion and make coaching a team effort to foster behavior change in members and patients.

Learn more about this resource.

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8.) Transition Coaching Targets Adults at High Risk of Readmission

Danielle Butin, former director of Northeast Health Services for SecureHorizons, a division of UnitedHealthcare, discusses how health coaching programs have benefited managed care membersí health.

Using a health coaching model in a managed care environment has positively impacted our membership in a number of ways. We have seen a steady reduction in claims based upon this program.

Get the full story.

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9.) Reducing Readmission Risk for the Elderly through Care Transition Coaching

Reducing Readmission Risk for Elderly This resource presents new models of care coordination for the elderly, including an Oxford Health Plan care transition coach program modeled on research from Eric Coleman, M.D., at the University of Colorado. This resource also reports on Inspiris's care team approach to managing care transitions for the frail elderly — adults 65 and older who comprise 40 percent of elderly hospitalizations and who are particularly vulnerable during transitions from one care site to another.

Learn more about this resource.

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10.) CMS Hospital Compare Site Posts 30-day Readmission Rates

The CMS Hospital Compare Web site now reports on how frequently patients return to a hospital after being discharged for heart attack, heart failure and pneumonia, a possible indicator of how well the facility did the first time around.

Get the full story.

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11.) Retooling Care Transitions to Reduce Hospitalizations in Medicare Patients

Retooling Care Transitions This special report is an essential resource for healthcare organizations wishing to evaluate their care transition efforts against best practices in the industry. This 40-page resource delivers current trends in care transition programs as well as advice and guidance from industry thought leaders on key elements of care transition programs — from enhancements to the hospital discharge process to medication reconciliation ideas to better utilization of home visits during care transitions.

Learn more about this resource.

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12.) HealthSounds Podcast: Applying Evidence-Based Guidelines in the Medical Home

Evidence-Based Guidelines in Medical Homes Despite the challenges, cost and uncertain return of EHRs, practices should move quickly to adopt this tool, recommends Dr. Richard J. Baron, president and CEO of Greenhouse Internists, where the EHR is the backbone that supports the implementation of evidence-based practices.

Listen to this podcast.

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