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From the editor

Dear Healthcare Intelligence Network Client,

HIN Managing Editor Patricia Donovan

About a year ago, Dr. Atul Gawande, a writer for The New Yorker, put Grand Junction, Colorado's healthcare system on the map when he contrasted its low-cost, high-quality approach with one of the most expensive healthcare systems in the country. Before long, the area was being touted as the gold standard for healthcare; President Obama even held a healthcare town meeting in the region.

During last week's webinar on shared savings in the medical home, hospitalist, family physician and healthcare consultant Dr. David West shared with us some of Grand Junction's cost-effective approaches, including a community-supported non-FQHC clinical safety net clinic providing care for the uninsured. In our featured podcast this week, Dr. West describes how Grand Junction's model might be adapted for use in other areas of the country, and explains the area's secret to keeping Medicare patients out of the hospital.

Also this week, we present the results of our special edition survey on reaction to healthcare reform — the good, the bad and the skeptical. Learn how 124 healthcare organizations feel about the legislation and how they're preparing to survive in healthcare's new frontier.

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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April 5, 2010
Vol. XII, No. 13

Sponsored by:
A Coordinated Discharge Planning Approach to Reduce Avoidable Hospital Readmissions

This week's industry news:

  1. Identifying Target Populations for Case Management
  2. The Medical Home Case Manager
  3. What Patient Volume Says About Hospital Performance
  4. Benchmarks in Reducing Hospital Readmissions
  5. Healthcare Business White Paper: Healthcare Makes History
  6. Short-Term Program for Binge Eaters Has Long-Term Benefits
  7. New Chart: What's An Average Health Coaching Case Load?
  8. Three Pillars of Health Coaching
  9. Elderly's Decision-Making Capacity at Death
  10. Healthcare Trends & Forecasts in 2010
  11. $27 Million in Grants Help Elderly to Self-Manage Chronic Diseases
  12. Comorbidity Care Models
  13. HealthSounds Podcast: Shared Savings 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.

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This week's industry news

1.) Identifying Target Populations for Case Management

Diane Littlewood, R.N., and Joann Sciandra, R.N., regional managers of case management for health services at Geisinger Health Plan, define targeted populations for case management and initial enrollment steps.

Get the full story.

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2.) The Medical Home Case Manager: Profiting from Patient-Centered Care Coordination

Medical Home Case Manager This resource provides an inside look at the selection, training, skill set, processes and benefits of the Geisinger Health Plan case managers embedded within the payor's medical home practices.

Learn more about this resource.

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3.) What Patient Volume Says About Hospital Performance

According to a new study, patient volume seems to be only a mild indicator of hospital performance in the treatment of three common conditions.

Get the full story.

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4.) Benchmarks in Reducing Hospital Readmissions

Benchmarks in Reducing Hospital Readmissions As many payors begin to tie reimbursement to hospital readmission data, this 50-page resource provides actionable information from 107 healthcare organizations on their efforts to reduce avoidable readmissions in their most vulnerable and highest-utilization populations. This resource provides metrics and measures on current and planned initiatives as well as lessons learned and results from early adopters of readmission reduction strategies.

Learn more about this resource.

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5.) Healthcare Business White Paper: Healthcare Makes History — Assessing Impact of Landmark Reform Laws

This executive summary documents the reactions of 124 healthcare organizations to the newly enacted Patient Protection and Affordable Care Act as well as their assessment of its business impact and immediate steps they will take to prepare for proscribed changes.

Download this complimentary white paper.

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6.) Short-Term Program for Binge Eaters Has Long-Term Benefits

A new study finds that a self-guided, 12-week program helps binge eaters to stop binging for up to a year. In addition, the program can also save money for those who participate.

Get the full story.

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7.) New Chart: What's An Average Health Coaching Case Load?

Click here to view the chart.

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8.) Three Pillars of Health Coaching: Patient Activation, Motivational Interviewing and Positive Psychology

Three Pillars of Health Coaching This resource provides the fundamentals of three essential tools — Patient Activation Measure™, motivational interviewing and positive psychology — that health coaches can use to elicit behavior change, move clients along the path to self-management and have a positive impact on health outcomes and utilization.

Learn more about this resource.

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9.) Elderly's Decision-Making Capacity at Death

More than one in four elderly Americans lacked the capacity to make their own medical care decisions at the end of life, according to a study of 3,746 people to be published in the New England Journal of Medicine.

Get the full story.

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10.) Healthcare Trends & Forecasts in 2010: Performance Expectations for the Healthcare Industry

Healthcare Trends & Forecasts 2010 In HIN's annual industry forecast, two analysts predict the 2010 climate for physicians, hospitals and health plans, proposing strategies to close care and business gaps, likely areas for new products, and ways to rethink payment and benefit design to support changing healthcare delivery systems.

Learn more about this resource.

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11.) $27 Million in Grants Help Elderly to Self-Manage Chronic Diseases

Older Americans with chronic diseases can learn how to manage their conditions and take control of their health using the $27 million in grants available from HHS.

Get the full story.

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

Comorbidity Care Models This resource 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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13.) HealthSounds Podcast: Shared Savings in the Medical Home

Shared Savings in Medical Home The patient-centered medical home is at the heart of Mesa County, Colorado's shared savings model, explains David West, M.D., a hospitalist, family physician and healthcare consultant from Grand Junction, Colorado. Dr. West describes how the shared savings model can be adapted across markets, including the conditions and factors that must be present for this approach to be feasible. He also shares a unique provider incentive that is keeping hospital stays of Medicare patients at less than one-third the national average, one of the factors that has the nation touting this area as a model for efficient healthcare delivery.

Listen to this podcast.

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