Applying Evidence-Based Guidelines in the Medical Home

Despite the challenges, cost and uncertain return of EHRs, practices should move quickly to adopt this tool, recommends Dr. Richard J. Baron, president and CEO of Greenhouse Internists, where the EHR is the backbone that supports the implementation of evidence-based practices.

Dr. Baron shared his practice’s evidence-based guidelines experience — from working with physicians on documentation, staff training and work flow redesign to using the data to improve practice performance — during the October 6, 2009 webinar, Adopting and Implementing Evidence-Based Guidelines in the Medical Home. The 45-minute session is part of HIN’s continuing Medical Home Open House webinar series.

Length: 6:00 minutes

Tackling Healthcare Fragmentation with Innovative Health Management Solutions

Through the implementation of innovative health management programs, we can improve the performance of our healthcare system, says Steve Wigginton, president of Health Integrated, a leading health management solutions company. This podcast discusses how Health plans that make investments in wellness, chronic condition management and technology can enjoy a healthy return on investment with improved health outcomes for their members. To download a case study of one health plan’s successful use of health management solutions that improved outcomes and reduced costs, and for more information on Health Integrated, please visit: or call 800-323-0286.

Length: 11:27 minutes

Reducing Heart Failure Admissions through Remote Health Monitoring

Remote monitoring of heart failure patients by Henry Ford Health System reduced expected all-cause hospital admissions for enrollees by 36 percent after six months of enrollment and a return of 2.3:1 vs. program costs, according to a September 2009 study. Dr. Randall Williams, CEO of Pharos Innovations, the developer of the Tel-Assurance® remote patient monitoring platform used in Henry Ford’s medical home pilot, describes how 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. 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, describe the factors that can impact engagement in telephonic health management programs and present strategies to improve engagement rates in Health IT in Care Management to Improve Health and Effect Behavior Change.

Length: 11:29 minutes

Successful Models of Care for the Medical Home: Staffing and Roles of the Care Team

Although Group Health Cooperative’s increased their primary care staff, patients are still successful in connecting with their caregivers, says Michael Erikson, vice president of primary care services for Group Health Cooperative. In fact, the key to a patient’s understanding of his care team lies in the physician’s hands. In this podcast, Erikson discusses the effect Group Health’s staff expansion has had on its patients, as well as the many benefits of contacting patients via phone and e-mail in lieu of in-person office visits.

Erikson described the staffing strategies it implemented to reduce downstream utilization costs — from the skill sets required by the staff to the workflow changes needed to accommodate this model of care during a September 9, 2009 webinar, Successful Models of Care for the Medical Home: Staffing and Roles of the Care Team. The 45-minute session is part of HIN’s continuing Medical Home Open House webinar series.

Length: 4:45 minutes