In Severe Pandemic, Officials Ponder Disconnecting Ventilators

Understanding the So-Called New York Protocol By Sheri Fink ProPublica News With scant public input, state and federal officials are pushing ahead with plans that — during a severe flu outbreak — would deny use of scarce ventilators by some patients to assure they would be available for patients judged to benefit the most from them.  [...]

Whither Physician Self-Portfolio Management?

Do it Yourself Considerations By Clifton N. McIntire, Jr.; CIMA, CFP® By Lisa Ellen McIntire; CIMA, CFP® In order to self create and monitor an investment portfolio for personal, office, or medical foundation use, the physician investor should ask him/herself three questions: 1. How much do I have invested? 2. How much did I make [...]

Encrypt or De-identify PHI

Which One Just Might Work? By Darrell K. Pruitt; DDS  The United States’ advancement in Healthcare Information Technology, which has the potential to lead to wonderful money-saving cures through research using trustworthy interoperable health records, is currently stopped cold by patient security problems that are only getting worse. Our lawmakers cannot get around the security [...]

Whither Health Information Technology – Seriously?

Is it Really About Quality Improvement? By Staff Reporters Health information technology (HIT) allows comprehensive management of medical information and its secure exchange between health care consumers and providers. Broad use of HIT has the potential to improve health care quality, prevent medical errors, increase the efficiency of care provision and reduce unnecessary health care [...]

Stockholder Suit Targets Troubled Mental Health Chain

Psychiatric Solutions, Inc By Robin Fields, ProPublica – September 22, 2009 5:01 pm EDT Psychiatric Solutions Inc. the nation’s leading provider of inpatient mental health care is being sued by stockholders who claim the company issued “false and misleading statements” about troubles at one of its hospitals. The Lawsuit The lawsuit, filed Monday in U.S. [...]

Understanding Expenses and Investment Portfolio Performance

A Direct Relationship By Clifton N. McIntire, Jr.; CIMA, CFP® By Lisa Ellen McIntire; CIMA, CFP® Expenses can play an important role in portfolio performance. You don’t hear much about expense ratios in an up market, like early 2007. If your account was up +28 percent, whether the expense was 3 percent or 1 percent [...]

Sponsorship Opportunities

Advertise on the Medical Executive-Post Let’s get right to the point! Reach out and impress more than 100,000 physician and nurse-executives, financial advisors, CEOs and medical management consultants in the Health 2.0 space. Our premium institutional e-journal: www.HealthcareFinancials.com and complimentary companion www.MedicalExecutivePost.com  has limited sponsorship and advertising opportunities available; So, be sure to act now! Advertise [...]

Introducing Somnath Basu; PhD MBA

Our Newest ME-P Thought-Leader in Finance and Economics By Ann Miller; RN, MHA [Executive Director] Dr. Somnath Basu is a Professor of Finance at California Lutheran University and the Director of its California Institute of Finance. Dr. Basu is also a Professor of the Helsinki School of Economics Executive MBA Program. He earned his BA [...]

ReThinking Medical Professional Autonomy in the Era of Obama Care

Eying Contemporary Medical Ethics in Healthcare Reform By Render S. Davis; MSA, CHE And, Staff Reporters Not so long ago, a physician’s clinical judgment was virtually unquestioned. Now with the advent of clinical pathways and case management protocols, many aspects of treatment are outlined in algorithm-based plans that allied health professionals may follow with only minimal [...]

On Increasing Price Transparency in Medicine

About NewChoiceHealth.com By Staff Reporters NewChoiceHealth, Inc. is an online comparison shopping marketplace built to provide healthcare consumers a way to save money. With NewChoiceHealth.com, consumers can easily locate medical facilities and compare medical procedure costs for services like MRIs, CT scans, mammograms, and more. Patients may shop nationwide, or right in their own local [...]

Ask an Advisor – Must an Insurance Claim CramDown be Accepted?

Calling on Insurance Professionals to Expose the “Wizard” Behind the Curtain By ME-P Staff Reporters We received the following request recently. Apparently, this ME-P reader-nurse sustained a covered loss with valid home insurance property-casuality claim. It resulted in disagreement with her insurance adjuster [a common occurrence]. The adjuster cited his/her supervisor’s insistence on claim settlement and closure.  The [...]

On Healthcare Inventory Management

Understanding Fundamental Principles By Staff Reporters www.HealthcareFinancials.com According to industry inventory management expert Mr. David Piasecki, healthcare inventory is a term that describes medical items used in the delivery of healthcare services or for patient use and resale. Much like Durable Medical Equipment, a certain safety margin of stock should always be available. Inventory ranges [...]

The VistA Client Server System

What it is – How it works By ME-P Staff Reporters According to Dr. Richard Mata MS, a client-server system configuration occurs when one or more “repository” computers [ known as “servers”] store large amounts of data but perform limited processing. Communicating with the server(s) are client workstations that perform much of the data processing and often have graphical [...]

Introducing Dr. Leila M. Hover

Our Newest ME-P Thought-Leader By Ann Miller; RN, MHA [Executive-Director] Leila M. Hover, D. Med. Hum, has a varied background having worked in OB/GYN and as a Clinic Supervisor in a Planned Parenthood Center. She served as Director of a hospital medical library, and then as Director of Scientific Information in several medical communications/advertising organizations. [...]

Understanding Medical Cost Accounting

A Subset of Managerial Accounting www.HealthcareFinancials.com By ME-P Staff Reporters Managerial and medical cost accounting is not governed by generally accepted accounting principles (GAAP) as promoted by the Financial Accounting Standards Board (FASB) for CPAs. Rather, a healthcare organization costing expert may be a Certified Cost Accountant (CCA) or Certified Managerial Accountant (CMA) designated by [...]

Happy New Year 5770 and 5771

       We wish all our Jewish Subscribers a Happy and Healthy New Year 5770    The Shofar is a ram’s horn blown as a wind instrument, sounded in Biblical times chiefly to communicate signals in battle and announce certain religious occasions and in modern times chiefly at synagogue services on Rosh Hashanah and Yom Kippur. Get [...]

Branch Davidian David Koresh is Dead

Take it … from a Forensic Dentist By Darrell K. Pruitt; DDS For those who might be interested, these two plaster models are proof David Koresh died in the Mt. Carmel disaster. Please allow me to offer I have been a forensic dentist since shortly after graduating from dental school in 1982. I have helped [...]

The ME-Pr [Photo Sharing Feature]

With Apologies to Flickr By ME-P Staff Reporters A New Feature Launch [Beta] We are proud to introduce an exciting new Medical Executive-Post feature called the ME-Pr. Our goal is to aggregate and help subscribers make their blog related photographs available to those in our ecosystem who appreciate them; comical or sad, interesting or ironic, [...]

Understanding the Medicare Prospective Payment System

Origins of Diagnostic Related Groups By Dr. David Edward Marcinko; MBA, CMP™ [Editor-in-Chief] The Medicare Prospective Payment System (PPS) was introduced by the federal government in October, 1 1983, as a way to change hospital behavior through financial incentives that encourage more cost-efficient management of medical care. Under PPS, hospitals are paid a pre-determined rate [...]

ME-P Thought-Leader [MD] in the News

Brian J. Knabe MD of Savant Capital Management By Max Alexander Dow Jones Newswires; 212-416-2245 Lots of doctors get burnt out dealing with the business end of medicine. But Brian Knabe, a family practice physician in Rockford, Ill., had such a passion for crunching numbers that he became a financial planner. Knabe, 42 years old, [...]

About Docs4PatientCare

Politically Involved Physicians By Staff Reporters Docs4PatientCare is a grassroots organization of concerned physicians committed to the establishment of a health care system that preserves the sanctity of the doctor-patient relationship, promotes quality of care, supports affordable access to all Americans, and protects patients’ freedom of choice. Mission According to their website, Docs4PatientCare urges patients [...]

On Healthcare IT Trade Associations

Advancing Medical Practice Success with Strategic Relationships By Staff Reporters To be efficient in healthcare delivery today, doctors must partner and understand the resources and affiliations that are available to them. Here is a brief list of several healthcare trade associations and leading industry vendors submitted for your review. AHIMA The American Health Information Management [...]

Take the Lost Managed Care Contract Challenge!

Illustrative Case Model – Are You CMP™ Worthy? By Staff Reporters The Hope Outreach Medical Clinic (HOMC) is a private, for-profit, single specialty medical clinic in a south-eastern state. It submitted its bi-annual Request for Proposal (RFP) to continue its current managed care fixed-rate contract. Upon review of the RFP, however, Sunshine Indemnity Insurance Company, [...]

The Largest Purchaser of Domestic Healthcare?

It’s the Government – Silly By Ann Miller; RN, MHA [Executive Director] By far, our federal government is the largest purchaser of healthcare services, according to Robert James Cimasi MHA, AVA, CMP™ of Health Capital Consultants, in St. Louis, MO; and many others www.HealthcareFinancials.com Obama Care Although the government faces immense pressure to control healthcare [...]

Do Financial Advisors Add Value to Retail Portfolios?

Some Consultants Emphatically Say … No! By Staff Reporters Nope! So says Andre’ Cappon, Guy Manual, Stephan Mignot and Seth Varnhagen of the CBM Group, Inc; a consulting firm in Manhattan, New York. In fact, while writing in Registered Rep – a trade magazine for FAs in September 2009 – they estimate that long-term real [...]

Soliciting Textbook Peer-Reviewers and Experts

Business of Medical Practice Ann Miller; RN, MHA [Executive Director] Please contact me if you would like to serve as a peer-reviewer for the third edition of our popular textbook, “Business of Medical Practice”. Link: http://www.springerpub.com/prod.aspx?prod_id=23759 If interested, please email me and send in a bio. A non-disclosure agreement is required. Email: MarcinkoAdvisors@msn.com In return [...]

A Doctor – Economist’s Solution for Health Reform

My Laundry Wish List for all US Healthcare Stakeholders By Dr. David Edward Marcinko; MBA, CMP™ [Publisher-in-Chief] As President Obama speaks, prods and cajoles, and Congress returns to session to begin work again on HR 3200-3400 or similar, I believe that for any healthcare reform effort to work successfully for the American people – not necessarily [...]

Dr. Pruitt Invites Dr. Cohen to Discuss eDRs

Where is the ADA’s Representative? By Darrell K. Pruitt; DDS He or she should have been talking with me long ago. I have the audience and I’m giving you that opportunity I promised you, Dr. Donald Cohen. Rest Easy I’m aware that I possibly make you uncomfortable, considering how “unprofessionally” I’ve publicly treated lesser devoted [...]

Take the DME Inventory Switching Challenge!

 Calling all Administrators and Management Consultants - Are You CMP™ Worthy?  By Staff Reporters The new administrator for the ABC Medical Clinic understood that all inventory costing methods were acceptable to use in his Durable Medical Equipment [DME] department. LIFO, FIFO, specific identification, and the average cost method are all attractive methods under different circumstances in the business cycle, [...]

Improving Patient Control of eHRs

Traditional Command-Control Option Dying Out … Slowly! By Staff Reporters NewYork-Presbyterian Hospital recently introduced a new personal electronic health record [eHR] enabling patients to access medical information wherever and whenever they need it. Called myNYP.org, the system uses Microsoft’s HealthVault and Amalga technologies to offer patients the ability to select and store personal medical information [...]

Off-Road Touring with Dr. Marcinko [Part VIII]

Interview with David B. Lumsden; MD By Dr. David Edward Marcinko; MBA, CMP™ [Publisher-in-Chief] Dateline: Baltimore Maryland, August 10, 2009. About David B. Lumsden MD Dr. David Lumsden; MS, MA practices general orthopedic surgery and trauma as a board certified surgeon and partner with Orthopedic and Hand Surgery Associates in Baltimore, Maryland. He completed his training [...]

How Proprietary HIT Vendors May Demolish Health Reform

Top Five Issues from the Longman Report By Staff Reporters Here are the top five quotes from the Longman Report. The author, Phillip Longman, is a senior fellow at the New America Foundation and the author of: “Best Care Anywhere: Why VA Health Care Is Better than Yours as well as The Next Progressive Era: A Blueprint [...]

“Your Life, Your Choices” on Labor Day 2009

More on End-of-Life Political Decisions from a Different Perspective By Dr. David Edward Marcinko; MBA, CMP™ [Publisher-in-Chief] The recently controversial booklet Your Life, Your Choices begins by saying, “There’s only one person who is truly qualified to tell health care providers how you feel about different kinds of health care issues—and that’s you. But, what [...]

Take the Hospital eHR Implementation Challenge!

Illustrative Case Model - Are You CMP™ Worthy? By Staff Reporters  The fictitional Washington Hospital is embroiled in the healthcare reform debate and interested in implementing an electronic health record (EHR) for its major clinic areas. The flagship hospital currently utilizes a legacy-based system and several of the clinics have independently purchased software programs to provide [...]

Evaluating a Sample Physician Financial Plan III

Stress Testing Results a Decade Later By Dr. David Edward Marcinko; CPHQ, MBA, CMP™ By Hope Rachel Hetico; RN, MHA, CPHQ, CMP™ We are often asked by physicians and colleagues; medical, nursing and graduate students, and/or prospective clients to see an actual “comprehensive” financial plan. This is a reasonable request. And, although most doctors who are [...]

On Regional Extension Centers [RECs]

Another New Governmental Machination? By Staff Reporters A Regional (health information) Extension Center [REC] is similar to a Health Information Organization [HIO] that brings together healthcare stakeholders within a defined geographic area and governs Health Information Exchange [HIE] among them for the purpose of improving health and care in that community. Fundamental to this definition [...]

VOTE: Poll on Rule 206(4) of the IAA of 1940?

 Please Vote   Get our Widget: Get this widget! Our Other Print Books and Related Information Sources: Practice Management: http://www.springerpub.com/prod.aspx?prod_id=23759 Physician Financial Planning: http://www.jbpub.com/catalog/0763745790 Medical Risk Management: http://www.jbpub.com/catalog/9780763733421 Healthcare Organizations: www.HealthcareFinancials.com Health Administration Terms: www.HealthDictionarySeries.com Physician Advisors: www.CertifiedMedicalPlanner.com Subscribe Now: Did you like this Medical Executive-Post, or find it helpful, interesting and informative? Want to [...]

Off-Road Touring with Dr. Marcinko [Part VII]

Edgar Allan Poe, Church Hospital, Johns Hopkins and Me By Dr. David Edward Marcinko; MBA, CMP™ [Publisher-in-Chief] Dateline: Baltimore Maryland, August 7, 2009 To the entire world, Church Home and Hospital, formerly known as the Washington Medical College, was where Edgar Allan Poe died on October 7, 1849. Located in Upper Fell’s Point, it was also [...]

Events Planner: September 2009

ADVERTISEMENT Events-Planner: SEPTEMBER 2009 Staff Writers “Keeping track of important health economics and financial industry meetings, conferences and summits” Welcome to this issue of the Medical Executive-Post and our Events-Planner. It contains the latest information on conferences, news, and relevant resources in healthcare finance, economics, research and development, business management, pharmaceutical pricing, and physician/entity reimbursement!  [...]

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