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From the editor

Dear Healthcare Intelligence Network Client,

HIN Managing Editor Patricia Donovan

While hundreds of physician practices nationwide are piloting the patient-centered medical home model, still at issue is a reimbursement formula that adequately compensates physicians for the medical home's care management components. In “What’s Keeping Us So Busy in Primary Care?," a study published in last week's New England Journal of Medicine, Dr. Richard Baron documents the daily duties of the five doctors in his Philadelphia practice that fall outside the scope of routine patient visits. On an average day, besides seeing 18 patients, each Greenhouse Internists physician made 24 phone calls, wrote 17 e-mails, reviewed 20 lab reports and issued 12 prescription refills. While all of these tasks extend access to care, they consume a great deal of physicians' time outside of patient visits.

Last month we featured Dr. Baron's recommended technology backbone to support evidence-based care delivery, taken from his presentation during our Medical Home Open House webinar series. If you missed the story, you can read it here.

A focus on care transitions can also improve healthcare efficiency. To learn how healthcare organizations manage transitions from one care site to another and the results these programs are delivering, take our second annual survey on Managing Care Transitions Across Sites. You'll receive a summary of the survey 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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May 3, 2010
Vol. XII, No. 17

Sponsored by:
Patient-Centered Medical Home Transformation: 9 Key Hurdles for Physician Practices To Overcome

This week's industry news:

  1. Reducing Health Coach Burnout and Turnover
  2. Health Coach Hiring, Training and ROI
  3. UCSF and Skype Connect Hospital Inpatients with Family, Friends
  4. The Business Case for Web 2.0 in Healthcare
  5. Healthcare Business White Paper: Medical Homes in 2010
  6. Study Finds High Rates of At-Risk Drinking Among Elderly
  7. New Chart: Who's On the Medical Home Care Team?
  8. Comorbidity Care Models
  9. Imaging Costs Rising Faster Than Total Cancer Care for Medicare
  10. Managed Medicare and Medicaid Factbook
  11. Americans Divided, Confused on Healthcare Reform
  12. Prescription for Profitability
  13. HealthSounds Podcast: Metcare Practices Become PCMHs
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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Managing Care Transitions Across Sites

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This week's industry news

1.) Reducing Health Coach Burnout and Turnover

Darcy Hurlbert, health and wellness product specialist with Ceridian Lifeworks, describes the type of coaching environment that improves retention and flexibility.

Get the full story.

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2.) Health Coach Hiring, Training and ROI: Profiting from Behavior Change

Health Coach Hiring, Training and ROI This 45-page special report provides a blueprint for staffing and supporting a successful health coaching program as well as measuring and maximizing the behavioral health and financial outcomes that result.

Learn more about this resource.

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3.) UCSF and Skype Connect Hospital Inpatients with Family, Friends

UCSF Children’s Hospital and UCSF Medical Center have partnered with Skype™ to help connect hospital inpatients with family members and friends who are unable to visit in person.

Get the full story.

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4.) The Business Case for Web 2.0 in Healthcare: Building Brands and Redefining the Patient Experience

Business Case for Web 2.0 In this resource, experts recount how strategic utilization of Web 2.0 tools is driving prospective patients to their Web sites and to their facilities in record numbers. Even recruiters are feeling the impact of these efforts. These experts also share their marketing and health IT successes and offer strategies for Web 2.0 adoption.

Learn more about this resource.

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5.) Healthcare Business White Paper: Medical Homes in 2010 — Awareness, Adoption, Tools and Outcomes

Patient-centered medical home (PCMH) pilots are in high gear around the country and high on the healthcare reform agenda. This just-published white paper from the Healthcare Intelligence Network (HIN) measures adoption of the PCMH in 2010 as compared to our first medical home survey in 2006, the targeted populations that would benefit from this model of care, the components of a medical home and the effects of this model in the healthcare industry.

Download this complimentary white paper.

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6.) Study Finds High Rates of At-Risk Drinking Among Elderly

A new study by researchers at the David Geffen School of Medicine at UCLA has found that more than a third of drinkers 60 years old and older consume amounts of alcohol that are excessive or that are potentially harmful in combination with certain diseases they may have or medications they may be taking.

Get the full story.

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7.) New Chart: Who's On the Medical Home Care Team?

2010 Benchmarks in Medication Adherence

The medical home care team provides patient-centered, coordinated and high-quality care for its members. We wanted to see which medical professionals besides the physician are players on the medical home care team.

Click here to view the chart.

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8.) 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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9.) Imaging Costs Rising Faster Than Total Cancer Care for Medicare

The cost of imaging studies in cancer patients covered by Medicare is growing at twice the rate of the overall costs of cancer care in that group, according to scientists in the Duke Clinical Research Institute (DCRI). A dramatic increase in positron emission tomography (PET) scans is leading the way.

Get the full story.

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10.) Managed Medicare and Medicaid Factbook: 2010

Managed Medicare and Medicaid Factbook: 2010 As the economic downturn leads to more low-income enrollees and the political climate threatens to significantly alter how managed Medicare and Medicaid work, you need up-to-date enrollment data to help you assess the competitive landscape and develop strategic plans. This resource has current and historical statistics so you can easily make plan-by-plan or state-by-state comparisons to suit your analytical needs.

Learn more about this resource.

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11.) Americans Divided, Confused on Healthcare Reform

The first Kaiser Health Tracking Poll fielded since the passage of health reform finds that eight in 10 Americans know that President Obama signed the legislation into law. But 55 percent say they are confused about the law and more than half (56 percent) say they don’t yet have enough information to understand how it will affect them personally.

Get the full story.

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12.) Prescription for Profitability: 50 Ideas to Stimulate Healthcare Savings

Prescription for Profitability This 35-page resource delivers cutting-edge advice on key programs funded for pilots, demos and incentives in healthcare reform — the patient-centered medical home, health coaching, care transitions, hospital readmissions, medication management and innovative payment models like the accountable care organization (ACO). This resource provides a quick-reference on key programs and innovations that can help to put money back on the table for stakeholders by improving the quality of healthcare and curtailing avoidable utilization and cost.

Learn more about this resource.

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13.) HealthSounds Podcast: Metcare Practices Become PCMHs

Mike Earley Dr. Jose Guethon In the first of several conversations with Metcare of Florida chief executives on its continuing medical home pilot with Humana, CEO Mike Earley and President and COO Dr. Jose Guethon describe Metcare's longstanding commitment to the management of care transitions for its Medicare patients, how its 10 medical home practices keep a handle on patient care in hospital settings, and the clinical and business returns that result from these efforts.

Listen to this podcast.

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