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From the editor

Dear Healthcare Intelligence Network Client,

HIN Managing Editor Patricia Donovan

Doctors and hospitals hoping to implement EHRs got a helping hand last week in the form of $1.2 billion in federal grants. Half of the funding will be used to create technical support centers to aid providers in the evaluation, selection and meaningful use of EHRs; the rest will lay the groundwork for health information exchange (HIE) within and between states. Providers must wait until year's end for CMS's final definition of "meaningful use," but the idea is that providers will use EHRs to improve the coordination, efficiency and quality of healthcare. That includes things like e-prescribing and establishment of patient registries to electronically capture and report patient data and use that data to track key clinical conditions.

We also learned last week from the CDC that U.S. life expectancy has risen to a new high of 78 years, although we still lag behind about 30 developed countries in this regard. Deaths from HIV were down 10 percent and deaths from heart disease down 4.7 percent over previous levels, the CDC reported. It would be helpful to know what's triggered these declines so we could implement these practices on a wider scale. Perhaps some can be attributed to the nation's largest hospital value-based purchasing (VBP) program to improve hospital quality, the results of which are detailed in a featured story this week. These improvements, some as simple as providing smoking cessation advice, clear discharge instructions and a pneumococcal vaccine to hospitalized patients, saved the lives of an estimated 4,700 heart attack patients in four years, according to a Premier analysis of mortality rates at hospitals participating in the project.

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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This week's featured download: Medical Home Models — Improving Care & Reducing Costs in Healthcare

Medical Home Models — Improving Care & Reducing Costs in Healthcare

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August 24, 2009
Vol. XI, No. 32

Sponsored by:
Constructing Care Transitions to Reduce Hospital Admissions

This week's industry news:

  1. Minimizing Medication Adherence Gaps
  2. Patient-Centered Models in Medication Adherence
  3. Hospital Value-Based Purchasing Still Improving Patient Outcomes
  4. Physician Practice Transformation Toolkit
  5. Healthcare Business White Paper: Achieving HIPAA Compliance with Enterprise Single Sign-On
  6. Missourians to Be Trained in Mental Health First Aid
  7. Health Coaching Playbook Vol. II
  8. Grant to Reduce Nursing Turnover, Improve Healthcare Quality in Long-term Care Facilities
  9. Model Medical Homes
  10. Individuals Must Be Notified of Health Information Breaches
  11. Responding To Government Investigations Of Medical Privacy
  12. HealthSounds Podcast: Medical Home Reimbursement — Exploring Bundled Payments
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.) Minimizing Medication Adherence Gaps

Thom Stambaugh, chief pharmacy officer and vice president of clinical programs and specialty pharmacy with CIGNA Pharmacy Management, discusses how CIGNA identifies medication adherence and the solutions for improving this issue.

How do we identify medication adherence gaps and assess the barriers? CIGNA’s overall approach of identifying medication adherence is through our Outcome Improvement Program.

Get the full story.

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2.) Patient-Centered Models in Medication Adherence: Reducing Costs and Non-Compliance through Health Behavior Change

Patient-Centered Models in Medication Adherence This special report examines common barriers to medication adherence and presents the initiatives that have increased patient compliance with medication regimes. Experts also describe the collaborative efforts of case managers, disease managers and health coaches to identify individuals with medication adherence issues and reduce the negative medical and financial consequences of medication non-compliance, including its link to 20 percent of preventable adverse drug events.

Learn more about this resource.

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3.) Hospital Value-Based Purchasing Still Improving Patient Outcomes

As policymakers search for models of healthcare payment and delivery reform, fourth year results from the nation's largest hospital value-based purchasing (VBP) program to improve hospital quality of care show that it is helping patients live longer and receive recommended treatments more frequently. Hospitals participating in the CMS, Premier healthcare alliance Hospital Quality Incentive Demonstration (HQID) VBP project raised their overall quality by an average of 17.2 percent over four years based on their delivery of more than 30 nationally standardized and widely accepted care measures to patients in the five clinical areas.

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 This report offers tested strategies, tools and processes from physician thought leaders who have guided practices through the transformation process. 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: Achieving HIPAA Compliance with Enterprise Single Sign-On

To achieve HIPAA compliance, organizations must adopt and enforce several policies, processes and procedures. Although enterprise single sign-on (ESSO) solutions can help with these initiatives, the technologies, capabilities, costs and requirements of ESSO solutions vary greatly. Learn how the successful implementation of ESSO can support not only the HIPAA compliance requirements for technical, administrative and physical safeguard standards, but can also provide workflow advantages.

Download this complimentary white paper.

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6.) Missourians to Be Trained in Mental Health First Aid

The Missouri Department of Mental Health (DMH) has received two grants totaling $346,000 from the Board for the Missouri Foundation for Health (MFH) designed to help curb tobacco use among the people the department serves and to help educate the public in Mental Health First Aid (MHFA).

Get the full story.

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

Health Coaching Playbook Vol. II This special report, picking up where Volume I leaves off, 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.

Learn more about this resource.

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8.) Grant to Reduce Nursing Turnover, Improve Healthcare Quality in Long-term Care Facilities

Aging baby boomers will create a burgeoning demand for quality long-term care facilities in the Midwest in the years ahead. But inadequate educational preparation for both management and geriatric nursing care contributes to high turnover and vacancy rates, which creates barriers to ensuring quality patient care. A $500,000 two-year grant will fund the Midwest Geriatric Nursing Quality Improvement program to improve care in regional long-term care facilities through furthering geriatric care education for registered nurses and leadership development for nurse managers.

Get the full story.

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9.) Model Medical Homes: Benchmarks and Case Studies in Patient-Centered Care

Model Medical Homes This resource is a landmark publication that documents the healthcare industry's adoption of the patient-centered medical home model of care. This exclusive 65-page report analyzes the responses of more than 220 healthcare organizations to HIN's 2009 Industry Survey on the Patient-Centered Medical Home Model and contains case studies on medical home adoption by Geisinger Health Plan, MetCare, Reardon Consulting, the HealthQuilt Quality Health Record and Hagen Wall Consulting.

Learn more about this resource.

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10.) Individuals Must Be Notified of Health Information Breaches

New HHS regulations require healthcare providers, health plans and other entities covered by HIPAA to notify individuals when their health information is breached. These “breach notification” regulations implement provisions of the Health Information Technology for Economic and Clinical Health (HITECH) Act, passed as part of American Recovery and Reinvestment Act of 2009 (ARRA).

Get the full story.

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11.) Responding To Government Investigations Of Medical Privacy And Security Breaches

Responding To Government Investigations This resource details the key issues and actions healthcare organizations should consider in responding to privacy and data security enforcement investigations.

Learn more about this resource.

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12.) HealthSounds Podcast: Medical Home Reimbursement — Exploring Bundled Payments

Medical Home Reimbursement Healthcare reform partially fueled Baptist Health System's desire to participate in the CMS Acute Care Episode (ACE) pilot that is testing bundled or episodic payments for selected orthopedic and cardiac procedures, explains Michael Zucker, Baptist's chief development officer. He describes some early returns from the experience, highlights the provider's role in Baptist's multi-pronged awareness campaign for Medicare beneficiaries and explains the committee-based approach to quality change and cost savings that has already improved communications among participating providers.

Listen to this podcast.

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