Maximizing the Nurse Advice Line To Ensure Appropriate Healthcare Utilization

More than a third of healthcare organizations have launched nurse advice lines to reduce avoidable emergency room use and direct patients to the most appropriate care venue, according to a July 2010 survey by the Healthcare Intelligence Network. The staffing and operation of Optima Health’s nurse advice line is influenced by many factors, explains Patricia Curtis, director of operations, clinical care services for Optima Health. Curtis describes the distinct responsibilities of the LPNs and RNs who staff the advice line as well as the diverse needs of the member populations who call the advice line.

Curtis shared how Optima’s nurse advice line has evolved from a call center that supported a staff model HMO to a critical component of the organization’s effort to improve the efficiency of healthcare utilization during Maximizing the Nurse Advice Line To Ensure Appropriate Healthcare Utilization, a 45-minute webinar on January 6, 2011.




Length: 3:53 minutes

How To Create an ACO Framework Through Clinical Integration with Independent Physicians

Thinking about creating an accountable care organization? The clinical integration of healthcare providers can be the first step, facilitating the coordination of services required for shared accountability and reward. Dr. Mark Shields, senior medical director with Advocate Physician Partners, describes the logistics of training 3,400 providers on clinical integration, the importance of the physician peer group in this effort, and the business case for the devotion of three of Advocate’s 41 performance measures to smoking cessation and prevention.

Dr. Shields shared Advocate’s clinical integration strategy during How To Create an ACO Framework Through Clinical Integration with Independent Physicians, a 45-minute webinar on December 1, 2010.




Length: 10:23 minutes

Redesigning the Physician Practice for Improved Efficiency and Increased Revenue

In the face of healthcare reform and new models of care delivery such as the patient-centered medical home, primary care physicians don’t have to fly solo anymore, advises Dr. David Eitrheim, a family physician with the Mayo Clinic Health System in Wisconsin. Dr. Eitrheim described how his practice’s team-based approach has changed the nature of the patient visit as well as the nurses’ workload, and provides the secret to a productive patient visit.

Dr Eitrheim shared how his practice made the transformation from a traditional practice to a team-based approach during Redesigning the Physician Practice for Improved Efficiency and Increased Revenue, a 45-minute webinar on December 15, 2010.




Length: 4:25 minutes

Health Risk Assessments: Administration, Delivery and Completion Benchmarks

Who’s using health risk assessments (HRAs), and how are they administered? What are the top incentives driving HRA completion, and what are the top three uses for HRA data? What completion rates can be expected?

In this month’s healthcare benchmarks podcast, Healthcare Intelligence Network executive VP and COO Melanie Matthews shares the latest market research on HRA use. This month’s metrics are derived from HIN’s June 2010 survey on HRAs, with commentary from Dr. Marcia Wade, Aetna Medicare’s senior medical director.

More actionable data on ways that 116 healthcare organizations are using HRAs is contained in 2010 Performance Benchmarks in Health Risk Assessment Use, a 60-page resource providing metrics and measures on current and planned HRA initiatives as well as lessons learned and results from successful health assessment programs.




Length: 3:01 minutes

Health Plan Rate Setting: Balancing Premium Increases Against Regulatory Oversight

In an atmosphere of increased state and federal oversight of health plan rates, healthcare organizations need a sound strategy for determining premium rate increases that meet regulatory approval. HealthScape Advisors managing directors Steve Young and John Steele describe the challenges of setting rates in this environment and the essential experience that can best prepare health plans for dealing with commercial plans.

Young and Steele shared how health plans can develop a sound policy for premium rate increases that will meet with regulatory approval during Health Plan Rate Setting: Balancing Premium Increases Against Regulatory Oversight, a 45-minute webinar on December 8, 2010.

 




Length: 3:39 minutes