Archive for April, 2008

Disease Management for Diabetes

April 10th, 2008 by Melanie Matthews

Over 20 million Americans have diabetes, and an additional 77 million Americans are “pre-diabetics.” Moreover, the prevalence of the disease has more than doubled since the 1980s and is expected to affect 39 million Americans by 2050. More and more organizations are seeing positive results in improving diabetes care coordination through the use of medical homes.

This week’s Disease Management Update takes a look at a possible cure for Type 2 diabetes, as well as what the National Institute of Health and the University of Alabama Birmingham are doing to treat, prevent and potentially cure the disease.

HIN Launches the Medical Home Monitor

April 4th, 2008 by Melanie Matthews

HIN Medical Home Monitor
New pilots and applications of the patient-centered medical home model are announced daily. To track this transformation of care delivery, we’ve launched the Medical Home Monitor, an online collection of complimentary video, podcasts, white papers and blog posts on the advancement and adoption of the patient-centered medical home model of care, as well as links to additional medical home resources. Be sure to check this site often as we cover new initiatives by physicians and payors under this new model and its impact on healthcare access, quality, resource use and cost.

Some Parents Say No to Vaccines, Creating Public Health Risks

April 3rd, 2008 by Melanie Matthews

“Say No to Drugs Vaccines”?

According to a recent article in the NY Times, a growing number of parents in California (and 19 other states including Ohio and Texas) are opting to not vaccinate their children against some diseases such as measles, mumps and rubella. Taking advantage of state exemptions to laws that require school-aged children to be vaccinated, some parents are not vaccinating their children in fear that such vaccines are linked to autism, a growing epidemic among children today.

While these parents may be protecting their children from what they feel is the bigger problem, they are also exposing others in the community to these potentially deadly diseases. Children too young to receive the vaccinations are at risk, as well as those who have had their shots, as not all vaccinations are 100 percent effective.

“The very success of immunizations has turned out to be an Achilles’ heel,” said Dr. Mark Sawyer, a pediatrician and infectious disease specialist at Rady Children’s Hospital in San Diego. “Most of these parents have never seen measles, and don’t realize it could be a bad disease so they turn their concerns to unfounded risks. They do not perceive risk of the disease but perceive risk of the vaccine.”

Some “exemptster” parents are intentionally exposing their children these diseases by sending them to “parties” to contract specific diseases so they develop natural immunities to them.

Autism Awareness

April 3rd, 2008 by Melanie Matthews

With yesterday being Autism World Awareness Day, this week’s Disease Management Update looks at the brain development disorder of autism. This disorder remains very much a mystery to many healthcare providers and patients, but its prevalence is growing. One in 150 individuals is diagnosed with autism each year, making it more common than pediatric cancer, diabetes and AIDS combined.

Physicians, Payors Agree to Draft National Quality Measurement, Reporting Principles

April 1st, 2008 by Melanie Matthews

The Consumer-Purchaser Disclosure Project today announced a national agreement with leading physician groups and health insurers on principles to guide how health plans measure doctors’ performance and report the information to consumers.

The Patient Charter for Physician Performance Measurement, Reporting and Tiering Programs creates a national set of principles to guide measuring and reporting to consumers about doctors’ performance. According to the Consumer-Purchaser Disclosure Project, the accord is an important step toward patient-centered health reform that gives patients reliable information that will lead to better care and help them make informed choices. Where embraced, the Patient Charter will ensure both consumers and physicians will be able to understand, trust and contribute to how health plans rate doctors’ performance.

Consumer, employer and labor groups endorsing the charter include AARP, AFL-CIO, the Leapfrog Group, the National Business Coalition on Health, the National Partnership for Women and Families and Pacific Business Group on Health. Physician groups that support the accord include: the American College of Physicians, the American Academy of Family Physicians, the American Medical Association, the American College of Cardiology and the American College of Surgeons. Supporting insurers include the America’s Health Insurance Plans, Aetna, Cigna, UnitedHealthcare and WellPoint. The agreement was spearheaded by the Consumer-Purchaser Disclosure Project, a group of leading consumer, labor and employer organizations that works to ensure that all Americans have access to publicly reported healthcare performance information.

The Consumer-Purchaser Disclosure Project is an initiative that is improving healthcare quality and affordability by advancing public reporting of provider performance information so it can be used for improvement, consumer choice, and as part of payment reform. The Project is a collaboration of leading national and local mployer, consumer, and labor organizations whose shared vision is for Americans to be able to select hospitals, physicians, and reatments based on nationally standardized measures for clinical quality, consumer experience, equity, and efficiency. The project is funded by the Robert Wood Johnson Foundation along with support from participating organizations.