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"There are certain things based on strong evidence that we should be doing to take the best care of our patients. The challenge as a physician is making sure you’re meeting those with your patients while at the same time addressing all the things the patient thinks is important."

‒ Dr. James Gutierrez
Cleveland Clinic

Did You Know?

Women are less likely than men to feel chest pain during a heart attack, so their diagnosis often gets delayed, leading to more heart damage. Women are more likely than men to experience symptoms that aren’t “typical,” such as nausea, back and abdominal pain and aching chest pain.

In the News

Regional Healthcare Improvement Collaboratives Needed Now More Than Ever: Program Directors' Perspectives

Randall D. Cebul, MD; Susanne E. Dade, MPA; Lisa M. Letourneau, MD, MPH; and Alan Glaseroff, MD, ABF

The American Journal of Managed Care - September 2012


"If a national vision of value-driven, patient-centered care is to become a reality—one that results in better care, better health of populations, and lower costs—Regional Healthcare Improvement Collaboratives, such as those embodied by the RWJF’s AF4Q initiative, are a necessary part of the solution. Each collaborative represents a neutral common table for all stakeholders to discuss their unique concerns while recognizing their shared interests."

Read the article.



Local Solutions Spark Readmission Reductions

Larry Beresford

The Hospitalist - August 29, 2012

With the Oct. 1 start of penalties for excessive readmissions looming, The Hospital published a cover story featuring innovation solutions to reducing readmissions -- and featured Better Health Greater Cleveland, Aligning Forces for Quality, and William C. Cook, DO, a Kaiser Permanente hospitalist who co-chairs Better Health's Steering Committee for care transions.

"Fr
om the hospitalist perspective, our role is to make care transitions safe and predictable," Dr. Cook told the magazine. "The way I can contribute most to these transitions is by thinking ahead about what's going to happen next—and how do I prepare the patient and the next provider."  

Read the article.

Better Health Greater Cleveland joins County Health Alliance

Better Health Announcement - April 30, 2012

Better Health Greater Cleveland this week joined the Cuyahoga County Health Alliance, a coalition created by County Executive Ed FitzGerald to address improved health for the region, a critical component in the county’s plans for economic development, quality of life and neighborhood revitalization. Mr. Fitzgerald announced the Alliance's new partners April 30, 2012, at a media event in county offices.

Opportunities to improve health in the region are plentiful:

·         The county ranked 65th out of Ohio’s 88 counties in health status, in the 2012 County Health Rankings.

·        One in five adults in Cuyahoga County smoke, the leading preventable cause of death in Ohio.

·         More than one in three adults in the county have high cholesterol

·         One of four adults is obese – a trigger for a long list of serious chronic disease.

Better Health is one of 18 organizations and 21 municipalities that do date have responded to Mr. FitzGerald’s  “Call to Action”  to work together  to bring measurable improvement to the health and well-being of Cuyahoga County residents. The Alliance targets public and private policies, education, work-site and community programs and resources to prevent and reduce the burden of chronic disease.

 In its role as a partner, Better Health committed to providing community presentations, sharing its clinical expertise and supporting evidence-based programs, policies and benchmarks.


My Health Manager from Kaiser Permanente

- March 5, 2012

Patients of Kaiser Permanente nationwide used a new My Health Manager mobile app more than 1 million times in the first month since its release. The new app and other innovations with its electronic health record system earned Kaiser the Health Information Management Society's 2011 Organizational Davies Award, which recognizes  excellence in the implementation and value derived from health information technology.
 
Nearly 9 million Kaiser Permanente members can access their medical information anywhere in the world on mobile devices through the new app, and many are using it to engage their care teams and become actively involved in their health care. Its features include online appointment scheduling and prescription refills, lab test results, eligibility and benefits information, even children’s immunization records.

Better Health-Coached Primary Care Practices Receive NCQA Recognition

- March 5, 2012

Better Health practice coaches congratulate the latest primary care practices in our region to receive NCQA recognition as a Patient Centered Medical Home: 
  • South Russell Family Practice, Inc.
Ten MetroHealth practice sites were newly recognized, joining its Lee-Harvard and the Comprehensive Care practices:
  • Asia Plaza
  • Broadway
  • Brooklyn
  • Buckeye
  • J Glen Smith
  • Main Campus Internal Medicine
  • Main Campus Family Medicine
  • McCafferty
  • Strongsville
  • West Park
Well done!

Greater Cleveland should grab the chance to shift to medical homes: editorial

The Plain Dealer Editorial Board

The Plain Dealer - December 11, 2011

What if health insurers, employers and health care providers banded together to help consumers buy smarter medicine? Don't rule it out. The idea -- the "patient-centered medical homes" model of care -- is beginning to take hold. The next step is to get it off the drawing board and into examining rooms, human resource departments and benefits managers' offices in a much bigger way.
 
In Northeast Ohio, a group called Better Health Greater Cleveland has been at the task for several years now, advocating among the various stakeholders in both medical care and payment for a shift to medical homes supported by electronic health records. Read more.

Tech That Powers Quality Standards

Gienna Shaw

Health Leaders Media - September 6, 2011

A study published in the New England Journal of Medicine is among the first to put hard numbers on the benefits of electronic health records.Researchers looked at four national quality standards, including: 1) Eye exams, 2) pneumonia vaccinations, 3) outcome measures such as blood sugar, blood pressure, and cholesterol control, and 4) patient-driven issues such as obesity and smoking
Nearly 51% of patients in EHR practices received care that met all four quality standards, compared to just 7% of patients at paper-based practices. Nearly 44% of patients in EHR practices met at least four of five outcome standards, compared to about 16% of patients at paper-based practices.

The study is among the first to put hard numbers on the benefits of electronic health records. But as the study's lead author, Randall Cebul, MD, said in an interview this week, "51% is 49% short of ideal."

So what are the next steps? And how can health information technology get us there?
Read more.

The Cleveland Experiment

John Moore

The Health Care Blog - September 6, 2011

There have been a number of research studies published that question the value of Electronic Health Records (EHRs), particularly as it pertains to improving quality of care and ultimately outcomes. Chilmark has always viewed these reports with a certain amount of skepticism. Simple logic leads us to conclude that a properly installed (including attention to workflow and thorough training) of an enterprise software system such as an EHR will lead to a certain level of standardization in overall process flow, contribute to efficiencies and quality in care delivery and ultimately lead to better outcomes. But to date, there has been a dearth of evidence to support this logic, that is until this week.
Read more.

Federal Investment in Electronic Health Records Likely to Reap Returns in Quality of Care, Study Finds

Science Daily - August 31, 2011

Research published August 31 in the New England Journal of Medicine gives cause for optimism that federal investments in electronic health records (EHRs) could reap major benefits in better patient care and health outcomes.
Read more.

New England Journal of Medicine Study Shows Benefits of EHRs

Randall D. Cebul, MD, Director, Better Health Greater Cleveland

Office of the National Coordinator's Buzz Blog - September 1, 2011

Yesterday the New England Journal of Medicine (NEJM) published a study, which looks at care delivered to diabetic patients in physician practices that use electronic health records compared to physician practices that do not. The results should not come as a surprise to those of us who are working to speed the adoption and meaningful use of health IT: Practices that use EHRs -- especially in conjunction with collaborative efforts to improve quality -- delivered measurably better care than practices which rely on paper records.
Read more.

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