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From the editor

Dear Healthcare Intelligence Network Client,

HIN Managing Editor Patricia Donovan

It may have been Dorothy that said, "There's no place like home," but more healthcare organizations now view the home as an acceptable place to deliver primary care, particularly for elderly patients with multiple chronic conditions. In a featured story this week, learn how the Veterans Health Administration's Home-Based Primary Care model, which targets veterans with complex chronic disabling diseases, halved inpatient costs, reduced admissions by 28 percent and hospital days by 71 percent and delivered overall savings of $58 million over 12 months for the 9,400 elderly veterans in the study. This "hospital at home" model, established in 1972 and utilized in Europe for years, receives high marks from patients.

The pendulum has swung on the industry's thinking surrounding home visits, agrees Jessica Simo of the Duke Division of Community Health, who discusses the motivation for home visits for the Medicaid population with Duke's Dr. Larry Greenblatt in this week's HealthSounds podcast.

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 17, 2010
Vol. XII, No. 19

Sponsored by:
Physician Practices in the Medical Home — Recruiting, Evaluating, Supporting and Measuring the Patient-Centered Team

This week's industry news:

  1. Three Essential Elements of a Patient Registry
  2. Medical Home Improvement Guide Vol. III
  3. Case Management Services Expanding in Most U.S. Healthcare Organizations
  4. 2010 Benchmarks in Healthcare Case Management
  5. Healthcare Business White Paper: Benchmarks in Healthcare Case Management
  6. Can Telephone Therapy Treat Depression?
  7. New Chart: Benefit-Based Incentives
  8. Depression Management Benchmarks
  9. Coordinated Home-Based Care for Elderly Prevents Hospitalizations
  10. Retooling Care Transitions to Reduce Hospitalizations
  11. HHS Establishes Center of Excellence on Disability Services, Care Coordination
  12. Simple Steps to a Patient Registry
  13. HealthSounds Podcast: Home Visits 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.) Three Essential Elements of a Patient Registry

Barbara Walters, senior medical director at Dartmouth-Hitchcock Medical Center, lists the three ways to improve care coordination when an EMR system is not available.

Get the full story.

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

Medical Home Improvement Guide Vol. III This 35-page resource picks up where Volumes I and II leave off, providing insight on emerging reimbursement models like the accountable care organization (ACO) and bundled or episodic payments. It also delves more deeply into the PCMH's care coordination responsibilities for its elderly patients with complex chronic illnesses including the management of care transitions, medication reconciliation and reducing the possibility of readmission to the hospital. Responses are provided by such medical home heavy hitters as Group Health Cooperative, Geisinger Health Plan, Baptist Health System, Aetna Medicare and many others.

Learn more about this resource.

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3.) Case Management Services Expanding in Most U.S. Healthcare Organizations

A new study by the BeyeNETWORK shows marked growth in case management services and a rising need for integrated information management technologies in case management-practicing healthcare organizations in the U.S.

Get the full story.

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4.) 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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5.) Healthcare Business White Paper: Benchmarks in Healthcare Case Management

Healthcare case managers are playing a larger role in the coordination of all phases of patient cares. This HIN white paper examines the expanding focus, responsibilities and impact of case management in healthcare, from populations benefiting from case management to metrics on case loads, ROI and performance measurement through responses provided by 187 healthcare organizations.

Download this complimentary white paper.

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6.) Can Telephone Therapy Treat Depression?

Treating clinical depression on the telephone is nearly as effective as face-to-face consultations, a new Brigham Young University study finds.

Get the full story.

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7.) New Chart: Benefit-Based Incentives

Benefit-Based Incentives

Incentives for health and wellness activities take many forms. We wanted to see how companies are integrating incentives with health insurance benefits.

Click here to view the chart.

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8.) Depression Management Benchmarks: Trends in Integration of Behavioral and Physical Health

Depression Management Benchmarks This resource provides actionable information from 260 organizations on their progress in targeting depression in disease management plus lessons learned from early adopters of an integrated approach to mental and physical health.

Learn more about this resource.

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9.) Coordinated Home-Based Care for Elderly Prevents Hospitalizations, Cuts Spending

A new study finds that a care model providing complex, chronically ill elderly veterans with comprehensive, coordinated, interdisciplinary, longitudinal, home-based care helps reduce the number and length of hospital stays and cuts both Medicare and Department of Veterans Affairs (VA) costs significantly.

Get the full story.

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10.) Retooling Care Transitions to Reduce Hospitalizations in Medicare Patients

Retooling Care Transitions This 40-page resource is essential for any healthcare organizations wishing to evaluate their care transition efforts against best practices in the industry. It delivers current trends in care transition programs as well as advice and guidance from industry thought leaders on key elements of care transition programs — from enhancements to the hospital discharge process to medication reconciliation ideas to better utilization of home visits during care transitions.

Learn more about this resource.

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11.) HHS Establishes Center of Excellence on Disability Services, Care Coordination and Integration

HHS has awarded over $6 million to Mathematica Policy Research, Inc. to establish a center of excellence in research on disability services, care coordination and integration.

Get the full story.

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12.) Simple Steps to a Patient Registry: Ticket to Care Coordination, Quality Reporting and Pay for Performance

Simple Steps to a Patient Registry This resource illustrates how even the solo practitioner can simply and inexpensively implement a population-based registry that provides actionable information on patient needs. From a set of index cards in a shoebox to a clinical information system auto-populated from an EMR, the patient registry guides the entire care team in the management of chronic illness and preventive care. Registries have also been shown to decrease per-member costs and reduce hospital admissions.

Learn more about this resource.

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13.) HealthSounds Podcast: Home Visits in the Patient-Centered Medical Home

Dr. Larry Greenblatt Jessica Simo Medicaid patients present their own unique set of needs during home visits, explain Dr. Larry Greenblatt, medical director, Chronic Care Program, Durham Community Health Network, Duke University Medical Center, and Jessica Simo, program manager, Durham Community Health Network for the Duke Division of Community Health. The duo explains the two types of patients that benefit most from home visits, the priorities of the home visit and the most common problems identified during home visits.

Listen to this podcast.

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