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From the editor

Dear Healthcare Intelligence Network Client,

HIN Managing Editor Patricia Donovan

Pennsylvania hospitals got good news and bad news last week in the state's Hospital Performance Report. Mortality rates for 158 hospitals fell significantly from 2002 to 2008, but readmission rates for this same period increased significantly from 18.3 to 19.1 percent, with 38.2 percent of readmissions due to complications or infections. These readmissions accounted for almost $1.1 billion in charges and 157,000 hospital days.

The use of technologies to engage patients in chronic disease improvement programs is beginning to pay off in reduced hospital admissions. In our featured podcast this week, learn how remote monitoring of heart failure patients reduced hospital readmissions for the Henry Ford Health System by more than a third. Preliminary results from this month's e-survey on the use of telehealth indicate that 50 percent of respondents remotely monitor patients with chronic illnesses, with some very positive results. Take this survey by September 30 and receive an executive summary of the 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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September 28, 2009
Vol. XI, No. 36

Sponsored by:
Adopting and Implementing Evidence-Based Guidelines in the Medical Home

This week's industry news:

  1. 3 Health Coaching Models for Behavior Change
  2. The Next Generation of Health Coaching
  3. PA Hospital Mortality Rates Decline; Readmissions Rise
  4. Retooling Care Transitions to Reduce Hospitalizations
  5. Healthcare Business White Paper: Employer-Sponsored Weight Management Programs
  6. Alcohol Abuse, Depression, Obesity Linked in Young Women
  7. Obesity & Weight Management Benchmarks
  8. CMS Issues Medicare Mailings Guidance
  9. Medicare Part D: A Comprehensive Analysis of CMS Rules
  10. HHS Says Health Reform Will Give Seniors Quality Care, Lower Costs
  11. NOT ur parents' healthcare anymore
  12. HealthSounds Podcast: Reducing Heart Failure Admissions with Remote Health Monitoring
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:
Telehealth in 2009

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


This week's industry news

1.) 3 Health Coaching Models for Behavior Change

Roger Reed, chief consumer engagement architect for Gordian Health Solutions, describes three key health coaching models that engage patients and bring about successful behavior change.

As we move down this path toward "health coaching 3.0," we note some of the foundations that have to be in place before you can develop a good model of engagement and behavior change through coaching. Some models having more impact than others are stages of change or transtheoretical model, which has been around for quite some time; positive psychology, patient activation and the enhanced collaborative care model.

Get the full story.

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

Next Generation of Health Coaching In this special report, 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.) PA Hospital Mortality Rates Decline; Readmissions Rise for Same Period

While Pennsylvania hospitals’ overall patient mortality rate for the 20 conditions consistently reported in 2002 through 2008 decreased significantly, falling from 5.1 percent in 2002 to 4.2 percent in 2008, the overall readmission rate for the 15 conditions consistently reported during this time period increased significantly from 18.3 percent in 2002 to 19.1 percent in 2008.

Get the full story.

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4.) Retooling Care Transitions to Reduce Hospitalizations in Medicare Patients

Retooling Care Transitions This special report is an essential tool for healthcare organizations wishing to evaluate their care transition efforts against best practices in the industry. This 40-page resource delivers current trends in care transition programs as well as advice and guidance from industry thought leaders on key elements of care transition programs — from enhancements to the hospital discharge process to medication reconciliation ideas to better utilization of home visits during care transitions.

Learn more about this resource.

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5.) Healthcare Business White Paper: Employer-Sponsored Weight Management Programs — The Business Case

This white paper details the significant benefits to organizations that invest in proven weight control strategies at work. The paper cites more than a dozen studies highlighting the return on investment in terms of health risks, costs and worker productivity, and offers employers solutions to the growing crisis.

Download this complimentary white paper.

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6.) Alcohol Abuse, Depression, Obesity Linked in Young Women

There is new evidence that depression, obesity and alcohol abuse or dependency are interrelated conditions among young adult women, but not men. Using data collected when young adults were 24, 27 and 30 years of age, a team of University of Washington (UW) researchers found that nearly half the sample of 776 young adults tracked during the study met the criteria for one of these conditions at each of these time points.

Get the full story.

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7.) Obesity & Weight Management Benchmarks and Case Studies

Obesity & Weight Management This resource provides actionable information on current obesity and weight management programs for adults, children and adolescents from more than 300 organizations. Whether your organization will focus on obesity and weight management in the near future or retool an existing program, it will benefit from a review of metrics and measurements to evaluate and plan your program and compare performance and utilization data.

Learn more about this resource.

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8.) CMS Issues Medicare Mailings Guidance in Response to Misleading Materials

Medicare has called on Medicare-contracted health insurance and prescription drug plans to suspend potentially misleading mailings to beneficiaries about healthcare and insurance reform. CMS recently asked Humana, Inc. to end similar mailings and Humana has agreed to do so.

Get the full story.

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9.) Medicare Part D: A Comprehensive Analysis of CMS Rules

Medicare Part D The complexity and confusion surrounding Medicare's drug benefit has never been greater. This resource distills from thousands of pages of government regulations and guidance the major rules, guidelines and deadlines you need to comprehend this confusing program. With nine detailed chapters on sponsors, eligibility and enrollment, formularies, CMS enforcement and much more, this valuable analytical tool provides answers to questions such as: how does CMS guidance affect marketing, how are MA PPOs offering Rx drugs treated under Part D, how does enrollment of Medicare/Medicaid dual eligibles affect Part D plans, what data do plans need to submit to CMS and when, and much more.

Learn more about this resource.

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10.) HHS Says Health Reform Will Give Seniors Quality Care, Lower Costs

Health insurance reform will help seniors by giving them quality care, lowering their healthcare costs and answering key questions about President Obama’s health insurance reform plan, according to a report from HHS.

Get the full story.

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

NOT ur parents' healthcare 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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12.) HealthSounds Podcast: Reducing Heart Failure Admissions with Remote Health Monitoring

Reducing Heart-Failure Admissions A recent study of remote monitoring efforts of Henry Ford Health System showed a 36 percent reduction in expected all-cause hospital admissions for enrolled heart failure patients after six months of enrollment and a return of 2.3:1 vs. program costs. The daily engagement of Medicaid beneficiaries in self-care health monitoring programs can help healthcare organizations avoid many of the challenges inherent in working with this frequently underserved population, explains Pharos Innovations CEO Dr. Randall Williams.

Listen to this podcast.

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