Archive for December, 2012

Infographic: Stress in the Workplace

December 31st, 2012 by Melanie Matthews

Stress in the workplace is a major reason for loss of productivity and lower moral among employees. Workplace wellness programs are an effective way for employers to help employees manage stress. MediFit has developed an infographic that illustrates some of the causes of workplace stress as well as the benefits a workplace wellness program can realize.

Stress in the Workplace

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Infographic: Patient Data Security in a Virtual Environment

December 28th, 2012 by Melanie Matthews

A majority of healthcare organizations, 57 percent, use one method of access control for patient data, according to a new infographic by Experian.

Patient Data Security in a Virtual Environment

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Infographic: Raising the Medicare Eligibility Age

December 27th, 2012 by Melanie Matthews

Raising the Medicare eligibility age would increase healthcare costs and cause harm to seniors across the country, according to a new infographic by the Center for American Progress.

Impact of Raising Medicare Eligibility Age

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Healthcare Reform, Care Transitions, Survivorship Top 10 Case Management Trends for 2013

December 27th, 2012 by Cheryl Miller

“It was the best of times, it was the worst of times, it was the age of wisdom, it was the age of foolishness...it was the season of light, it was the season of darkness, it was the spring of hope, it was the winter of despair, we had everything before us, we had nothing before us…”

So said Charles Dickens in 1775, and so it was in the year 2012, a year of similarly stark contrasts, when we watched a superstorm ravage our pristine coastline and homes and state budgets; when we watched the Supreme Court uphold the constitutionality of the individual mandate and states struggle with the option to expand their Medicaid coverage or risk losing federal funding; when we watched the Democrats struggle to renew their rent on the White House, healthcare professionals struggle with revamped funding and delivery options and even case managers struggle with a possible revamping of their title.

But through it all, care, err, case managers continued to do what they do best: act as liasions between patients, caregivers and medical professionals, and help patients navigate the healthcare system in the best way possible. Given all the changes, we asked them to tell us what trends case managers locked onto this past year and what they were looking to ramp up on in the coming new year.

Here's what they said:

Teri Treiger, RN-BC, MA, CHCQM-CM, CCM, Founder of Ascent Care Management, LLC:
Many health systems are implementing their own brand of case management and unfortunately it simply requires a change in an individual’s job title rather than an evaluation of skill sets and provision of training and development opportunities in order for that person to be successful. These types of programs are going to be running aground and a need for knowledgeable case management consultants will bloom as the C-suite opts to address these less-than-successful programs.

The home care sector needs for case management are going to blossom as transition of care programs begin to engage more services to avoid readmissions.

Sheryl Riley, RN, OCN, CMCN, Managing Partner, Clarion LLC:
The next big challenge for us as care managers is survivorship, and how to best manage their needs. Given the many strides we've seen in the treatment of cancer, we now have over 50 percent of the (former cancer) population surviving, which opens up a new aspect of oncology care management, care of the survivors, not just immediately but 10 to 12 years down the road when the effects of the treatment can be seen on their vital organs. You’re dealing with drugs that have ravaged the body to kill cancer, but have also had deleterious effects including weakened bone, bone marrow and organs, particularly the heart and the lungs.

Helen Schreiber, RN, BS, CCM, Executive Vice President of S&H Medical Management Services, Inc.
The economy continues to impact this industry. I believe creative marketing is key at this time.

Sonia Morrison, RN, CM, BSN, RN case manager at Salinas Valley Memorial Healthcare System (SVMHCS), Nurse Assessment Consultant and Educator for veterans at Visiting Angels of Santa Cruz
Reimbursement has been the biggest challenge.

Linda Van Dillen, RN, BA, CCM, Executive VP/Partner of S&H Medical Management Services, Inc.
We have done research into the top cost trends in workers’ compensation and as a result have modified our services to assist the claims staff in making informed decisions as to reserving the claims and making recommendations to mitigate these costs.

JoAnne Vanett, BSN, MA, CCM, CEN, Specialty Case Manager in Readmissions Risk Reductions for Aetna:
I am very interested in case managers who are embedded within physician practices. I think that collaborating with them along with facility providers to offer a team approach to support patient care and education are the wave of the future.

Hillary Calderon, RN, Senior Manager of Corporate Case Management for HCA,
Care coordination. A must for healthcare to achieve better outcomes and cost containments.

Bobbi Kolonay, RN, BSN, MS, CCM, Owner of Options for Elder Care, Medical Care Management Services for Seniors
With medical reimbursement declining for readmissions of specific diagnoses, I do wonder why insurance carriers/hospitals do not look into partnering with medical geriatric care managers. My clients rarely are admitted to the hospital and when they are I follow them, directing their care through the continuum.

Stacey Hodgman, MS, RN-BC, CCDS, CPUM, Senior Director of Care Management at Kindred Healthcare, Board of Directors for the Case Management Society of New England
It is critical that we do not lose sight of what is happening with healthcare reform, and continually plan for the effects it will have on balancing patient outcomes through care transitions along with pay for performance and changes to provider reimbursement methods.

Kerry Stutzman, RN, MS, CCM, Care/Case Manager
Do more with less. Be creative. Be flexible.

Infographic: Alzheimer’s Disease Patient Interactions

December 26th, 2012 by Melanie Matthews

The length of a physician office visit and the presence of a caregiver with an Alzheimer's patient increases as the severity of the disease increases, according to a new infographic by Verilogue.

Alzheimer's Disease Patient Interactions

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37 Population Health Management Benchmarks

December 26th, 2012 by Patricia Donovan

Contemplating a comprehensive population health management (PHM) program in the new year? The following data from 2012 Healthcare Benchmarks: Population Health Management may help to shape your initiative. The report analyzes PHM trends for 102 companies, including program prevalence and components, professionals on the PHM team, incentives, challenges and ROI.

Of those 102 respondents, 62 identified their organization type. Of those, 23 percent were disease management/health coaches, 14 percent were health plans and hospital/ health systems, and 8 percent were employers.

Organizations were surveyed in September 2012.

• Organizations that have a PHM program in place: 58 percent

• Organizations that don't have a PHM program in place but plan to launch one in the next 12 months: 36.4 percent

Areas covered by PHM program:
Health promotion and wellness 83.3 percent
Health risk assessment 68.8 percent
Care coordination/advocacy 60.4 percent
Disease management 75 percent
Case management 66.7 percent
Other 16.7 percent

Populations served by PHM program:
Commercial 85.4 percent
Medicare 47.9 percent
Medicaid 41.7 percent
Uninsured 22.9 percent
Other 14.6 percent

Health risk levels served by PHM program:
All 71.7 percent
Healthy 6.5 percent
Moderate risk 26.1 percent
Complex (5 or more conditions) 19.6 percent
Other 0 percent

Health professionals on the PHM team:
Primary care physician 59.6 percent
Specialist/other provider 36.2 percent
Nurse practitioner 40.4 percent
Case manager 63.8 percent
Registered dietician 34 percent
Health coach 55.3 percent
Pharmacist 31.9 percent
Social worker 34 percent
Other 23.4 percent

Primary method of determining intervention level:
Claims data 33.3 percent
Chart review 8.9 percent
Pharma data 0 percent
Health risk assessment 15.6 percent
Biometric screening 6.7 percent
Electronic health record 8.9 percent
Registry 6.7 percent
Self-report 8.9 percent
Physician referral 2.2 percent
Other 8.9 percent

Infographic: Primary Care Wages

December 25th, 2012 by Melanie Matthews

Salaries for primary care wages have barely increased from 2008 to 2011, according to new data from Medical Economic's latest physician earnings survey.

Primary Care Wages

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Infographic: Patients’ Healthcare Costs and Insurance Restrictions Limit Healthcare Access

December 24th, 2012 by Melanie Matthews

The time spent dealing with insurers' restrictions on medication and care is a major problem for U.S. primary care physicians. U.S. physicians also report that nearly 60 percent of their patients often have problems paying for care, reveals a new infographic by The Commonwealth Fund.

International Survey of Doctors Finds Patients' Difficulty Affording Care and Insurance Restrictions Pose Greatest Problems in the U.S.

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Infographic: HIT Use in Primary Care

December 21st, 2012 by Melanie Matthews

The United States still lags behind several other industrialized nations in the use of electronic medical records (EMRs). However, the U.S. has made strides since 2009, with two-thirds of primary care doctors now reporting use of EMRs, according to a new infographic by The Commonwealth Fund.

Health Information Technology

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Infographic: Healthcare Big Data

December 20th, 2012 by Melanie Matthews

Big data could save the healthcare sector $300 Billion in savings each year stemming from poorly coordinated care, fraud & abuse, and administrative & clinical inefficiency, according to an infographic created by Healthcare IT Connect (HITC).

With an estimated 50 Petabytes of data in the healthcare realm, big data is growing exponentially in playing a huge role transforming healthcare. So, where does this data originate from and how does it flow throughout the delivery of healthcare?

The infographic shown below visually demonstrates the journey of big data beginning with the healthcare data creators (healthcare providers) and public health agencies (registries) all the way to the technology vendors and consumers. Additionally, it highlights 6 ways big data will transform healthcare.
Healthcare Big Data

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