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From the editor

Dear Healthcare Intelligence Network Client,

HIN Managing Editor Patricia Donovan

As healthcare reform efforts intensify, more sobering healthcare statistics are emerging. A study conducted before the economic downturn found that medical problems contributed to nearly two-thirds (62.1 percent) of all bankruptcies in 2007. At the outset, most of the "medically bankrupt" had health insurance, were solidly middle class, owned homes and had gone to college. In many cases, illness led to job loss, and with it the loss of health insurance. The study will be published in August's American Journal of Medicine.

Additionally, a new HHS report on healthcare disparities (a featured story this week) finds that 40 percent of low-income Americans do not have health insurance, about one-third of the uninsured have a chronic disease, and they are six times less likely to receive care for a health problem than the insured.

According to preliminary results of our May e-survey on the impact of the uninsured and underinsured, nearly three-fifths (58.5 percent) of 125 responding healthcare organizations are taking steps both to mitigate the financial impact of these trends and to make healthcare more affordable for these populations. To get a free e-summary of the survey results, including respondents' top strategies for reducing cost and improving affordability and access, email me at pdonovan@hin.com. I'll make sure you get your copy when it is ready.

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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June 15, 2009
Vol. XI, No. 22

Sponsored by:
Patient Activation Measure™ — Assessing the Engaged Healthcare Consumer for Self-Efficacy

This week's industry news:

  1. Three Prerequisites for Health Coaching 3.0
  2. The Next Generation of Health Coaching: Multi-Platform Models for Sustained Behavior Change
  3. Soap-Sniffing Technology Encourages Hand Washing to Reduce Hospital-Acquired Infections, Save Money
  4. Hand Hygiene in Healthcare Settings — Inservice Program
  5. Featured Healthcare Business White Paper: HIT and the EHR — Implications for Healthcare Organizations
  6. Later Parental-Mandated Bedtimes for Teens Linked to Depression and Suicidal Thoughts
  7. Major Depression and Bipolar Disorder — Evaluation and Management Guideline
  8. Long-Term Care Providers Wary About Healthcare Reform, HIT Usage
  9. EHRs: Transforming Your Medical Practice
  10. New HHS Report Highlights Health Disparities
  11. Delivering Disease Management to Medically Underserved Populations Plus 21 Strategies for Making and Keeping Contact with Hard-to-Reach Clients
  12. Featured HealthSounds Podcast: Patient Activation Measure™ — How the PAM Portends Behavior Change
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:
Healthcare Trends Mid-2009 — A Six-Month Adjustment

You'll be emailed a synopsis of the survey results.


This week's industry news

1.) Three Prerequisites for Health Coaching 3.0

Roger Reed, chief consumer engagement architect for Gordian Health Solutions, describes the three basic cornerstones of the next generation of health coaching.

There are three basic cornerstones to health coaching 3.0. It needs to be individual-centric — whole person, one-on-one, and multiple modes preference-based. Today that person may want to send the coach an e-mail. Tomorrow that person may want to pick up the phone and call that coach. The next day that person may want to use self-service options available to them through a Web portal or a platform. Mode and frequency in this individual-centric model is going to be driven by the individual and their needs, and they’re going to address simultaneous health issues.

Get the full story.

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2.) The Next Generation of Health Coaching: Multi-Platform Models for Sustained Behavior Change

The Next Generation of Health Coaching In this 43-page special report, two health coaching veterans set the stage for Health Coaching 3.0 and describe the skills, technology and training that will be required to equip health coaches for this eventuality. To optimize program success and ROI, health coaching will need to be powered by multi-channel outreach — land lines, Web, e-mail, cell phones and even PDAs — and reinforced by tightly interwoven communication and incentive programs.

Learn more about this resource.

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3.) Soap-Sniffing Technology Encourages Hand Washing to Reduce Hospital-Acquired Infections, Save Money

Using sensors capable of detecting drugs in breath, new technology developed at the University of Florida (UF) monitors healthcare workers’ hand hygiene by detecting sanitizer or soap fumes given off from their hands.

Get the full story.

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4.) Hand Hygiene in Healthcare Settings — Inservice Program

Hand Hygiene in Healthcare Settings This new program discusses the CDC Guideline for hand hygiene in healthcare settings and its practical application in the healthcare facility. It covers methods of hand hygiene, the advantages of using alcohol-based handrubs, the risks associated with artificial nails and data on disease transmission that has been attributed to poor hand hygiene. This program has been written so that it is appropriate for staff in all departments.

Learn more about this resource.

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5.) Featured Healthcare Business White Paper: HIT and the EHR — Implications for Healthcare Organizations

This white paper explores the framework that the federal government has laid out for HIT and EHR development, key changes that will be required for the initiative to succeed, implications for physicians, hospitals, payors, employers and patients; and steps that healthcare provider and managed care organizations can begin to take now to ensure their leadership position in the future.

Download this complimentary white paper.

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6.) Later Parental-Mandated Bedtimes for Teens Linked to Depression and Suicidal Thoughts

New research from Columbia University Medical Center has demonstrated that teens with earlier parental mandated bedtimes got more sleep and had fewer cases of depression and suicidal ideation. The data strengthens the argument that getting enough sleep protects against depression and suicidal thoughts in teens.

Get the full story.

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7.) Major Depression and Bipolar Disorder — Evaluation and Management Guideline

Major Depression and Bipolar Disorder Major Depression and Bipolar Disorder — Evaluation and Management Guideline is 109 pages of clinical guidelines for the evaluation and management of these two common disorders with extensive references and resources.

Learn more about this resource.

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8.) Long-Term Care Providers Wary About Healthcare Reform, HIT Usage

While more than one-third of home healthcare and nursing home organizations said they expect the government’s economic stimulus package to increase use of healthcare information technology (HIT), another 52 percent said the stimulus package will have little or no impact on their businesses, according to a recent survey by IVANS, Inc.

Get the full story.

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9.) EHRs: Transforming Your Medical Practice

EHRs: Transforming Your Medical Practice EHRs: Transforming Your Medical Practice is a practical guide to EHRs for everyone in the medical practice setting, so they can make the implementation process efficient and correct. You'll get complete information on all the critical areas of successful EHR implementation, including: external and internal environments, needs assessment, organization and planning, vendor selection and more.

Learn more about this resource.

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10.) New HHS Report Highlights Health Disparities

A new report on health disparities in America from the HHS highlights some of the glaring disparities that exist in the current health system.

Get the full story.

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11.) Delivering Disease Management to Medically Underserved Populations Plus 21 Strategies for Making and Keeping Contact with Hard-to-Reach Clients

Delivering Disease Management to Medically Underserved This special report describes how to successfully connect with Medicaid beneficiaries and others in need of healthcare assistance and engage them in successful DM programs. Industry experts share real-life case studies to illustrate how out-of-the-box thinking, community collaborations and multi-channel approaches to client identification are yielding positive results in health outcomes and cost containment. Additionally, HIN's non-scientific online survey on this topic yielded further contact strategies from more than 65 healthcare organizations. This report includes a summary of their suggestions for preventing medical complications and improving the overall health of medically underserved patients, members and clients.

Learn more about this resource.

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12.) Featured HealthSounds Podcast: Patient Activation Measure™ — How the PAM Portends Behavior Change

Dr. Judith Hibbard There are many ways to administer the Patient Activation Measure™ (PAM) and many socioeconomic factors that influence its outcomes, explains Dr. Judith Hibbard, developer of the PAM and professor of health policy at the University of Oregon. Dr. Hibbard identifies the PAM scores that signal a behavior change and the value of adding patient activation assessment to a health improvement initiative.

Listen to this podcast.

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