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E-CareManagement News

April 16, 2003


Sustaining eHealth in Challenging Times
Report on the Fourth Annual eHealth Developers’ Summit, April 2003

This report summarizes the discussions held during the Third Annual eHealth Developers’ Summit in November 2002.  Some key findings include:

  • Consumers and health care organizations are perceived to be the major eHealth players in the short-term, but government influence on eHealth seems to be increasing.
  • Consumers, with few exceptions, are still unwilling to pay for online health information or services, thus consumer-oriented eHealth products will need to incorporate incentives in their business models so that intermediaries will pay.
  • Web services that enable beneficiaries to complete administrative tasks are increasingly embraced by health care organizations as a way to cut costs and provide more convenient services.
  • eHealth applications should not be thought of as standalone interventions. Rather, they should be developed and implemented with an understanding and in the context of the user’s total environment.
  • A growing number of developers are using emerging eHealth technologies outside of the traditional health care setting, including the home, workplace, anywhere at the point of decision and the point of action.


Physician, Public, and Policymaker Perspectives on Chronic Conditions
Reprinted from Archives of Internal Medicine; February 24, 2003
By Partnership for Solutions, The Johns Hopkins University, April 2003

The perceptions of physicians, policymakers and the general public were compared on how well the current system addresses the needs of people with chronic conditions.

There was strong agreement that chronic medical conditions affect men and women of all ages, ethnicities and income levels (>90% strongly or somewhat agree).  However, compared with the public and physicians, policymakers were less likely to respond that people with chronic conditions usually receive adequate medical care, that health insurance pays for most needed services, or that government programs are adequate.


Adherence To Long-Term Therapies: Evidence For Action
World Health Organization (WHO), March 2003

Some of the take-home messages include:·        

  • Poor adherence to treatment of chronic diseases is a worldwide problem of striking magnitude. Adherence to long-term therapy for chronic illnesses in developed countries averages 50%.

  • The impact of poor adherence grows as the burden of chronic disease grows worldwide

  • The consequences of poor adherence to long-term therapies are poor health outcomes and increased health care costs

  • Improving adherence also enhances patients’ safety

  • Increasing the effectiveness of adherence interventions may have a far greater impact on the health of the population than any improvement in specific medical treatments

  • Patient-tailored interventions are required

  • Health professionals need to be trained in adherence

  • Family, community and patients’ organizations: a key factor for success in improving adherence

  • A multidisciplinary approach towards adherence is needed


Learn how your organization can achieve measurable results when you participate in "Disease Management Forecasts: Trends, Innovations and Successful Programs," a live, interactive audio-conference.  This event takes place on Wednesday, April 30th, 2003 at 1:30pm EST and is sponsored by the Healthcare Intelligence Network.

Speakers include: ·

  • Steven S. Eisenberg, MD, Medical Director, Blue Cross Blue Shield of Minnesota

  • Robert Kolock, MD, Medical Director, Health Management Corporation

Click here for details. 


High Risk Pools Unite to Prove Benefits of Coordinated Care
Disease Management News; March 25, 2003

How are states dealing with the challenges of the sickest of the sick -- people who don't qualify for insurance within traditional health plan models due to pre-existing medical conditions? 

Read about a breakthrough program developed by The Advanced Care Management Task Force (ACMTF), a cooperative outcomes research effort between four members of the National Association of State Comprehensive Health Insurance Plans (NASCHIP) and Health Integrated.  Early results show improved care, significantly reduced hospital utilization, and substantial ROI (e.g., 3:1 for CoverColorado).

"It's not how many advanced ideas you have, it's how many you transform into life", according to Karen A. Meyer, Chairman, Kaiser Permanente Health Advisory Council in Denver (ovarian cancer survivor).  


The Changing Face of Ambulatory Medicine -- Reimbursing Physicians for Computer-Based Care
American College of Physicians, March 2003

There is a wide spectrum of nonurgent patient conditions that could be effectively managed without the time and expense of an office visit, through a carefully structured e-consult system focused on established patients, which gathers all information necessary to render an informed medical decision, with the added benefits of automatically documenting the patient–physician encounter while protecting patient confidentiality.


A Comparison of Diabetes Education Administered Through Telemedicine Versus in Person
Diabetes Care, April 2003

Diabetes education via telemedicine and in person was equally effective in improving glycemic control, and both methods were well accepted by patients. Reduced diabetes-related stress was observed in both groups. These data suggest that telemedicine can be successfully used to provide diabetes education to patients.  

Effects of Internet Behavioral Counseling on Weight Loss in Adults at Risk for Type 2 Diabetes
Journal of the American Medical Association; April 9, 2003

Adding e-mail counseling to a basic Internet weight loss intervention program significantly improved weight loss in adults at risk of diabetes.

Patients at risk for Type 2 diabetes who participated in both an Internet weight loss program and additional behavioral counseling through e-mail lost significantly more weight than those who only participated in the basic Internet program

A Controlled Trial of Web-Based Diabetes Disease Management
Diabetes Care, March 2003

This controlled trial evaluated the availability of a web-based information management and decision support interface.  The study demonstrated modest but significant improvements in several evidence-based processes of diabetes care, including increased rates of testing for levels of HbA1c and LDL cholesterol and screening for foot disease.


Creating a Sustainable Health Care Program:
Eighth Annual Washington Business Group on Health/Watson Wyatt Survey Report
March, 2003

Some companies are consistently earning better health care results in both cost management AND employee satisfaction. These high performers have gained their competitive advantage because of the way they view health care benefits, communicate with their employees, approach "consumerism," respond to their environment and plan for their future.

High performers have gained their competitive advantage because of the way they currently communicate with their employees, respond to their environment and structure their future. In general, the differences in approach can be categorized into three domains: 1) approaches and attitudes concerning consumerism, 2) planning and strategy, and 3) specific plan design and administrative actions.


Balancing for Success 2003: The Top Issues Facing the Managed Health Care Industry
Cap Gemini Ernst & Young; March 10, 2003

The Continuing Evolution of Medical Management.

The most promising recent advance in this approach is a movement from vertical approaches to disease management (i.e., one disease, one disease management program) to a more horizontal one in which the care management efforts encompass multiple chronic conditions. Known as population health management, this involves taking a single approach to members that have both diabetes and cardiovascular disease, for example, rather than employing different programs for each condition.

The cornerstone of this new approach is the increasing utility of predictive modeling. Software programs able to incorporate data from multiple sources and predict which members are most at risk of developing complications from chronic conditions have improved considerably in recent years.


The Third National Disease Management Summit conference is being held on May 11 - 13, 2003 at the Baltimore Waterfront Marriott in Baltimore, MD. For more information, visit the Disease Management Conferences website or click here to view the Summit Schedule.


My mobile can treat asthma, can yours? Patients can now be monitored via pocket computers, thanks to telemedicine.
London Times; April 15, 2003

American Perceptions of Aging in the 21st Century
National Council on Aging and AARP, March 2003

E-ssentials -- The Next-Generation Health Plan: Not If, but When and How
Healthplan, March/April 2003

Hearing on Eliminating Barriers to Chronic Care Management in Medicare
Subcommittee on Health, Committee on Ways & Means, U.S. House of Representatives; Tuesday, February 25, 2003

IOM Notes Shift to Chronic Care Management
Managed Care Magazine, February 2003

Diet, Nutrition and The Prevention Of Chronic Diseases
World Health Organization; March 3, 2003

More Managed Care for Medicare: Health plans join in demonstration projects
Healthplan, March/April 2003

E-CareManagement News is a complimentary e-newsletter sent to over 3,000 worldwide readers courtesy of Better Health Technologies, LLC <>.

For business and clinical decision makers who are developing innovative approaches to managing chronic diseases, Better Health Technologies is an eHealth and disease management consulting company that can assist you with strategy/business planning, finding financing, finding initial customers, and developing key partnerships.

 Disclosure -- No clients were mentioned in this issue.

You may copy, reprint or forward all or part of this newsletter to friends, colleagues or customers, as long as the use is not for resale or profit and the following copyright notice is included intact. Copyright © 2003, Better Health Technologies, LLC. All rights reserved


We welcome your opinions and comments. Write or call Vince Kuraitis JD, MBA at, (208) 395-1197 or Harry Leider MD, MBA at, (410) 252-7361.

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