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From the editor

Dear Healthcare Intelligence Network Client,

HIN Managing Editor Patricia Donovan

Late last week Congressional and presidential actions postponed to June 1 a scheduled 21.2 percent cut in Medicare physician pay. In a featured story this week, an AARP survey finds that one in five Idaho physicians are not accepting new Medicare patients, with one in four refusing new Medicaid patients. This trend is echoed around the country, according to the American Medical Association's reaction to the postponed cut.

Also affecting reimbursement levels are avoidable hospitalizations and readmissions of Medicare patients. That's why more healthcare organizations place case managers at care sites to help coordinate complex care and smooth transitions between care sites. This week we present findings from our 2009 Healthcare Case Management study, with details on case manager case loads, work locations, performance evaluation and effect on utilization.

You'll also hear from Susan Shepard of The Doctors Management Company on the type of patient most at risk for readmission and how a patient's primary physician can contribute to a successful hospital discharge.

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 19, 2010
Vol. XII, No. 15

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

This week's industry news:

  1. The Changing Role of the Healthcare Case Manager
  2. 2010 Benchmarks in Healthcare Case Management
  3. Better Patient Safety Linked to Fewer Medical Malpractice Claims in California Hospitals
  4. Medication Reconciliation Strategies to Reduce Hospital Adverse Drug Events
  5. Healthcare Business White Paper: 2009 Telehealth Benchmarks
  6. SAMHSA Offers New Evidenced-Based Behavioral Health Practice Toolkits
  7. New Chart: Tools That Measure Medication Adherence
  8. Tracking Mental Health Outcomes
  9. AARP Survey Finds the Doctor is “Out” for Many Idahoans
  10. MORE Medical Home Reimbursement Models
  11. FDA Phases Out Seven Inhalers That Use CFCs
  12. Asthma — Evaluation and Management
  13. HealthSounds Podcast: Discharge Strategies That Reduce Readmissions
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.) The Changing Role of the Healthcare Case Manager

Healthcare case managers are playing a larger role in the coordination of all phases of patient care — from management of the chronically ill in primary care to monitoring hospitalized patients from pre-admission through post-discharge to overseeing care of residents in long-term care facilities.

Get the full story.

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2.) 2010 Benchmarks in Healthcare Case Management: Responsibilities, Results & ROI

2010 Benchmarks in Healthcare Case Management This resource provides actionable information from 187 healthcare organizations on the placement and responsibilities of case managers and the impact case management has on healthcare utilization, cost and compliance.

Learn more about this resource.

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3.) Better Patient Safety Linked to Fewer Medical Malpractice Claims in California Hospitals

Reducing the number of preventable patient injuries in California hospitals from 2001 to 2005 was associated with a corresponding drop in malpractice claims against physicians, according to a study by the RAND Corporation.

Get the full story.

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4.) Medication Reconciliation Strategies to Reduce Hospital Adverse Drug Events

Medication Reconciliation Strategies In this special report, two experts describe their hospital's emphasis on quality and perfect care processes and provide the inside details on their medication management programs, which have a goal of eliminating adverse drug events.

Learn more about this resource.

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5.) Healthcare Business White Paper: 2009 Telehealth Benchmarks — Wired for Access and Efficiency

How are healthcare organizations utilizing telehealth and telemedicine? How prevalent is remote monitoring, and which medical conditions are most often monitored? The Healthcare Intelligence Network set out to answer these questions and others during its 2009 Telehealth e-survey. This executive summary of responses from 134 healthcare organizations identifies emerging trends in the use of telehealth and telemedicine and offers a glimpse into a healthcare future where no patient is left behind because of a lack of access.

Download this complimentary white paper.

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6.) SAMHSA Offers New Evidenced-Based Behavioral Health Practice Toolkits

SAMHSA is offering five new evidence-based practice toolkits on incorporating effective behavioral health practices into community-based service delivery.

Get the full story.

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7.) New Chart: Tools That Measure Medication Adherence

Medication adherence programs can improve patient care and lower healthcare costs by more effectively managing chronic medication utilization. We wanted to see how healthcare organizations with medication adherence programs measure adherence and compliance levels in their populations.

Click here to view the chart.

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8.) Tracking Mental Health Outcomes: A Therapist's Guide to Measuring Client Progress, Analyzing Data, and Improving Your Practice

Tracking Mental Health Outcomes Outcomes assessment has become an increasingly critical component of contemporary mental health practice, yet most therapists receive little or no training in accepted outcomes assessment and documentation methods. This resource fills this gap, providing step-by-step guidance on choosing the best outcomes-tracking methods and instruments for your practice.

Learn more about this resource.

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9.) AARP Survey Finds the Doctor is “Out” for Many Idahoans

According to a new AARP survey, doctors in Idaho are increasingly closing their doors to new patients, especially those using Medicare and Medicaid.

Get the full story.

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10.) MORE Medical Home Reimbursement Models: ROI from Risk Adjustment, Shared Savings and Multi-Payor Partnerships

MORE Medical Home Reimbursement Models The newest strategies for generating revenue from the patient-centered medical home (PCMH) are documented in this new 45-page resource. Learn how the identification of high-risk patients, meaningful distribution of healthcare data and collaborations with like-minded organizations are increasing medical home profitability for three healthcare organizations.

Learn more about this resource.

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11.) FDA Phases Out Seven Inhalers That Use CFCs

The FDA will phase out seven metered dose inhalers in the United States that contain chlorofluorocarbons (CFCs). These inhalers, used for the treatment of asthma or chronic obstructive pulmonary disease (COPD) or both, use CFCs as propellants to spray the medicine out of the inhaler so patients can breathe the medicine into their lungs.

Get the full story.

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12.) Asthma — Evaluation and Management

Asthma — Evaluation and Management This 72-page report includes diagnosis, non-pharmaceutical and pharmaceutical management to improve the quality of care for asthma patients, while reducing costs. This resource includes references, example handouts and Web links/other resources.

Learn more about this resource.

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13.) HealthSounds Podcast: Discharge Strategies That Reduce Readmissions

Hospital Admission, Discharge Sharing the latest literature on the causes and prevention of hospital readmissions is Susan Shepard, the director of patient safety education for The Doctors Management Company. Ms. Shepard describes the type of patient most at risk for readmission, some of the risks inherent in transitioning patients from one care site to another, and the contribution of the patient's primary physician to a successful discharge.

Listen to this podcast.

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