Dear Healthcare Intelligence Network Client,

During this week's webinar examining the 2008 updates to CMS' Physician Quality Reporting Initiative (PQRI), AAFP Medical Director of Quality Improvement Dr. Bruce Bagley said the lack of an EHR was no excuse for a practice's non-participation. "A lot of practices are waiting to open the box on the EHR before doing any kind of quality work, which is a dangerous approach," he said. "There's so many things that we can do in terms of better processes and data collection tools and registries that are almost independent of the electronic medical record or can be done with or without it." You can hear more from Dr. Bagley and co-presenters Lorraine Larrance and Sue Kincer of Pershing Yoakley & Associates in this week's featured podcast.

Another initiative impacting the family practice and quality of care is the medical home model. A few days remain to take HIN's survey on medical homes in 2008 and receive a complimentary copy of the results.

If you need clarification on the medical home, a video from the New Jersey Academy of Physicians, features doctors from the Garden State explaining the medical home model while advocating for payment reform to support it.

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 VIX, No. 46
January 28, 2007

Table of Contents

  1. Health Insurance Co-Payments Deter Mammography Use
  2. Managing Cancer Care: Strategies to Improve Outcomes and Lower Costs
  3. Engaging Physicians in the ER Initiative
  4. Emergency Exits: Reducing Emergency Room Utilization by Retooling Care-Seeking and Care Access Options
  5. Featured Healthcare Podcast: Physician Quality Reporting in 2008: What Every Physician Practice Should Know
  6. SAMHSA Offering Grants for Programs Servicing Mental Health Needs of Older Americans
  7. Evidence-Based Coaching Handbook: Putting Best Practices to Work for Your Clients
  8. CMS Proposes 2009 Payment, Policy Changes for Long-Term Care Hospitals
  9. Documentation and Reimbursement for Long-Term Care
  10. EMR Cardiovascular Study Funded With $600,000 Grant
  11. Health Grants Funding Alert
  12. Healthcare Research Roundup: January 2008


1. Health Insurance Co-Payments Deter Mammography Use

A new Brown University study shows that even small health insurance co-payments have a big effect on mammography rates. Rates for receiving these critical breast cancer screening exams were 8 percent lower in plans requiring co-payments compared with plans with full health insurance coverage.

To read this story in its entirety, go to:
http://www.hin.com/sw/Hindustry_MC12808.html



2. Managing Cancer Care: Strategies to Improve Outcomes and Lower Costs

Managing Cancer Care: Strategies to Improve Outcomes and Lower Costs examines some of the management strategies and pricing methodologies that health plans have been instituting in hopes of reining in costs, as well as the federal government’s role in reimbursement.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3703



3. Engaging Physicians in the ER Initiative

Dr. Lakshmi Dhanvanthari, staff vice president and medical director of WellPoint’s state-sponsored business, describes how her organization enlists the support of physicians in its emergency room redirection efforts.

To read this story in its entirety, go to:
http://www.hin.com/sw/hospital_HSmanagement12808.html



4. Emergency Exits: Reducing Emergency Room Utilization by Retooling Care-Seeking and Care Access Options

In this 35-page special report, three physicians share the specifics of their health plans' ER diversion initiatives that have roots in patient self-care education, physician office adaptability and hospital-health plan partnerships. Their reframed approaches to emergency room utilization and primary care have netted them significant reductions in both ER visits and hospital admissions.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3757



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 Podcast: Physician Quality Reporting in 2008: What Every Physician Practice Should Know

Dr. Bruce Bagley, medical director of quality improvement for the American Academy of Family Physicians, advises PQRI participants to proactively examine their own reported data to chart a performance improvement plan rather than wait until mid-2008 for feedback from CMS. Joining Dr. Bagley in this podcast are Lorraine Larrance, consulting senior manager with Pershing Yoakley & Associates, and Sue Kincer, consultant and certified professional coder with Pershing Yoakley & Associates, who discuss the 2008 PQRI measures, the challenges physicians will face and the quality improvements that could result for physician practices.

To listen to this podcast in its entirety, please visit:
http://www.hin.com/podcasts/podcast.htm#52



6. SAMHSA Offering Grants for Programs Servicing Mental Health Needs of Older Americans

The Substance Abuse and Mental Health Services Administration (SAMHSA) is soliciting applications for 2008 Older American Targeted Capacity Expansion (TCE) grants. The Older American TCE grants help communities provide mental health services that meet the diverse needs of persons 60 years and older.

To read this story in its entirety, go to:
http://www.hin.com/sw/behavioral_health12808.html



7. Evidence-Based Coaching Handbook: Putting Best Practices to Work for Your Clients

This handbook applies recent behavioral science research to executive and personal coaching, bringing multiple disciplines to bear on why and how coaching works. A groundbreaking resource for this burgeoning profession, this text presents several different coaching approaches along with the empirical and theoretical knowledge base supporting each.

For more information, please visit:
http://store.hin.com/product.asp?itemid=3625



8. CMS Proposes 2009 Payment, Policy Changes for Long-Term Care Hospitals

The Centers for Medicare & Medicaid Services (CMS) has issued a proposed payment rule designed to assure that long-term care hospitals (LTCHs) continue to receive appropriate payment for services provided while giving them incentives to provide more efficient care to Medicare beneficiaries. The LTCHs are a type of acute care hospital that treats some of Medicare’s most severely ill or medically complex patients.

To read this story in its entirety, go to:
http://www.hin.com/sw/long_term_care12808.html


There are other free email newsletters available from HIN!

Health Management Career Center Update is a free bi-monthly email newsletter for healthcare management professionals seeking new career opportunities and healthcare organizations that are seeking to fill health management positions within their companies.

Healthcare Buyer's Connection is a bi-monthly email newsletter for buyers and sellers of healthcare products and services. It highlights news on trends in healthcare purchasing and marketing and recommends reading for keeping up-to-date on e-commerce.

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



9. Documentation and Reimbursement for Long-Term Care

This resource provides a comprehensive overview of long-term care documentation practices, going beyond the basic steps to meet minimum federal requirements. It offers experience-based models for gathering the information facilities need to provide individualized healthcare to all their residents.

For more information, please visit:
http://store.hin.com/product.asp?itemid=2938



10. EMR Cardiovascular Study Funded With $600,000 Grant

The Agency for Healthcare Research and Quality awarded $600,000 to Kaiser Permanente’s (KP) Center for Health Research to study heart disease prevention and management by the use of electronic medical records (EMRs).

The two-year study will review 175,000 EMRs of men and women at KP’s Hawaii region to find ways to improve the quality of cardiovascular care.

For more information, please visit:
http://www.hin.com/sw/healthLaw_regulation12808.html



11. Health Grants Funding Alert

The most successful healthcare providers in 2006 will be those that continue to evolve to meet new demands, changing demographics, and new technology. Published monthly since 1978, Health Grants Funding Alert identifies opportunities for federal, corporate and foundation support of healthcare.

For more information, please visit:
http://store.hin.com/product.asp?itemid=2613



12. Healthcare Research Roundup: January 2008

Highlights from the last month's Healthcare Daily Data Bytes include a look at obesity's weighty effect on hospital stays, health before and after Medicare, how physicians really feel about medical mistakes and what happens to productivity when sick employees come to work.

For all research highlights, please visit:
http://www.hin.com/sw/healthcare_research_roundup12808 .html


Contact HIN:

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,
reproduced for publication in any form, distributed on an intranet or network or
by e-mail distribution or distributed for commercial purposes without the express
written permission of the Healthcare Intelligence Network.


All contents of this message Copyright 2008