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From the editor

Dear Healthcare Intelligence Network Client,

HIN Managing Editor Patricia Donovan

During last month’s HIN webinar, Healthcare Trends in 2009: A Mid-Year Financial and Legislative Update, Paul Keckley, Ph.D., executive director of the Deloitte Center for Health Solutions, described the four major buckets of health reform activity, including a foundation in information technology, a platform of comparative effectiveness in evidence-based medicine, a refocus toward primary care and the coordination of care through that primary care provider, and a mechanism to increase the consumers’ share of financial responsibility for their healthcare decisions.

In this week’s issue, you’ll see the federal government and the industry moving toward these initiatives even as Congress begins to shape health reform bills. The federal Coordinating Council for Comparative Effectiveness Research released last week recommendations on how HHS should spend the allotted $400 million for comparative effectiveness research. Recommendations were also released by the Certification Commission for Healthcare Information Technology on the development of certifications for long-term and post-acute care EHRs. Lastly, you’ll also read about provider reimbursement options that exist for care coordination under the medical home model of care.

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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July 6, 2009
Vol. XI, No. 25

Sponsored by:
Medical Home Contracting — Building a Solid Framework

This week's industry news:

  1. Funding and Establishing Medical Home Care Coordination
  2. Medical Home Improvement Guide Vol. I
  3. Hospitals Improve Access, Care for Disabled
  4. From Quality to Excellence: Using Comparative Data to Improve Healthcare Performance
  5. Featured Healthcare Business White Paper: Targeting Depression Through Disease Management
  6. Psychiatric Facilities Encouraged to Use "Mystery-Patients" to Improve Services
  7. Managing Behavioral Healthcare
  8. CCHIT Completes Guidance on New Long-Term, Post Acute Care EHR Certification
  9. Healthcare Trends in 2009: A Mid-Year Financial and Legislative Update
  10. Patient-Centered Research Report Outlines Research Priorities
  11. Putting Patients First: Best Practices in Patient-Centered Care
  12. Featured HealthSounds Podcast: Finding Success in Health 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.

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This week's industry news

1.) Funding and Establishing Medical Home Care Coordination

Experts on medical home models of care share their experiences in funding medical home transitions and care coordination fees.

According to Dr. George Rust, family practice physician for Physicians in Practice, head of the National Center for Primary Care at Morehouse School of Medicine, there are lots of different options for health plans in funding the transition to a more chronic care medical home model. Capitate payments can sometimes offer the opportunity to have a more multidisciplinary team involved in care. If you’re in a purely fee-for-service (FFS) environment, broaden your teams so that nurse practitioners (NP), mental health professionals and behavioral healthcare specialists are all part of the team.

Get the full story.

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

Medical Home Improvement Guide Vol. I To provide essential background on the emerging patient-centered medical home model (PCMH), the Healthcare Intelligence Network has assembled responses to the most frequently raised questions regarding the PCMH in a single comprehensive resource. In this special report, 10 early adopters of the PCMH provide answers to more than 50 questions on the practicalities of the PCMH, from their perspectives as health plans, healthcare providers, case managers, physician practices and medical directors. You'll get answers to questions on reimbursement and funding models, physician practice transformation, engaging the population, marketing the medical home and much more.

Learn more about this resource.

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3.) Hospitals Improve Access, Care for Disabled

In collaboration with Boston's disability community and the Boston Center for Independent Living (BCIL), Brigham and Women's Hospital (BWH) and Massachusetts General Hospital (MGH) have begun a comprehensive and landmark effort to improve access and care for people with disabilities. The initiative includes an ongoing assessment by the MGH, BWH and the BCIL of the degree to which the hospitals are addressing the needs of people with disabilities and what steps need to be taken to further improve care.

Get the full story.

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4.) From Quality to Excellence: Using Comparative Data to Improve Healthcare Performance

From Quality to Excellence In this book, you'll learn how to incorporate comparative measurement data into your organization's quality and patient safety improvement strategies. You'll discover how to select credible data sources to determine if your performance measures up to that reported by other organizations. Plus, you'll find out how to gain cooperation from practitioners and dig deeper to find the causes of variation. This book includes examples of comparative data from many sources and sites of patient care and a discussion of regulatory and accreditation requirements.

Learn more about this resource.

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5.) Featured Healthcare Business White Paper: Targeting Depression Through Disease Management

Nearly 6 percent of men and almost 10 percent of women worldwide will experience a depressive episode in any given year, and in America alone, approximately 18.8 million adults have depression. In an October 2008 e-survey from HIN, 250 healthcare professionals shared how their organizations are targeting depression as part of their disease management initiatives.

Download this complimentary white paper.

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6.) Psychiatric Facilities Encouraged to Use "Mystery-Patients" to Improve Services

Mental health services could be improved by planting trained consumers pretending to be patients, or "mystery patients," to identify problems, according to a commentary in the July 2009 issue of Psychiatric Services, a journal of the American Psychiatric Association. The concept is similar to the long-standing practice of using "mystery shoppers" in retail stores for market research. Pseudo-patients have also been used for some time in general medicine to improve services.

Get the full story.

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7.) Managing Behavioral Healthcare, 3rd Edition

Managing Behavioral Healthcare This 424-page manual provides behavioral health medical review policies, ‘benefit interpretations' criteria, benchmarks and guidelines for inpatient, day hospital, residential and outpatient care. A practical model for a quality-based and cost-effective care management approach as well as coverage determinations. The manual also contains numerous policies, procedures, tools and forms vital to prepare for accreditation or certification surveys and strategies for quality-based efficient delivery of integrated behavioral healthcare.

Learn more about this resource.

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8.) CCHIT Completes Guidance on New Long-Term, Post Acute Care EHR Certification

A special task force created by the Certification Commission for Healthcare Information Technology (CCHIT) to provide strategic guidance on development for certification for long-term and post acute care electronic health records (EHRs) has completed its work, recommending a strong focus on the EHR technology requirements of the American Recovery and Reinvestment Act (ARRA).

Get the full story.

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9.) Healthcare Trends in 2009: A Mid-Year Financial and Legislative Update

Healthcare Trends in 2009 During this webinar, the executive director of the Deloitte Center for Health Solutions examined how the industry is faring in 2009, including the impact of stimulus funding on the industry, the potential and expected shape for reform and other industry trends that will continue to define the healthcare industry through the remainder of the year.

Learn more about this resource.

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10.) Patient-Centered Research Report Outlines Research Priorities

Recommendations for how HHS will spend $400 million for patient-centered research, also known as comparative effectiveness research, were released by Federal Coordinating Council for Comparative Effectiveness Research (CER). The report is designed to help the HHS secretary and lawmakers improve the quality of care for patients and provide patients and doctors the best information possible to make decisions about healthcare.

Get the full story.

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11.) Putting Patients First: Best Practices in Patient-Centered Care, 2nd Edition

Putting Patients First This resource showcases what Planetree facilities and organizations have learned about the commitments, conditions, practices and policies that are needed to do more than give lip service to being patient-centered. This should be read by every student, nurse, physician, administrator, trustee and policy maker who is committed to creating healing environments, holding facilities accountable for their rhetoric and truly reforming healthcare.

Learn more about this resource.

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12.) Featured HealthSounds Podcast: Finding Success in Health Behavior Change

Kate Larsen A move backward in readiness to change should not be perceived as a failure on the client's part but rather as an opportunity to readjust behavior goals, observes Kate Larsen, president of Winning LifeStyles, Inc., an ICF-certified professional coach and a WellCoaches® faculty member and mentor coach. There's value in reminding clients that health coaching is a journey and in checking coaching egos at the door to improve listening skills and allow clients to own their behavior change goals, notes the author of "Progress, Not Perfection."

Listen to this podcast.

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