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From the editor

Dear Healthcare Intelligence Network Client,

HIN Managing Editor Patricia Donovan

The multi-disciplinary nature of the team that makes home visits to individuals at high-risk for hospital readmission for Durham Community Health Network is critical to the success of the program, according to its Program Manager, Jessica Simo. Simo describes the background of the team and how they help address readmission risk in this pilot program in this week’s issue. Home visits is one of the eight top tactics that healthcare organizations are using to reduce readmissions, according to responses to the Healthcare Intelligence Network 2010 survey on Reducing Readmissions. These strategies are identified in the upcoming HIN resource, Guide to Reducing Readmissions.

Also in this week’s issue, learn how gender impacts the risk of mental illness in children of alcoholics and how gender and race impact doctor choice in the ER. And you still have time to complete this month’s survey on reducing unnecessary ER utilization and receive a complimentary executive summary of the survey results.

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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July 26, 2010
Vol. XII, No. 27

Sponsored by:
The Emerging Role of Nurse Practitioners in Expanding Access, Enhancing Revenue

This week's industry news:

  1. Structuring a Home Visit Program to Reduce Readmissions
  2. Guide to Reducing Readmissions
  3. Women, Minorities More Likely to See Doctor of Choice in ER
  4. Physician Practice Transformation Toolkit
  5. Healthcare Business White Paper: 2010 Benchmarks in Health Risk Assessment Use
  6. Gender Influences Risk of Mental Illness in Children of Alcoholics
  7. New Chart: Key Case Manager Duties
  8. Health Coaching Playbook Vol. II
  9. Care Coordination Improvements Suffer Due to Medicare Payment Changes
  10. Best Practices in Case Management
  11. New Regulations Give Patients Right To Appeal Health Plan Decisions
  12. NOT ur parents' healthcare anymore
  13. HealthSounds Podcast: Minimum Medical Loss Ratios
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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Reducing Avoidable Emergency Room Visits

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This week's industry news

1.) Structuring a Home Visit Program to Reduce Readmissions

Jessica Simo, program manager with Durham Community Health Network for the Duke Division of Community Health, shares how Durham Community Health Network implemented a home visit program to reduce readmissions. Individuals looking to create their own home visit program can benefit from Durham’s experiences.

Get the full story.

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2.) Guide to Reducing Readmissions

Guide to Reducing Readmissions This resource examines eight top tactics that healthcare organizations are using to reduce readmissions, according to responses to the Healthcare Intelligence Network 2010 survey on Reducing Readmissions. Learn how early adopters are utilizing these tactics to empower patients and improve the quality of healthcare delivery.

Learn more about this resource.

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3.) Women, Minorities More Likely to See Doctor of Choice in ER

If a patient is a woman or of a racial minority, emergency physicians are more likely to honor their request to see a doctor of their same gender, race or religious background, according to a study led by the University of Michigan Health System, along with colleagues from the University of Rochester and University of Pennsylvania.

Get the full story.

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4.) Physician Practice Transformation Toolkit: 29 Simple Ways to Succeed in Quality Care Management

Physician Practice Transformation Toolkit In this 44-page resource, physician thought leaders who have already retooled physician practices share 29 key strategies that can set the stage for a practice that can easily participate in and profit from emerging reimbursement strategies, including pay-for-performance programs and the patient-centered medical home.

Learn more about this resource.

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5.) Healthcare Business White Paper: 2010 Benchmarks in Health Risk Assessment Use

This white paper captures trends in the use of aggregate data from health risk assessments (HRAs) by 116 healthcare organizations to design and deliver health promotion and disease management interventions to targeted individuals in response to the Healthcare Intelligence Network June 2010 Health Risk Assessments e-survey.

Download this complimentary white paper.

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6.) Gender Influences Risk of Mental Illness in Children of Alcoholics

Gender plays an important role in determining the risk of specific psychiatric illnesses in children of alcoholics, according to a new Yale University study. The gender of both the alcoholic parent and the child were key factors in the types of disorders that develop.

Get the full story.

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7.) New Chart: Key Case Manager Duties

Key Case Manager Duties

As the case manager's contribution to healthcare delivery and quality grows, so, too, do the responsibilities of that position. We wanted to see the duties that occupy the time of the healthcare case manager.

Click here to view the chart.

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8.) Health Coaching Playbook Vol. II: All-Star Tips on Patient Engagement, Activation and Behavior Change

Health Coaching Playbook Vol. II Picking up where Volume I leaves off, this resource delivers suggestions and tactics from veteran health coaches, clinicians, psychologists and researchers to move individuals toward healthier lifestyles and behavior change that can significantly suppress an organization's medical cost trend. With a special focus on coaching individuals with chronic illnesses, this resource answers specific queries about essential coaching tools — stages of change, motivational interviewing, integrative health coaching, patient activation, positive psychology and many others, with responses from leading online and telephonic coaching at the Mayo Clinic, Gordian Health Solutions, Health Management Corporation, Corphealth, PricewaterhouseCoopers and others.

Learn more about this resource.

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9.) Care Coordination Improvements Suffer Due to Medicare Payment Changes

The elimination of Medicare’s consultation codes has had a negative impact on physician efforts to improve care coordination and reduced the treatment options available to Medicare patients, according to a new survey by medical specialty societies and the American Medical Association (AMA).

Get the full story.

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10.) Best Practices in Case Management Patient Contact, Monitoring and Follow-up

Best Practices in Case Management Patient Contact, Monitoring and Follow-up During this webinar, an industry expert from Sutter Health Sacramento Sierra Region will share Sutter Health's best practices in patient contact, monitoring and follow-up for its case management initiatives.

Learn more about this resource.

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11.) New Regulations Give Patients Right To Appeal Health Plan Decisions, Be in Charge of Their Care

New regulations to empower consumers to appeal decisions made by their health plans or insurance companies and the availability of resources that will be used to help give consumers more control of their healthcare decisions have been issued by HHS and the Labor and Treasury departments.

Get the full story.

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12.) NOT ur parents' healthcare anymore: The 411 on selling health via new media

NOT ur parents' healthcare anymore This resource provides detailed experiences of three healthcare marketers on their novel marketing and product development tactics of traditional healthcare and health insurance products that are grabbing the attention of Generation X and Generation Y.

Learn more about this resource.

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13.) HealthSounds Podcast: Minimum Medical Loss Ratios — How Health Plans Should Prepare for the January Compliance Requirements

John Steele Steve Young What constitutes healthcare quality improvement? CMS's definition of medical costs will likely coalesce around five key areas of quality improvement, say John Steele and Steve Young, managing directors for HealthScape Advisors. These CMS guidelines will impact health plans in January, when new medical loss ratio (MLR) regulations take effect. In this podcast, the advisors also describe the risk that insurers could incur on the rebate side if they don't adequately prepare for the January changes and the impact the regulations could have on consumers' medical care and choices.

Listen to this podcast.

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