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2008 Podcasts

Return to 2009 Podcasts

Medical Home Collaborations: How Hospitals Are Benefiting from Partnerships in Patient-Centric Primary Care

Marcus Barnes
Length: 6:00

Posted: December 12, 2008

Richland Care Medical Home's member services department serves as health navigator and problem solver for its clients, guiding patients to appropriate services within the medical home network, explains program director Marcus Barnes. Patient engagement in the Richland Care Medical Home often begins when a prospective client visits the emergency room, and often takes staff members out of the office to health fairs and community events to publicize the program. Richland Care also conducts home visits for the chronically ill.

Barnes described how Palmetto Health has implemented a successful medical home model that ensures the goals of the medical home program are met, including reduced hospital admissions and improved quality of care and outcomes for the patients, during Medical Home Collaborations: How Hospitals Are Benefiting from Partnerships in Patient-Centric Primary Care, a December 17, 2008 webinar.

From Passive to Partner: Integrative Health Coach Training Using Motivational Interviewing for Behavior Change

Dr. Karen Lawson
Length: 10:09

Dr. Ruth Wolever
Length: 7:47

Posted: November 25, 2008

The definition of community in an individual's change process is unique to that individual, explains Dr. Karen Lawson, program director for the health coaching track at the Center for Spirituality and Healing, the University of Minnesota. In this interview, Dr. Lawson discusses healing and spirituality within the framework of a health coaching exchange and the appropriate moments for a coach to broach these subjects. While a health coach cannot be an expert in all available therapies, the coach can be a "curious explorer" who "dips their toes" into alternative health therapies and systems along with the client.

Integrative medicine includes the best of conventional medicine but expands the definition and focus of health to the person's body, mind, spirituality and community, explains Ruth Wolever, Ph.D., clinical health psychologist and director of research at Duke Integrative Medicine. Central to Duke's integrative health coaching program is mindfulness training and the "Wheel of Health" — a key to defining health and assessing the individual's readiness to change. Encouraging health coaches to implement their own personalized health plans allows them to "walk the talk" and empathize with the client's position.

Dr. Lawson and Dr. Wolever will examine integrative health coaching — how health coaches can benefit from training in motivational interviewing, self-management and even spirituality and healing — during, From Passive to Partner: Integrative Health Coach Training Using Motivational Interviewing for Behavior Change.

Physician Engagement: Creating Trust and Alignment Between Management and Physicians

Dr. Todd Rowland
Length: 4:27

Nathan Kaufman
Length: 4:10

Posted: November 10, 2008

To Dr. Todd Rowland, director of medical informatics at Bloomington Hospital and executive director of HealthLINC, the definition of an "engaged physician" includes working with others to find solutions to the problems of the healthcare industry at large. A self-described engaged physician, Dr. Rowland gives advice on how to become an engaged physician, discusses the impact of technology on physician engagement and shares how his organization has changed as a result.

Hospitals should take advantage of the typically competitive nature of physicians to encourage collaboration, says Nathan Kaufman, managing director of Kaufman Strategic Advisors. Kaufman notes that "quality dialogue" between hospitals and physicians is key to engagement. In this podcast, he also discusses how a physician champion can drive success and explains physicians' reluctance to adding technology to their systems of care.

Dr. Rowland and Kaufman provided a thorough understanding of physician engagement strategies during a December 10, 2008 webinar, Physician Engagement: Creating Trust and Alignment Between Management and Physicians.

A Health Coach Hiring and Training Game Plan That Yields Improved Outcomes

Darcy Hurlbert
Length: 4:11

Sean Slovenski
Length: 7:00

Posted: November 7, 2008

With so many companies focusing on wellness and prevention, it's a great time to be a health coach, explains Darcy Hurlbert, health and wellness product specialist for Ceridian Lifeworks. She describes the criteria for pairing a health coach with a client and reviews the importance of a veteran Ceridian health coach in the 100 hours of training delivered to the company's health coaches each year.

The health coaching resume looks a lot different than it did 10 years ago, explains Sean Slovenski, CEO and president of Hummingbird Coaching. Drawing upon his decade of experience in health coaching, he suggests key questions to ask during the coaching vetting process, shares a five-point strategy for ongoing health coach skill support and offers two true measures of success of a health coaching initiative.

Hurlbert and Slovenski, explored hiring and training practices for health coaching that reflect developments in the field during A Health Coach Hiring and Training Game Plan That Yields Improved Outcomes.

Health and Wellness Coaching in 2009

Jennifer Hidding
Length: 8:46

Roger Reed
Length: 12:25

Posted: October 28, 2008

According to Jennifer Hidding, former director of interactive health management of consumer solutions at OptumHealth, a main focus of health and wellness coaching in 2009 will be on general wellness as a means to combat the current obesity epidemic. However, it will not be the only trend the health coaching community will see in 2009. Hidding discusses how some new developments — coaching without a coach, holistic coaching, online personal health coaching and President Bush's mandate for mental healthcare parity — will affect coaching in the year to come and beyond.

According to Roger Reed, chief consumer engagement architect with Gordian Health Solutions Inc., about two-thirds of the coaching population would prefer not to use the telephone as their preferred coaching modality. Consequently, a new generation of health coaches needs to be able to "serve it up to the individual any way they want it," using new methods and techniques, such as alternative medicine, coaching without a coach and other Health 2.0 developments. Reed also predicts how online personal health coaching methods will affect traditional coaching methods.

Hidding and Reed, examined how health coaching is evolving as an industry as the growth in health coaching continues during a November 12, 2008 webinar. They also looked at what trends will impact health and wellness coaching in 2009, including incentive and technology use, coaching theories and ROI developments. For more information please visit: Health and Wellness Coaching in 2009.

Managing Comorbidities in Disease Management

Dr. Chad Boult
Length: 5:22

James Hardy
Length: 4:39

Posted: October 23, 2008

Differentiating between the patient-centered model of care and the comorbidity-focused Guided Care Model, Dr. Chad Boult, professor of public health, medicine & nursing and director of the Lipitz Center for Integrated Health Care, Johns Hopkins Bloomberg School of Public Health, describes nurses' response to the Guided Care Model. He also offers an advance look at the training, information and Web-based support that his organization will deliver in 2009 to selected medical practices hoping to transform themselves into medical homes and enhance care for Medicare beneficiaries with multiple chronic conditions.

On the Medicaid side, McKesson Health Solutions has found that a large portion of the chronically ill beneficiaries also suffer from depression and schizophrenia, says Jim Hardy, senior vice president of care management services. Increasingly, McKesson seeks nurses with a background in behavioral healthcare to provide disease and case management to this population, especially during hospitalizations and at discharge. He describes the challenges inherent in navigating the medical and mental health systems needed by these clients and suggests ways to bridge behavioral healthcare gaps.

Dr. Boult and Hardy, examined disease management programs that improve health and reduce healthcare costs for those patients with comorbid conditions during Managing Comorbidities in Disease Management.

Healthcare Trends and Forecasts in 2009

Perry Hanson
Length: 7:46

Dr. David Chin
Length: 5:49

Posted: October 16, 2008

The growing trend toward integrated care delivery systems can help the U.S. healthcare system refocus on its primary goals — providing coordinated care and returning patients to their optimal health status, explains Perry Hanson, partner with Wipfli, a national accounting and business consulting firm that provides consulting, tax and audit advice for the healthcare industry. Integrated care delivery can also help the U.S. reverse its current last-place rankings in quality, access and efficiency among the global health community, he adds. Citing the success of the medical home model of care in Minnesota, Hanson calls the patient-centered model a "beacon of hope" for a beleaguered healthcare industry.

Financially stressed healthcare organizations seeking alternative revenue streams should study wasteful medical practice variations that consume an estimated 30 percent of every healthcare dollar, advises Dr. David Chin, a national partner in the Health Industries Advisory Practice of PricewaterhouseCoopers LLP and the managing partner of PwC’s Global Healthcare Research Institute. Focusing on emerging trends, Dr. Chin reflects on the growing multinational focus on wellness and prevention as a cost-saving measure and the impact that new models of primary care will have on related occupations.

On the day after the presidential election, Hanson and Dr. Chin, examined how the new administration and ongoing economic woes will shape the healthcare industry in 2009 and how organizations can best prepare themselves for the year ahead during Healthcare Trends and Forecasts in 2009. For more information, please visit: Healthcare Trends and Forecasts in 2009.

Coaching the Binge Eater

Dr. Richard Bedrosian

Caren Kenney
Length: 16:18

Posted: October 10, 2008

For HealthMedia, Inc., the notion of health coaching without a coach is proving to be very successful for their patients in many areas. Dr. Richard Bedrosian, Ph.D., HealthMedia director of behavioral health, and Caren Kenney, director of corporate communications, discuss HealthMedia's Binge Eating Disorder (BED) program, a first-of-its-kind solution aimed at addressing binge eating disorder and its impact on healthcare costs in the United States. Dr. Bedrosian and Kenney also talk about what spurred the idea for the program, how it works and the benefits, challenges and drawbacks that go with this innovative new wave of Web-based coaching.

Using Motivational Interviewing to Elicit Behavior Change

Dr. Kristin S. Vickers Douglas
Length: 5:15

Posted: October 3, 2008

A health coach's use of motivational interviewing (MI) can pave the way to a partnership resulting in an individual's behavior change, explains Kristin S. Vickers Douglas, Ph.D., L.P., a clinical health psychologist at the Mayo Clinic and medical director of its EmbodyHealth coaching program. Frequently called upon to employ MI in her practice as well as train health coaches in the technique, Dr. Vickers Douglas describes the dimensions of MI and its value in determining and reacting to an individual's readiness to change.

Dr. Vickers Douglas, along with Mike Casey, senior director of Mayo Clinic Health Management Resources, provide an update on Mayo's health coaching initiatives — including its increasing utilization of MI and integration of Web 2.0 technologies in the newly updated Coaching in the Healthcare Continuum: Models, Methods, Measurements and Motivation, Second Edition.

Reimbursement Models for Medical Homes: From Pilot to Practice

Lesley Reeder
Length: 6:01

Dr. Barbara Walters
Length: 6:22

Posted: September 16, 2008

While there is a great deal of interest among public payors in medical home funding models, their funding needs pose several challenges, explains Lesley Reeder, RN, BSN, quality improvement specialist for the Colorado Department of Health Care Policy and Financing. In this podcast, Reeder shares the secrets to a successful payor-provider partnership and discusses some of the code-dependent strategies at work in Colorado to reimburse physicians for preventive care services dispensed from the medical home.

As veterans of CMS' Physician Group Practice Medicare three-year demonstration pilot, Dartmouth-Hitchcock Medical Center (DHMC) physicians are comfortable dispensing chronic care in the medical home environment, explains Dr. Barbara Walters, DHMC's senior medical director. Its new medical home partnership with Cigna is an enhanced version of CMS' reimbursement model that Dr. Walters hopes will generate some "working capital" to reinvest in key medical home tools. She describes DHMC's physician-friendly model of negotiating with commercial payors and its current method of communicating the patient-centered model of care to patients.

Reeder and Dr. Walters, along with Julie Schilz, RN, BSN, manager of IPIP and PCMH Initiative for Colorado Clinical Guidelines Collaborative, examined case studies of reimbursement strategies for medical home programs during a September 24, 2008 webinar, Reimbursement Models for Medical Homes: From Pilot to Practice. For more information, please visit: Reimbursement Models for Medical Homes: From Pilot to Practice.

Improving Medication Adherence: Practical Strategies to Increase Patient Compliance

Thom Stambaugh
Length: 2:40

Posted: August 21, 2008

U.S. healthcare spends an estimated $177 billion on medication non-compliance annually — nearly 80 percent of the country's healthcare spending. And the pharmaceutical industry loses billions of healthcare dollars annually as a result of medication non-adherence. Thom Stambaugh, chief pharmacy officer and vice president of clinical programs and specialty pharmacy for CIGNA Pharmacy Management, discusses strategies for recovering some of this lost revenue, the challenges behavioral health patients bring to medication compliance and how CIGNA measures compliance in its population.

Stambaugh, along with Connie Commander, immediate past president of the Case Management Society of America and president, Commander’s Premier Consulting Corporation, described programs and initiatives that have increased patient compliance with medication regimes. You'll also learn the impact that compliance has had on healthcare utilization and patient satisfaction during a September 10, 2008 webinar, Improving Medication Adherence: Practical Strategies to Increase Patient Compliance. For more information, please visit: Improving Medication Adherence: Practical Strategies to Increase Patient Compliance.

Patient Satisfaction in the Face of ED Overcrowding

Deirdre Mylod
Length: 9:50

Posted: August 6, 2008

As rising volumes and overcrowding affect EDs nationwide, hospitals are eager to reduce waits, notch up efficiency and, in turn, improve patient satisfaction. Drawing from her organization's 2008 ED Pulse Report, Press Ganey Vice President of Public Policy Deirdre Mylod, Ph.D., describes some strategies that can positively impact ED usage. She shares ideas from high-ranking EDs on coping with overcrowding and analyzes the impact that medical homes, retail clinics and patient education could have on ED trends. A lack of throughput for truly urgent patients, rather than the numbers of uninsured or underinsured patients in waiting rooms, is really at the root of ED overcrowding, she says.

Dr. Mylod also shares what ED physicians at a magnet hospital are doing to improve patient satisfaction marks and why communication and comfort go hand in hand in the ED waiting room.

For more information on alleviating the strain on EDs, please visit:

Download a complimentary white paper on Reducing Unnecessary ED Visits

Emergency Department Diversion Through Behavioral Health Linkages

Joe Eppling
Length: 4:04

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Julie Szempruch
Length: 4:14

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Posted: July 24, 2008

East Jefferson General Hospital (EJGH) is doing things a little differently to try to reduce ER usage among their mental health patients. According to Joe Eppling, assistant vice president of post acute and behavior health services for EJGH, placing a psychiatric nurse in the ER around the clock enables hospital staff to really know the population they are treating, and in turn reduce ER "super users." Eppling also discusses the effect medical homes and transitional care units could have on the mental health population and suggests optimal ER wait times for this population.

Julie Szempruch, associate vice president and chief nursing officer for the Midtown Mental Health Center, Wishard Health Services, discusses some key points regarding ER use by mental health patients, including the challenges involved with triaging such patients, effective strategies for educating this population about proper ER use as well as why the issue of ER patients with mental health issues is getting so much attention now.

Eppling and Szempruch described their organizations' strategies for serving the needs of the behavioral health patient in the emergency room during a July 30, 2008 webinar, Emergency Department Diversion Through Behavioral Health Linkages. For more information, please visit: Emergency Department Diversion Through Behavioral Health Linkages.

Download a complimentary white paper on Reducing Unnecessary ED Visits

New Developments and Enhancements in Health Risk Assessments

Wes Alles

Yann Meunier
Length: 17:48

Read Dr. Alles and Dr. Meunier's comments

Posted: July 16, 2008

In a joint interview, Wes Alles, Ph.D., director of the Stanford University Prevention Research Center, and Yann Meunier, M.D., health improvement manager at Stanford School of Medicine Health Improvement Program, described the interactions between their individual Stanford programs, the science and methods behind Stanford's health risk and behavior change assessments, and incentives that encourage Stanford employees to complete HRAs and participate in health promotion programs.

Alles and Dr. Meunier, along with Gary Smithson, M.D., M.B.A, WorldDoc, described how HRAs are evolving and the impact these enhancements are having on both HRA data and results during an August 13, 2008 webinar, New Developments and Enhancements in Health Risk Assessments. For more information, please visit: New Developments and Enhancements in Health Risk Assessments.

Avatars Give Voice to Suicide Survivors, Prevention Counselors

Amanda Lehner
Full Interview: 14:54

Dr. John Draper
Excerpt: 1:22

Posted: July 10, 2008

When it comes to suicide, more often than not, the media focuses too much on the tragedy of the situation and sends the message that it cannot be prevented. But according to Dr. John Draper, director of the National Suicide Prevention Lifeline, there is a silent majority of suicide survivors who have another message — suicide isn't inevitable, and it can be prevented. Dr. Draper and Amanda Lehner, technology communications coordinator for the National Suicide Prevention Lifeline, discuss their latest endeavor,, and how this social network hopes to connect with patients with its use of story-telling avatars.

To learn how healthcare organizations are using video, podcasts, blogs, wikis and other Web 2.0 technologies to drive consumers to their Web sites and facilities, please visit: The Business Case for Web 2.0 in Healthcare: Building Brands and Redefining the Patient Experience

Essential Keys To Success for Consumer-Directed Health Plans

Julie Bunde
Length: 2:49

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Kathleen Campbell
Length: 10:42

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Alexander Domaszewicz
Length: 3:43

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Posted: June 24, 2008

Some features of HealthPartners' consumer-driven health plans (CDHPs) are drawing a younger, healthier population, according to Julie Bunde, director of product management at HealthPartners. She discusses these features as well as how their CDHPs affect their members' lifestyles and how members are handling their healthcare spending.

In tracking members' experiences with Aetna's CDHPs, Kathleen Campbell, head of the insurer's CDHPs, notes that more employers are now offering CDHPS and explains why enrollment within these organizations has increased. Campbell also discusses Aetna's suite of CDHP products and Aetna's focus on simplicity within their CDHPs.

Education is essential to any consumer-driven program, says Alexander "Sander" Domaszewicz, a principal and senior consultant with Mercer Health and Benefits Services, and all stakeholders are encouraged to contribute to laying this foundation. Domaszewicz touches upon this key element, as well as some tips on marketing CDHPs to Generations X and Y.

Bunde, Campbell and Domaszewicz described the essential elements needed for a consumer-directed health plan to successfully engage consumers in their health and control healthcare costs, and how the elements translate to a consumer-directed benefit strategy for health plans and employers during a June 26, 2008 webinar, Essential Keys To Success for Consumer-Directed Health Plans. For more information, please visit: Essential Keys To Success for Consumer-Directed Health Plans.

Physician Practice Transformation: Charting a Path Toward Increased Revenue and Improved Efficiency, Patient Satisfaction and Outcomes

Dr. Lonnie E. Fuller
Length: 3:46

Read Dr. Fuller's comments

Dr. John Michos
Length: 5:27

Read Dr. Michos' comments

Posted: May 21, 2008

A cultural change must be at the heart of any practice transformation, says Dr. Lonnie E. Fuller, medical director for the Pennsylvania Medicaid ACCESS Plus PCCM-DM Program. Dr. Fuller describes the attitude shifts that must occur and the enhanced patient experience that can result from a practice redesign. Even a practice that lacks sophisticated technology can make some basic improvements, he says, citing a free downloadable disease registry tool that can function as a data repository.

Redesigning a practice into one that is more efficient and patient-centered begins with a readiness assessment tool and goal-setting with key organization members, says Dr. John Michos, medical director of the Virginia Health Quality Center. The size of the practice can affect the approach to transformation. Smaller practices may find it easier to implement change, while larger practices may need to launch innovations on a small scale, then foster the spread of that success to other departments. Getting health IT and its associated efficiencies into a physician practice will help transform it into a medical home, but so will mapping communications processes for patient interactions such as phone calls, discharges and other situations.

Dr. Fuller and Dr. Michos described the critical steps in physician practice transformation during a May 29, 2008 webinar, Physician Practice Transformation: Charting a Path Toward Increased Revenue and Improved Efficiency, Patient Satisfaction and Outcomes. For more information, please visit: Physician Practice Transformation: Charting a Path Toward Increased Revenue and Improved Efficiency, Patient Satisfaction and Outcomes

Download a complimentary white paper on The State of Primary Care 2008.

Managing the Chronic Pain Patient: Strategies to Improve Quality of Life and Reduce Excessive Healthcare Utilization

Marilee Donovan
Length: 4:53

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Cheryl Pacella
Length: 8:53

Read Pacella's comments

Posted: May 16, 2008

According to Marilee Donovan, a big part of pain management is self-management. In this podcast, Donovan, regional pain management coordinator with Kaiser Permanente Northwest, discusses Kaiser Permanente's multi-disciplinary chronic pain management program, as well as the measures she relies on to assess pain in and improve the quality of life for her patients.

As a caregiver, one responsibility Cheryl Pacella has is improving the quality of life for her pain management patients. Pacella notes that mutual goals set by both the caregiver and the patient are important in delivering on this responsibility. Also in this podcast, Pacella, performance improvement advisor at Masspro, a performance management organization, discusses the measures she relies on to assess pain in her patients as well as the barriers she faces in providing adequate pain control.

Donovan and Pacella provided the inside details on their organization's efforts to improve pain management during a June 11, 2008 webinar, Managing the Chronic Pain Patient: Strategies to Improve Quality of Life and Reduce Excessive Healthcare Utilization. For more information, please visit: Managing the Chronic Pain Patient: Strategies to Improve Quality of Life and Reduce Excessive Healthcare Utilization

Download a complimentary white paper on Pain Management Programs in 2008.

Creating a Multi-Channel, Multi-Media Wellness Communication Strategy That Motivates and Engages Employees and Health Plan Members

Heath Shackleford
Length: 6:18

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Donna Shenoha
Length: 5:25

Read Shenoha's comments

Posted: May 12, 2008

When Nashville healthcare firm Healthways decided to offer internally all the health and wellness programs it develops for customers, it provided an opportunity to improve the user experience externally, explains Heath Shackleford, senior director of marketing and communications. In communicating the wellness programs to its own employees, Healthways amplified the message around privacy, underscoring that the company held employees' privacy in the highest regard. In tandem with its internal communications team, Healthways tied its wellness message to the corporate mission: "Creating a healthier world, one person at a time." And Healthways senior leadership went to marathon lengths to support the effort.

As part of Wachovia's Healthy Connections program, employees with PCs receive a 55-second dose of health and wellness-related information each week that is delivered with the company's daily desktop video news program. The desktop videos launch automatically when users turn on their computers, and are replayed in the company's break rooms, common areas and financial centers throughout the day. These offerings are a core part of Wachovia's wellness culture, says Donna Shenoha, the company's vice president and senior consultant of health and welfare. She adds that the company's new Intranet platform offers social networking options as well as the option to "push out" messaging by targeted areas — either geographically or by employee "affinity groups."

Shackleford and Shenoha provided the inside details on the innovative strategies that their organizations use to promote their wellness programs that engage and motivate participants during a May 21, 2008 webinar, Creating a Multi-Channel, Multi-Media Wellness Communication Strategy That Motivates and Engages Employees and Health Plan Members. For more information, please visit: Creating a Multi-Channel, Multi-Media Wellness Communication Strategy That Motivates and Engages Employees and Health Plan Members

Driving Improvements in Health Coaching Outcomes Through Physician Collaboration and Coordination

Margaret Moore
Length: 9:13

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Dr. Edward Phillips
Length: 9:14

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Dr. Rick Botelho
Length: 5:39

Read Dr. Botelho's comments

Read more from
Dr. Botelho

Posted: May 1, 2008

In this podcast, Margaret Moore, CEO of Wellcoaches Corporation, discusses the effects a physician's health choices and behaviors can have on a patient's compliance with health coaching efforts, the role of a medical fitness coach in primary care, and the impact positive psychology can have on health coaching.

In Harvard Medical School's Institute of Lifestyle Medicine's online program to teach physicians the basics of health coaching, the virtual patient is a doctor himself, explains Dr. Edward Phillips, founder and director of the institute. Physicians who have completed this training say the background enhances their relationships with patients and relieves stress, since it helps them accept that they are not directly responsible for patients' poor health choices. Dr. Phillips, assistant professor of physical medicine and rehabilitation at Harvard Medical School where the institute is based, hopes this subject will one day be covered thoroughly in medical schools. And his message to health plans seeking improved health coaching outcomes: engage the physician in the process, because as the person "sitting knee to knee" with the patient, the physician is ideally positioned to help the patient process all health messages.

In this podcast, Dr. Rick Botelho, professor of family medicine at the University of Rochester Medical Center, discusses collaborating with health coaches and the impact that has on his practice, patients' responses to this new blend of treatment and the direction that health coaching is headed.

Moore, Dr. Phillips, and Dr. Botelho described how health plans and disease management companies can enhance physician involvement in health coaching during a May 15, 2008 webinar, Driving Improvements in Health Coaching Outcomes Through Physician Collaboration and Coordination. For more information, please visit: Driving Improvements in Health Coaching Outcomes Through Physician Collaboration and Coordination.

Download a complimentary white paper on Health Coaching Trends in 2008.

The Role of Retail Clinics in the Healthcare Continuum: Creating Strategies and Partnerships To Meet Consumers' Demand

Dr. Thomas N. Atkins
Length: 4:15

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Dr. Steven Goldberg
Length: 4:12

Read Dr. Goldberg's comments

Posted: February 15, 2008

In this podcast, Dr. Thomas Atkins, medical director of Sutter Express Care, drugstore-based medical clinics that are part of Sutter Health's network of hospitals and doctors serving northern California, discusses how to establish locations for retail clinics, the sharing of clinic information with PCPs and the impact retail clinics can have on reducing non-emergent ED as well as healthcare costs.

In this podcast, Dr. Steven Goldberg, corporate medical director at Humana, which includes MinuteClinic in its provider network, discusses the impact retail clinics have had on reducing non-emergent ED use and the overall cost of healthcare, shares some feedback his organization is getting from members now that they have the option of visiting a retail clinic in place of their primary care physician, and offers some advice to health plans contemplating the inclusion of clinics in its network.

Dr. Atkins and Dr. Goldberg examined the strategic implications of retail clinics on healthcare provider and payor organizations and presented two case studies on how their organizations are responding to this growing marketplace trend during a February 20, 2008 webinar, The Role of Retail Clinics in the Healthcare Continuum: Creating Strategies and Partnerships To Meet Consumers' Demand. For more information, please visit: The Role of Retail Clinics in the Healthcare Continuum: Creating Strategies and Partnerships To Meet Consumers' Demand

Emerging Trends & Opportunities for Healthcare Organizations To Leverage Web 2.0

Susan Reid
Length: 4:58

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John Sharp
Length: 5:28

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Dave Bennett
Length: 15:19

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Posted: January 28, 2008

Page views, favorited, embedded...this is the lexicon of Susan Reid, internet marketing manager for UAB Health System of Alabama, which is experiencing so much success with its foray into Web 2.0 technologies that it has reallocated some of its former print communications budget for Internet marketing, video and interactive tools in 2008. UAB Health System has posted more than 100 videos on YouTube, including the frequently viewed "UAB Emergency Room Rap" and a series of patients' "My Story" videos. UAB's recruitment and marketing areas report heightened interest in UAB employment opportunities generated by the YouTube placement.

In this podcast, John Sharp, project manager for IT Web services with Cleveland Clinic, discusses Web 2.0 technologies and how his organization monitors employee-generated content and encourages participation, and gives recommendations to healthcare organizations just getting started with Web 2.0 technologies.

MUSC has no shortage of clinicians willing to contribute content for its podcasts and videos, says Dave Bennett, MUSC's director of web resources services. He credits Dr. Linda Austin, a practicing psychiatrist who is also MUSC's assistant dean of communications, with facilitating an "instant synergy" between clinicians and communicators. Most of MUSC's several hundred physicians contribute to the Web site's multimedia tools, which have been heard in more than 150 countries and include a children's health issues podcast sponsored by a national retailer. In an audio interview full of advice for prospective Web 2.0 adopters, Bennett covers the value of social media in driving traffic to your Web site and consumers to your doorstep as well as production issues and analytical tools related to podcast and video creation.

Reid, Sharp, and Bennett provided in-depth case studies on their organization's Web 2.0 strategy during a February 13, 2008 webinar, Emerging Trends & Opportunities for Healthcare Organizations To Leverage Web 2.0. For more information, please visit: Emerging Trends & Opportunities for Healthcare Organizations To Leverage Web 2.0

Building an Advanced Medical Home to Improve Chronic Care Outcomes

Dr. Lonnie E. Fuller
Length: 7:15

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Dawn Bazarko
Length: 8:05

Read Bazarko's comments

Posted: January 15, 2008

The solid relationships that patients build with ACCESS Plus providers and office staff, many of whom live in the neighborhood, keep them coming back in for care, explains Dr. Lonnie E. Fuller, medical director for the Pennsylvania Medicaid ACCESS Plus Primary Care Case Management and Disease Management (PCCM-DM) program. "Road shows" put on by ACCESS Plus's Regional Advisory Committee foster dialogue among consumers, providers and community organizations and provide a running issues list for the organization. Dr. Fuller also notes that disease management and telephone triage line efforts are reducing unnecessary trips to the ER.

Marketing the medical home to the commercial population will be a challenge, says Dawn Bazarko, UnitedHealthcare's senior vice president of clinical innovation, since it will result in a fundamental change to the healthcare service model. Organizations must name and market the medical home features for members, taking care to distinguish it from the "gatekeeper" HMO approach that many found undesirable and care-restrictive in the past. The medical home approach has much to offer patients, Bazarko explains, including the opportunity to have a genuine service relationship with physicians and to obtain improved coordination of care for clinical and behavioral comorbidities.

Dr. Fuller and Bazarko examined medical home projects in action during a January 29, 2008 webinar, Building an Advanced Medical Home To Improve Chronic Care Outcomes. For more information, please visit: Building an Advanced Medical Home To Improve Chronic Care Outcomes

Download a complimentary white paper on Medical Home Awareness & Early Successes 2008.

Physician Quality Reporting in 2008: What Every Physician Practice Should Know

Dr. Bruce Bagley

Sue Kincer

Lorraine Larrance
Length: 4:19

Read Dr. Bagley's comments

Length: 14:04

Read Larrance and Kincer's comments

Posted: January 7, 2008

Although CMS does not currently require physicians in the Physician Quality Reporting Initiative (PQRI) to have electronic health records (EHRs,) nearly 75 percent of American Academy of Family Physicians (AAFP) members are already using EHRs, estimates Dr. Bruce Bagley, AAFP medical director of quality improvement. CMS' inclusion of two structural measures for 2008 — one for EHRs and the other for e-prescribing — are more likely CMS' attempt to provide measures that both family physicians and specialists can report on, says Dr. Bagley, as well as support President Bush's mandate that EHRs move forward. Dr. Bagley advises PQRI participants to proactively examine their own reported data to chart a performance improvement plan rather than wait until mid-2008 for feedback from CMS.

In a related podcast, Lorraine Larrance, consulting senior manager with Pershing Yoakley & Associates, and Sue Kincer, consultant and certified professional coder with Pershing Yoakley & Associates, discussed the 2008 PQRI measures, the challenges physicians will face and the quality improvements that could result for physician practices.

Dr. Bagley, along with Kincer and Larrance, delved into the requirements for PQRI for 2008 and drew upon their past experiences with physician quality reporting to recommend how to succeed in the 2008 program during a January 22, 2008 webinar, Physician Quality Reporting in 2008: What Every Physician Practice Should Know. For more information, please visit: Creating a Physician Quality Reporting in 2008: What Every Physician Practice Should Know

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