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From the editor

Dear Healthcare Intelligence Network Client,

HIN Managing Editor Patricia Donovan

It's National Nursing Homes Week. In this issue, LifeCare® offers tips to families searching for the right facilities for their older loved ones. To uncover any potential deficiencies, LifeCare® recommends that families ask to see the most recent state-required survey or visit Medicare's NursingHomeCompare site. Also, visit each facility twice — once at an appointed time and once unannounced — and take your loved one along with you.

Also this week, learn how potentially harmful medication discrepancies are reduced by nearly a third when a computerized application to record and track patients’ medications is used. Case in point: In Eight Steps to a Culture of Safety, Leanne Huminski, chief nursing officer of McLeod Regional Medical Center, shares the eight steps to creating a culture of safety that reduced adverse medical events at McLeod by 90 percent and greatly simplified the medication reconciliation process.

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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May 11, 2009
Vol. XI, No. 18

Sponsored by:
Wiring the Medical Home: Healthcare IT to Power a Patient-Centered Model

This week's industry news:

  1. Reimbursement and ROI in the Medical Home
  2. Medical Home Improvement Guide Vol. II: More FAQs on Patient-Centered Care
  3. Electronic System May Reduce Risk of Adverse Drug Events
  4. Medication Reconciliation Strategies to Reduce Hospital Adverse Drug Events
  5. Featured Healthcare Business White Paper: Bellin Health — Living Quality Improvement Every Day
  6. Health Affairs Explores U.S. Mental Healthcare Trends and Comparative Effectiveness
  7. Clinical Case Formulations: Matching the Integrative Treatment Plan to the Client
  8. LifeCare® Offers Tips for Evaluating Nursing Homes
  9. Toward Transparency in Healthcare: Competing for Quality and Consumers
  10. Two New Reports Available on Healthcare Quality
  11. The Handbook of Patient Safety Compliance: A Practical Guide for Health Care Organizations
  12. Featured HealthSounds Podcast: Reducing Acute and Chronic Care Costs Through an Effective Health Risk Stratification Model
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.) Reimbursement and ROI in the Medical Home

Experts tackle frequently asked questions concerning savings, reimbursement and ROI in medical home models.

Question: Are there any medical home models that have implemented a shared risk pool to align incentives between payors and physicians?

Response: (Chris Corbin, Humana) Our structure is based upon expectations of savings associated with medical home. In a sense, it is shared savings in that we look at what we’d expect to find through application of medical home as a reduction in inpatient utilization, ER utilization, pharmacy, radiology and other elements, and then offsetting that with expectations and increases that we’d expect associated with promotion of preventive care and chronic care management.

Get the full story.

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2.) Medical Home Improvement Guide Vol. II: More FAQs on Patient-Centered Care

Medical Home Improvement Guide Vol. II The 32-page Medical Home Improvement Guide Vol. II: More FAQs on Patient-Centered Care drills deeper into the PCMH and its impact on physician practice workflow, employer healthcare costs, the hospital as medical home and PCMH impact on non-urgent emergency room utilization.

Learn more about this resource.

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3.) Electronic System May Reduce Risk of Adverse Drug Events

Researchers at Brigham and Women’s Hospital (BWH) and Massachusetts General Hospital report that using a computerized application to record and track patients’ medications could decrease the occurrence of potentially harmful medication discrepancies.

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.) Featured Healthcare Business White Paper: Bellin Health — Living Quality Improvement Every Day

In 2005, Bellin Health’s measurement control system had over 250 system-level quality indicators. Many of these indicators also were reported at the department-level and on varying schedules (monthly, quarterly, annually, etc.). Although none of the current indicators were measured at the shift level, the potential exists to do so. It was also clear to the Quality Resources team that the demand for quality and safety information from both accreditation and certification agencies, as well as the general public, would continue to grow. In this white paper, you'll discover how Bellin revamped this system with one that provided reports that were timely, directed to the right audience, readily available and delivered in a format that was accessible to a variety of users.

Download this complimentary white paper.

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6.) Health Affairs Explores U.S. Mental Healthcare Trends and Comparative Effectiveness

Many more people are using mental health services and U.S. mental health spending rose 65 percent in the past decade, but there is still a disturbingly large gap between access to care and quality of mental healthcare received. The May/June issue of Health Affairs, “Mental Health Care: Better, Not Best” explores key aspects of U.S. mental healthcare, including the latest mental healthcare trends and comparative effectiveness research in mental health treatment.

Get the full story.

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7.) Clinical Case Formulations: Matching the Integrative Treatment Plan to the Client

Clinical Case Formulations This innovative new guide addresses the essential question facing every therapist with a new client: How do I create a treatment plan that is the best match for my client? This unique resource provides a systematic method to integrate ideas, skills, and techniques from different theoretical approaches, empirical research, and clinical experience to create a case formulation that is tailor-made for the client.

Learn more about this resource.

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8.) LifeCare® Offers Tips for Evaluating Nursing Homes

In honor of National Nursing Home Week (May 10 through 16), LifeCare®, Inc. is sharing tips to help families compare nursing home facilities and determine which is best equipped to serve the needs of their older loved ones.

Get the full story.

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9.) Toward Transparency in Healthcare: Competing for Quality and Consumers

Toward Transparency in Healthcare With consumers just a mouse click away from choosing another physician or hospital, healthcare organizations must find a way to drive quality through effective public reporting or face a possible loss of business. In this special report, contributing authors furnish details on communicating quality and performance data to employees, patients and members; building a quality-based specialty provider network, responding to data validity and reliability issues, and much more.

Learn more about this resource.

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10.) Two New Reports Available on Healthcare Quality

Two new HHS publications report on the quality of healthcare in America and challenge hospitals to work to reduce healthcare associated infections.

Get the full story.

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11.) The Handbook of Patient Safety Compliance: A Practical Guide for Health Care Organizations

The Handbook of Patient Safety Compliance Written for virtually every professional and leader in the healthcare field, as well as students who are preparing for careers in health services delivery, this book presents a framework for developing a patient safety program, shows how best to examine events that do occur, and reveals how to ensure that appropriate corrective and preventative actions are reviewed for effectiveness.

Learn more about this resource.

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12.) Featured HealthSounds Podcast: Reducing Acute and Chronic Care Costs Through an Effective Health Risk Stratification Model

Dr. William Vennart Predictive modeling and health risk stratification can help providers identify members for case management and disease management interventions, says Dr. William Vennart, vice president of medical management and national medical director with CareAdvantage Inc. These methods ensure that patients receive treatment for their chronic conditions early on and, in turn, reduce unnecessary utilization and lower acute and chronic care costs.

Listen to this podcast.

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