Teaching Bedside Manners

Notes on Learning Ethics and Compassion Staff Reporters According to a report cited by the New York Times, January 29th 2009, the journal Academic Medicine [AM] published its findings on medical ethics and professional compassion in the academic teaching environment.   Traditional [Last-Gen] Mindset Unfortunately, it often seems a negative truism that good doctor bedside manner [...]

About the AHCJ

Advancing Public Understanding of Healthcare Issues Staff Reporters According to its website, the Association of Health Care Journalists [AHCJ] is an independent, nonprofit organization dedicated to advancing public understanding of health care issues.  Currently, there are more than 1,000 members in the AHCJ www.HealthJournalism.org History The idea for an Association of Health Care Journalists was [...]

Ban on Referenced Based Drug Pricing

A Medicare and CMS Three-Sixty By Staff Reporters According to Jane Zhang and Vanessa Fuhrmans of the Wall Street Journal, on January 10, 2009, the last days of the Bush administration saw a proposed ban that allows private insurers to charge Medicare beneficiaries stiff penalties if they choose brand-name drugs instead of cheaper generic drugs. [...]

About Hiperwall.com

Cool New Video Wall Creations – for Medicine? Staff Reporters Hiperwall software enables anyone to build a scalable, high performance video wall from ordinary computers, monitors and an ethernet network. Many Content Types Hiperwall allows viewing in any combination of content types:   Ordinary graphic images Extremely large graphic images, up to 1 gigabyte or [...]

Healthcare and the Recession

Physician and Hospital Pricing Pressure Staff Reporters As reported in Modern Physician Online, by Dan Bowman, new metadata coming from the federal government suggests that the current financial meltdown and domestic recession has impacted hospital and physician charges, as implicated by their revenues. USBLS on Physician Charges According to data from the US Bureau of Labor [...]

Valuation and Small Business Appraisal Basics

Applied Methodology with “Hands-On” Practice for Doctors                       By Lester Barenbaum; PhD By Michael Saponara; JD, CPA The market value of a publicly traded company’s equity can be calculated at a point in time by multiplying its share price by the number of shares of common stock outstanding.  The share price is determined in the public [...]

Episodes of Medical Care

Another Medical Payment Paradigm Shift By Ann Miller; RN, MHA  “Any intelligent fool can make things bigger, more complex, and more violent. It takes a touch of genius — and a lot of courage — to move in the opposite direction.” Currently, the Centers for Medicare and Medicaid Services [CMS] pay hospitals a single prospectively [...]

What’s Up with Plaid Management?

A “Cold-Call” Cowboy for Financial Advisors By An Anonymous Subscriber We have been getting annoying cold robo-calls, monthly for about a year now, from one Tim Smith. It seems as though Mr. Smith is a financial services matchmaker from Plaid Management, who brokers deals between clients and those in the financial services [sales] industry desperate [...]

Quality Improvement Origins in Healthcare

Lessons Learned from the Business Space By Henry H. Goldman; PhD, CPCM “We arrived in different ships, but we’re all in the same boat now.” The real beginnings of the “Quality Initiative” in the United States came after W. Edwards Deming, Joseph Juran, and others returned from Japan in the late 1950s. These men and their [...]

RIA Merger Mania and the Medical PPMC Fiasco

What is Old is New Again -or- Lessons Learned By Dr. David Edward Marcinko; MBA, CMP™  According to the article Great Expectations-Disappointing Realities that recently appeared in Registered Representative, a trade magazine for the financial services industry, by John Churchill, the booming stock market of the last five years saw many Registered Investment Advisory [RIA] firms [...]

About National Compliance Services, Inc.

Want, Need or Risk Reduction Mechanism? Staff Reporters As readers and subscribers to the Medical Executive Post, and our related print periodicals, dictionaries and books are aware, choosing the right financial consulting firm, or consultant, is always a challenging task www.HealthCareFinancials.com Today, this is true more than ever, given the financial meltdown and the all too obvious [...]

An Open Letter on eMRs from Hayward Zwerling MD

On eMRs Dangers and Expenses Submitted by Darrell K. Prutt; DDS Like communicable diseases that nobody wants to discuss; eMRs are dangerous, incredibly expensive and not worth having for free.   A Fresh Look at eMRs A couple of weeks ago, Hayward Zwerling, M.D. uncovered a fresh look at what makes current eMRs so lame, [...]

Emergence of Online Doctors

Health 2.0 e-Consultations Staff Reporters Did you ever wish that you could talk to a doctor without schlepping all the way to a crowded medical office where you’ll probably pick up even more germs? Well, if you live in Hawaii, you may be in luck.    Computerworld Speaks to the Healthcare Industry According to Computerworld, January [...]

Medicare SGR Formula Fix

The Daschle Imperative Staff Reporters According to American Medical News, January 19, 2009, Tom Daschle, appearing at his first confirmation hearing to be Health and Human Services [HHS] secretary, pledged to replace Medicare’s sustainable growth rate [SGR] formula with a system that bundles payments in an attempt to reward good patient outcomes. Recommendations Apparently, Daschle [...]

Protecting Your Pension

A Book Report for “Dummies” Staff Reporters According to one review, this aptly-titled book Protecting Your Pension for Dummies [Wiley-July 2007, 978-0-470-10213] has proven to be prophetic in its early warnings against money-hungry financial advisors [FAs]. Watch the “Advisors” The text, written by pension litigators Robert D. Gary and Jori Bloom Naegele, cautioned about hidden [...]

Troubles Brewing for Physician Owned Hospitals

Financial Problems Predicted Staff Reporters According to the Wall Street Journal, January 22, 2009, a bill making its way through Congress to provide more low-income children with health-insurance coverage might mean financial trouble for scores of physician owned hospitals.     Emergence and Growth The very existence of doctor-owned hospitals is controversial. But, their numbers have tripled [...]

Discount Dentistry Brokers

More … on Sleazy Defenseless Companies By Darrell K. Pruitt; DDS I just came across a deceptive advertisement for a discount dentistry broker. Yea, I know! What’s new?   Why do we as healthcare providers silently allow naïve consumers to be so brazenly misled by sleazy businesses like Universal Benefit Plans and Universal Dental Plan, when we [...]

ADA Mission Creep

Will that Be “Paper” or “Electrons?” By Darrell K. Pruitt; DDS What is the mission of the American Dental Association? Is it the ADA’s obligation to keep failing dental insurance companies afloat – regardless of how much it raises the cost of providing dental care in the nation? Even necessary fee increases limit access. And [...]

Defining Medical Sentinel-Events

Shedding Light on Unexpected Occurrences By Staff Writers  According to the Joint Commission on the Accreditation of Healthcare Organizations [JCAHO]:   “A sentinel event is an unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof.  Serious injury specifically includes loss of limb or function. The phrase, “or the risk thereof” includes [...]

HIT and Privacy Issues

Complications Retard Links to Medical Data Staff Reporters According to the New York Times, January 18, 2009, President-elect Barack Obama’s plan to link up doctors and hospitals with new information technology, as part of an ambitious job-creation program, is imperiled by a bitter and seemingly intractable dispute over how to protect the privacy of electronic [...]

ICD-10 Deadline Delay Achieved

Two-Year Postponement Announced Staff Reporters The Department of Health and Human Services [DHHS] just released the final rule for implementing the ICD-10 [International Classification of Diseases] CM [Clinical Modification] and ICD10-PCS [Procedure Coding System] insurance coding initiatives. The Delay The compliance deadline was shifted from October 1, 2011; as proposed in the original rule; to [...]

Of Financial Certifications and Designations

  The “Too Numerous to Count” Syndrome By Dr. David Edward Marcinko; MBA, CMP™ The following list of certifications enumerates only a partial exposure of the often nebulous field of “financial planning credentials” that presently exist in the market place.    Good … and Not So Some of these professional designations are awarded to individuals [...]

[Un] Predictable HIM Behavior

Predictable Reaction – Unknown Results By Darrell K. Pruitt; DDS I posted this on the PennWell forum, and notified Lisa A. Algeo, editor of Advance for Health Information Professionals website, that I intend to adjust her reputation.  http://community.pennwelldentalgroup.com/forum/topics/itching-to-start-something-in?page=1&commentId=2013420%3AComment%3A23719&x=1#2013420Comment23719 A few weeks ago, on December 15, when I posted “Itching to Start Something in HIM’s neighborhood,” [...]

The Health Dictionary Series

What it is – How it works By Dr. David Edward Marcinko; MBA, CMP™ By Hope Rachel Hetico; RN, MHA, CMP™ Each useful and up-to-date printed reference dictionary in the 3 volume comprehensive “Health Dictionary Series” Wiki project lists and defines more than ten thousand plus words, abbreviations, acronyms, slang-terms, initialisms and specialized non-clinical health terms; [...]

Making Safer Investment Decisions

Taking Necessary Steps in 2009  By Sean G. Todd, Esq; M. Tax, CFP®, CPA Staff Writers It’s tough to tell how much a single physician-investor can do to preserve their assets in 2009, particularly with unprecedented government intervention in world markets. But, here are some general ideas to employ as markets and economies hopefully stabilize in the [...]

Checklists: Homer Simpson’s Moment of Clarity on Medical Quality

Accountants do it – Attorneys do it – Why Not Docs? By Dr. David Edward Marcinko; MBA, CPHQ, CMP™ Like the Nike slogan, hospitals should just do-it! Make checklists, that is! A new report by the Associated Press, on January 15, 2009, suggests simple checklists might improve medical quality and save hospitals $15 billion a [...]

Financial Advisory “F” Bomb

Placing Client Interest before Self-Interest Staff Writers We are taking an informal poll, and are asking two key questions of financial intermediary modernity.   #1. As a financial advisor, regardless of designation, do you require a brokerage arbitration agreement; or not? Why or why not? #2. Does this document place client interest first – as in [...]

Market Driven Healthcare

Keep Practicing Medicine By Dr. David Edward Marcinko; MBA, CMP™ By Hope Rachel Hetico; RN, MHA, CMP™ In the second edition our book, the Business of Medical Practice, we cite Regina E. Herzlinger, PhD, the Nancy R. McPherson professor of business administration and chair at Harvard Business School, and mother of a physician-daughter. Regina was a [...]

About Hyoumanity

The Persistent Non-Diagnosis Dilemma By Dr. David Edward Marcinko; MBA, CMP™ It is well known that computerized information systems [CIS] are increasingly being used to analyze the cost-effectiveness and quality of care given by medical providers. And, providers are slowly receiving clarity in the methods used to track their practice patterns, whether the tracking includes [...]

Non-Profit Hospital Accountability

Raising the Ethical Bar Staff Reporters According to the Wall Street Journal, December 18 2008, Senator Charles Grassley – ranking Republican on the Senate Finance Committee – is weighing proposing legislation in early 2009 that would hold nonprofit hospitals more accountable for the billions of dollars in annual tax exemptions they enjoy. Minimal Levels of [...]

Medical Tourism and Values Based Health Insurance

Two Emerging Medical Business Models By Dr. David Edward Marcinko; MBA, CMP™ Last year, nurse-executive Hope Hetico; RN, MHA from www.MedicalBusinessAdvisors.com and I wrote a chapter on physician compensation for the book Practicing Medicine in the 21st Century. The book was edited by David B. Nash; MD, MBA of Jefferson Medical College, in Philadelphia. One [...]

The Build or Buy Decision in HIT

Out-Source or In-House? Staff Writers An important consideration when looking at the development of new health information technological functionality is whether to obtain the system from an outside vendor or build the system using primarily internal staff.   Criterion Basically, according to healthcare Chief Information Officer [CIO] Richard Mata MD MIS, such a build or [...]

Dysfunctional Health Economics

Why Americans Pay More for Healthcare Staff Reporters According to Diana M. Farrell, Eric S. Jensen, and Bob Kocher, the US spends more on health care than comparable countries do and more than its wealth would suggest. Here’s how—and why.  Link: The McKinsey Quarterly Report http://www.mckinseyquarterly.com/Health_Care/Strategy_Analysis/Why_Americans_pay_more_for_health_care_2275 Speaker: If you need a moderator or speaker for [...]

Dentists – Don’t Crush that Fax

Just Hand Me the [Dental] Pliers By Darrell K. Pruitt; DDS   An article written by Arlene Furlong for the ADA News titled “HHS launches online health history tool,” was posted yesterday on ADA News Online. http://www.ada.org/prof/resources/pubs/adanews/adanewsarticle.asp?articleid=3388 The article announces the updated online (or paper) family health history that is a free download from HHS.  [...]

Hospital-Based Home Care Agencies

An Emerging and Evolving Industry By Dr. David Edward Marcinko; MBA, CPHQ™, CMP™ By Thomas A. Muldowney; MSFS, CLU, ChFC, CFP® CMP™ By Hope Rachel Hetico; RN, MHA, CPHQ™, CMP™ Over the past decade, the home care industry has evolved away from agencies that are affiliated with hospitals and toward independent, non-facility-based agencies.   The [...]

Medicaid Supplemental Needs Trusts

Filling a Growing Space By Dr. David Edward Marcinko; MBA, CPHQ™, CMP™ By Thomas A. Muldowney; MSFS, CLU, ChFC, CFP® CMP™ By Hope Rachel Hetico; RN, MHA, CPHQ™, CMP™ Some states now allow family and friends (not the individual Medicaid applicant) of a disabled individual to establish a trust, either inter vivos or testamentary, that [...]

Disclosures Lacking in Drug Studies

New – Dark Alley – Report on Drug Studies Staff Reporters A report in Bloomberg News, January 13, says that drug regulators haven’t done enough to force disclosure of financial conflicts among the researchers who conduct clinical trials of medications and medical devices.   Quid-pro-Quo Financial connections between companies that make drugs and devices, and the doctors [...]

UnitedHealth Group Shenanigans

Ingenix’s Lack of Independence Cited By Dr. David Edward Marcinko; MBA Staff Reporters According to Melissa Dahl, Jeff Rossen and Robert Powell of msnbc.com on Jan. 13th, 2009, UnitedHealth Group agreed to pay $50 million in a settlement after being accused of over charging millions of Americans for health care.     The Investigation An [...]

US Communications Decency Act

Our Disclaimer By Dr. David Edward Marcinko; MBA Editor-in-Chief Section 230 of the US Communications Decency Act: “No provider or user of an interactive computer service shall be treated as the publisher or speaker of any information provided by another information content provider.” Thank you. Medical Executive-Post www.HealthcareFinancials.com

Medicaid Trusts

Debunking the Myths By Dr. David Edward Marcinko; MBA, CPHQ™, CMP™ By Thomas A. Muldowney; MSFS, CLU, ChFC, CFP® CMP™ By Hope Rachel Hetico; RN, MHA, CPHQ™, CMP™ Some advisors, doctors, clients, patients and elders may believe that one way of avoiding the consumption of their assets, which they will use for nursing home care, [...]

Medical Workplace Violence

More than Physical Assault Staff Reporters www.HealthcareFinancials.com  Workplace violence is more than physical assault. According to trauma specialist Eugene Schmuckler; PhD, MBA, CTS opining and writing in www.HealthcareFinancials.com; workplace violence is any act in which a person is abused, threatened, intimidated, harassed, or assaulted in his or her employment. Swearing, verbal abuse, playing “pranks,” spreading rumors, arguments, property [...]

Geriatric Care Management

Information for Advisors By Dr. David Edward Marcinko; MBA, CPHQ™, CMP™ By Thomas A. Muldowney; MSFS, CLU, ChFC, CFP® CMP™ By Hope Rachel Hetico; RN, MHA, CPHQ™, CMP™ According to the “Dictionary of Health Insurance and Managed Care”, www.HealthDictionarySeries.com geriatric care managers (GCMs) and case managers (CMs), including those working with licensed agencies, often develop [...]

About PhoneFactor.com

New Corporate or Website Login Authentication Technology By Alison Hill By Darrell Pruitt; DDS Staff Reporters Medical records are one of the most important documents to protect from identity thieves. If a hacker gets a patient’s medical records, they get the key to that person’s personal kingdom—insurance information, financial information, and access to very private [...]

Hospital Capital Structure

Understanding the Cost of Capital By Calvin W. Wiese; MBA, CPA Staff Writers It is critical to understand and to measure the total cost of capital. Lack of understanding and appreciation of the total cost of capital is widespread, particularly among not-for-profit hospital executives. Capital Structure Defined The capital structure includes long-term debt and equity; [...]

Hospice Care Flourishing

Varying Program Types By Dr. David Edward Marcinko; MBA, CPHQ™, CMP™ By Thomas A. Muldowney; MSFS, CLU, ChFC, CFP®, CMP™ By Hope Rachel Hetico; RN, MHA, CPHQ™, CMP™ According to the “Dictionary of Health Insurance and Managed Care”, www.HealthDictionarySeries.com hospices offer custodial and health care for terminally ill people with prognoses to live six months [...]

Weighted Role of Commercial Health Insurance

Understanding Disproportional Influence By Dr. David Edward Marcinko; MBA, Most domestic health care is paid for by some type of insurance, whether private or governmental. Most private health insurance is purchased through employers who, to a great degree, make most of the buying decisions. Employer coalitions have emerged but, in general, most command leverage on [...]

High-Tech Infection Tracking

The Hershey Experience or High-Tech Gamble? Staff Reporters At Hershey Medical Center, in Pennsylvania, a sophisticated computer program now serves as a watchdog for infection outbreaks.     Internet Enabled Health 2.0 According to the Associated Press, December 30 2008, with a few mouse clicks on a Web browser, the hospital’s infection-control staffers can quickly [...]

An Open Letter to President [Elect] Barack Obama

Recognize and Protect Americans’ Right to Health Information Privacy in Health IT By Prudence Gourguechon; MD By Elizabeth Clark; PhD, ACSW, MPH Dear President-elect Obama: We look forward to your inauguration with the hope that you will restore the public’s trust in the nation’s institutions which has been so badly shaken by the failed policies [...]

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