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From the editor

Dear Healthcare Intelligence Network Client,

HIN Managing Editor Patricia Donovan

When it comes to moving the medical home forward — and funding it — Minnesota is ahead of the game. The state already has a risk-adjusted reimbursement strategy that reflects the patient's complexity and the time required by the medical home to care for complex patients. In this week's featured podcast, Dr. Jeff Schiff describes two key factors that can make care more complex, and presents the business case for creating measurable patient- and family-centered practices. Even a simple gesture like giving the clinic's direct phone number to patients with chronic illness, he says, can have a surprising impact on patient satisfaction and clinic efficiency.

And for provider organizations stretched to the maximum, we present three strategies for responding to physician shortages.

Haven't taken our second annual Obesity and Weight Management survey? You have until Friday to respond and be e-mailed a summary of results from more than 115 healthcare organizations on weight management efforts, challenges and results.

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: Healthcare Report Cards — Hospitals, Health Plans and Consumers Grade the Effort

Healthcare Report Cards — Hospitals, Health Plans and Consumers Grade the Effort

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April 26, 2010
Vol. XII, No. 16

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

This week's industry news:

  1. 3 Strategies to Reduce Physician Shortages
  2. MORE Medical Home Reimbursement Models
  3. Teaching Hospital Status Associated with Death Rate after Colon Surgery
  4. Discharge Planning Primer
  5. Healthcare Business White Paper: Truth or Consequences
  6. Are Doctors Missing Depression Medication Side Effects?
  7. New Chart: Key Steps in the Hospital Discharge
  8. 2010 Benchmarks in Medication Adherence and Management
  9. SSA Adds 3 Conditions to Compassionate Allowances Initiative
  10. Adult Day Services Letter
  11. California RN-to-Patient Staffing Law Saves Lives
  12. International Practice Development in Nursing and Healthcare
  13. HealthSounds Podcast: Risk Adjustment 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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Take the monthly e-survey:
Obesity and Weight Management 2010

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This week's industry news

1.) 3 Strategies to Reduce Physician Shortages

Dr. David West, a hospitalist in Grand Junction, Colo., discusses how the area that has been called “the gold standard for health reform” is meeting the challenges of a declining physician workforce in the area.

Get the full story.

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

MORE Medical Home Reimbursement The newest strategies for generating revenue from the patient-centered medical home (PCMH) are documented in this 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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3.) Teaching Hospital Status Associated with Death Rate after Colon Surgery

When both cancer and benign diagnoses are taken into consideration, patients undergoing colon surgery appear to have increased odds of death if their procedure is performed at a teaching hospital, according to a report in an issue of Archives of Surgery.

Get the full story.

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4.) Discharge Planning Primer: Community Collaborations to Decrease Hospital Readmissions Risk

Discharge Planning Primer In this resource, two industry experts describe the coordinated approaches central to their hospital discharge processes and the impact their programs have had on patients' outcomes and satisfaction, hospital readmission rates and healthcare costs.

Learn more about this resource.

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5.) Healthcare Business White Paper: Truth or Consequences — Selecting Health Risk Appraisals

Most people would agree that even the most innocuous assumptions about health care can have unintended consequences. The mistake of confusing one Health Risk Appraisal (HRA) with another can have ominous consequences. To that end, there are seven important characteristics of HRAs that you should keep in mind when partnering with a wellness firm to help implement/manage your corporate wellness program. Download this white paper to learn more about these characteristics.

Download this complimentary white paper.

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6.) Are Doctors Missing Depression Medication Side Effects?

A study from Rhode Island Hospital shows that patients report side effects from medication for the treatment of depression 20 times more than psychiatrists have recorded in the charts.

Get the full story.

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7.) New Chart: Key Steps in the Hospital Discharge

The hospital discharge provides many opportunities to tighten care transitions and confirm the patient's understanding of the plan of care. We wanted to see which critical steps were being performed at the hospital discharge to reduce the likelihood of readmission.

Click here to view the chart.

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8.) 2010 Benchmarks in Medication Adherence and Management

2010 Benchmarks in Medication Adherence This resource provides actionable information from 107 healthcare organizations on their efforts to improve medication adherence and compliance in their populations and the impact that medication therapy management programs are having on adherence levels, medication costs, ER visits, hospital and nursing home admissions, risk of death and other areas of concern.

Learn more about this resource.

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9.) SSA Adds 3 Conditions to Compassionate Allowances Initiative

The Social Security Administration (SSA) will add three conditions to its Compassionate Allowances Initiative, an additional list of diseases and medical conditions that would meet the SSA’s standards for Social Security Disability Income (SSDI) or Supplemental Security Income (SSI).

Get the full story.

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10.) Adult Day Services Letter

Adult Day Services Letter This resource stays on top of the most current challenges facing adult day professionals. Each month, you'll get the latest management intelligence regarding financing, marketing and staffing adult day services programs, program planning, funding opportunities and legislative alerts.

Learn more about this resource.

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11.) California RN-to-Patient Staffing Law Saves Lives

A new study by the California Nurses Association/National Nurses Organizing Committee (CNA/NNOC) provides compelling evidence that California's landmark RN-to-patient staffing law reduces patient mortality, assures nurses more time to spend with patients and substantially promotes retention of experienced RNs.

Get the full story.

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12.) International Practice Development in Nursing and Healthcare

International Practice Development in Nursing Practice development is a key concept in developing effective nursing care, which is firmly embedded in health service modernization agendas, clinical governance strategies, team and cultural developments and in quality improvements that directly impact patient care. Practice development acknowledges the interplay between the development of knowledge and skills, facilitation, and a systematic, rigorous and continuous process of emancipatory change in order to achieve evidence-based, person-centered care. This resource is essential for all practice developers and for nurses with a remit for facilitating innovation and change in practice.

Learn more about this resource.

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13.) HealthSounds Podcast: Risk Adjustment in the Medical Home — Building an Effective Reimbursement Strategy

Risk Adjustment in the Medical Home Social and demographic factors such as chaos in the home or functional status can complicate care coordination for patients as much as clinical factors, explains Jeff Schiff, M.D., M.B.A., medical director of Minnesota Health Care Programs for the Minnesota Department of Human Services. He identifies two key social/demographic factors getting close attention in Minnesota's new primary care reimbursement model and explains how the engagement of patient and family at the clinical level is paying off in improved patient safety, satisfaction and health outcomes.

Listen to this podcast.

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