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Featured Podcast:
Finding Success in Health Behavior Change
Kate Larsen
Length: 9:39
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Posted: June 29, 2009
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."
Larsen and Claudine Reilly, wellness manager at CVS Caremark, a Certified Intrinsic Coach, and a Certified Health Education Specialist, will provide different scenarios that coaches might encounter with patients and examples of how coaches can and should respond to assist clients in achieving the health behavior change they need during the July 15, 2009 webinar, Finding Success in Health Behavior Change, a 45-Minute Interactive Roundtable.
Most Recent Podcasts:
Healthcare Trends in 2009: A Mid-Year Financial and Legislative Update
Paul Keckley
Length: 5:32
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Posted: June 23, 2009
Early and costly proposals for healthcare reform are creating clouds of uncertainty on the healthcare horizon, providing scant relief for organizations stymied by the economy, patient safety issues and internal budget restraints, observes Paul Keckley, Ph.D., executive director of the Deloitte Center for Health Solutions. As he prepares a mid-year review of financial and legislative trends shaping the healthcare industry, Keckley anticipates a slow and bumpy road to EHR adoption and defines the three key elements of the platform for a new generation of care-giving and care consumption at a community level.
Keckley 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 during the June 25, 2009 webinar, Healthcare Trends in 2009: A Mid-Year Financial and Legislative Update.
Under One Roof: Integrating Primary Care and Behavioral Healthcare in the Medical Home
Liz Reardon
Length: 5:01
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Posted: June 17, 2009
Individuals with severe and persistent mental illnesses are likely to die 20 years earlier than people without such conditions, says Liz Reardon, president of Reardon Consulting and a member of the National Council for Community Behavioral Healthcare (NCCBH) Integration Consulting Team. Putting the right medical home services in place for adults with chronic mental illness can help to reduce this disparity, suggests Reardon, explaining why the earliest medical homes for children with complex health needs are great models for behavioral healthcare organizations.
Reardon and Laura Galbreath, NCCBH Director of Policy and Advocacy, kicked off HIN's Medical Home Open House webinar series when they presented current developments in the patient-centered medical home model with evidence-based approaches to integration of primary care and behavioral health during the July 1, 2009 webinar, Under One Roof: Integrating Primary Care & Behavioral Health in the Medical Home.
Patient Activation Measure™: Assessing the Engaged Healthcare Consumer for Self-Efficacy
Dr. Judith Hibbard
Length: 4:16
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Diane Bellard
Length: 5:31
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Posted: May 27, 2009
There are many ways to administer the Patient Activation Measure™ (PAM) and many socioeconomic factors that influence its outcomes, explains Dr. Judith Hibbard, developer of the PAM and professor of health policy at the University of Oregon. Dr. Hibbard identifies the PAM scores that signal a behavior change and the value of adding patient activation assessment to a health improvement initiative.
American Health Holding relies on the Patient Activation Measure™ to assess a patient’s level of engagement in their own overall disease management (DM), but it does more than just that. PAM scores are also used to gauge the success of the DM program and its coaches. Director of DM and wellness services Diane Bellard discusses PAM — who is using it, how to deal with a decrease in PAM levels, how it fits with a patient's readiness to change and PAM's role in an organization's overall quality improvement.
Dr. Hibbard and Bellard shared the research behind the development of the PAM, its potential for improving a patient's healthcare self-efficacy and examples of its use in a DM setting during the June 18, 2009 webinar, Patient Activation Measure™: Assessing the Engaged Healthcare Consumer for Self-Efficacy.
Wiring the Medical Home: Healthcare IT to Power a Patient-Centered Model
Dr. James Crawford
Length: 7:16
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Ewa Matuszewski
Length: 5:32
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Posted: May 20, 2009
Implementing an EHR into your organization is not the same as implementing a patient-centered medical home (PCMH) model of care, according to Dr. James Crawford, senior vice president for laboratory services and chair of the department of pathology and laboratory medicine at North Shore-Long Island Jewish Health System. To be a PCMH, the practice workflow has to change as well. In this podcast, Dr. Crawford discusses the key process change that has to accompany the adoption of health IT by a medical home as well as health IT's impacts on care coordination and findings from the PCPCC's survey of physician practices on their use of health IT in support of the medical home model.
Health IT is extremely important in improving an organization's communication and prevention strategies, says Ewa Matuszewski, CEO of Medical Network One. In this podcast, Matuszewski also comments on how health IT supports the joint principles of the PCMH and describes how her health IT tool of choice can be a stepping stone to further implement IT within an organization.
Dr. Crawford and Matuszewski presented case studies on the use of health IT in the medical home and its impact on care access, quality and cost in a May 28, 2009 webinar, Wiring the Medical Home: Healthcare IT to Power a Patient-Centered Model.
Reducing Acute and Chronic Care Costs Through an Effective Health Risk Stratification Model
Dr. William Vennart
Length: 4:30
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John Harris
Length: 4:25
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Posted: April 29, 2009
Predictive modeling and health risk stratification can help providers identify members for case management and disease management interventions, says Dr. William Vennart, vice president of medical management and national medical director with CareAdvantage Inc. These methods ensure that patients receive treatment for their chronic conditions early on and, in turn, reduce unnecessary utilization and lower acute and chronic care costs.
Health claims are still scrutinized during risk stratification, but today's analysts examine these data points through a slightly different lens, explains John Harris, chief wellness officer and senior vice president for Healthways. Harris explains why the focus has shifted from ICD-9 coding patterns to the financial trends evident in the claims, and what accelerating or decelerating costs reveal about an individual's health status.
Dr. Vennart and Harris described how their organizations have approached health risk stratification, from how individuals are identified for stratification purposes to the effectiveness of risk stratification programs during a May 6, 2009 webinar, Reducing Acute and Chronic Care Costs Through an Effective Health Risk Stratification Model.
The Strategic Ongoing Role of Disease Management in the Healthcare Continuum: Achieving the ROI
Dr. Dexter Shurney
Length: 10:42
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Posted: April 13, 2009
Nightly data mining has helped Vanderbilt University and Medical Center identify and make contact with high-risk high-volume patients, explains Dr. Dexter Shurney, which has vastly improved patient outcomes and closed care gaps. But the medical director of Vanderbilt's Employee Health and Care Plan would like to see even more data put in front of physicians at the point of care — especially regarding certain patients with no claims history. Dr. Shurney describes these "bombs waiting to explode," as well as the impact of the patient-centered medical home (PCMH) model of care on disease management and why wellness and prevention services may be the best responses to individuals with comorbidities.
Dr. Shurney, along with Dr. Ariel Linden, Dr.P.H., M.S., president of Linden Consulting Group, examined how disease management programs can continue to prove their worth and new developments in disease management that are netting results during The Strategic Ongoing Role of Disease Management in the Healthcare Continuum: Achieving the ROI.
Medical Home Metrics and Measurements for Achieving ROI
George Chedraoui
Length: 9:12
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Dr. Don Liss
Length: 11:49
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Posted: March 24, 2009
IBM spends about $2 billion a year on healthcare for its 500,000 employees but doesn't believe it's getting its money's worth from the current system, explains George Chedraoui, healthcare leader with IBM and immediate past president of Bridges to Excellence. Chedraoui explains why IBM is banking on the patient-centered medical home (PCMH) — with its focus on disease prevention and wellness — to deliver this value, what impact $19 billion in health IT incentives will have on physician practices, and why it will take more than technology to transform a physician practice into a medical home.
Aetna's practice of sending its providers periodic "care considerations" — detailed clinical data that identify opportunities to improve care — has been formalized in its patient-centered medical home (PCMH) pilot with Partners in Care (PIC), explains Dr. Don Liss, the regional medical director of Aetna's mid-Atlantic region. PIC providers' engagement with the care considerations is now a factor in the pay for performance aspect of the pilot. Dr. Liss shares some short-term indicators that demonstrate that the PCMH is working as well as the long-term view for medical home ROI, which can vary greatly for payors and providers.
Chedraoui and Dr. Liss shared different viewpoints — the healthcare payor and purchaser — and their strategies for achieving an ROI from the medical home during, Medical Home Metrics and Measurements for Achieving ROI.
Calculating the Health Coaching ROI: Models and Results
Paul Terry
Length: 7:12
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Posted: March 18, 2009
According to Paul Terry, Ph.D., president and CEO of StayWell Health Management, when evaluating health coaching and population health programs, it is rare to see a return on investment in a program's first year, but generally by the second and third years, ROI begins to build. In addition to discussing ROI trends, Terry evaluates the value of self-reported data and the impact health coaching can have on an organization's productivity, presenteeism and absenteeism, and also gives some benchmarks for ROI in health coaching.
Terry, along with Dr. Craig Nelson, director of health services research for American Specialty Health, described the measures to look at when evaluating health coaching and population health programs and provided case studies of how they are actually using these measures to demonstrate a health management ROI during a March 25, 2009 webinar, Calculating the Health Coaching ROI: Models and Results.
Physician Quality Reporting Initiative in 2009: How To Avoid Submission Errors and Improve Reimbursement
Dr. Bruce Bagley
Length: 5:05
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Posted: February 27, 2009
According to Dr. Bruce Bagley, the cornerstone of PQRI is quality improvement, and any bonus payments physicians receive for reporting efforts are just that — by-products of the process. Dr. Bagley, medical director of quality improvement for the American Academy of Family Physicians, also shares his views on the value of patient registries and other healthcare IT for PQRI, and advises physicians who may be frustrated by their PQRI experiences.
Dr. Bagley, along with Betsy Nicoletti, consultant, Medical Practice Consulting, LLC, described how PQRI can provide physician practices with a great start on registries and measurement and reporting and provided practical hands-on PQRI coding and auditing strategies during a March 18, 2009 webinar, Physician Quality Reporting Initiative in 2009: How To Avoid Submission Errors and Improve Reimbursement.
New Approach to Chronic Pain: Focus on Patient, Not Condition
Dr. Agostino Villani
Part 1: 14:04
Part 2: 13:49
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Posted: February 26, 2009
Too often, pain management tends to focus on the conditions rather than the people experiencing the pain, says Dr. Agostino Villani, internationally recognized expert
on chronic pain, CEO of Triad Healthcare, Inc., and author of Pain Is Not A Disease. According to Dr. Villani, this way of thinking depersonalizes the experience of pain and treats it as a disease instead of the complex, personal event that it really is. In Part 1 of this interview with Dr. Villani, he discusses his new book as well as pain management programs, pain level reduction strategies and side effects of pain medications. In Part 2, Dr. Villani discusses the importance of the physician-patient relationship, measuring the outcomes of pain management and med school curricula surrounding the topic of pain management.
Improving Patient Engagement in Telephonic and Online Health Improvement Programs for Lasting Behavior Change
Dr. Randall Williams
Length: 11:29
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Posted: February 9, 2009
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. Once participants are identified, they are very receptive to the daily contact, which has resulted in extremely high program engagement rates.
Dr. Williams, along with Dr. Thomas Kline, medical director, Iowa Medicaid Enterprise, and Katherine Scher, R.N., C.C.M., program manager for the Center for Clinical Care Design at Henry Ford Health System, examined the factors that can impact engagement and explain how to continually strive to improve engagement rates during Improving Patient Engagement in Telephonic and Online Health Improvement Programs for Lasting Behavior Change.
Patient Assignment into the Medical Home: Building a Collaborative Patient-Centric Approach
Dr. Anita Murcko
Length: 10:47
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Dr. Charles DeShazer
Length: 5:49
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Posted: February 4, 2009
According to Dr. Anita Murcko, medical director of clinical informatics and provider adoption with the Arizona Health Care Cost Containment System (AHCCCS), patient involvement and collaboration with providers are the keys to any successful medical home assignment — not only understanding what a medical home can provide patients but also how this model of care can empower them.
There are so many benefits to implementing the medical home model, that they more than justify the initial investment needed, says Dr. Charles DeShazer, market medical officer at Humana. These benefits range from a decrease in fragmentation of care to an increase in quality care processes to even allowing physicians to manage their time more efficiently. DeShazer also discusses the importance of patient involvement, overcoming patient resistance and measuring the success of your medical home.
Dr. Murcko and Dr. DeShazer examined the various approaches to medical home assignment and the factors that can impact effective assignment in a February 12, 2009 webinar, Patient Assignment into the Medical Home: Building a Collaborative Patient-Centric Approach.
Improving Patient Collections in an Unhealthy Economy: Technologies and Processes to Speed Payments
Kevin Burchill, Sean McDonagh and Ben Tobin
Length: 13:50
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Posted: January 19, 2009
With a revenue cycle that is measured by claims denials, collaborative data mining by billing and IT can identify origins of financial "bleeding" and turn these problems into actionable items, explain Beacon Partner experts Kevin Burchill, director; Sean McDonagh, practice director; and Ben Tobin, management consultant. Patient-friendly IT can also improve the patient experience on the front end while obtaining data to improve collections on the back end. This is a practice frequently employed by more financially robust providers. The three experts also debate the merits of offering patient discounts for prompt payment and placing patient credit reports in providers' hands.
Burchill, McDonagh and Tobin, along with Beacon senior consultant Greg Adams and principal Phil Villacci, provided practical strategies, techniques and tools to improve patient collections without alienating patients during Improving Patient Collections in an Unhealthy Economy: Technologies and Processes to Speed Payments.
Emergency Room Utilization: Developing a Team Approach to Address Overcrowding Factors That Increase Wait Time
Cindy Rentsch
Length: 11:20
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Posted: January 6, 2009
Delaying of healthcare for economic reasons is causing volatility in hospital emergency room volumes that is expected to intensify. To handle staffing, equipment and treatment challenges posed by these census variations, hospital EDs must rethink processes and protocols. At Edward Hospital in Naperville, Il., a "culture of certification" that includes cash bonuses for certification and peer support during exam preparation helps to raise the caliber of the ER staff and maintain patient satisfaction levels. Cindy Rentsch, Edward Hospital's clinical director of emergency services, describes the culture of certification that has raised the caliber of Edward's ER staff, a marketing campaign to divert mental health patients from the ER and protocols for treatment of pediatric ER patients.
Rentsch will be joined by Joan Heater, director of nursing emergency services, Banner Gateway Medical Center and Kevin Roche, director of the management engineering program at Banner Health Corporation, during Emergency Room Utilization: Developing a Team Approach to Address Overcrowding Factors That Increase Wait Time, a January 14, 2009 webinar. The three presenters shared organizational strategies that improve throughput in the ER as well as increase efficiencies, reduce costs and improve patient outcomes and satisfaction.
Medical Home Collaborations: How Hospitals Are Benefiting from Partnerships in Patient-Centric Primary Care
Marcus Barnes
Length: 6:00
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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
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Dr. Ruth Wolever
Length: 7:47
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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
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Nathan Kaufman
Length: 4:10
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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
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Sean Slovenski
Length: 7:00
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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
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Roger Reed
Length: 12:25
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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
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James Hardy
Length: 4:39
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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
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Dr. David Chin
Length: 5:49
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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 |
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Caren Kenney
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Length: 16:18
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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
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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
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Dr. Barbara Walters
Length: 6:22
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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
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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
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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: http://store.hin.com/Emergency-Department-Diversion-Through-Behavioral-Health-Linkages-a-July-30-2008-webinar_p_212-3825.html
Download a complimentary white paper on Reducing Unnecessary ED Visits
Emergency Department Diversion Through Behavioral Health Linkages
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
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
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Dr. John Draper
Excerpt: 1:22
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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, LifelineGallery.org, 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
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
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
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
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
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.
Building a Diabetes Medical Home: The Impact on Practice Work Flow, Patient Outcomes and Healthcare Costs
Posted: March 5, 2008
In another validation of the benefits of the patient-centered medical home model, a unique data exchange between the largest insurer in New Jersey and an 850-physician organization resulted in a member-specific profile for each diabetes patient accessible at the point of care. Partners in Care Medical Director Dr. James Barr describes the fine points of the one-year pilot that joined the disease management efforts of Horizon Blue Cross Blue Shield of New Jersey with those of Partners in Care physicians to dramatically improve compliance levels and clinical outcomes for patients with diabetes.
Roberta Burgess, nurse case manager for Community Care Plan of Eastern North
Carolina through Heritage Hospital in Tarboro, N.C., describes the contents of Community Care Plan's provider toolkits and patient diabetes action plans, both key communication vehicles in its diabetes medical home project. She also details the duties of case managers, who form another vital link in the disease management chain that saved North Carolina $231 million in healthcare costs in 2005 and 2006.
Dr. Barr and Burgess provided the inside details on how they have implemented the medical home model to improve outcomes for diabetes care during a March 19, 2008 webinar, Building a Diabetes Medical Home: The Impact on Practice Work Flow, Patient Outcomes and Healthcare Costs. For more information, please visit: Building a Diabetes Medical Home: The Impact on Practice Work Flow, Patient Outcomes and Healthcare Costs
Download a complimentary white paper on Medical Home Awareness & Early Successes 2008.
The Role of Retail Clinics in the Healthcare Continuum: Creating Strategies and Partnerships To Meet Consumers' Demand
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
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
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
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
Creating a Culture of Health by Engaging the C-Suite and Employees to Promote Better Health
Posted: November 15, 2007
Gregg Lehman, president and CEO of HealthFitness, discusses the levels of "C-Suite support," employing wellness champs in the workplace, preventing illness versus managing existing illness and the impact C-Suite endorsement can have on an initiative.
Lehman, along with David Sensibaugh, director of integrated health at Eastman Chemical Company, described the key steps in creating a culture of health that engages both the C-suite and employees during a December 4, 2007 webinar, Creating a Culture of Health by Engaging the C-Suite and Employees to Promote Better Health. For more information, please visit: Creating a Culture of Health by Engaging the C-Suite and Employees to Promote Better Health
Health Coaching ROI Metrics and Measurements
Posted: October 24, 2007
It is possible to demonstrate solid ROI after coaching individuals on the verge of serious health issues, says Ted Borgstadt, TrestleTree founder and chairman. He presents a case study on ROI for coaching individuals in pre-diseased states, talks about his organization's psychologist-led training in telephonic health coaching, and presents a four-point plan for evaluating a health coach's performance --- one that can pinpoint an individual's movement in the stages of change in six goal areas.
Some aspects of a health coach's performance are easier to assess than others, says Darcy Hurlbert, health and wellness product specialist at Ceridian LifeWorks. Employees themselves can provide valuable data on the effect of coaching on workforce productivity and absenteeism, she says, and this can be supplemented with administrative data. Satisfaction surveys administered three months post-enrollment can capture employee and member feedback on the coaching experience.
Borgstad, along with Hurlbert, described the types of metrics that can and should be used when evaluating the effectiveness of both health coaching programs and individual health coaches during a November 15, 2007 webinar, Health Coaching ROI Metrics and Measurements. For more information, please visit: Health Coaching ROI Metrics and Measurements
Download a complimentary white paper on Health Coaching Trends in 2008.
Best Practices in Hospital Discharge to Reduce Preventable Readmissions
Posted: October 5, 2007
Broome County, New York's Community Alternative Systems Agency -- also known as CASA -- has a bird's eye view of every type of care setting, explains its director, Michelle Berry. The program's in-home longterm care assessment looks beyond the individual's physical condition, she says, taking note of social, emotional and environmental factors.
To help patients own their care plans and improve recordkeeping, CASA hopes to soon train the homebound to use a "guest book" that will require visiting caregivers -- nurse, physician, physicial therapist, etc. -- to "sign in" and record the reason for each visit. This hard copy record would be the prototype for an eventual online care record, Berry explains.
Senior citizens put a lot of effort into planning for their retirements and deaths, but don't always plan for the medical emergency that might occur in between those two life events, explains Nora Baratto, manager of the case management department at St. Peter's Hospital's CHOICES program in Albany, New York. That's why the community partnerships her program forges are critical to its success. Her program measures customer satisfaction and delivery at multiple intervals and conducts depression screening for its population during inpatient, outpatient and in-home assessments.
Berry, along with Baratto, described the strategies their organizations have used to improve the hospital discharge process during an October 23, 2007 webinar, Best Practices in Hospital Discharge to Reduce Preventable Readmissions. For more information, please visit: Best Practices in Hospital Discharge to Reduce Preventable Readmissions
Healthcare Trends and Forecasts in 2008
Posted: September 20, 2007
Dr. Peter Kongstvedt, a partner in the health and managed care consulting services division of Accenture, comments on how to effectively use new media in today's healthcare arena, as well as what many healthcare organizations are calling the biggest road block pay for performance initiatives.
Experts from key areas of healthcare examined the trends that are shaping today's healthcare industry. Kongstvedt, commented on health plan trends, Nathan Kaufman, on hospital trends, Dr. Joel Diamond, on trends impacting physician groups and Elizabeth Opland, on trends impacting the wellness and health promotion sector during a October 10, 2007 webinar, Healthcare Trends and Forecasts in 2008. For more information, please visit: Healthcare Trends and Forecasts in 2008
Developing Effective Strategies to Reduce Non-Emergent Emergency Department Use
Posted: August 30, 2007
Dr. Jim Glauber, medical director for Neighborhood Health Plan of Massachusetts, defines ED overuse for his organization and discusses the differences between urgent care and emergent care and when patients should use each.
Dr. Karen Amstutz, regional vice president and medical director at Wellpoint State Sponsored Business, and her colleague Dr. Lakshmi Dhanvanthari, staff vice president and medical director at Wellpoint, discuss how their organization educates patients on appropriate ED use and how health literacy of members is a key element in reducing ED overuse.
Non-emergent care in the ED is expensive and ineffective for health plans, hospitals and consumers alike. Hospitals and health plans nationwide are developing strategies to reduce the reliance on EDs for non-emergent care. Glauber, Dhanvanthari, and Amstutz, provided details on the most effective strategies they’ve implemented to address non-emergent ED use during a September 25, 2007 audio conference, Developing Effective Strategies to Reduce Non-Emergent Emergency Department Use. For more information, please visit: Developing Effective Strategies to Reduce Non-Emergent Emergency Department Use
Download a complimentary white paper on Reducing Unnecessary ED Visits
Building Patient Care Continuity with Prepared Practice Teams
Posted: August 22, 2007
When you ask patients for feedback on care, you may not always like what you hear. Nonetheless, HealthPartners includes patients in program design sessions, and its patient advisory councils have more candidates than the organization can currently use. Beth Waterman, HealthPartners vice president of primary care and clinic operations, describes how patients and others were selected to participate in the two-day rapid design session in 2002 that developed the award-winning prepared practice team model. The prepared practice teams have since been carefully duplicated at more than 20 HealthPartners clinics. A Care Model Process oversight team sends quarterly program updates to all practice teams to ensure the structure and consistency that are program hallmarks.
Waterman described the role of practice teams in her organization during a September 19, 2007 audio conference, Building Patient Care Continuity with Prepared Practice Teams. For more information, please visit: Building Patient Care Continuity with Prepared Practice Teams
Ensuring the Benefits of Public Reporting and Pay-for-Performance Programs Outweigh the Unintended Consequences
Posted: August 16, 2007
Current quality measures focus on patient care upon admittance and end of stay but tend to ignore all aspects of care during the patient's stay, says Dr. Dale Bratzler, medical director of the Hospital Interventions Quality Improvement Organization Support Center. He identifies several areas where improvement may result in better transitions of care, including the patient's discharge from the hospital. He is observing a cultural shift toward the acceptance of quality ratings at healthcare organizations from the top down, and believes that team-based training -- both for medical students and full-fledged doctors and nurses -- will help improve the quality of healthcare for patients.
Bratzler provided a brief overview of the potential unintended consequences of public reporting that could lead to patient harm in both direct and indirect ways. Bratzler also described how avoiding these unintended consequences of performance measurement requires careful attention to the development of measure specifications and setting realistic goals for improvement. Conference participants then had the opportunity to probe for more details and bring to the "table" the areas of concern in their organization during a September 6, 2007 audio conference, Ensuring the Benefits of Public Reporting and Pay-for-Performance Programs Outweigh the Unintended Consequences. For more information, please visit: Ensuring the Benefits of Public Reporting and Pay-for-Performance Programs Outweigh the Unintended Consequences
Pursuing Perfect Care: Improving Chronic Care Outcomes by Treating the Whole Patient
Posted: August 6, 2007
Collaborative patient care models that empower the primary care nurse to communicate patient needs to physicians has not only improved patient care and outcomes but also fostered a cultural change at Hackensack University Medical Center, explains Lenore Blank, a nurse practitioner and administrative manager of HUMC's heart failure and pulmonary hypertension team. Her team is part of Pursuing Perfection, a healthcare quality initiative from the Institute of Healthcare Improvement. As HUMC creates the partnerships mandated by Pursuing Perfection, it is extending the knowledge and benefits they've gained with other organizations -- and reducing hospital readmissions in the process.
Leanne Huminski, chief nursing officer, McLeod Regional Medical Center,
comments on capitalizing on computer technology, McLeod's initiatives for eliminating adverse
drug events (ADEs) and the role information technology is playing in reducing ADEs.
Physician and executive engagement are one of the crucial success factors for clinical improvement, says Donna Isgett, vice president for clinical effectiveness at McLeod Health. Isgett warns that clinical improvement projects can not be a grass roots effort...they must be led by the physicians and the senior-executive team. Isgett describes a simple design process that McLeod uses to guide its clinical improvement principles.
Blank, Michelle Gilbert, Isgett, and Huminski described how their organizations are implementing perfect care processes in heart failure and medication management with details on how they've implemented their programs and the results they are achieving during a August 22, 2007 audio conference, Pursuing Perfect Care: Improving Chronic Care Outcomes by Treating the Whole Patient. For more information, please visit: Pursuing Perfect Care: Improving Chronic Care Outcomes by Treating the Whole Patient
Health Risk Assessments and Health Coaching: How the Web and Consumer's Expectations Are Changing the Landscape
Posted: August 2, 2007
Change a belief and you'll change a behavior, says Allyson Faist, president and CEO of MEDeCoach. There's a formula to the frequency and format of health coach contacts that will engage a client, and ways to handle a client who has received conflicting information from the Internet on a health management issue. An integrated system where the coach and client are on the same IT platform increases the chances for successful, collaborative coaching.
Faist will examine how consumer developments are impacting the collection of health risk data and the health coaching sessions that may result from a health risk assessment (HRA) during a September 26, 2007 audio conference, Health Risk Assessments and Health Coaching: How the Web and Consumer's Expectations Are Changing the Landscape. For more information, please visit: Health Risk Assessments and Health Coaching: How the Web and Consumer's Expectations Are Changing the Landscape
Download a complimentary white paper on Health Coaching Trends in 2008.
Live Health Coaching Session
Posted: July 19, 2007
In a live coaching demo, "Coach Meg" (Wellcoaches CEO Margaret Moore) helps volunteer client Kathy Smith (not her real name) identify life issues that are keeping her from being her "best self" in managing her thyroid condition and weight issues. You'll hear how Coach Meg builds positive psychology into this real-life health coaching session, which was conducted as part of "Teaching Health Coaches to Integrate Positive Psychology with Physical Health to Improve Disease Management Outcomes," a July 18, 2007 audio conference now available on CD-ROM or via an On Demand re-broadcast on the web. Order the conference CD-ROM or register to listen to the On Demand re-broadcast today.
Download a complimentary white paper on Health Coaching Trends in 2008.
The Medicaid Population: Identifying, Locating and Engaging a Hard-to-Reach Population for Disease Management Success
Posted: July 12, 2007
In this podcast, Dr. Philip M. Bonaparte, chief medical officer of Horizon NJ Health comments on the success of his organization's fourth ER-based caseworker initiative and the information these caseworkers distribute to patients. Bonaparte also comments on the benefits and drawbacks retail clinics and convenient care clinics are having on the healthcare industry at this stage in their existence.
When it comes to making contact with its Medicaid members in Illinois, field work is the name of the game for McKesson Health Solutions. A presence in emergency departments to reduce unnecessary utilization among members and the placement of communication teams in 24 geographical locations around the state is proving successful for McKesson, explains Caryn Jacobi, McKesson's associate V.P. of operations for Illinois. Other efforts include a 24-hour triage line for members and mailings, phone calls and field visits.
Dr. Bonaparte and Jacobi, described how their respective organizations target and engage Medicaid enrollees for participation and success in disease management programs during a July 25, 2007 audio conference, The Medicaid Population: Identifying, Locating and Engaging a Hard-to-Reach Population for Disease Management Success. For more information, please visit: The Medicaid Population: Identifying, Locating and Engaging a Hard-to-Reach Population for Disease Management Success
Teaching Health Coaches to Integrate Positive Psychology with Physical Health to Improve Disease Management Outcomes
Posted: June 25, 2007
Having supplemented coach training with live coaching demos for many years, Wellcoaches CEO Margaret Moore has found that the demos are a powerful way to bring to light essential coaching skills. Even during a 15-minute demo with a "volunteer client," she says, you can observe a "mini-transformation" and shift in client energy. She usually recruits the volunteer from among the seminar participants, and describes the ideal volunteer and the pre-coaching preparation that is required. She also weighs in with some suggestions for evaluating a health coach's performance.
Moore, described coaching theories and strategies and conducted a live coaching demonstration to illustrate the theories and strategies in action. Conference participants had the opportunity to ask questions on the techniques Moore used during the coaching session following the demonstration during a July 18, 2007 audio conference, Teaching Health Coaches to Integrate Positive Psychology with Physical Health to Improve Disease Management Outcomes. For more information, please visit: Teaching Health Coaches to Integrate Positive Psychology with Physical Health to Improve Disease Management Outcomes
Building a Health Management IT Platform for Health Coaching
Posted: June 4, 2007 Both science and human nature played a part in the success of Healthways' telephonic care support for diabetes patients, explains John Harris, senior vice president of the Health Support Division of Healthways. Even though the program is from Healthways' care management side, he believes that the same results would apply to a coaching effort, since any time a human intervenes with another human, the chances of success go up considerably. According to John, an individual's learning style and risk levels are also factors in determining whether a Web-based or telephonic coaching system would be most effective. John also explains how advances in predictive modeling allow healthcare organizations to find candidates earlier and provide more compelling evidence of the need for a coaching intervention.
Harris and Sean Slovenski, president and CEO, Hummingbird Coaching Services, described how to effectively capture and integrate multiple data sources to identify potential clients for health coaching and how to effectively use that information to achieve health coaching success during a June 13, 2007 audio conference, Building a Health Management IT Platform for Health Coaching. For more information, please visit:
Building a Health Management IT Platform for Health Coaching
Download a complimentary white paper on Health Coaching Trends in 2008.
Value-Driven Healthcare in Action: A Four-Pronged Approach to Meet Consumer Transparency, Quality and Access Demands
Posted: May 24, 2007
A lack of trust in the use of patient health information and a general reluctance to share patient information with industry competitors are the biggest obstacles to an open exchange of patient health information, says Gary Austin, a healthcare industry consultant on corporate/product strategy and program management. In spite of these roadblocks, the health plans he's met with support a climate of value-based healthcare choices. Many plans have already invested millions to equip physicians with the capability for e-prescribing, and more will underwrite physicians in the use of electronic medical records in the next few years. He envisions that consumer "smart cards" loaded with patient health information will initially be introduced within individual health systems, and eventually be usable between systems. A physician practice's measurements reporting efforts will flourish under a "physician champion" to lead the way, notes Linda Davis, a consultant to the Buyers Health Care Action Group (BHCAG) in Minnesota. Once a transparent reporting effort is underway, it can bring about significant cultural change and raise motivation levels in the naturally competitive provider environment, she adds. Aware of the automated vs. manual reporting methods in use, the BHCAG facilitates the reporting effort via its direct data submission process, which accepts data from practices in many formats. Rewarding members and employees for being savvy medical consumers and shopping is an increasing trend in healthcare, notes Sue Lewis, senior vice president of health and productivity solutions at IncentOne. Companies are leveraging the corporate Intranet, meetings and health fairs to spread the word on incentives to their populations. She has also observed that companies offering consumer-directed health plans are in the best position tax-wise to extend benefits to dependents and retirees. Until patient satisfaction ratings can be evidenced to be linked to outcomes, they should not factor into a provider's quality ratings, says Mark Xistris, director of provider relations & health information for The Alliance, an employer-owned and directed not-for-profit cooperative that helps companies manage the total cost of ensuring the health and well-being of their workforce. His organization, recently named a community leader by the U.S. Department of Health and Human Services, believes that providers and payors have legitimate concerns about releasing cost information to consumers, who may misinterpret the data without proper guidelines. Austin, Davis, Lewis, and Xistris, examined how their respective organizations are using these four strategies to stay competitive in the fast-growing consumer-driven movement during a May 30, 2007 audio conference, Value-Driven Healthcare in Action: A Four-Pronged Approach to Meet Consumer Transparency, Quality and Access Demands. For more information, please visit: Value-Driven Healthcare in Action: A Four-Pronged Approach to Meet Consumer Transparency, Quality and Access Demands
Strategies to Increase Primary Care Access, Use and Coordination
Posted: May 7, 2007
Involving physicians and nurses in an initiative that teaches patients how to manage their own care may initially increase the demand on an already overtaxed primary care system, says Christopher Wise, administrative director of the Medical Management Center at the University of Michigan (U-M) Health System. But ultimately, the patient who better understands the intricacies of their disease and available care alternatives will actually have fewer reasons to access primary care physicians, he adds. In U-M's model, he explains, social workers and nurses who know the university's health services best function as health navigators, helping the chronically ill find their way through the system. For optimum efficiency and results, the patient's self-management must be linked to a broader aspect of the physician's office and the medical home it provides. Margaret Brennan, administrator for the Primary Care Access Network with Orange County Government, Maureen Kersmarki, board chair of the Primary Care Access Network for Florida Hospital along with Wise, described how their respective organizations have created sustainable partnerships for increasing access to primary care during a May 16, 2007 audio conference, Strategies to Increase Primary Care Access, Use and Coordination. For more information, please visit: Strategies to Increase Primary Care Access, Use and Coordination
How to Structure a Healthcare Performance Improvement Process That Results in Incentive Payments
Posted: March 26, 2007 Already on a quest to accelerate clinical excellence, Memorial Medical Center in Springfield, Ill. was the first hospital to sign on with the CMS/Premier Hospital Quality Improvement Demonstration in 2003. Jim Benté, Memorial's vice president of quality and organizational development, said the initiative was a natural extension of Memorial's focus on safety, quality and clinical excellence. A top performer in the demonstration project, Memorial initiates employees in its culture of quality from the day they're hired, explains Benté. To emphasize this commitment, department and individual goals in this initiative are prominently displayed throughout the hospital.Technology that allows Cleveland Regional Medical Center (CRMC) to conduct concurrent chart reviews also generates reports that guide nurses and physicians in improving the patient experience, explained Liz Popwell, Cleveland County Healthcare Systems' vice president of systems management. A holistic approach to outpatient care -- including proper discharge instructions, disease-specific survival kits, and outpatient care analysis -- has resulted in a 37 percent drop in hospital readmissions. The challenge to maintaining CRMC's top rating in the Premier Hospital Quality Incentive Demonstration Project, she said, is ensuring that new staff members are adequately trained in core measures and processes. Robots -- dispensing meds in the pharmacy, assisting in the operating room, and even facilitating remote doctors' rounds -- is just one example of the technology supporting quality initiatives at Hackensack University Medical Center (HUMC), explained Regina Berman, administrative director for performance improvement. As the top earner in the CMS/Premier Pay for Performance project for two years running, HUMC has seen a "reverse migration" of patients who used to head to New York for medical care, said Ms. Berman. Its bariatric surgery program draws patients from around the nation, and its cancer center 100 attracts new patients each week. Just 10 miles from the Big Apple, HUMC has been cited by Business Week magazine for its technology initiatives and by New York magazine as one of the top 10 hospitals where physicians would go for their own care. She attributes the success of HUMC to involvement and commitment of front-line staff. Benté, Berman, and Popwell gave us the inside details on how these hospitals have structured their internal processes to support an environment of performance improvement that has led to quality incentive payments from CMS under the Hospital Quality Improvement program during an April 18, 2007 audio conference, How to Structure a Healthcare Performance Improvement Process That Results in Incentive Payments. For more information, please visit: How to Structure a Healthcare Performance Improvement Process That Results in Incentive Payments
Managing Transitions to Care for the Frail Elderly
John Charde
Length: 12:38
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Laurie Russell
Length: 7:06
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Posted: March 26, 2007 The hands-on approach of Enhanced Care Initiatives' "Easy Care" program for the frail elderly is built on human interaction, communication and reinforcement. Nurses act as health advocates, pulling together all aspects of a patient's care and supporting the patient by working for them in the healthcare system. However, technology has its place: a tablet PC is a communication hub for nurses, a web-based patient data collection tool is an information repository, and in-home monitoring tracks meds intake. Dr John Charde, Enhanced Care Initiatives' vice president of strategic development, described how Enhanced Care Initiatives varied programs "touch" the frail elderly. Fall risk assessment is built into XLHealth's health risk assessments for the elderly, explained Laurie Russell, its senior director of health solutions. Members' caregivers and pharmacists also play key roles in XLHealth's fall prevention efforts. More than a year into CMS' Medicare Health Support Program, Russell detailed how her organization's "Ask Your Doctor" report empowers members with the language to address medical conditions during a doctor visit. Charde and Russell explored how to create effective care management approaches for the frail elderly during an April 26, 2007 audio conference, Managing Transitions to Care for the Frail Elderly. For more information, please visit: Managing Transitions to Care for the Frail Elderly
Healthcare for the New Generations: Understanding and Engaging Generation "Xers" and "Yers" Through Tailored Products and Channels
Posted: February 28, 2007 Lee Aase, Mayo clinic’s manager of national media and new media is a self-described borderline Baby Boomer/GenX-er charged with tapping new media channels such as podcasts and streaming video to deliver Mayo’s health information to increasingly younger consumers. Experience has shown that it takes a life event such as the birth of a child or a parent’s illness to get young people thinking about health coverage and care. But sometimes an emergency can be a defining moment. When an uninsured family member suddenly took ill, Lee pressed his organization’s newly launched cell phone health tool into action and averted a costly ER visit. Scott Schroeder, president and CEO of Cohorts, Inc., defines the segments of Generation X and Generation Y and how marketing channels and messages should be influenced by these segments. Aase and Schroeder, along with Aric Hooverson, account director, Grey Worldwide San Francisco and Shelley Patchin, director of advertising, Wellpoint, provided an overview of the media preferences of these generations and the impact these preferences are having on healthcare marketing, products and services during a March 28, 2007 audio conference, Healthcare for the New Generations: Understanding and Engaging Generation "Xers" and "Yers" Through Tailored Products and Channels. For more information, please visit: Healthcare for the New Generations: Understanding and Engaging Generation "Xers" and "Yers" Through Tailored Products and Channels
Utilizing Medical Homes To Create a Patient-Centered Approach to Managing Chronic Conditions
Posted: February 23, 2007 In the patient-centered "medical home" model, patients' families and communities have clear-cut responsibilities, explained Elizabeth Reardon, a consultant with Commonwealth Medicine in Massachusetts. Healthcare organizations can draw parallels from Ed Wagner's chronic care model and learn from the groundbreaking work pediatricians have done to assure continuity of care for children with special healthcare needs. She suggested tactics and resources for drawing families and communities into the medical home model.Reardon, along with Anne Hernandez, director of operations of APS Healthcare and Dr. George Rust, senior consultant for APS Healthcare and Interim Director of the National Center for Primary Care, Morehouse School of Medicine, shared strategies on building an effective medical home project and the impact these programs can have on patient outcomes and satisfaction during a March 7, 2007 audio conference, Utilizing Medical Homes to Create a Patient-Centered Approach to Managing Chronic Conditions. For more information, please visit: Utilizing Medical Homes to Create a Patient-Centered Approach to Managing Chronic Conditions
Download a complimentary white paper on Medical Home Awareness & Early Successes 2008.
Essential Elements for Physician Practice PFP Success: Key Steps in EHR Selection and Implementation
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Dr. Jim Morrow
Length: 12:07
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 Dr. Joel Diamond
Length: 5:15
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Posted: February 16, 2007 Implementing an electronic health record (EHR) in 1998 has transformed the way the four-location North Fulton Family Practice in Georgia does business. Dr. Jim Morrow, North Fulton's vice president and chief information officer, described how the EHR has enhanced physician-patient "face time"and care management and improved efficiency, productivity and profitability at the 20-provider practice. He even said that having an EHR has made him a better physician. Dr. Joel Diamond, medical director of Diamond, Fera and Associates, explained how concentrating on people rather than IT and engaging the medical leadership and the rest of the staff at the University of Pittsburgh Medical Center for successful hospital implementation of an electronic health record and how these lessons can be applied to a physician practice. Diamond also described how his practice achieved a one-year ROI turnaround from its EHR implementation.Dr. Morrow and Dr. Diamond provided physician practices with the key factors to consider when deciding to implement an EHR, along with the critical steps to a successful EHR implementation during a March 21, 2007 audio conference, Essential Elements for Physician Practice PFP Success: Key Steps in EHR Selection and Implementation, please visit: Essential Elements for Physician Practice PFP Success: Key Steps in EHR Selection and Implementation
Managing Transitions to Care for the Dually Eligible Medicare and Medicaid Patient
| 
Sarah Keenan
Length: 5:55
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Diane Flanders
Length: 8:56
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Posted: February 2, 2007 Beyond the issues one might expect from serving the dual eligible population, the Minnesota Senior Health Options' (MSHO) program also addresses the service barriers that occur in a rural setting. Sarah Keenan, clinical liaison with Medica, described how MSHO responds to these service issues and how the inevitable breakdowns during care transitions are managed through MSHO's "care coordination" efforts, which ensure communication between providers and follow a patient seamlessly through transitions of care. The flexibility inherent in MassHealth's Senior Care Options model empowers providers to offer on-site and community-based care to enrollees, improves the level of service offered to diverse populations and offers participants a seamless transition to the Medicare part D pharmacy benefits. Diane Flanders, director of coordinated care systems for MassHealth, provided an overview of the unique partnership that is designed to keep its seniors as well as possible, and in their homes and communities for as long as possible.Keenan and Flanders described how to create a coordinated care management approach for dual eligibles during a February 14th audio conference, Managing Transitions to Care for the Dually Eligible Medicare and Medicaid Patient. For more information, please visit: Managing Transitions to Care for the Dually Eligible Medicare and Medicaid Patient
Using Web Technologies in Consumer-Driven Healthcare for Transparency, Decision Support and Health Promotion
Posted: January 12, 2007 With the growth of consumer-driven healthcare, the Internet is playing a large role in disseminating information due to its convenience and its ease of use. John Mills, director of product management with HIP Health Plans, and Kim Bellard, vice president of eMarketing with Highmark Inc. discussed the Web-based tools their companies have implemented to improve the healthcare experience for consumers. John Mills introduced some of the web-based initiatives his company has begun to use, and also discussed the impact of having easily accessible information available on the HIP Web site. Kim Bellard discussed how his company’s use of technology helps consumers make informed decisions and their proactive approach to promoting the use of their Web site. Both speakers discussed the benefits as well as the possible challenges and pitfalls of these new ventures, as well as the role that consumer education plays in all arenas of information dissemination. Bellard and Mills examined how healthcare organizations are providing online tools to ensure that consumers have the information they need to not only take more responsibility for their health status, but also to get the right treatment at the right time at the right place during a January 25th audio conference, Using Web Technologies in Consumer-Driven Healthcare for Transparency Decision Support and Health Promotion. For more information, please visit: Using Web Technologies in Consumer-Driven Healthcare for Transparency, Decision Support and Health Promotion
CMS' Voluntary Physician Reporting Program: Preparing for the Feedback and 2007 Updates
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Dr. Bruce Bagley
Length: 5:08
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 Dr. Ronald Bangasser
Length: 13:00
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Posted: December 12, 2006 Dr. Bruce Bagley, medical director of quality improvement with the American Academy of Family Physicians, described his organization's willingness to support physicians as CMS expands its Physician Voluntary Reporting Program (PVRP), the role of electronic medical records in the CMS initiative, and predicted just how long this program will remain voluntary. Participating in PVRP can have a daunting effect on office work flow. Each time CMS adds a measure to PVRP, Beaver Medical Group in Redlands, California has to reconfigure its entire IT system. Dr. Ronald Bangasser, a family practice physician with Beaver, described the impact that sharing quality data with CMS has had on his organization, his predictions for the expansion of the reporting program, and his view of the recently legislated financial incentives CMS will award to participating physicians beginning in July 2007.Dr. Bagley and Dr. Bangasser provided an update on the CMS' voluntary reporting program and what impact the program will have on physician practices in 2007 during a January 9th audio conference, CMS' Voluntary Physician Reporting Program: Preparing for the Feedback and 2007 Updates. For more information, please visit: CMS' Voluntary Physician Reporting Program: Preparing for the Feedback and 2007 Updates
NPI: Strategies for an Implementation Process To Meet the May 2007 Deadline
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Matthew Wallach
Length: 18:16
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 Lynn Somers Syrek
Length: 2:23
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Posted: December 4, 2006 The NPI implementation deadline is less than 175 days away, but only 1.5 million NPIs have been issued to date. Listen to Matt Wallach, Health Market Science's chief marketing officer, described the wide-reaching implications of NPI use, the ideal management team to direct the implementation effort, and the provider and payor education that must occur to avoid "potentially severe" issues related to the May 2007 deadline. Lynn Somers Syrek, director of operations support and NPI project manager at Coventry Health Plans, described how Coventry is preparing for the NPI deadline and the type of training the organization is providing to its employees. Wallach and Syrek described what steps organizations need to take to ensure compliance by the May 2007 NPI deadline during a December 12th audio conference, NPI: Strategies for an Implementation Process To Meet the May 2007 Deadline. For more information, please visit: NPI: Strategies for an Implementation Process To Meet the May 2007 Deadline
Managing Transitions to Care for Medicare Patients to Avoid Costly Inpatient Admissions
| 
Greg Lehman
Length: 8:54
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Posted: November 14, 2006 Miscommunication during the care transition puts elderly patients at risk for reduced quality of care, poorer outcomes and unnecessary procedures, according to Gregg Lehman, president and CEO of Inspiris. He defines the key players on the care transition team, suggests strategies for improving communications during this crucial phase and describes his organization's approach to dual eligibles who find themselves at this healthcare crossroad. Lehman, along with Danielle Butin, director of health services at Oxford Health Plans, a United Healthcare Company, described how their organizations are coordinating the care of Medicare patients as they transition through the healthcare system to minimize costly episodes of care during a November 30th audio conference, Managing Transitions to Care for Medicare Patients to Avoid Costly Inpatient Admissions. For more information, please visit: Managing Transitions to Care for Medicare Patients to Avoid Costly Inpatient Admissions
Telephonic Health Coaching: How It Can Improve Your Population Health Management Program
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Colleen Perkins
Length: 0:26
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Dennis Richling
Length: 1:12
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Posted: November 14, 2006 Colleen Perkins, health strategies consultant with Mayo Clinic Health Management Resources, describes the type of individuals that make telephonic health coaching calls and how participants are assessed for readiness to change during an initial intake call. Perkins also explains the flow of the assessment call and subsequent coaching calls. Dr. Dennis Richling, medical director, vice president for CorSolutions, a Matria Company, explains why telephonic health coaching is becoming more relevant with the growth of consumer-directed healthcare plans and patient self-management. Ms. Perkins and Dr. Richling presented at an April 5, 2006 audio conference, Telephonic Health Coaching: How It Can Improve Your Population Health Management Programs. For more information, please visit: Telephonic Health Coaching: How It Can Improve Your Population Health Management Programs
Download a complimentary white paper on Health Coaching Trends in 2008.
Health Plan Open Enrollment: Strategies To Improve Results
Posted: November 14, 2006
Joan McCarthy, vice president and communication consultant at AON Consulting, provides a list of factors that lead to the best open enrollment results. Paul Harris, senior consultant with Hewitt Associates, explains why the having a health fair during open enrollment season might be counterproductive and what the ideal timing is for a health fair. McCarthy and Harris along with Hilary Mitchell, director, voluntary benefits programs with Pitney Bowes presented at a May 24, 2006 audio conference, Health Plan Open Enrollment: Strategies To Improve Results. For more information, please visit: Health Plan Open Enrollment: Strategies To Improve Results
Healthcare Report Cards: How to Get an A+ in the Public Reporting of Healthcare Quality Data
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Paul L. Green
Length: 2:00
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 Christine Profita Orok
Length: 0:39
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Posted: November 2, 2006 Paul L. Green, director, clinical quality improvement, John F. Kennedy Memorial Hospital, describes the growth of public interest in hospital report cards and whether these report cards truly make a difference among consumers as they select sites of care. Christine Profita Orok, project leader of cost and quality at Blue Cross Blue Shield of Massachusetts, defines the goals and principles of its quality reporting program. Green and Profita Orok presented at a June 7, 2006 audio conference, Healthcare Report Cards: How to Get an A+ in the Public Reporting of Healthcare Quality Data. For more information, please visit: Healthcare Report Cards: How to Get an A+ in the Public Reporting of Healthcare Quality Data.
Integrating Health Coaching Into a Comprehensive Health Management Effort
Posted: November 1, 2006 Dr. Susan Butterworth , director of health services at Oregon Health & Science University, describes how to recognize when a patient is ready for self-management, help patients prepare for coaching and the elements of motivational interviewing training, certification, requirements and benefits. Roger Reed, executive vice president for marketing operations at Gordian Health Solutions, describes the quality checks built into his organization's coaching initiatives, the immediacy of cash incentives in effecting behavior change, and the value of the "accountability factor" in health coaching. Dr. Butterworth and Mr. Reed presented at our audio conference, Integrating Health Coaching Into a Comprehensive Health Management Effort. For more information, now available on CD-ROM, please visit: Integrating Health Coaching Into a Comprehensive Health Management Effort.
Primary Care Physicians and Disease Management
Peter Simpson
Length: 2:21
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Dr. Maureen Mangotich
Length: 3:12
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Posted: October 25, 2006 Peter Simpson, president of Segmedica Inc, defines the three types of physicians his organization has identified after years of psychological research. Dr. Maureen Mangotich, medical director of provider and community outreach with McKesson Health Solutions, reviews some feedback McKesson has received after new programs to primary care physicians. For more information, please visit Primary Care Physicians and Disease Management
Maximizing the Results of Your Disease Management Programs Through Community-Based Resources
Michelle Brooks
Length: 1:10
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Judith Szilagyi-Neary
Length: 1:59
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Posted: October 31, 2006 Michelle Brooks, RN, MSN, administrator, regional health plans for Pitt County Memorial Hospital, University Health Systems of Eastern Carolina, describes how her organization's case managers identify and work with patients with chronic diseases to coordinate healthcare services and community-based services. Judith Szilagyi-Neary, clinical care manager at Ovations, a United Healthcare Company, outlines two programs provided through Ovations - a transition coach program and the Personal Service Delivery Program, both of which strategize and maximize community-based resources. For more information, please visit: Maximizing the Results of Your Disease Management Programs Through Community-Based Resources
The Role of Health Coaches in Disease and Care Management
Posted: October 25, 2006 Danielle Butin, director of health services at Oxford Health Plans, a United Healthcare company, describes the Oxford's two-and-half-day health coach training program. Kerry Little, senior health coach with Duke University Medical Center, describes the qualities that set Duke's program apart from other coaching initiatives. Gordian Health Solutions Executive Vice President and Chief Health Officer Roger Reed identifies the key components of a Gordian health coaching call. For more information, please visit The Role of Health Coaches in Disease and Care Management
Medicaid Disease Management: Program Design, Features and Results
Posted: October 23, 2006 David Hunsaker, president of public programs, APS Healthcare, describes how to maintain contact with the Medicaid population, dispels some of the myths about the Medicaid population and discusses ways to reduce non-urgent emergency room usage among Medicaid recipients. Elizabeth Reardon, managed care director, Vermont Health Access, discusses the challenges of serving a rural population in Medicaid disease management programs and how case managers can utilize home visits conducted either by the case manager or by other service provides already visiting the home to help coordinate the care of Medicaid patients. For more information, please visit Medicaid Disease Management: Program Design, Features and Results
Non-Urgent Emergency Room Usage: Proven Ways to Redirect Care to Appropriate Settings
Roberta Burgess
Length: 4:09
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Gerald Kiplinger
Length: 2:52
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Posted: October 18, 2006 Roberta Burgess, a clinical case manager for the Community Care Plan of Eastern Carolina, defines the role of the primary care physician in reducing non-urgent emergency room (E.R.) use, identifies the greatest misuses of the E.R. and defines the "ABCs" of determining whether a visit to the E.R. is warranted. Gerald Kiplinger, vice president and executive director of the Georgia Enhanced Care program for APS Healthcare, explains what role primary care physicians and the emergency room itself can play in preventing non-urgent use of the ER and what factors can play into inappropriate use of the ER by the Medicaid population in particular. For more information, please visit Non-Urgent Emergency Room Usage: Proven ways to Redirect Care to Appropriate Settings
Download a complimentary white paper on Reducing Unnecessary ED Visits
Maternity Disease Management: Assessments, Guidelines and Monitoring to Meet Positive Expectations
Dr. Joseph Stankaitis
Length: 4:16
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Dr. Tom Smith
Length: 2:39
| | Christy L. Beaudin
Length: 1:25
| Posted: October 17, 2006 Dr. Joseph Stankaitis, a chief medical officer at Monroe Plan for Medical Care, explains how incentives improved physicians' completion of his organization's prenatal registration form, and how Monroe improved coordination between its perinatal staff and behavioral health staff to address mental health or chemical dependency issues in the targeted population. Overcoming barriers to outreach is a crucial component of Health Management Corporation's telephonic Baby Benefits program says,Tom Smith, the organization's director of medical care management. And Christy L. Beaudin, PHD, LCSW, CPHQ, corporate director of quality improvement at PacifiCare Behavioral Health, describes the crucial differences between the "baby blues" and postpartum depression.For more information, please visit Maternity Disease Management: Assessments, Guidelines and Monitoring to Meet Positive Expectations.
Depression Disease Management: Healthcare's New Frontier
Dr. Sam Toney
Length: 1:33
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Mary Beth Chalk
Length: 2:00
| Posted: October 16, 2006 Dr. Sam Toney, president and chief medical officer of Health Integrated, describes how his organization's depression management program strives to include providers. Mary Beth Chalk, Mary Beth Chalk, chief operating officer of Resources For Living, describes how her program helped a member deal with her chronic condition. For more information, please visit Depression and Disease Management.
The Role of Behavior Modification in Disease Management and Health
Michael Thompson
Length: 1:21
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Dr. Richard Citrin
Length: 1:27
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Dr. Rick Botelho
Length: 2:23
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Posted: October 15, 2006 Michael Thompson, a principal with PriceWaterhouseCoopers, describes how a lifestyle score card is being developed to incent members and employees to adopt health lifestyles. Dr. Richard Citrin, vice president of EAP Solutions at the University of Pittsburgh Medical Center, describes how a person's perception of their health drives their healthcare decisions. Dr. Rick Botelho, a professor of family medicine and nursing at the University of Rochester,advises practitioners to put four key motivational principles into practice when helping patients change behaviors. For more information, please visit: The Role of Behavior Modification in Disease Management and Health: New Perspectives on How You Can Maximize Your Program's Effectiveness.
Cultural Competency in Healthcare
Elsa Batica
Length: 1:08
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Patti Ludwig-Beymer
Length: 1:05
| Posted: October 11, 2006 Elsa Batica, cross-cultural health development and training manager with Children's Hospitals and Clinics of Minnesota, gives her personal perspective on cultural competence and discusses how her organization takes advantage of community resources.Patti Ludwig-Beymer, administrative director for nursing research and education, Edward Hospital and Health Services, discusses the importance of staff education in building a culturally competent organization and viewing cultural competence as a process rather than an outcome. For more information, please visit Cultural Competence In Healthcare: Ensuring Culturally Appropriate Treatment and Services To Reduce Disparities and Improve Outcomes
Healthcare Trends and Forecasts 2007
Dr. Peter Kongstvedt
Length: 6:24
| Posted: September 27, 2006 Dr. Peter Kongstvedt, a partner in the health and managed care consulting services division of Accenture, evaluates hospitals' response to requests for quality data from federal and private agencies.
Live from the Health Management Congress
Dr. Kate Lorig
Length: 12:32
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Dr. Alan Spiro
Length: 11:36
| Posted: September 15, 2006 Dr. Kate Lorig, a registered nurse, doctor of public health and professor of medicine at Stanford Patient Education Research Center describes the identification and training of patient leaders for self-management workshops, cultural considerations and other program details. Dr. Alan Spiro, vice president and chief medical officer of Anthem National Accounts, a Wellpoint company, fears that the industry has become so focused on metrics “that it is missing the people.” Learn how his organization is utilizing the concept of “primary nurse” who is the single telephonic contact for a patient.
Health Fairs: Planning, Marketing and Achieving Bottom-Line Results
Paul Harris
Length: 2:46
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Larry Hicks
Length: 7:04
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Heidi Laubach
Length: 4:21
| Posted: September 14, 2006 Paul Harris, a senior healthcare consultant with Hewitt Associates, describes how organizations can utilize the data resulting from health fairs. Larry Hicks, a senior consultant with the Hay Group discusses the role a health fair can play in the benefits open enrollment process and the optimal timing for this type of health fair. Harris and Hicks also list the privacy issues an organization must consider when planning a health fair and the single greatest error organizations make when organizing health fairs. Heidi Laubach, a consultant with AON Consulting, explores how to mesh employees' expectations of a health fair with the goals of the hosting organization, the most successful and the most creative health fair promotion strategy she has seen and some planning tips for organizations that would like to hold a health fair but have employees at multiple sites. Harris, Hicks and Laubach discuss the elements of a successful health fair that generate a return on investment and improve the health and well-being of its participants during a September 28th audio conference on CD-ROM, Health Fairs: Planning, Marketing and Achieving Bottom-Line Results. For more information, please visit:
http://store.hin.com/product.asp?itemid=3475
Making the Business Case for Physician Participation and Engagement in Pay-for-Performance Programs
Dr. Fred Hosler
Length: 6:18
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Michael O'Neil
Length: 6:35
| Posted: September 6, 2006 Dr. Fred Hosler, senior vice president and chief medical officer at Alegent Health, describes the role of electronic medical records in the pay-for-performance arena, the importance of adequate ramp-up time and of building staff support in a collegial fashion for organizational ventures such as pay-for-performance. Dr. Hosler also describes how his organization is developing a physician leadership program in conjunction with Gallup University and the University of Nebraska at Omaha. Michael O'Neil, vice president of strategic initiatives with HealthSpring, describes how "new money on the table" in the form of bonuses and additional payments, rather than withholding reimbursements, is more likely to encourage physicians' participation in pay for quality efforts. O'Neil also describes how his organization is getting results and freeing up valuable staff time by placing a pay-for-quality coordinator with selected physician practices. Dr. Hosler and Mr. O'Neil presented inside details on how their organizations have engaged physicians in PFP programs during a September 6th audio conference now available on CD-ROM, Making the Business Case for Physician Participation and Engagement in Pay-for-Performance Programs. For more information, please visit:
http://store.hin.com/product.asp?itemid=3460
Healthcare Risk Stratification: Strategies for Identifying and Referring the Appropriate Service and Intervention
Penelope Kokkinides
Length: 7:31
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Thomas Ferraro
Length: 15:12
| Posted: August 16, 2006
Penelope Kokkinides, national vice president of disease management with AmeriChoice, a United Healthcare Company, describes the initial steps in crafting a healthcare risk stratification strategy and what factors can play into this, including type of population served. Thomas Ferraro, business development director with Mayo Clinic Health Management Resources, provides insights on the stratification process within his organization. They were speakers during an August 16 audio conference, Healthcare Risk Stratification: Strategies for Identifying and Referring the Appropriate Service and Intervention. For more information, please visit:
http://store.hin.com/product.asp?itemid=3444
Empowering and Educating Consumers for Effective Consumer-Driven Healthcare Plans
Philip Micali
Length: 7:59
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Marie Dufresne
Length: 1:32
| Posted: July 26, 2006
Philip Micali, founder and CEO, bWell International provides insights on how employers can educate consumers about health plans options and effectively measure the effectiveness of their communication efforts. Marie Dufresne, senior consultant with the Hay Group discusses how employers and health plans should communicate with consumers about their healthcare options. They spoke during a July 26 audio conference, Empowering and Educating Consumers for Effective Consumer-Driven Healthcare Plans. For more information, please visit:
http://store.hin.com/product.asp?itemid=3434
Wellness Champions: Developing a Network of Liaisons To Promote and Expand Your Wellness Program
Robin Foust
Length: 5:56
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William Baun
Length: 6:48
| Posted: July 12, 2006
Robin Foust, health management specialist and principal, Zoe Consulting, Inc., explains the benefits of having a good mix of wellness champions, from senior executives on down. William Baun, manager, wellness programs, University of Texas M.D. Anderson Cancer Center, describes the typical wellness champ at his organization, how champions contributed to a recent International Wellness Challenge Day and the most effective recruiting practice for new wellness champions. They were joined by Michele Nelson-Housley, wellness program coordinator, University of Texas M.D. Anderson Cancer Center, on July 12 during Wellness Champions: Developing a Network of Liaisons To Promote and Expand Your Wellness Program, a 60-minute audio conference. For more information, please visit:
http://store.hin.com/product.asp?itemid=3429
Diabetes Disease Management: Practical Strategies for Identifying At-Risk Populations and Avoiding Complications
Length: 6:43
Posted: June 28, 2006
David Larsen, director of quality improvement at SelectHealth, provides a brief overview on how technology is having a big impact on performance improvement and HEDIS results at SelectHealth. Larsen, along with Dr. Jaan Sidorov, medical director, with Geisinger Health Plan described how their programs identify potential members for diabetes disease management programs, the interventions given and the impact these programs are having on patient outcomes and the bottom line during a June 28, 2006 audio conference, Diabetes Disease Management: Practical Strategies for Identifying At-Risk Populations and Avoiding Complications, now available on CD-ROM. For more information, please visit:
http://store.hin.com/product.asp?itemid=3428
Serving the Needs of the Medicaid Population in Disease Management Programs
Jerry Kiplinger
Length: 0:45
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Herb Shultz
Length: 0:28
| Posted: June 15, 2006
Hear from Jerry Kiplinger, executive director, APS healthcare, describes how his organization has effectively built a referral system for patients who may eligible for Medicaid disease management from the hospital discharge process. Herb Schultz, vice president, government account management, McKesson Health Solutions, explains how to create broad-based enrollment methods for Medicaid patients while making sure that your communication materials are sensitive to language and cultural needs. Kiplinger and Schultz provided inside details on how their organizations address the needs of the Medicaid population during a January 25th audio conference, Serving the Needs of the Medicaid Population in Disease Management Programs, now available on CD-ROM. For more information, please visit:
http://store.hin.com/product.asp?itemid=3275
CMS' New Voluntary Physician Pay-for-Performance Program: Identifying the Opportunities
Julie Baker
Length: 2:54
Posted: June 5, 2006
Hear from Julie Baker, director, healthcare advisory practice, PricewaterhouseCoopers, on what is driving the move toward pay-for-performance programs, history on some of the programs in place now and what this means for physician practices evaluating the new voluntary physician quality reporting program launched by the Centers for Medicare and Medicaid Services. Baker's remarks are excerpted from CMS' New Voluntary Physician Pay-for-Performance Program: Identifying the Opportunities, a 90-minute audio conference now available on CD-ROM during which Baker and Robert Fortini, clinical operations manager, Community Care Physicians, examine the new call for voluntary reporting of quality measures by physician practices to CMS. For more information, please visit:
http://store.hin.com/product.asp?itemid=3292
Medicare Disease Management: Identifying and Engaging the Elderly Population To Improve Chronic Health Status
Blake Andersen
Length: 0:46
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Pamela Fromelt
Length: 0:20
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Randall Krakauer
Length: 0:42
| Posted: May 5, 2006
Hear from Blake Andersen, president, Chronic Care Group, Health Sciences Institute, outlines the critical success factors in delivering improved senior care. Pamela Fromelt, vice president of government programs, LifeMasters Inc., illustrates how important the face-to-face approach is in serving Medicare patients. Dr. Randall Krakauer, national medical director, retiree markets, Aetna, describes how preventing avoidable admissions in the Medicare population can have an impact on costs, mortality and morbidity. Andersen, Fromelt and Krakauer described how disease management programs can serve the needs of Medicare beneficiaries with chronic conditions to improve their health status, while reducing spending on these conditions during a March 29th audio conference, now available on CD-ROM, Medicare Disease Management: Identifying and Engaging the Elderly Population To Improve Chronic Health Status. For more information, please visit:
http://store.hin.com/product.asp?itemid=3292
Healthcare Toolkits Award 2005
Length: 7:55
Posted: April 12, 2006
A patient navigation kit accented with artwork and writings by breast cancer survivors took top honors in the first annual Healthcare Toolkits contest sponsored by the Healthcare Intelligence Network (HIN). The MyHealth, MyJourney breast cancer post-diagnosis toolkit developed by The Eden Communications Group of Maplewood, N.J., for Pfizer Oncology was awarded first prize among nearly 60 print, web-based and multi-media healthcare toolkits submitted by health plans, hospitals and employers.
Health Plan Quality Improvement
Dan Styf
Length: 1:56
Posted: April 5, 2006
Dan Styf, director of learning and innovation, Alliance of Community Health Plans, shares his thoughts on health plan quality improvement initiatives. Styf's comments were part of a July 20, 2005 audio conference, Health Plan Quality Improvement: Building and Monitoring an Effective Program, during which Styf provided inside details on health plan quality improvement (QI) programs and results from such initiatives. For more details on this conference, please visit:
http://store.hin.com/product.asp?itemid=3107
Using Web Technologies in Consumer-Driven Healthcare in 2006
Kim Bellard
Length: 2:14
Posted: March 15, 2006
Kim Bellard, vice president of eMarketing, Highmark Inc., describes how his organization is meeting the needs of members enrolled in consumer-driven healthcare plans by providing web-based tools and information. Bellard shared his experience during Using Web Technologies in Consumer-Driven Healthcare in 2006, a January 17, 2006 audio conference. This conference, now available on CD-ROM, provides an overview of how healthcare organizations are providing the right tools via their organizations' web sites to ensure that consumers have the information they need to assess the impact of their healthcare decisions. For more details, please visit:
http://store.hin.com/product.asp?itemid=3273
Using Web Technologies in Consumer-Driven Healthcare in 2006
Kim Bellard
Length: 1:12
Posted: March 15, 2006
Kim Bellard, vice president of eMarketing, Highmark Inc., walks through the tools and types of content that Highmark provides on its site in a way that their users can use their site with "No fuss, no muss." Bellard also describes why Highmark is making this commitmentas part of his presentation during Using Web Technologies in Consumer-Driven Healthcare in 2006, a January 17, 2006 audio conference. This conference, now available on CD-ROM, provides an overview of how healthcare organizations are providing the right tools via their organizations' web sites to ensure that consumers have the information they need to assess the impact of their healthcare decisions. For more details, please visit:
http://store.hin.com/product.asp?itemid=3273
21 Creative Wellness Program Promotional Strategies
William Baun
| | 
Aaron Hardy
Length: 1:56
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Rebecca Kelly
| Posted: February 10, 2006
Get inside details from three wellness experts on how to spark interest and participation in your wellness programs. William Baun, manager, human resources and wellness department at the University of Texas MD Anderson Cancer Center, Aaron Hardy, wellness coordinator with Washoe County School District and Rebecca Kelly, wellness coordinator at American Cast Iron Pipe Company (ACIPCO) Health Services share their secrets to success. Get all 21 secrets when you order 21 Creative Wellness Program Promotional Strategies, a February 8, 2006 audio conference on CD-ROM:
http://store.hin.com/product.asp?itemid=3298
Health Coach Training: Insider Tips for Effective Coaching
Bonnie Sechrist
Length: 5:28
Posted: February 1, 2006
Discover the guiding principles for health coaching at Health Management Corporation (HMC) from Bonnie Sechrist, director of clinical program development at HMC and how this is translated into its training program. Kerry Little, senior health coach with Duke University Medical Center, shares what strategies Duke uses for its health coaches to connect with participants. Sechrist and Little, along with Maddy M. Rice, area vice president of education at CorSolutions, shared their companies' strategies for health coach training during Health Coach Training: Insider Tips for Effective Coaching, an October 26, 2005 audio conference now available on CD-ROM. For more information, please visit:
http://store.hin.com/product.asp?itemidid=3218
Healthy Competition in the Workplace: Taking the Team Approach to Wellness
David Chenoweth
Length: 0:38
Posted: February 1, 2006
David Chenoweth, president, Chenoweth & Associates Inc., shares his thoughts on why team approaches to wellness are effective in the workplace. Chenoweth was joined by Margaret Frucci, human resource manager, Ocean Medical Center, part of Meridian Health System and Aaron Hardy, wellness coordinator, Washoe County School District, during Healthy Competition in the Workplace: Taking the Team Approach to Wellness, a November 15, 2005 audio conference available on CD-ROM which examined how workplace wellness programs are using competition between employees and departments to drive participation and results in wellness programs. For more information, please visit:
http://store.hin.com/product.asp?itemid=3241
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Linda Davis
Sue Lewis
Mark Xistris
