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From the editor

Dear Healthcare Intelligence Network Client,

HIN Managing Editor Patricia Donovan

Our new president has given the healthcare industry a lot to digest. A week after designating a sizeable piece of the economic stimulus package for the uninsured, medical research, health IT and preventive care, President Obama is proposing a federal budget that takes aim at drug companies, Medicare spending and hospital reimbursements while creating a $634 billion reserve for healthcare reform. The budget backs up his Congressional address promise to "find a cure for cancer in our time" with a sizeable increase in NIH funding for cancer research. While we wait for the fine points, it's becoming pretty clear that healthcare delivery as we know it is in for a shake-up — organizations will face stricter eligibility and reporting requirements on many payment fronts.

In this week's issue, we describe a model of care that is showing great promise for the complex health needs of the elderly and one hospital's new strategy for handling behavioral healthcare cases in the ER. And as the focus on patient-centered care heats up, we ask for your feedback in our third annual e-survey on the Medical Home model at work in your organization.

Your colleague in the business of healthcare,
Patricia Donovan
Editor, Healthcare Business Weekly Update

Please send comments, questions and replies to pdonovan@hin.com.

Associate Editor:
Jessica Papay, jpapay@hin.com

Publisher:
Melanie Matthews, mmatthews@hin.com

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March 2, 2009
Vol. XI, No. 8

Sponsored by:
Physician Quality Reporting Initiative in 2009 — How To Avoid Submission Errors and Improve Reimbursement

This week's industry news:

  1. New Care Model for High-Risk Older Patients
  2. Comorbidity Care Models: Integrated Action Plans for Complex Healthcare Needs
  3. Hospitals Turn to IBM to Help Build Millions of EMRs for Improved Patient Care
  4. Electronic Health Records: Transforming Your Medical Practice
  5. Featured Healthcare Business White Paper: The Medical Home — Disruptive Innovation for a New Primary Care Model
  6. 24/7 Psychiatric ED, Additional Hospital Beds Coming to Behavioral Health Service
  7. Emergency Room Triage of the Mental Health Patient: Pilot Projects in Reducing ED Diversion
  8. New York Leads All States in Spending on Long-Term Care, But Not in Quality of Services
  9. The Medicaid Population: Making a Difference with Disease Management
  10. Experts Outline Blueprint for Reducing Death and Disease from Tobacco in the U.S.
  11. Measuring Change: Evaluating Health and Wellness Coaching Performance, Outcomes and ROI
  12. Featured HealthSounds Podcast: PQRI Participation — Improvement Over Payments
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.) New Care Model for High-Risk Older Patients

Dr. Chad Boult, director of the Lipitz Center for Integrated Health Care at Johns Hopkins Bloomberg School of Public Health, describes two of the nurse's eight key responsibilities in Guided Care, an emerging model of care for older multi-morbid patients that is demonstrating early success in improving quality of life and efficiency of healthcare utilization for this population.

In the Guided Care model, a specially trained registered nurse is based in the primary physician’s office. Typically, there is one nurse in an office with three or four doctors, or if it’s a larger group they could have more than one nurse.

Get the full story.

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2.) Comorbidity Care Models: Integrated Action Plans for Complex Healthcare Needs

Comorbidity Care Models Comorbidity Care Models: Integrated Action Plans for Complex Healthcare Needs presents emerging models of care for comorbidity, with a special focus on the needs of aging multi-morbid patients as well as those whose comorbidity encompasses physical and behavioral health conditions.

Learn more about this resource.

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3.) Hospitals Turn to IBM to Help Build Millions of EMRs for Improved Patient Care

Capella Healthcare, Memorial Hermann Hospital System, Trillium Health Centre and Vanderbilt University Medical Center have turned to IBM to help build a smarter healthcare system for ensuring patient safety, improving efficiency and reducing medical errors through electronic medical records (EMR).

Get the full story.

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4.) Electronic Health Records: Transforming Your Medical Practice

Electronic Health Records Electronic Health Records: Transforming Your Medical Practice is a practical guide to EHRs for everyone in the medical practice setting, so they can make the implementation process efficient and correct. You'll get complete information on all the critical areas of successful EHR implementation, including: external and internal environments, needs assessment, organization and planning, vendor selection and more.

Learn more about this resource.

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5.) Featured Healthcare Business White Paper: The Medical Home — Disruptive Innovation for a New Primary Care Model

This white paper examines medical home models, their savings potential, and the implications for policymakers and key industry stakeholders. This paper also offers compelling arguments in favor of medical home adoption.

Download this complimentary white paper.

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6.) 24/7 Psychiatric ED, Additional Hospital Beds Coming to Behavioral Health Service

To increase local bed capacity in their ED and to better serve the mental health population, Old Vineyard Behavioral Health Services will transfer 50 unused beds from Broughton Hospital to the agency's Winston-Salem facility and construct a free-standing 24/7 psychiatric ED as a part of this initiative.

Get the full story.

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

Emergency Room Triage of the Mental Health Patient 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.

Learn more about this resource.

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8.) New York Leads All States in Spending on Long-Term Care, But Not in Quality of Services

New York’s Medicaid program spends more on long-term healthcare than any other state, but indicators of quality here are “about average or slightly above average,” according to a new report issued by the Nelson A. Rockefeller Institute of Government. The study compared New York to 18 other large and Northeastern states including California, Texas, Florida, Massachusetts, New Jersey, Pennsylvania and Ohio.

Get the full story.

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9.) The Medicaid Population: Making a Difference with Disease Management

The Medicaid Population In The Medicaid Population: Making a Difference with Disease Management, expert speakers delve into Medicaid concerns ranging from eligibility and patient engagement to marketing strategies and provider connections as they explain how DM programs can integrate and improve care for those in need.

Learn more about this resource.

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10.) Experts Outline Blueprint for Reducing Death and Disease from Tobacco in the U.S.

To further the goal of eliminating smoking as the number one cause of preventable disease and death in the U.S., 26 of the nation's leading tobacco control researchers and policy experts called for regulatory control of all tobacco products.

Get the full story.

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

Measuring Change: Evaluating Health and Wellness Coaching In Measuring Change: Evaluating Health and Wellness Coaching Performance, Outcomes and ROI, 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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12.) Featured HealthSounds Podcast: PQRI Participation — Improvement Over Payments

Dr. Bruce Bagley According to Dr. Bruce Bagley, the cornerstone of PQRI is quality improvement, and any bonus payments physicians receive for reporting efforts are just that — by-products of the process. Dr. Bagley, medical director of quality improvement for the American Academy of Family Physicians, also shares his views on the value of patient registries and other healthcare IT for PQRI, and advises physicians who may be frustrated by their PQRI experiences.

Listen to this podcast.

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