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From the editor

Dear Healthcare Intelligence Network Client,

HIN Managing Editor Patricia Donovan

An HHS study published in 2008 in the New England Journal of Medicine found that just 4 percent of physicians are using "extensive, fully functional EHRs." Even so, many practices are implementing "makeshift or work-around HIT solutions to increase electronic access and give practitioners a better sense of what's happening with their patients," notes Dr. James Crawford of the North Shore-Long Island Jewish Health System. Dr. Crawford, who co-chairs the PCPCC's committee on health IT adoption, was surprised by the number of simple yet intelligent innovations submitted by respondents to the PCPCC's recent survey on health IT adoption by physicians. For example, an EHR-less practitioner in Camden, N.J., developed a patient registry for high utilizers of emergency services and then directed these patients to medical homes.

Our conversation with Dr. Crawford is this week's HealthSounds podcast. In other HIT news this week, New York offers $60 million to install health IT in the medical home and the first of six Maryland hospitals wires its ICU for remote monitoring.

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 18, 2009
Vol. XI, No. 19

Sponsored by:
Sixth Annual Healthcare Unbound Conference & Exhibition

Sixth Annual Healthcare Unbound Conference & Exhibition, June 22-23, 2009, Seattle, WA. Special Focus on Remote Monitoring, Home Telehealth & eHealth.

Register today online at:
http://www.tcbi.org/hu2009

This week's industry news:

  1. Benefit-Based Incentives That Tripled Participation in Workplace Wellness
  2. Employee Health Promotion Strategies: Effecting Change through a Culture of Health
  3. Maryland ICU Patients Connected to Remote Critical Care Staff, Improving Quality and Safety
  4. The Digital Hospital: Opportunities, Challenges, Strategies, And Risks That Face All Sectors Of the Healthcare Industry
  5. Featured Healthcare Business White Paper: Medical Home Models — Improving Care & Reducing Costs in Healthcare
  6. Majority of U.S. Adolescents Suffering from Depression Episodes Did Not Receive Treatment in Past Year
  7. Depression Disease Management: Healthcare's New Frontier
  8. Holistic Approach Needed in Elderly Residential Care for Quality of Life
  9. Coordinating Care Transitions for the Elderly and Dually Eligible: Fostering Self-Management and Reducing Readmissions
  10. NY Offers $60 Million to Integrate HIT with PCMH
  11. Wiring the Medical Home: Healthcare IT to Power a Patient-Centered Model
  12. Featured HealthSounds Podcast: Powering the PCMH with Health IT
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.) Benefit-Based Incentives That Tripled Participation in Workplace Wellness

David Sensibaugh, director of Integrated Health at Eastman Chemical Company, describes how HRA completion and wellness program participation tripled when a benefits-based incentive was introduced.

Before 2006, in any given year we had about 30 percent of our employees completing an HRA, and we needed to accelerate that dramatically to get up in the 75 percent-plus participation level. In 2006 we introduced an incentive for employees to complete a health risk assessment (HRA).

Get the full story.

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2.) Employee Health Promotion Strategies: Effecting Change through a Culture of Health

Employee Health Promotion Strategies This special report describes the payoffs of creating a corporate culture of health and the improved worker health and safety that can result. Learn how one company overcame a "benefit entitlement mentality," and a second developed a culture of health that improved the health and welfare of the company's 3,000 shift workers. This case study of employee health promotion in a manufacturing setting addresses the specific challenges of fostering health when employees work 12-hour rotating shifts among several locations.

Learn more about this resource.

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3.) Maryland ICU Patients Connected to Remote Critical Care Staff, Improving Quality and Safety

Starting this month, intensive care patients at a Maryland hospital will be connected by voice, video and data lines to specialized physicians and nurses at a tertiary care referral center 130 miles away. Calvert Memorial Hospital in Prince Frederick, Md., is the first of six hospitals that have joined together to provide state-of-the-art critical care to their patients to be fully online with the sophisticated care system. The joint venture is funded with a $3 million grant from CareFirst BlueCross BlueShield.

Get the full story.

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4.) The Digital Hospital: Opportunities, Challenges, Strategies, And Risks That Face All Sectors Of the Healthcare Industry

The Digital Hospital The Digital Hospital: Opportunities, Challenges, Strategies, And Risks That Face All Sectors Of the Healthcare Industry is an audio conference that was organized to highlight the benefits hospitals can expect when they embrace electronic technology. The emerging impact of the digital hospital is a business imperative for healthcare providers, health plans and healthcare technology companies.

Learn more about this resource.

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5.) Featured Healthcare Business White Paper: Medical Home Models — Improving Care & Reducing Costs in Healthcare

The patient-centered medical home (PCMH) model of care — an approach embraced by thousands of healthcare organizations — focuses on improving care quality and reducing costs for the chronically ill. According to a 2004 report in the Annals of Family Medicine, if every American had a medical home, healthcare costs would decrease by 5.6 percent, resulting in national savings of $67 billion per year and improved care. This white paper summarizes the results from HINís Medical Homes in 2009 e-survey in which more than 220 healthcare organizations described the role of the PCMH in their organizations.

Download this complimentary white paper.

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6.) Majority of U.S. Adolescents Suffering from Depression Episodes Did Not Receive Treatment in Past Year

A new SAMHSA report has revealed that of the 8.2 percent (2 million) youths aged 12 to 17 who experienced at least one major depressive episode (MDE) in the past year, only about two-fifths (38.9 percent) received treatment during this period.

Get the full story.

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7.) Depression Disease Management: Healthcare's New Frontier

Depression Disease Management In this special report, you'll learn about the broad array of depression disease management programs, ranging from differences in treatment length to pharmaceutical trials to staff roles and patient responsibility.

Learn more about this resource.

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8.) Holistic Approach Needed in Elderly Residential Care for Quality of Life

Choice, privacy and a sense of identity are some of the things that older people living in residential care need to maintain a good quality of life, according to research in the May issue of the Journal of Advanced Nursing.

Get the full story.

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9.) Coordinating Care Transitions for the Elderly and Dually Eligible: Fostering Self-Management and Reducing Readmissions

Coordinating Care Transitions for the Elderly Throughout this 65-page report, respected thought leaders share their unique approaches to care transition management that positively impact cost and engage the patient in their care decisions.

Learn more about this resource.

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10.) NY Offers $60 Million to Integrate HIT with PCMH

The New York Department of Health (NY DOH) has made $60 million available for grants to support adoption of health IT and integration with patient-centered medical home (PCMH) practices. The Health Efficiency and Affordability Law for NY (HEAL NY) capital grant program, established in 2004, is accepting applications for HEAL NY Phase 10 HIT Grant Program. The deadline for applications is June 15.

Get the full story.

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11.) Wiring the Medical Home: Healthcare IT to Power a Patient-Centered Model

Wiring the Medical Home During Wiring the Medical Home: Healthcare IT to Power a Patient-Centered Model, a physiciansí services organization and a health system will present case studies on the use of health IT in the medical home and its impact on care access, quality and cost.

Learn more about this resource.

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12.) Featured HealthSounds Podcast: Powering the PCMH with Health IT

Dr. James Crawford Implementing an EHR into your organization is not the same as implementing a patient-centered medical home (PCMH) model of care, according to Dr. James Crawford, senior vice president for laboratory services and chair of the department of pathology and laboratory medicine at North Shore-Long Island Jewish Health System. In order for it to be a PCMH, the practice workflow has to change, as well. In this podcast, Dr. Crawford discusses the key process change that has to accompany the adoption of health IT by a medical home as well as health IT's impacts on care coordination and findings from the PCPCC's survey of physician practices on their use of health IT in support of the medical home model.

Listen to this podcast.

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