Denial Management to Counter Today’s Reimbursement Challenges

It is true that claim denials continue to be a thorn in the flesh for major healthcare providers. The present-day federal mandates are going to pose serious questions ahead for practice management methods. There are major transitions expected with provider price transparency, repeal, and replacement of the Affordable Care Act.

Any practice to survive in the competitive landscape and gain consistent ROI will need quality denial management methods. However, intuitive understanding of the claims adjudication priorities of the payers will be extremely important.

Knowing how to manage timely filing limits will be vital for staying relevant as a competent health practice. However, most practices fail to comply with the ever-changing outlook of the healthcare industry.

• In the recent years, facts clearly illustrate that denials have grown to be approximately 15-20% of the total value of claims. It means that if you are a hospital with a 200-bed facility, rejections is likely to be a hit of $ 6 million.

• It will cost a whopping $ 260 million if you are a super specialty hospital with 1100 worth of bed facility. Numbers clearly suggest that you need better efforts to reduce the number with best in class processes and a specialized medical billing perspective!

• In spite of technology advances, the picture in denial management is still gloomy. The switch to value-based care from fee for service has complicated medical billing even further. Payments related to value-based care is quite complex and you need the assistance of expert medical and coders that help in minimizing denials by improving your claims submission process.

Importance of multi tasking capabilities in a payment posting professional

Payment posting jobs with sophisticated technology platforms and newer models of payment make it a responsible job than ever before. Today's payment posters have to be equipped enough to deal with a wide range of case scenarios and payment posting software interfaces.

· The bottom line for you is simple; you can ignore payment posting requirements only at your own peril at present. There are some major competencies required that will make professionals in payment posting dynamic than earlier.

· To make serious reforms in your practice management efforts, it is imperative to look at the bigger picture. A narrow focus on the basic components will be a short-term outlook. Cost containment will be the major approach ahead for the US government.

· Here, as a practice finding a disciplined medical billing company that will be a perfect foil will improve your business liability.

Any gen next revenue cycle management company in healthcare today will be able to integrate quality, access, and cost into the routine processes of care management. Developing actionable solutions that help you reduce your billing costs in a flexible manner will be ideal.

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Affordable, Quality Health for All

There is a broad range of medical services available via Discount Health Care Programs. They provide primary, complementary and quality alternative solutions to meet a host of needs. Additionally, the individual cost savings associated with Discount Health Care Programs (DHCP) use can be substantial.

These programs are relevant because at least 48 million Americans have no medical insurance or are inadequately insured. But, there is “no free lunch.” So, while the country has substantive experience delivering medical services by way of Medicaid, there are substantive problems with geographical distribution of services, specific access, services documentation, quality assurance, data storage, data security, and services payment, to name a few. Additionally, there are significant challenges with financial accountability at all levels, and assuring reasonable ROI on time investment for providers willing to work with cumbersome, documentation-heavy government programs. As such, there is no current, reasonable, all-encompassing, universal extension of Medicaid / Medicare. And, there are insufficient broad support of existing, too briskly cobbled together, Affordable Care Act based programs.

We are very familiar with government-funded public facilities, programs, and resources available in some of the better-funded regions of the country. Even there, efficient utilization of services is often demonstrably less than expected because of issues related to target population understanding, transportation and other barriers to access. And, in spite of the magnitude of the investment, many of the staff working at the facilities are marginally skilled and motivated to serve. As such, whether the programs are related to health, education, practical skills development, physical fitness, social enrichment or other, the combination of limitations of both delivery sources and recipients yields suboptimal outcomes.

Even if the entire country were speckled with sufficient commodious, well-appointed technologically and optimally staffed (relative to skills and attitudes) health facilities, there would be a ubiquitous question: “If we build it, will they come?” Approximately ninety (90) percent of the American population is not Health Literacy (HL) proficient. This lack of HL proficiency adversely affects overall health status by way of poorer health behaviors, including some social activities, fitness habits, and medical care decisions. Will the relative health illuminate use freely accessible, comprehensive health facilities adequately well?

Currently, inappropriate use of medical care services, due substantively to problems of access and poor HL decreases overall health outcomes and increases personal annual medical care expenses and no matter what combination of insurance and government-supported care, and cash-basis services are used.

In response, improving population Health Literacy proficiency should drive future administrative planning and medical care investment decisions. Enhancing Health Literacy and use of Discount Health Care Programs (in the absence of national universal care) should be uppermost personal considerations in health care planning if we want affordable, quality health for all.

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Analytics and Value Based Care

In order to move further towards value based care it is necessary for organizations to make more use of data analytics. In order to improve outcomes for patients at a lower cost with higher patient satisfaction, it is necessary to collect data and analyze it. There are many ways to do this and I will point out a few, including some that I use.

Healthcare is awash in data. There is data from billing, including diagnostic and procedure codes. There is claims based data from payers. There is much more detailed data in EHR's, such as test results. This data is clinical data. Financial data is also important. Much of this data can be found in financial software such as QuickBooks and patient management software.

To make effective use of this data it is necessary to organize it, graph it, and investigate for significant changes. Each of these requires the use of statistics, either at an elementary level for spotting trends or at an advanced level to see if there are real and significant changes that indicate that the provider is moving towards providing better care at a lower cost. The examination and analysis of data collected from patients and grouped by patient characteristics is termed population level health management.

One approach to using analytics to improve patient health is examine and track key indicators for patients with chronic diseases, usually the patients that incur the greatest cost in a practice. For instance, a practice can collect and analyze the A1c levels of all patients diagnosed with diabetes. This data can be collected each month and a mean and standard deviation determined. A month by month graph using an Excel spreadsheet will help visually indicate any trends that are occurring. If over a period of several months there is an upward trend, action can be taken to disrupt the trend. This could be making use of a nurse coordinator to help patients better manage their diabetes. One could use Control Charts from engineering statistics to better analyze whether trends are real or due to random fluctuations which are normal in any data collection over a time period. One could also use statistical t-tests to determine whether the changes are truly significant or not.

It can be very useful to graph data collected such as A1c levels, plotting the means over time as indicated above, and present them in a Dashboard with brief descriptions and analysis. These dashboards can be shared in a practice in order to drive improvement. This can be very effective in making improvements with a care team. I recently listened to a NPR podcast from 'The Hidden Brain' that described how a hospital in Pittsburgh improved its handwashing by care givers before entering patient rooms. The rate turned around 10% for a long time in spite of repeated education of care givers. Then, the hospital started displaying monthly statistics of handwashing in a dashboard that all could access and see. Management focused care givers attention on the dashboards. Handwashing rates quickly improved to 90% and stayed there. The visuals made a significant impact on awareness of handwashing by providers.

Analytics can also be used to make improvements in patient satisfaction scores. The Medical Group Management Association (MGMA) provides a very good patient satisfaction survey for its members. I have adapted it to different providers depending upon their demands. The survey covers 36 basic questions and ends with “Would you recommend the provider to other?”, A very good ending question. I also add demographic questions. Providers can use the survey with patients and track performance in five areas-making the appointment, quality of front office staff and billing, ease of communication, visit with clinicians, and state of facilities. The goal is to have as a high as possible composite score for each of these areas. With advanced analysis more can be found out to improve satisfaction. It is possible to identify which of the questions have the most impact on the last question. It has been found that patients who are most likely to refer a practice to friends and family are usually the most satisfied. Thus, finding out which of the many questions have the most impact on this can help identify which areas need improvement. Analysis of which questions have the greatest impact should be carried out on a regular basis as the ones that have the greatest impact can change over time.

Of course, a dashboard should be created to report to staff the results of the surveys each month or so. This will help incentivize the staff to perform even better. If management likes it may break down the results by staffing area or by provider to help identify where individuals may improve. Individual coaching can then be used to help staff make improvements. Never should the dashboards be used to meet staff though. Whether individual dashboards are shared with other staff depends upon how well the staff functions as a team, how mutually supportive they are.

The MGMA collects a lot of data from its members through surveys. It then provides data for benchmarking to its members, some for free and some for costs. Providers who participate in their surveys can often get the results for free. In a recent article in its monthly publication Connection it provided a dashboard of data on the most profitable independent practices. It found, contrary to common sense, that those organizations with the highest median costs per FTE physician were also the most profitable. Some of the data in the dashboard follows:

· Median total medical revenue per FTE physician = $ 1,169,542

· Median total operating cost per FTE physician = $ 630,680

· Median total physician compensation and benefit = $ 462,722

· Median total support staff per FTE physician = 5.12

The article, Designing the practice of the future, found in the March 2017 issue of the magazine, also provided the benchmark data for all multispecialty practices. This data along with other data in the article and the article analysis can help providers develop long term strategies to improve the profitability of their practice.

As you can see there are many ways to use data and data analysis to improve the outcomes at your care site. It is important to identify which data to collect and analyze to make the most significant impact. As I said care providers are awash in data and trying to analyze it all would be a waste of time and energy. Those just beginning to use advanced analytics should start off with a few data projects and expand as time goes on. Intelligent using data and analysis can make a significant impact on the care that you provide and on your bottom line.

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Guide To Finding The Best Hospital

When you get sick, you want the best healthcare. To help you out, here are some of the factors you should consider when choosing a hospital:

Nature of the facility

How does the facility look like? As rule of thumb, it should be equipped with all the necessary equipment. It also should have fully functional laboratories. The hospital will be better off if it has laboratories that cater for a particular condition. For example, if should have an ear laboratory, abdominal laboratory and so on. Some of the must have facilities include: CT scan, dialysis, and cardiac catheterization lab.

You also should consider the quality standards of the hospital. For peace of mind that the facility provides you with the best care, ensure that it meets the quality standards. If you are looking for a hospital for a loved one, ask for brochures that show the facility's credentials.

The other thing you need to consider is the reputation of the hospital. The cool thing is that you can tell this by simply reading the online reviews of the institution. If there are many negative reviews, avoid the hospital.

Patient infections are common in hospitals. To avoid the infections, you need to ensure that the hospital you are looking to go is clean.

It's common for patients suffering from complex conditions to be admitted. To make sure that you get the best care, take a look at the nature of the wards. Are they clean? Is there sufficient food? How many people sleep on the same bed at the same time?

Quality of the doctors

The quality of the doctors is critical for your well-being. The last thing you want is to work with an unqualified doctor. You should research the qualifications of the doctors before you attend the facility. The cool thing is that you can easily tell the skills of the doctors by simply reading the information given on the hospital website.

In addition to the qualifications, also consider the ratio of the doctors to patients. While the doctors may be qualified, they will not give you a great service if there are many patients to attend to. In addition to the doctor being overworked that tired, he / she might not have enough time to work with you. To get excellent and personalized care, join an institution with enough doctors.

Ease of access

This comes in handy when the patient is too sick. A hospital that is easy to access also makes it easy for patient visits. Although, not mandatory, you will be better off working with a hospital that is close to the main road.

Cost

How much does the hospital cost? This is crucial. While quality service always comes at a cost, you do not have to spend a lot of money all the time. There are many good quality hospitals that charge less. All you need to do is to do enough research to identify them.

Conclusion

These are some of the factors you should consider when choosing a hospital for yourself or a loved one. For a great service, work with a reputable health facility.

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Managing Risk at Your Site

There are many risks in healthcare. Many of these risks are so serious that when they occur patients die. As noted in its landmark study To Err is Human in 2000, the Institute of Medicine stated that there were as many as 98,000 deaths attributable to medical error in hospitals in 1997. Since the publication of this study has been done to prevent these errors and untimely deaths. I believe that it is important now not only to look at preventing these types of errors but also to examine risk in broader terms for the benefit of patients and providers.

Let's begin by thinking about the question, “What keeps you up at night?” That is, what errors worry you as a clinician or administrator clearly? Could it be:

  • A patient falling her room after surgery
  • An allergic reaction to a medication in a child
  • The spreading of flu virus at a clinic
  • Patients who are unhappy with the care that they are given
  • The infection of a clinician by HIV or hepatitis

These are just a few of the many adverse events that can cause serious consequences. It is not enough to try to avoid the many risks by trying to do better the processes that are being done. Rather, healthcare providers need to adopt risk management strategies that will help them actively prevent risks and increase the consequences when adverse events occur.

Risk management like Business Process Management (BPM), a subject of earlier newsletters, is made up of a number of well-defined steps, which include identifying potential risks, assessing and analyzing risks, developing or altering processes to prevent risks, implementing strategies to minimize risks, evaluating risk management strategies and improve processes to further reduce risks.

Identifying Risks. There are many risks in healthcare, as stated above. For most providers there are too many to actively manage. Thus, it is important to identify which are the most important risks to avoid in order to use resources wisely to prevent or minimizeize risks. If you have identified your most important processes as part of a BPM program, you may want to first consider examining these processes to identify what can disrupt the processes or what can go wrong to produce adverse outcomes. For instance, you may find activating patients in their own care a very critical process and do so by having patients with chronic conditions help create a care plan along with their clinicians. Thus, you will want to examine the joint creation of a care plan by patient and clinician to see what can go wrong.

You may want to identify events defined by regulations as critical risks. For instance, minimizing hospital acquired infections at surgical sites may be critical to prevent since this can cause financial loss for the hospital and potentially serious consequences for the patient.

When identifying critical risks it is important that clinical leadership and administrative leadership will be understood and that criteria be established to identify which adverse events pose critical risks.

Assessing and Analyzing Risks. Assessing risks involves calculating the likelihood of an adverse event occurring and the impact or consequence of an event should it occur. Analyzing risks involves examining the conditions that allow an adverse event to occur or to see what can be done to prevent an it from occurring. For instance, as I stated in my May 2016 newsletter, a patient with diabetes has a likelihood of 68% of dying from heart disease. This has been documented by the American Heart Association. The cost for treating diabetics with heart disease is significantly greater than those without. The American Heart Association states it costs $ 3900 more annually. For providers with risk-adjusted contracts with payers this is a significant consequence, so a significant risk.

Not all risks can be quantitatively assessed. For instance, what is the financial impact on an ambulatory site if it receives many poor reviews on social media? Some events are so rare that it is very difficult to assess quantitatively the risks. For instance, what is the impact of a patient or relative of a patient bringing a gun into a Level 1 trauma center?

Analyzing risks involves looking at processes or outcomes that allow an event to occur. For instance, providers may have no processes in place to identify which of their diabetics are in danger of developing heart disease. Thus, they take no action to intervene before the patient develops heart disease. Analyzing poor social media reviews may involve using a local business that helps businesses monitor social media posting to identify any negative postings and to identify the causes of the negative postings.

Developing New Processes or Altering Processes to Prevent or Lessen Risks. Prevention is best at managing risks. Thus, after identifying risks and assessing impacts, it is important to design new processes or alter existing ones to prevent an adverse event from occurring. Of course, this course of action should apply to those events which have the most impact. A team of those involved in a process that carries significant risks along with leadership should help in designing new processes or modifying existing processes. Costs should be considered in the new or altered process. If prevention is too costly and the impact of an event not severe or permanent, corrective action may not be pursued. A good example of a new process to prevent falls after surgery, especially in orthopedic units in a hospital, is the use of pressure sensitive devices to alert staff when a patient is out of bed unattended.

Implementing New or Altered Process. Once a team has developed a new process or altered one it should be implemented uniformly in affected areas. This may require training of staff. Implementation should be done exactly as designed.

Evaluation and Continuous Improvement. Once a new process for preventing or decreasing risk is in place, it should be monitored using indicators (kpi) identified by the design team. Evaluation should focus on the degree to which risk has been decreed and the decrease in negative consequences. The evaluation team should also focus on ways that processes can be further improved to achieve greater success in lower risks.

My personal physician and the medical group of which is a part believe that Medicare recipients should have annual physicals. I follow his advice. This year after two years of slightly elevated calcium in my blood panel we investigated the cause. We found that I had a dysfunctional parathyroid gland. I had a parathyroidectomy recently to solve the problem. Because of his attention I was able to avoid broken bones and kidney stones. His attention to details and the policy for annual physicals avoids the risk of these occurring. My opinion of my care from him and this group remains very positive.

I believe that outside of meeting regulatory obligations that most health organizations do not focus enough on risk assessment. The effort of focusing on and analyzing risk need not be overly time or resource consuming. If you have a Business Process Management system in place risk assessment can be added to the cycle naturally and pay handsome rewards in doing so.

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Medicaid Targets Physicians Offering Low Cost Options for Patients

The medical practice I began using in 2010 set up a discount plan to provide better care for patients and to help them save money, especially those customers without insurance. I pay a fixed monthly fee to be a member. That membership allows me to go in for any service offered, including yearly physical examinations, mammograms, pap tests, immunizations, blood tests, X-rays, casts for broken limbs, even minor surgery, for less than $ 30 a visit. The practice hired extra medical professionals, such as a psychologist and a physical therapist, to meet a wide variety of needs. They also provide extended hours.

As the saying goes, however, “No good deed goes unpunished.” Two days ago, the state made sudden rule changes affecting medical patients who are not participants of the discount membership at their practice or any others with similar affordable plans. Medicaid allegiously claims these clinics are offering health insurance.

As a result, the state refuses to reimburse such clinics for many medical services submitted to their Medicaid patients, even long-established ones. Need immunizations? Go to the health department. Blood work? Go elsewhere for a draw. Sick after hours? Go to one of the few Medicaid-approved clinics or the ED (Emergency Department). This is a special hardship for sick, elderly, or disabled patients who must go to different locations for tests offered on site by their chosen physicians.

My current health provider offers the best care I remember receiving in my many adult years. The practice attempts to help patients falling between the cracks of our increasingly inefficient health care system. These individuals do not have employer-based coverage and can not possibly pay the ACA's high premiums and deductibles.

Yet the government allegedly targets these clinics with innovative plans to meet customer needs, including those of their Medicaid patients. Is it any wonder that many more doctors and facilities are refusing Medicaid patients?

Why punish low-income patients eligible for Medicaid coverage and the shrinking numbers of caring, competent providers still willing to accept them as patients? Why should not individuals be allowed to purchase discount plans? The clinic memberships and co-pays are drastically less expensive than the skyrocketing deductibles of coverage they can not otherwise afford.

I want to do just that – buy into Medicaid for catastrophic care, and keep my doctor (remember that promise?) And clinic discount plan. I would only use Medicaid for any needed surgeries, hospital stays, or dental and vision care exceeding cost limits. Why should not patients be allowed to make such decisions? Is it because they make common sense?

Across the state, Colorado doctors and clinics have designed flexible, affordable discount plans for low-income patients. Many of those same practices want to continue serving those with Medicaid coverage. The state's inexplicable overreach will not only penalize those patients and providers. It will drive more qualified doctors and clinics from accepting Medicaid customers at all.

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5 Of The Most Famous Hospitals In Delhi

Fame is associated with greatness; therefore, if you are looking for the best healthcare, you should go for the most famous hospitals. India is known for its high-quality and affordable health care so many people tend to visit it. If you are looking for healthcare in India, here are some of the most famous hospitals in Delhi, which is considered as the medical capital in the country:

Kalra hospital

This is a state of the art facility that prides itself for its great care, concern, and compassion for anyone admitted in it. It's popular because it's big and is well equipped. The hospital is popular for its cardiac care where it's one of the best hospitals in Delhi in providing care for people suffering from heart conditions. While it often has very many patients, the hospital has one of the best radiology department in the country. This makes it possible for it to provide the best treatment in the area.

Moolchand hospital

The facility has over 300 beds in over 50 specialties that it deals in. To provide the services, the hospital has over 250 doctors. The hospital takes pride in the many state of the art medical equipment it has. It has key imaging and lab services that aid in the provision of the diagnostic services. The cool thing is that the diagnostic equipment is accredited by the leading accreditation body in India.

In addition to diagnosis services, the facility also offers a number of surgeries using the non-invasive or minimally invasive techniques. This not only reduces the cost of operation, but it also quickens the healing process.

National Heart Institute

Although, the hospital is small, it's very popular. The popularity is fueled by the quality of services it provides and the quality of medical equipment available. The facility has over 80 beds and 42 doctors. It also has high-quality and modern X-ray machines, theater, laboratory, CT scan, magnetic resonance imaging machines and many other machines.

The national heart institute is known for its impressive success in adult and pediatric cardiac surgeries. The doctors use the minimally invasive technology that not only ensures that the process is safe and precise, it also ensures that the patients heal fast.

Sir Ganga Ram hospital

This facility is known for its optimally functioning theaters, modern labs, and intensive care units. The hospital also has a high-end state of the art MRI machine which is the first of its kind in India. To the machine, people travel from all over the country to the hospital. Some of the services added recently are: organ transplants such as liver, kidney, and bone marrow transplants.

Fortis hospital

This is a high-end hospital that even has the presidential suite and deluxe rooms. The facility is popularly known for its high-quality equipment and 24-hour emergency and trauma care. It's popular for its bariatric and metabolic surgeries. Due to the breakthrough in these surgeries, it has been nicknamed the center of excellence.

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That Day I Learnt a Great Thing About House Call Doctors and That’s How It Started

20 years back when I was just an 8 year old girl whose only motive in life was to finish the homework and play with friends for hours at stretch I Learnt a great lesson – that doctors have a great role in our lives and when the time comes they'll do their best to save a life.
Today, I am a 'house call doctor' and extremely proud of who I am and what I do.

Now, this is how it started –

Just like any other day I finished my homework and ran to play, the only thing that looked different today was my mom not feeling good about her – she looked exhausted and not comfortable. But, these were not the things I could really understand, and because she could not come with me to the park I decided to play in the house – that is so unlike me though.

In like another half an hour mom decided to just sit on the sofa in the room and watch me play; in like no time she collapsed – I heard the sound and ran towards her. Although I could not manage to pick her up, I understood some water would do the difference – which did not that day. I remember I fought before I called my dad and he immediately called for the services of the house call doctor even before he had reached home (and I have to admit this was a great decision to make).

The doctors reached home – checked and studied her condition, give her an injection, wrote down her prescription and asked me to stop crying because mom would be okay. Mom suffered a heart attack and had I not called dad and had he not called for the house call doctors things could have simply slipped out of our hands.

Today – my mom turned 47 and we celebrated her birthday – in all high spirits.

… that day I learned a great thing about house call doctors – and that's how it all started.

20 years and some months later I am practicing medicine and perform as a house call doctor in my location. Now, here's how all the difference in life was ever made and I think house call doctors are the most brilliant people ever. Do you want to know why? Read further:

1. They reach the destination well in time

2. Any immediate assistance is always available and provided

3. They'll be available even when your general practitioner is not available

4. They'll be available to provide you treatment for acute illnesses and chronic ailment

5. Some of the home call doctors even offer the bulk billing services

In all these years of being the house call doctor of my location, the only thing I ensure is that the fastest and the best service reaches the patients and that I am available for the service almost immediately.

The service part is what I most admire about my profession and whatever I am today I only look 20 years back and realize how that incident helped in shaping not only a career but also a life.

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How Hypnosis Could Drastically Cut the Costs of Canada’s Medicare

What if there was a simple, effective way to drastically reduce the costs of Canada's Medicare program? There is. It's called hypnosis.

Hypnosis could:

Lower the number of patients
Shorten hospital stays
Reduce the amount of prescribed medicines

Hypnosis, or more precisely, hypnotherapy, is an ideal complement to medical care. Here are some of the ways in which it could drastically reduce visits to family doctors, emergency rooms and hospitals:

Stop smoking
Lose weight
Reduce anxiety (including panic attacks)
Compliance with prescribed meds
Reduce stress (and therefore heart attacks etc)
Encourage exercise
Change eating habits
End phobias of needles and MRIs

For example, a study conducted at Mount Sinai School of Medicine in New York found that when women participated in a hypnosis session before breastfeeding surgery, they experienced less nausea and required less pain medication than the control group. Patients in the hypnosis group also cost the hospital $ 772 less.

Potency

What a doctor or nurse says to her patients carries a powerful impact. When medical professionals learn how to talk in a positively hypnotic manner to patients:

Conversations will be quicker, thus saving the health care people time.
Patients will better absorb information about their prognosis.
Pre-operation hypnotic explanations will reduce patients' anxiety.
Patient anxiety and blood pressure will be significantly reduced.
Patients will be more compliant.
Nurses and doctors will be less stressed, and
Most of all, patients will recover faster.

Hypnotic Self-help for Patients and Staff

Patients who are taught simple self-help hypnotic techniques will have less need for medical aid and hospitals.

Similarly, doctors and nurses who use hypnosis to relax themselves, to handle stress on the job, to deal with difficult patients and collections, will be more efficient. So time will be saved, less overtime required and staff will enjoy their work more.

How To Implement This Safe, Simple Solution

Twenty-two years ago while I was recovering from an 8-bypass operation I recorded to a hypnotic recording created by a colleague. The Head Nurse told my wife “I do not know what he's listening to, but everyone should have one.” Sadly, the Head Nurse never followed up.

But now, as the health care crisis heats up in Canada and we can look forward to either the collapse of a Medicare overburdened with older people, or increases in taxes on an already heavily-taxed population, unfortunately the time has come to apply the safe process of hypnotherapy to the sick vehicle of social medicine.

An easy way to train doctors, nurses and the public at large in the easy-to-learn hypnotic techniques that could revolutionize health care in Canada would be to ask hypnotherapists across this great country to put on free workshops in hospitals and clinics.

A second tactic would be to teach high school students (the medical professionals and patients of the future) the benefits of reducing their own stress levels and building healthy habits with self-hypnosis.

The Internet is awash with hypnotic MP3s, DVDs, eBooks and CDs, many of them free. This is the 21st century way for patients and health care providers to enjoy self-hypnosis – and therefore better physical and mental health.

All it would take for students, nurses and doctors is one hour to acquire hypnotic self-help techniques that would last a lifetime.

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The Importance of Physician Leadership

The goal of many healthcare providers is the Triple Aim-better care at a lower cost with a focus on a positive patient experience. Providers with these goals need strong physician leaders to help them reach the goals. More provider organizations are beginning to recognize the importance of physician leadership to be successful.

The American Medical Association states in its whitepaper Integrated Leadership for Hospitals and Health Systems: Principles for Success that healthcare administrators must work with physicist leaders to reach their goals. A relationship based upon mutual trust among physicians, clinical staff and administrators is vital to deliver care that focuses on the patient. To quote the article: “It is possible that integrated leadership would benefit patients by focusing on developing new channels for patient engagement, and delivering care in a manner that eliminates overuse, underuse and misuse of resources while increasing physician professional satisfaction, building trust relations and financial stability for both physicians and hospitals. ”

It is a principal of lean healthcare and lean manufacturing that the best measurable opportunities when those closest to the patients or clients provide input into the process of care or manufacturing. It is sensible, then, that doctors, who along with other clinical staff are closest to patients, can provide significant insights into the best processes to deliver care that is effective while preventing waste and duplication, thus saving costs. Integrating physicians into leadership positions ensures that such insurances are incorporated into care processes.

Recently I was discussing physician leadership with my own primary care physician, Dr. Daniel Harro of Mercy Health Physicians Partners. He said that it has been important to him and his fellow doctors that they are represented by Dr. David Blair as president and chief medical officer of Mercy Health Physician Partners. They find it important that he still meets patients weekly. Dr. Blair has helped this group navigate from being a group of independent doctors to a partnership with Trinity Health of Livonia, Michigan. He has also guided the primary care physicians into becoming accredited as patient-centered medical homes with many of the offices achieving level 3 designation.

In December, 2016, the Harvard Business Review in an article titled Why the Best Hospitals Are Administered by Doctors noted that the best quality hospitals are led by doctors. According to US News and World Report the best hospital is Mayo Clinic. It is run by highly skilled physicist John Noseworthy. The second highest ranking hospital, Cleveland Clinic, is run by physician Delos “Toby” Cosgrove. The article states further that of the top 100 hospitals in the US the ones that are led by doctors have a 25% higher quality score than those that are not.

The Medical Group Management Association emphasizes the importance of physician leadership too. In a survey of its members it found that about 60% of those responding stated that they use a dyad management style at their sites. The leaders are a practice manager and a physician. Because each share responsibility for the success of the group, it is extremely important that the two integrate effectively to provide leadership and direction to the sites, most of which are ambulatory. MGMA suggests that the two leaders first consider how their leadership styles complement each other and where they might conflict. In doing so, they should strive to present a united front to staff. As Stephen Covey states in The 7 Habits of Highly Effective People the two leaders should Think Win-Win when considering what direction to lead the staff of the practice. MGMA recommends that the two leaders focus on several skills in order to be successful:

· Have a vision and stick to it. As Stephen Covey says, Begin with the End in Mind

· View change as an opportunity. Change seems to be accelerating present and leaders must be nimble in adapting to responding to changes constantly upon the practice and should also explore what changes can improve the outcomes for the practice.

· Understand risks. Leaders should be able to assess the risks facing the practice and should lead the practice in overcoming risks and profiting from the risks.

· Unify the staff. Be sure that each staff member understands the importance and responsibilities of their roles in the practice. The leaders should develop teamwork among the staff.

· See the practice as a business. In order to provide the best care at a lower price the leaders need to see that the practice is run as an efficient business. The healthcare business model is unique and complex.

Physicians as leaders must see the whole structure of the organization that provides the care. At an ambulatory site, for instance, the physician leader must see beyond the clinicians providing direct care to patients. They must also understand the processes of the front office-the receptionist and sign-in personnel-the billing and collection staff, the administrative leaders and other staff that are important in providing services that support the clinicians and the business structure of the organization. While understanding and being involved in the processes outside of clinical care, the physician leader also needs to assert that the physician staff be able to provide effective care to patients without interference from administration. That is, the doctors need to feel free to provide clinical care that is patient-centered and conforms to best medical practice using the unique skills of each physician. Physician leaders need to build trust among administrative leaders that the clinical staff is providing patient-centered care.

The pace of change in providing healthcare is challenging at the present time. In fact, there is a great deal of uncertainty about the structure of reimbursements and the business models that providers need to adopt. Because present risk seems to be high, it is very important that organizations partner effectively with physician leaders to face the day-to-day risks and to develop effective models to deliver care to patients. The importance of physician leadership is key to the success of providing effective care, to reaching the Triple Aim.

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Professional Health Speciality Centres Offering Relief to Muscle and Body Pain

Availing services of clinics that offer professional massage and physiotherapy services can be of great help to these individuals. You can also find cardiac rehabilitation centers offering special packages.

Services offered by top Physiotherapy and massage centers

Nowadays, you can avail a myriad of packages offered by professional clinics on physiotherapy and massaging. Some of these are:

• Sports massage and physiotherapy- Women and men involved in sports like cricket, football, volleyball and athletics can sustain injury, despite taking the precautions. While medication and treatments are required to overcome from those injuries, availing specialized physiotherapy session can be of great use to them. These clinics also offer sports massage packages for athletes and sportsperson to help them recover from muscle and joint pain.

• Massage therapy for pregnant women- Pregnancy induces a lot of changes in a woman's body and she may find it hard to cope with these if proper support is not there. Apart from the hormonal charges disrupting body functions, they also have to cope with pain in parts of body, muscle stiffness and similar woes. Some of these conditions can be managed with specific massage and physiotherapy sessions. You can opt for specially developed antenatal and postnatal exercise programs in this regard. Even after delivery, women can benefit from undergoing such specialized massage sessions.

• Orthopedic Physiotherapy- Sometimes people afflicted with orthopedic disorders can benefit a lot from under proper massage and physiotherapy sessions. Those with degenerative bone disorders and arthritis get relief from pain after availing such special massage therapies.

• Post surgery physiotherapy- Elderly men and women may feel weak and face hardship in living life normally after under major surgeries. Apart from taking rest, adhering to proper diet and taking necessary medication, availing special massage sessions can be helpful for them to regain muscle strength.

Finding the right clinic for massage and physiotherapy.
You have to find the apt clinic for availing antenatal and postnatal exercise programs or sports massage packages. Check a few aspects to find the apt clinic in this context.

First of all, you need to find details on the team in the clinic attending massage and physiotherapy sessions. The clinic should have expert physiotherapists and clinical experts in its portfolio. You also need to check about the package cost and duration. Most likely, you will find these details in the clinic website. However, you should contact the clinic for details or if you have any other query. In the popular social media circles, you can find feedback from users availing antenatal and postnatal exercise programs at these clinics.

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Enterprise Mobile Apps For the Healthcare Industry

The main objective of developing enterprise mobile apps is to acquire a more convenient mode of operation. Typically, healthcare representatives can be seen lugging around tons of paperwork with them all the time. However, with an online information repository that is accessible on a mobile or a tablet device, there is no more need for the grunt work. Healthcare enterprise mobile solutions are an awesome way to add convenience to your operations. And this helps not only the hospital staff but also the sales representatives. With all the information available on their mobile and tablet devices, they can go around visiting so many potential clients and deliver a plethora of information to develop new sales.

Better performance tracking : –
A great benefit of having a healthcare enterprise mobile app is improved tracking of the employee performance. This allows you to both monitor your employees in real time and get a detailed analysis, including their location data. You can also ensure that your staff members are given a certain level of access based on their level of authority which can minimize the risks of staff members overstepping their jurisprudence.

Better communication with all stakeholders : –
In healthcare, getting feedback from all stakeholders is very important to keep your overall operations smooth. With an enterprise mobile solution for healthcare, you have the ability to engage a lot of stakeholders in real time. This includes customers, employees, doctors, admin staff, pharmacists and other relevant people. This allows you to prepare short-term and long-term strategies, and gives you a wide range of opportunities, ranging from better customer support to increased sales.

Data analysis and decision making : –
Computing devices have impacted every single industry that comes to your mind and healthcare is no exception to it. One of the largest impacts of this transformation is the ability to provide statistical analysis which is of great use in healthcare. With the processing power of devices reaching trillions of operations per second, you can get an in-depth analysis of any data. This becomes particularly useful when doctors and staff need to make quick decisions in a short span of time. Generating an analysis of complex information can help improve staff productivity by enabling efficient utilization of resources.

Avoiding human error : –
In the healthcare industry, the lives of a lot of people are at stake. Keeping this in mind, the healthcare enterprise mobile solutions can bring automation and speed to your systems, which is very useful. With the support of mobile devices that monitor critical operations continuously and tirelessly, there is a much smaller chance of mistakes occurring. This is not something that can be taken lightly, and having the help of effective enterprise apps definitively, decrees the need for the level of responsibility.

Cost saving : –
With the high costs associated with the printing of documents, most organizations incur a huge expense. This is where healthcare enterprise mobile solutions have shown a great potential. Statistics show that organizations can save a staggering 60-70 percent in printing costs by replacing the printed material with e-documentation on enterprise apps. This shows that it is purely a matter of common sense to opt for enterprise mobile apps for healthcare.

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Concierge Medicine + TeleMedicine = Way To Go!

More and more doctors are considering adding telemedicine and concierge medicine business models to increase revenue streams and improve patient services. Many are finding that educating patients about the benefits of telemedicine as a cost-effective, hassle-free care delivery model is the best approach to increasing adoption rates.

Armed with smartphones, patients can schedule a same day appointment for both minor and major conditions. Doctors find telemedicine provides opportunities to consult with peers and specialists in the cloud to make faster, more accurate decisions – sometimes life saving decisions, such as identifying signs of a stroke or imminent heart attacks during virtual patient encounters.

Why TeleMedicine?

Telemedicine allows patients access to faster appointments, often immediately or on the same day as the first request. Physicians can spend quality one-on-one time with patients and personalize health care without traveling to an office or clinic.

Doctors can now offer problem-focused visits for everything from a follow up for prescription renewals to highly complicated situations where a patient has multiple medical conditions and many providers. Virtual collaboration makes it more convenient to discuss potential drug contraindication with all providers using a secured digital platform.

Patients can reach their trusted physician from anywhere, anytime, even when they are traveling for business or vacation. There is no need to see another doctor if either is out of town. And, non-emergency issues – colds, dermatitis, ear pain, etc – can often be handled with a short virtual visit instead of waiting for an office visit.

Technology empowers doctors to monitor at-risk patients while giving patients more tools to control blood pressure, glucose levels and other health meters from the comfort of their homes.

Telemedicine plus concierge medicine provide a dual solution. Patients can speak to and see a trusted doctor every time they have a problem. While virtual visits do not allow doctors to actually listen to the heart or lungs or take a throat swab, it is possible to make a well-informed decision about when to request the patient come in for a visit. Concierge medicine ensures patients have access to a trusted group of provider when an in-person visit is the best answer. The combination is convenient, affordable and provides continuity of care necessary to build patient confidence.

In 2016, more than 15 million Americans participated in remote health care services. The American Telemedicine Association says the numbers are growing. Telemedicine encounters is the wave of the future, and the future is now.

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Japanese Pharmaceutical Industry: An Insight Into Globalization

Japan is the second largest market for pharmaceuticals, with the US being the largest. It represents almost 10% of the world pharmaceutical market. One of the major driving force behind this large market size is the aging of Japanese population ie 26% of the Japanese population is 65 years or older. Keeping a higher life expectancy, Japan tops the world list both in male and female population. Consequently, the medical needs are at a surge; thus, boosting the number of pharmaceutical companies, importers, and exporters in Japan.

The Japanese government has taken multiple steps to address the medical needs. The government's aim is to reduce the overall expenditure in delivering the adequate healthcare to the Japanese population. Recently, two major breakthroughs were regulated; biennial drugs price revision and promotion of generic drugs instead of branded drugs. The branded (patented) drugs are costly as they bear the cost of research, development, and commercialization. Japanese medical industry, especially those who focus on branded drugs, now need to increase its global presence to treat this competition with generic drugs industry. Back in the 1990s, the government's decision to allow import of medicines had already restricted the business available to the domestic-only pharmaceutical companies.

In this context, it has become vital for the Japanese medical industry to invest in clinical research facilitating the globalization. It has been observed that the Japanese companies have been spending less budget on research & development as compared to the American and European companies. Japanese pharmaceutical companies have long been using the in-house clinical trials for the domestic testing. However, the increasing global demand for new drug development necessitates the R & D including the clinical trials. This provided a space for contract research organization (CRO) to come forward. The local and international CRO industry is, that, one of the immediate focus markets for the Japanese pharmaceuticals.

As the Japanese government is well-aware of all ongoing changes, steps are being taken to reduce the length of the review process for the introduction of a new drug in Japan. The recent guidelines have allowed the use of non-Japanese trial data for facilitating a quick introduction of novel drugs in the market. Likewise, it necessitates the export of Japanese medicine to clinical research organizations worldwide for use in clinical trials. Consequently, most the Japanese pharmaceutical companies have already started exporting the drugs for clinical CRO examination.

With a high number of pharmaceutical companies in the market, it is now unavoidable to use technology in development, testing and promotion of Japanese medicine. The department of health also helps the companies who are technologically advanced and are planning international expansion. In this context, the online availability of Japanese pharmaceuticals has become vital for effective marketing.

In conclusion, it is to reiterate that the Japanese pharmaceutical industry needs to expand their business worldwide for a long-term sustainability. Contract research organizations can provide them a big support for benchmarking their interventions by organizing structured clinical trials.

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Is Australia’s Medicare System Under Attack?

With news released that some Medicare numbers have been stolen Australians are naturally concerned about their privacy. With a large majority of residents born overseas and occupying high level jobs the worry is increased by not knowing with what secret agendas they may be involved. An Australian doctor is the subject of a recent video taken in Syria in which he supports the Islamic State and Isis.

The Internet and computer age has seen huge changes in how private material is collected and stored. Every doctor, and other medical professional, can easily obtain access to data bases through which such is accessible. If they desire to do us harm or sell it to others there is no way of stopping them. At least that is how it appears at the moment.

The government is racing to counteract such fears but its success is not assured and its efforts not comforting. While the Minister responsible denies to say how many numbers have been sold on the risk of identity theft, according to him, is minimal. The question is what will the criminals get from attacking the Medicare System.

The Medicare card is used as one of the 5 points of identification for such things as opening a bank account, getting a passport, or even a driver's license. It also allows holders to access medical practitioners at a significantly reduced cost or, if bulk billed, for free. On top of that they can acquire a rebate by submitting a receipt to the Organization.

In the latter case, however, the money is put into a bank account so that no one can acquire cash from that type of activity. The problem is, however, that migrants are also given Medicare cards on arrival in the country and that may hinder the security of them.

People coming from countries where crime is rife and stealing and cheating means survival it is hard for them to suddenly change their ways. A mindset of that type also leaves people open to helping others to gain access to anything that might return a divide.

While Australia has a great system and the health care of its citizens is reassured it is also something of which many nations are jealous. That is also motivation for those who want to harm this nation to strike at the heart of its many benefits.

The government and its people are now pondering what it is that criminals are targeting in a country where everything is on offer to those from the poorest to the wealthiest. Surely those who come here must see that anything that affects the country will affect them also.

We are in a dangerous time globally and terrorists and criminals are everywhere. Staying a step ahead of them is not easy. While the law enforcement will probably root out the perpetrators of this criminal gang the question is how vulnerable are the societies in the face of such problems?

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